2023-09-07T07:13:00-05:00 2022-12-31 251622758 MAHER DUESSEL CPA'S 1800 LINGLESTOWN ROAD SUITE 306 HARRISBURG PA 17110 990 2022-01-01 232340801 PENNSYLVANIA ACADEMY OF FAMILY PHYSICIANS FOUNDATION PENN 7175645365 2704 COMMERCE DRIVE SUITE A HARRISBURG PA 17110 ROBERT B ENNIS EXECUTIVE VP & CEO 7175645365 2023-09-07 1 ROBERT ENNIS 999009999 0 LISA A RITTER P00168809 7172321230 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z ROBERT B ENNIS 2704 COMMERCE DRIVE SUITE A HARRISBURG PA 17110 1429121 0 X WWW.PAFP.COM X 1985 PA THE PENNSYLVANIA ACADEMY OF FAMILY PHYSICIANS FOUNDATION (FOUNDATION), ALONG WITH THE PENNSYLVANIA ACADEMY OF FAMILY PHYSICIANS (ACADEMY), WILL SUPPORT ITS MEMBERS THROUGH ADVOCACY AND EDUCATION TO ENSURE PHYSICIAN-COORDINATED, PERSONALIZED, AND COMPREHENSIVE QUALITY HEALTH CARE FOR EVERY PENNSYLVANIAN. 12 12 0 20 0 0 1180316 1301899 141781 47588 18259 709 2718 78925 1343074 1429121 12000 17203 0 0 96388 119163 0 0 0 1154388 1269743 1262776 1406109 80298 23012 496377 912800 291135 684546 205242 228254 X THE PENNSYLVANIA ACADEMY OF FAMILY PHYSICIANS FOUNDATION (FOUNDATION), ALONG WITH THE PENNSYLVANIA ACADEMY OF FAMILY PHYSICIANS (ACADEMY), WILL SUPPORT ITS MEMBERS THROUGH ADVOCACY AND EDUCATION TO ENSURE PHYSICIAN-COORDINATED, PERSONALIZED, AND COMPREHENSIVE QUALITY HEALTH CARE FOR EVERY PENNSYLVANIAN. 0 0 130388 126513 THE FOUNDATION OFFERS EDUCATIONAL PROGRAMS DESIGNED SPECIFICALLY FOR PRIMARY CARE PROVIDERS, COVERING COMPLIANCE, TECHNOLOGY, PRACTICE MANAGEMENT, AND CLINICAL ISSUES. 1254696 THE RESIDENCY EXPANSION GRANT PROJECT, FUNDED BY THE PENNSYLVANIA DEPARTMENT OF HEALTH, INVESTS IN PA FAMILY MEDICINE RESIDENCY INFRASTRUCTURE BY FUNDING RESIDENCY SLOTS TO SUPPORT EXPANSION AND TO STRENGTHEN THE PIPELINE TO TRAIN MORE FAMILY PHYSICIANS TO PRACTICE IN THE PENNSYLVANIA COMMUNITIES WHERE THEY ARE MOST NEEDED. THE PROJECT INCLUDES A PROFESSIONAL DEVELOPMENT CURRICULUM FEATURING EVENTS AND OTHER OPPORTUNITIES FOR RESIDENTS TO ACCESS ESSENTIAL INFORMATION ABOUT PENNSYLVANIA PRACTICE OPPORTUNITIES IN TRADITIONALLY UNDERSERVED COMMUNITIES AND NETWORKING WITH THE COMMUNITY OF FAMILY PHYSICIANS WHO PRACTICE IN THIS TYPE OF CLINIC SETTING. THIS PROJECT IS DESIGNED TO PIPELINE PARTICIPANTS TO THE PENNSYLVANIA PRIMARY CARE CAREER CENTER AND THE PENNSYLVANIA PRIMARY CARE LOAN REPAYMENT PROGRAMS, BOTH ALSO FUNDED BY THE PENNSYLVANIA DEPARTMENT OF HEALTH. 17203 17203 SUPPORTS EDUCATIONAL ACTIVITIES THAT EXPOSE MEDICAL STUDENTS AND RESIDENTS TO THE PROFESSION OF FAMILY MEDICINE.DIRECT EXPOSURE TO FAMILY PRACTICE IS ONE OF THE MOST EFFECTIVE WAYS OF BUILDING MEDICAL STUDENT INTEREST AND ADDRESSING THE CRITICAL SHORTAGE OF FAMILY PHYSICIANS IN PENNSYLVANIA. INTRODUCES FUTURE PHYSICIANS TO THE FAMILY MEDICINE SPECIALTY BY PROVIDING MEDICAL STUDENTS WITH SCHOLARSHIPS TO ATTEND THE NATIONAL CONFERENCE OF FAMILY PRACTICE RESIDENTS AND MEDICAL STUDENTS, A MEETING TO ENCOURAGE MEDICAL STUDENTS TO PURSUE A CAREER IN FAMILY PRACTICE.THE FAMILY PRACTICE EDUCATIONAL FUND (FPEF) WAS CREATED IN 1991 TO SUPPORT MEDICAL SCHOOL ACTIVITIES FOR STUDENTS INTERESTED IN PURSUING A CAREER IN FAMILY PRACTICE. MEDICAL SCHOOL GRADUATES, LOCAL COMPONENT CHAPTERS OF THE ACADEMY, AND MEMBERS OF THE ACADEMY AND THE AMERICAN ACADEMY OF FAMILY PHYSICIANS DONATE THE FUNDS FOR THIS PROGRAM. FPEF CRITERIA REQUIRE FUNDS BE USED ONLY TO SUPPORT GROUP ACTIVITIES SUCH AS EDUCATIONAL MEETINGS, SPEAKER FEES, ETC., AND NOT FOR INDIVIDUAL ACTIVITIES. 1402287 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 12 12 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 PA X ROBERT B ENNIS EXECUTIVE VP & CEO 7175645365 2704 COMMERCE DRIVE SUITE A HARRISBURG PA 17110 JASON WOLOSKI ACD PRESIDENT, EFFECT 3/1/22 1.00 2.00 X 0 0 0 TIFFANY LEONARD MD ACD PRESIDENT, THRU 2/28/22 1.00 2.00 X 0 0 0 JASON WOLOSKI ACD PRESIDENT ELECT, EFFECT 3/1/21 1.00 2.00 X 0 0 0 JEANNE SPENCER MD ACD PRESIDENT ELECT, EFFECT 3/1/22 1.00 2.00 X 0 1000 0 MANASA IRWIN MD TREASURER, EFFECT 3/1/22 2.00 2.00 X 0 0 0 THIRI BICKEL MD TREASURER, THRU 2/28/22 2.00 2.00 X 0 0 0 DR CHRIS LUPOLD MD TREASURER - INTERIM 2.00 2.00 X 0 0 0 PERRY MEADOWS MD FOUNDATION PRESIDENT 2.00 1.00 X 0 0 0 HEATHER BEAUPARLANT DO FOUNDATION VP, EFFECT 3/1/22 2.00 1.00 X 0 0 0 SUSAN FIDLER MD FOUNDATION VP, THRU 2/28/22 2.00 2.00 X 0 0 0 TIFFANY LEONARD MD BOARD CHAIR, EFFECT 3/1/22 2.00 2.00 X 0 0 0 TRACEY CONTI MD BOARD CHAIR, THRU 2/28/22 2.00 2.00 X 0 0 0 STACEY ROBERT MD DIRECTOR, EFFECT 3/1/22 1.00 1.00 X 0 0 0 BARBARA NIGHTINGALE MD DIRECTOR, EFFECT 3/1/22 1.00 1.00 X 0 0 0 ASNA TASLEEM MD DIRECTOR, EFFECT 3/1/22 1.00 1.00 X 0 0 0 PETER CRONHOLM MD DIRECTOR 1.00 1.00 X 0 0 0 ZAKARY NEWBERRY MD DIRECTOR, THRU 2/28/22 1.00 1.00 X 0 0 0 DREW KEISTER DIRECTOR, THRU 2/28/22 1.00 1.00 X 0 0 0 JEANNE SPENCER MD DIRECTOR, THRU 2/28/22 1.00 1.00 X 0 0 0 AVANI DALAL DIRECTOR, THRU 2/28/22 1.00 1.00 X 0 0 0 AMY HOFFMAN DIRECTOR, THRU 2/28/22 1.00 1.00 X 0 0 0 ROBERT B ENNIS EXECUTIVE VICE PRESIDENT 5.00 32.50 X 0 155250 37474 JANINE OWEN CHIEF EDUCATION OFFICER 5.00 32.50 X 0 111240 19056 JESSICA MARTIN CFO 5.00 32.50 X 0 102748 26892 0 370238 83422 0 0 1 0 0 1261196 40703 1301899 REGISTRATION FEES 611430 45488 45488 EXHIBIT FEES 611430 2100 2100 47588 709 709 SPONSORSHIP 900099 78925 78925 78925 1429121 126513 0 709 X 13203 13203 4000 4000 88924 88924 7114 7114 15556 15556 7569 7569 2015 2015 1770 1770 1107709 1107709 16126 15488 638 9929 7593 2336 1650 1650 16346 15961 385 72624 72624 870 870 SUBSCRIPTIONS 29832 29832 MISCELLANEOUS 5729 5416 313 SPEAKER EXPENSES 2012 2012 AWARDS/RECOGNITION 1781 1631 150 1350 1350 1406109 1402287 3822 0 130023 121521 177239 756449 188366 499 34830 250 496377 912800 287641 655191 3494 29355 291135 684546 X 186178 191776 19064 36478 205242 228254 496377 912800 23012 0 X 0 1 X 1 0 X 955202 1061472 1144261 1180316 1301889 5643140 148252 121866 86324 141781 47588 545811 1103454 1183338 1230585 1322097 1349477 6188951 0 0 0 6188951 916 1043 1213 1206 709 5087 916 1043 1213 1206 709 5087 7795 605 2691 2718 78925 92734 1112165 1184986 1234489 1326021 1429111 6286772 0.98440 0.99710 0.00080 0.00070 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 X 1652472 223351 223351 1429121 0 1429121 1629460 223351 223351 1406109 0 1406109 PART X, LINE 2: THE INTERNAL REVENUE SERVICE HAS DETERMINED THAT THE FOUNDATION IS TAX EXEMPT UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND THE FOUNDATION FILES FORM 990, RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX, ON AN ANNUAL BASIS. THE STANDARDS REQUIRE AN ASSESSMENT OF THE FOUNDATION'S EXPOSURE TO INCOME TAXES AT THE ENTITY LEVEL AS A RESULT OF UNCERTAIN TAX POSITIONS TAKEN IN CURRENT AND PREVIOUSLY FILED TAX RETURNS. EXAMPLES OF TAX POSITIONS TAKEN AT THE ENTITY LEVEL INCLUDE THE CONTINUING VALIDITY OF ITS 501(C)(3) STATUS, POTENTIAL UNRELATED BUSINESS ACTIVITIES, AND OTHER TAX POSITIONS THAT COULD RESULT IN INCOME TAXES TO THE FOUNDATION UPON EXAMINATIONS BY TAXING AUTHORITIES. UNDER FINANCIAL STATEMENTS PRESENTED IN ACCORDANCE WITH ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA, ANY TAX BENEFITS ASSOCIATED WITH UNCERTAIN TAX POSITIONS THAT ARE IN EXCESS OF A REALIZATION THRESHOLD ARE RECORDED AS A LIABILITY FOR UNRECOGNIZED TAX BENEFITS IN THE FINANCIAL STATEMENTS, ALONG WITH ANY ASSOCIATED INTEREST AND PENALTIES. PRESENTLY, MANAGEMENT BELIEVES THAT IT IS MORE LIKELY THAN NOT THAT ITS TAX POSITIONS WILL BE SUSTAINED UPON EXAMINATION, INCLUDING ANY APPEALS AND LITIGATION, AND, THEREFORE, BELIEVES THAT THE FOUNDATION HAS NO EXPOSURE TO THE INCOME TAXES FROM UNCERTAIN TAX POSITIONS. 1 SCHOLARSHIPS FOR STUDENTS IN MEDICAL FIELD 28 13203 PART I, LINE 2: THE FOUNDATION PROVIDES SCHOLARSHIPS TO MEDICAL STUDENTS INTERESTED IN PURSUING A CAREER IN FAMILY MEDICINE. SCHOLARSHIPS ARE PROVIDED TO ATTEND THE AMERICAN ACADEMY OF FAMILY PHYSICIANS' (AAFP) NATIONAL CONFERENCE TO FURTHER EDUCATE THE MEDICAL STUDENTS IN THE SPECIALTY OF FAMILY MEDICINE AND TO ATTEND OTHER EDUCATIONAL MEETINGS. STUDENTS APPLY TO THE FOUNDATION PROVIDING INFORMATION WITH THEIR INTEREST IN FAMILY MEDICINE. A SCHOLARSHIP SELECTION COMMITTEE REVIEWS AND APPROVES APPLICATIONS. THE FOUNDATION CONFIRMS ATTENDANCE FROM THE AAFP AND REQUIRES A FOLLOW-UP LETTER FROM EACH ATTENDEE TO THE FOUNDATION. IF THE APPLICANT DOES NOT ATTEND THE CONFERENCE, FUNDS ARE REQUIRED TO BE RETURNED TO THE FOUNDATION. 0 0 0 0 0 0 0 0 0 ROBERT B ENNIS EXECUTIVE VICE PRESIDENT 0 155250 0 0 0 0 0 12420 0 25054 0 192724 0 0 PART I, LINE 3 THE SALARY OF THE EXECUTIVE VICE PRESIDENT/CHIEF EXECUTIVE OFFICER OF THE ACADEMY IS DETERMINED BY THE BOARD OF THE ACADEMY AND APPROVED AS PART OF THE ANNUAL BUDGET. THE BOARD REVIEWS SALARY DATA FROM COMPARABLE ENTITIES AS PART OF ITS SALARY DETERMINATION. FORM 990, PART VI, SECTION A, LINE 3 MANAGEMENT OF THE FOUNDATION'S ACTIVITIES HAS BEEN DELEGATED TO THE PENNSYLVANIA ACADEMY OF FAMILY PHYSICIANS. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE FORM 990 IS PROVIDED ELECTRONICALLY TO ALL BOARD MEMBERS FOR REVIEW BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD MEMBERS ARE REQUIRED TO COMPLETE AND FILE ANNUAL CONFLICT OF INTEREST DISCLOSURE FORMS WITH THE ORGANIZATION. THE ACADEMY MONITORS COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY USING THE COMPLETED FORMS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ALL REQUIRED DOCUMENTATION, INCLUDING ITS FORM 990, GOVERNING DOCUMENTS, AND CONFLICT OF INTEREST POLICY, AVAILABLE UPON REQUEST FROM THEIR ADMINISTRATIVE OFFICE TO ALL DONORS, PERSPECTIVE DONORS, AND THE GENERAL PUBLIC IF SO REQUESTED. FORM 990, PART IX, LINE 11G PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 4,435. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,435. SUBCONTRACTORS: PROGRAM SERVICE EXPENSES 1,100,004. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,100,004. IT SERVICES : PROGRAM SERVICE EXPENSES 3,270. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,270. PA ACADEMY OF FAMILY PHYSICIANS 2704 COMMERCE STREET SUITE A HARRISBURG PA 17110 231333063 MEMBERSHIP ASSOCIATION PA 501(C)(6) N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 0 PENNSYLVANIA ACADEMY OF FAMILY PHYSICIANS O 207225 TIME SHEET ALLOCATION OF SALARIES