Civic Intelligence

Physicians for Fair Coverage Ltd

990 • Fiscal year 2018 • EIN 81-2941933

Jan 01, 2018 to Dec 31, 2018 • Filed on Nov 15, 2019

700 12th Street NW No 700Washington, DC 20005

(202) 558-5155

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

89th percentile

0.64x

Higher debt load relative to assets than 89% of similar nonprofits.

2018 filings • 501(c)4 • $1M-$5M nonprofits • Source year 2018

Liabilities / Revenue

45th percentile

0.06x

Higher debt load relative to revenue than 45% of similar nonprofits.

2018 filings • 501(c)4 • $1M-$5M nonprofits • Source year 2018

Net Margin

18th percentile

-11%

Higher net margin than 18% of similar nonprofits.

2018 filings • 501(c)4 • $1M-$5M nonprofits • Source year 2018

Top Officer Pay

58th percentile

$0

Higher top officer pay than 58% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

2018 filings • 501(c)4 • $1M-$5M nonprofits • Source year 2018

Asset Growth

2nd percentile

-54%

Faster asset growth than 2% of similar nonprofits.

2018 filings • 501(c)4 • $1M-$5M nonprofits • Annualized from 2017 to 2018

Revenue Growth

20th percentile

-11%

Faster revenue growth than 20% of similar nonprofits.

2018 filings • 501(c)4 • $1M-$5M nonprofits • Annualized from 2017 to 2018

Assets

Down

$234,910

Down $279,324 (-54%) from 2017

Net Assets

Down

$83,451

Down $269,043 (-76%) from 2017

Liabilities

Down

$151,459

Down $10,281 (-6.4%) from 2017

Revenue

Down

$2,363,815

Down $278,178 (-11%) from 2017

Expenses

Up

$2,612,276

Up $322,777 (+14%) from 2017

Net Income

Down

-$248,461

Down $600,955 (-170%) from 2017

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$800K$600K$400K$200K$0Assets 2017: $514,234Liabilities 2017: $161,740Net Assets 2017: $352,4942017Assets 2018: $234,910Liabilities 2018: $151,459Net Assets 2018: $83,4512018Assets 2019: $692,071Liabilities 2019: $609,656Net Assets 2019: $82,4152019Assets 2020: $0Liabilities 2020: $0Net Assets 2020: $02020

Highlighted filing

2018

Assets$234,910
Liabilities$151,459
Net Assets$83,451

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$10M$5.0M$0-$5.0MRevenue 2017: $2,641,993Expenses 2017: $2,289,499Net Income 2017: $352,4942017Revenue 2018: $2,363,815Expenses 2018: $2,612,276Net Income 2018: -$248,4612018Revenue 2019: $8,440,958Expenses 2019: $8,441,994Net Income 2019: -$1,0362019Revenue 2020: $1,580,139Expenses 2020: $1,662,554Net Income 2020: -$82,4152020

Highlighted filing

2018

Revenue$2,363,815
Expenses$2,612,276
Net Income-$248,461
Jump To
Filing Snapshot
Filing Period
Jan 1, 2018 to Dec 31, 2018
Signed
Nov 15, 2019
Return Version
2018v3.1
Gross Receipts
$2,363,815
Mission and Program Overview

Mission

Physicians for Fair Coverage (PFC) is a non-profit, non-partisan organization that advocates on behalf physicians and their patients to create stronger patient protections, ensure access to care and improve transparency in the health care system.

Advocacy organization to improve patient protections and End The Surprise Insurance Gap- See Part III

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$324,443$171,213▼ $153,230
Accounts Receivable$69,967$35,167▼ $34,800
Land, Buildings, and Equipment, Net$19,350$26,875▲ $7,525
Prepaid Expenses and Deferred Charges$2,121$1,655▼ $466
Total Assets$415,881$234,910▼ $180,971
Liabilities
Accounts Payable and Accrued Expenses$83,969$151,459▲ $67,490
Total Liabilities$83,969$151,459▲ $67,490
Net Assets / Fund Balance
Unrestricted Net Assets$331,912$83,451▼ $248,461
Total Net Assets Fund Balance$331,912$83,451▼ $248,461
Total Liabilities and Net Assets / Fund Balance$415,881$234,910▼ $180,971

Asset Categories

AssetBook ValueDepreciationBasis
Other Land Buildings$26,875$11,825$38,700
Compensation and Service Providers

Board Members and Trustees

NameTitle
Kip Schumacher MDChair
Sherif Zaafran MDChair-Elect
Michele H KimballPresident and CEO/ Secretary
Brett Cannon MDAlternate
Dominic Bagnoli MDAlternate
Iva Lee ClementAlternate
Kevin Klauer MDAlternate
Richard Heller MDAlternate
Thomas Sugarman MDAlternate
Ed Gaines JD CCPEx Officio Member
Jeff Bettinger MDEx Officio Member
Bing Pao MDMember
Bob KneeleyMember
L Anthony Cirillo MDMember
Yogin Patel MDMember
Anthony Gabriel MDMember-at-Large
Aron Goldfeld JDTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Interel US IncManagement services1420 New York Avenue NW, Washington, DC 20005$835,440
Rational PR LLCMarketing and Public Relations1828 L Street NW Suite 640, Washington, DC 20036$541,026
BGR Government AffairsLobbying/RetainerPO Box 14416, Washington, DC 20044$333,337
Revenue and Support

Revenue Composition

Contributions and Grants
$10,000
Program Service Revenue
$2,353,815
Investment Income
$0
Other Revenue
$0
All Other Contributions
$10,000
Change in Net Assets
$-248,461
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$2,612,276
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Lobbying$890,867--$890,867
Fees for Services Management$664,307$216,836-$881,143
Advertising$486,293--$486,293
Other Expenses$80,030--$80,030
Travel-$74,714-$74,714
Conferences and Meetings$64,677--$64,677
Fees for Services Legal-$48,164-$48,164
Office Expenses-$27,375-$27,375
Information Technology$987$22,075-$23,062
Fees for Services Accounting-$12,133-$12,133
Depreciation Depletion-$11,825-$11,825
Fees for Services Other-$8,040-$8,040
Insurance-$3,953-$3,953
Total Functional Expenses$2,187,161$425,115$0$2,612,276
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
In-house lobbying only
No
Subject to proxy tax
Yes
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Backup withholding compliance
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
Yes
Management duties delegated
Yes

Governance Explanations

Form 990, Part VI, Section A, line 3

PFC retains the services of a management firm, Interel US, Inc. (Interel). Management fees represent amounts paid to Interel under the terms of the agreement to provide management, back-office services, office space, equipment and other resources. Management fees totaled $881,143 for the year ended December 31, 2018. PFC's President and CEO is an employee of and was compensated by Interel.

Form 990, Part VI, Section A, line 6

The organization has dues paying members.

Form 990, Part VI, Section A, line 7A

The members elect the Board of Directors.

Form 990, Part VI, Section A, line 7B

Certain governance decisions and amendments to organizational documents are subject to a 2/3 majority active membership vote and approval.

Form 990, Part VI, Section B, line 11B

A draft copy of Form 990 was provided PFC's President and CEO for review prior to filing.

Form 990, Part VI, Section B, line 12C

Each member of the Board and each committee member annually shall review the Conflict of Interest policy, agree to abide by the Conflict of Interest Policy, and shall execute a separate Disclosure Statement.

Form 990, Part VI, Section C, line 19

PFC's governing documents and financial statements are made available to the public upon request.

Filing and Contact Details

Filer

Filer Name
Physicians for Fair Coverage Ltd
EIN
81-2941933
Phone
2025585155
Address
700 12th Street NW No 700, Washington, DC 20005

Signing Officer

Name
Michele H Kimball
Title
President and CEO
Phone
2025585155
Signed
2019-11-15
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Michele H Kimball
Formed
2016
Legal Domicile
De
Voting Board Members
10
Independent Board Members
10
Employees
0
Volunteers
16

Preparer

Firm
Rogers & Company PLLC
Address
8300 Boone Boulevard Suite 600, Vienna, VA 22182
Preparer
Hemali Kane EA
Phone
7038930300
Supplemental Narrative

Additional Explanations

Form 990, Part III, Line 1: Organization'S Mission

Physicians for Fair Coverage (PFC) is a growing multi-specialty alliance of physician practices from around the country. PFC is the organization that advocates for physicians and their patients to improve patient protections, promote transparency and maintain access to care. To accomplish its mission, the PFC will: Advocate for strong protections that hold patients financially harmless for unexpected out-of-network care, and for adequate and fair reimbursement for physicians to ensure access to high quality healthcare services for their patients. Develop and implement a proactive strategy to promote fair healthcare coverage for the patients served by physicians. Monitor and respond to threats to fair coverage on the Federal and State level. Coordinate and mobilize, where possible and appropriate, with other stakeholders to develop coalitions in the pursuit of common goals and objectives. Develop strategies to address coercive contracting by health plans. Conduct its activities in accordance with such powers as are now, or may hereafter be permitted, under Delaware law.

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IRS990/Form990PartVIISectionAGrp/PersonNm2Aron Goldfeld JD
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IRS990/Form990PartVIISectionAGrp/PersonNm6Bob Kneeley
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IRS990/MissionDesc0Physicians for Fair Coverage (PFC) is a non-profit, non-partisan organization that advocates on behalf physicians and their patients to create stronger patient protections, ensure access to care and improve transparency in the health care system.
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IRS990/PrincipalOfficerNm0Michele H Kimball
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IRS990/ProgSrvcAccomActy2Grp/Desc0Membership: PFC is comprised of tens of thousands of physicians from a variety of specialties who annually serve millions of patients in thousands of facilities nationwide. Members are strong patient advocates, agree any billing disputes should remain between themselves and insurers and can fairly be resolved through a proven appeals process, and do not balance bill in their practices.
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0Physicians for Fair Coverage (PFC) is a growing multi-specialty alliance of physician practices from around the country. PFC is the organization that advocates for physicians and their patients to improve patient protections, promote transparency and maintain access to care. To accomplish its mission, the PFC will: Advocate for strong protections that hold patients financially harmless for unexpected out-of-network care, and for adequate and fair reimbursement for physicians to ensure access to high quality healthcare services for their patients. Develop and implement a proactive strategy to promote fair healthcare coverage for the patients served by physicians. Monitor and respond to threats to fair coverage on the Federal and State level. Coordinate and mobilize, where possible and appropriate, with other stakeholders to develop coalitions in the pursuit of common goals and objectives. Develop strategies to address coercive contracting by health plans. Conduct its activities in accordance with such powers as are now, or may hereafter be permitted, under Delaware law.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1PFC retains the services of a management firm, Interel US, Inc. (Interel). Management fees represent amounts paid to Interel under the terms of the agreement to provide management, back-office services, office space, equipment and other resources. Management fees totaled $881,143 for the year ended December 31, 2018. PFC's President and CEO is an employee of and was compensated by Interel.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2The organization has dues paying members.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3The members elect the Board of Directors.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4Certain governance decisions and amendments to organizational documents are subject to a 2/3 majority active membership vote and approval.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5A draft copy of Form 990 was provided PFC's President and CEO for review prior to filing.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6Each member of the Board and each committee member annually shall review the Conflict of Interest policy, agree to abide by the Conflict of Interest Policy, and shall execute a separate Disclosure Statement.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7PFC's governing documents and financial statements are made available to the public upon request.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Form 990, Part III, Line 1: Organization's Mission
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Form 990, Part VI, Section A, line 3
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2Form 990, Part VI, Section A, line 6
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3Form 990, Part VI, Section A, line 7a
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4Form 990, Part VI, Section A, line 7b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5Form 990, Part VI, Section B, line 11b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6Form 990, Part VI, Section B, line 12c
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc7Form 990, Part VI, Section C, line 19
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