Liabilities / Assets
90th percentile
Higher debt load relative to assets than 90% of similar nonprofits.
Physicians for Fair Coverage Ltd
990 • Fiscal year 2019 • EIN 81-2941933
Siviq Scores
Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.
0.88x
Liabilities / Revenue
34th percentile
Higher debt load relative to revenue than 34% of similar nonprofits.
Net Margin
30th percentile
Higher net margin than 30% of similar nonprofits.
Top Officer Pay
61st percentile
Higher top officer pay than 61% of similar nonprofits.
Top officer pay equals 1.5% of source-year revenue.
Asset Growth
97th percentile
Faster asset growth than 97% of similar nonprofits.
Revenue Growth
96th percentile
Faster revenue growth than 96% of similar nonprofits.
Balance Sheet
Assets
Up$692,071
Up $457,161 (+195%) from 2018
Net Assets
Down$82,415
Down $1,036 (-1.2%) from 2018
Liabilities
Up$609,656
Up $458,197 (+303%) from 2018
Revenue And Expenses
Revenue
Up$8,440,958
Up $6,077,143 (+257%) from 2018
Expenses
Up$8,441,994
Up $5,829,718 (+223%) from 2018
Net Income
Up-$1,036
Up $247,425 (+100%) from 2018
Historical Trend
Jump To
Filing Snapshot
- Filing Period
- Jan 1, 2019 to Dec 31, 2019
- Signed
- Aug 12, 2020
- Return Version
- 2019v5.1
- Gross Receipts
- $8,440,958
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
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Pledges and Grants Receivable | - | $352,080 | - |
| Cash and Non-Interest-Bearing Accounts | $171,213 | $216,945 | ▲ $45,732 |
| Accounts Receivable | $35,167 | $52,334 | ▲ $17,167 |
| Prepaid Expenses and Deferred Charges | $1,655 | $45,405 | ▲ $43,750 |
| Land, Buildings, and Equipment, Net | $26,875 | $18,057 | ▼ $8,818 |
| Total Assets | $234,910 | $692,071 | ▲ $457,161 |
| Other Assets Total | $0 | $7,250 | ▲ $7,250 |
| Liabilities | |||
| Accounts Payable and Accrued Expenses | $151,459 | $397,156 | ▲ $245,697 |
| Deferred Revenue | - | $212,500 | - |
| Total Liabilities | $151,459 | $609,656 | ▲ $458,197 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $83,451 | $82,415 | ▼ $1,036 |
| Total Net Assets Fund Balance | $83,451 | $82,415 | ▼ $1,036 |
| Total Liabilities and Net Assets / Fund Balance | $234,910 | $692,071 | ▲ $457,161 |
Asset Categories
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Other Land Buildings | $13,975 | $24,725 | $38,700 |
| Equipment | $4,082 | $371 | $4,453 |
Compensation and Service Providers
Employees
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Michele H Kimball | President and CEO/ Secretary | FT | $119,072 | $11,332 | $130,404 |
Board Members and Trustees
| Name | Title |
|---|---|
| Kip Schumacher MD | Chair |
| Sherif Zaafran MD | Chair-Elect |
| Brett Cannon MD | Alternate |
| Dominic Bagnoli MD | Alternate |
| Iva Lee Clement | Alternate |
| Kevin Klauer MD | Alternate |
| Richard Heller MD | Alternate |
| Thomas Sugarman MD | Alternate |
| Ed Gaines JD CCP | Ex Officio Member |
| Jeff Bettinger MD | Ex Officio Member |
| Bing Pao MD | Member |
| Bob Kneeley | Member |
| L Anthony Cirillo MD | Member |
| Yogin Patel MD | Member |
| Anthony Gabriel MD | Member-at-Large |
| Aron Goldfeld JD | Treasurer |
Highest Paid Contractors
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Interel US Inc | Management services | 1420 New York Ave NW, Washington, DC 20005 | $511,550 |
| BGR Government Affairs LLC | Lobbying/Retainer | PO Box 14416, Washington, DC 20044 | $495,000 |
| Kirkland & Ellis LLP | Public Relations & Media | 1301 Pennsylvania Ave NW, Washington, DC 20004 | $106,866 |
Revenue and Support
Revenue Composition
- Contributions and Grants
- $6,770,290
- Program Service Revenue
- $1,670,668
- Investment Income
- $0
- Other Revenue
- $0
- All Other Contributions
- $6,770,290
- Change in Net Assets
- $-1,036
Audited Revenue Reconciliation
- Revenue per Audited Statements
- $8,440,958
- Revenue Not Reported on Financial Statements
- $0
- Revenue Not Reported on Form 990
- $0
- Total Revenue per Audited Statements
- $8,440,958
- Total Revenue per Form 990
- $8,440,958
Expenses and Functional Allocation
Major Expense Lines
| Line Item | Amount |
|---|---|
| Other Expenses | $8,139,326 |
| Salaries, Compensation, and Employee Benefits | $302,668 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
Functional Expense Allocation
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Advertising | $6,635,949 | - | - | $6,635,949 |
| Fees for Services Lobbying | $673,103 | - | - | $673,103 |
| Fees for Services Management | $385,720 | $125,830 | - | $511,550 |
| Other Salaries and Wages | $95,775 | $41,537 | - | $137,312 |
| Current Officers, Directors, Trustees, and Key Employees | $90,957 | $39,447 | - | $130,404 |
| Information Technology | $75,206 | $48,450 | - | $123,656 |
| Fees for Services Legal | $47,220 | - | - | $47,220 |
| Fees for Services Accounting | - | $23,210 | - | $23,210 |
| Travel | $21,247 | - | - | $21,247 |
| Payroll Taxes | $14,367 | $6,231 | - | $20,598 |
| Occupancy | $12,691 | $5,504 | - | $18,195 |
| Other Employee Benefits | $10,012 | $4,342 | - | $14,354 |
| Depreciation Depletion | - | $13,271 | - | $13,271 |
| Conferences and Meetings | $11,778 | - | - | $11,778 |
| Office Expenses | - | $9,520 | - | $9,520 |
| Other Expenses | $41,941 | $4,124 | - | $4,124 |
| Insurance | - | $3,488 | - | $3,488 |
| Fees for Services Other | $749 | $325 | - | $1,074 |
| Total Functional Expenses | $8,116,715 | $325,279 | $0 | $8,441,994 |
Audited Expense Reconciliation
| Line Item | Amount |
|---|---|
| Expenses per Audited Statements | $8,441,994 |
| Total Expenses per Audited Statements | $8,441,994 |
| Total Expenses per Form 990 | $8,441,994 |
| Expenses Not Reported on Financial Statements | $0 |
| Expenses Not Reported on Form 990 | $0 |
Fundraising, Events, and Gaming
- Fundraising activities
- No
- Gaming activities
- No
- Professional fundraiser used
- No
Fundraising and Gaming Totals
| Line Item | Amount |
|---|---|
| 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
- Audit committee
- Yes
- Backup withholding compliance
- Yes
- Business relationship with 35% controlled entity
- No
- 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 $511,550 for the year ended December 31, 2019. 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
- 1301 K Street NW No 300W, Washington, DC 20005
Signing Officer
- Name
- Michele H Kimball
- Title
- President and CEO
- Phone
- 2025585155
- Signed
- 2020-08-12
- Discuss with paid preparer
- Yes
Organization Details
- Principal Officer
- Michele H Kimball
- Formed
- 2016
- Legal Domicile
- De
- Voting Board Members
- 7
- Independent Board Members
- 7
- Employees
- 3
- Volunteers
- 17
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.”
Financial Statement Notes
Part X, Line 2:
“PFC follows the Financial Accounting Standards Board Accounting Standards Codification, which provides guidance on accounting for uncertainty in income taxes recognized in PFC's financial statements, if any. As of December 31, 2019, PFC had no unrecognized tax benefits related to uncertain tax positions in its information return that would qualify for either recognition or disclosure in its financial statements. PFC's policy would be to recognize interest and penalties on tax positions related to its unrecognized tax benefits in income tax expense in the financial statements. Through December 31, 2019, there have been no matters that would have resulted in an accrual for interest and/or penalties.”
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| IRS990/Desc | 0 | In 2019, PFC supports state legislative efforts to end surprise billing with strong patient protections by taking the patient out of the middle of disputes between insurers and physicians, applying patient out-of-pocket expenses at the in-network rate for unexpected out-of-network services, ensuring access to care through fair reimbursement and a proven mechanism for appeal for physicians and insurers, and improving transparency for both patients and physicians. Working closely with local physician and patient groups, as well as other stakeholders, we build coalitions, engage grassroots and implement integrated public relations to educate andadvocate. |
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| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
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| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
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| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | Member-at-Large |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | Member |
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| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | Alternate |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | Alternate |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | Alternate |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | Alternate |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | Alternate |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | Ex Officio Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | Ex Officio Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | President and CEO/ Secretary |
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| IRS990/FormationYr | 0 | 2016 |
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| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
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| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 75206 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 123656 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 3488 |
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| IRS990/MinutesOfCommitteesInd | 0 | 1 |
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| IRS990/MissionDesc | 0 | 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. |
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| IRS990/OtherExpensesGrp/Desc | 0 | Dues and subscriptions |
| IRS990/OtherExpensesGrp/Desc | 1 | Miscellaneous |
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| IRS990/PrincipalOfficerNm | 0 | Michele H Kimball |
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| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 1670668 |
| IRS990/ProgSrvcAccomActy2Grp/Desc | 0 | Membership: 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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| IRS990/ProgSrvcAccomActy2Grp/RevenueAmt | 0 | 1670668 |
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| IRS990/PYRevenuesLessExpensesAmt | 0 | -248461 |
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| IRS990/PYTotalRevenueAmt | 0 | 2363815 |
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| IRS990/RegularMonitoringEnfrcInd | 0 | 1 |
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| IRS990/ReportLandBuildingEquipmentInd | 0 | 1 |
| IRS990/ReportOtherAssetsInd | 0 | 0 |
| IRS990/ReportOtherLiabilitiesInd | 0 | 0 |
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| IRS990ScheduleD/EquipmentGrp/DepreciationAmt | 0 | 371 |
| IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt | 0 | 4453 |
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| IRS990ScheduleD/ExpensesSubtotalAmt | 0 | 8441994 |
| IRS990ScheduleD/FootnoteTextInd | 0 | X |
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| IRS990ScheduleD/OtherLandBuildingsGrp/OtherCostOrOtherBasisAmt | 0 | 38700 |
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| IRS990ScheduleD/RevenueNotReportedFinclStmtAmt | 0 | 0 |
| IRS990ScheduleD/RevenueSubtotalAmt | 0 | 8440958 |
| IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt | 0 | PFC follows the Financial Accounting Standards Board Accounting Standards Codification, which provides guidance on accounting for uncertainty in income taxes recognized in PFC's financial statements, if any. As of December 31, 2019, PFC had no unrecognized tax benefits related to uncertain tax positions in its information return that would qualify for either recognition or disclosure in its financial statements. PFC's policy would be to recognize interest and penalties on tax positions related to its unrecognized tax benefits in income tax expense in the financial statements. Through December 31, 2019, there have been no matters that would have resulted in an accrual for interest and/or penalties. |
| IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | Part X, Line 2: |
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| IRS990ScheduleD/TotalExpensesPerForm990Amt | 0 | 8441994 |
| IRS990ScheduleD/TotalRevenuePerForm990Amt | 0 | 8440958 |
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| IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt | 0 | 8441994 |
| IRS990/ScheduleJRequiredInd | 0 | 0 |
| IRS990/ScheduleORequiredInd | 0 | 1 |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 0 | 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. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 1 | 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 $511,550 for the year ended December 31, 2019. PFC's President and CEO is an employee of and was compensated by Interel. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 2 | The organization has dues paying members. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 3 | The members elect the Board of Directors. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 4 | Certain governance decisions and amendments to organizational documents are subject to a 2/3 majority active membership vote and approval. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 5 | A draft copy of Form 990 was provided PFC's President and CEO for review prior to filing. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 6 | 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. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 7 | PFC's governing documents and financial statements are made available to the public upon request. |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | Form 990, Part III, Line 1: Organization's Mission |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 1 | Form 990, Part VI, Section A, line 3 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 2 | Form 990, Part VI, Section A, line 6 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 3 | Form 990, Part VI, Section A, line 7a |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 4 | Form 990, Part VI, Section A, line 7b |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 5 | Form 990, Part VI, Section B, line 11b |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 6 | Form 990, Part VI, Section B, line 12c |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 7 | Form 990, Part VI, Section C, line 19 |
| IRS990/SchoolOperatingInd | 0 | 0 |
| IRS990/SignificantChangeInd | 0 | 0 |
| IRS990/SignificantNewProgramSrvcInd | 0 | 0 |
| IRS990/SubjectToExcsTaxNetInvstIncInd | 0 | 0 |
| IRS990/SubjectToProxyTaxInd | 0 | 1 |
Document Assets
No mirrored PDF or thumbnail assets are attached yet.
Filings
Displayed year
2019 • Form 990Detailed filing. Detailed filing data is available for this year.
- Assets
- $692,071
- Liabilities
- $609,656
- Net assets
- $82,415
- Revenue
- $8,440,958
- Expenses
- $8,441,994
- Net income
- -$1,036