THE COLLABORATIVE FOR CHILDREN AND FAMILIES INC: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- THE COLLABORATIVE FOR CHILDREN AND FAMILIES INC (EIN 47-1769796)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-10-25
- IRS object ID
- 201802989349301255
- Schema version
- 2017v2.3
- 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 | 2018-10-25T13:27:12-05:00 | ReturnTs |
| Tax Period End | 2017-12-31 | 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 | 2017-01-01 | 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 | 2018-10-19 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ANDREW SILVERSTEIN CPA | PreparerPersonNm |
| PTIN | P00359249 | PTIN |
| Phone | 2014039750 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 47.22.41.242 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2018-10-19 | IPDt |
| IP Tm | 10:16:42 | IPTm |
| IP Timezone | ED | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 555E70DB4C063ABE76B1B799260F9D6D8A45096C | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | C8E127C2AF99A16FB5D8A38C304641612D173D3E | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2018-06-14 16:35:46Z | 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 | $2,319,381 | 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 | 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. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 14 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,300,436 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,621,085 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $36,998 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $698,296 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $2,337,434 | PYTotalRevenueAmt |
| CY Total Revenue | $2,319,381 | 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 | $212,295 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $531,008 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $798,570 | PYOtherExpensesAmt |
| CY Other Expenses | $1,111,877 | CYOtherExpensesAmt |
| PY Total Expenses | $1,010,865 | PYTotalExpensesAmt |
| CY Total Expenses | $1,642,885 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,326,569 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $676,496 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $3,100,728 | TotalAssetsBOYAmt |
| Total Assets EOY | $5,915,784 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,683,412 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $3,821,972 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,417,316 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $2,093,812 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | 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. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $850,257 | ExpenseAmt |
| Revenue | $698,296 | RevenueAmt |
| Desc | 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. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $31,020 | ExpenseAmt |
| Desc | THE NY STATE DEPARTMENT OF HEALTH AWARDED A CONTRACT TO CHAPIN HALL AT THE UNIVERSITY OF CHICAGO TO DEVELOP AND OPERATE A TECHINICAL 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. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $0 | ExpenseAmt |
| Desc | THE CCF HEALTH HOME ENTERED INTO A CONTRACT THROUGH 2021 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 GOVERNER 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. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $881,277 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | 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 |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| 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 | 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 With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| 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 | 6 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| 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 |
| Form8899 Filedind | 0 | Form8899Filedind |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | 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 | BDO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7038930600 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 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 |
|---|---|---|---|---|---|---|
| MARY ZAGAJESKI | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| JAMES MCGUIRK | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| CRAIG LONGLEY | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| ELIZABETH MCCARTHY | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| JERRY MCCAFFERY | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| CORRINNE HAMMONS | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| JAMES KAUFMAN | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| PHIL GARTENBERG | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| RICHARD ALTMAN | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| DAVID COLLINS | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| KEITH LITTLE | ||||||
| SECRETARY | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| BILL BACCAGLINI | ||||||
| TREASURER | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| BETH FINNERTY | ||||||
| VICE PRESIDENT | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| ALAN MUCATEL | ||||||
| PRESIDENT | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| JODI SAITOWITZ | ||||||
| CHIEF EXECUTIVE OFFICER | 40.00 | $171,308 | $0 | $18,724 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $171,308 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $18,724 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| MILLIN ASSOCIATES LLC | |||||
| 303 MERRICK ROAD SUIT 401 | LYNBROOK | NY | 11563 | CONSULTING | $251,963 |
| GSI HEALTH | |||||
| 1735 MARKET STREET 53RD FLOOR | PHILADELPHIA | PA | 19103 | IT SYSTEMS SERVICE | $205,000 |
| SACHS ASSOCIATES INC | |||||
| 60 EAST 42ND STREET SUITE 1762 | NEW YORK | NY | 10165 | PROGRAM CONSULTING | $180,000 |
| BDO USA LLP | |||||
| 770 KENMOOR SE SUITE 300 | GRAND RAPIDS | MI | 49546 | ACCOUNTING SERVICES | $136,672 |
| SHEPPARD MULLIN RICHTER & HAMPTONS LLP | |||||
| 333 SOUTH HOPE ST 43RD FLOOR | LOS ANGELES | CA | 90071 | LEGAL SERVICES | $127,115 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $1,063,136 | GovernmentGrantsAmt |
| All Other Contributions | $557,949 | AllOtherContributionsAmt |
| Total Contributions | $1,621,085 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | HEALTH HOME BILLING FE | Desc |
| Business | 624100 | BusinessCd |
| Total Revenue Column | $698,296 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $698,296 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $698,296 | TotalProgramServiceRevenueAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,319,381 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $698,296 | 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 | $226,126 | TotalAmt |
| Program Services | $113,063 | ProgramServicesAmt |
| Management And General | $113,063 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $304,882 | TotalAmt |
| Program Services | $269,365 | ProgramServicesAmt |
| Management And General | $35,517 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $172,047 | TotalAmt |
| Management And General | $172,047 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $426,871 | TotalAmt |
| Program Services | $17,110 | ProgramServicesAmt |
| Management And General | $409,761 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,803 | TotalAmt |
| Management And General | $10,803 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $497,278 | TotalAmt |
| Program Services | $480,620 | ProgramServicesAmt |
| Management And General | $16,658 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,391 | TotalAmt |
| Program Services | $1,119 | ProgramServicesAmt |
| Management And General | $272 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,487 | TotalAmt |
| Management And General | $3,487 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,642,885 | TotalAmt |
| Program Services | $881,277 | ProgramServicesAmt |
| Management And General | $761,608 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,613,605 | BOYAmt |
| EOY | $3,239,601 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $45,449 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,067 | BOYAmt |
| EOY | $15,348 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $78,934 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $3,487 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $75,447 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $484,056 | BOYAmt |
| EOY | $2,539,939 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,100,728 | BOYAmt |
| EOY | $5,915,784 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $170,718 | BOYAmt |
| EOY | $246,412 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,065,636 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $447,058 | BOYAmt |
| EOY | $3,575,560 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,683,412 | BOYAmt |
| EOY | $3,821,972 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,417,316 | BOYAmt |
| EOY | $2,093,812 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,417,316 | BOYAmt |
| EOY | $2,093,812 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,100,728 | BOYAmt |
| EOY | $5,915,784 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $676,496 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| 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) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $290,000 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $510,000 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,300,436 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,621,135 | CurrentTaxYearAmt |
| Total | $4,721,571 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $290,000 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $510,000 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,300,436 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,621,135 | CurrentTaxYearAmt |
| Total | $4,721,571 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $4,721,571 | PublicSupportTotal170Amt |
| Total Support | $4,721,571 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $735,294 | GrossReceiptsRltdActivitiesAmt |
| First5 Years170 | Yes (X) | First5Years170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II, SHORT YEAR EXPLANATION: | FormAndLineReferenceDesc |
| 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. | ExplanationTxt |
Schedule B IRS990ScheduleB
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (1) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $13,600 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | 0 | OtherActivitiesInd |
| Total Lobbying Expenditures | $13,600 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Schedule D IRS990ScheduleD
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $78,934 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,487 | DepreciationAmt |
| Book Value | $75,447 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $75,447 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MEDICAID RECEIVABLES (BILLED ON BEHALF OF CMA'S) | Desc |
| Book Value | $2,539,939 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $2,539,939 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MEDICAID CLAIMS PAYABLE - DUE TO CMA'S | Desc |
| Amt | $3,575,560 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $3,575,560 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $2,353,351 | TotalRevEtcAuditedFinclStmtAmt |
| Donated Services And Use Fclts | $33,970 | DonatedServicesAndUseFcltsAmt |
| Revenue Not Reported | $33,970 | RevenueNotReportedAmt |
| Revenue Subtotal | $2,319,381 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $2,319,381 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $1,676,855 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $33,970 | DonatedServicesUseFcltsAmt |
| Expenses Not Reported | $33,970 | ExpensesNotReportedAmt |
| Expenses Subtotal | $1,642,885 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $1,642,885 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | AS OF DECEMBER 31, 2017, MANAGEMENT BELIEVES THAT BASED ON EVALUATION OF THE COLLABORATIVE'S TAX POSITIONS THAT ANY LIABILITY AS A RESULT OF UNCERTAIN TAX POSITIONS WOULD NOT BE MATERIAL. MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, CHANGES IN TAX LAW, AND NEW AUTHORITATIVE RULINGS TO ASSIST IN EVALUATING THE COLLABORATIVE'S TAX POSITIONS. ACCRUED INTEREST AND PENALTIES ASSOCIATED WITH UNCERTAIN TAX POSITIONS, IF ANY, WOULD BE RECOGNIZED AS PART OF THE INCOME TAX PROVISION. INCOME TAX RETURNS ARE FILED IN THE U.S FEDERAL AND STATE JURISDICTIONS. | 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JODI SAITOWITZ | PersonNm |
| Title | CHIEF EXECUTIVE OFFICER | TitleTxt |
| Base Compensation Filing Org | $171,308 | BaseCompensationFilingOrgAmt |
| Compensation Based On Rltd Orgs | $0 | CompensationBasedOnRltdOrgsAmt |
| Bonus Filing Organization | $0 | BonusFilingOrganizationAmount |
| Bonus Related Organizations | $0 | BonusRelatedOrganizationsAmt |
| Other Compensation Filing Org | $0 | OtherCompensationFilingOrgAmt |
| Other Compensation Rltd Orgs | $0 | OtherCompensationRltdOrgsAmt |
| Deferred Compensation Flng Org | $0 | DeferredCompensationFlngOrgAmt |
| Deferred Comp Rltd Orgs | $0 | DeferredCompRltdOrgsAmt |
| Nontaxable Benefits Filing Org | $18,724 | NontaxableBenefitsFilingOrgAmt |
| Nontaxable Benefits Rltd Orgs | $0 | NontaxableBenefitsRltdOrgsAmt |
| Total Compensation Filing Org | $190,032 | TotalCompensationFilingOrgAmt |
| Total Compensation Rltd Orgs | $0 | TotalCompensationRltdOrgsAmt |
| Comp Report Prior990 Filing Org | $0 | CompReportPrior990FilingOrgAmt |
| Comp Report Prior990 Rltd Orgs | $0 | CompReportPrior990RltdOrgsAmt |
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 (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 AUDTIOR. 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 17,110. MANAGEMENT AND GENERAL EXPENSES 409,761. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 426,871. |