Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
|
Total |
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Calendar year
(or fiscal year beginning in)
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(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | 2,522,431 | 3,059,842 | 3,134,308 | 3,917,087 | 3,511,836 | 16,145,504 |
| 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 | 2,522,431 | 3,059,842 | 3,134,308 | 3,917,087 | 3,511,836 | 16,145,504 |
| 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) .. | 8,719,455 | |||||
| 6 | Public support. Subtract line 5 from line 4. | 7,426,049 | |||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 2,522,431 | 3,059,842 | 3,134,308 | 3,917,087 | 3,511,836 | 16,145,504 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 195,809 | 207,950 | 476,670 | 453,926 | 408,342 | 1,742,697 |
| 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 VI.).. | 80,114 | 64,728 | 63,013 | 42,874 | 41,168 | 291,897 |
| 11 | Total support. Add lines 7 through 10 | 18,425,237 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (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.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (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 on 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 VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
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| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by 0.035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | 1 | |
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
2 | |
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | 3 | |
| 4 Amounts paid to acquire exempt-use assets | 4 | |
| 5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) | 5 | |
| 6 Other distributions (describe in Part VI). See instructions | 6 | |
| 7Total annual distributions. Add lines 1 through 6. | 7 | |
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
8 | |
| 9 Distributable amount for 2022 from Section C, line 6 | 9 | |
| 10 Line 8 amount divided by Line 9 amount | 10 | |
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2022 |
(iii) Distributable Amount for 2022 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2022 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2022 (reasonable cause required-- explain in Part VI).
See instructions. |
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| 3 Excess distributions carryover, if any, to 2022: | ||||
| a From 2017....... | ||||
| b From 2018....... | ||||
| c From 2019....... | ||||
| d From 2020....... | ||||
| e From 2021....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2022 distributable amount | ||||
|
i
Carryover from 2017 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2022 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2022 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2022, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
6
Remaining underdistributions for 2022. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
7 Excess distributions carryover to 2023. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2018..... | ||||
| b Excess from 2019..... | ||||
| c Excess from 2020..... | ||||
| d Excess from 2021..... | ||||
| e Excess from 2022..... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|---|
| SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: | OTHER INCOME - 2018 AMOUNT: $ 2,064. 2019 AMOUNT: $ 2,458. 2020 AMOUNT: $ 41,513. 2021 AMOUNT: $ 14,874. 2022 AMOUNT: $ 21,168. HONORARIA - 2018 AMOUNT: $ 6,500. 2019 AMOUNT: $ 13,095. 2020 AMOUNT: $ 12,500. ADVERTISING - 2018 AMOUNT: $ 71,550. 2019 AMOUNT: $ 49,175. 2020 AMOUNT: $ 9,000. 2021 AMOUNT: $ 28,000. 2022 AMOUNT: $ 20,000. |
| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THERE ARE THREE CLASSES OF MEMBERS THAT HAVE THE RIGHT TO ELECT ONE OR MORE MEMBER OF THE FOUNDATION'S GOVERNING BODY: FELLOW, SENIOR FELLOW, AND MEMBERS. THE FOUNDATION HAS OTHER MEMBERSHIP CLASSES, HOWEVER, THESE CLASSES DO NOT HAVE THE RIGHT TO ELECT MEMBERS OF THE FOUNDATION'S ORGANIZING BODY. THE NATURE OF THE RIGHTS FOR THE FOUNDATION'S FELLOW AND SENIOR FELLOW MEMBERS ARE AS FOLLOWS: FELLOW - SHALL BE ELIGIBLE TO VOTE, TO SERVE ON COMMITTEES, AND TO SERVE AS A TRUSTEE AND OFFICER. EACH FELLOW OF THE FOUNDATION SHALL BE ENTITLED TO ONE (1) VOTE. AT EACH ANNUAL MEETING, FELLOWS SHALL ELECT A PRESIDENT, A PRESIDENT-ELECT, A VICE PRESIDENT, A SECRETARY AND A TREASURER, AND MAY ELECT SUCH OTHER OFFICERS AND ASSISTANT OFFICERS AS MAY BE DEEMED NECESSARY OR ADVISABLE. SENIOR FELLOW - SHALL BE ELIGIBLE TO VOTE AND TO SERVE ON COMMITTEES, BUT MAY NOT SERVE AS A TRUSTEE OR OFFICER. EACH SENIOR FELLOW OF THE FOUNDATION SHALL BE ENTITLED TO ONE (1) VOTE. AT EACH ANNUAL MEETING, SENIOR FELLOWS SHALL ELECT A PRESIDENT, A PRESIDENT-ELECT, A VICE PRESIDENT, A SECRETARY AND A TREASURER, AND MAY ELECT SUCH OTHER OFFICERS AND ASSISTANT OFFICERS AS MAY BE DEEMED NECESSARY OR ADVISABLE. MEMBERS - SHALL BE ELIGIBLE TO SERVE AND VOTE ON COMMITTEES, BUT MAY NOT SERVE AS TRUSTEES OR OFFICERS. EACH MEMBER OF THE FOUNDATION SHALL BE ENTITLED TO ONE (1) VOTE AT THE ANNUAL MEETING AND OTHER MEETINGS OF MEMBERS. AT EACH ANNUAL MEETING, MEMBERS SHALL ELECT A PRESIDENT, A PRESIDENT-ELECT, A VICE PRESIDENT, A SECRETARY AND A TREASURER, AND MAY ELECT SUCH OTHER OFFICERS AND ASSISTANT OFFICERS AS MAY BE DEEMED NECESSARY OR ADVISABLE. |
| FORM 990, PART VI, SECTION A, LINE 7A | THERE ARE THREE CLASSES OF MEMBERS THAT HAVE THE RIGHT TO ELECT ONE OR MORE MEMBER OF THE FOUNDATION'S GOVERNING BODY: FELLOW, SENIOR FELLOW, AND MEMBERS. THE FOUNDATION HAS OTHER MEMBERSHIP CLASSES, HOWEVER, THESE CLASSES DO NOT HAVE THE RIGHT TO ELECT MEMBERS OF THE FOUNDATION'S ORGANIZING BODY. THE NATURE OF THE RIGHTS FOR THE FOUNDATION'S FELLOW AND SENIOR FELLOW MEMBERS ARE AS FOLLOWS: FELLOW - SHALL BE ELIGIBLE TO VOTE, TO SERVE ON COMMITTEES, AND TO SERVE AS A TRUSTEE AND OFFICER. EACH FELLOW OF THE FOUNDATION SHALL BE ENTITLED TO ONE (1) VOTE. AT EACH ANNUAL MEETING, FELLOWS SHALL ELECT A PRESIDENT, A PRESIDENT-ELECT, A VICE PRESIDENT, A SECRETARY AND A TREASURER, AND MAY ELECT SUCH OTHER OFFICERS AND ASSISTANT OFFICERS AS MAY BE DEEMED NECESSARY OR ADVISABLE. SENIOR FELLOW - SHALL BE ELIGIBLE TO VOTE AND TO SERVE ON COMMITTEES, BUT MAY NOT SERVE AS A TRUSTEE OR OFFICER. EACH SENIOR FELLOW OF THE FOUNDATION SHALL BE ENTITLED TO ONE (1) VOTE. AT EACH ANNUAL MEETING, SENIOR FELLOWS SHALL ELECT A PRESIDENT, A PRESIDENT-ELECT, A VICE PRESIDENT, A SECRETARY AND A TREASURER, AND MAY ELECT SUCH OTHER OFFICERS AND ASSISTANT OFFICERS AS MAY BE DEEMED NECESSARY OR ADVISABLE. MEMBERS - SHALL BE ELIGIBLE TO SERVE AND VOTE ON COMMITTEES, BUT MAY NOT SERVE AS TRUSTEES OR OFFICERS. EACH MEMBER OF THE FOUNDATION SHALL BE ENTITLED TO ONE (1) VOTE AT THE ANNUAL MEETING AND OTHER MEETINGS OF MEMBERS. AT EACH ANNUAL MEETING, MEMBERS SHALL ELECT A PRESIDENT, A PRESIDENT-ELECT, A VICE PRESIDENT, A SECRETARY AND A TREASURER, AND MAY ELECT SUCH OTHER OFFICERS AND ASSISTANT OFFICERS AS MAY BE DEEMED NECESSARY OR ADVISABLE. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FEDERAL FORM 990 IS PREPARED BY MARCUM LLP, AND REVIEWED FOR ACCURACY BY THE FOUNDATION'S CHIEF EXECUTIVE OFFICER AND THE VICE PRESIDENT OF FINANCE & ADMINISTRATION. A COPY OF THE FINAL RETURN IS SENT TO THE BOARD OF DIRECTORS'S EXECUTIVE COMMITTEE BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE FOUNDATION IS RIGOROUS IN THE ENFORCEMENT OF POLICIES THAT RELATE TO POTENTIAL CONFLICTS OF INTEREST (COI). THE FOUNDATION MAKES ITS POLICIES ON THE REPORTING OF COI CONSISTENTLY CLEAR TO ALL PHYSICIAN VOLUNTEERS WHO SERVE AS FACULTY OR ENGAGE IN BUSINESS ON BEHALF OF THE FOUNDATION. EACH VOLUNTEER WHO PARTICIPATES IN PLANNING OR AS FACULTY IS REQUIRED TO DISCLOSE ALL CONFLICTS. IF CONFLICTS ARE CONSIDERED TO BE RELEVANT, THEY ARE RESOLVED THROUGH AN UNBIASED REVIEW PROCESS. ALL RELEVANT CONFLICTS FOR PLANNERS AND FACULTY ARE DISCLOSED AS PART OF THE GIVEN PROGRAM. IN ADDITION, THE FOUNDATION MAINTAINS CLEAR CONSISTENT POLICIES ON STAFF AND VOLUNTEER EXPENSE REIMBURSEMENT AND PROVISION OF HONORARIA FOR SPEAKING ENGAGEMENTS, AND DISTRIBUTES THOSE POLICIES TO ALL VOLUNTEERS PRIOR TO THEIR ENGAGEMENT IN ANY FOUNDATION RELATED BUSINESS. LAST, THE FOUNDATION TAKES CAREFUL NOTE TO MAINTAIN STRICT COMPLIANCE WITH ALL APPLICABLE GUIDELINES AND REGULATIONS, ESPECIALLY AS THEY RELATE TO THE GAAP, ACCME, AMA AND OTHER REGULATORY BODIES. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE BOARD OF DIRECTOR'S EXECUTIVE COMMITTEE DETERMINES AND APPROVES THE COMPENSATION FOR OFFICERS. COMPENSATION DECISIONS ARE DOCUMENTED BY E-MAILS FROM THE TREASURER. THE CHIEF EXECUTIVE OFFICER DETERMINES AND APPROVES THE COMPENSATION FOR EMPLOYEES. COMPENSATION ANALYSIS FROM ASAE, NONPROFIT HR AND ASSOCIATION EXECUTIVES ARE USED TO ENSURE THAT THE COMPENSATION IS EQUITABLE. |
| FORM 990, PART VI, SECTION C, LINE 19 | BYLAWS AND OTHER GOVERNING DOCUMENTS ARE ON THE FOUNDATION'S WEB SITE AT WWW.SCAI.ORG. THE FEDERAL FORM 990 MAY BE VIEWED IN-HOUSE OR COPIES ARE PROVIDED ON REQUEST FOR A NOMINAL FEE. FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 742,954. MANAGEMENT AND GENERAL EXPENSES 125,238. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 868,192. SERVICE FEE AGREEMENT: PROGRAM SERVICE EXPENSES 212,179. MANAGEMENT AND GENERAL EXPENSES 35,767. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 247,946. BENEFIT ADMINISTRATION: PROGRAM SERVICE EXPENSES 30,662. MANAGEMENT AND GENERAL EXPENSES 15,202. FUNDRAISING EXPENSES 1,494. TOTAL EXPENSES 47,358. TEMPORARY HELP: PROGRAM SERVICE EXPENSES 27,998. MANAGEMENT AND GENERAL EXPENSES 13,881. FUNDRAISING EXPENSES 1,365. TOTAL EXPENSES 43,244. ACCREDITATION: PROGRAM SERVICE EXPENSES 8,299. MANAGEMENT AND GENERAL EXPENSES 1,398. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,697. PAYROLL SERVICE FEES: PROGRAM SERVICE EXPENSES 4,597. MANAGEMENT AND GENERAL EXPENSES 2,279. FUNDRAISING EXPENSES 224. TOTAL EXPENSES 7,100. |
| Software ID: | |
| Software Version: |