BLUE CIRCLE HEALTH INC: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- BLUE CIRCLE HEALTH INC (EIN 87-3874220)
- Tax period
- 2023-10-01 to 2024-09-30
- Filed
- 2025-08-05
- IRS object ID
- 202542179349300039
- Schema version
- 2023v6.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2025-08-05T10:47:25-05:00 | ReturnTs |
| Tax Period End | 2024-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 350921680 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CROWE LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5810 TENNYSON PARKWAY SUITE 450 | AddressLine1Txt |
| City | PLANO | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 750244112 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 873874220 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BLUE CIRCLE HEALTH INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BLUE | BusinessNameControlTxt |
| Phone | 8884044813 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 68 HARRISON AVE 605 PMB 62564 | AddressLine1Txt |
| City | BOSTON | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 02111 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ROBIN JENSEN | PersonNm |
| Person Title | CHIEF OPERATING OFFICER | PersonTitleTxt |
| Phone | 8884044813 | PhoneNum |
| Signature | 2025-08-01 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | LORI A MCLAUGHLIN | PreparerPersonNm |
| PTIN | P01231707 | PTIN |
| Phone | 2147775200 | PhoneNum |
| Preparation | 2025-08-01 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | Yes (X) | AddressChangeInd |
| Principal Officer | ROBIN JENSEN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 68 HARRISON AVE 605 PMB 62564 | AddressLine1Txt |
| City | BOSTON | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 02111 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $1,089 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.BLUECIRCLEHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2021 | FormationYr |
| Legal Domicile State | MA | LegalDomicileStateCd |
| Activity Or Mission | TO IMPROVE THE HEALTH OF PEOPLE WITH TYPE 1 DIABETES BY REMOVING BARRIERS AND PROVIDING THE DIABETES CARE, MEDICINE, SUPPLIES, EDUCATION AND SUPPORT THEY NEED. | ActivityOrMissionDesc |
| Voting Members Governing Body | 5 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 4 | VotingMembersIndependentCnt |
| Total Employee | 43 | TotalEmployeeCnt |
| Total Volunteers | 6 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $75,000 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $553 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,089 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $75,553 | PYTotalRevenueAmt |
| CY Total Revenue | $1,089 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $700,000 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $4,844,294 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $6,584,553 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $31,416 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,273,601 | PYOtherExpensesAmt |
| CY Other Expenses | $2,200,351 | CYOtherExpensesAmt |
| PY Total Expenses | $6,117,895 | PYTotalExpensesAmt |
| CY Total Expenses | $9,484,904 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$6,042,342 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$9,483,815 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $37,007,533 | TotalAssetsBOYAmt |
| Total Assets EOY | $15,559,369 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $515,495 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $553,010 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $36,492,038 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $15,006,359 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO IMPROVE THE HEALTH OF PEOPLE WITH TYPE 1 DIABETES BY REMOVING BARRIERS AND PROVIDING THE DIABETES CARE, MEDICINE, SUPPLIES, EDUCATION AND SUPPORT THEY NEED. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $7,755,480 | ExpenseAmt |
| Grant | $700,000 | GrantAmt |
| Desc | BLUE CIRCLE HEALTH IS A COLLABORATIVE TYPE 1 DIABETES (T1D) NON-PROFIT DEDICATED TO EMPOWERING AND IMPROVING THE LIVES OF PEOPLE WITH T1D. OUR UNIQUE, VIRTUAL APPROACH LEVERAGES PARTNERSHIPS WITH PATIENTS, FAMILIES, MEDICAL PROFESSIONALS, AND COMMUNITY-BASED ORGANIZATIONS TO REMOVE BARRIERS TO CARE AND PROMOTE UNDERSTANDING OF THIS COMPLEX DISEASE. TO ENSURE THAT PATIENTS LIVING WITH T1D CONNECT TO THE SERVICES THEY NEED TO ACHIEVE THEIR HEALTH GOALS, WE OFFER DIABETES MEDICAL CARE, SUPPORTIVE COUNSELING, INSURANCE NAVIGATION, DISEASE EDUCATION, PEER COACHING, ACCESS TO SUPPLIES AND MEDICATION, AND REFERRALS TO COMMUNITY RESOURCES.WE TAKE AN INNOVATIVE, WHOLE-PERSON APPROACH (CONTINUED ON SCHEDULE O) TO T1D CARE THAT AIMS TO EMPOWER THE PEOPLE WE SERVE. WE PARTNER WITH OUR PATIENTS TO IDENTIFY AND ACHIEVE SPECIFIC T1D GOALS WHILE CONNECTING THEM TO A SUPPORTIVE COMMUNITY OF PEERS AND PROFESSIONALS TO ENSURE THEIR ONGOING SUCCESS. WE PUT PATIENTS FIRST. WE CURRENTLY SUPPORT ADULTS AND THEIR FAMILIES LIVING WITH T1D IN FLORIDA. WE PLAN TO GROW TO REACH PEOPLE THROUGHOUT THE COUNTRY.EARLY YEAR PROGRAM EXPENSES STEM FROM CORE ORGANIZATIONAL COMPONENTS RELATED TO LAUNCHING OUR INITIAL SERVICES, INCLUDING THE FOUNDATIONAL HUMAN CAPITAL AND INFORMATION TECHNOLOGY INFRASTRUCTURE THAT CONTINUES TO EVOLVE WITH THE GROWING NEEDS OF BLUE CIRCLE HEALTH TO ACHIEVE THE ORGANIZATION'S MISSION. AFTER REFINEMENT AND ENHANCEMENT TO THE CARE MODEL DURING THE LATTER PART OF 2023, OUR PRESENT-DAY COMPLEMENT OF SERVICES COMMENCED IN JANUARY 2024. OUR FREE VIRTUAL CARE PROGRAM PROVIDES PEOPLE WHO LIVE WITH T1D THE SUPPORT, SERVICES AND RESOURCES NEEDED TO HELP MANAGE THIS DIFFICULT DISEASE. EACH PERSON RECEIVES AN INDIVIDUAL CARE PLAN DESIGNED TO HELP ADDRESS THEIR UNIQUE T1D-RELATED NEEDS. CARE PLANS ARE DESIGNED TO LAST ABOUT SIX MONTHS AND MAY INCLUDE SOME OR ALL OF THE SERVICES LISTED ABOVE. WHEN THE INDIVIDUAL CARE PLAN IS COMPLETED, PEOPLE CAN REMAIN CONNECTED TO THE BLUE CIRCLE HEALTH T1D COMMUNITY FOR ONGOING SUPPORT AND CAN RE-ENROLL IF NEEDED. THE END OF FISCAL YEAR 2024 SAW EXPANSION INTO TWO ADDITIONAL STATES WITH PLANS FOR FURTHER EXPANSION IN THE COMING YEAR. | Desc |
| Total Program Service Expenses | $7,755,480 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | 0 | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 16 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 43 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 5 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 4 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | 0 | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | AL | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | AK | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | AZ | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | CO | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | DE | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | DC | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | FL | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | HI | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | IA | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | LA | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | ME | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | MA | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | MI | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | MS | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | MO | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | NH | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | NM | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | ND | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | OH | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | OK | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | SC | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | SD | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | UT | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | VT | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | WA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PAIGE GALLO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8884044813 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 68 HARRISON AVE 605 PMB 62564 | AddressLine1Txt |
| City | BOSTON | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 02111 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| EDWARD GILLEN | |||||||||
| DIRECTOR, CFO (THRU 10/2023) | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| DR SCOTT KAHN | |||||||||
| DIRECTOR, CHAIRMAN | 1.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| DR GEORGIA AGIOSTRATIDOU | |||||||||
| DIRECTOR, SECRETARY | 1.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| DR LEONARD D'AVOLIO | |||||||||
| DIRECTOR, CHIEF EXECUTIVE OFFICER | 37.00 | 3.00 | Yes (X) | Yes (X) | $414,455 | $0 | $44,049 | ||
| BRUCE BRAUGHTON | |||||||||
| DIRECTOR, CFO (FROM 10/2023) | 1.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| DR SEAN OSER | |||||||||
| DIRECTOR (FROM 09/2024) | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| ROBIN JENSEN | |||||||||
| CHIEF OPERATING OFFICER | 37.00 | 3.00 | Yes (X) | $354,767 | $0 | $12,858 | |||
| LINDA PILLA ESQ | |||||||||
| CHIEF COMPLIANCE AND PRIVACY OFFICER | 1.00 | 2.00 | Yes (X) | $1,890 | $0 | $0 | |||
| BENJAMIN THOMAS | |||||||||
| CHIEF INFORMATION SECURITY OFFICER | 2.00 | 2.00 | Yes (X) | $33,480 | $0 | $0 | |||
| THIEN NGUYEN | |||||||||
| VP IS | 40.00 | 0.00 | $281,967 | $0 | $37,613 | Yes (X) | |||
| LILLIAN HUGHES | |||||||||
| VP ADMINISTRATION | 40.00 | 0.00 | $218,614 | $0 | $9,822 | Yes (X) | |||
| PAIGE GALLO | |||||||||
| VP FINANCE | 40.00 | 0.00 | $208,752 | $0 | $41,673 | Yes (X) | |||
| MEGAN BUHLER | |||||||||
| VP CLINICAL OPERATIONS | 40.00 | 0.00 | $181,846 | $0 | $7,811 | Yes (X) | |||
| DR MONICA GOMBERG | |||||||||
| VP CLINICAL CARE | 40.00 | 0.00 | $225,137 | $0 | $36,330 | Yes (X) | |||
| MAGDI ODEH | |||||||||
| DIRECTOR OF IT | 40.00 | 0.00 | $245,277 | $0 | $24,120 | Yes (X) | |||
| RYAN J ERATO | |||||||||
| SOFTWARE ENGINEER | 40.00 | 0.00 | $213,127 | $0 | $29,581 | Yes (X) | |||
| KRISTINA R HOLMES | |||||||||
| DIRECTOR OF MARKETING | 40.00 | 0.00 | $199,671 | $0 | $8,319 | Yes (X) | |||
| COLIN J MULLANEY | |||||||||
| SOFTWARE ENGINEER | 40.00 | 0.00 | $163,245 | $0 | $16,721 | Yes (X) | |||
| KALESE HOUSE | |||||||||
| SENIOR MANAGER PROGRAMS | 40.00 | 0.00 | $160,534 | $0 | $16,952 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,902,762 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $285,849 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 15 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| AMAZON WEB SERVICES INC | |||||
| 410 TERRY AVE NORTH | SEATTLE | WA | 98109 | WEB SERVICE PROVIDER | $170,467 |
| UF FLORIDA CLINICAL PRACTICE ASSOCIATIO | |||||
| PO BOX 100296 | GAINESVILLE | FL | 32610 | PROFESSIONAL CLINICAL SERVICES | $153,702 |
| EPSTEIN BECKER & GREEN PC | |||||
| 875 3RD AVENUE | NEW YORK | NY | 10022 | LEGAL SERVICES | $143,049 |
| WELKIN HEALTH INC | |||||
| 548 MARKET ST PMB 75357 | SAN FRANCISCO | CA | 94104 | HEALTH INFORMATION TECHNOLOGY SERVICES | $132,500 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,089 | TotalRevenueColumnAmt |
| Exclusion | $1,089 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,089 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,089 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $700,000 | TotalAmt |
| Program Services | $700,000 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,111,064 | TotalAmt |
| Program Services | $1,672,163 | ProgramServicesAmt |
| Management And General | $432,304 | ManagementAndGeneralAmt |
| Fundraising | $6,597 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,543,389 | TotalAmt |
| Program Services | $2,806,514 | ProgramServicesAmt |
| Management And General | $725,792 | ManagementAndGeneralAmt |
| Fundraising | $11,083 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $108,568 | TotalAmt |
| Program Services | $85,990 | ProgramServicesAmt |
| Management And General | $22,238 | ManagementAndGeneralAmt |
| Fundraising | $340 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $452,447 | TotalAmt |
| Program Services | $358,244 | ProgramServicesAmt |
| Management And General | $92,781 | ManagementAndGeneralAmt |
| Fundraising | $1,422 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $369,085 | TotalAmt |
| Program Services | $292,330 | ProgramServicesAmt |
| Management And General | $75,600 | ManagementAndGeneralAmt |
| Fundraising | $1,155 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $226,857 | TotalAmt |
| Program Services | $209,601 | ProgramServicesAmt |
| Management And General | $7,483 | ManagementAndGeneralAmt |
| Fundraising | $9,773 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $56,413 | TotalAmt |
| Management And General | $56,413 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $617,687 | TotalAmt |
| Program Services | $549,123 | ProgramServicesAmt |
| Management And General | $68,564 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,706 | TotalAmt |
| Program Services | $50,734 | ProgramServicesAmt |
| Management And General | $1,972 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $86,868 | TotalAmt |
| Program Services | $73,332 | ProgramServicesAmt |
| Management And General | $13,536 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $467,914 | TotalAmt |
| Program Services | $398,361 | ProgramServicesAmt |
| Management And General | $68,507 | ManagementAndGeneralAmt |
| Fundraising | $1,046 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $169,682 | TotalAmt |
| Program Services | $118,777 | ProgramServicesAmt |
| Management And General | $50,905 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,605 | TotalAmt |
| Program Services | $16,325 | ProgramServicesAmt |
| Management And General | $24,280 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $131,142 | TotalAmt |
| Program Services | $81,308 | ProgramServicesAmt |
| Management And General | $49,834 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $332,580 | $332,580 | |
| PROFESSIONAL DEVELOPMEN | $10,006 | $8,459 | $1,547 |
| DUES & SUBSCRIPTIONS | $7,891 | $1,639 | $6,252 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,484,904 | TotalAmt |
| Program Services | $7,755,480 | ProgramServicesAmt |
| Management And General | $1,698,008 | ManagementAndGeneralAmt |
| Fundraising | $31,416 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,314,771 | BOYAmt |
| EOY | $2,052,204 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,200,761 | BOYAmt |
| EOY | $4,801,850 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,657,840 | BOYAmt |
| EOY | $8,446,730 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,525 | BOYAmt |
| EOY | $8,995 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $129,814 | BOYAmt |
| EOY | $186,031 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,603,675 | BOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $89,331 | BOYAmt |
| EOY | $57,884 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,816 | BOYAmt |
| EOY | $5,675 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,007,533 | BOYAmt |
| EOY | $15,559,369 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $515,495 | BOYAmt |
| EOY | $553,010 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $515,495 | BOYAmt |
| EOY | $553,010 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,600,771 | BOYAmt |
| EOY | $1,013,486 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,891,267 | BOYAmt |
| EOY | $13,992,873 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,492,038 | BOYAmt |
| EOY | $15,006,359 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,007,533 | BOYAmt |
| EOY | $15,559,369 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$9,483,815 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$12,001,864 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $45,430,130 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $75,000 | CurrentTaxYearMinus1YearAmt |
| Total | $45,505,130 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $45,430,130 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $75,000 | CurrentTaxYearMinus1YearAmt |
| Total | $45,505,130 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $44,519,990 | SubstantialContributorsTotAmt |
| Public Support Total170 | $985,140 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $218 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $553 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,089 | CurrentTaxYearAmt |
| Total | $1,860 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $45,506,990 | TotalSupportAmt |
| First5 Years170 | Yes (X) | First5Years170Ind |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $0 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | BLUE CIRCLE HEALTH IS EXEMPT FROM INCOME TAXES ON INCOME FROM RELATED ACTIVITIES UNDER SECTION 501(C)(3) OF THE U.S. INTERNAL REVENUE CODE AND CORRESPONDING STATE TAX LAW. A TAX POSITION IS RECOGNIZED AS A BENEFIT ONLY IF IT IS "MORE LIKELY THAN NOT" THAT THE TAX POSITION WOULD BE SUSTAINED IN A TAX EXAMINATION, WITH A TAX EXAMINATION BEING PRESUMED TO OCCUR. THE AMOUNT RECOGNIZED IS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS GREATER THAN 50% LIKELY TO BE REALIZED ON EXAMINATION. FOR TAX POSITIONS NOT MEETING THE "MORE LIKELY THAN NOT" TEST, NO TAX BENEFIT IS RECORDED. THE APPLICABLE FORMS 990 HAVE NOT BEEN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE SINCE ITS INCEPTION. BLUE CIRCLE HEALTH DOES NOT EXPECT THE TOTAL AMOUNT OF UNRECOGNIZED TAX BENEFITS TO SIGNIFICANTLY CHANGE IN THE NEXT 12 MONTHS. BLUE CIRCLE HEALTH RECOGNIZES INTEREST AND/OR PENALTIES RELATED TO INCOME TAX MATTERS IN INCOME TAX EXPENSE. BLUE CIRCLE HEALTH DID NOT HAVE ANY AMOUNTS ACCRUED FOR INTEREST AND PENALTIES ON SEPTEMBER 30, 2024 AND SEPTEMBER 30, 2023. | ExplanationTxt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|
| BLUE CIRCLE CHARITABLE FOUNDATION | ||||||||
| 68 HARRISON AVE 605 PMB 62564 | BOSTON | MA | 02111 | 993225683 | 501(C)(3) | $500,000 | $0 | GENERAL SUPPORT |
| BLUE CIRCLE HEALTH CLINICAL | ||||||||
| 68 HARRISON AVE 605 PMB 62564 | BOSTON | MA | 02111 | 993250536 | 501(C)(3) | $200,000 | $0 | GENERAL SUPPORT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 2 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | BLUE CIRCLE CHARITABLE FOUNDATION (FOUNDATION) AND BLUE CIRCLE HEALTH CLINICAL (CLINICAL) ARE SUPPORTING ORGANIZATIONS OF BLUE CIRCLE HEALTH, INC. (BCH). BCH IS THE SOLE GRANTEE OF THE FOUNDATION AND CLINICAL. THE FOUNDATION AND CLINICAL PROVIDES BCH WITH FINANCIAL STATEMENTS ON THE USE OF THE FUNDS AND PRESENTS ITS ANNUAL BUDGET TO THE BCH. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DR LEONARD D'AVOLIO | ||||||||||||||
| DIRECTOR, CHIEF EXECUTIVE OFFICER | $414,455 | $0 | $0 | $0 | $0 | $0 | $12,977 | $0 | $31,072 | $0 | $458,504 | $0 | $0 | $0 |
| ROBIN JENSEN | ||||||||||||||
| CHIEF OPERATING OFFICER | $354,767 | $0 | $0 | $0 | $0 | $0 | $12,265 | $0 | $593 | $0 | $367,625 | $0 | $0 | $0 |
| THIEN NGUYEN | ||||||||||||||
| VP IS | $281,967 | $0 | $0 | $0 | $0 | $0 | $8,294 | $0 | $29,319 | $0 | $319,580 | $0 | $0 | $0 |
| MAGDI ODEH | ||||||||||||||
| DIRECTOR OF IT | $245,277 | $0 | $0 | $0 | $0 | $0 | $9,995 | $0 | $14,125 | $0 | $269,397 | $0 | $0 | $0 |
| DR MONICA GOMBERG | ||||||||||||||
| VP CLINICAL CARE | $225,137 | $0 | $0 | $0 | $0 | $0 | $8,385 | $0 | $27,945 | $0 | $261,467 | $0 | $0 | $0 |
| PAIGE GALLO | ||||||||||||||
| VP FINANCE | $208,752 | $0 | $0 | $0 | $0 | $0 | $8,551 | $0 | $33,122 | $0 | $250,425 | $0 | $0 | $0 |
| RYAN J ERATO | ||||||||||||||
| SOFTWARE ENGINEER | $213,127 | $0 | $0 | $0 | $0 | $0 | $8,747 | $0 | $20,834 | $0 | $242,708 | $0 | $0 | $0 |
| LILLIAN HUGHES | ||||||||||||||
| VP ADMINISTRATION | $218,614 | $0 | $0 | $0 | $0 | $0 | $8,621 | $0 | $1,201 | $0 | $228,436 | $0 | $0 | $0 |
| KRISTINA R HOLMES | ||||||||||||||
| DIRECTOR OF MARKETING | $199,671 | $0 | $0 | $0 | $0 | $0 | $7,927 | $0 | $392 | $0 | $207,990 | $0 | $0 | $0 |
| MEGAN BUHLER | ||||||||||||||
| VP CLINICAL OPERATIONS | $181,846 | $0 | $0 | $0 | $0 | $0 | $7,214 | $0 | $597 | $0 | $189,657 | $0 | $0 | $0 |
| COLIN J MULLANEY | ||||||||||||||
| SOFTWARE ENGINEER | $163,245 | $0 | $0 | $0 | $0 | $0 | $6,560 | $0 | $10,161 | $0 | $179,966 | $0 | $0 | $0 |
| KALESE HOUSE | ||||||||||||||
| SENIOR MANAGER PROGRAMS | $160,534 | $0 | $0 | $0 | $0 | $0 | $6,441 | $0 | $10,511 | $0 | $177,486 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 8B | THERE IS NO ACTIVE COMMITTEE WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY OF THE ORGANIZATION. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 AND SUPPLEMENTAL SCHEDULES ARE PREPARED AND REVIEWED BY AN EXTERNAL ACCOUNTING FIRM. IT IS THEN REVIEWED INTERNALLY BY MANAGEMENT. A COMPLETE COPY OF THE FORM IS PROVIDED TO ALL DIRECTORS AND THEY ARE REQUESTED TO REVIEW AND SUBMIT ANY QUESTIONS OR COMMENTS THEY MAY HAVE. |
| FORM 990, PART VI, SECTION B, LINE 12C | DIRECTORS, OFFICERS, AND KEY EMPLOYEES ARE REQUIRED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE. THE BOARD ANNUALLY REVIEWS THE SURVEYS TO MONITOR FOR ANY POTENTIAL CONFLICTS. ADDITIONALLY, EMPLOYEE POLICIES ADDRESS OUTSIDE EMPLOYMENT ARRANGEMENTS AND EMPLOYMENT OF RELATIVES TO AID IN IDENTIFYING POTENTIAL RELATED PARTY TRANSACTIONS. |
| FORM 990, PART VI, SECTION B, LINE 15 | COMPENSATION FOR THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL IS DETERMINED USING COMPARABILITY DATA AND WAS INDEPENDENTLY REVIEWED BY A THIRD PARTY IN AUGUST 2023. COMPENSATION IS THEN REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 15B: COMPENSATION FOR OTHER OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION IS DETERMINED USING COMPARABILITY DATA. THE HIGHEST PAID EXECUTIVES' COMPENSATION WAS INDEPENDENTLY REVIEWED BY A THIRD PARTY IN AUGUST 2023. |
| FORM 990, PART VI, SECTION C, LINE 19 | AS REQUIRED BY THE IRS, THE ORGANIZATION MAKES ITS FORMS 990 AND 1023 AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART XI, LINE 9: | DISSOLUTION OF CYFT -2,917,628. GOODWILL AND INTANGIBLE ASSET IMPAIRMENT -9,084,236. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| BLUE CIRCLE CHARITABLE FOUNDATION INC | ||||||||||
| 68 HARRISON AVE 605 PMB 62564 | BOSTON | MA | 02111 | 993225683 | HEALTHCARE/TECHNOLOGY | DE | 501(C)(3) | LINE 12A, I | BLUE CIRCLE HEALTH INC | Yes (1) |
| BLUE CIRCLE HEALTH CLINICAL INC | ||||||||||
| 68 HARRISON AVE 605 PMB 62564 | BOSTON | MA | 02111 | 993250536 | HEALTHCARE/TECHNOLOGY | DE | 501(C)(3) | LINE 12A, I | BLUE CIRCLE HEALTH INC | Yes (1) |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CYFT INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 32 STONEYBROOK CIRCLE | AddressLine1Txt |
| City | ANDOVER | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01810 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 473547678 | EIN |
| Primary Activities | HEALTHCARE/TECHNOLOGY | PrimaryActivitiesTxt |
| Legal Domicile State | MA | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BLUE CIRCLE HEALTH INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C | EntityTypeTxt |
| Ownership | 1.00000 | OwnershipPct |
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| BLUE CIRCLE CHARITABLE FOUNDATION | ||
| B | $500,000 | FMV |
| BLUE CIRCLE HEALTH CLINICAL | ||
| B | $200,000 | FMV |