CONNECTICUT PEER REVIEW ORGANIZATION IN: Form 990, tax year 2017
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- Organization
- CONNECTICUT PEER REVIEW ORGANIZATION IN (EIN 22-2484567)
- Tax period
- 2017-08-01 to 2018-07-31
- Filed
- 2019-06-11
- IRS object ID
- 201931629349300633
- Schema version
- 2017v2.3
- 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 | 2019-06-11T13:30:09-05:00 | ReturnTs |
| Tax Period End | 2018-07-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 060903326 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WHITTLESEY PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 280 TRUMBULL ST 24TH FL | AddressLine1Txt |
| City | HARTFORD | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06103 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-08-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 222484567 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CONNECTICUT PEER REVIEW | BusinessNameLine1Txt |
| Business Name Line2 | ORGANIZATION INC QUALIDIGM | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CONN | BusinessNameControlTxt |
| Phone | 8606322008 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 936 SILAS DEANE HIGHWAY SUITE 1A | AddressLine1Txt |
| City | WETHERSFIELD | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06109 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TIM ELWELL | PersonNm |
| Person Title | PRESIDENT/CEO | PersonTitleTxt |
| Phone | 8606322008 | PhoneNum |
| Signature | 2019-06-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | LISA WILLS | PreparerPersonNm |
| PTIN | P01828548 | PTIN |
| Phone | 8605223111 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 198.0.144.57 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-06-11 | IPDt |
| IP Tm | 14:29:59 | IPTm |
| IP Timezone | ED | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 2645D509B2D420FF9DBDCA586CC4F8E575C2F669 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 7D675871B76272FC49D3D35D9052D04A56F72B31 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | TIMOTHY ELWELL | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 936 SILAS DEANE HIGHWAY SUITE 1A | AddressLine1Txt |
| City | WETHERSFIELD | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06109 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $12,694,844 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.QUALIDIGM.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1983 | FormationYr |
| Legal Domicile State | CT | LegalDomicileStateCd |
| Activity Or Mission | IMPROVING THE QUALITY AND SAFETY OF HEALTH CARE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 94 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $98,433 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $11,749,760 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $10,736,255 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $945,084 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $10,736,255 | PYTotalRevenueAmt |
| CY Total Revenue | $12,694,844 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $7,255,729 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $7,432,632 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,951,221 | PYOtherExpensesAmt |
| CY Other Expenses | $4,554,906 | CYOtherExpensesAmt |
| PY Total Expenses | $10,206,950 | PYTotalExpensesAmt |
| CY Total Expenses | $11,987,538 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $529,305 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $707,306 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $6,699,601 | TotalAssetsBOYAmt |
| Total Assets EOY | $7,687,408 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $3,642,673 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $3,923,174 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $3,056,928 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $3,764,234 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO CONTINUOUSLY ADVANCE IMPROVEMENT IN THE QUALITY, SAFETY AND COST-EFFECTIVENESS OF HEALTH CARE. AS A HEALTH CARE CONSULTING AND RESEARCH FIRM, WE APPLY TRANSFORMATIONAL QUALITY IMPROVEMENT TECHNIQUES TO DELIVER BEST VALUE FOR EACH CLIENT. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $8,556,854 | ExpenseAmt |
| Revenue | $12,694,844 | RevenueAmt |
| Desc | TO ASSURE THAT HEALTH CARE SERVICES ARE APPROPRIATE, EFFECTIVE, AND EFFICIENT | Desc |
| Total Program Service Expenses | $8,556,854 | 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 |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | 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 | 0 | 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 | 0 | 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 With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| 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 | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 75 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 94 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| 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 |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | 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 | Yes (1) | 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 | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CT | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MICHAEL DESROCHES CPA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8606322008 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 936 SILAS DEANE HIGHWAY SUITE 1A | AddressLine1Txt |
| City | WETHERSFIELD | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06109 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| KIM BEAUREGARD | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| MOLLY REES GAVIN | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| MAG MORELLI | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| ROLLIN SCHUSTER JR | |||||||
| CHAIR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| ALAN S KLIGER MD | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| BRIAN A HINMAN | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| TIMOTHY ELWELL | |||||||
| PRESIDENT/CEO | 40.00 | Yes (X) | $421,125 | $0 | $64,406 | Yes (X) | |
| M NATALIE ACHONG MD MHL | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| MICHELLE DEBARGE | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| MICHAEL DIMENSTEIN | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| ERIC ROSOW | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| ANGELA MATTIE | |||||||
| SECRETARY | 2.00 | $0 | $0 | $0 | Yes (X) | ||
| PAUL T LIISTRO | |||||||
| PAST CHAIR | 2.00 | $0 | $0 | $0 | Yes (X) | ||
| FRANCES PADILLA | |||||||
| TREASURER | 2.00 | $0 | $0 | $0 | Yes (X) | ||
| ANNE ELWELL | |||||||
| VICE PRESIDENT CONSULTING | 40.00 | $181,406 | $0 | $28,677 | Yes (X) | ||
| KRISTEN MCCLAIN | |||||||
| SENIOR DIRECTOR,COMPLIANCE | 40.00 | $137,668 | $0 | $31,811 | Yes (X) | ||
| ANN SPENARD | |||||||
| VICE PRESIDENT CONSULTING | 40.00 | $174,967 | $0 | $35,032 | Yes (X) | ||
| JOANNE DRAPER | |||||||
| VICE PRESIDENT, HUMAN RESO | 40.00 | $156,100 | $0 | $18,120 | Yes (X) | ||
| ANN OLSON | |||||||
| VICE PRESIDENT CONSULTING | 40.00 | $102,815 | $0 | $22,330 | Yes (X) | ||
| YUN-RICHARD WAND | |||||||
| SENIOR ANALYST | 40.00 | $141,220 | $0 | $0 | Yes (X) | ||
| SHIH-YIEH HO | |||||||
| DIRECTOR, ANALYSIS | 40.00 | $127,914 | $0 | $25,463 | Yes (X) | ||
| MICHELE KELVEY-ALBERT | |||||||
| SENIOR DIRECTOR, TRANSFORMATIONAL SERVICES | 40.00 | $127,286 | $0 | $28,028 | Yes (X) | ||
| JULIA PORTALE | |||||||
| SENIOR DIRECTOR, CONSULTING SERVICES | 40.00 | $120,609 | $0 | $27,454 | Yes (X) | ||
| NANCY KELLY | |||||||
| SENIOR DIRECTOR, MARKETING & COMMUNICATIONS | 40.00 | $127,685 | $0 | $30,405 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,818,795 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $311,726 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 11 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| READY NURSE STAFFING SERVICES | |||||
| 360 BLOOMFIELD AVE STE 303 | WINDSOR | CT | 06095 | STAFFING | $966,977 |
| ANTHEM BLUE CROSS AND BLUE SHIELD | |||||
| PO BOX 07101 | NEWARK | NJ | 07101 | INSURANCE | $343,178 |
| CIGNA | |||||
| 900 COTTAGE GROVE ROAD | BLOOMFIELD | CT | 06002 | INSURANCE | $341,309 |
| CT PHARMASISTS ASSOCIATION TEAM | |||||
| 35 COLD SPRING ROAD | ROCKY HILL | CT | 06067 | PROFESSIONAL SERVICES | $148,283 |
| EHEALTH | |||||
| 936 SILAS DEANE HIGHWAY | WEATHERSFIELD | CT | 06109 | PROFESSIONAL SERVICES | $126,662 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $11,749,760 | GovernmentGrantsAmt |
| Total Contributions | $11,749,760 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PROGRAM SERVICE REVENUE | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $945,084 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $945,084 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $945,084 | TotalProgramServiceRevenueAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $12,694,844 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $945,084 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,864,818 | TotalAmt |
| Program Services | $4,272,116 | ProgramServicesAmt |
| Management And General | $1,592,702 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,567,814 | TotalAmt |
| Program Services | $1,136,883 | ProgramServicesAmt |
| Management And General | $430,931 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $53,330 | TotalAmt |
| Program Services | $1,282 | ProgramServicesAmt |
| Management And General | $52,048 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,500 | TotalAmt |
| Management And General | $32,500 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,151,635 | TotalAmt |
| Program Services | $2,041,453 | ProgramServicesAmt |
| Management And General | $110,182 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $272,688 | TotalAmt |
| Program Services | $92,455 | ProgramServicesAmt |
| Management And General | $180,233 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $391,717 | TotalAmt |
| Management And General | $391,717 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $719,188 | TotalAmt |
| Program Services | $696,181 | ProgramServicesAmt |
| Management And General | $23,007 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $106,676 | TotalAmt |
| Program Services | $106,676 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $222,805 | TotalAmt |
| Management And General | $222,805 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $62,709 | TotalAmt |
| Management And General | $62,709 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| FEES AND MEMBERSHIP DUE | $154,622 | $81,332 | $73,290 |
| PHOTOCOPYING AND PRINTI | $101,428 | $96,472 | $4,956 |
| MISC | $85,598 | $28,354 | $57,244 |
| EDUCATION AND TRAINING | $63,873 | $3,195 | $60,678 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $136,137 | TotalAmt |
| Program Services | $455 | ProgramServicesAmt |
| Management And General | $135,682 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,987,538 | TotalAmt |
| Program Services | $8,556,854 | ProgramServicesAmt |
| Management And General | $3,430,684 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $583,264 | BOYAmt |
| EOY | $722,179 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,070,557 | BOYAmt |
| EOY | $2,788,438 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $138,839 | BOYAmt |
| EOY | $150,716 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $4,466,073 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $439,998 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,906,941 | BOYAmt |
| EOY | $4,026,075 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,699,601 | BOYAmt |
| EOY | $7,687,408 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,074,312 | BOYAmt |
| EOY | $1,540,125 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,622 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,525,739 | BOYAmt |
| EOY | $2,383,049 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,642,673 | BOYAmt |
| EOY | $3,923,174 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,056,928 | BOYAmt |
| EOY | $3,764,234 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,056,928 | BOYAmt |
| EOY | $3,764,234 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,699,601 | BOYAmt |
| EOY | $7,687,408 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $707,306 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| 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 | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
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 Minus4 Years | $7,867,783 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $8,012,231 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,159,543 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $10,736,255 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $12,694,844 | CurrentTaxYearAmt |
| Total | $48,470,656 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $7,867,783 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $8,012,231 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,159,543 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $10,736,255 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $12,694,844 | CurrentTaxYearAmt |
| Total | $48,470,656 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $48,470,656 | PublicSupportTotal170Amt |
| Total Support | $48,470,656 | TotalSupportAmt |
| Public Support CY170 | 1.00000 | PublicSupportCY170Pct |
| Public Support PY170 | 1.00000 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $567,600 | OtherCostOrOtherBasisAmt |
| Book Value | $567,600 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,061,718 | OtherCostOrOtherBasisAmt |
| Depreciation | $137,123 | DepreciationAmt |
| Book Value | $2,924,595 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,536 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,536 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $834,219 | OtherCostOrOtherBasisAmt |
| Depreciation | $300,339 | DepreciationAmt |
| Book Value | $533,880 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $4,026,075 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $12,694,844 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $12,694,844 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $12,694,844 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $11,987,538 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $11,987,538 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $11,987,538 | TotalExpensesPerForm990Amt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| 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 (8 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| TIMOTHY ELWELL | ||||||||||||||
| PRESIDENT/CEO | $421,125 | $0 | $0 | $0 | $0 | $0 | $60,000 | $0 | $4,406 | $0 | $485,531 | $0 | $0 | $0 |
| ANNE ELWELL | ||||||||||||||
| VICE PRESIDENT CONSULTING | $181,406 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $28,677 | $0 | $210,083 | $0 | $0 | $0 |
| KRISTEN MCCLAIN | ||||||||||||||
| SENIOR DIRECTOR,COMPLIANCE | $137,668 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $31,811 | $0 | $169,479 | $0 | $0 | $0 |
| ANN SPENARD | ||||||||||||||
| VICE PRESIDENT CONSULTING | $174,967 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $35,032 | $0 | $209,999 | $0 | $0 | $0 |
| JOANNE DRAPER | ||||||||||||||
| VICE PRESIDENT, HUMAN RESO | $156,100 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $18,120 | $0 | $174,220 | $0 | $0 | $0 |
| SHIH-YIEH HO | ||||||||||||||
| DIRECTOR, ANALYSIS | $127,914 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $25,463 | $0 | $153,377 | $0 | $0 | $0 |
| MICHELE KELVEY-ALBERT | ||||||||||||||
| SENIOR DIRECTOR, TRANSFORMATIONAL SE | $127,286 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $28,028 | $0 | $155,314 | $0 | $0 | $0 |
| NANCY KELLY | ||||||||||||||
| SENIOR DIRECTOR, MARKETING & COMMUNI | $127,685 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $30,405 | $0 | $158,090 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS REVIEWED FIRST BY THE CEO AND THE CFO. IT IS THEN SHARED WITH THE FINANCE/AUDIT COMMITTEE AT A FORMAL MEETING. THE INDEPENDENT AUDITOR ATTENDS THE MEETING TO REVIEW IT WITH THE COMMITTEE. THE COMMITTEE THEN VOTES ON THE ACCEPTABILITY OF THE FORM AND CIRCULATES TO THE FULL BOARD AT ITS NEXT MEETING. THE BOARD HAS THE OPPORTUNITY TO REVIEW AND OFFER ANY CHANGES BEFORE THE FINAL VERSION IS FILED. |
| FORM 990, PART VI, SECTION B, LINE 12C | BOARD MEMBERS AND MANAGERS SIGN AN ANNUAL STATEMENT DECLARING ALL COMMERCIAL, FINANCIAL AND CONTRACTUAL RELATIONSHIPS OR ACTIVITIES THAT ARE OR HAVE THE POTENTIAL FOR BEING A CONFLICT OF INTEREST WITH QUALIDIGM BUSINESS. THE STATEMENTS ARE GIVEN TO THE COMPLIANCE OFFICER FOR SUMMARY AND PRESENTATION TO THE EXECUTIVE COUNCIL AND COMPLIANCE COMMITTEE OF THE BOARD. AS BUSINESS IS CONDUCTED, THE COMPLIANCE OFFICER IS RESPONSIBLE FOR ENSURING THAT INDIVIDUALS ARE NOT INVOLVED IN MAKING OR INFLUENCING DECISIONS INVOLVING THOSE RELATIONSHIPS OR ACTIVITIES. |
| FORM 990, PART VI, SECTION B, LINE 15A | THE EXECUTIVE COMMITTEE OF THE BOARD SERVES AS THE COMPENSATION REVIEW COMMITTEE. FOR THE CEO POSITION, THE COMMITTEE UTILIZES THE SURVEY/STUDY OF ERI, THE FORM 990S FROM GUIDESTAR TO REACH ITS DECISION. THE SAME MARKET REFERENCE RESOURCES ARE USED FOR KEY PERSONNEL, WITH THE ADDITION OF RECOMMENDATIONS FROM THE CEO, AS THEIR IMMEDIATE SUPERVISOR. |
| FORM 990, PART VI, SECTION C, LINE 19 | THESE DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | OTHER FEES: PROGRAM SERVICE EXPENSES 2,041,453. MANAGEMENT AND GENERAL EXPENSES 110,182. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,151,635. |
| PART XII LINE 2C | THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |