THE COLLABORATIVE FOR CHILDREN AND FAMILIES INC: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- THE COLLABORATIVE FOR CHILDREN AND FAMILIES INC (EIN 47-1769796)
- Tax period
- 2022-01-01 to 2022-12-31
- Filed
- 2023-11-15
- IRS object ID
- 202323199349311242
- Schema version
- 2022v5.0
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-11-15T12:12:55-06:00 | ReturnTs |
| Tax Period End | 2022-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 221655803 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DORFMAN ABRAMS MUSIC LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 250 PEHLE AVE SUITE 702 | AddressLine1Txt |
| City | SADDLE BROOK | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 07663 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 471769796 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE COLLABORATIVE FOR CHILDREN AND | BusinessNameLine1Txt |
| Business Name Line2 | FAMILIES INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | COLL | BusinessNameControlTxt |
| Phone | 2124445437 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 590 AVENUE OF THE AMERICAS | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10011 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JODI A SAITOWITZ | PersonNm |
| Person Title | CHIEF EXECUTIVE OFFICER | PersonTitleTxt |
| Phone | 2124445437 | PhoneNum |
| Signature | 2023-11-10 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | JODI | PersonFirstNm |
| Person Last | SAITOWITZ | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
| Form8822 B Attached | Yes (X) | Form8822BAttachedInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | PATRICIA DIAZ CPA | PreparerPersonNm |
| PTIN | P01362006 | PTIN |
| Phone | 2014039750 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JODI A SAITOWITZ | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 590 AVENUE OF THE AMERICAS | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10011 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $2,724,097 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.CCFHH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2014 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | THE COLLABORATIVE FOR CHILDREN AND FAMILIES, INC. (CCF) IS A COALITION OF MORE THAN 20 COMMUNITY BASED MEMBER ORGANIZATIONS WITH DECADES OF COLLECTIVE EXPERIENCE WORKING WITH CHILDREN AND FAMILIES THAT ARE DEEPLY ROOTED WITHIN THE COMMUNITIES WE SERVE. CCF IS DESIGNATED BY THE NYS DEPARTMENT OF HEALTH AS A LEAD HEALTH HOME SERVING CHILDREN AND A DESIGNATED HOME AND COMMUNITY BASED SERVICES (HCBS) PROVIDER STRIVING TO KEEP CHILDREN AND FAMILIES IN NYS HEALTHY AND ON THEIR DEVELOPMENTAL TRAJECTORY. CCF PROVIDES TRAINING, OVERSIGHT, AUDIT AND COMPLIANCE, PARTNERSHIP NETWORKING, ADVOCACY AND BACK-OFFICE SUPPORT SO THAT OUR MEMBER AGENCIES CAN FOCUS ON THEIR CORE MISSIONS SERVING AND HELPING NEW YORK'S CHILDREN AND THEIR FAMILIES TO LIVE HEALTHY AND HAPPY LIVES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 11 | TotalEmployeeCnt |
| Total Volunteers | 13 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $572,732 | PYContributionsGrantsAmt |
| CY Contributions Grants | $480,000 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $1,820,918 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $2,244,097 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $2,393,650 | PYTotalRevenueAmt |
| CY Total Revenue | $2,724,097 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $758,372 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $980,447 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,036,862 | PYOtherExpensesAmt |
| CY Other Expenses | $1,449,783 | CYOtherExpensesAmt |
| PY Total Expenses | $1,795,234 | PYTotalExpensesAmt |
| CY Total Expenses | $2,430,230 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $598,416 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $293,867 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $14,475,101 | TotalAssetsBOYAmt |
| Total Assets EOY | $14,329,606 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $9,564,268 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $9,673,416 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $4,910,833 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $4,656,190 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | CCF IS A COALITION OF MORE THAN 20 COMMUNITY BASED MEMBER ORGANIZATIONS WITH DECADES OF COLLECTIVE EXPERIENCE WORKING WITH CHILDREN AND FAMILIES THAT ARE DEEPLY ROOTED WITHIN THE COMMUNITIES WE SERVE. CCF IS DESIGNATED BY THE NYS DEPARTMENT OF HEALTH AS A LEAD HEALTH HOME SERVING CHILDREN AND A DESIGNATED HOME AND COMMUNITY BASED SERVICES (HCBS) PROVIDER STRIVING TO KEEP CHILDREN AND FAMILIES IN NYS HEALTHY AND ON THEIR DEVELOPMENTAL TRAJECTORY. CCF PROVIDES TRAINING, OVERSIGHT, AUDIT AND COMPLIANCE, PARTNERSHIP NETWORKING, ADVOCACY AND BACK-OFFICE SUPPORT SO THAT OUR MEMBER AGENCIES CAN FOCUS ON THEIR CORE MISSIONS SERVING AND HELPING NEW YORK'S CHILDREN AND THEIR FAMILIES TO LIVE HEALTHY AND HAPPY LIVES. THROUGH NETWORK PARTNERSHIP WE HAVE CREATED A SEAMLESS WAY TO GAIN ACCESS TO PROVIDERS THAT CAN CONDUCT PHYSICALS, PERFORM COMPLEX MENTAL HEALTH ASSESSMENTS, AND PROVIDE TREATMENT TO THOSE WHO ARE MEDICAID ELIGIBLE AS WELL AS ADDRESSING THEIR SOCIAL DETERMINANTS OF HEALTH. | MissionDesc |
| Significant New Program Srvc | Yes (1) | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $1,908,714 | ExpenseAmt |
| Revenue | $2,191,267 | RevenueAmt |
| Desc | INTEGRATION AND CARE COORDINATION IN THE PROVISION OF BOTH BEHAVIORAL AND MENTAL HEALTH, DEVELOPMENTAL AND MEDICAL SERVICES. IN ADDITION, INFORMATION WAS DISSEMINATED TO THE PUBLIC THAT SUPPORTS EDUCATION, INCLUDING BUT NOT LIMITED TO PROVIDING LECTURES AND COUNSELING SERVICES ABOUT THE NEEDS OF INDIVIDUALS WITH CHRONIC CONDITIONS AND ADDRESSING SOCIAL DETERMINANTS OF HEALTH. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $49,500 | ExpenseAmt |
| Revenue | $49,500 | RevenueAmt |
| Desc | THE NY STATE DEPARTMENT OF HEALTH AWARDED A CONTRACT TO THE UNIVERSITY OF KENTUCKY TO DEVELOP AND OPERATE A TECHNICAL ASSISTANT INSTITUTE TO ADDRESS THE NEEDS AND EDUCATION OF HEALTH HOME CARE MANAGERS WHO ADMINSTER THE CANS-NY ASSESSMENT WHICH MEASURES ACUITY LEVELS FOR CHILDREN ENROLLED IN THE HEALTH HOME SERVING CHILDREN PROGRAM. CCF WAS A SUB-CONTRACTED PARTNER WITH UNIVERSITY OF KENTUCKY, SERVING THE NEEDS OF THE DOWNSTATE REGION OF NY STATE. UNDER THIS CONTRACT, CCF PROVIDED TRAINING AND TECHNICAL ASSISTANCE TO ALL USERS OF THE CANS-NY ASSESSMENT TOOL. THE UNIVERSITY OF KENTUCKY CONTRACT WAS TRANSFERRED TO THE PRAED FOUNDATION, AND THIS SUB-CONTRACT ENDED FEBRUARY 2022. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $3,330 | ExpenseAmt |
| Revenue | $3,330 | RevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $3,330 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $3,330 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $1,961,544 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 10 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 11 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PATRICK MCENTEE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7038930600 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | BDO 8401 GREENSBORO DRIVE STE 800 | AddressLine1Txt |
| City | MCLEAN | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 22102 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd |
|---|---|---|---|---|---|---|
| LEAH ESTHER LAX | ||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |
| JENNIFER OUTLAW | ||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |
| RICHARD ALTMAN | ||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |
| BILL MEAD | ||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |
| GARY CARTER | ||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |
| JOAN SIEGEL | ||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |
| BILL WEISBERG | ||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |
| HENRY CHUNG | ||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |
| PHIL GARTENBERG | ||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |
| BETH FINNERTY | ||||||
| PRESIDENT | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| JEREMY KOHOMBAN | ||||||
| VICE PRESIDENT | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| EON PARKS | ||||||
| SECRETARY | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| DAMYN KELLY | ||||||
| TREASURER | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| JODI A SAITOWITZ | ||||||
| CHIEF EXECUTIVE OFFICER | 40.00 | $218,703 | $0 | $17,247 | Yes (X) | |
| ALYSSA L PAULOZZO | ||||||
| CHIEF OPERATING AND COMPLI | 40.00 | $144,788 | $0 | $29,056 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $363,491 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $46,303 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 2 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| BDO USA LLP | |||||
| 770 KENMOOR SE SUITE 300 | GRAND RAPIDS | MI | 49546 | ACCOUNTING SERVICES | $136,095 |
| BOCHNER IP PLLC | |||||
| 1040 6TH AVE 15TH FLOOR | NEW YORK | NY | 10018 | LEGAL SERVICES | $125,143 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| Membership Dues | $480,000 | MembershipDuesAmt |
| Total Contributions | $480,000 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| HEALTH HOME BILLING FE | 624100 | $2,191,267 | $2,191,267 |
| PROGRAM FEES | 518210 | $52,830 | $52,830 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $2,244,097 | TotalProgramServiceRevenueAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,724,097 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,244,097 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $409,795 | TotalAmt |
| Program Services | $312,933 | ProgramServicesAmt |
| Management And General | $96,862 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $570,652 | TotalAmt |
| Program Services | $503,997 | ProgramServicesAmt |
| Management And General | $66,655 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $131,810 | TotalAmt |
| Program Services | $2,000 | ProgramServicesAmt |
| Management And General | $129,810 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $157,820 | TotalAmt |
| Program Services | $34,080 | ProgramServicesAmt |
| Management And General | $123,740 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $249,196 | TotalAmt |
| Program Services | $219,196 | ProgramServicesAmt |
| Management And General | $30,000 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $59,377 | TotalAmt |
| Program Services | $54,074 | ProgramServicesAmt |
| Management And General | $5,303 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $810,086 | TotalAmt |
| Program Services | $810,086 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,165 | TotalAmt |
| Program Services | $24,132 | ProgramServicesAmt |
| Management And General | $6,033 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,794 | TotalAmt |
| Program Services | $1,046 | ProgramServicesAmt |
| Management And General | $5,748 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,535 | TotalAmt |
| Management And General | $4,535 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,430,230 | TotalAmt |
| Program Services | $1,961,544 | ProgramServicesAmt |
| Management And General | $468,686 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,706,329 | BOYAmt |
| EOY | $7,521,994 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $103,349 | BOYAmt |
| EOY | $36,691 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,195 | BOYAmt |
| EOY | $67,614 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $106,850 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $94,796 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,440 | BOYAmt |
| EOY | $12,054 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,621,788 | BOYAmt |
| EOY | $6,691,253 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,475,101 | BOYAmt |
| EOY | $14,329,606 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $156,097 | BOYAmt |
| EOY | $340,212 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,408,171 | BOYAmt |
| EOY | $9,333,204 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,564,268 | BOYAmt |
| EOY | $9,673,416 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,910,833 | BOYAmt |
| EOY | $4,656,190 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,910,833 | BOYAmt |
| EOY | $4,656,190 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,475,101 | BOYAmt |
| EOY | $14,329,606 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $293,867 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$548,510 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $763,842 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,680,039 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $681,840 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $572,732 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $480,000 | CurrentTaxYearAmt |
| Total | $4,178,453 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,010,723 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,499,738 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,560,134 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,820,918 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,244,097 | CurrentTaxYearAmt |
| Total | $8,135,610 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,774,565 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,179,777 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,241,974 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,393,650 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,724,097 | CurrentTaxYearAmt |
| Total | $12,314,063 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $12,314,063 | PublicSupportTotal509Amt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,774,565 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,179,777 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,241,974 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,393,650 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,724,097 | CurrentTaxYearAmt |
| Total | $12,314,063 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 1.00000 | PublicSupportCY509Pct |
| Public Support PY509 | 1.00000 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule D IRS990ScheduleD
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $106,850 | OtherCostOrOtherBasisAmt |
| Depreciation | $94,796 | DepreciationAmt |
| Book Value | $12,054 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $12,054 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MEDICAID RECEIVABLES (BILLED ON BEHALF OF CMA'S) | Desc |
| Book Value | $6,691,253 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $6,691,253 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| MEDICAID CLAIMS PAYABLE - DUE TO CMA'S | $8,512,974 |
| REFUNDABLE ADVANCE | $820,230 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $9,333,204 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $2,736,252 | TotalRevEtcAuditedFinclStmtAmt |
| Donated Services And Use Fclts | $12,155 | DonatedServicesAndUseFcltsAmt |
| Revenue Not Reported | $12,155 | RevenueNotReportedAmt |
| Revenue Subtotal | $2,724,097 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $2,724,097 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $2,442,385 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $12,155 | DonatedServicesUseFcltsAmt |
| Expenses Not Reported | $12,155 | ExpensesNotReportedAmt |
| Expenses Subtotal | $2,430,230 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $2,430,230 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION IS A TAX-EXEMPT ORGANIZATION AS DEFINED BY SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, THOUGH IT IS SUBJECT TO TAX ON INCOME UNRELATED TO ITS EXEMPT PURPOSE, UNLESS THAT INCOME IS OTHERWISE EXCLUDED BY THE CODE. THE ORGANIZATION HAS PROCESSES PRESENTLY IN PLACE TO ENSURE THE MAINTENANCE OF ITS TAX-EXEMPT STATUS; TO IDENTIFY AND REPORT UNRELATED INCOME; TO DETERMINE ITS FILING AND TAX OBLIGATIONS IN JURISDICTIONS FOR WHICH IT HAS NEXUS; AND TO IDENTIFY AND EVALUATE OTHER MATTERS THAT MAY BE CONSIDERED TAX POSITIONS. THE ORGANIZATION HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JODI A SAITOWITZ | ||||||||||||||
| CHIEF EXECUTIVE OFFICER | $218,703 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $17,247 | $0 | $235,950 | $0 | $0 | $0 |
| ALYSSA L PAULOZZO | ||||||||||||||
| CHIEF OPERATING AND COMPLI | $144,788 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $29,056 | $0 | $173,844 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 3 | FormAndLineReferenceDesc |
| Explanation | THE BOARD REVIEWS THE 990'S OF SIMILAR ORGANIZATIONS TO DETERMINE EXECUTIVE PAY. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART I, LINE 1 DESCRIPTION OF ORGANIZATION MISSION | THROUGH NETWORK PARTNERSHIP WE HAVE CREATED A SEAMLESS WAY TO GAIN ACCESS TO PROVIDERS THAT CAN CONDUCT PHYSICALS, PERFORM COMPLEX MENTAL HEALTH ASSESSMENTS, AND PROVIDE TREATMENT TO THOSE WHO ARE MEDICAID ELIGIBLE AS WELL AS ADDRESSING THEIR SOCIAL DETERMINANTS OF HEALTH. |
| FORM 990, PART III, LINE 2 | EFFECTIVE NOVEMBER 16, 2022, CCF ENTERED INTO A MEMBER SUBSTITUTION AGREEMENT (AGREEMENT) WITH ASONE HEALTHCARE IPA, LLC (ASONE). AS A RESULT OF THIS AGREEMENT, CCF BECAME THE SOLE MEMBER OF ASONE IN NOVEMBER 2022 AND THUS, ASONE IS A DISREGARDED ENTITY FOR TAX PURPOSES, BUT CONSOLIDATED FOR FINANCIAL REPORTING. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE ORGANIZATION HAS ONE CLASS OF MEMBER WHO MUST MEET THE CRITERIA OF MEMBERSHIP AS DEFINED IN THE BYLAWS. THE MEMBERS ARE REPRESENTED BY AN INDIVIDUAL HOLDING AN EXECUTIVE MANAGEMENT POSITION IN THE MEMBER. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE MEMBERS NOMINATE INDIVIDUALS TO SERVE ON THE BOARD. FOLLOWING THE NOMINATION PERIOD, AT THE ANNUAL MEETING OF THE MEMBERS, EACH MEMBER CAN CAST ONE VOTE TO ELECT BOARD MEMBERS. |
| FORM 990, PART VI, SECTION A, LINE 7B | ALL GOVERNANCE OF THE ORGANIZATION IS VESTED IN THE BOARD OF DIRECTORS WITH THE EXCEPTION OF CERTAIN POWERS, RESPONSIBILITIES AND ACTIONS THAT ARE VESTED IN THE MEMBERS AND REQUIRE CONSENT OF A SUPERMAJORITY OF THE MEMBERS. THESE INCLUDE, BUT ARE NOT LIMITED TO: SELLING ALL OR SUBSTANTIALLY ALL OF THE BUSINESS OR ASSETS OF THE ORGANIZATION; TERMINIATING A MEMBER WITHOUT CAUSE REMOVING A DIRECTOR WITH OR WITHOUT CAUSE; ADMITTING NEW MEMBERS; MERGER, CONSOLIDATION OR ANY OTHER RESTRUCTURING OF THE ORGANIZATION; MAKING SUCH OTHER DECISIONS WHICH REQUIRE A SUPERMAJORITY OF THE MEMBERS AS SET FORTH IN THE MEMBERSHIP AGREEMENT, IF ANY. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE 990 IS REVIEWED BY THE CHIEF EXECUTIVE OFFICER, CORPORATE COUNSEL AND THE AUDIT COMMITTEE IN CONJUCTION WITH THE ORGANIZATION'S AUDITOR. AFTER THEIR REVIEW A COPY IS PROVIDED TO THE ENTIRE BOARD BEFORE THE RETURN IS FILED WITH THE INTERNAL REVENUE SERVICE. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION REQUIRES EACH BOARD MEMBER TO SIGN A ANNUAL CONFLICT OF INTEREST STATEMENT THAT DISCLOSES ANY POTENTIAL CONFLICTS A MEMBER MAY HAVE. |
| FORM 990, PART VI, SECTION B, LINE 15A | THE BOARD REVIEWS THE 990'S OF SIMILAR ORGANIZATIONS TO DETERMINE EXECUTIVE PAY. |
| FORM 990, PART VI, SECTION C, LINE 19 | ALL GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC ON DEMAND. |
| FORM 990, PART IX, LINE 11G | CONSULTING FEES: PROGRAM SERVICE EXPENSES 219,196. MANAGEMENT AND GENERAL EXPENSES 30,000. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 249,196. |
| FORM 990, PART XI, LINE 9: | ASONE NET ASSETS TRANSFERRED -548,510. |
| FORM 990 - PART XII - LINE 2C | THERE HAVE BEEN NO CHANGES FROM PRIOR YEAR. AUDIT COMMITTEE IS RESPONSIBLE FOR OVERSIGHT OF THE AUDIT AND SELECTION OF INDEPENDENT ACCOUNTANT. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ASONE HEALTH CARE IPA LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 590 AVENUE OF THE AMERICAS | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10011 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 832635770 | EIN |
| Primary Activities | HEALTH CARE SERVICES | PrimaryActivitiesTxt |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Total Income | $3,330 | TotalIncomeAmt |
| End Of Year Assets | $243,825 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE COLLABORATIVE FOR CHILDREN AND FAMILY | BusinessNameLine1Txt |