BETA

COALITION TO TRANSFORM ADVANCED CARE: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
COALITION TO TRANSFORM ADVANCED CARE (EIN 45-2604332)
Tax period
2014-01-01 to 2014-12-31
Filed
2015-11-16
IRS object ID
201533209349304448
Schema version
2014v5.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2015-11-16T11:25:23-06:00ReturnTs
Tax Period End2014-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN611521377PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1DOMINION FINANCIAL CONSULTANTS LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11701 PENNSYLVANIA AVE 3RD FLOORAddressLine1Txt
CityWASHINGTONCityNm
State AbbreviationDCStateAbbreviationCd
ZIP20006ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN452604332EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1COALITION TO TRANSFORM ADVANCED CAREBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCOALBusinessNameControlTxt
Phone2029092865PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11299 PENNSYLVANIA AVE NW NO 1175AddressLine1Txt
CityWASHINGTONCityNm
State AbbreviationDCStateAbbreviationCd
ZIP20004ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJOHN T KOUTSOUMPASPersonNm
Person TitleCO-CHAIRPersonTitleTxt
Phone2029092865PhoneNum
Signature2015-11-16SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCHRISTINE R MISTRPreparerPersonNm
PTINP01366505PTIN
Phone5405350505PhoneNum
Self EmployedYes (X)SelfEmployedInd
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-04-25 22:37:26ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeYes (X)AddressChangeInd
Principal OfficerJOHN T KOUTSOUMPASPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11299 PENNSYLVANIA AVE NW NO 1175AddressLine1Txt
CityWASHINGTONCityNm
State AbbreviationDCStateAbbreviationCd
ZIP20004ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$663,917GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.ADVANCEDCARECOALITION.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2011FormationYr
Legal Domicile StateDCLegalDomicileStateCd
Activity Or MissionSEE SCHEDULE OActivityOrMissionDesc
Voting Members Governing Body16VotingMembersGoverningBodyCnt
Voting Members Independent16VotingMembersIndependentCnt
Total Employee9TotalEmployeeCnt
Total Volunteers45TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$613,467PYContributionsGrantsAmt
CY Contributions Grants$663,750CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$496PYInvestmentIncomeAmt
CY Investment Income$167CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$613,963PYTotalRevenueAmt
CY Total Revenue$663,917CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$217,377CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$21,000CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$90,991CYTotalFundraisingExpenseAmt
PY Other Expenses$451,914PYOtherExpensesAmt
CY Other Expenses$410,337CYOtherExpensesAmt
PY Total Expenses$451,914PYTotalExpensesAmt
CY Total Expenses$648,714CYTotalExpensesAmt
PY Revenues Less Expenses$162,049PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$15,203CYRevenuesLessExpensesAmt
Total Assets BOY$346,731TotalAssetsBOYAmt
Total Assets EOY$361,934TotalAssetsEOYAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$346,731NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$361,934NetAssetsOrFundBalancesEOYAmt
MissionSEE SCHEDULE OMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$39,374ExpenseAmt
Revenue$100,000RevenueAmt
DescSUMMIT: THE C-TAC NATIONAL SUMMIT ON ADVANCED ILLNESS CARE IS AN ANNUAL EVENT TO CONVENE PARTICIPANTS FROM MANY DISCIPLINES AND ORGANIZATIONS, REPRESENTING PATIENTS, FAMILIES, POLICY MAKERS, FAITH COMMUNITIES, MEDIA, AND HEALTH CARE PROFESSIONALS GATHERED TO LEARN AND DISCUSS THE NEEDED CHANGES IN OUR NATION'S CARE SYSTEM TO ASSURE THAT PEOPLE WITH ADVANCED ILLNESSES RECEIVE CARE CONSISTENT WITH THEIR VALUES AND WISHES. THE CONFERENCE HAS TWO GOALS: (1) TO CREATE A COMMON UNDERSTANDING AMONG PARTICIPANTS OF THE ISSUES, CHALLENGES, AND RANGE OF POSSIBLE SOLUTIONS; (2) TO CREATE A SHARED SENSE OF MISSION AND ACTION STEPS FOR ACHIEVING HIGH-QUALITY, ADVANCED ILLNESS CARE. PLEASE SEE OUR WEBSITE FOR A FULL POST SUMMIT REPORT.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$33,055ExpenseAmt
DescADVANCED CARE PROJECT: THE ACP IS A PARTNERSHIP BETWEEN IHSS AND C-TAC DESIGNED TO DEVELOP, EVALUATE, AND IMPLEMENT NATIONAL CLINICAL AND PAYMENT MODELS FOR ADVANCED CARE. IHSS AND C-TAC HAVE CONVENED A DIVERSE SET OF HEALTH PLANS, HEALTH SYSTEMS, AND OTHER PROVIDERS TO BEGIN PHASE I OF THE PROJECT. AT THE MEMBER MEETING, THE WORKGROUP ESTABLISHED THE IMPORTANCE OF DEFINING THE TARGET POPULATION, APPROPRIATE INTERVENTIONS, AND OUTCOME METRICS FOR THE FRAMEWORK, AS WELL AS DISCUSSED KEY FEATURES OF PAYMENT METHODS TO SUPPORT THE CLINICAL FRAMEWORK. THE EXECUTIVE COMMITTEE IS NOW SECURING FUNDING FOR EACH STAGE OF THE PROJECT; WE ARE FORTUNATE TO HAVE RECEIVED A GRANT FROM THE COMMONWEALTH FUND TO INITIATE PHASE I.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$29,000ExpenseAmt
DescCOMMUNITY ACTION PROJECT: C-TAC'S ALLIANCE OF FAITH LEADERS IS PILOTING A REPLICABLE, COMMUNITY-BASED MODEL TO IMPROVE THE QUALITY OF LIFE FOR PATIENTS WITH ADVANCED ILLNESS AND FOR FAMILY CAREGIVERS. THE GOAL IS TO EXTEND AND STRENGTHEN THE HEALTH CARE DELIVERY SYSTEM, IMPROVE OUTCOMES FOR PEOPLE WITH ADVANCED ILLNESS, REDUCE CAREGIVER BURDEN AND REINFORCE COMMUNITY SUPPORT FOR ADVANCED ILLNESS CARE. THIS PROJECT IS BEING PILOTED IN ALAMEDA COUNTY, CA. FUTURE SITES MAY INCLUDE SAN DIEGO, CA; PORTLAND, OR; DETROIT, MI; BALTIMORE, MD; PROVIDENCE, RI; AND, OTHERS. AS PART OF THIS INITIATIVE, A TOOLKIT FOR COMMUNITY OUTREACH IS BEING DEVELOPED. ULTIMATELY, THIS WORK IS INTENDED TO EXTEND THROUGHOUT THE UNITED STATES.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$245,705ExpenseAmt
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$245,705TotalOtherProgSrvcExpenseAmt
Total Program Service Expenses$347,134TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional FundraisingYes (1)ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document23IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee9EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members16GoverningBodyVotingMembersCnt
Independent Voting Member16IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DOMINION FINANCIAL CONSULTANTSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5405350505PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11701 PENNSYLVANIA AVENUE NW SUITEAddressLine1Txt
CityWASHINGTONCityNm
State AbbreviationDCStateAbbreviationCd
ZIP20006ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
J THOMAS KOUTSOUMPAS
CO-CHAIR15.00Yes (X)Yes (X)$0$0$0
WILLIAM NOVELLI
CO-CHAIR20.00Yes (X)Yes (X)$0$0$0
BRAD STUART
SECRETARY8.00Yes (X)Yes (X)$0$0$0
MYRA CHRISTOPHER
TREASURER2.00Yes (X)Yes (X)$0$0$0
ALEXANDRA DRANE
DIRECTOR4.00Yes (X)$0$0$0
BERNARD HAMMES
DIRECTOR2.00Yes (X)$0$0$0
THOMAS HIGGINS
DIRECTOR2.00Yes (X)$0$0$0
DR RANDALL KRAKAUER
DIRECTOR3.00Yes (X)$0$0$0
DAVID E LONGNECKER MD
DIRECTOR4.00Yes (X)$0$0$0
ANN F MONROE
DIRECTOR2.00Yes (X)$0$0$0
THE REV DR TYRONE S PITTS
DIRECTOR2.00Yes (X)$12,523$0$0
DR CYNDA HYLTON RUSHTON
DIRECTOR2.00Yes (X)$0$0$0
CHARLES P SABATINO JD
DIRECTOR1.00Yes (X)$0$0$0
LEONARD D SCHAEFFER
DIRECTOR2.00Yes (X)$0$0$0
DR DONALD SCHUMACHER
DIRECTOR3.00Yes (X)$0$0$0
JEFF WEISS
DIRECTOR3.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$12,523TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Membership Dues$186,000MembershipDuesAmt
All Other Contributions$477,750AllOtherContributionsAmt
Total Contributions$663,750TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$167TotalRevenueColumnAmt
Exclusion$167ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$663,917TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$167ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$195,256TotalAmt
Program Services$103,918ProgramServicesAmt
Management And General$56,291ManagementAndGeneralAmt
Fundraising$35,047FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$22,121TotalAmt
Program Services$11,773ProgramServicesAmt
Management And General$6,377ManagementAndGeneralAmt
Fundraising$3,971FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$20,967TotalAmt
Management And General$20,967ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,587TotalAmt
Management And General$1,587ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$8,648TotalAmt
Management And General$8,648ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$21,000TotalAmt
Fundraising$21,000FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$221,789TotalAmt
Program Services$161,072ProgramServicesAmt
Management And General$40,792ManagementAndGeneralAmt
Fundraising$19,925FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$197TotalAmt
Program Services$159ProgramServicesAmt
Management And General$38ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$10,746TotalAmt
Program Services$153ProgramServicesAmt
Management And General$10,593ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$176TotalAmt
Program Services$176ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$51,712TotalAmt
Management And General$51,712ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$32,793TotalAmt
Program Services$16,765ProgramServicesAmt
Management And General$4,980ManagementAndGeneralAmt
Fundraising$11,048FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$55,893TotalAmt
Program Services$53,118ProgramServicesAmt
Management And General$2,775ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$5,509TotalAmt
Management And General$5,509ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp

FieldValueIRS element (for citing)
DescLICENSESDesc
Total$320TotalAmt
Management And General$320ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$648,714TotalAmt
Program Services$347,134ProgramServicesAmt
Management And General$210,589ManagementAndGeneralAmt
Fundraising$90,991FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$255,819BOYAmt
EOY$270,855EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$90,912BOYAmt
EOY$91,079EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$346,731BOYAmt
EOY$361,934EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$147,026BOYAmt
EOY-$59,997EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$199,705BOYAmt
EOY$421,931EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$346,731BOYAmt
EOY$361,934EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$346,731BOYAmt
EOY$361,934EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$15,203ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$207,545CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$401,450CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$613,467CurrentTaxYearMinus1YearAmt
Current Tax Year$663,750CurrentTaxYearAmt
Total$1,886,212TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$207,545CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$401,450CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$613,467CurrentTaxYearMinus1YearAmt
Current Tax Year$663,750CurrentTaxYearAmt
Total$1,886,212TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$1,886,212PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$416CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$496CurrentTaxYearMinus1YearAmt
Current Tax Year$167CurrentTaxYearAmt
Total$1,079TotalAmt
FieldValueIRS element (for citing)
Total Support$1,887,291TotalSupportAmt
Public Support CY1700.99940PublicSupportCY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsYes (X)MailSolicitationsInd
Email SolicitationsYes (X)EmailSolicitationsInd
Phone SolicitationsYes (X)PhoneSolicitationsInd
In Person SolicitationsYes (X)InPersonSolicitationsInd
Solicitation Of Non Govt GrantsYes (X)SolicitationOfNonGovtGrantsInd
Agrmt Prof Fundraising ActyYes (1)AgrmtProfFundraisingActyInd

Fundraiser Activity Info FundraiserActivityInfoGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdActivityActivityTxtFundraiser Control Of FundsFundraiserControlOfFundsIndGross ReceiptsGrossReceiptsAmtRetained By ContractorRetainedByContractorAmtNet To OrganizationNetToOrganizationAmt
LAWRENCE KORCHNAK
745 KENTLAND DRIVEGREAT FALLSVA22066CONTRIBUTION SOLITICATION0$145,000$5,625$139,375
ROBERT WOLF
15 BARNES TERRACECHAPPAQUANY10514CONTRIBUTION SOLITICATION0$0$21,000-$21,000
FieldValueIRS element (for citing)
Total Gross Receipts$145,000TotalGrossReceiptsAmt
Total Retained By Contractors$26,625TotalRetainedByContractorsAmt
Total Net To Organization$118,375TotalNetToOrganizationAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990 - ORGANIZATION'S MISSION OR MOST SIGNIFICANT ACTIVITIESCOALITION TO TRANSFORM ADVANCED CARE (C-TAC) IS A NON-PARTISAN GROUP OF PATIENT AND CONSUMER ADVOCACY GROUPS, HEALTH CARE PROFESSIONALS AND PROVIDERS, PRIVATE SECTOR STAKEHOLDERS, FAITH-BASED ORGANIZATIONS, AND HEALTHCARE PAYERS. OUR VISION IS THAT ALL AMERICANS WITH ADVANCED ILLNESS, ESPECIALLY THE SICKEST AND THE MOST VULNERABLE, WILL RECEIVE COMPREHENSIVE, HIGH-QUALITY CARE THAT IS CONSISTENT WITH THEIR GOALS AND VALUES AND HONORS THEIR DIGNITY. THE C-TAC MISSION IS TO TRANSFORM ADVANCED ILLNESS CARE BY EMPOWERING CONSUMERS, CHANGING THE HEALTH CARE DELIVERY SYSTEM, IMPROVING PUBLIC AND PRIVATE POLICIES, AND ENHANCING PROVIDER CAPACITY. C-TAC OPERATES AS A VOLUNTEER-DRIVEN ORGANIZATION THROUGH WORKGROUPS AND COMMITTEES TO ACCOMPLISH THE FOLLOWING 4 OVERARCHING GOALS: (1) IDENTIFY, DESIGN AND PROMOTE BEST-PRACTICE DELIVERY MODELS THAT ENSURE HIGH-QUALITY, COORDINATED CARE ACROSS ALL SETTINGS, (2) ADVANCED CLINICAL AND COMMUNICATION SKILLS AMONG MEDICAL, NURSING, AND OTHER PROFESSIONALS TO IMPROVE QUALITY, COMPASSION, AND RESPONSIVENESS IN CARE DELIVERY, (3) DEVELOP AND ADVOCATE FOR FEDERAL AND STATE LEGISLATIVE, REGULATORY, JUDICIAL AND ADMINISTRATIVE INITIATIVES, AS WELL AS PRIVATE POLICIES, TO IMPROVE CARE FOR THOSE WITH ADVANCED ILLNESS, AND (4) UNDERTAKE A NATIONWIDE CAMPAIGN OF PUBLIC EDUCATION AND ENGAGEMENT TO HELP PATIENTS AND THEIR FAMILIES MAKE MORE INFORMED DECISIONS TO CALL FOR DELIVERY SYSTEMS AND POLICY CHANCE.
FORM 990, PART VI, SECTION B, LINE 11COPY OF FORM 990 IS PROVIDED TO THE MEMBERS OF GOVERNING BODY FOR REVIEW BEFORE FILING.
FORM 990, PART VI, SECTION B, LINE 12CWHEN THERE IS A POTENTIAL CONFLICT OF INTEREST, THE ISSUE IS RAISED IN PUBLIC AND A DISCUSSION ENSUES. IN THE LIMITED CASES WHEN THAT HAS HAPPENED, THE MEMBER WITH THE POTENTIAL CONFLICT RECUSES HIMSELF FROM VOTING.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11GPROJECT DESIGN: PROGRAM SERVICE EXPENSES 51,920. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 51,920. RESEARCH & ORGANIZATION: PROGRAM SERVICE EXPENSES 59,752. MANAGEMENT AND GENERAL EXPENSES 4,617. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 64,369. STRATEGIC COUNSEL: PROGRAM SERVICE EXPENSES 49,400. MANAGEMENT AND GENERAL EXPENSES 36,175. FUNDRAISING EXPENSES 19,925. TOTAL EXPENSES 105,500.

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