Civic Intelligence

Centering Healthcare Instituteinc

EIN 06-1622668 • 501(c)3 • Boston, MA

View Organization Page

Profile

The mission of centering healthcare institute, inc. (chi) is to improve maternal child health by transforming care through centering groups. Chi provides expertise, training and materials to clinical practice sites to start and sustain centering group care practice.

89 South Street Ll-02Boston, MA 02111

www.centeringhealthcare.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

59th percentile

0.26x

Higher debt load relative to assets than 59% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Liabilities / Revenue

68th percentile

0.47x

Higher debt load relative to revenue than 68% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Net Margin

6th percentile

-47%

Higher net margin than 6% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Top Officer Pay

72nd percentile

$269,673

Higher top officer pay than 72% of similar nonprofits.

Top officer pay equals 3.6% of source-year revenue.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Asset Growth

7th percentile

-16%

Faster asset growth than 7% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2023 to 2024

Revenue Growth

60th percentile

12%

Faster revenue growth than 60% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2023 to 2024

Balance Sheet
Liabilities / Assets59th percentile

Assets

Down

$13,908,500

Down $2,697,392 (-16%) from 2023

Liabilities

Up

$3,555,225

Up $585,953 (+20%) from 2023

Net Assets

Down

$10,353,275

Down $3,283,345 (-24%) from 2023

Operations
Liabilities / Revenue68th percentileNet Margin6th percentile

Revenue

Up

$7,508,706

Up $811,952 (+12%) from 2023

Expenses

Up

$11,023,190

Up $3,703,960 (+51%) from 2023

Net Income

Down

-$3,514,484

Down $2,892,008 (-465%) from 2023

Trend Graphs

Balance Sheet Trend

Asset Growth7th percentile

Grouped bars show assets, liabilities, and net assets across loaded filings.

$20M$15M$10M$5.0M$0-$5.0MAssets 2011: $2,099,320Liabilities 2011: $984,796Net Assets 2011: $1,114,5242011Assets 2012: $1,331,008Liabilities 2012: $512,763Net Assets 2012: $818,2462012Assets 2013: $995,931Liabilities 2013: $595,436Net Assets 2013: $400,4952013Assets 2014: $718,742Liabilities 2014: $414,005Net Assets 2014: $304,7372014Assets 2015: $1,165,134Liabilities 2015: $1,337,831Net Assets 2015: -$172,6972015Assets 2016: $786,510Liabilities 2016: $579,333Net Assets 2016: $207,1772016Assets 2017: $2,849,838Liabilities 2017: $1,035,880Net Assets 2017: $1,813,9582017Assets 2018: $3,140,525Liabilities 2018: $747,908Net Assets 2018: $2,392,6172018Assets 2019: $1,680,322Liabilities 2019: $584,235Net Assets 2019: $1,096,0872019Assets 2020: $13,523,610Liabilities 2020: $2,115,530Net Assets 2020: $11,408,0802020Assets 2021: $11,128,825Liabilities 2021: $2,241,498Net Assets 2021: $8,887,3272021Assets 2022: $16,274,466Liabilities 2022: $2,147,478Net Assets 2022: $14,126,9882022Assets 2023: $16,605,892Liabilities 2023: $2,969,272Net Assets 2023: $13,636,6202023Assets 2024: $13,908,500Liabilities 2024: $3,555,225Net Assets 2024: $10,353,2752024

Highlighted filing

2024

Assets$13,908,500
Liabilities$3,555,225
Net Assets$10,353,275
Open 2024 Filing

Operations Trend

Revenue Growth60th percentile

Revenue, expenses, and net income by year, with the latest filing highlighted.

$20M$15M$10M$5.0M$0-$5.0MRevenue 2011: $1,967,751Expenses 2011: $1,633,628Net Income 2011: $334,1232011Revenue 2012: $2,536,294Expenses 2012: $2,832,572Net Income 2012: -$296,2782012Revenue 2013: $2,773,093Expenses 2013: $3,190,844Net Income 2013: -$417,7512013Revenue 2014: $2,412,401Expenses 2014: $2,508,159Net Income 2014: -$95,7582014Revenue 2015: $2,683,422Expenses 2015: $2,418,333Net Income 2015: $265,0892015Revenue 2016: $3,359,571Expenses 2016: $2,979,697Net Income 2016: $379,8742016Revenue 2017: $4,549,212Expenses 2017: $2,942,431Net Income 2017: $1,606,7812017Revenue 2018: $4,509,333Expenses 2018: $3,930,674Net Income 2018: $578,6592018Revenue 2019: $3,860,972Expenses 2019: $5,157,502Net Income 2019: -$1,296,5302019Revenue 2020: $15,839,295Expenses 2020: $5,527,302Net Income 2020: $10,311,9932020Revenue 2021: $4,335,740Expenses 2021: $6,856,493Net Income 2021: -$2,520,7532021Revenue 2022: $12,450,005Expenses 2022: $6,678,660Net Income 2022: $5,771,3452022Revenue 2023: $6,696,754Expenses 2023: $7,319,230Net Income 2023: -$622,4762023Revenue 2024: $7,508,706Expenses 2024: $11,023,190Net Income 2024: -$3,514,4842024

Highlighted filing

2024

Revenue$7,508,706
Expenses$11,023,190
Net Income-$3,514,484
Open 2024 Filing

Filings

Most recent year

2024 • Form 990XML pending. An XML filing is linked for this year, but detailed extraction is still pending.

Open filing
Assets
$13,908,500
Liabilities
$3,555,225
Net assets
$10,353,275
Revenue
$7,508,706
Expenses
$11,023,190
Net income
-$3,514,484
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$13.9$3.56$10.4$7.51$11.0$3.51
2023Detailed filing. Detailed filing data is available for this year.$16.6$2.97$13.6$6.70$7.32$0.62
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$16.3$2.15$14.1$12.5$6.68$5.77
2021Facts available. Structured filing facts are available, but richer extracted sections are limited.$11.1$2.24$8.89$4.34$6.86$2.52
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$13.5$2.12$11.4$15.8$5.53$10.3
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1.68$0.58$1.10$3.86$5.16$1.30
2018Detailed filing. Detailed filing data is available for this year.$3.14$0.75$2.39$4.51$3.93$0.58
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2.85$1.04$1.81$4.55$2.94$1.61
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.79$0.58$0.21$3.36$2.98$0.38
2015XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1.17$1.34$0.17$2.68$2.42$0.27
2014Detailed filing. Detailed filing data is available for this year.$0.72$0.41$0.30$2.41$2.51$0.10
2013Detailed filing. Detailed filing data is available for this year.$1.00$0.60$0.40$2.77$3.19$0.42
2012Summary only. Only limited summary data is available for this year.$1.33$0.51$0.82$2.54$2.83$0.30
2011Summary only. Only limited summary data is available for this year.$2.10$0.98$1.11$1.97$1.63$0.33
Latest Detailed Filing

The latest 2024 filing currently has linked XML that has not been fully parsed yet. Showing the latest detailed filing from 2023 below.

Jump To
Filing Snapshot
Filing Period
Jan 1, 2023 to Dec 31, 2023
Signed
Aug 8, 2024
Return Version
2023v5.1
Gross Receipts
$6,896,992
Mission and Program Overview

Mission

Centering healthcare institute, inc. (chi) provides expertise, training and materials to clinical practice sites to start and sustain centering group care practice. Chi is on the front lines of transforming birth outcomes and family health in the united states by changing the paradigm of health services from individual visits to a group care model that effectively addresses the complex social determinants of health. Centering, an evidence-based model of group medical visits, brings patients out of the exam room and into a group setting where they learn from their providers and each other. In each two hour visit, there is ample time for health assessment, interactive learning and community building. Visits meet nationally recognized clinical standards and are facilitated by a credentialed health provider.

Improving health, transforming care & disrupting inequitable systems through the centering group model

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$7,152,703--
Investments Other Securities-$6,034,155-
Pledges and Grants Receivable$6,022,601$5,545,520▼ $477,081
Savings and Temporary Cash Investments-$3,586,073-
Cash and Non-Interest-Bearing Accounts$1,576,369$329,914▼ $1,246,455
Inventories for Sale or Use$145,506$120,627▼ $24,879
Accounts Receivable$203,847$58,699▼ $145,148
Land, Buildings, and Equipment, Net$90,536$41,337▼ $49,199
Prepaid Expenses and Deferred Charges$66,794$29,667▼ $37,127
Total Assets$16,274,466$16,605,892▲ $331,426
Other Assets Total$1,016,110$859,900▼ $156,210
Liabilities
Deferred Revenue$1,703,104$2,498,073▲ $794,969
Accounts Payable and Accrued Expenses$444,374$471,199▲ $26,825
Total Liabilities$2,147,478$2,969,272▲ $821,794
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$7,573,613$6,942,244▼ $631,369
Net Assets With Donor Restrictions$6,553,375$6,694,376▲ $141,001
Total Net Assets Fund Balance$14,126,988$13,636,620▼ $490,368
Total Liabilities and Net Assets / Fund Balance$16,274,466$16,605,892▲ $331,426

Asset Categories

AssetBook ValueDepreciationBasis
Other Land Buildings$41,337$890,796$932,133
Other Assets Org$859,900--
Other Securities$3,352,858--
Compensation and Service Providers
Top Officer Pay72nd percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Tamara Wilcher PittsChief Development OfficerFT$179,729$26,044$205,773
Shannon MerrellSenior Director - DevelopmentFT$172,449$25,270$197,719
Angelique TruesdaleChief Executive Office Until 6/2023FT$177,404$15,382$192,786
Mia RobinsSenior Director - DevelopmentFT$164,461$20,007$184,468
Mary FitzmauriceRegional DirectorFT$97,746$75,899$173,645
Jonathan HayesSenior Director-itFT$133,946$33,830$167,776
Mahak Kalra-mukherjeeFormer Communications DirectorFT$134,150$12,567$146,717
Tammea TylerChief Executive OfficerFT$104,231$6,826$111,057
John CraineChief Financial Officer Until 6/2023FT$99,477$10,015$109,492

Board Members and Trustees

NameTitle
Andrea Darby-stewart MdChair
Arianne GrahamVice Chair
Carmen Strickland Md MphDirector
Crysta MeekinsDirector
Geralyn TrujilloDirector
Margaret Larkins-pettigrew Md MedDirector
Michelle ProserDirector
Piia HansonDirector
Amy Fine MphDirector Until Oct 2023
Sharon Rising Cnm MsnFounder
Eva N BoyceTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$4,614,369
Program Service Revenue
$1,559,426
Investment Income
$270,269
Other Revenue
$252,690
All Other Contributions
$4,614,369
Change in Net Assets
$-622,476

Audited Revenue Reconciliation

Revenue per Audited Statements
$6,681,863
Revenue Not Reported on Financial Statements
$14,891
Revenue Not Reported on Form 990
$132,108
Total Revenue per Audited Statements
$6,813,971
Total Revenue per Form 990
$6,696,754
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$5,136,255
Other Expenses$2,172,774
Total Fundraising Expense$538,911
Professional Fundraising Fees$5,951
Grants and Similar Amounts Paid$4,250

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$3,022,786$502,862$61,784$3,587,432
Fees for Services Other$662,872$144,328$54,862$862,062
Current Officers, Directors, Trustees, and Key Employees$93,438$281,455$244,217$619,110
Other Employee Benefits$338,334$66,599$17,495$422,428
Payroll Taxes$256,443$62,289$23,677$342,409
Information Technology$211,338$50,750$19,291$281,379
Pension Plan Contributions$135,726$21,156$7,994$164,876
Travel$90,820$24,271$33,995$149,086
Conferences and Meetings$62,602$16,879$25,157$104,638
Advertising$60,459$14,685$5,582$80,726
Fees for Services Accounting-$70,631-$70,631
Depreciation Depletion$36,847$8,950$3,402$49,199
Other Expenses$33,356$16,681$6,341$33,356
All Other Expenses$18,727$4,549$1,729$25,005
Insurance$18,597$4,517$1,717$24,831
Office Expenses$15,424$4,781$1,816$22,021
Fees for Services Legal$12,568$3,053$1,160$16,781
Fees for Service Investment Mgmnt Fees-$14,891-$14,891
Occupancy$8,388$2,037$774$11,199
Fees for Services Professional Fundraising--$5,951$5,951
Grants to Domestic Orgs$4,250--$4,250
Total Functional Expenses$5,407,166$1,373,153$538,911$7,319,230

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$7,319,230
Expenses per Audited Statements$7,304,339
Total Expenses per Audited Statements$7,304,339
Expenses Not Reported on Financial Statements$14,891
Expenses Not Reported on Form 990$0
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$5,951
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 1A

“At times, the board may elect individuals to serve on a committee. Any such committee, to the extent provided in the resolution of the board, shall have and may exercise the powers and authority of the board of directors in the management of the business and affairs of the coportation.”

Form 990, Part VI, Section B, Line 11B

“An initial draft of the 990 is prepared by chi's auditors, this draft 990 is reviewed and approved by chi's board of directors.”

Form 990, Part VI, Section B, Line 12C

“Annually, all members of the board of directors are requested to complete a conflict of interest disclosure form, which is kept on file and reviewed by the board if any conflict is indicated. If a conflict arises during the year, the board member shall immediately notify the chair of the board, who will determine appropriate resolution. The board of directiors shall be responsible for making all decisions concerning resolutions of conflicts.”

Form 990, Part VI, Section B, Line 15

“The process for review and determination of compensation for the chief executive officer, officer's and key employees was a process initiated by the board of directors. It included review and approval by the board of directors of which none had a conflict of interest, review of salaries for other non-profits of similar size both with regard to budget and number of staff. Documentation in the minutes of the discussion and final decision by the executive committee. The last time this porocess occurred was during 2023.”

Form 990, Part VI, Section C, Line 19

“The organization makes copies of the governing documents, conflict of interest policy, and financial statements available to the public upon request.”

Filing and Contact Details

Filer

Filer Name
Centering Healthcare Institute Inc
EIN
06-1622668
Phone
8572847570
Address
89 SOUTH STREET LL-02, BOSTON, MA 02111

Signing Officer

Name
Tammea Tyler
Title
Chief Executive Officer
Phone
8572847570
Signed
2024-08-08
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Tammea Tyler
Formed
2001
Legal Domicile
Ct
Voting Board Members
11
Independent Board Members
10
Employees
45
Volunteers
11

Preparer

Firm
Cliftonlarsonallen Llp
Address
4 BATTERYMARCH PARK SUITE 100, QUINCY, MA 02169
Preparer
Danielle Nihill
Phone
7819821001
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G

“Consulting & other professional fees: program service expenses 662,872. Management and general expenses 144,328. Fundraising expenses 54,862. Total expenses 862,062.”

Raw XML AppendixShowing 400 of 726 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

Path#Value
IRS990/AccountantCompileOrReviewInd00
IRS990/AccountsPayableAccrExpnssGrp/BOYAmt0444374
IRS990/AccountsPayableAccrExpnssGrp/EOYAmt0471199
IRS990/AccountsReceivableGrp/BOYAmt0203847
IRS990/AccountsReceivableGrp/EOYAmt058699
IRS990/ActivitiesConductedPrtshpInd00
IRS990/ActivityOrMissionDesc0IMPROVING HEALTH, TRANSFORMING CARE & DISRUPTING INEQUITABLE SYSTEMS THROUGH THE CENTERING GROUP MODEL
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IRS990/AdvertisingGrp/ManagementAndGeneralAmt014685
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IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt089 SOUTH STREET
IRS990/BooksInCareOfDetail/USAddress/CityNm0BOSTON
IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd0MA
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IRS990/CollectionsOfArtInd00
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IRS990/CompensationProcessOtherInd01
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IRS990/Desc0THE ORGANIZATION HAS DEVELOPED A FLEXIBLE IMPLEMENTATION SUPPORT AND TRAINING PLAN FOR CLINICAL PRACTICES DESIRING TO START OUR CENTERING MODEL OF GROUP CARE THAT INCLUDES: CONSULTING SUPPORT TO ESTABLISH SYSTEMS AND PROCESSES TO ENROLL PATIENTS, SCHEDULE AND MANAGE GROUP VISITS; TRAINING FOR CLINICAL STAFF TO FACILITATE CENTERING GROUPS TO HELP ENSURE OPTIMAL OUTCOMES FOR PATIENTS; TRAINING FOR BILLING AND CODING STAFF TO ENSURE FINANCIAL SUSTAINABILITY OF THE CENTERING PRACTICE; QUALITY ASSURANCE AND ACCREDITATION TO ENSURE THE ONGOING QUALITY, SUSTAINABILITY AND ADHERENCE TO THE EVIDENCE-BASED CENTERING CARE MODEL. IN 2023 AND 2022, CHI ENDED THE YEAR WITH APPROXIMATELY 473 CLIENT PRACTICE LOCATIONS INCLUDING 76 NEW PRACTICE LOCATIONS ADDED DURING THE YEAR; LAUNCHED 39 NEW IMPLEMENTATION SUPPORT PLANS; PROVIDED CONTINUING SUPPORT FOR 37 EXISTING PLANS THAT WERE STARTED IN 2021; TRAINED 638 CLINICAL STAFF IN FACILITATION TRAINING WORKSHOPS. IT IS ESTIMATED THAT CHI'S CLIENTS PROVIDED CARE TO APPROXIMATELY 40,000 BIRTHING PEOPLE AND PARENTS OF YOUNG CHILDREN.
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IRS990/ForeignActivitiesInd00
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IRS990/Form990PartVIISectionAGrp/TitleTxt0CHIEF EXECUTIVE OFFICE UNTIL 6/2023
IRS990/Form990PartVIISectionAGrp/TitleTxt1FOUNDER
IRS990/Form990PartVIISectionAGrp/TitleTxt2CHAIR
IRS990/Form990PartVIISectionAGrp/TitleTxt3VICE CHAIR
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IRS990/Form990PartVIISectionAGrp/TitleTxt6DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt7DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt8DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt9DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt10DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt11DIRECTOR UNTIL OCT 2023
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IRS990/Form990PartVIISectionAGrp/TitleTxt13CHIEF FINANCIAL OFFICER UNTIL 6/2023
IRS990/Form990PartVIISectionAGrp/TitleTxt14CHIEF DEVELOPMENT OFFICER
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IRS990/Form990PartVIISectionAGrp/TitleTxt16SENIOR DIRECTOR - DEVELOPMENT
IRS990/Form990PartVIISectionAGrp/TitleTxt17REGIONAL DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt18FORMER COMMUNICATIONS DIRECTOR
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IRS990/MissionDesc0CENTERING HEALTHCARE INSTITUTE, INC. (CHI) PROVIDES EXPERTISE, TRAINING AND MATERIALS TO CLINICAL PRACTICE SITES TO START AND SUSTAIN CENTERING GROUP CARE PRACTICE. CHI IS ON THE FRONT LINES OF TRANSFORMING BIRTH OUTCOMES AND FAMILY HEALTH IN THE UNITED STATES BY CHANGING THE PARADIGM OF HEALTH SERVICES FROM INDIVIDUAL VISITS TO A GROUP CARE MODEL THAT EFFECTIVELY ADDRESSES THE COMPLEX SOCIAL DETERMINANTS OF HEALTH. CENTERING, AN EVIDENCE-BASED MODEL OF GROUP MEDICAL VISITS, BRINGS PATIENTS OUT OF THE EXAM ROOM AND INTO A GROUP SETTING WHERE THEY LEARN FROM THEIR PROVIDERS AND EACH OTHER. IN EACH TWO HOUR VISIT, THERE IS AMPLE TIME FOR HEALTH ASSESSMENT, INTERACTIVE LEARNING AND COMMUNITY BUILDING. VISITS MEET NATIONALLY RECOGNIZED CLINICAL STANDARDS AND ARE FACILITATED BY A CREDENTIALED HEALTH PROVIDER.
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