FAMILY PRACTICE INQUIRIES NETWORK CONSORTIUM INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: FAMILY PRACTICE INQUIRIES NETWORK CONSORTIUM INC (EIN 43-1933409)
Tax period: 2011-01-01 to 2011-12-31
Filed: 2012-08-06
IRS object ID: 201212199349300521
Schema version: 2011v1.2
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	2012-08-06T09:14:20-05:00	Timestamp
Tax Period End Date	2011-12-31	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	2011-01-01	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	2012-07-27	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	J MARBERRY	Name
Phone	5738758777	Phone
Date Prepared	2012-07-30	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2011	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	541667	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	8	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	8	NbrIndependentVotingMembers
Total Nbr Employees	10	TotalNbrEmployees
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	3440	ContributionsGrantsPriorYear
Contributions Grants Current Year	3440	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	460671	ProgramServiceRevenuePriorYear
Program Service Revenue CY	538014	ProgramServiceRevenueCY
Investment Income Prior Year	240	InvestmentIncomePriorYear
Investment Income Current Year	195	InvestmentIncomeCurrentYear
Other Revenue Prior Year	10	OtherRevenuePriorYear
Other Revenue Current Year	18	OtherRevenueCurrentYear
Total Revenue Prior Year	464361	TotalRevenuePriorYear
Total Revenue Current Year	541667	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	308859	SalariesEtcPriorYear
Salaries Etc Current Year	332512	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	134483	OtherExpensePriorYear
Other Expenses Current Year	145952	OtherExpensesCurrentYear
Total Expenses Prior Year	443342	TotalExpensesPriorYear
Total Expenses Current Year	478464	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	21019	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	63203	RevenuesLessExpensesCY
Total Assets BOY	171335	TotalAssetsBOY
Total Assets EOY	246070	TotalAssetsEOY
Total Liabilities BOY	14130	TotalLiabilitiesBOY
Total Liabilities EOY	25663	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	157205	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	220407	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	299752	Expense
Description	WEBSITE DEVELOPMENT AND ADVERTISING	Description
Total Program Service Expense	299752	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
Transaction Related Entity	false	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	6	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	10	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	8	NbrVotingGoverningBodyMembers
Number Independent Voting Members	8	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 (18 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation
TONYA WOLFF
PREV. TREASU	40.00	X	X	70726	0	0
CORTNI CROSS
SECRETARY	40.00	X	X	51396	0	0
FRANK DEGRUY MD MS
CHAIRMAN	0.25	X	X	0	0	0
JOHN SAULTZ MD
VP FOR DEVEL	0.25	X	X	0	0	0
NANCY STEVENS MD MPH
VP MEMBERSHI	0.25	X	X	0	0	0
BERNARD EWIGMAN MD MSPH
MEMBER	0.25	X		0	0	0
JAMES STEVERMER MD MSPH
MEMBER	0.25	X		0	0	0
VALERIE GILCHRIST MD
MEMBER	0.25	X		0	0	0
WARREN NEWTON MD MPH
MEMBER	0.25	X		0	0	0
STEVE ZWIEG MD MSPH
MEMBER	0.25	X		0	0	0
MELISSA STILES MD
MEMBER	0.25	X		0	0	0
MICHELLE ROETT MD
MEMBERS	0.25	X		0	0	0
VALERIE KING MD MPH
MEMBER	0.25	X		0	0	0
ANN MOUNSEY MD
MEMBER	0.25	X		0	0	0
TOM SATREMD
MEMBER	0.25	X		0	0	0
JIM DAVIS MD
PRESIDENT	0.25		X	0	0	0
ERIK LUNDBLOOM MD
VP RESEARCH	0.25		X	0	0	0
LUSHAWNA ROMEO
CURRENT TREA	40.00		X	0	0	0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	122122	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	360315	360315
EBP NEWSLETTER SUBSCRIPTION	65988	65988
FOUNDING MEMBERSHIP	56711	56711
DOWDEN HEALTH	55000	55000

Field	Value	IRS element (for citing)
Total Program Service Revenue	538014	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	195	TotalRevenueColumn
Related Or Exempt Function Income	195	RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc

Field	Value	IRS element (for citing)
Description	MISCELLANEOUS INCOME	Description
Total Revenue Column	18	TotalRevenueColumn
Related Or Exempt Function Income	18	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	18	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	541667	TotalRevenueColumn
Related Or Exempt Function Income	538227	RelatedOrExemptFunctionIncome

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	122122	Total
Management And General	122122	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	177612	Total
Program Services	177612	ProgramServices

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	3956	Total
Management And General	3956	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	28822	Total
Program Services	18455	ProgramServices
Management And General	10367	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	726	Total
Management And General	726	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	17976	Total
Management And General	17976	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	1567	Total
Management And General	1567	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	6661	Total
Management And General	6661	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	1438	Total
Program Services	606	ProgramServices
Management And General	832	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	880	Total
Management And General	880	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices
LABOR- EBP NEWSLETTER	32921	32921
ADVERTISING/CONFERENCE	28388	28388
LABOR/EDITORIAL	13000	13000
COMMISSION EXPENSE	10827	10827

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	31568	Total
Program Services	17943	ProgramServices
Management And General	13625	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	478464	Total
Program Services	299752	ProgramServices
Management And General	178712	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	123894	BOY
EOY	183250	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	43843	BOY
EOY	53722	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	32666	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	24464	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	2702	BOY
EOY	8202	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	171335	BOY
EOY	246070	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	14130	BOY
EOY	25663	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	14130	BOY
EOY	25663	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	157205	BOY
EOY	220407	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	157205	BOY
EOY	220407	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	171335	BOY
EOY	246070	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	63203	ReconcilationRevenueExpenses
Reconcilation Other Changes	-1	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 Minus2 Years	3440	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	3440	CurrentTaxYearMinus1Year
Current Tax Year	3440	CurrentTaxYear
Total	10320	Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Current Tax Year Minus2 Years	390339	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	460921	CurrentTaxYearMinus1Year
Current Tax Year	538227	CurrentTaxYear
Total	1389487	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus2 Years	393779	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	464361	CurrentTaxYearMinus1Year
Current Tax Year	541667	CurrentTaxYear
Total	1399807	Total

Field	Value	IRS element (for citing)
Public Support Total509	1399807	PublicSupportTotal509

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus2 Years	393779	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	464361	CurrentTaxYearMinus1Year
Current Tax Year	541667	CurrentTaxYear
Total	1399807	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

Field	Value	IRS element (for citing)
Disclosed Orgs Legal Control	false	DisclosedOrgsLegalControl
Disclosed For Charitable Purposes	false	DisclosedForCharitablePurposes
Written Policy Monitoring	false	WrittenPolicyMonitoring
Sect170h Requirements Satisfied	false	Sect170hRequirementsSatisfied
Solicited Assets For Sale	false	SolicitedAssetsForSale
Agent Trustee Etc	false	AgentTrusteeEtc
Included On FS	false	IncludedOnFS
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	false	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	false	AreRelatedOrgsListedScheduleR

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	32666	OtherCostOrOtherBasis
Depreciation	24464	Depreciation
Book Value	8202	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	8202	TotalOfBookValueLandBuildings

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (2 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 OR 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.