2021-11-03T13:55:49-05:00 2020-12-31 263753134 CBIZ MHM LLC 500 BOYLSTON STREET BOSTON MA 02116 990 2020-01-01 451623549 T1D EXCHANGE INC T1DE 6178926100 11 AVENUE DE LAFAYETTE 5TH FLOOR BOSTON MA 02111 DAVID WALTON CHIEF EXECUTIVE OFFICER 6178926100 2021-09-27 1 DAVID WALTON 999009999 BRENDA L BOOTH P01342395 6177610600 2021-09-27 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z DAVID WALTON 11 AVENUE DE LAFAYETTE 5TH FLOOR BOSTON MA 02111 12562518 0 X WWW.T1DEXCHANGE.ORG X 2011 DE T1D EXCHANGE IS A LEADING PROVIDER OF REAL-WORLD EVIDENCE, DEDICATED TO IMPROVING OUTCOMES FOR THE ENTIRE T1D POPULATION THROUGH DRIVING COLLABORATIVE CHANGE. T1D EXCHANGE ACTIVELY SUPPORTS QUALITY IMPROVEMENT AND INNOVATION THROUGH ITS QUALITY IMPROVEMENT COLLABORATIVE, PATIENT REGISTRY, AND DATA-ORIENTED RESEARCH SERVICES. IT PLAYS AN ACTIVE ROLE IN CREATING REAL-WORLD IMPACT WITH THIS INTEGRATED DATA BY PROVIDING CLINICIANS, RESEARCHERS, INDUSTRY PARTNERS AND ADVOCATES WITH THE RESOURCES AND SERVICES THEY NEED FOR BETTER DECISION SUPPORT AND POPULATION HEALTH MANAGEMENT. 10 9 42 11 0 0 441894 11889927 433617 663297 45002 9294 0 0 920513 12562518 0 0 0 0 4909522 4050080 0 0 801559 3362023 3858505 8271545 7908585 -7351032 4653933 10850233 15898353 653853 1048040 10196380 14850313 X T1D EXCHANGE IS A LEADING PROVIDER OF REAL-WORLD EVIDENCE, DEDICATED TO IMPROVING OUTCOMES FOR THE ENTIRE T1D POPULATION THROUGH DRIVING COLLABORATIVE CHANGE. T1D EXCHANGE ACTIVELY SUPPORTS QUALITY IMPROVEMENT AND INNOVATION THROUGH ITS QUALITY IMPROVEMENT COLLABORATIVE, PATIENT REGISTRY, AND DATA-ORIENTED RESEARCH SERVICES. IT PLAYS AN ACTIVE ROLE IN CREATING REAL-WORLD IMPACT WITH THIS INTEGRATED DATA BY PROVIDING CLINICIANS, RESEARCHERS, INDUSTRY PARTNERS AND ADVOCATES WITH THE RESOURCES AND SERVICES THEY NEED FOR BETTER DECISION SUPPORT AND POPULATION HEALTH MANAGEMENT. 0 0 4437933 663297 T1D EXCHANGE MAINTAINS THREE KEY PROGRAMS, THE QUALITY IMPROVEMENT COLLABORATIVE, THE T1D EXCHANGE REGISTRY, AND CUSTOM RESEARCH SERVICES. THE T1D EXCHANGE QUALITY IMPROVEMENT COLLABORATIVE CONSISTS OF A LEARNING COLLABORATIVE COMPRISED OF DIABETES CENTERS FROM ACROSS THE US, AND A COMPANION DATA PLATFORM INTEGRATING EMR DATA TO REDEFINE BEST PRACTICES, ENHANCE THE QUALITY OF CARE, AND ULTIMATELY GENERATE BETTER OUTCOMES. THE T1D EXCHANGE REGISTRY IS AN ONLINE VIRTUAL REGISTRY COMPRISED OF INDIVIDUALS WITH TYPE 1 DIABETES AND/OR THEIR CAREGIVERS WHO PARTICIPATE IN RESEARCH. REGISTRY PARTICIPANTS PROVIDE PATIENT-REPORTED INFORMATION ON THEIR CARE AND MANAGEMENT OF DIABETES. FINALLY, T1D EXCHANGE PROVIDES CUSTOM RESEARCH SERVICES THAT COMBINE ITS ANALYTICS WITH ADDITIONAL OFFERINGS SUCH AS CUSTOM SURVEYS, INTERVIEWS, FOCUS GROUPS, DEVICE DATA INTEGRATION, ETC. THIS MODEL HELPS CONNECT PATIENTS, PROVIDERS, INDUSTRY AND ACADEMIA SO THAT INNOVATION IS ACCELERATED AND CARE IS OPTIMIZED. 4437933 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 32 0 1 42 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 9 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MA AL AR CA FL GA HI IL KS KY MD MI MN OR PA RI SC TN UT VA WV WI MS NH NJ NC X BRANDON MAAKE 6178926100 11 AVENUE DE LAFAYETTE 5TH FLOOR BOSTON MA 02111 JOHN COLLINS TREASURER 1.00 1.00 X X 0 0 0 CHRISTINA CSIMMA DIRECTOR 1.00 0.00 X 0 0 0 DOMINQUE HURLEY DIRECTOR 1.00 0.00 X 0 0 0 HAYDON KEITNER DIRECTOR 1.00 0.00 X 0 0 0 JENNIFER MCCABE DIRECTOR - RESIGNED 6/1/20 1.00 0.00 X 0 0 0 JAY MOHR DIRECTOR/CHAIRMAN (AS OF 9/3/20) 1.00 0.00 X X 0 0 0 MARIJANE NORRIS-GEARY DIRECTOR 1.00 1.00 X 0 0 0 KEITH RYAN CHAIRMAN/DIRECTOR (RESIGNED AS CHAIRMAN 9/3/20 THE 1.00 1.00 X X 0 0 0 RICK ALTINGER DIRECTOR - STARTED 3/5/20 1.00 0.00 X 0 0 0 JOHN L BROOKS III DIRECTOR - STARTED 3/5/20 1.00 0.00 X 0 0 0 DAVID WALTON PRESIDENT/SECRETARY 40.00 1.00 X X 321416 0 12121 REBECCA PARKES COO 40.00 1.00 X 205566 0 13594 WENDY WOLF VP OF REGISTRY 40.00 0.00 X 227360 0 8357 OSAGIE EBEKOZIEN VP, QI AND POPULATION HEALTH 40.00 0.00 X 217286 0 12490 CAMPBELL ROWE VP, PRODUCT DEVELOPMENT & DATA 40.00 0.00 X 182089 0 3715 CHARLES IACONO VP, INDUSTRY RELEATION & COMMERCIAL PARTNERSHIP 40.00 0.00 X 157179 0 13523 NICOLE RIOLES ASSOC. 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QUALITY IMPROVEMENT 40.00 0.00 X 140912 0 7706 1451808 0 71506 12 0 1 0 NEWFIRE LLC 210 BROADWAY ST SUITE 201 CAMBRIDGE MA 02139 SOFTWARE DESIGN & DEVELOPMENT 1614065 PRINCE LOBEL ONE INTERNATIONAL PLACE SUITE 3700 BOSTON MA 02110 LEGAL SERVICES 231301 SOMERSET & CHURCH LLC 50 WALNUT AVENUE ANDOVER MA 01810 CONSULTING SERVICES 151050 APOGEE PO BOX 4110 WOBURN MA 01888 IT SERVICES 140192 UNIVERSITY OF WASHINGTON PO BOX 354966 SEATTLE WA 98195 RESEARCH 133610 5 225000 1474677 10190250 11889927 CONTRACT SERVICE REVENUE 900099 663297 663297 663297 9294 9294 12562518 663297 0 9294 474774 153442 321332 2850117 2056456 398186 395475 85161 85161 355493 16087 334983 4423 284535 284535 244849 63036 181813 55717 55717 583432 156467 417516 9449 227001 37460 189528 13 905 55 850 183785 9446 174339 550832 380380 129304 41148 50915 21193 23310 6412 9218 3525 4273 1420 875965 722075 150339 3551 42611 19974 18642 3995 PROGRAM SERVICES 956475 944573 10403 1499 TELEPHONE 25213 537 24676 RECRUITMENT & TRAINING 15924 5201 9669 1054 POSTAGE AND SHIPPING 15777 253 15470 54 19886 1215 6937 11734 7908585 4437933 2669093 801559 5012421 3670107 1900350 1901668 0 5666138 78076 187063 229492 112639 329690 181770 128758 147920 1043254 1055574 0 2398677 3115852 59205 41392 10850233 15898353 559062 838839 49000 192879 45791 16322 653853 1048040 X 6951744 7569342 3244636 7280971 10196380 14850313 10850233 15898353 4653933 0 X 0 1 X 1 0 X 11084716 1708747 16508806 441894 11889927 41634090 11084716 1708747 16508806 441894 11889927 41634090 25709850 15924240 22623 18585 55718 45002 9294 151222 41785312 3468751 0.38110 0.41280 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 109049 61892 47157 220641 119878 100763 147920 DEFERRED RENT 3169 OTHER LIABILITIES 13153 16322 X 12570418 7900 7900 12562518 0 12562518 7916485 7900 7900 7908585 0 7908585 PART X, LINE 2: T1D EXCHANGE AND THE FOUNDATION ARE BOTH NONPROFIT ORGANIZATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND EACH IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES. AS A RESULT, NO PROVISION FOR INCOME TAXES IS PRESENTED IN THESE CONSOLIDATED FINANCIAL STATEMENTS. HOWEVER, IN CERTAIN CIRCUMSTANCES, THE ORGANIZATION MAY BE SUBJECT TO FEDERAL AND STATE INCOME TAXES FOR PROFITS GENERATED FROM UNRELATED TRADE OR BUSINESS INCOME. AS OF DECEMBER 31, 2020 AND 2019, MANAGEMENT'S POSITION IS THAT THE ORGANIZATION DOES NOT HAVE ANY LIABILITIES ASSOCIATED WITH UNRELATED TRADE OR BUSINESS INCOME. THE ORGANIZATION ASSESSES THE RECORDING OF UNCERTAIN TAX POSITIONS BY EVALUATING THE MINIMUM RECOGNITION THRESHOLD AND MEASUREMENT REQUIREMENTS A TAX POSITION MUST MEET BEFORE BEING RECOGNIZED AS A BENEFIT IN THE CONSOLIDATED FINANCIAL STATEMENTS. THE ORGANIZATION'S POLICY IS TO RECOGNIZE INTEREST AND PENALTIES ACCRUED ON UNCERTAIN TAX POSITIONS AS A COMPONENT OF INCOME TAX EXPENSES, IF ANY, IN ITS CONSOLIDATED STATEMENTS OF ACTIVITIES. X X X 0 0 0 0 0 0 0 0 0 DAVID WALTON PRESIDENT/SECRETARY 320789 0 0 0 627 0 9710 0 2411 0 333537 0 0 0 WENDY WOLF VP OF REGISTRY 226381 0 0 0 979 0 6896 0 1461 0 235717 0 0 0 OSAGIE EBEKOZIEN VP, QI AND POPULATION HEALTH 211575 0 0 0 5711 0 4491 0 7999 0 229776 0 0 0 REBECCA PARKES COO 200502 0 0 0 5064 0 6396 0 7198 0 219160 0 0 0 CAMPBELL ROWE VP, PRODUCT DEVELOPMENT & DATA 180362 0 0 0 1727 0 2155 0 1560 0 185804 0 0 0 CHARLES IACONO VP, INDUSTRY RELEATION & COMMERCIAL 150340 0 0 0 6839 0 4995 0 8528 0 170702 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 THE MEMBER IS THOSE PERSONS SERVING FROM TIME TO TIME AS THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7A T1D EXCHANGE IS A MEMBERSHIP CORPORATION. THE MEMBER IS THOSE PERSONS SERVING FROM TIME TO TIME AS THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B PRIOR TO FILING FROM 990 THE COMPLETED FORM 990 IS DISTRIBUTED TO THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION CONTINUALLY MONITORS AND ENFORCES THE CONFLICT OF INTEREST POLICY BY (1) REQUIRING ALL NEW BOARD MEMBERS TO SIGN THE POLICY AND IDENTIFY ANY CONFLICTS THAT MAY EXIST, AND (2) ANNUALLY RE-AFFIRM WITH ALL MEMBERS OF THE BOARD OF DIRECTORS AND IDENTIFY AND CONFLICTS OF INTEREST THAT MAY HAVE OCCURED IN THE PRIOR YEAR. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS IS REPONSIBLE FOR THE YEARLY PERFORMANCE EVALUATION AND SALARY REVIEW OF THE CHIEF EXECUTIVE OFFICER AND CHIEF OPERATING OFFICER. THE BOARD USES SALARY SURVEY'S AS A BENCHMARK FOR EACH POSITION, UTILIZING COMPARABLES FROM OTHER SIMILAR ORGANIZATIONS AND OTHER AVAILABLE DATA. FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION MAKES ITS FORM 1023, AND 990S AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. T1D EXCHANGE SUPPORTING FOUNDATION INC 11 AVENUE DE LAFAYETTE 5TH FLOOR BOSTON MA 02111 475074602 BENEFITING AND SUPPORTING THE CHARITABLE ACTIVITIES OF T1D EXCHANGE, INC. MA 501(C)(3) LINE 12A, I T1D EXCHANGE INC 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0