NORTH JERSEY HEALTH COLLABORATIVE: Form 990EZ, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: NORTH JERSEY HEALTH COLLABORATIVE (EIN 46-3715246)
Tax period: 2015-01-01 to 2015-12-31
Filed: 2016-06-01
IRS object ID: 201601539349200520
Schema version: 2015v2.1
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
Form 990-EZ
Schedule A
Schedule B
Schedule O
Transfer Prsnl Bnft Contracts Decl

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2016-06-01T11:57:55-05:00	ReturnTs
Tax Period End	2015-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	113518842	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	MARKS PANETH LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1719 ROUTE 10 EAST SUITE 102	AddressLine1Txt
City	PARSIPPANY	CityNm
State Abbreviation	NJ	StateAbbreviationCd
ZIP	07054	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990EZ	ReturnTypeCd
Tax Period Begin	2015-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	463715246	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	NORTH JERSEY HEALTH COLLABORATIVE INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	NORT	BusinessNameControlTxt
Phone	9734514100	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	175 SOUTH STREET NO 1	AddressLine1Txt
City	MORRISTOWN	CityNm
State Abbreviation	NJ	StateAbbreviationCd
ZIP	07960	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	FAITH SCOTT	PersonNm
Person Title	TREASURER	PersonTitleTxt
Phone	9734514100	PhoneNum
Signature	2016-05-18	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	O DAVID FISCHER CPA	PreparerPersonNm
PTIN	P00642262	PTIN
Phone	9732671400	PhoneNum

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2016-09-27 15:27:22Z	BuildTS

Form 990-EZ IRS990EZ

Field	Value	IRS element (for citing)
Method Of Accounting Cash	Yes (X)	MethodOfAccountingCashInd
Website Address	N/A	WebsiteAddressTxt
Organization501c3	Yes (X)	Organization501c3Ind
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Gross Receipts	$141,492	GrossReceiptsAmt
Info In Schedule O Part I	Yes (X)	InfoInScheduleOPartIInd
Contributions Gifts Grants Etc	$43,992	ContributionsGiftsGrantsEtcAmt
Membership Dues	$97,500	MembershipDuesAmt
Total Revenue	$141,492	TotalRevenueAmt
Fees And Other Pymt To Ind Cntrct	$27,012	FeesAndOtherPymtToIndCntrctAmt
Other Expenses Total	$61,772	OtherExpensesTotalAmt
Total Expenses	$88,784	TotalExpensesAmt
Excess Or Deficit For Year	$52,708	ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY	$94,987	NetAssetsOrFundBalancesBOYAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Net Assets Or Fund Balances EOY	$147,695	NetAssetsOrFundBalancesEOYAmt

Cash Savings And Investments CashSavingsAndInvestmentsGrp

Field	Value	IRS element (for citing)
BOY	$94,987	BOYAmt
EOY	$147,695	EOYAmt

Form990 Total Assets Form990TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$94,987	BOYAmt
EOY	$147,695	EOYAmt

Sum Of Total Liabilities SumOfTotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

Field	Value	IRS element (for citing)
BOY	$94,987	BOYAmt
EOY	$147,695	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Primary Exempt Purpose	TO FOSTER THE HEALTH OF THE COMMUNITIES SERVED BY ENHANCING COOPERATION BETWEEN PARTNERS INVOLVED IN PUBLIC HEALTH, PROMOTING RESEARCH AND SHARING OF THE INFORMATION	PrimaryExemptPurposeTxt

Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp

Field	Value	IRS element (for citing)
Description Program Srvc Accom	SPONSOR AND ENGAGE IN RESEARCH RELATED TO THE DELIVERY OF HEALTHCARE AND HOSPICE SERVICES TO IMPROVE THE QUALITY, SAFETY AND EFFICIENCY OF HEALTH SERVICES, SPONSOR AND SHARE INFORMATION WITH THE MEMBERBHIP AND PUBLIC	DescriptionProgramSrvcAccomTxt
Grants And Allocations	$0	GrantsAndAllocationsAmt
Program Service Expenses	$88,785	ProgramServiceExpensesAmt

Field	Value	IRS element (for citing)
Total Program Service Expenses	$88,785	TotalProgramServiceExpensesAmt

Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (4 entries)

TitleTitleTxt	Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt	CompensationCompensationAmt	Employee Benefit ProgramEmployeeBenefitProgramAmt	Expense Account Other AllwncExpenseAccountOtherAllwncAmt
CHRISTOPHER KIRK
CHAIRMAN	12.00	$0	$0	$0
KIRAN GAUDIOSO
VICE CHAIRMAN	12.00	$0	$0	$0
FAITH SCOTT
TREASURER	12.00	$0	$0	$0
ARLENE STOLLER
SECRETARY	12.00	$0	$0	$0

Field	Value	IRS element (for citing)
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
Activities Not Previously Rpt	0	ActivitiesNotPreviouslyRptInd
Chg Made To Orgnzng Doc Not Rpt	0	ChgMadeToOrgnzngDocNotRptInd
Organization Had UBI	0	OrganizationHadUBIInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Organization Dissolved Etc	0	OrganizationDissolvedEtcInd
Direct Indirect Pltcl Expend	$0	DirectIndirectPltclExpendAmt
Made Loans To From Officers	0	MadeLoansToFromOfficersInd
Tax Imposed Under IRC4911	$0	TaxImposedUnderIRC4911Amt
Tax Imposed Under IRC4912	$0	TaxImposedUnderIRC4912Amt
Tax Imposed Under IRC4955	$0	TaxImposedUnderIRC4955Amt
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
Tax Imposed On Organization Mgr	$0	TaxImposedOnOrganizationMgrAmt
Tax Reimbursed By Organization	$0	TaxReimbursedByOrganizationAmt
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	TREASURER FAITH SCOTT	PersonNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	175 SOUTH STREET SUITE 1	AddressLine1Txt
City	MORRISTOWN	CityNm
State Abbreviation	NJ	StateAbbreviationCd
ZIP	07960	ZIPCd

Field	Value	IRS element (for citing)
Phone	9734514100	PhoneNum

Field	Value	IRS element (for citing)
Foreign Financial Account	0	ForeignFinancialAccountInd
Foreign Office	0	ForeignOfficeInd
Donor Advised Fnds	0	DonorAdvisedFndsInd
Operate Hospital	0	OperateHospitalInd
Tanning Services Provided	0	TanningServicesProvidedInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
School Operating	0	SchoolOperatingInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Part VI Of Comp Of Hghst Pd Empl	NONE	PartVIOfCompOfHghstPdEmplTxt
Part VI Hghst Pd Cntrct Prof Srvc	NONE	PartVIHghstPdCntrctProfSrvcTxt
Filed Schedule A	Yes (1)	FiledScheduleAInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	Yes (X)	PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus2 Years	$62,000	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$113,540	CurrentTaxYearMinus1YearAmt
Current Tax Year	$141,492	CurrentTaxYearAmt
Total	$317,032	TotalAmt

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus2 Years	$62,000	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$113,540	CurrentTaxYearMinus1YearAmt
Current Tax Year	$141,492	CurrentTaxYearAmt
Total	$317,032	TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total509	$317,032	PublicSupportTotal509Amt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus2 Years	$62,000	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$113,540	CurrentTaxYearMinus1YearAmt
Current Tax Year	$141,492	CurrentTaxYearAmt
Total	$317,032	TotalAmt

Field	Value	IRS element (for citing)
First5 Years509	Yes (X)	First5Years509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES	FormAndLineReferenceDesc
Explanation	DESCRIPTION: NETWORK FEE. AMOUNT: 58,400. DESCRIPTION: ADVERTISING AND PROMOTION. AMOUNT: 400. DESCRIPTION: MEETINGS & CONFERENCE EXPENSES. AMOUNT: 2,518. DESCRIPTION: COMPUTER & INTERNET EXPENSES. AMOUNT: 429. DESCRIPTION: FEES. AMOUNT: 25. TOTAL TO FORM 990-EZ, LINE 16: 61,772.	ExplanationTxt

Transfer Prsnl Bnft Contracts Decl TransferPrsnlBnftContractsDecl

Field	Value	IRS element (for citing)
Declaration	THE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY,OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT.THE ORGANIZATION, DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY,OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT.	DeclarationDesc

Comments