CENTER FOR MEDICAL INTEROPERABILITY INC: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- CENTER FOR MEDICAL INTEROPERABILITY INC (EIN 46-3191908)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-06-18
- IRS object ID
- 201821699349301167
- Schema version
- 2017v2.2
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-06-18T17:16:59-05:00 | ReturnTs |
| Tax Period End | 2017-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 621517792 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PYA PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 215 CENTERVIEW DRIVE | AddressLine1Txt |
| City | BRENTWOOD | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 37027 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 463191908 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CENTER FOR MEDICAL INTEROPERABILITY INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CENT | BusinessNameControlTxt |
| Phone | 6152576400 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8 CITY BOULEVARD NO 203 | AddressLine1Txt |
| City | NASHVILLE | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 37209 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | FRANKLIN CANTWELL | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 6152576400 | PhoneNum |
| Signature | 2018-06-18 | SignatureDt |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | AMY W DELONG | PreparerPersonNm |
| PTIN | P00525370 | PTIN |
| Phone | 6156203475 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | FRANKLIN CANTWELL | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8 CITY BOULEVARD NO 203 | AddressLine1Txt |
| City | NASHVILLE | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 37209 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $6,307,661 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | HTTP://MEDICALINTEROPERABILITY.ORG/ | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2013 | FormationYr |
| Legal Domicile State | DE | LegalDomicileStateCd |
| Activity Or Mission | THE CENTER FOR MEDICAL INTEROPERABILITY IS A 501(C)(3) ORGANIZATION LED BY HEALTH SYSTEMS TO CHANGE HOW MEDICAL TECHNOLOGIES WORK TOGETHER BY IMPROVING REAL-TIME INFORMATION FLOW AND BY MAKING TECHNOLOGY FUNCTION SEAMLESSLY IN THE BACKGROUND SO THAT HEALTH SYSTEMS CAN ACHIEVE THE BEST POSSIBLE OUTCOMES FOR THEIR PATIENTS. OUR MEMBERS ARE COMMITTED TO COMPELLING CHANGE AND IMPROVING PATIENT SAFETY, CARE QUALITY AND OUTCOMES, AND REDUCING CLINICIAN BURDEN AND WASTE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 15 | VotingMembersIndependentCnt |
| Total Employee | 18 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $6,204,854 | PYContributionsGrantsAmt |
| CY Contributions Grants | $6,305,678 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $3,291 | PYOtherRevenueAmt |
| CY Other Revenue | $1,983 | CYOtherRevenueAmt |
| PY Total Revenue | $6,208,145 | PYTotalRevenueAmt |
| CY Total Revenue | $6,307,661 | 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 | $3,559,619 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $3,303,248 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,633,087 | PYOtherExpensesAmt |
| CY Other Expenses | $2,692,803 | CYOtherExpensesAmt |
| PY Total Expenses | $5,192,706 | PYTotalExpensesAmt |
| CY Total Expenses | $5,996,051 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,015,439 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $311,610 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $7,019,448 | TotalAssetsBOYAmt |
| Total Assets EOY | $6,836,686 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $4,519,418 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $4,025,046 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,500,030 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $2,811,640 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE ORGANIZATION'S MISSION IS TO ACHIEVE PLUG-AND-PLAY INTEROPERABILITY BY UNIFYING HEALTHCARE ORGANIZATIONS TO COMPEL CHANGE, BUILD A LAB TO SOLVE SHARED TECHNICAL CHALLENGES, PIONEER INNOVATIVE RESEARCH AND DEVELOPMENT, AND ACCELERATE THE SEAMLESS EXCHANGE OF HEALTHCARE INFORMATION TO IMPROVE PATIENT SAFETY, QUALITY OF CARE AND OUTCOMES, AND REDUCE CLINICAL BURDEN AND WASTE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $3,950,841 | ExpenseAmt |
| Revenue | $1,983 | RevenueAmt |
| Desc | THE CENTER FOR MEDICAL INTEROPERABILITY HAS ESTABLISHED A CENTRALIZED LABORATORY TASKED WITH SERVICING AS A NEUTRAL ENVIRONMENT FOR HEALTHCARE PROFESSIONALS AND OTHER STAKEHOLDERS TO IDENTIFY TECHNICAL SOLUTIONS TO THE CHALLENGES ASSOCIATED WITH THE INFRASTRUCTURE OF MEDICAL INTEROPERABILITY. THE PROGRAM GOAL IS TO ESTABLISH AN INFRASTRUCTURE TO SUPPORT PLUG-AND-PLAY HEALTHCARE INTEROPERABILITY WITH RELIABLE DATA SYSTEMS CONNECTIVITY AND THE APPROPRIATE LEVELS OF MEDICAL GRADE DATA SECURITY, THUS ENABLING DATA SYSTEMS TO CONNECT SEAMLESSLY, EXCHANGE SECURE DATA, AND OFFER CLINICIANS THE ABILITY TO USE THE DATA FOR SAFER AND MORE OPTIMIZED HEALTHCARE.A COMMON MEDICAL INTEROPERABILITY INFRASTRUCTURE WILL:1) BENEFIT THE PUBLIC BY IMPROVING PATIENT SAFETY, ASSURING SECURITY AND CONFIDENTIALITY OF HEALTH INFORMATION, AND ENHANCING ACCESS TO CARE, 2) DEVELOP COMMON STANDARDS-BASED ARCHITECTURE, SPECIFICATIONS AND REFERENCE DESIGNS FOR INTEROPERABLE HOSPITAL DEVICES AND INFORMATION SYSTEMS, 3) DESIGN AND OVERSEE PROTOCOLS FOR TESTING AND CERTIFY THAT MEMBER SPECIFIED REQUIREMENTS ARE FULLFILLED, AND 4) FACILITATE THE EDUCATION OF ALL HEALTH SYSTEMS' STAKEHOLDERS CONCERNING SOLUTIONS AND BEST PRACTICES RELATED TO MEDICAL INTEROPERABILITY. | Desc |
| Total Program Service Expenses | $3,950,841 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | 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 | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | 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 | 11 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 18 | 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 15 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | 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 | 0 | 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 | TN | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FRANKLIN CANTWELL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6152576400 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8 CITY BOULEVARD SUITE 203 | AddressLine1Txt |
| City | NASHVILLE | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 37209 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| R MILTON JOHNSON | ||||||||
| BOARD OF DIRECTORS | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| MICHAEL ME JOHNS MD | ||||||||
| BOARD OF DIRECTORS | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| DICK GREEN PHD | ||||||||
| BOARD OF DIRECTORS | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| MICHAEL SCHATZLEIN MD | ||||||||
| BOARD OF DIRECTORS | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| NANCY HOWELL AGEE | ||||||||
| BOARD OF DIRECTORS | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| WAYNE SMITH | ||||||||
| BOARD OF DIRECTORS | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| JON PRYOR MD MBA | ||||||||
| BOARD OF DIRECTORS | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| STEPHEN JONES | ||||||||
| BOARD OF DIRECTORS THROUGH 9/1/17 | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| WILLIAM CARPENTER III | ||||||||
| BOARD OF DIRECTORS | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| CHRIS VAN GORDER | ||||||||
| BOARD OF DIRECTORS | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| DEAN HARRISON | ||||||||
| BOARD OF DIRECTORS | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| JEFFREY R BALSER MD PHD | ||||||||
| BOARD OF DIRECTORS | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| THOMAS PRISELAC | ||||||||
| BOARD OF DIRECTORS | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| WILLIAM ROPER MDMPH | ||||||||
| BOARD OF DIRECTORS | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| KAREN SPRINGER | ||||||||
| BOARD OF DIRECTORS | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| ASHWINI ZENOOZ MD | ||||||||
| BOARD OF DIRECTORS | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| FRANKLIN CANTWELL | ||||||||
| CHIEF EXECUTIVE OFFICER | 40.00 | $606,562 | $0 | $33,873 | Yes (X) | |||
| EDWARD MILLER | ||||||||
| CHIEF TECHNOLOGY OFFICER | 40.00 | $354,851 | $0 | $32,398 | Yes (X) | |||
| KELLY ALDRICH DNP RN-BC | ||||||||
| CHIEF CLINICAL TRANS. OFFICER | 40.00 | $315,814 | $0 | $40,693 | Yes (X) | |||
| AARON M GOLDMUNTZ MBA MHSA | ||||||||
| VP BUSINESS DEVELOPMENT & FINANCE | 40.00 | $230,648 | $0 | $36,641 | Yes (X) | |||
| WILLIAM F BUNDY | ||||||||
| VP MEMBER SERVICES & OPERATIONS | 40.00 | $216,893 | $0 | $21,943 | Yes (X) | |||
| KAREN A MCDERMOTT MPH | ||||||||
| VP OF PUBLIC POLICY & COMM | 40.00 | $181,532 | $0 | $9,704 | Yes (X) | |||
| MEREDITH ANNE ALGER | ||||||||
| VP HEALTH ECONOMICS AND VALUE | 40.00 | $107,827 | $0 | $10,853 | Yes (X) | |||
| MARCOS SOLOMON HARRIS | ||||||||
| DIRECTOR | 40.00 | $141,340 | $0 | $32,387 | Yes (X) | |||
| TREVOR PAVEY | ||||||||
| TESTING AND CERTIFICATION | 40.00 | $184,042 | $0 | $32,809 | Yes (X) | |||
| JAMES RAGSDALE | ||||||||
| DIRECTOR | 40.00 | $126,635 | $0 | $33,586 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,466,144 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $284,887 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 10 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| FORTYAU | |||||
| 8 CITY BLVD SUITE 204 | NASHVILLE | TN | 37209 | SOFTWARE DEVELOPMENT SERVICES | $230,800 |
| C SQUARED LABS | |||||
| 16501 TRINITY LOOP | BROOMFIELD | CO | 80023 | LAB SERVICES | $216,800 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| Membership Dues | $6,305,178 | MembershipDuesAmt |
| All Other Contributions | $500 | AllOtherContributionsAmt |
| Total Contributions | $6,305,678 | TotalContributionsAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $1,983 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,983 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,983 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,307,661 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,983 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,906,302 | TotalAmt |
| Program Services | $1,079,168 | ProgramServicesAmt |
| Management And General | $827,134 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $785,346 | TotalAmt |
| Program Services | $785,346 | ProgramServicesAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $115,163 | TotalAmt |
| Program Services | $85,967 | ProgramServicesAmt |
| Management And General | $29,196 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $349,435 | TotalAmt |
| Program Services | $250,460 | ProgramServicesAmt |
| Management And General | $98,975 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $147,002 | TotalAmt |
| Program Services | $113,407 | ProgramServicesAmt |
| Management And General | $33,595 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $96,000 | TotalAmt |
| Management And General | $96,000 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $100,548 | TotalAmt |
| Management And General | $100,548 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,008 | TotalAmt |
| Management And General | $12,008 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,035,637 | TotalAmt |
| Program Services | $1,035,637 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,902 | TotalAmt |
| Program Services | $41,902 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $77,952 | TotalAmt |
| Management And General | $77,952 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $89,688 | TotalAmt |
| Program Services | $67,266 | ProgramServicesAmt |
| Management And General | $22,422 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $467,718 | TotalAmt |
| Program Services | $233,859 | ProgramServicesAmt |
| Management And General | $233,859 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $128,110 | TotalAmt |
| Program Services | $89,677 | ProgramServicesAmt |
| Management And General | $38,433 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,253 | TotalAmt |
| Program Services | $19,253 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,456 | TotalAmt |
| Management And General | $6,456 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $411,239 | TotalAmt |
| Management And General | $411,239 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,999 | TotalAmt |
| Management And General | $40,999 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SPECIAL EVENTS | $86,951 | $86,951 | |
| MINOR EQUIPMENT | $42,317 | $29,622 | $12,695 |
| PAYROLL PROCESSING | $23,695 | $23,695 | |
| MISCELLANEOUS | $12,330 | $8,631 | $3,699 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,996,051 | TotalAmt |
| Program Services | $3,950,841 | ProgramServicesAmt |
| Management And General | $2,045,210 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,633,871 | BOYAmt |
| EOY | $4,452,566 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $58,229 | BOYAmt |
| EOY | $1,156 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $67,421 | BOYAmt |
| EOY | $125,910 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $2,472,810 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $515,756 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,959,927 | BOYAmt |
| EOY | $1,957,054 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $300,000 | BOYAmt |
| EOY | $300,000 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,019,448 | BOYAmt |
| EOY | $6,836,686 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $377,609 | BOYAmt |
| EOY | $86,006 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,204,949 | BOYAmt |
| EOY | $2,216,844 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $219,801 | BOYAmt |
| EOY | $95,929 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,717,059 | BOYAmt |
| EOY | $1,626,267 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,519,418 | BOYAmt |
| EOY | $4,025,046 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,500,030 | BOYAmt |
| EOY | $2,811,640 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,500,030 | BOYAmt |
| EOY | $2,811,640 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,019,448 | BOYAmt |
| EOY | $6,836,686 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $311,610 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | 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) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| 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 Minus4 Years | $936,686 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,330,000 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,941,986 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,149,854 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,305,179 | CurrentTaxYearAmt |
| Total | $23,663,705 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $936,686 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,330,000 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,941,986 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,149,854 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,305,179 | CurrentTaxYearAmt |
| Total | $23,663,705 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $7,598,825 | SubstantialContributorsTotAmt |
| Public Support Total170 | $16,064,880 | PublicSupportTotal170Amt |
| Total Support | $23,663,705 | TotalSupportAmt |
| Public Support CY170 | 0.67890 | PublicSupportCY170Pct |
| Public Support PY170 | 0.73040 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $1,572,000 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $236,406 | DepreciationAmt |
| Book Value | $1,335,594 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $900,810 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $279,350 | DepreciationAmt |
| Book Value | $621,460 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,957,054 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| PAYROLL LIABILITIES | $598,308 |
| DEFERRED RENT | $258,274 |
| DEFERRED LEASEHOLD IMPROVEMENT ALLOWANCE | $769,685 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,626,267 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $6,307,661 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $6,307,661 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $6,307,661 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $5,996,051 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $5,996,051 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $5,996,051 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE CENTER IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND THE CORRESPONDING SECTIONS OF THE RELEVANT STATE TAX REGULATIONS, EXCEPT FOR TAXES ON NET UNRELATED BUSINESS INCOME. SINCE THE CENTER HAD NO OBLIGATION FOR UNRELATED BUSINESS INCOME TAX FOR THE YEARS ENDED DECEMBER 31, 2017 AND 2016, NO PROVISION FOR FEDERAL OR STATE INCOME TAXES HAS BEEN MADE. THE FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ACCOUNTING STANDARDS CODIFICATION (ASC) 740, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS AND PRESCRIBES A THRESHOLD OF MORE-LIKELY-THAN-NOT FOR RECOGNITION OF TAX BENEFITS OF UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. FASB ASC 740 ALSO PROVIDES RELATED GUIDANCE ON MEASUREMENT, DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, AND DISCLOSURE. THE CENTER HAS NO UNRECOGNIZED TAX BENEFITS AT DECEMBER 31, 2017 AND 2016. THE CENTER CONTINUES TO EVALUATE CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| 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 | Yes (1) | 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 (9 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FRANKLIN CANTWELL | ||||||||||||||
| CHIEF EXECUTIVE OFFICER | $478,374 | $0 | $128,188 | $0 | $0 | $0 | $13,500 | $0 | $20,373 | $0 | $640,435 | $0 | $0 | $0 |
| EDWARD MILLER | ||||||||||||||
| CHIEF TECHNOLOGY OFFICER | $315,476 | $0 | $39,375 | $0 | $0 | $0 | $13,500 | $0 | $18,898 | $0 | $387,249 | $0 | $0 | $0 |
| KELLY ALDRICH DNP RN-BC | ||||||||||||||
| CHIEF CLINICAL TRANS. OFFICER | $273,414 | $0 | $42,400 | $0 | $0 | $0 | $13,495 | $0 | $27,198 | $0 | $356,507 | $0 | $0 | $0 |
| AARON M GOLDMUNTZ MBA MHSA | ||||||||||||||
| VP BUSINESS DEVELOPMENT & FINANCE | $198,178 | $0 | $32,470 | $0 | $0 | $0 | $9,049 | $0 | $27,592 | $0 | $267,289 | $0 | $0 | $0 |
| WILLIAM F BUNDY | ||||||||||||||
| VP MEMBER SERVICES & OPERATIONS | $188,093 | $0 | $28,800 | $0 | $0 | $0 | $10,790 | $0 | $11,153 | $0 | $238,836 | $0 | $0 | $0 |
| KAREN A MCDERMOTT MPH | ||||||||||||||
| VP OF PUBLIC POLICY & COMM | $147,132 | $0 | $34,400 | $0 | $0 | $0 | $9,071 | $0 | $633 | $0 | $191,236 | $0 | $0 | $0 |
| MARCOS SOLOMON HARRIS | ||||||||||||||
| DIRECTOR | $130,090 | $0 | $11,250 | $0 | $0 | $0 | $12,010 | $0 | $20,377 | $0 | $173,727 | $0 | $0 | $0 |
| TREVOR PAVEY | ||||||||||||||
| TESTING AND CERTIFICATION | $184,042 | $0 | $0 | $0 | $0 | $0 | $7,500 | $0 | $25,309 | $0 | $216,851 | $0 | $0 | $0 |
| JAMES RAGSDALE | ||||||||||||||
| DIRECTOR | $125,072 | $0 | $1,563 | $0 | $0 | $0 | $6,328 | $0 | $27,258 | $0 | $160,221 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | THE ORGANIZATION USES COMPARABLE DATA FROM SIMILAR ORGANIZATIONS TO MEASURE REASONABLE COMPENSATION. THE BOARD OF DIRECTORS APPROVES COMPENSATION FOR ALL OFFICERS. THE COMPENSATION OF ALL OTHER EMPLOYEES IS FIXED BY THE CHIEF EXECUTIVE OFFICER. |
| PART I, LINE 4B | THE CENTER'S EMPLOYEES PARTICIPATE IN A 401(K) PLAN ADMINISTERED THROUGH THE PROFESSIONAL EMPLOYMENT ORGANIZATION ARRANGEMENT WITH XMI HOLDINGS, INC. THE CENTER CONTRIBUTES TO THE 401(K) PLAN, WHICH IS DETERMINED AS A MATCHING CONTRIBUTION UP TO A SPECIFIED PERCENTAGE OF THE PARTICIPANT'S CONTRIBUTION. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | THE ORGANIZATION OUTSOURCES THE GENERAL AND ADMINISTRATIVE FUNCTIONS ASSOCIATED WITH ACCOUNTING SERVICES, PAYROLL, AND FINANCIAL RECORD KEEPING TO XMI ACQUISITION, LLC. IN RETURN FOR SUCH SERVICES, THE ORGANIZATION PAYS XMI A BASE MONTHLY MANAGEMENT FEE AND OTHER DIRECT COSTS ASSOCIATED WITH MAINTENANCE OF THE OUTSCOURCED SYSTEMS. ADDITIONALLY, THE CENTER PARTICIPATES IN A PROFESSIONAL EMPLOYEE ORGANIZATION WITH XMI PEO, LLC WHERE EMPLOYEES ARE IN A CO-EMPLOYMENT RELATIONSHIP. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE GOVERNING DOCUMENTS PROVIDE FOR (1) REGULAR MEMBERS, COMPRISED PRIMARILY OF HOSPITALS AND HEALTH SYSTEMS, LONG TERM CARE PROVIDERS, AND OTHER HEALTH CARE PROVIDERS, AS WELL AS MANAGED CARE PLANS AND OTHER THIRD PARTY PAYERS, AND (2) ASSOCIATE MEMBERS, COMPRISED OF ALL OTHER INDIVIDUALS OR ENTITIES APPROVED BY THE CENTER'S PRESIDENT IN ACCORDANCE WITH TERMS AND CONDITIONS SET FORTH BY THE BOARD OF DIRECTORS FROM TIME TO TIME. THE ONLY VOTING MEMBERS OF THE CENTER ARE REGULAR MEMBERS, WHO EACH HAVE ONE VOTE ON ANY MATTER PROPERLY BROUGHT BEFORE THE REGULAR MEMBERS FOR APPROVAL. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE MEMBERS ARE APPOINTED OR ELECTED BY A MAJORITY VOTE OF THE MEMBERS OF THE CORPORATION AT THE ANNUAL MEETING OF THE MEMBERS OR AT A SPECIAL MEETING CALLED AND HELD FOR THAT PURPOSE. |
| FORM 990, PART VI, SECTION A, LINE 7B | MEMBERS OF THE ORGANIZATION ARE RESPONSIBLE FOR ELECTING THE MEMBERS OF THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 INFORMATION WAS COMPILED FROM THE ORGANIZATION'S CORPORATE AND ACCOUNTING RECORDS AND PROVIDED TO THE ORGANIZATION'S OUTSIDE TAX PREPARER. THE COMPLETED FORM 990 WAS REVIEWED BY THE ORGANIZATION'S CONTROLLER, CFO AND VICE PRESIDENT OF MEMBER SERVICES & OPERATIONS. UPON SATISFACTORY COMPLETION OF THE INTERNAL REVIEW PROCESS, A DRAFT OF THE FORM 990 WAS CIRCULATED TO THE ORGANIZATION'S BOARD OF DIRECTORS FOR REVIEW. THE FORM 990 WAS THEN FILED WITH THE INTERNAL REVENUE SERVICE. |
| FORM 990, PART VI, SECTION B, LINE 12C | EACH PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE WITH BOARD DELEGATED POWERS SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS THAT SUCH PERSON HAS RECEIVED, UNDERSTANDS, AND AGREES TO COMPLY WITH THE CONFLICT OF INTEREST POLICY. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE ORGANIZATION USES COMPARABLE DATA FROM SIMILAR ORGANIZATIONS TO MEASURE REASONABLE COMPENSATION. THE BOARD OF DIRECTORS APPROVES COMPENSATION FOR ALL OFFICERS. THE COMPENSATION OF ALL OTHER EMPLOYEES IS FIXED BY THE CHIEF EXECUTIVE OFFICER OF THE CORPORATION. |
| FORM 990, PART VI, SECTION C, LINE 19 | ALL GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND THE CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | MARKET DEVELOPMENT: PROGRAM SERVICE EXPENSES 41,500. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 41,500. ENGINEERING CONSULTING: PROGRAM SERVICE EXPENSES 747,129. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 747,129. WIRELESS ASSESSMENT: PROGRAM SERVICE EXPENSES 247,008. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 247,008. |