2017-10-06T16:14:13-05:00 2016-12-31 042596940 TYLER LYNCH PC 186 ALEWIFE BROOK PARKWAY STE 200 CAMBRIDGE MA 021381134 990 2016-01-01 463075530 PIVOT WORKS INC PIVO 6072808594 800 BOYLSTON STREET SUITE 300 BOSTON MA 02199 TARA LOYD CO-CHIEF EXECUTIVE OFFICER 8597970719 2017-10-06 1 JOHN A TYLER P01308083 6173543814 50.199.201.65 2017-10-06 17:13:52 ED P C025D203B10BE764E36DEEBA100E9B0126B9EF73 37D33C049A0E8C494C77B82339AD2CA6B136293C 2016 2018-03-14 21:41:22Z TARA LOYD C/O DIVISION OF GLOBAL HEALTH EQUITY 75 FRANCIS ST BOSTON MA 02115 3722220 0 X WWW.PIVOTWORKS.ORG X 2013 MA PIVOT'S MISSION IS BASED ON A FUNDAMENTAL BELIEF IN THE WORTH OF ALL PEOPLE AND A MORAL RESPONSIBILITY TO ADDRESS THE NEEDS OF THE DESTITUTE. THE GOAL IS TO CREATE A MODEL SYSTEM OF UNIVERSAL ACCESS TO QUALITY HEALTH CARE FOR THE RURAL POOR OF MADAGASCAR. 15 14 9 0 0 0 2782541 3721369 0 0 -3027 851 1349 0 2780863 3722220 0 0 0 0 910173 1477816 0 0 357211 1412792 2282417 2322965 3760233 457898 -38013 1918704 2048314 134686 272963 1784018 1775351 X PIVOT'S MISSION IS BASED ON A FUNDAMENTAL BELIEF IN THE WORTH OF ALL PEOPLE AND A MORAL RESPONSIBILITY TO ADDRESS THE NEEDS OF THE DESTITUTE. THE GOAL IS TO CREATE A MODEL SYSTEM OF UNIVERSAL ACCESS TO QUALITY HEALTH CARE FOR MADAGASCAR VIA COMPREHENSIVE HEALTH SYSTEM STRENGTHENING IN A REGION NEAR RANOMAFANA NATIONAL PARK. PIVOT WILL TAKE A HIGHLY RIGOROUS APPROACH, CAREFULLY MEASURING COSTS AND IMPACTS, ENGAGING IN RELEVANT SCIENTIFIC RESEARCH, AND CONTINUOUSLY EVALUATING THE EFFECTIVENESS OF ITS METHODS. IN DOING SO, PIVOT STRIVES TO FURTHER THE UNDERSTANDING OF HOW TO EFFECTIVELY BREAK CYCLES OF POVERTY AND DISEASE. 0 0 2855044 PIVOT WORKS, INC. HAS A MAJOR PROGRAM WHICH IS THE MADAGASCAR PROGRAM. IN MADAGASCAR, PIVOT COMBINES A MORAL AGENDA OF RIGHTS-BASED HEALTH CARE WITH THE PRACTICAL GOALS OF HEALTH SYSTEM STRENGTHENING (HSS) AT THREE CRITICAL LEVELS OF THE HEALTH SYSTEM: COMMUNITY HEALTH WORKERS, HEALTH CENTERS, AND DISTRICT HOSPITALS. SUBSTANTIAL RESOURCES ARE DEDICATED TO STRENGTHENING AND MAINTAINING ESSENTIAL HEALTH SYSTEM INFRASTRUCTURE, SUCH AS MEDICAL FACILITIES, EQUIPMENT, PERSONNEL, AMBULANCES, AND DISPENSARIES. 267347 THE RESEARCH PROGRAM FOCUSES ON MEASURING THE DISEASE BURDEN IN THE POPULATION OUTSIDE OF THE HEALTH FACILITIES. IN SOME INSTANCES, THE RESEARCH EFFORTS ARE ALSO DIRECTED TO BASIC SCIENCE QUESTIONS THAT HAVE LONG-TERM POTENTIAL TO CONTRIBUTE TO A BASIC UNDERSTANDING OF UNDERLYING CAUSES OF POVERTY AND DISEASE. 3122391 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 4 0 9 1 0 1 MA 0 0 0 0 0 0 X 15 14 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MA X X X NANCY FERGUSON 6072808594 800 BOYLSTON STREET SUITE 300 BOSTON MA 02199 MATTHEW BONDS EXECUTIVE COMMITTEE MEMBER 25.00 X X 0 0 0 MICHAEL RICH EXECUTIVE COMMITTEE MEMBER 5.00 X 0 0 0 TARA LOYD CO-CHIEF EXECUTIVE OFFICER 32.00 X X 16385 0 0 JAMES HERRNSTEIN BOARD CHAIR, EXECUTIVE COMMITTEE MEMBER 2.00 X 0 0 0 ROBIN HERRNSTEIN EXECUTIVE COMMITTEE MEMBER, DEVELOPMENT COMMITTEE 2.00 X 0 0 0 PATRICIA WRIGHT BOARD MEMBER 0.50 X 0 0 0 PAUL FARMER BOARD MEMBER 0.50 X 0 0 0 CASSIA VAN DER HOOF HOLSTEIN BOARD MEMBER 0.50 X 0 0 0 MANU PRAKASH- JOINED DEC 2016 BOARD MEMBER 0.50 X 0 0 0 VINCENT DELLAPIETRA BOARD MEMBER 0.50 X 0 0 0 STEPHEN DELLAPIETRA BOARD MEMBER 0.50 X 0 0 0 BOB HOWER DEVELOPMENT COMMITTEE 1.00 X 0 0 0 ED NORTON DEVELOPMENT COMMITTEE CHAIR 1.00 X 0 0 0 BENJAMIN ANDRIAMIHAJA BOARD MEMBER 21.00 X 45000 0 0 TOM GILLESPIE BOARD MEMBER 0.50 X 0 0 0 LARA HALL MEDICAL DIRECTOR 40.00 X 80000 0 0 ROBERT CUNNINGHAM CHIEF DEVELOPMENT DIRECTOR 40.00 X 92050 0 0 HASSAN BOUZIANE OPERATIONS DIRECTOR 40.00 X 55000 0 0 MOHAMMED ALI OUENZAR COUNTRY DIRECTOR 40.00 X 23000 0 0 311435 0 0 0 0 0 1 0 3721369 355773 3721369 851 851 3722220 851 0 0 X 311435 214470 4915 92050 900699 817118 17677 65904 265682 179974 57069 28639 158566 89931 25685 42950 14013 14013 152419 67873 56512 28034 183678 136007 9318 38353 10583 10293 290 94200 80719 11004 2477 226677 136159 56872 33646 31518 6445 10868 14205 98900 98511 389 5920 398 5522 REFERRAL MEDICAL EXPENS 228967 228967 PROGRAM SUPPLIES AND MA 223208 223208 RESEARCH GRANT EXPENSE 186328 186328 VEHICLE EXPENSES 183111 183111 484329 462879 10787 10663 3760233 3122391 280631 357211 1545520 1566731 9568 8539 70017 110925 461885 318513 221725 143372 100259 71874 118488 1918704 2048314 8954 81802 27041 125732 164120 134686 272963 X 1784018 1775351 1784018 1775351 1918704 2048314 X -38013 29345 X 0 1 X 0 0 X 471200 2606376 2782541 3772754 9632871 471200 2606376 2782541 3772754 9632871 0 0 0 9632871 5430 851 6281 5430 851 6281 471200 2606376 2787971 3773605 9639152 0.99930 0.99910 0.00070 0.00090 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 430446 301588 128858 31439 16925 14514 143372 PHARMACY AND VEHICLE SUPPLIES 101244 DUE FROM CENTRE HOSPITALIER UNIVERSITAIRE 17244 118488 EXPENSE RESERVES 164120 164120 X PART X, LINE 2: FOR THE YEAR ENDED DECEMBER 31, 2015, THE ORGANIZATION HAS DOCUMENTED ITS CONSIDERATION OF FASB ASC 740-10 AND DETERMINED THAT NO MATERIAL UNCERTAIN TAX POSITIONS QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. 0 MADAGASCAR 4 133 MADAGASCAR PROGRAM SERVICE AND RESEARCH PROGRAM. PIVOT COMBINES A MORAL AGENDA OF RIGHTS-BASED HEALTH CARE WITH THE PRACTICAL GOALS OF HEALTH SYSTEM STRENGTHENING (HSS) AT THREE CRITICAL LEVELS OF THE HEALTH SYSTEM: COMMUNITY HEALTH WORKERS, HEALTH CENTERS, AND DISTRICT HOSPITALS. SUBSTANTIAL RESOURCES ARE DEDICATED TO STRENGTHENING AND MAINTAINING ESSENTIAL HEALTH SYSTEM INFRASTRUCTURE, SUCH AS MEDICAL FACILITIES, EQUIPMENT, PERSONNEL, AMBULANCES, AND DISPENSARIES.BASELINE IS A RESEARCH PROGRAM THAT FOCUSES ON MEASURING THE DISEASE BURDEN IN THE POPULATION OUTSIDE OF THE HEALTH FACILITIES. IN SOME INSTANCES, THE RESEARCH EFFORTS ARE ALSO DIRECTED TO BASIC SCIENCE QUESTIONS THAT HAVE LONG-TERM POTENTIAL TO CONTRIBUTE TO A BASIC UNDERSTANDING OF UNDERLYING CAUSES OF POVERTY AND DISEASE. 3134851 4 133 0 0 4 133 3134851 0 3134851 MADAGASCAR THE GRANT WAS AWARDED TO FUND "INTEGRATING SCIENCE AND HEALTH SYSTEM STRENGTHENING IN RURAL MADAGASCAR: A PROSPECTIVE COHORT STUDY" 95939 WIRE TRANSFER MADAGASCAR THE GRANT WAS AWARDED TO A BRANCH OF THE MADAGASCAR MINISTRY OF HEALTH FOR A STUDY ON THE PREVALENCE RATE OF LYMPHATIC FILARIASIS IN OUR DISTRICT AND THE SURROUNDING AREA, AND TO EXAMINE THE EFFICACY OF DIAGNOSIS AND TREATMENT METHODS IN FIGHTING THE DISEASE. 9273 WIRE TRANSFER 2 0 0 0 0 0 0 X X X X 1 1 X X X X X 0 0 0 0 0 0 0 0 0 FORM 990 PART VII QUESTION 5 IN 2015 AND PART OF 2016, TARA LOYD, MICHAEL RICH AND ROBERT CUNNINGHAM WERE EMPLOYEES OF BRIGHAM AND WOMEN'S HOSPITAL (BWH) AND PERFORMED SERVICES FOR PIVOT WORKS, INC. BWH PAYROLL WAS REIMBURSED BY PIVOT WORKS, INC IN 2016. DURING 2016, THEY BECAME EMPLOYEES OF PIVOT WORKS, INC. IN 2015 MATTHEW BONDS WAS AN EMPLOYEE OF HARVARD MEDICAL SCHOOL (HMS). HIS HMS PAYROLL WAS REIMBURSED BY PIVOT WORKS, INC. FOR SERVICES RENDERED. THE REIMBURSEMENT OF THE ABOVE PERSONNEL'S PAYROLL BY PIVOT WORKS, INC. (BWH OR HMS) WAS REFLECTED AS OUTSIDE CONTRACT SERVICE EXPENSE AND INCLUDED IN 11A OR 11G OF THE STATEMENT OF FUNCTIONAL EXPENSES. X 6 255514 FMV AT TRANSFER X 6 100259 THIRD PARTY VALUATION 0 0 0 FORM 990, PART VI, SECTION A, LINE 2 JAMES HERRNSTEIN (DIRECTOR) AND ROBIN HERRNSTEIN (DIRECTOR) ARE HUSBAND AND WIFE. FORM 990, PART VI, SECTION B, LINE 11B THE RETURN IS REVIEWED BY THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 12C THE STAFF AND RELATED PERSONNEL OF PIVOT WORKS INC. ARE REQUIRED TO SELF-DISCLOSE ANY POSSIBLE CONFLICT OF INTEREST. WHEN SUCH AN ISSUE ARISES, IT WILL BE BROUGHT UP TO OFFICER'S ATTENTION AND TO BOARD MEETING FOR DISCUSSION. ANY NECESSARY ACTIONS ILLUSTRATED ON THE CONFLICT OF INTEREST POLICY OF PIVOT WORK INC. WILL BE TAKEN. FORM 990, PART VI, SECTION B, LINE 15 PIVOT WORKS INC. DEVELOPED ITS COMPENSATION SCALE VIA RESOURCES PROVIDED BY THIRD PARTY HR SERVICE COMPANY, AS WELL AS DISCUSSION AMONG ITS GOVERNING BOARD MEMBERS. CEO, OFFICERS AND EMPLOYEES WERE PAID BASED ON THEIR EXPERIENCE AND EDUCATION QUALIFICATIONS. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS OF PIVOT WORKS, INC. ARE AVAILABLE TO THE PUBLIC THROUGH THE MASSACHUSETTS SECRETARY OF STATE'S OFFICE AND THE CHARITIES DIVISION OF THE ATTORNEY GENERAL OF MASSACHUSETTS. THE CONFLICT OF INTEREST AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 24E PAYROLL TAX: PROGRAM SERVICE EXPENSES 158,115. MANAGEMENT AND GENERAL EXPENSES 6,756. FUNDRAISING EXPENSES 10,574. TOTAL EXPENSES 175,445. SOCIAL CARE FOR PATIENTS: PROGRAM SERVICE EXPENSES 96,704. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 96,704. RECRUITMENT AND TRAINING: PROGRAM SERVICE EXPENSES 59,373. MANAGEMENT AND GENERAL EXPENSES 4,031. FUNDRAISING EXPENSES 29. TOTAL EXPENSES 63,433. RENOVATION EXPENSE: PROGRAM SERVICE EXPENSES 55,141. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 55,141. PIVOT DONATION: PROGRAM SERVICE EXPENSES 47,136. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 47,136. HOUSING AND RELOCATION: PROGRAM SERVICE EXPENSES 31,811. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 31,811. EMERGENCY FUND RESERVE: PROGRAM SERVICE EXPENSES 12,357. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,357. MISCELLANEOUS EXPENSE: PROGRAM SERVICE EXPENSES 2,242. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 60. TOTAL EXPENSES 2,302. FORM 990, PART XI, LINE 9: NON-OPERATING GAIN ON FOREIGN CURRENCY EXCHANGE 29,345. FORM 8938 PART V QUESTION 6 THE CURRENT FOREIGN CURRENCY FOR MADAGASCAR IS MALAGASY ARIARY (MGA), BUT IT IS NOT INCLUDED IN THE DROP DOWN LIST, SO MADAGASCAR FRANC (MGF) WAS ENTERED.