2020-06-30T15:14:46-05:00 2019-12-31 221655803 DORFMAN ABRAMS MUSIC LLC 250 PEHLE AVE SUITE 702 SADDLE BROOK NJ 07663 990 2019-01-01 471769796 THE COLLABORATIVE FOR CHILDREN AND FAMILIES INC COLL 2124445437 127 W 30TH STREET NEW YORK NY 10001 JODI A SAITOWITZ CHIEF EXECUTIVE OFFICER 2124445437 2020-06-26 1 PATRICIA DIAZ CPA P01362006 2014039750 47.22.41.242 2020-06-26 13:50:02 ED P EE5588F77C54BA1E18067E1307EE46665D14CF59 72801F05FCDC4F1FB6E5A7637EBB8FB54822E0A2 2019 2021-01-29 14:40:06Z X JODI A SAITOWITZ 127 W 30TH STREET NEW YORK NY 10001 3179777 0 X WWW.CCFHH.ORG X 2014 NY FOUNDED IN EARLY 2014, CCF WAS FORMED IN ANTICIPATION OF CHANGES IN THE DELIVERY OF HEALTH CARE SERVICES TO CHILDREN AND FAMILIES ELIGIBLE FOR NEW YORK STATE'S MEDICAID PROGRAM. CCF IS A NEW YORK STATE NONPROFIT COMPRISED OF SUB-CONTRACTED CARE MANAGEMENT AGENCIES THAT SERVE CHILDREN AND FAMILIES THROUGHOUT THE FIVE BOROUGHS OF NEW YORK CITY AND WESTCHESTER, NASSAU, AND SUFFOLK COUNTIES. CCF OFFERS COMPREHENSIVE SERVICES TO CHILDREN AND FAMILIES IN A MORE COORDINATED MANNER THAN COULD BE ACHIEVED INDIVIDUALLY. 13 13 10 0 0 0 763842 1680039 1010723 1499738 0 0 0 0 1774565 3179777 0 0 0 0 627332 618008 0 0 0 1082463 1062850 1709795 1680858 64770 1498919 4587260 9499569 2428678 5842068 2158582 3657501 X TO PARTICIPATE IN, DEVELOP PROGRAMS AND/OR FACILITATE THE PARTICIPATION IN PROGRAMS FUNDED AND/OR OVERSEEN BY GOVERNMENTAL AGENCIES, AND/OR SPONSORED THROUGH FOUNDATION(S) AND/OR GRANT OR OTHER FUNDING, IN EACH CASE, THE PURPOSE OF WHICH IS THE IMPROVEMENT OF THE OVERALL QUALITY OF LIFE FOR INDIVIDUALS IN THE STATE OF NEW YORK, PRIMARILY INDIGENT CHILDREN AND HIGH COST/HIGH NEED MEDICAID ENROLLEES WITH MEDICAL, BEHAVIORAL AND/OR DEVELOPMENTAL DISABILITIES IN UNDERSERVED AREAS. 0 0 1045955 1192937 INTEGRATION AND COORDINATION OF CARE IN THE PROVISION OF BEHAVIORAL AND MENTAL WELLNESS 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 MEDICAL, BEHAVIORAL AND LONG TERM CARE NEEDS.THE CCF HEALTH HOME ENTERED INTO A CONTRACT THROUGH 2019 TO BECOME A PARTICIPATING PARTNER FOR THE MT. SINAI HOSPITAL SYSTEM'S PERFORMING PROVIDER SYSTEM. CCF PROVIDES MT. SINAI WITH DATA AND OUTCOMES UNDER THE UMBRELLA OF THE STATE'S DELIVERY SYSTEM REFORM INCENTIVE PROGRAM (DSRIP) WHICH WAS CREATED BY THE MEDICAID REDESIGN TEAM UNDER GOVERNOR CUOMO TO ADDRESS MEDICAID SPENDING AND BETTER HEALTH OUTCOMES FOR THEIR MEDICAID RECIPIENTS. THE DATA SHARED BY CCF IS SPECIFIC TO MEASURING THE LEVEL OF AWARENESS AND EDUCATION/TRAINING THAT CCF IS PROVIDING TO THE COMMUNITY AT LARGE AND MEDICAL PROVIDERS ABOUT THE VALUE OF HEALTH HOME CARE COORDINATION TO INCREASE AWARENESS AND REFERRALS OF MEMBERS. 306801 306801 THE NY STATE DEPARTMENT OF HEALTH AWARDED A CONTRACT TO CHAPIN HALL AT THE UNIVERSITY OF CHICAGO TO DEVELOP AND OPERATE A TECHNICAL ASSISTANT INSTITUTE TO ADDRESS THE NEEDS AND EDUCATION OF HEALTH HOME CARE MANAGERS WHO ADMITTED THE CANS-NY ASSESSMENT TO MEASURE ACUITY LEVELS FOR CHILDREN ENROLLED IN THE HEALTH HOME SERVING CHILDREN PROGRAM. CCF IS SUB CONTRACTED TO CHAPIN HALL SERVING THE NEEDS OF THE DOWNSTATE REGION OF NY STATE. UNDER THIS CONTRACT, CCF WILL PROVIDE TRAINING AND TECHNICAL ASSISTANCE TO ALL USERS OF THE CANS-NY ASSESSMENT TOOL. 1352756 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 1 0 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 0 0 0 0 1 6 0 1 10 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 0 0 NY X DEBRA GERHARD 7038930600 BDO 8401 GREENSBORO DRIVE STE 800 MCLEAN VA 22102 GERALD MCCAFFERY DIRECTOR 2.00 X 0 0 0 ELIZABETH MCCARTHY DIRECTOR 2.00 X 0 0 0 EON PARKS DIRECTOR 2.00 X 0 0 0 BILL MEADE DIRECTOR 2.00 X 0 0 0 DAVID COLLINS DIRECTOR 2.00 X 0 0 0 JAMES KAUFMAN DIRECTOR 2.00 X 0 0 0 RICHARD ALTMAN DIRECTOR 2.00 X 0 0 0 PHILIP GARTENBERG DIRECTOR 2.00 X 0 0 0 DALL FORSYTHE DIRECTOR 2.00 X 0 0 0 CORINNE HAMMONS CHAIR 2.00 X X 0 0 0 ALAN MUCATEL VICE CHAIR 2.00 X X 0 0 0 WILLIAM BACCAGLINI TREASURER 2.00 X X 0 0 0 KEITH LITTLE SECRETARY 2.00 X X 0 0 0 JODI A SAITOWITZ CHIEF EXECUTIVE OFFICER 40.00 X 189827 0 20643 ALYSSA TOSI CHIEF OPERATING AND COMPLIANCE OFFICER 40.00 X 129582 0 9435 319409 0 30078 2 0 1 0 MEDECISION 8111 PRESTOND RD SUITE 900 DALLAS TX 75225 IT SYSTEMS SERVICE 389400 BDO USA LLP 770 KENMOOR SE SUITE 300 GRAND RAPIDS MI 49546 ACCOUNTING SERVICES 124019 2 490000 1190039 1680039 HEALTH HOME BILLING FE 624100 1136382 1136382 PROGRAM FEES 518210 363356 363356 1499738 3179777 1499738 0 0 349486 265493 83993 268522 255468 13054 22038 1000 21038 147787 58615 89172 8583 8583 117292 26624 90668 32632 29120 3512 702988 702988 4915 4865 50 26615 26615 1680858 1352756 328102 0 2135947 3991739 203976 46958 16506 17171 93700 55076 65239 38624 2165592 5405077 4587260 9499569 299280 187886 201840 2129398 5452342 2428678 5842068 X 2158582 3657501 2158582 3657501 4587260 9499569 1498919 0 X X 0 1 X 1 0 X 510000 2300436 1606706 763842 1680039 6861023 510000 2300436 1606706 763842 1680039 6861023 6861023 6861023 3260184 X PART II, SHORT YEAR EXPLANATION: PUBLIC SUPPORT IS MEASURED ON A 5 YEAR COMPUTATION. THE COLLABORATIVE FILED THEIR INTIAL 990 FOR THE PERIOD ENDED DECEMBER 31, 2014. AS SUCH, SCHEDULE A, PG 2 LINES 14 AND 15 ARE NOT APPLICABLE. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 8583 0 0 8583 0 PART II-B, LINE 1: TO PROVIDE LEGISLATIVE AND REGULATORY REPRESENTATION ON BEHALF OF CCF BY ADVOCATING ON SPECIFICALLY IDENTIFIED ISSUES IN THE LEGISLATIVE AND EXECUTIVE BRANCHES OF THE NEW YORK STATE GOVERNMENT. IDENTIFY AND ANALYZE THE BUDGET AND THE OTHER LEGISLATION OF INTEREST TO CCF AS WELL AS MONITOR THE INTRODUCTION AND PROGRESS OF LEGISLATION INTERESTS. ALSO, TO REACH AND PREPARE MEMORANDUMS ON RELEVANT LEGISLATIVE ISSUES, AND PROVIDE OTHER GOVERNMENTAL AND REGULATORY SERVICES AS AGREED UPON. 93700 55076 38624 38624 MEDICAID RECEIVABLES (BILLED ON BEHALF OF CMA'S) 5405077 5405077 MEDICAID CLAIMS PAYABLE - DUE TO CMA'S 5452342 5452342 X 3201444 21667 21667 3179777 0 3179777 1702525 21667 21667 1680858 0 1680858 PART X, LINE 2: 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. X X 0 0 0 0 0 0 0 0 0 JODI A SAITOWITZ CHIEF EXECUTIVE OFFICER 189827 0 0 0 0 0 0 0 20643 0 210470 0 0 0 PART I, LINE 3 THE BOARD REVIEWS THE 990'S OF SIMILAR ORGANIZATIONS TO DETERMINE EXECUTIVE PAY. 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 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.