CATALYSIS INC: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- CATALYSIS INC (EIN 26-2795800)
- Tax period
- 2019-01-01 to 2019-12-31
- Filed
- 2020-06-17
- IRS object ID
- 202021699349300522
- Schema version
- 2019v5.1
- 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 | 2020-06-17T10:38:43-05:00 | ReturnTs |
| Tax Period End | 2019-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 390758449 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WIPFLI LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 12237 | AddressLine1Txt |
| City | GREEN BAY | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 543072237 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 262795800 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CATALYSIS INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CATA | BusinessNameControlTxt |
| Phone | 9206597500 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 W LAWRENCE STREET NO 422 | AddressLine1Txt |
| City | APPLETON | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54911 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KIM BARNAS | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 9206597500 | PhoneNum |
| Signature | 2020-06-09 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | TERRI REXRODE CPA MST | PreparerPersonNm |
| PTIN | P00096513 | PTIN |
| Phone | 9206620016 | PhoneNum |
| Preparation | 2020-05-26 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 74.87.127.216 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-06-09 | IPDt |
| IP Tm | 09:38:37 | IPTm |
| IP Timezone | CD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | A43ECD1EE6AF4781A69F6BFA161A98BDE8FA2C07 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | KIM BARNAS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 W LAWRENCE STREET NO 422 | AddressLine1Txt |
| City | APPLETON | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54911 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $5,202,111 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.CREATEVALUE.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2008 | FormationYr |
| Legal Domicile State | WI | LegalDomicileStateCd |
| Activity Or Mission | TO REDESIGN CARE DELIVERY OF HEALTHCARE PERFORMANCE WHICH WILL RESULT IN IMPROVED VALUE FOR PATIENTS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 23 | TotalEmployeeCnt |
| Total Volunteers | 13 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $5,296,435 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $5,120,481 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,742 | PYInvestmentIncomeAmt |
| CY Investment Income | $4,955 | CYInvestmentIncomeAmt |
| PY Other Revenue | $80,124 | PYOtherRevenueAmt |
| CY Other Revenue | $59,794 | CYOtherRevenueAmt |
| PY Total Revenue | $5,378,301 | PYTotalRevenueAmt |
| CY Total Revenue | $5,185,230 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $50,698 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $51,122 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $3,190,110 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $2,732,453 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,361,426 | PYOtherExpensesAmt |
| CY Other Expenses | $1,923,380 | CYOtherExpensesAmt |
| PY Total Expenses | $5,602,234 | PYTotalExpensesAmt |
| CY Total Expenses | $4,706,955 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$223,933 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $478,275 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $2,306,019 | TotalAssetsBOYAmt |
| Total Assets EOY | $2,747,436 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,408,296 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,592,367 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$102,277 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $155,069 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO REDESIGN CARE DELIVERY OF HEALTHCARE PERFORMANCE WHICH WILL RESULT IN IMPROVED VALUE FOR PATIENTS. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $1,395,342 | ExpenseAmt |
| Grant | $51,122 | GrantAmt |
| Revenue | $2,035,140 | RevenueAmt |
| Desc | EDUCATION CATALYSIS PROVIDES EDUCATIONAL CURRICULUM TO HEALTHCARE INDUSTRY LEADERS TO IMPROVE ORGANIZATIONAL DELIVERY OF SERVICES TO IMPROVE MEDICAL OUTCOMES AND VALUE FOR PATIENTS, FAMILIES AND COMMUNITIES. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,130,530 | ExpenseAmt |
| Revenue | $1,263,071 | RevenueAmt |
| Desc | LEARNING FORUMS AND SUMMITS CATALYSIS ORGANIZES EDUCATIONAL SUMMITS FOCUSED ON TEACHING WORKSHOP CURRICULUM, BREAKOUT SESSIONS AND KEYNOTES TO TEACH PRACTICES, PHILOSOPHIES AND TOOLS FOR IMPROVING HEALTHCARE DELIVERY. IN ADDITION, CATALYSIS CONVENES HEALTHCARE EXECUTIVES IN PEER TO PEER LEARNING GROUPS TO SHARE EXPERIENCE AND LEARN PRACTICES FOR IMPROVING HEALTHCARE OUTCOMES. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,080,497 | ExpenseAmt |
| Revenue | $1,822,270 | RevenueAmt |
| Desc | THE CATALYSIS HEALTHCARE VALUE NETWORK IS A MEMBERSHIP NETWORK OF HEALTHCARE ORGANIZATIONS WHO ARE COMMITTED TO LEARNING METHODS TO DELIVER HIGH QUALITY, COST EFFECTIVE HEALTHCARE. THIS LEARNING IS ACCOMPLISHED BY PEER TO PEER RELATIONSHIPS, KNOWLEDGE SHARING, SITE VISITS TO OTHER MEMBER LOCATIONS AND MONTHLY CONTACT WITH A CATALYSIS NETWORK MANAGER THAT GUIDES THE ORGANIZATION IN ITS LEARNING AND GROWTH. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $203,661 | ExpenseAmt |
| Revenue | $48,269 | RevenueAmt |
| Desc | PRODUCTS - THE ORGANIZATION HAS LEARNING MATERIALS INCLUDING BOOKS ABOUT THE HEALTHCARE INDUSTRY. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $203,661 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $48,269 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $3,810,030 | 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 | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | Yes (1) | 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 | Yes (1) | 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 | 0 | 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 | 20 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 23 | 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 | 12 | 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 | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | 0 | 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 | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | WI | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | PETER MARIAHAZY | PersonNm |
| Phone | 9206597474 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 W LAWRENCE ST SUITE 422 | AddressLine1Txt |
| City | APPLETON | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54911 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| GEORGE KOENIGSAECKER | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MICHAEL SACHS - TERMED | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JOHN TORINUS - TERMED | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| OREST FIUME | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| JEFFREY THOMPSON MD | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JOHN SHOOK | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| STEPHEN SHORTELL | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JOHN TOUSSAINT MD | |||||||
| CHAIRMAN/CEO | 40.00 | Yes (X) | $267,172 | $0 | $32,836 | Yes (X) | |
| KATHRYN CORREIA | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| BETH DALEY ULLEM - TERMED | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MARK HALLETT | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| KEN SNYDER | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| KEVIN MCNAMARA | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| KEVIN SCHULMAN MD | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| PETER WARD | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| LISA YERIAN | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| KIM BARNAS | |||||||
| PRESIDENT | 40.00 | $323,889 | $0 | $31,341 | Yes (X) | ||
| PETER MARIAHAZY | |||||||
| CHIEF ADMINISTRATIVE OFFICER | 40.00 | $134,690 | $0 | $13,454 | Yes (X) | ||
| BRIAN VEARA | |||||||
| PROGRAM DIRECTOR | 40.00 | $180,996 | $0 | $28,150 | Yes (X) | ||
| RACHEL REGAN | |||||||
| PROGRAM DIRECTOR | 40.00 | $136,589 | $0 | $20,435 | Yes (X) | ||
| CHRIS WEISBROD | |||||||
| NETWORK MANAGER | 40.00 | $149,196 | $0 | $20,068 | Yes (X) | ||
| THOMAS HARTMAN | |||||||
| EXECUTIVE CONSULTANT | 40.00 | $124,953 | $0 | $11,669 | Yes (X) | ||
| PAUL PEJSA | |||||||
| PROGRAM DIRECTOR | 40.00 | $227,374 | $0 | $30,271 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,544,859 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $188,224 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 11 | 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 |
|---|---|---|---|---|---|
| KARL HOOVER AND ASSOCIATES | |||||
| PO BOX 71047 | SEATTLE | WA | 98127 | EXECUTIVE COACHING | $138,500 |
| EMILY ADAMS | |||||
| 220 W QUITO STREET | SANTA BARBARA | CA | 93105 | WRITING | $101,580 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| EDUCATION PROGRAMS | 541900 | $1,979,914 | $1,979,914 |
| HEALTHCARE VALUE NETWO | 541900 | $1,822,270 | $1,822,270 |
| SUMMITS AND EVENTS | 541900 | $1,263,071 | $1,263,071 |
| SPEAKING ENGAGEMENT | 541900 | $55,226 | $55,226 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $5,120,481 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,955 | TotalRevenueColumnAmt |
| Exclusion | $4,955 | ExclusionAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,525 | TotalRevenueColumnAmt |
| Exclusion | $11,525 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $65,150 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $16,881 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $48,269 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $48,269 | RelatedOrExemptFuncIncomeAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,185,230 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $5,168,750 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $16,480 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,122 | TotalAmt |
| Program Services | $51,122 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $803,382 | TotalAmt |
| Program Services | $523,314 | ProgramServicesAmt |
| Management And General | $280,068 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,569,664 | TotalAmt |
| Program Services | $1,441,959 | ProgramServicesAmt |
| Management And General | $127,705 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $108,137 | TotalAmt |
| Program Services | $98,933 | ProgramServicesAmt |
| Management And General | $9,204 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $129,358 | TotalAmt |
| Program Services | $111,460 | ProgramServicesAmt |
| Management And General | $17,898 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $121,912 | TotalAmt |
| Program Services | $101,603 | ProgramServicesAmt |
| Management And General | $20,309 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,482 | TotalAmt |
| Management And General | $5,482 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,431 | TotalAmt |
| Management And General | $25,431 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,128 | TotalAmt |
| Management And General | $52,128 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,587 | TotalAmt |
| Management And General | $9,587 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $207,941 | TotalAmt |
| Program Services | $105,210 | ProgramServicesAmt |
| Management And General | $102,731 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,476 | TotalAmt |
| Management And General | $39,476 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,360 | TotalAmt |
| Program Services | $7,360 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $159,612 | TotalAmt |
| Management And General | $159,612 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $115,755 | TotalAmt |
| Program Services | $109,618 | ProgramServicesAmt |
| Management And General | $6,137 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,259,451 | TotalAmt |
| Program Services | $1,259,451 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,330 | TotalAmt |
| Management And General | $21,330 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,827 | TotalAmt |
| Management And General | $19,827 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,706,955 | TotalAmt |
| Program Services | $3,810,030 | ProgramServicesAmt |
| Management And General | $896,925 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $750,030 | BOYAmt |
| EOY | $1,025,940 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $623,269 | BOYAmt |
| EOY | $645,667 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,124 | BOYAmt |
| EOY | $27,064 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $66,399 | BOYAmt |
| EOY | $84,457 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $505,850 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $409,991 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $106,294 | BOYAmt |
| EOY | $95,859 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $730,903 | BOYAmt |
| EOY | $868,449 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,306,019 | BOYAmt |
| EOY | $2,747,436 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $224,786 | BOYAmt |
| EOY | $254,915 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,452,607 | BOYAmt |
| EOY | $1,469,003 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $730,903 | BOYAmt |
| EOY | $868,449 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,408,296 | BOYAmt |
| EOY | $2,592,367 | 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 | -$102,277 | BOYAmt |
| EOY | $155,069 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$102,277 | BOYAmt |
| EOY | $155,069 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,306,019 | BOYAmt |
| EOY | $2,747,436 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $478,275 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$220,929 | 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) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| 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 |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,744,582 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,635,813 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,231,033 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,376,936 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,185,631 | CurrentTaxYearAmt |
| Total | $27,173,995 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,744,582 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,635,813 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,231,033 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,376,936 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,185,631 | CurrentTaxYearAmt |
| Total | $27,173,995 | 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) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,417,971 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,041,038 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,913,679 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,233,745 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,560,861 | CurrentTaxYearAmt |
| Total | $8,167,294 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,417,971 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,041,038 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,913,679 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,233,745 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,560,861 | CurrentTaxYearAmt |
| Total | $8,167,294 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $19,006,701 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $12,778 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,876 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,356 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,499 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $16,480 | CurrentTaxYearAmt |
| Total | $49,989 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $12,778 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,876 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,356 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,499 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $16,480 | CurrentTaxYearAmt |
| Total | $49,989 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $62,129 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $25,316 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus1 Year | $13,253 | CurrentTaxYearMinus1YearAmt |
| Total | $100,698 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,819,489 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,669,005 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,241,389 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,392,688 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,202,111 | CurrentTaxYearAmt |
| Total | $27,324,682 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.69560 | PublicSupportCY509Pct |
| Public Support PY509 | 0.72330 | PublicSupportPY509Pct |
| Investment Income CY | 0.00180 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00220 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $164,753 | OtherCostOrOtherBasisAmt |
| Depreciation | $90,579 | DepreciationAmt |
| Book Value | $74,174 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $341,097 | OtherCostOrOtherBasisAmt |
| Depreciation | $319,412 | DepreciationAmt |
| Book Value | $21,685 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $95,859 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | 457B PLAN ASSETS | Desc |
| Book Value | $868,449 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $868,449 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | 457B PLAN LIABILITY | Desc |
| Amt | $868,449 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $868,449 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $5,202,111 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $5,202,111 | RevenueSubtotalAmt |
| Other Revenues Not Included | -$16,881 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$16,881 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $5,185,230 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $4,723,836 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $16,881 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $16,881 | ExpensesNotReportedAmt |
| Expenses Subtotal | $4,706,955 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $4,706,955 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | THE ORGANIZATION ASSESSED WHETHER IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED UPON EXAMINATION OF THE TECHNICAL MERITS ON THE POSITION, ASSUMING THE TAXING AUTHROITY HAS FULL KNOWLEDGE OF ALL INFORMATION. IF THE TAX POSITION DOES NOT MEET THE MORE-LIKELY-THAN-NOT RECOGNITION THRESHHOLD, THE BENEFIT OF THE TAX POSITION IS NOT RECOGNIZED IN THE FINANCIAL STATEMENTS. THE ORGANIZAION RECORDED NO ASSETS OR LIABILITIES FOR UNCERTAIN TAX POSITIONS. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | COST OF GOODS SOLD -16,881. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | COST OF GOODS SOLD 16,881. |
Schedule F IRS990ScheduleF
Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)
| RegionRegionTxt | OfficesOfficesCnt | EmployeeEmployeeCnt | Type Of Activities ConductedTypeOfActivitiesConductedTxt | Specific Services ProvidedSpecificServicesProvidedTxt | Region Total ExpendituresRegionTotalExpendituresAmt |
|---|---|---|---|---|---|
| EUROPE | 0 | 0 | PROGRAM SERVICE | MISCELLANEOUS - SPEAKING ENGAGEMENTS | $251,386 |
| NORTH AMERICA | 0 | 0 | PROGRAM SERVICE | EDUCATIONAL PROGRAMS | $152,230 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Offices | 0 | SubtotalOfficesCnt |
| Subtotal Employees | 0 | SubtotalEmployeesCnt |
| Continuation Total Office | 0 | ContinuationTotalOfficeCnt |
| Continuation Total Employee | 0 | ContinuationTotalEmployeeCnt |
| Total Office | 0 | TotalOfficeCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Subtotal Spent | $403,616 | SubtotalSpentAmt |
| Continuation Spent | $0 | ContinuationSpentAmt |
| Total Spent | $403,616 | TotalSpentAmt |
| Transfer To Foreign Corp | 0 | TransferToForeignCorpInd |
| Interest In Foreign Trust | 0 | InterestInForeignTrustInd |
| Foreign Corp Ownership | 0 | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | 0 | PassiveForeignInvestmestCoInd |
| Foreign Partnership | 0 | ForeignPartnershipInd |
| Boycott Countries | 0 | BoycottCountriesInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART III ACCOUNTING METHOD: | |
| PART I, LINE 3 | THE EXPENDITURES ON PART I, LINE 3 ARE DETERMINED USING THE ACCRUAL METHOD OF ACCOUNTING THAT WAS USED ON THE AUDITED FINANCIAL STATEMENTS. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UNIVERSITY OF CALIFORNIA BERKLEY | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2080 ADDISON STREET | AddressLine1Txt |
| City | BERKLEY | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94720 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 946090626 | RecipientEIN |
| IRC Section | GOVT AGENCY | IRCSectionDesc |
| Cash Grant | $50,000 | CashGrantAmt |
| Purpose Of Grant | CONTINUATION OF RESEARCH COLLABORATIVE. | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | WE ARE INVOLVED IN THE IMPLEMENTATION AND PROMOTION OF THE CLEAR LEAN ACTION RESEARCH COLLABORATIVE. OUR INVOLVEMENT PROVIDES US DIRECT INSIGHT INTO THE USE OF FUNDS AT THE COLLABORATIVE. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| 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 (6 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JOHN TOUSSAINT MD | ||||||||||||||
| CHAIRMAN/CEO | $267,172 | $0 | $0 | $0 | $0 | $0 | $19,250 | $0 | $13,586 | $0 | $300,008 | $0 | $0 | $0 |
| KIM BARNAS | ||||||||||||||
| PRESIDENT | $323,889 | $0 | $0 | $0 | $0 | $0 | $19,250 | $0 | $12,091 | $0 | $355,230 | $0 | $0 | $0 |
| BRIAN VEARA | ||||||||||||||
| PROGRAM DIRECTOR | $180,996 | $0 | $0 | $0 | $0 | $0 | $13,349 | $0 | $14,801 | $0 | $209,146 | $0 | $0 | $0 |
| RACHEL REGAN | ||||||||||||||
| PROGRAM DIRECTOR | $136,589 | $0 | $0 | $0 | $0 | $0 | $9,957 | $0 | $10,478 | $0 | $157,024 | $0 | $0 | $0 |
| CHRIS WEISBROD | ||||||||||||||
| NETWORK MANAGER | $149,196 | $0 | $0 | $0 | $0 | $0 | $10,838 | $0 | $9,230 | $0 | $169,264 | $0 | $0 | $0 |
| PAUL PEJSA | ||||||||||||||
| PROGRAM DIRECTOR | $227,374 | $0 | $0 | $0 | $0 | $0 | $16,620 | $0 | $13,651 | $0 | $257,645 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 8B | THERE ARE NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE ORGANIZATION ADOPTED A POLICY FOR KIM BARNAS AND PETER MARIAHAZY TO REVIEW THE 990 PRIOR TO FILING. IN ADDITION, THE BOARD MEMBERS HAVE AN OPPORTUNITY TO REVIEW THE RETURN VIA E-MAIL BEFORE SUBMITTING. |
| FORM 990, PART VI, SECTION B, LINE 12C | ANNUALLY EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS SHALL ANNUALLY SIGN A STATEMENT AND IN ADDITION PERIODIC REVIEWS ARE PERFORMED. THE CEO AND CDO REVIEW POTENTIAL CONFLICTS AND FACTOR IN IF THERE IS A CONFLICT OF INTEREST DEEMED TO BE A SIGNIFICANT CONFLICT. IF A CONFLICT IS DEEMED A SIGNIFICANT CONFLICT IT WOULD GO TO THE BOARD OF DIRECTORS FOR RESOLUTION. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE ORGANIZATION USED A COMPENSATION CONSULTANT IN 2019 TO REVIEW MANAGEMENT AND STAFF CASH COMPENSATION. THIS PROCESS INCLUDED PEER GROUP, SALARY ANALYSIS, AND SALARY RANGES. THE STUDY WAS REVIEWED BY THE BOARD OF DIRECTORS EXECUTIVE COMPENSATION COMMITTEE. THE BOARD OF DIRECTORS EXECUTIVE COMPENSATION COMMITTEE THEN MADE RECOMMENDATIONS TO THE BOARD OF DIRECTORS FOR APPROVAL. IN 2013, 2014, 2015, 2016, 2017 AND 2018 THERE WAS A COST OF LIVING ADJUSTMENT APPROVED BY THE CEO PRESIDENT. 2019 THE CEO APPROVED A COST OF LIVING ADJUSTMENT INFORMED BY THE COMPENSATION STUDY FOR EQUITY. |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC. |
| FORM 990, PART XI, LINE 9: | CUMULATIVE EFFECT OF CHANGE IN ACCOUNTING PRINCIPLE -220,929. |
| PART XII, LINE 2C | THIS PROCESS HAS NOT CHANGED SINCE LAST YEAR. |