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AMERICAN ASSOCIATION FOR PHYSICIAN LEADERSHIP INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
AMERICAN ASSOCIATION FOR PHYSICIAN LEADERSHIP INC (EIN 54-1032555)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-05-15
IRS object ID
201331359349306003
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-05-15T13:31:30-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN410746749EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11715 NORTH WESTSHORE BLVD SUITE 950AddressLine1
CityTAMPACity
StateFLState
ZIP Code33607ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN541032555EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1AMERICAN COLLEGE OF PHYSICIAN EXECUTIVESBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlAMERNameControl
Phone8132872000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1400 N ASHLEY DR NO 400AddressLine1
CityTAMPACity
StateFLState
ZIP Code33602ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NamePETER ANGOOD MDName
TitleCEOTitle
Phone8132872000Phone
Date Signed2013-05-10DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameMICHAEL CARTERName
PTINP00735552PTIN
Phone8133842700Phone
Date Prepared2013-04-25DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonPETER ANGOOD MDNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1400 N ASHLEY DR NO 400AddressLine1
CityTAMPACity
StateFLState
ZIP Code33602ZIPCode
FieldValueIRS element (for citing)
Gross Receipts9441969GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.ACPE.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1974YearFormation
State Legal DomicileFLStateLegalDomicile
Activity Or Mission DescriptionTO HELP ENSURE THAT PHYSICIANS CONTINUALLY GROW AS INDIVIDUALS AND BECOME SUCCESSFUL HEALTHCARE LEADERS, ACPE DEVELOPS AND PROVIDES THE NECESSARY LEADERSHIP PROGRAMS, PRODUCTS AND SERVICES TO IMPROVE HEALTHCARE.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees35TotalNbrEmployees
Total Nbr Volunteers75TotalNbrVolunteers
Total Gross UBI158811TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year2118521ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year5960563ProgramServiceRevenuePriorYear
Program Service Revenue CY9065691ProgramServiceRevenueCY
Investment Income Prior Year-15632InvestmentIncomePriorYear
Investment Income Current Year51495InvestmentIncomeCurrentYear
Other Revenue Prior Year294333OtherRevenuePriorYear
Other Revenue Current Year324201OtherRevenueCurrentYear
Total Revenue Prior Year8357785TotalRevenuePriorYear
Total Revenue Current Year9441387TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year2981602SalariesEtcPriorYear
Salaries Etc Current Year3392101SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year4741235OtherExpensePriorYear
Other Expenses Current Year5587194OtherExpensesCurrentYear
Total Expenses Prior Year7722837TotalExpensesPriorYear
Total Expenses Current Year8979295TotalExpensesCurrentYear
Revenues Less Expenses Prior Year634948RevenuesLessExpensesPriorYear
Revenues Less Expenses CY462092RevenuesLessExpensesCY
Total Assets BOY7360788TotalAssetsBOY
Total Assets EOY7576016TotalAssetsEOY
Total Liabilities BOY4862411TotalLiabilitiesBOY
Total Liabilities EOY4477152TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2498377NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY3098864NetAssetsOrFundBalancesEOY
Mission DescriptionTO HELP ENSURE THAT PHYSICIANS CONTINUALLY GROW AS INDIVIDUALS AND BECOME SUCCESSFUL HEALTHCARE LEADERS, ACPE DEVELOPS AND PROVIDES THE NECESSARY LEADERSHIP PROGRAMS, PRODUCTS AND SERVICES TO IMPROVE HEALTHCARE.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense5416615Expense
Revenue6466360Revenue
DescriptionEDUCATION - EDUCATING PHYSICIANS IN LEADERSHIP SKILLS FOCUSING ON PATIENT CARE, FISCAL HEALTH, EMPLOYEE WELL-BEING AND COMMUNITY INVOLVEMENT; TRAIN PHYSICIANS TO BE HIGHLY CAPABLE MANAGERS AND EXCEPTIONAL PHYSICIANS; OFFER LIVE COURSES, COMPUTER-BASED AND INHOUSE TRAINING.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense2365207Expense
Revenue2281663Revenue
DescriptionMEMBERSHIP - MAINTAINING MEMBER DIRECTORY AND RECRUITING; PROVIDE ONLINE COMMUNITIES WHERE MEMBERS EXCHANGE SOLUTIONS TO PROBLEMS AND DISCUSS NEW IDEAS. PROVIDE CAREER COUNSELING, ONLINE TOOL KITS, COMPENSATION SURVEYS & OTHER RESOURCES.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense715301Expense
Revenue317668Revenue
DescriptionPUBLICATIONS AND INFORMATION SERVICES - PRINTING AND PRODUCTION OF TEXTBOOKS, PUBLICATIONS, AND NEWSLETTERS. PUBLICATIONS INCLUDE BI MONTHLY JOURNAL AND PUBLICATIONS FOR PURCHASE WHICH FOCUS ON MANAGERIAL AND LEADERSHIP TOPICS, ETHICS, AND MEDICAL RESOURCES.Description
FieldValueIRS element (for citing)
Total Program Service Expense8497123TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities1ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096110NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees35NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1ROSEMARY BRACKMANBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8132872000TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1400 N ASHLEY DRAddressLine1
CityTAMPACity
StateFLState
ZIP Code33602ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (23 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
ARTHUR LAZARUS MD
DIRECTOR2.00X000
CLAIR CALLAN MD
PAST PRESIDENT2.00X000X
HODA ASMAR MD
DIRECTOR2.00X000
HOWARD HAFT MD
DIRECTOR2.00X000
INGRAM ROBERTS MD
DIRECTOR2.00X000
JACK SMITH MD
DIRECTOR2.00X000
JOHN KEATS MD
DIRECTOR2.00X000
LAWRENCE RIDDLES MD
PRESIDENT2.00X000X
LYNN HELMER MD
SECRETARY/TREASURER2.00X000X
MARK BROWNE MD
DIRECTOR2.00X000
MARK WERNER MD
VICE PRESIDENT2.00X000X
MICHAEL BAKERMAN MD
DIRECTOR2.00X000
SHERI PHILLIPS MD
DIRECTOR2.00X000
VERONICA SIKKA MD
DIRECTOR2.00X000
PETER ANGOOD MD
CEO40.0041500000X
ROSEMARY BRACKMAN
CFO40.00135515011179X
SUSAN QUINN
COO40.00209525012229X
BARBARA LINNEY
PROFESSIONAL DEVELOPMENT40.0013978707492X
WILLIAM STEIGER
MARKETING & COMMUNICATIONS40.0013549209470X
JUDY ROCHELL
MEMBERSHIP40.0015936408185X
DEBRA MARSH
PRODUCTION & DESIGN40.0013001706840X
HANS ZETTERSTROM
CHIEF INFORMATION OFFICER40.0012074509919X
BARRY SILBAUGH
FORMER CEO0.0011031200X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1555757TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation65314TotalOtherCompensation
Number Individuals GT100 K9NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
REFLECTIONS PSYCHOLOGICAL SVCS
2709 HAMMAN WAYAURORAIL60502FACULTY/ROYALTIES272732
STEVEN A FINKLER
7 HARAN CIRCLEMILLBURNNJ07041FACULTY/ROYALTIES165915
THOMAS JEFFERSON UNIVERSITY
1015 WALNUT STREET STE 115PHILADELPHIAPA19107FACULTY/ROYALTIES122463
ERIC N BERKOWITZ
19 FOXGLOVE LANEAMHERSTMA01002FACULTY/ROYALTIES110853
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
EDUCATION PROGRAMS90009964663606466360
MEMBERSHIP DUES90009922816632281663
PUBLICATIONS AND INFOR900099317668317668
FieldValueIRS element (for citing)
Total Program Service Revenue9065691TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column50673TotalRevenueColumn
Exclusion$50,673ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other1404Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other582Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other822Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column822TotalRevenueColumn
Exclusion$822ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
SPONSORSHIP INCOME90009924700082110$164,890
ADVERTISING INCOME9000997670176701
OTHER INCOME900099500$500
FieldValueIRS element (for citing)
Total Other Revenue324201TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column9441387TotalRevenueColumn
Related Or Exempt Function Income9065691RelatedOrExemptFunctionIncome
Unrelated Business Revenue158811UnrelatedBusinessRevenue
Exclusion$216,885ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total783448Total
Program Services705103ProgramServices
Management And General78345ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total110312Total
Program Services99281ProgramServices
Management And General11031ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total1835603Total
Program Services1644013ProgramServices
Management And General191590ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total80825Total
Program Services72743ProgramServices
Management And General8082ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total423014Total
Program Services380712ProgramServices
Management And General42302ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total158899Total
Program Services143009ProgramServices
Management And General15890ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1800Total
Management And General1800ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total25203Total
Management And General25203ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total84681Total
Program Services81887ProgramServices
Management And General2794ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total380741Total
Program Services342827ProgramServices
Management And General37914ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total20955Total
Program Services18859ProgramServices
Management And General2096ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total7894Total
Program Services7894ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total358931Total
Program Services323656ProgramServices
Management And General35275ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total28335Total
Program Services24085ProgramServices
Management And General4250ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total93108Total
Program Services88824ProgramServices
Management And General4284ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total30621Total
Program Services24036ProgramServices
Management And General6585ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
EDUCATION EXPENSES35060333506033
MEMBERSHIP EXPENSES593597593597
PUBLICATIONS343050343050
BOARD AND COMMITTEES820846977112313

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total30161Total
Program Services27743ProgramServices
Management And General2418ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total8979295Total
Program Services8497123ProgramServices
Management And General482172ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2303724BOY
EOY1601492EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1955937BOY
EOY2501691EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY497256BOY
EOY680417EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY27227BOY
EOY15143EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY467119BOY
EOY390462EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis2307903LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec2245782LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY71126BOY
EOY62121EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY1311998BOY
EOY1489236EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY554037EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY726401BOY
EOY281417EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY7360788BOY
EOY7576016EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY642594BOY
EOY885065EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY2693446BOY
EOY2475676EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1526371BOY
EOY1116411EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY4862411BOY
EOY4477152EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY2498377BOY
EOY3098864EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2498377BOY
EOY3098864EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7360788BOY
EOY7576016EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses462092ReconcilationRevenueExpenses
Reconciliation Unrealized Invest138395ReconciliationUnrealizedInvest
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6872090CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6304207CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6791596CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8079084CurrentTaxYearMinus1Year
Current Tax Year9142392CurrentTaxYear
Total37189369Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6872090CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6304207CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6791596CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8079084CurrentTaxYearMinus1Year
Current Tax Year9142392CurrentTaxYear
Total37189369Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50937189369PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years92365CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years38180CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years36023CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year41945CurrentTaxYearMinus1Year
Current Tax Year50673CurrentTaxYear
Total259186Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years92365CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years38180CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years36023CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year41945CurrentTaxYearMinus1Year
Current Tax Year50673CurrentTaxYear
Total259186Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years56096CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years210780CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years226794CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year272903CurrentTaxYearMinus1Year
Current Tax Year158811CurrentTaxYear
Total925384Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years705CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years240CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4795CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year21430CurrentTaxYearMinus1Year
Current Tax Year165390CurrentTaxYear
Total192560Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7021256CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6553407CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7059208CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8415362CurrentTaxYearMinus1Year
Current Tax Year9517266CurrentTaxYear
Total38566499Total
FieldValueIRS element (for citing)
Public Support Percentage5090.96430PublicSupportPercentage509
Prior Year Support Percentage0.96550PriorYearSupportPercentage
Investment Income Percentage0.00670InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01110PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis19838OtherCostOrOtherBasis
Depreciation12476Depreciation
Book Value7362BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis559725OtherCostOrOtherBasis
Depreciation504966Depreciation
Book Value54759BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1728340OtherCostOrOtherBasis
Depreciation1728340Depreciation
Book Value0BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings62121TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
DEFERRED COMPENSATION PLAN LIABILITY$253,033
INCENTIVE FROM LESSOR$66,400
DUE TO RELATED PARTY$796,978
FieldValueIRS element (for citing)
Total Of Amounts1116411TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt9579782TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments138395NetUnrealizedGainsInvestments
Revenue Not Rptd F990138395RevenueNotRptdF990
Revenue Subtotal9441387RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9909441387TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt8979295TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal8979295ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9908979295TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X, LINE 2:ReturnReference
ExplanationTHE ORGANIZATION ACCOUNTS FOR UNCERTAIN TAX POSITIONS, IF ANY, IN ACCORDANCE WITH FASB ACCOUNTING STANDARDS CODIFICATION SECTION 740. IN ACCORDANCE WITH THESE PROFESSIONAL STANDARDS, THE ORGANIZATION RECOGNIZES TAX POSITIONS ONLY TO THE EXTENT THAT MANAGEMENT BELIEVES IT IS "MORE LIKELY THAN NOT" THAT ITS TAX POSITIONS WILL BE SUSTAINED UPON IRS EXAMINATION. MANAGEMENT BELIEVES THAT IT HAS NO UNCERTAIN TAX POSITIONS THAT QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS FOR THE YEARS ENDED DECEMBER 31, 2012 AND 2011. THE ORGANIZATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE ORGANIZATION BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR FISCAL YEARS ENDING PRIOR TO DECEMBER 31, 2009.Explanation

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable

FieldValueIRS element (for citing)
RegionDHAHRAN, SAUDI ARABIARegion
Number Of Offices0NumberOfOffices
Number Of Employees0NumberOfEmployees
Type Of Activities ConductedPROGRAM SERVICESTypeOfActivitiesConducted
Specific Services ProvidedONSITE EDUCATIONSpecificServicesProvided
Total Expenditures39957TotalExpenditures
FieldValueIRS element (for citing)
Subtotal Number Of Offices0SubtotalNumberOfOffices
Subtotal Number Of Employees0SubtotalNumberOfEmployees
Cont Number Of Offices0ContNumberOfOffices
Cont Number Of Employees0ContNumberOfEmployees
Total Number Of Offices0TotalNumberOfOffices
Total Number Of Employees0TotalNumberOfEmployees
Subtotal Amount Spent39957SubtotalAmountSpent
Cont Amount Spent0ContAmountSpent
Total Amount Spent39957TotalAmountSpent
Transfer To Foreign Corp0TransferToForeignCorp
Interest In Foreign Trust0InterestInForeignTrust
Own Foreign Corp0OwnForeignCorp
Passive Foreign Invest Co0PassiveForeignInvestCo
Foreign Partnership0ForeignPartnership
Boycott Countries0BoycottCountries

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org1CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
PETER ANGOOD MD
CEO3750000004000000000415000000
SUSAN QUINN
COO14990302500003462202500097290221754000
JUDY ROCHELL
MEMBERSHIP4516504000011019902500056850167549000
BARRY SILBAUGH
FORMER CEO000011031200000110312000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanation
PART I, LINES 4A-BDURING THE YEAR ENDED DECEMBER 31, 2011, THE COLLEGE ENTERED INTO A SEVERANCE AGREEMENT WITH BARRY SILBAUGH, THE FORMER CEO. THE CONTRACT PROVIDED SEVERANCE IN THE AMOUNT OF $90,000 OF WHICH $34,154 WAS PAID DURING THE YEAR ENDED DECEMBER 31, 2012. THE CONTRACT ALSO ALLOWED FOR THE PAYMENT OF A PRORATED BONUS IN THE AMOUNT OF $76,158 WHICH WAS ALSO PAID DURING THE YEAR ENDING DECEMBER 31, 2012. THE FOLLOWING EMPLOYEES WERE PARTICIPANTS IN A SUPPLEMENTAL RETIREMENT PLAN: SUSAN QUINN, BARBARA LINNEY, WILLIAM STEIGER, DEBRA MARSH, AND JUDY ROCHELL.
PART I, LINE 6THE CEO AND COO WERE ELIGIBLE FOR BONUS BASED ON NON-FINANCIAL PERFORMANCE (MEMBERSHIP GROWTH, NEW CONTENT DELIVERY, NEW PRODUCT DEVELOPMENT, ETC) BUT ONLY IF THE MINIMUM NET EARNINGS THRESHOLD WAS REACHED.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION A, LINE 6THE COLLEGE SHALL HAVE NINE (9) CLASSES OF MEMBERS AS DESCRIBED BELOW. A. PHYSICIAN MEMBERS: MDS, DOS, PODIATRIC PHYSICIANS AND DENTISTS WHO MEET THE QUALIFICATIONS FOR MEMBERSHIP IN SECTION 2. THERE ARE 4 CLASSES OF MEMBERSHIP IN THIS CATEGORY - "MEMBERS", "DIPLOMATES", "FELLOWS", AND "DISTINGUISHED FELLOWS". B. SPECIAL CATEGORIES OF MEMBERSHIP. THERE ARE TWO (2) SPECIAL CATEGORIES OF MEMBERSHIP "HONORARY MEMBERS", AND "HONORARY FELLOWS". C. AFFILIATE MEMBERS: THIS CLASS OF MEMBERSHIP IS OPEN TO CLINICAL HEALTHCARE PROFESSIONS AS DESIGNATED AND APPROVED BY THE ACPE BOARD. BENEFITS ARE THE SAME AS TRADITIONAL MEMBERS (INCLUDING DISCOUNTS ON COURSES), EXCEPT THAT THEY CAN NOT SERVE ON THE BOARD, BECOME AN OFFICER, OR BECOME A CPE. AFFILIATE MEMBERS CAN SERVE ON COMMITTEES AND TASK FORCES AND BE EX-OFFICIO MEMBERS OF THE BOARD. D. HEALTHCARE LEADERS: THIS CLASS OF MEMBERSHIP IS OPEN TO NON-CLINICIAN HEALTHCARE LEADERS AND MANAGERS INCLUDING HOSPITAL EXECUTIVES, PRACTICE MANAGERS, PHARMACEUTICAL COMPANY EXECS ANYONE WHO WORKS WITH PHYSICIAN EXECUTIVES TO DELIVER HEALTHCARE SERVICES OR PRODUCTS. BENEFITS ARE THE SAME AS AFFILIATE MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7ADIRECTORS SHALL BE FELLOWS OR DISTINGUISHED FELLOWS OF THE CORPORATION AND SHALL BE ELECTED BY THE MEMBERS OF THE CORPORATION UNDER PROCEDURES ESTABLISHED AND APPROVED BY THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 11A COMPLETE COPY OF THE ORGANIZATION'S FORM 990 IS PRESENTED TO THE BOARD OF DIRECTORS FOR REVIEW PRIOR TO THE FILING OF THE FORM
FORM 990, PART VI, SECTION B, LINE 12CBOARD MEMBERS ARE REQUIRED TO DISCLOSE ANY POTENTIAL CONFLICTS OF INTEREST AT THE START OF EVERY BOARD MEETING AND COMPLETE AND SUBMIT A CONFLICT OF INTEREST FORM ANNUALLY.
FORM 990, PART VI, SECTION B, LINE 15THE COMPENSATION OF THE CHIEF EMPLOYED EXECUTIVE, OTHER OFFICERS, AND KEY EMPLOYEES IS REVIEWED AND APPROVED BY ACPE'S BOARD OF DIRECTORS OR COMPENSATION COMMITTEE, PROVIDED THAT PERSONS WITH CONFLICTS OF INTEREST WITH RESPECT TO THE COMPENSATION ARRANGEMENT AT ISSUE ARE NOT INVOLVED IN THIS REVIEW AND APPROVAL. COMPENSATION IS REVIEWED AND APPROVED USING DATA NO GREATER THAN THREE YEARS OLD AS TO COMPARABLE COMPENSATION FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS. THERE IS CONTEMPORANEOUS DOCUMENTATION AND RECORDKEEPING WITH RESPECT TO THE DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION ARRANGEMENT.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1CERTIFYING COMMISSION IN MEDICAL MANAGEMENT INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1400 N ASHLEY DR SUITE 400AddressLine1
CityTAMPACity
StateFLState
ZIP Code33602ZIPCode
FieldValueIRS element (for citing)
EIN311487805EIN
Primary ActivitiesIMPROVING THE HEALTH CARE DELIVERY SYSTEMPrimaryActivities
Legal Domicile StateFLLegalDomicileState
Exempt Code Section501(C)(6)ExemptCodeSection

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1AMERICAN COLLEGE OF PHYSICIAN EXECUTIVESBusinessNameLine1
FieldValueIRS element (for citing)
Controlled Org1ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org1LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org1LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
CERTIFYING COMMISSION IN MEDICAL MANAGEMENT INC
D202148CASH
CERTIFYING COMMISSION IN MEDICAL MANAGEMENT INC
O80296CASH
CERTIFYING COMMISSION IN MEDICAL MANAGEMENT INC
E484225CASH