Department of the Treasury Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
Attach to Form 990 or Form 990-EZ. See separate instructions. Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
UROLOGY CARE FOUNDATION INC
Employer identification number
20-3210212
Part I
Reason for Public Charity Status
(All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).
f
If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supporting organization, check this box
..................................................
g
Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons?
(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the supported organization?
................
11g(i)
(ii)
A family member of a person described in (i) above?
......................
11g(ii)
(iii)
A 35% controlled entity of a person described in (i) or (ii) above?
................
11g(iii)
h
Provide the following information about the supported organization(s).
(i) Name of supported organization
(ii) EIN
(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions))
(iv) Is the organization in col. (i) listed in your governing document?
(v) Did you notify the organization in col. (i) of your support?
(vi) Is the organization in col. (i) organized in the U.S.?
(vii) Amount of monetary support
Yes
No
Yes
No
Yes
No
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the
organization failed to qualify under Part III. If the organization fails to
qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
3,497,639
6,281,226
1,787,030
3,862,158
3,790,666
19,218,719
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
4
Total. Add lines 1 through 3
3,497,639
6,281,226
1,787,030
3,862,158
3,790,666
19,218,719
5
The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included
on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
4,145,412
6
Public support. Subtract line 5 from line 4.
15,073,307
Section B. Total Support
Calendar year
(or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
7
Amounts from line 4..
3,497,639
6,281,226
1,787,030
3,862,158
3,790,666
19,218,719
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
261,591
324,646
398,448
562,198
774,853
2,321,736
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
10
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
206,457
202,072
1,030,926
478,601
256,188
2,174,244
11
Total support (Add lines 7 through 10).
23,714,699
12
Gross receipts from related activities, etc. (see instructions)
..................
12
13
First five years.
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.................................................
Section C. Computation of Public Support Percentage
14
Public support percentage for 2013 (line 6, column (f) divided by line 11, column (f))
.........
14
63.560 %
15
Public support percentage for 2012 Schedule A, Part II, line 14
...............
15
74.630 %
16a
33 1/3% support test—2013.
If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization
.......................
b
33 1/3% support test—2012.
If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization
.....................
17a
10%-facts-and-circumstances test—2013.
If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization
.....................................................
b
10%-facts-and-circumstances test—2012.
If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization
................................................
18
Private foundation.
If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions
.....................................................
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization
failed to qualify under Part II. If the organization fails to qualify under
the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5
The value of services or facilities furnished by a governmental unit to the organization without charge..
6
Total. Add lines 1 through 5.
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
b
Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c
Add lines 7a and 7b..
8
Public support (Subtract line 7c from line 6.)
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
9
Amounts from line 6...
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
..
13
Total support. (Add lines 9, 10c, 11, and 12.)..
14
First five years.
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.............................................
Section C. Computation of Public Support Percentage
15
Public support percentage for 2013 (line 8, column (f) divided by line 13, column (f))
.........
15
16
Public support percentage from 2012 Schedule A, Part III, line 15
...............
16
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f))
......
17
18
Investment income percentage from 2012 Schedule A, Part III, line 17
.............
18
19a
33 1/3% support tests—2013.
If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
........
b
33 1/3% support tests—2012.
If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
.....
20
Private foundation.
If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions
.....
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 4
Part IV
Supplemental Information.
Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
Explanation
Schedule A (Form 990 or 990-EZ) 2013
Additional Data
Software ID:
Software Version:
-
TIN:
SCHEDULE O (Form 990 or 990-EZ)
Department of the Treasury Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ
Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
UROLOGY CARE FOUNDATION INC
Employer identification number
20-3210212
Return Reference
Explanation
FORM 990, PAGE 1, PART 1, LINE 6
THE NUMBER OF VOLUNTEERS WAS ESTIMATED BASED ON THE NUMBER OF PHYSICIAN'S SERVING ON COMMITTEES AND OTHER TASK FORCE INNITIATIVES
FORM 990, PART VI, SECTION A, LINE 1
THE EXECUTIVE COMMITTEE HAS DELEGATED AUTHORITY ONLY TO HANDLE THE DETAILS OF MANAGEMENT BETWEEN BOARD MEETINGS. HOWEVER, THE EXECUTIVE COMMITTEE REPORTS BACK TO THE FULL BOARD, WHICH NORMALLY SHOULD RATIFY ANY SIGNIFICANT DECISION OR ACTION OF THE EXECUTIVE COMMITTEE.
FORM 990, PART VI, SECTION A, LINE 4
UCF AMENDMENTS ARE APPROVED BY THE AUA BOARD OF DIRECTORS. THE MAIN CHANGES TO THE UCF BYLAWS ARE THE CREATION OF A NEW BOARD, REMOVAL OF THE OFFICE OF RESEARCH, AND MODIFICATIONS TO COMMITTEES. THE AUA BOARD OF DIRECTORS CREATED A NEW UCF BOARD THAT CONSISTS OF THE CHAIR, THREE NON-UROLOGISTS AND THREE UROLOGISTS WHICH SHALL INCLUDE THE AUA TREASURER WHO SERVES AS THE SECRETARY-TREASURER OF UCF. THE UCF BOARD WAS CREATED TO OPERATE INDEPENDENTLY WITH RESPECT TO FUNDRAISING AND PROGRAMMING WHILE STILL INCLUDING A DEGREE OF OVERSIGHT AND ULTIMATE CONTROL BY THE AUA BOARD. BYLAWS AMENDMENTS ARE APPROVED BY THE AUA BOARD AND THE AUA TREASURER SERVES AS THE SECRETARY-TREASURER OF THE UCF BOARD. MIKE SHEPPARD, AUA EXECUTIVE DIRECTOR, IS CURRENTLY SERVING AS THE EXECUTIVE DIRECTOR OF THE UCF. THE BYLAWS WERE WRITTEN TO ALLOW A NEW AUA ASSOCIATE DIRECTOR TO ASSUME THIS ROLE IF REQUESTED BY THE AUA BOARD. FUNCTIONS OF THE AUDIT AND INVESTMENT COMMITTEES ARE NOW INCLUDED IN THE JOINT FINANCE COMMITTEE. THE AUA BYLAWS COMMITTEE WILL ALSO SERVE AS A JOINT COMMITTEE; AND BOTH THE FINANCE AND THE BYLAWS COMMITTEES MAY INCLUDE UCF REPRESENTATION. THE BYLAWS COMMITTEE WAS INFORMED THAT THE AUA BOARD MAY MODIFY SOME ELEMENTS OF THE COMMITTEE SECTION IN THE FUTURE TO MEET THE NEEDS IDENTIFIED BY THE NEW UCF BOARD. IN ADDITION TO THE UCF BYLAWS, THERE IS A MEMORANDUM OF UNDERSTANDING BETWEEN AUA AND UCF WHICH CLARIFIES THE OVERSIGHT RELATIONSHIP BETWEEN THE TWO ORGANIZATIONS.
FORM 990, PART VI, SECTION A, LINE 6
UCF'S MEMBERS ARE THE MEMBERS OF THE UCF BOARD OF DIRECTORS, A SELF-ELECTING AND SELF-SUSTAINING BOARD. THOSE DIRECTORS ARE IDENTICAL TO THE BOARD OF DIRECTORS OF THE AMERICAN UROLOGICAL ASSOCIATION EDUCATION AND RESEARCH, INC., WHOSE DIRECTORS ARE ELECTED BY ITS BROAD MEMBERSHIP AND THE UCF BOARD IS INDIRECTLY CHOSEN BY THOSE MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7A
SEE EXPLANATION FOR LINE 6.
FORM 990, PART VI, SECTION B, LINE 11
THE FORM 990 WAS REVIEWED BY THE AUDIT COMMITTEE, SENIOR STAFF, AND AN ELECTRONIC COPY WAS PROVIDED TO THE ENTIRE BOARD PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12C
ALL COMMITTEE MEMBERS ARE REQUIRED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST DISCLOSURE STATEMENT. THE COI'S ARE REVIEWED BY ALL COMMITTEE CHAIRMEN PRIOR TO ALL MEETINGS. THE REVIEW IS LISTED AS A DISCUSSION ITEM ON EVERY COMMITTEE AGENDA AND THE REVIEW AND DISCUSSION IS DOCUMENTED IN THE COMMITTEE MEETING MINUTES.
FORM 990, PART VI, SECTION C, LINE 19
THE GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND THE CONFLICT OF INTEREST POLICY ARE ALL AVAILABLE UPON REQUEST AT OUR CORPORATE OFFICE, 1000 CORPORATE BOULEVARD, LINTHICUM, MD 21090.
FORM 990, PART VII
THE BOARD OF DIRECTORS AND COMMITTEE MEMBERS OF THE UROLOGY CARE FOUNDATION, INC. (UCF) ROTATE ON A FISCAL YEAR CYCLE TYPICALLY JUNE 1ST THROUGH MAY 31ST.
FORM 990, FUNCTIONAL EXPENSES
UROLOGY CARE FOUNDATION, INC. (UCF) DOES NOT HAVE ANY EMPLOYEES. ALL THE SERVICES PROVIDED FOR THE UCF ARE PERFORMED BY EMPLOYEES OF THE AMERICAN UROLOGICAL ASSOCIATION EDUCATION AND RESEARCH, INC. (AUAER) UNDER A COST SHARING ARRANGEMENT. THESE EXPENSES REFLECTED ON PAGE TEN OF THIS RETURN ON LINES 5 THROUGH 10 ARE THE EXPENSES PAID BY THE UCF TO THE AUAER UNDER THE COST SHARING ARRANGEMENT FOR SERVICES PROVIDED BY AUAER EMPLOYEES FOR THE UCF.
FORM 990, PART XII, LINE 2C
THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.