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NORTH JERSEY HEALTH COLLABORATIVE: Form 990EZ, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
NORTH JERSEY HEALTH COLLABORATIVE (EIN 46-3715246)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-10-07
IRS object ID
202232809349200133
Schema version
2021v4.0
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

FieldValueIRS element (for citing)
Return2022-10-07T10:46:37-07:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN223063140PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Peter H Dorman CPABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1912 Pompton Ave Unit A-2AddressLine1Txt
CityCedar GroveCityNm
State AbbreviationNJStateAbbreviationCd
ZIP07009ZIPCd
FieldValueIRS element (for citing)
Return Type990EZReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN463715246EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NORTH JERSEY HEALTH COLLABORATIVE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlNORTBusinessNameControlTxt
Phone9738860481PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 603AddressLine1Txt
CityBUDD LAKECityNm
State AbbreviationNJStateAbbreviationCd
ZIP07828ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSHERILYN COGNETTIPersonNm
Person TitlePresidentPersonTitleTxt
Signature2022-10-07SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstSHERILYNPersonFirstNm
Person LastCOGNETTIPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonPeter H Dorman CPAPreparerPersonNm
PTINP00098551PTIN
Phone9738571100PhoneNum
Self EmployedYes (X)SelfEmployedInd

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
Federated Assurance LevelFAL1FederatedAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990-EZ IRS990EZ

FieldValueIRS element (for citing)
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Website AddressN/AWebsiteAddressTxt
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Gross Receipts$119,840GrossReceiptsAmt
Info In Schedule O Part IYes (X)InfoInScheduleOPartIInd
Contributions Gifts Grants Etc$67,221ContributionsGiftsGrantsEtcAmt
Program Service Revenue$35,615ProgramServiceRevenueAmt
Membership Dues$16,992MembershipDuesAmt
Investment Income$12InvestmentIncomeAmt
Cost Or Other Basis Expense Sale$0CostOrOtherBasisExpenseSaleAmt
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Special Events Direct Expenses$0SpecialEventsDirectExpensesAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt
Total Revenue$119,840TotalRevenueAmt
Fees And Other Pymt To Ind Cntrct$5,225FeesAndOtherPymtToIndCntrctAmt
Printing Publications Postage$176PrintingPublicationsPostageAmt
Other Expenses Total$135,921OtherExpensesTotalAmt
Total Expenses$141,322TotalExpensesAmt
Excess Or Deficit For Year-$21,482ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY$66,377NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$44,895NetAssetsOrFundBalancesEOYAmt

Cash Savings And Investments CashSavingsAndInvestmentsGrp

FieldValueIRS element (for citing)
BOY$66,377BOYAmt
EOY$44,895EOYAmt

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$66,377BOYAmt
EOY$44,895EOYAmt

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY$66,377BOYAmt
EOY$44,895EOYAmt
FieldValueIRS element (for citing)
Primary Exempt PurposeTO FOSTER THE HEALTH OF THE COMMUNITIES SERVED BY ENHANCING COOPERATION BETWEEN PARTNERS INVOLVED IN PUBLIC HEALTH, PROMOTING RESEARCH AND SHARING OF THE INFORMATION.PrimaryExemptPurposeTxt

Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp

FieldValueIRS element (for citing)
Description Program Srvc AccomSPONSOR AND ENGAGE IN RESEARCH RELATED TO THE DELIVERY OF HEALTHCARE AND HOSPICE SERVICES TO IMPROVE THE QUALITY, SAFETY AND EFFICIENY OF HEALTH SERVICES, SPONSOR AND SHARE INFORMATION WITH THE MEMBERSHIP AND PUBLIC.DescriptionProgramSrvcAccomTxt
Grants And Allocations$131,116GrantsAndAllocationsAmt
Program Service Expenses$67,221ProgramServiceExpensesAmt
FieldValueIRS element (for citing)
Total Program Service Expenses$131,116TotalProgramServiceExpensesAmt

Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (4 entries)

TitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmt
MAUREEN CIANCI
Vice President0$0
SHERILYN COGNETTI
President12.00$0
TREVOR WEIGLE
Treasurer12.00$0
AMY LEWIS
Secretary12.00$0
FieldValueIRS element (for citing)
Activities Not Previously RptfalseActivitiesNotPreviouslyRptInd
Chg Made To Orgnzng Doc Not RptfalseChgMadeToOrgnzngDocNotRptInd
Organization Had UBIfalseOrganizationHadUBIInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Organization Dissolved EtcfalseOrganizationDissolvedEtcInd
Form1120 Pol FiledfalseForm1120PolFiledInd
Made Loans To From OfficersfalseMadeLoansToFromOfficersInd
Tax Imposed Under IRC4911$0TaxImposedUnderIRC4911Amt
Tax Imposed Under IRC4912$0TaxImposedUnderIRC4912Amt
Tax Imposed Under IRC4955$0TaxImposedUnderIRC4955Amt
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
Tax Imposed On Organization Mgr$0TaxImposedOnOrganizationMgrAmt
Tax Reimbursed By Organization$0TaxReimbursedByOrganizationAmt
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
States Where Copy Of Return Is FldNJStatesWhereCopyOfReturnIsFldCd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonTREVOR WEIGLEPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1201 WHEATSWORTH ROAD SUITE 4AddressLine1Txt
CityHAMBURGCityNm
State AbbreviationNJStateAbbreviationCd
ZIP07419ZIPCd
FieldValueIRS element (for citing)
Phone9738860481PhoneNum
FieldValueIRS element (for citing)
Foreign Financial AccountfalseForeignFinancialAccountInd
Foreign OfficefalseForeignOfficeInd
Donor Advised FndsfalseDonorAdvisedFndsInd
Operate HospitalfalseOperateHospitalInd
Tanning Services ProvidedfalseTanningServicesProvidedInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
School OperatingfalseSchoolOperatingInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Part VI Of Comp Of Hghst Pd EmplNONEPartVIOfCompOfHghstPdEmplTxt
Part VI Hghst Pd Cntrct Prof SrvcNONEPartVIHghstPdCntrctProfSrvcTxt
Filed Schedule AYes (true)FiledScheduleAInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$364,102CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$242,663CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$53,000CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$75,946CurrentTaxYearMinus1YearAmt
Current Tax Year$84,213CurrentTaxYearAmt
Total$819,924TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year$35,510CurrentTaxYearAmt
Total$35,510TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$364,102CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$242,663CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$53,000CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$75,946CurrentTaxYearMinus1YearAmt
Current Tax Year$119,723CurrentTaxYearAmt
Total$855,434TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$855,434PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$364,102CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$242,663CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$53,000CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$75,946CurrentTaxYearMinus1YearAmt
Current Tax Year$119,723CurrentTaxYearAmt
Total$855,434TotalAmt
FieldValueIRS element (for citing)
Public Support CY5091.00000PublicSupportCY509Pct
Public Support PY5091.00000PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Other Expenses.1002Office Expenses $1622
Other Expenses.1005Travel $41
Other Expenses.1007Conferences, Conventions, and Meetings $1246
Other Expenses.1012Insurance $1448
Other Expenses.1Consulting Fees $112112
Other Expenses.2Community Health Worker $11299
Other Expenses.3Administrative Support $6242
Other Expenses.4Bank Service Charges $1331
Other Expenses.5Computer & Internet $416
Other Expenses.7New Jersey CRI $90
Other Expenses.8New Jersey Annual Report $58
Other Expenses.9Dues & Subscriptions $16

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