TY 2023 Form 990EZ

(a) Name and title	(b) Average hours per week devoted to position	(c) Reportable compensation (Forms W-2/1099-MISC) (if not paid, enter -0-)
STEPHEN BOUCHER EXECUTIVE DI	40.00	97,500
SING PALAT PRESIDENT	0.25	0
JENNIFER BLAIR DIRECTOR	0.25	0
LYNN PARRY TREASURER	0.25	0

(a) Name and title

(b) Average
hours per week
devoted to position

(c) Reportable compensation
(Forms W-2/1099-MISC) (if not paid, enter -0-)

(d) Health benefits, contributions to employee benefit plans, and
deferred compensation

(e) Estimated amount
of other compensation

STEPHEN BOUCHER

EXECUTIVE DI

40.00

97,500

SING PALAT

PRESIDENT

0.25

JENNIFER BLAIR

DIRECTOR

0.25

LYNN PARRY

TREASURER

0.25

(a) Name and title of each employee

(b) Average
hours per week
devoted to position

(c) Reportable compensation
(Forms W-2/1099-MISC)

(d) Health benefits, contributions to employee benefit plans, and deferred compensation

(e) Estimated amount of other compensation

(a) Name and business address of each independent contractor

(b) Type of service

(c) Compensation

- TIN:

SCHEDULE O
(Form 990)

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 990-EZ or to provide any additional information.
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization

FOOTHILLS MEDICAL SOCIETY

Employer identification number

84-0465086

Return Reference	Explanation
FORM 990-EZ, PART I, LINE 16	EXPENSES SUPPLIES 673 TELEPHONE INTERNET 2,123 NEW COMPUTER 109 BANK FEES 62 NET QBO FEES 3,469 SOFTWARE SUBSCRIPTIONS 864 SUBSCRIPTIONS/ASSO DUES 1,498 WEBSITE/DIGITAL COMMUNICATION 1,213 MEETING EXPENSES 21,292 INSURANCE 3,374 MISC. EXPENSES 2,143 MEMORIALS AND GIFTS 1,124 NON-INVESTMENT DEPRECIATION 972 TOTAL 38,916
FORM 990-EZ, PART II, LINE 24	ACCOUNTS RECEIVABLE 450 450 PREPAID EXPENSES AND DEFERRED CHARGES 1,268 357 OFFICE EQUIPMENT 31,293 31,293 LESS ACCUMULATED DEPRECIATION 29,529 30,501 LOAN FEES 2,272 2,272 LESS ACCUMULATED AMORTIZATION 2,272 2,272 TOTAL 3,482 1,599
FORM 990-EZ, PART II, LINE 26	ACCOUNTS PAYABLE AND ACCRUED EXPENSES 20,772 22,365
FORM 990-EZ, PART III	TO PROMOTE THE ETHICAL AND COMPASSIONATE PROVISION OF SAFE, EFFECTIVE, EFFICIENT, EQUITABLE, PATIENT-CENTERED, AND TIMELY MEDICAL CARE AND THE ADVANCEMENT OF PUBLIC HEALTH IN OUR COMMUNITY.
FORM 990-EZ, PART III, LINE 28	THE ORGANIZATION WAS FOUNDED IN 1934 AND WAS CHARTERED BY THE COLORADO MEDICAL SOCIETY AS THE WEST DENVER AREA LOCAL MEDICAL SOCIETY FOR PHYSICIANS. THE 550 PHYSICIANS OF FMS REPRESENT ALL MEDICAL SPECIALITIES AND ARE ON STAFF AT LOCAL HOSPITALS AND SURGICAL CENTERS OWNED BY THE CENTURA HEALTH, EXEMPLA, AND COLUMBIA NETWORKS. THE PHYSICANS ARE IN BOTH SOLO AND GROUP PRACTICES IN LAKEWOOD, WHEAT RIDGE, ARVADA, GOLDEN, THORNTON, WESTMINSTER, BROOMFIELD AND OTHER AREAS OF JEFFERSON AND SOUTHWEST ADAMS COUNTIES. THE COMMUNITY HAS LONG BEEN A RECIPIENT OF SEVERAL SERVICES PROVIDED BY THE PHYSICIANS OF FMS. BESIDES PATIENT REFERRAL SERVICES, FMS PROVIDES CARE FOR INDIGENT CHILDREN, A SPEAKERS BUREAU, AND FREE JOB PLACEMENT.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990) 2023

Additional Data

Software ID:
Software Version:

1	Contributions, gifts, grants, and similar amounts received ....................	1
2	Program service revenue including government fees and contracts ................	2	99,423
3	Membership dues and assessments .............................	3
4	Investment income ....................................	4	15,000
5a	Gross amount from sale of assets other than inventory .......	5a
b	Less: cost or other basis and sales expenses ............	5b
c	Gain or (loss) from sale of assets other than inventory (Subtract line 5b from line 5a) ......	5c
6	Gaming and fundraising events
a	Gross income from gaming (attach Schedule G if greater than $15,000)	6a
b	Gross income from fundraising events (not including $ of contributions from fundraising events reported on line 1) (attach Schedule G if the			sum of such gross income and contributions exceeds $15,000) ..	6b
c	Less: direct expenses from gaming and fundraising events ...	6c
d	Net income or (loss) from gaming and fundraising events (add lines 6a and 6b and subtract line 6c)	6d
7a	Gross sales of inventory, less returns and allowances ......	7a
b	Less: cost of goods sold .............	7b
c	Gross profit or (loss) from sales of inventory (Subtract line 7b from line 7a) .........	7c
8	Other revenue (describe in Schedule O) ....................	8
9	Total revenue. Add lines 1, 2, 3, 4, 5c, 6d, 7c, and 8 ..............	9	114,423

10	Grants and similar amounts paid (list in Schedule O) ................	10
11	Benefits paid to or for members ......................	11
12	Salaries, other compensation, and employee benefits ................	12	119,396
13	Professional fees and other payments to independent contractors ............	13	10,862
14	Occupancy, rent, utilities, and maintenance ...................	14	4,475
15	Printing, publications, postage, and shipping ...................	15
16	Other expenses (describe in Schedule O) ...................	16	38,916
17	Total expenses. Add lines 10 through 16 .................	17	173,649

18	Excess or (deficit) for the year (Subtract line 17 from line 9) ............	18	-59,226
19	Net assets or fund balances at beginning of year (from line 27, column (A)) (must agree with
	end-of-year figure reported on prior year’s return) .................	19	269,147
20	Other changes in net assets or fund balances (explain in Schedule O) ...........	20
21	Net assets or fund balances at end of year. Combine lines 18 through 20 ..........	21	209,921

Part ⅢStatement of Program Service Accomplishments (see the instructions for Part III) Check if the organization used Schedule O to respond to any question in this Part III . .	Expenses (Required for section 501(c)(3) and 501(c)(4) organizations; optional for others.)
What is the organization's primary exempt purpose? TO PROMOTE THE ETHICAL AND COMPASSIONATE PROVISION OF SAFE, EFFECTIVE, EFFICIENT, EQUITABLE, PATIENT-CENTERED, AND TIMELY MEDICAL CARE AND THE ADVANCEMENT OF PUBLIC HEALTH IN OUR COMMUNITY.
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. In a clear and concise manner, describe the services provided, the number of persons benefited, and other relevant information for each program title.
28 THE ORGANIZATION WAS FOUNDED IN 1934 AND WAS CHARTERED BY THE COLORADO MEDICAL SOCIETY AS THE WEST DENVER AREA LOCAL MEDICAL SOCIETY FOR PHYSICIANS. THE 550 PHYSICIANS OF FMS REPRESENT ALL MEDICAL SPECIALITIES AND ARE ON STAFF AT LOCAL HOSPITALS AND SURGICAL CENTERS OWNED BY THE CENTURA HEALTH, EXEMPLA, AND COLUMBIA NETWORKS. THE PHYSICANS ARE IN BOTH SOLO AND GROUP PRACTICES IN LAKEWOOD, WHEAT RIDGE, ARVADA, GOLDEN, THORNTON, WESTMINSTER, BROOMFIELD AND OTHER AREAS OF JEFFERSON AND SOUTHWEST ADAMS COUNTIES. THE COMMUNITY HAS LONG BEEN A RECIPIENT OF SEVERAL SERVICES PROVIDED BY THE PHYSICIANS OF FMS. BESIDES PATIENT REFERRAL SERVICES, FMS PROVIDES CARE FOR INDIGENT CHILDREN, A SPEAKERS BUREAU, AND FREE JOB PLACEMENT. (Grants $ ) If this amount includes foreign grants, check here ...		28a
29 (Grants $ ) If this amount includes foreign grants, check here ...		29a
30 (Grants $ ) If this amount includes foreign grants, check here ...		30a
31 Other program services (describe in Schedule O) ................ (Grants $ ) If this amount includes foreign grants, check here...	31a
32 Total program service expenses (add lines 28a through 31a)..........	32

Sign Here

	Signature of officer	Date

	Type or print name and title

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ........................
c	Total lobbying expenditures (add lines 1a and 1b) ............................................................
d	Other exempt purpose expenditures ...............................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ..................................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures