FURP.ORG / PUBLIC DATA EXPLORER

CATALYSIS INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
CATALYSIS INC (EIN 26-2795800)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-05-14
IRS object ID
201231359349303898
Schema version
2011v1.2
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)
Timestamp2012-05-14T13:53:46-05:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN390758449EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1WIPFLI LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 12237AddressLine1
CityGREEN BAYCity
StateWIState
ZIP Code543072237ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN262795800EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1THEDACARE CENTER FOR HEALTHCARE VALUE INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlTHEDNameControl
Phone9206597500Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 W LAWRENCE ST NO 422AddressLine1
CityAPPLETONCity
StateWIState
ZIP Code54911ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameHELEN ZAKName
TitlePRESIDENT AND COOTitle
Phone9206597500Phone
Date Signed2012-05-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameTERRI REXRODE CPA MSTName
PTINP00096513PTIN
Phone9206620016Phone
Date Prepared2012-05-14DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonHELEN ZAKNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1100 W LAWRENCE ST NO 422AddressLine1
CityAPPLETONCity
StateWIState
ZIP Code54911ZIPCode
FieldValueIRS element (for citing)
Gross Receipts2353642GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.CREATEVALUE.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2008YearFormation
State Legal DomicileWIStateLegalDomicile
Activity Or Mission DescriptionTO BRING EMPLOYERS, INSURERS, GOVERNMENT COMMUNITIES AND PROVIDERS TOGETHER TO DEVELOP NEW MODELS OF CARE AND REIMBURSEMENT THAT RESULT IN GREATER EFFICIENCY, EXPERTISE AND VALUE.ActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1000000ContributionsGrantsPriorYear
Contributions Grants Current Year760000ContributionsGrantsCurrentYear
Program Service Revenue Prior Year711622ProgramServiceRevenuePriorYear
Program Service Revenue CY1494054ProgramServiceRevenueCY
Investment Income Prior Year900InvestmentIncomePriorYear
Investment Income Current Year2990InvestmentIncomeCurrentYear
Other Revenue Prior Year14660OtherRevenuePriorYear
Other Revenue Current Year96598OtherRevenueCurrentYear
Total Revenue Prior Year1727182TotalRevenuePriorYear
Total Revenue Current Year2353642TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year437500SalariesEtcPriorYear
Salaries Etc Current Year437500SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year1012661OtherExpensePriorYear
Other Expenses Current Year1727552OtherExpensesCurrentYear
Total Expenses Prior Year1450161TotalExpensesPriorYear
Total Expenses Current Year2165052TotalExpensesCurrentYear
Revenues Less Expenses Prior Year277021RevenuesLessExpensesPriorYear
Revenues Less Expenses CY188590RevenuesLessExpensesCY
Total Assets BOY1460312TotalAssetsBOY
Total Assets EOY1908226TotalAssetsEOY
Total Liabilities BOY859103TotalLiabilitiesBOY
Total Liabilities EOY1118427TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY601209NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY789799NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO REDESIGN THREE INTERDEPENDENT COMPONENTS OF THE HEALTHCARE INDUSTRY WHICH WILL RESULT IN IMPROVED VALUE FOR PATIENTS. WE WILL ACCOMPLISH THIS BY COLLABORATING WITH PATIENTS AND LEADERS IN THE PROVIDER, EMPLOYER, INSURER, AND GOVERNMENT COMMUNITIES TO CREATE:TRANSPARENCY OF HEALTHCARE PERFORMANCECARE DELIVERY WITH LESS WASTE AND FEWER ERRORSPAYMENT SYSTEMS THAT REWARD PATIENT VALUE CREATION.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense1801825Expense
Revenue1494054Revenue
DescriptionTO TRANSFORM THE HEALTHCARE INDUSTRY TO DELIVER HIGHER VALUE THROUGH EXPERIMENTS, COLLABORATION AND EDUCATION THAT INTEGRATES TRANSPARENCY OF HEALTH CARE PERFORMANCE, CARE DELIVERY WITH LESS WASTE AND FEWER ERRORS, AND PAYMENT SYSTEMS THAT REWARD PATIENT VALUE CREATION.Description
Total Program Service Expense1801825TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Form1098 C Filed0Form1098CFiled
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees0MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledWIStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJON G CARPENTERNamePerson
Telephone Number9206597470TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1100 W LAWRENCE ST SUITE 422AddressLine1
CityAPPLETONCity
StateWIState
ZIP Code54911ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (16 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
DANIEL ARIENS
DIRECTOR1.00X000
MAUREEN BISOGNANO
DIRECTOR1.00X000
GEORGE KOENIGSAECKER
DIRECTOR1.00X000
GARY CONVIS
DIRECTOR1.00X000
DEAN GRUNER MD
DIRECTOR1.00X000
RANDY LINTON MD
DIRECTOR1.00X000
ARNIE MILSTEIN MD
DIRECTOR1.00X000
PAUL O'NEILL
DIRECTOR1.00X000
WALT RUGLAND
CHAIRMAN1.00X000X
MICHAEL SACHS
DIRECTOR1.00X000
JOHN TORINUS
DIRECTOR1.00X000
ORRY FIUME
DIRECTOR1.00X000
JEFF THOMPSON MD
DIRECTOR1.00X000
JIM WOMACK
DIRECTOR1.00X000
JOHN TOUSSAINT MD
EX-OFFICIO40.003500000175000X
HELEN ZAK
PRESIDENT AND COO40.00125000018034X
FieldValueIRS element (for citing)
Total Reportable Comp From Org475000TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation193034TotalOtherCompensation
Number Individuals GT100 K2NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
THEDACARE
122 W COLLEGE AVEAPPLETONWI54911CONTRACTED MANAGEMENT AND EMPLOYEE SERVI1226611
LEAN ENTERPRISE INSTITUTE INC
215 FIRST STREETCAMBRIDGEMA02142CONTRACTED MANAGEMENT AND EMPLOYEE SERVI161422
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
All Other Contributions760000AllOtherContributions
Total Contributions760000TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionEDUCATION SERVICESDescription
Business Code541900BusinessCode
Total Revenue Column1494054TotalRevenueColumn
Related Or Exempt Function Income1494054RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue1494054TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2990TotalRevenueColumn
Exclusion$2,990ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column96598TotalRevenueColumn
Exclusion$96,598ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column2353642TotalRevenueColumn
Related Or Exempt Function Income1494054RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$99,588ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total437500Total
Program Services393750ProgramServices
Management And General43750ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total8121Total
Program Services8121ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total972801Total
Program Services725645ProgramServices
Management And General247156ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total112556Total
Program Services112556ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total51241Total
Program Services625ProgramServices
Management And General50616ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total30891Total
Program Services23168ProgramServices
Management And General7723ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total114143Total
Program Services113381ProgramServices
Management And General762ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total13077Total
Program Services9808ProgramServices
Management And General3269ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total9951Total
Management And General9951ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
PRODUCT AND DEVELOPMENT115849115849
NETWORK EXPENSE113928113928
SHARED NETWORK EXPENSE102128102128
ADVISORY SERVICE EXPENS3789937899

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total44967Total
Program Services44967ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total2165052Total
Program Services1801825ProgramServices
Management And General363227ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1183999BOY
EOY1451148EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY223890BOY
EOY361761EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1500BOY
EOY1500EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis133169LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec39352LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY50923BOY
EOY93817EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1460312BOY
EOY1908226EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY232970BOY
EOY187758EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY626133BOY
EOY930669EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY859103BOY
EOY1118427EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY601209BOY
EOY789799EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY601209BOY
EOY789799EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1460312BOY
EOY1908226EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses188590ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee0AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years1000000CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years500000CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1000000CurrentTaxYearMinus1Year
Current Tax Year760000CurrentTaxYear
Total3260000Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years25254CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years160789CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year710622CurrentTaxYearMinus1Year
Current Tax Year1494054CurrentTaxYear
Total2390719Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years1025254CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years660789CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1710622CurrentTaxYearMinus1Year
Current Tax Year2254054CurrentTaxYear
Total5650719Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years989722CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years493385CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year982728CurrentTaxYearMinus1Year
Current Tax Year736464CurrentTaxYear
Total3202299Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years989722CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years493385CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year982728CurrentTaxYearMinus1Year
Current Tax Year736464CurrentTaxYear
Total3202299Total
FieldValueIRS element (for citing)
Public Support Total5092448420PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years2582CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years756CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year16560CurrentTaxYearMinus1Year
Current Tax Year99588CurrentTaxYear
Total119486Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years2582CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years756CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year16560CurrentTaxYearMinus1Year
Current Tax Year99588CurrentTaxYear
Total119486Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years1027836CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years661545CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1727182CurrentTaxYearMinus1Year
Current Tax Year2353642CurrentTaxYear
Total5770205Total
FieldValueIRS element (for citing)
First5 Years509XFirst5Years509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis133169OtherCostOrOtherBasis
Depreciation39352Depreciation
Book Value93817BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings93817TotalOfBookValueLandBuildings
Total Revenue2353642TotalRevenue
Total Expenses2165052TotalExpenses
Excess Or Deficit For Year188590ExcessOrDeficitForYear
Excess Or Deficit Per FS188590ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt2353642TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal2353642RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9902353642TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt2165052TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal2165052ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9902165052TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X:ReturnReference
ExplanationIN ORDER TO ACCOUNT FOR UNCERTAIN TAX POSITIONS, THE ORGANIZATION DETERMINES WHETHER IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUBSTAINED UPON EXAMINATION OF THE TECHNICAL MERITS OF THE POSITION, ASSUMING THE TAXING AUTHORITY HAS FULL KNOWLEDGE OF ALL INFORMATION. IF THE TAX POSITION DOES NOT MEET THE MORE-LIKELY-THAN-NOT-RECOGNITION THRESHOLD, THE BENEFIT OF THAT POSITION IS NOT RECOGNIZED IN THE FINANCIAL STATEMENTS. THE ORGANIZATION RECORDED NO ASSETS OR LIABILITIES RELATED TO UNCERTAIN TAX POSITIONS.Explanation

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1OHIO STATE UNIVERSITYBusinessNameLine1
FieldValueIRS element (for citing)
EIN Of Recipient316025986EINOfRecipient
IRC Section501(C)(3)IRCSection
Amount Of Cash Grant12500AmountOfCashGrant
Purpose Of GrantSCHOLARSHIP FUNDS-EDUCATIONAL ASSISTANCEPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: THE GRANT IS MADE JOINTLY BETWEEN THEDACARE CENTER FOR HEALTHCARE VALUE AND THEDACARE INC. TO PLACE ONE OF THEIR EMPLOYEES THROUGH A MBOE (MASTER OF BUSINESS-OPERATIONAL EXCELLENCE) PROGRAM AT THE OHIO STATE UNIVERSITY. THE CANDIDATE IS SELECTED BY THEDACARE INC. BASED ON CERTAIN CRITERIA. FUNDING FOR THE GRANT IS PAID DIRECTLY TO THE OHIO STATE UNIVERSITY.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonJOHN TOUSSAINT MDNamePerson
Base Compensation Filing Org350000BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org0DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org0NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org350000TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION A, LINE 8BTHERE ARE NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 11THE ORGANIZATION ADOPTED A POLICY FOR HELEN ZAK AND JON CARPENTER TO REVIEW THE 990 PRIOR TO FILING. IN ADDITION, THE BOARD MEMBERS HAVE AN OPPORTUNITY TO SEE THE RETURN VIA E-MAIL BEFORE SUBMITTING.
FORM 990, PART VI, SECTION B, LINE 12CANNUALLY EACH DIRECTOR, PRINICIPAL OFFICER AND MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS SHALL ANNUALLY SIGN A STATEMENT AND IN ADDITION PERIODIC REVIEWS ARE PERFORMED.
FORM 990, PART VI, SECTION B, LINE 15INDEPENDENT CONTRACTORS ARE SELECTED BASED ON THE REQUIRED SKILL SET AND AVAILABILITY TO COMPLETE PROJECTS AS DIRECTED BY ORGANIZATIONAL LEADERSHIP. ALL COMPENSATION IS PAID TO AN UNRELATED NONPROFIT MANAGEMENT COMPANY THAT UTILIZES THE APPROPRIATE PROCESSES IN DETERMINING COMPENSATION LEVELS.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC.