2017-10-03T15:12:47-05:00 2017-06-30 582676261 Rogers & Company PLLC 8300 Boone Boulevard Suite 600 Vienna VA 22182 990 2016-07-01 521880478 National Capital Poison Center NATI 2023623867 3201 New Mexico Avenue NW No 310 Washington DC 20016 Toby Litovitz MD Exec Dir, President and Secretary 2023623867 2017-10-03 1 Lori A Collingsworth P00639819 7038930300 2017-10-02 72.214.41.82 2017-10-03 16:12:02 ED P 539A6A236E8C35E9CB3BF805290DF5953BA1CD00 539A6A236E8C35E9CB3BF805290DF5953BA1CD00 2016 2021-01-29 14:40:06Z Toby Litovitz MD 3201 New Mexico Avenue NW No 310 Washington DC 20016 12361645 0 X http://www.poison.org/ X 1994 DC To prevent poisonings, save lives, and limit injury from poisoning. See Part III 7 6 0 6 0 0 3284613 3025911 0 0 874924 1040581 15860 18507 4175397 4084999 0 0 0 0 2432252 2665649 0 0 25206 2156657 1864130 4588909 4529779 -413512 -444780 12596978 13175729 577393 491164 12019585 12684565 X The mission of National Capital Poison Center (NCPC) is to prevent poisonings, save lives, and limit injury from poisoning. In addition to saving lives, the Center decreases health care costs of poisoning cases. 0 0 4281721 18507 In FY2017 the National Capital Poison Center provided telephone consultations for 39,281 human poison emergencies, 1,440 pet poisonings, and 11,989 medical or poison-related inquiries from the DC metro area. Other services include online guidance for poison emergencies, through webPOISONCONTROL, an online tool and downloadable app that provides help for acute, unintentional poison exposures by any route, whether or not symptoms are present. In FY2017, webPOISONCONTROL handled 33,547 poison exposures. See Schedule O for continuation 4281721 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 X 5 0 1 0 0 0 0 0 0 0 0 0 0 0 X 7 6 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 1 1 0 DC MD VA X X Toby Litovitz MD 2023623867 3201 New Mexico Avenue NW No 310 Washington DC 20016 X Richard L Adams Jr Chair 0.30 0.10 X X 0 0 0 Amy N Kroll Vice-Chair 0.20 0.00 X X 0 0 0 David Farrell Treasurer 0.20 0.00 X X 0 0 0 Toby Litovitz MD Exec Dir, President and Secretary 77.00 0.20 X X 231027 0 52241 Scott Greenberg Board Member 0.20 0.00 X 0 0 0 Michael Lerner Board Member 0.20 0.10 X 0 0 0 Robert Shesser Board Member 0.20 0.00 X 0 0 0 Jessica Youniss Treasurer of Corp/ Development Dir. 44.00 X 156154 0 29427 Nancy Camp Specialist in Poison Information 37.00 X 102282 0 17746 Robert Porter Specialist in Poison Information 39.00 X 113346 0 19666 Lorrie Williams Specialist in Poison Information 39.00 X 102983 0 17868 Lynn Clark Specialist in Poison Information 40.00 X 126721 0 22496 Blaine Benson Clinical Toxicologist 40.00 X 149386 0 27833 981899 0 187277 8 0 1 1 EPAM Systems 41 University DriveSte 202 Newtown PA 18940 Software development 1233374 1 7938 1702655 1315318 53128 3025911 228142 228142 9089085 8276646 812439 812439 812439 Reimbursements 900099 18507 18507 18507 4084999 18507 0 1040581 X 485373 396881 82721 5771 1744912 1733399 10117 1396 435364 428673 6165 526 18083 18083 78560 78560 60942 60743 199 38387 38003 384 62266 54548 1356 6362 946628 945623 642 363 265930 258584 6492 854 81915 79419 2206 290 53355 39107 14248 Books and subscriptions 167601 158198 1849 7554 Professional education 52242 50704 413 1125 Education materials 38221 37839 382 4529779 4281721 222852 25206 609930 619586 148692 108464 22315 50724 1070299 844436 216926 225863 11599115 12171092 12596978 13175729 127182 104486 162341 10925 287870 375753 577393 491164 X 12019585 12684565 12019585 12684565 12596978 13175729 -444780 1109760 0 X X 0 1 X 1 0 X 2851651 3662028 2516860 3284613 3025911 15341063 2851651 3662028 2516860 3284613 3025911 15341063 3966899 11374164 304776 259670 364498 262567 228142 1419653 16760716 136827 0.67860 0.70900 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 80928 80928 0 989371 763508 225863 225863 Due to George Washington University 295555 Due to Georgetown University 80198 375753 X 5455678 1109760 339479 1449239 4006439 78560 78560 4084999 4790698 339479 339479 4451219 78560 78560 4529779 Part X, Line 2: Management has evaluated the Center's tax positions and concluded that the Center's financial statements do not include any uncertain tax positions. X X 0 0 0 0 0 0 0 0 0 Toby Litovitz MD Exec Dir, President and Secretary 231027 0 0 0 0 0 0 0 52241 0 283268 0 0 0 Jessica Youniss Treasurer of Corp/ Development Dir. 156154 0 0 0 0 0 0 0 29427 0 185581 0 0 0 Blaine Benson Clinical Toxicologist 149386 0 0 0 0 0 0 0 27833 0 177219 0 0 0 Form 990, Schedule J, Part II and Form 990 Part VII, Line 5: The following information is provided for individuals listed on Form 990, Part VII, Section A, line 1a and on Schedule J, Part II who received compensation from unrelated organizations for services provided to National Capital Poison Center (NCPC): NCPC does not have any employees. The George Washington University Medical Center (GWU) employs the staff of NCPC (except the Medical Director). The Center reimburses GWU for all expenses paid on behalf of NCPC including, but not limited to, salaries and benefits for GWU staff assigned to the NCPC. These expenses are classified as employee costs. Georgetown University (GU) employs the Medical Director and pays her salary and benefits. NCPC reimburses GU for these expenses. These expenses are classified as employee costs. NCPC's Executive & Medical Director, Toby Litovitz, MD, received reportable compensation and fringe benefits for services provided to NCPC from Georgetown University School of Medicine. NCPC's Treasurer (of corporation) and Development Director, Jessica Youniss, and the Center's highest compensated staff Blaine Benson, Lynn Clark, Lorrie Williams, Nancy Camp, and Robert Porter received reportable compensation and fringe benefits for services provided to NCPC from George Washington University. All compensation and benefits for services provided to NCPC are reimbursed to the unrelated organizations. See Schedule O for additional information. X 1 347 Fair Market Value X See Part II 2 50965 Fair Market Value X See Part II 1 1816 Fair Market Value 0 0 0 Part I, Column (b): Line 25: 2 contributors Software licenses and software assurance Line 26: 1 contributor Computer network hardware Form 990, Part III, Line 4a, Program Services (continued): Poison prevention education is provided through: 1) distribution of stickers, magnets, brochures, tip cards, and preschool DVD programs; 2) presentations at health fairs; 3) media features; 4) an electronic newsletter; and 5) two websites (www.poison.org, www.webPOISONCONTROL.org.) An extensive toxicosurveillance program facilitates the prompt detection of hazardous products; once identified, the Center urges reformulation, repackaging, re-labeling, product redesign, or banning. Continuous real-time toxicosurveillance also focuses on detection of chemical or biological terrorism and emerging public health incidents. Clinical toxicology training is provided for health professional students, residents and fellows, practicing health professionals, first responders and public health personnel. The safe management of 64% of poison center callers at home cuts health care costs by avoiding unnecessary emergency department visits, unnecessary ambulance transports, and excessively long hospital stays. Form 990, Part V, Lines 2a b, Part VII & IX Compensation and benefits: National Capital Poison Center (NCPC) does not have any employees. The George Washington University Medical Center (GWU) employs the staff of NCPC (except the Medical Director). NCPC reimburses GWU for all expenses paid on behalf of NCPC including, but not limited to, salaries and benefits for GWU staff assigned to the NCPC. Georgetown University (GU) employs the Medical Director and pays her salary and benefits. NCPC reimburses GU for these expenses. GWU and GU file all required federal employment returns. Form 990, Part VI, Section A, line 8b No committees are authorized to act on behalf of the governing body. Form 990, Part VI, Section B, line 11b Form 990 was distributed to the entire Board for review and comment. The Finance Committee conducts a detailed review and approves the Form 990 for submission. Form 990, Part VI, Section B, line 12c A conflict of interest policy has been adopted by the Board of Directors and governs transactions that might benefit officers or directors. The policy supplements policies of the employing universities which also apply to the Center's staff. The policy defines financial interests as compensation arrangements, ownership, or investment interests in any entity negotiating with NCPC. The policy outlines specific exclusions, including charitable gifts from an individual and compensation from the Center, identifies procedures to avoid conflicts, and establishes a Conflicts Committee comprised of three independent Board members to review conflicts. The Conflicts Committee is empowered to determine whether financial interests are conflicts and to impose any appropriate restrictions or sanctions on persons with a conflict. Form 990, Part VI, Section B, line 15 Process for determining compensation: Executive Director: Comparability data for professors of emergency medicine by geographic region were obtained from the Association of American Medical Colleges in 2007. Wage increases are determined by the Georgetown University School of Medicine to ensure they are in line with salaries for other faculty. The Center's Board of Directors approves salary increases through the annual budget approval process. Treasurer of Corporation/Development Director: Salary range determined by the George Washington University based on job classification questionnaire and position responsibilities outlined when position was created (2005). Executive Director recommended salary for Development Director based on applicant's qualifications. Prior to hire, the individual's salary was approved by 1) The Center's Board of Directors, 2) Chair of emergency medicine, the George Washington University (GWU), 3) GWU medical center budget office, and 4) GWU human resources office. Annual increases fall within ranges approved by these same entities. Form 990, Part VI, Section C, line 19 Copies of governing documents, conflicts of interest policy, and financial statements are made available to the public upon request. Form 990, Part VII Compensation & Benefits Reporting: NCPC has no direct employees, and issues no W-2's. All staff are assigned to NCPC by the universities that employ them. Since NCPC does not issue W-2's, the compensation and benefits amounts reported in Part VII are the wages and fringe benefits reimbursed to the university employer during the calendar year 2016 for each listed individual. The $100,000 threshold in Form 990, Part VII for highly compensated employees was considered to have been met if the total wages reimbursed to the university employer by NCPC for the individual's salary in calendar year 2016 exceeded $100,000. Nontaxable fringe benefits are allocated in Part VII, Column (F) based upon the fringe benefit rate charged by the universities times each employee's reported compensation, less the calculated employer portions of social security and medicare taxes. Form 990, Part IX, Compensation and benefits reporting: NCPC has no direct employees. All staff are assigned to NCPC by the universities that employ them. The compensation and benefits amounts reported in Part IX, Lines 5, 7 and 9 are the compensation and fringe benefits charged by the university employer to NCPC during the fiscal year. NCPC reimburses the universities for all expenses paid on behalf of NCPC including, but not limited to, salaries and benefits for staff assigned to the NCPC. Fringe benefits, including employer payroll taxes, are reimbursed to GWU and GU based upon a fringe benefit rate. Form 990, Part IX, Statement of Functional Expenses, reports the total fringe benefit amount for employees amount on Line 9, Other employee benefits. Fringe benefits for officers, less calculated employer social security and medicare taxes, are reported on Line 5, Compensation of current officers, directors, and key employees. Form 990, Part XII, Line 2c: The audit oversight process has not changed from prior years. National Poison Center Foundation 3201 New Mexico Avenue NW Suite 310 Washington DC 20016 542015362 Provide support to poison control activities in the Washington DC metro area VA 501(c)(3) Line 12c, III-FI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0