2017-11-15T08:28:55-06:00 2016-12-31 221655803 DORFMAN ABRAMS MUSIC LLC 250 PEHLE AVE SUITE 702 SADDLE BROOK NJ 07663 990 2016-01-01 471769796 THE COLLABORATIVE FOR CHILDREN AND FAMILIES INC COLL 2124445437 590 AVENUE OF THE AMERICAS NEW YORK NY 10011 JODI A SAITOWITZ EXECUTIVE DIRECTOR 2124445437 2017-11-13 1 ANDREW SILVERSTEIN CPA P00359249 2014039750 47.22.41.242 2017-11-13 15:45:38 ES P E2BBABA235EC0B5059D65F74AF911BD68F9C655E 8DB9B259183DBF2984B6DB22021BA652F1DDEC72 2016 2017-02-10 21:41:12Z X JODI A SAITOWITZ 590 AVENUE OF THE AMERICAS NEW YORK NY 10011 2337434 0 X WWW.CCFHH.ORG X 2014 NY SEE SCHEDULE OFOUNDED 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. 9 9 0 34 0 0 510000 2300436 0 36998 0 0 0 0 510000 2337434 0 0 0 0 0 212295 0 0 0 605378 798570 605378 1010865 -95378 1326569 210740 3100728 119993 1683412 90747 1417316 X SEE SCHEDULE OTO 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 397857 36998 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. 397857 1 1 0 0 0 0 0 0 0 0 0 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 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 0 0 NY X BDO 7038930600 8401 GREENSBORO DRIVE STE 800 MCLEAN VA 22102 CRAIG LONGLEY DIRECTOR 2.00 X 0 0 0 BILL BACCAGLINI DIRECTOR 2.00 X 0 0 0 JAMES MCGUIRK DIRECTOR 2.00 X 0 0 0 MARY ZAGAJESKI DIRECTOR 2.00 X 0 0 0 ALAN MUCATEL CHAIR 2.00 X X 0 0 0 BETH FINNERTY VICE CHAIR 2.00 X X 0 0 0 KEITH LITTLE SECRETARY 2.00 X X 0 0 0 JERRY MCCAFFERY ASSISTANT SECRETARY 2.00 X X 0 0 0 ELIZABETH MCCARTHY TREASURER 2.00 X X 0 0 0 JODI A SAITOWITZ EXECUTIVE DIRECTOR 40.00 X 132917 0 20562 132917 0 20562 1 0 1 0 GSI HEALTH 1735 MARKET STREET 53RD FLOOR PHILADELPHIA PA 19103 IT SYSTEMS SERVICE 279500 SACHS ASSOCIATES INC 60 EAST 42ND STREET SUITE 1762 NEW YORK NY 10165 PROGRAM CONSULTING 180000 NEW YORK CARE COORDINATION PROGRAM 1099 JAY STREET BUILDING J ROCHESTER NY 14611 PROGRAM CONSULTING 124539 3 870000 1305436 125000 2300436 HEALTH HOME BILLING FE 525920 36998 36998 36998 2337434 36998 0 0 X 153479 34978 118501 58816 13408 45408 134780 134780 366762 59715 307047 9038 1766 7272 287990 287990 1010865 397857 613008 0 175740 2613605 35000 0 3067 0 484056 210740 3100728 109993 170718 10000 1065636 0 447058 119993 1683412 X 90747 1417316 90747 1417316 210740 3100728 1326569 0 X 0 1 X 1 0 X 290000 510000 2300436 3100436 290000 510000 2300436 3100436 3100436 3100436 36998 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 MEDICAID RECEIVABLES (BILLED ON BEHALF OF CMA'S) 484056 484056 MEDICAID CLAIMS PAYABLE - DUE TO CMA'S 447058 447058 X 2426634 89200 89200 2337434 0 2337434 1100065 89200 89200 1010865 0 1010865 PART X, LINE 2: AS OF DECEMBER 31, 2016, 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. X X 0 0 0 0 0 0 0 0 0 JODI A SAITOWITZ EXECUTIVE DIRECTOR 132917 0 0 0 0 0 6034 0 14528 0 153479 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 4 THE ORGANIZATION AMENDED IT'S GOVERNING DOCUMENTS TO BE IN CONFORMITY WITH THE REQUIRMENTS OF THE NEW YORK NOT FOR PROFIT REVITALIZATION ACT. 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 DECISIOINS 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 EXECUTIVE DIRECTOR, 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 IF 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 59,715. MANAGEMENT AND GENERAL EXPENSES 307,047. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 366,762.