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
SOCIETY OF HOSPITAL MEDICINE
Employer identification number
23-3057353
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.") ....
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
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)..
6
Public support. Subtract line 5 from line 4.
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..
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
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.)..
11
Total support (Add lines 7 through 10).
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
15
Public support percentage for 2012 Schedule A, Part II, line 14
...............
15
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.") .
2,256,165
2,719,750
1,266,324
2,047,123
672,811
8,962,173
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......
4,995,421
5,757,137
8,786,993
9,169,189
10,286,356
38,995,096
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.
7,251,586
8,476,887
10,053,317
11,216,312
10,959,167
47,957,269
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
0
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.
0
c
Add lines 7a and 7b..
0
8
Public support (Subtract line 7c from line 6.)
47,957,269
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...
7,251,586
8,476,887
10,053,317
11,216,312
10,959,167
47,957,269
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
1,191,916
1,721,390
1,520,892
1,736,282
1,159,399
7,329,879
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
1,191,916
1,721,390
1,520,892
1,736,282
1,159,399
7,329,879
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.)..
8,443,502
10,198,277
11,574,209
12,952,594
12,118,566
55,287,148
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
86.740 %
16
Public support percentage from 2012 Schedule A, Part III, line 15
...............
16
85.150 %
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f))
......
17
13.260 %
18
Investment income percentage from 2012 Schedule A, Part III, line 17
.............
18
14.850 %
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
SOCIETY OF HOSPITAL MEDICINE
Employer identification number
23-3057353
Return Reference
Explanation
FORM 990, PART III, LINE 1, DESCRIPTION OF ORGANIZATION MISSION
SHM IS DEDICATED TO PROMOTING THE HIGHEST QUALITY CARE FOR ALL HOSPITALIZED PATIENTS. SHM IS COMMITTED TO PROMOTING EXCELLENCE IN THE PRACTICE OF HOSPITAL MEDICINE THROUGH EDUCATION, ADVOCACY AND RESEARCH FROM THE FOUNDING DAYS OF THE ORGANIZATION. THE LARGEST PROGRAM SERVICES FOR SHM INCLUDE EDUCATION, QUALITY INITIATIVES AND MEMBERSHIP. SHM PROVIDES EDUCATIONAL RESOURCES AND TOOLS, MANY OF WHICH ARE OFFERED FREE TO ITS MEMBERS AND THE GENERAL PUBLIC. SHM'S ANNUAL CONFERENCE IS THE LARGEST GATHERING FOCUSED SOLELY ON HOSPITAL MEDICINE, ATTRACTING A BROAD SPECTRUM OF HOSPITAL MEDICINE PROFESSIONALS. IT IS THE INTENTION THAT THIS INFORMATION WILL: - IMPROVE THE TEACHING AND LEARNING SKILLS OF PHYSICIANS AND THE HEALTH-CARE TEAM - FACILITATE IMPROVED OUTCOMES IN HEALTH CARE - SUPPORT THE MAINTENANCE OF CURRENT MEDICAL KNOWLEDGE AND COMPETENCE - PREPARE HOSPITALISTS FOR WORKING EFFECTIVELY IN THE HOSPITAL ENVIRONMENT WHAT DISTINGUISHED SHM FROM OTHER PROFESSIONAL MEDICAL SOCIETIES IS THAT SHM PROVIDES TAILORED SUPPORT FOR INSTITUTION'S QUALITY INITIATIVES THROUGH PHYSICIAN COACHING AND INNOVATIVE PROGRAMS TO HELP IMPROVE CLINICAL OUTCOMES, PATIENT SATISFACTION, AND PROVIDER COMMUNICATION. ONE OF SHM'S MANY SUCCESSFUL QUALITY INITIATIVES IS A PROGRAM CALLED MENTORED IMPLEMENTATION. MENTORED IMPLEMENTATION (MI) IS A YEARLONG PROGRAM, IN WHICH INSTITUTIONS ARE COACHED BY NATIONAL EXPERTS (MENTORS) IN IMPLEMENTING A SPECIFIC QUALITY INTERVENTION AT THEIR HOSPITAL. SHM'S QUALITY IMPROVEMENT (QI) RESOURCE ROOMS AND IMPLEMENTATION WORKBOOKS DOCUMENT THE INFORMATION AND TOOLS NEEDED TO LEAD THE MENTORING PROJECT. THIS STEPWISE GUIDE BEGINS WITH SETTING GOALS AND CONTINUES THROUGH POST-IMPLEMENTATION TASKS INCLUDING ANALYZING OUTCOMES AND SUSTAINING IMPROVEMENTS. DURING THIS PROCESS, MENTORS WILL MEET WITH THEIR MENTEE SITES VIA A SERIES OF CONFERENCE CALLS, WEBINARS, EMAIL, AND ON-SITE VISIT (NOTE: ON-SITE VISITS ARE PROJECT SPECIFIC) TO PROVIDE CONTINUOUS SUPPORT AND GUIDANCE FROM THE PLANNING THROUGH IMPLEMENTATION PHASE OF THE INTERVENTION. THIS UNIQUE APPROACH ALLOWS SITES TO UTILIZE THEIR MENTOR'S EXPERTISE IN A ONE ON ONE INTIMATE RELATIONSHIP. THE GOAL OF SHM'S MENTORED IMPLEMENTATION PROGRAMS IS TO SUCCESSFULLY OPERATIONALIZE THE QUALITY INTERVENTIONS AT INSTITUTIONS WITH ADDED SUPPORT FROM CONTENT EXPERTS IN THE FIELD. SHM PRIDES ITSELF ON ITS INITIATIVES AND OF EXCEEDING THE EXPECTATIONS OF ITS MEMBERS. BENEFITS INCLUDE: - ENHANCED PROFESSIONAL SATISFACTION THROUGH NETWORKING WITH HOSPITALISTS ON A LOCAL AND NATIONAL LEVEL - COMPLIMENTARY SUBSCRIPTION TO THE HOSPITALIST NEWSMAGAZINE AND TO THE JOURNAL OF HOSPITAL MEDICINE, THE FIRST PEER-REVIEWED JOURNAL IN THIS SPECIALTY (NOW INCLUDED IN MEDLINE) - UP-TO-DATE AND VALUABLE INFORMATION FROM THE HOSPITALIST AND SHM'S E-WIRES, AS WELL AS OUR MONTHLY WASHINGTON REPORT - FELLOWSHIP IN HOSPITAL MEDICINE DESIGNATION OPPORTUNITIES (FHM, SFHM, MHM) - ACCESS TO ALL OF OUR ONLINE EDUCATIONAL RESOURCE ROOMS
FORM 990, PART VI, SECTION B, LINE 11
ONCE THE 990 IS COMPLETED BY THE TAX PREPARES, IT IS SHARED, REVIEWED AND DISCUSSED BY THE VP OF FINANCE AND THE CEO. ONCE THE VERSION TO BE FILED IS FINALIZED, THE 990 IS SENT TO EACH OF THE 12 BOARD MEMBERS FOR REVIEW. THE BOARD IS THEN SOLICITED FOR INPUT AND QUESTIONS PRIOR TO FILING THE FORM 990.
FORM 990, PART VI, SECTION B, LINE 12C
SHM HAS A YEARLY POLICY REVIEW AT THE TIME OF THE ANNUAL AUDIT. THE BOARD RECEIVES A REPORT FROM ITS OUTSIDE AUDITORS IN WRITING AND ORALLY AS TO SHM'S CONTINUED COMPLIANCE WITH ALL POLICIES.
FORM 990, PART VI, SECTION B, LINE 15
THE CEO COMPENSATION WAS DETERMINED FIRST BY THE EXECUTIVE COMMITTEE OF THE BOARD, INCLUDING REVIEWS OF THE CEO COMPENSATION ARRANGEMENTS OF SERVAL OTHER SIMILAR PROFESSIONAL MEDICAL ORGANIZATIONS. THIS INFORMATION IS THEN EXAMINED BY SHM'S LEGAL COUNSEL AND OUR OUTSIDE AUDIT FIRM. FINALLY, THE COMPENSATION ARRANGEMENT IS APPROVED BY THE BOARD AND DOCUMENTED IN A WRITTEN CONTRACT.
FORM 990, PART VI, SECTION C, LINE 19
SHM DIRECTS ANY REQUESTS FROM SHM MEMBERS OR OUTSIDE PARTIES TO GUIDESTAR.ORG WHICH POSTS SHM'S 990 AFTER FILING. SHM'S CONFLICT OF INTEREST POLICY IS POSTED ON SHM'S WEBSITE IN THE SECTION AVAILABLE TO THE PUBLIC. THE BYLAWS AND OTHER POLICY DOCUMENTS CAN ALSO BE FOUND IN THIS SECTION. FORM 1023 IS AVAILABLE UPON REQUEST.
FORM 990, PART IX, LINE 11G
BUSINESS CONSULTANTS: PROGRAM SERVICE EXPENSES 96,600. MANAGEMENT AND GENERAL EXPENSES 424,617. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 521,217. PROFESSIONAL EDITORS/WRITERS: PROGRAM SERVICE EXPENSES 93,375. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 93,375. EXPERT ADVISORS: PROGRAM SERVICE EXPENSES 649,719. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 649,719. OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 189,103. MANAGEMENT AND GENERAL EXPENSES 138,063. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 327,166.
FORM 990, PART XII, LINE 2C
THE FINANCE COMMITTEE, WHICH MEETS QUARTERLY THROUGHOUT THE YEAR, IS RESPONSIBLE FOR THE MONITORING OF THE FINANCIAL STATUS OF THE ORGANIZATION AND THE REPORTING OF ALL FINANCE MATTERS TO THE BOARD OF DIRECTORS. THIS PROCESS REMAINS UNCHANGED FROM THE PRIOR YEAR.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.