FAMILY PRACTICE INQUIRIES NETWORK CONSORTIUM INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: FAMILY PRACTICE INQUIRIES NETWORK CONSORTIUM INC (EIN 43-1933409)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-09-12
IRS object ID: 201302559349300545
Schema version: 2012v2.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule D
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-09-12T14:53:29-05:00	Timestamp
Tax Period End Date	2012-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MARBERRY & EAGLE PC CPA'S	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	414 E BROADWAY SUITE 200	AddressLine1
City	COLUMBIA	City
State	MO	State
ZIP Code	65201	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	431933409	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	FAMILY PRACTICE INQUIRIES NETWORK	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	FAMI	NameControl
Phone	5732562066	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	409 W VANDIVER BLD 4	AddressLine1
Address Line2	ROOM/SUITE 202	AddressLine2
City	COLUMBIA	City
State	MO	State
ZIP Code	65202	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	LUSHAWNA ROMEO	Name
Title	TREASURER	Title
Phone	5732562066	Phone
Date Signed	2013-08-15	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	J MARBERRY	Name
Phone	5738758777	Phone
Date Prepared	2013-08-12	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

Field	Value	IRS element (for citing)
Business Name Line1	FAMILY PHYSICIANS INQUIRES NETWORK	BusinessNameLine1

Field	Value	IRS element (for citing)
Gross Receipts	620192	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.FPIN.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	2001	YearFormation
State Legal Domicile	MO	StateLegalDomicile
Activity Or Mission Description	USING EVIDENCE AND INFORMATION TECHNOLOGY TO IMPROVE HEALTH AND HEALTHCARE BY TRANSLATING RESEARCH INTO PRACTICE, TEACHING INFORMATION MASTERY, AND GENERATING RESEARCH.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	11	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	11	NbrIndependentVotingMembers
Total Nbr Employees	12	TotalNbrEmployees
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	3440	ContributionsGrantsPriorYear
Contributions Grants Current Year	3440	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	538014	ProgramServiceRevenuePriorYear
Program Service Revenue CY	616566	ProgramServiceRevenueCY
Investment Income Prior Year	195	InvestmentIncomePriorYear
Investment Income Current Year	186	InvestmentIncomeCurrentYear
Other Revenue Prior Year	18	OtherRevenuePriorYear
Other Revenue Current Year	0	OtherRevenueCurrentYear
Total Revenue Prior Year	541667	TotalRevenuePriorYear
Total Revenue Current Year	620192	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	332512	SalariesEtcPriorYear
Salaries Etc Current Year	343913	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	145952	OtherExpensePriorYear
Other Expenses Current Year	255904	OtherExpensesCurrentYear
Total Expenses Prior Year	478464	TotalExpensesPriorYear
Total Expenses Current Year	599817	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	63203	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	20375	RevenuesLessExpensesCY
Total Assets BOY	246070	TotalAssetsBOY
Total Assets EOY	275480	TotalAssetsEOY
Total Liabilities BOY	25663	TotalLiabilitiesBOY
Total Liabilities EOY	34348	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	220407	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	241132	NetAssetsOrFundBalancesEOY
Mission Description	USING EVIDENCE AND INFORMATION TECHNOLOGY TO IMPROVE HEALTH AND HEALTHCARE BY TRANSLATING RESEARCH INTO PRACTICE, TEACHING INFORMATION MASTERY, AND GENERATING RESEARCH.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	411475	Expense
Description	WEBSITE DEVELOPMENT AND ADVERTISING	Description
Total Program Service Expense	411475	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	false	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	false	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	false	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	false	Hospital
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	false	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	false	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	8	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	12	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Form8899 Filed	false	Form8899Filed
Form1098 C Filed	false	Form1098CFiled
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	11	NbrVotingGoverningBodyMembers
Number Independent Voting Members	11	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	false	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	false	ConflictOfInterestPolicy
Whistleblower Policy	false	WhistleblowerPolicy
Document Retention Policy	false	DocumentRetentionPolicy
Compensation Process CEO	false	CompensationProcessCEO
Compensation Process Other	false	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	CORTNI CROSS	NamePerson
Telephone Number	5732562066	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	409 W VANDIVER	AddressLine1
Address Line2	BLD 4 STE 202	AddressLine2
City	COLUMBIA	City
State	MO	State
ZIP Code	65202	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (15 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation
FRANK DEGRUY MD MS
CHAIRMAN	0.75	X	X	0	0	0
JOHN SAULTZ MD
VP FOR FINAN	0.75	X	X	0	0	0
NANCY STEVENS MD MPH
MEMBER	0.75	X		0	0	0
LAURA MORRIS MD
MEMBER	0.75	X		0	0	0
ALAN LEBATO MD
MEMBER	0.75	X		0	0	0
BERNARD EWIGMAN MD MSPH
MEMBER	0.75	X		0	0	0
MICHELLE ROETT MD
MEMBER	0.75	X		0	0	0
TIMOTHY F MOTT MD FAAFP
MEMBER	0.75	X		0	0	0
VALERIE GILCHRIST MD
MEMBER	0.75	X		0	0	0
ANN MOUNSEY MD
MEMBER	0.75	X		0	0	0
TOM SATREMD
MEMBER	0.75	X		0	0	0
LUSHAWNA ROMEO
CURRENT TREA	40.00		X	59583	0	0
CORTNI CROSS
SECRETARY	40.00		X	52938	0	0
LINDA MONTGOMERY MD
PRESIDENT	0.75		X	0	0	0
COREY LYON DO
VP-ED. & MEM	0.75		X	0	0	0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	112521	TotalReportableCompFromOrg
Formers Listed	false	FormersListed
Total Comp GT150 K	false	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources
All Other Contributions	3440	AllOtherContributions
Total Contributions	3440	TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescription	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEMBERSHIP	494611	494611
DOWDEN HEALTH	71500	71500
EBP NEWSLETTER SUBSCRIPTION	39305	39305
CONTENT CONTRACTS	11150	11150

Field	Value	IRS element (for citing)
Total Program Service Revenue	616566	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	186	TotalRevenueColumn
Related Or Exempt Function Income	186	RelatedOrExemptFunctionIncome

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	620192	TotalRevenueColumn
Related Or Exempt Function Income	616752	RelatedOrExemptFunctionIncome

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	112521	Total
Program Services	27083	ProgramServices
Management And General	85438	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	207035	Total
Program Services	173644	ProgramServices
Management And General	33391	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	-3287	Total
Management And General	-3287	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	27644	Total
Program Services	17489	ProgramServices
Management And General	10155	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	2753	Total
Management And General	2753	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	21493	Total
Management And General	21493	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	2125	Total
Management And General	2125	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	9239	Total
Management And General	9239	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	4079	Total
Program Services	3555	ProgramServices
Management And General	524	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	889	Total
Management And General	889	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
WEBSITE DEVELOPMENT	69363	69363
ADVERTISING/CONFERENCE	45633	45633
LABOR- EBP NEWSLETTER	29597	29597
OTHER EXPENSE	15994	10058	5936

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	54739	Total
Program Services	35053	ProgramServices
Management And General	19686	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	599817	Total
Program Services	411475	ProgramServices
Management And General	188342	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	183250	BOY
EOY	243560	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	53722	BOY
EOY	25722	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	33843	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	28541	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	8202	BOY
EOY	5302	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	896	BOY
EOY	896	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	246070	BOY
EOY	275480	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	25663	BOY
EOY	34348	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	25663	BOY
EOY	34348	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	220407	BOY
EOY	241132	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	220407	BOY
EOY	241132	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	246070	BOY
EOY	275480	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	20375	ReconcilationRevenueExpenses
Reconcilation Other Changes	350	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	true	AccountantCompileOrReview
FS Audited	false	FSAudited
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	X	PubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

Field	Value	IRS element (for citing)
Current Tax Year Minus3 Years	3440	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	3440	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	3440	CurrentTaxYearMinus1Year
Current Tax Year	3440	CurrentTaxYear
Total	13760	Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Current Tax Year Minus3 Years	390339	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	460921	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	538227	CurrentTaxYearMinus1Year
Current Tax Year	616752	CurrentTaxYear
Total	2006239	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus3 Years	393779	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	464361	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	541667	CurrentTaxYearMinus1Year
Current Tax Year	620192	CurrentTaxYear
Total	2019999	Total

Field	Value	IRS element (for citing)
Public Support Total509	2019999	PublicSupportTotal509

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus3 Years	393779	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	464361	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	541667	CurrentTaxYearMinus1Year
Current Tax Year	620192	CurrentTaxYear
Total	2019999	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	1.00000	PublicSupportPercentage509
Prior Year Support Percentage	1.00000	PriorYearSupportPercentage
Investment Income Percentage	0.00000	InvestmentIncomePercentage
Thirty Three Percnt Tests CY509	X	ThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	33843	OtherCostOrOtherBasis
Depreciation	28541	Depreciation
Book Value	5302	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	5302	TotalOfBookValueLandBuildings

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (3 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990	FORM 990, PAGE 6, PART VI, LINE 11B	FORM 990 IS REVIEWED BY THE SECRETARY AND/OR TREASURER OF THE BOARD BEFORE BEING SUBMITTED TO THE IRS.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION	FORM 990, PAGE 6, PART VI, LINE 19	THE GOVERNING DOCUMENTS ARE AVAILABLE UPON WRITTEN REQUEST MADE TO THE EXECUTIVE DIRECTOR AT THE FPIN OFFICES LOCATED IN COLUMBIA, MO.
OTHER CHANGES IN NET ASSETS EXPLANATION	FORM 990, PART XI, LINE 9	PY ADJUSTMENT TO A/P 350