2016-10-12T08:06:37-05:00 2016-06-30 582676261 Rogers & Company PLLC 8300 Boone Boulevard Suite 600 Vienna VA 22182 990 2015-07-01 521880478 National Capital Poison Center NATI 2023623867 3201 New Mexico Avenue NW No 310 Washington DC 20016 Toby Litovitz MD Executive & Medical Director 2023623867 2016-10-05 1 Lori A Collingsworth P00639819 7038930300 2016-10-04 2015 2017-02-10 21:41:12Z Toby Litovitz MD 3201 New Mexico Avenue NW No 310 Washington DC 20016 11003130 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 8 0 0 2516860 3284613 0 0 1266684 874924 11232 15860 3794776 4175397 0 0 0 0 2418099 2432252 0 0 20987 1962291 2156657 4380390 4588909 -585614 -413512 14424330 12596978 520368 577393 13903962 12019585 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 4344189 15860 In FY2016 the National Capital Poison Center provided telephone consultations for 39,503 human poison emergencies, 1333 pet poisonings, and 12,981 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 ingestions when symptoms have not yet developed - the most common type of call to Poison Control. In FY2016, webPOISONCONTROL handled 17,192 poison exposures.See Schedule O for continuation 4344189 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 0 0 0 0 0 1 0 0 0 1 X 4 0 1 0 0 0 0 0 0 0 0 0 0 0 X 7 6 0 0 1 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 Osceola Thomas Vice-Chair 0.20 0.00 X X 0 0 0 David Farrell Treasurer 0.30 0.00 X X 0 0 0 Toby Litovitz MD Executive & Medical Director 63.00 0.20 X X 226242 0 52310 Scott Greenberg Board Member 0.20 0.00 X 0 0 0 Kathryn Kincaid 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 Amy N Kroll Secretary 0.30 0.00 X 0 0 0 Jessica Youniss Development Director & Treasurer 43.00 0.00 X 150265 0 28040 Blaine Benson Clinical Toxicologist 40.00 0.00 X 142272 0 26158 Lynn Clark Specialist in Poison Information 40.00 0.00 X 132343 0 23820 Nicole Reid Clinical Coordinator, Specialist in Poison Informa 41.00 0.00 X 126647 0 22478 Barbara Schmitz Specialist in Poison Information 40.00 0.00 X 115388 0 20020 Robert Porter Specialist in Poison Information 41.00 0.00 X 113471 0 19687 1006628 0 192513 11 0 1 1 NavArtsEPAM 41 University DriveSte 202 Newtown PA 18940 Software development 1134422 1 5939 1957268 1321406 8225 3284613 262567 262567 7440090 6827733 612357 612357 612357 Reimbursements 900099 15860 15860 15860 4175397 15860 0 874924 X 458852 378587 77665 2600 1585227 1574093 8985 2149 388173 381876 5775 522 24865 24865 83040 83040 1290841 1290841 106250 100364 1380 4506 80343 78150 936 1257 260024 252371 6774 879 56675 54737 1715 223 45610 34922 10688 Books and subscriptions 137662 128446 1417 7799 Education materials 42715 42288 427 Professional education 28632 27514 493 625 4588909 4344189 223733 20987 638597 609930 17296 148692 2875 0 21944 22315 1037360 820434 110586 216926 13633032 11599115 14424330 12596978 223781 127182 11784 162341 284803 287870 520368 577393 X 13903962 12019585 13903962 12019585 14424330 12596978 -413512 -1470865 0 X X 0 1 X 1 0 X 2209021 2851651 3662028 2516860 3284613 14524173 2209021 2851651 3662028 2516860 3284613 14524173 3112512 11411661 379556 304776 259670 364498 262567 1571067 16095240 172448 0.70900 0.78460 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 80928 80928 0 956432 739506 216926 216926 Due to George Washington University 209369 Due to Georgetown University 78501 287870 X 2679404 -1470865 57912 -1412953 4092357 83040 83040 4175397 4563781 57912 57912 4505869 83040 83040 4588909 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 Executive & Medical Director 226242 0 0 0 0 0 0 0 52310 0 278552 0 0 0 Jessica Youniss Development Director & Treasurer 150265 0 0 0 0 0 0 0 28040 0 178305 0 0 0 Blaine Benson Clinical Toxicologist 142272 0 0 0 0 0 0 0 26158 0 168430 0 0 0 Lynn Clark Specialist in Poison Information 132343 0 0 0 0 0 0 0 23820 0 156163 0 0 0 Nicole Reid Clinical Coordinator, Specialist in 126647 0 0 0 0 0 0 0 22478 0 149125 0 0 0 Barbara Schmitz Specialist in Poison Information 115388 0 0 0 0 0 0 0 20020 0 135408 0 0 0 Robert Porter Specialist in Poison Information 113471 0 0 0 0 0 0 0 19687 0 133158 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, Nicole Reid, Barbara Schmitz, 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. 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 65% 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 4 The Organization's bylaws were amended during the fiscal year to comply with the DC Not-for-Profit Corporation Act of 2012. 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 11 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: Salary and increases are determined by Georgetown University School of Medicine and approved by the Center's Board of Directors. Comparability data for professors or emergency medicine by geographic region were obtained from the Association of American Medical Colleges in 2007. 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 2015 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 2015 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, line 11g Toxicologist consultants and webPOISONCONTROL professional fees: Program service expenses 1,290,841. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,290,841. 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 Organization's Finance Committee assumes responsibility for oversight of the audit of its financial statement and selection of an independent accountant. The 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 11c, III-FI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0