Liabilities / Assets
52nd percentile
Higher debt load relative to assets than 52% of similar nonprofits.
EIN 26-2703521 • 501(c)3 • West Hartford, CT
Profile
The mission of the u.s. Pain foundation is to empower, educate, connect, and advocate for people living with chronic conditions and serious injuries that cause pain, as well as their caregivers and clinicians. Through its multiple programs and services, the organization works to enhance the quality of life for people with pain, improve patient outcomes, address access and affordability issues, and increase public awareness and empathy for the issue of pain.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
52nd percentile
Higher debt load relative to assets than 52% of similar nonprofits.
Liabilities / Revenue
44th percentile
Higher debt load relative to revenue than 44% of similar nonprofits.
Net Margin
24th percentile
Higher net margin than 24% of similar nonprofits.
Top Officer Pay
Score unavailable
No filing with officer rows is available for this organization yet.
Asset Growth
71st percentile
Faster asset growth than 71% of similar nonprofits.
Revenue Growth
40th percentile
Faster revenue growth than 40% of similar nonprofits.
Assets
Down$663,922
Down $140,747 (-17%) from 2024
Liabilities
Down$51,865
Down $56,761 (-52%) from 2024
Net Assets
Down$612,057
Down $83,986 (-12%) from 2024
Revenue
Down$1,001,093
Down $423,071 (-30%) from 2024
Expenses
Down$1,085,079
Down $52,360 (-4.6%) from 2024
Net Income
Down-$83,986
Down $370,711 (-129%) from 2024
Most recent year
2025 • Form 990Detailed filing. Detailed filing data is available for this year.
The mission of u.s. Pain is to empower, educate, connect, and advocate for individuals living with chronic illness that causes pain, as well as their caregivers and clinicians. Through our multiple programs and services, we work to enhance the quality of life for people with pain, improve patient outcomes, address access and affordability issues, and increase public awareness and empathy for the issue of pain.
Empowering and connecting those impacted by pain to improve lives, access, outcomes, and awareness.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Savings and Temporary Cash Investments | $663,981 | $321,629 | ▼ $342,352 |
| Accounts Receivable | $110,000 | $307,968 | ▲ $197,968 |
| Cash and Non-Interest-Bearing Accounts | $28,399 | $29,595 | ▲ $1,196 |
| Prepaid Expenses and Deferred Charges | $1,022 | $3,810 | ▲ $2,788 |
| Land, Buildings, and Equipment, Net | $1,267 | $920 | ▼ $347 |
| Total Assets | $804,669 | $663,922 | ▼ $140,747 |
| Liabilities | |||
| Accounts Payable and Accrued Expenses | $108,626 | $51,865 | ▼ $56,761 |
| Total Liabilities | $108,626 | $51,865 | ▼ $56,761 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $681,043 | $462,057 | ▼ $218,986 |
| Net Assets With Donor Restrictions | $15,000 | $150,000 | ▲ $135,000 |
| Total Net Assets Fund Balance | $696,043 | $612,057 | ▼ $83,986 |
| Total Liabilities and Net Assets / Fund Balance | $804,669 | $663,922 | ▼ $140,747 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Equipment | $920 | $1,070 | $1,990 |
| Name | Title | Full / Part Time | Base | Total |
|---|---|---|---|---|
| Nicole Hemmenway Dyer | President | FT | $125,000 | $125,000 |
| Pamela Lynch | Assistant Treasurer & CFO | PT | $65,000 | $65,000 |
| Name | Title |
|---|---|
| Shawn Dickens | Chairman |
| Ellen Lenox Smith | Board Member |
| Karen Duffy | Board Member |
| Jessica Begley | Secretary |
| Edward Bilsky | Treasurer |
| Contribution Type | Reported Amount | Valuation Method |
|---|---|---|
| Other Non Cash Contri Table | $168,375 | Fair Market Value |
| Total Noncash Contributions | $168,375 | - |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $542,577 |
| Other Expenses | $542,502 |
| Total Fundraising Expense | $71,306 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $432,140 | $25,020 | $46,125 | $503,285 |
| Office Expenses | $86,003 | $3,280 | $6,205 | $95,488 |
| Fees for Services Other | $63,480 | $3,970 | $5,444 | $72,894 |
| Conferences and Meetings | $48,302 | - | $7,142 | $55,444 |
| Payroll Taxes | $33,738 | $1,953 | $3,601 | $39,292 |
| Insurance | $17,562 | $8,439 | - | $26,001 |
| Travel | $14,183 | - | $1,389 | $15,572 |
| Fees for Services Accounting | $8,167 | $1,667 | - | $9,834 |
| Occupancy | $6,140 | $1,308 | - | $7,448 |
| Other Expenses | $448 | $911 | $1,400 | $911 |
| Fees for Services Legal | $780 | - | - | $780 |
| Depreciation Depletion | $347 | - | - | $347 |
| Total Functional Expenses | $966,304 | $47,469 | $71,306 | $1,085,079 |
| Line Item | Amount |
|---|---|
| Expenses per Audited Statements | $1,085,079 |
| Total Expenses per Audited Statements | $1,085,079 |
| Total Expenses per Form 990 | $1,085,079 |
| Expenses Not Reported on Financial Statements | $0 |
| Expenses Not Reported on Form 990 | $0 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
“Board will receive a copy of 990 by email and have the opportunity to ask questions prior to filing”
“Chairman receives forms on an annual basis”
“All compensation decisions involving the president, cfo and top management officials are reviewed by the board”
“By request, guidestar.org and organization's website”
“BY REQUEST”
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/AccountantCompileOrReviewInd | 0 | 0 |
| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 108626 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 51865 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 110000 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 307968 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | EMPOWERING AND CONNECTING THOSE IMPACTED BY PAIN TO IMPROVE LIVES, ACCESS, OUTCOMES, AND AWARENESS. |
| IRS990/AllOtherContributionsAmt | 0 | 966811 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/BackupWthldComplianceInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | PAMELA LYNCH |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 8606049482 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 14 EBB ROAD |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | YARMOUTHPORT |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | MA |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 02675 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 0 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 28399 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 29595 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 0 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 1 |
| IRS990/CompensationProcessOtherInd | 0 | 1 |
| IRS990/ConferencesMeetingsGrp/FundraisingAmt | 0 | 7142 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 48302 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 55444 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 0 |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 966811 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 20057 |
| IRS990/CYOtherExpensesAmt | 0 | 542502 |
| IRS990/CYOtherRevenueAmt | 0 | 6677 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 7548 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | -83986 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 542577 |
| IRS990/CYTotalExpensesAmt | 0 | 1085079 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 71306 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 1001093 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 0 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 1 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 347 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 347 |
| IRS990/Desc | 0 | U.S. PAIN'S FLAGSHIP PROGRAM, THE INVISIBLE PROJECT, IS A PRINT AND DIGITAL MAGAZINE THAT SHARES THE LIVED EXPERIENCES OF INDIVIDUALS WITH CHRONIC PAIN THROUGH COMPELLING STORIES, PHOTOGRAPHY, AND EDUCATIONAL CONTENT. DURING THE FISCAL YEAR, THE ORGANIZATION FOCUSED ON PROMOTING ITS MOST RECENT EDITION ON DIABETES AND PAIN THROUGH CONFERENCE PARTICIPATION, SPEAKING ENGAGEMENTS, AND OUTREACH EFFORTS. DEVELOPMENT IS CURRENTLY UNDERWAY FOR THE NEXT EDITION, WHICH WILL SPOTLIGHT PAIN RESEARCH. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 0 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/DonorRestrictionNetAssetsGrp/BOYAmt | 0 | 15000 |
| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 150000 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 0 |
| IRS990/ElectionOfBoardMembersInd | 0 | 0 |
| IRS990/EmployeeCnt | 0 | 9 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 966304 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 0 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 1667 |
| IRS990/FeesForServicesAccountingGrp/ProgramServicesAmt | 0 | 8167 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 9834 |
| IRS990/FeesForServicesLegalGrp/ProgramServicesAmt | 0 | 780 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 780 |
| IRS990/FeesForServicesOtherGrp/FundraisingAmt | 0 | 5444 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 3970 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 63480 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 72894 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 6.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 6.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 6.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 10.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 35.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 20.00 |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | SHAWN DICKENS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | EDWARD BILSKY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | JESSICA BEGLEY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | ELLEN LENOX SMITH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | KAREN DUFFY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | NICOLE HEMMENWAY DYER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | PAMELA LYNCH |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 125000 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 65000 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | CHAIRMAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | ASSISTANT TREASURER & CFO |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/FormationYr | 0 | 2006 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/SeparateBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 5 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossReceiptsAmt | 0 | 1001093 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 0 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 1 |
| IRS990/IndependentVotingMemberCnt | 0 | 5 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 1 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 8439 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 17562 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 26001 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 20057 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 20057 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/IRPDocumentCnt | 0 | 19 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 1070 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 1267 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 920 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 1990 |
| IRS990/LegalDomicileStateCd | 0 | CT |
| IRS990/LoanOutstandingInd | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | 1 |
| IRS990/LocalChaptersInd | 0 | 0 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 0 |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 1 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MissionDesc | 0 | THE MISSION OF THE U.S. PAIN FOUNDATION IS TO EMPOWER, EDUCATE, CONNECT, AND ADVOCATE FOR INDIVIDUALS LIVING WITH CHRONIC CONDITIONS AND SERIOUS INJURIES THAT CAUSE PAIN, ALONG WITH THEIR CAREGIVERS AND CLINICIANS. THROUGH A RANGE OF PROGRAMS AND SERVICES, THE ORGANIZATION STRIVES TO IMPROVE QUALITY OF LIFE, ADVANCE PATIENT OUTCOMES, ADDRESS BARRIERS TO CARE AND AFFORDABILITY, AND RAISE PUBLIC AWARENESS AND EMPATHY AROUND THE ISSUE OF PAIN. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 696043 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 612057 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 681043 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 462057 |
| IRS990/NoncashContributionsAmt | 0 | 168375 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 1308 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 6140 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 7448 |
| IRS990/OfficeExpensesGrp/FundraisingAmt | 0 | 6205 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 3280 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 86003 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 95488 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 0 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 0 |
| IRS990/OtherExpensesGrp/Desc | 0 | PROGRAM AND EVENTS |
| IRS990/OtherExpensesGrp/Desc | 1 | MEMBERSHIP AND COALITIO |
| IRS990/OtherExpensesGrp/Desc | 2 | SUPPLIES |
| IRS990/OtherExpensesGrp/Desc | 3 | OTHER EXPENSE |
| IRS990/OtherExpensesGrp/FundraisingAmt | 0 | 1400 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 921 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 911 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 247184 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 7830 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 448 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 247184 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 9230 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 1369 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 911 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 0 | 900009 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | OTHER INCOME |
| IRS990/OtherRevenueMiscGrp/ExclusionAmt | 0 | 6677 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 0 | 6677 |
| IRS990/OtherRevenueTotalAmt | 0 | 6677 |
| IRS990/OtherSalariesAndWagesGrp/FundraisingAmt | 0 | 46125 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 25020 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 432140 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 503285 |
| IRS990/OtherWebsiteInd | 0 | X |
| IRS990/OwnWebsiteInd | 0 | X |
| IRS990/PartialLiquidationInd | 0 | 0 |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/PayrollTaxesGrp/FundraisingAmt | 0 | 3601 |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 1953 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 33738 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 39292 |
| IRS990/PoliticalCampaignActyInd | 0 | 0 |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 1022 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 3810 |
| IRS990/PrincipalOfficerNm | 0 | NICOLE HEMMENWAY DYER |
| IRS990/ProfessionalFundraisingInd | 0 | 0 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 900099 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | PROGRAM SERVICE FEES |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 7548 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 7548 |
| IRS990/ProgSrvcAccomActy2Grp/Desc | 0 | THE U.S. PAIN FOUNDATION EMPOWERS INDIVIDUALS TO ADVOCATE FOR THEMSELVES WHILE ADVANCING PAIN POLICY AT THE STATE AND FEDERAL LEVELS. DURING THE FISCAL YEAR, THE ORGANIZATION FOCUSED ON PROMOTING INTEGRATED, MULTIDISCIPLINARY PAIN CARE AND IMPROVING ACCESS TO A BROAD RANGE OF THERAPIES, INCLUDING COMPLEMENTARY TREATMENTS, MEDICAL DEVICES, AND NOVEL THERAPEUTICS. STATE EFFORTS CENTERED ON EMPOWERING SMALL GROUPS OF ADVOCATES TO TESTIFY ON LEGISLATION AIMED AT IMPROVING ACCESS TO CARE. NATIONALLY, U.S. PAIN WORKED TOWARD PASSING A FEDERAL BILL TO IMPROVE POPULATION HEALTH DATA COLLECTION ON PAIN. |
| IRS990/ProgSrvcAccomActy3Grp/Desc | 0 | THE PEDIATRIC PAIN WARRIOR PROGRAM SUPPORTS CHILDREN WITH CHRONIC PAIN AND THEIR FAMILIES THROUGH EDUCATION AND COMMUNITY-BUILDING. IN JUNE 2025, THE PROGRAM HOSTED ITS FOURTH ANNUAL FAMILY SUMMER CAMP AT MORGAN'S CAMP IN SAN ANTONIO, TX, WELCOMING 54 FAMILIES FOR FIVE DAYS OF FUN ACTIVITIES, EDUCATIONAL SESSIONS, AND PEER SUPPORT. THE PROGRAM ALSO HELD FAMILY PAIN EDUCATION DAYS AT CHILDREN'S HOSPITALS NATIONWIDE TO PROVIDE IN-PERSON EDUCATION AND CONNECTION FOR FAMILIES MANAGING PAIN. |
| IRS990/ProhibitedTaxShelterTransInd | 0 | 0 |
| IRS990/PYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/PYContributionsGrantsAmt | 0 | 785344 |
| IRS990/PYExcessBenefitTransInd | 0 | 0 |
| IRS990/PYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/PYInvestmentIncomeAmt | 0 | 5478 |
| IRS990/PYOtherExpensesAmt | 0 | 577967 |
| IRS990/PYOtherRevenueAmt | 0 | 530069 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 103273 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | 286725 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 559472 |
| IRS990/PYTotalExpensesAmt | 0 | 1137439 |
| IRS990/PYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/PYTotalRevenueAmt | 0 | 1424164 |
| IRS990/QuidProQuoContributionsInd | 0 | 0 |
| IRS990/RcvFndsToPayPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | -83986 |
| IRS990/RegularMonitoringEnfrcInd | 0 | 1 |
| IRS990/RelatedEntityInd | 0 | 0 |
| IRS990/RelatedOrganizationCtrlEntInd | 0 | 0 |
| IRS990/ReportInvestmentsOtherSecInd | 0 | 0 |
| IRS990/ReportLandBuildingEquipmentInd | 0 | 1 |
| IRS990/ReportOtherAssetsInd | 0 | 0 |
| IRS990/ReportOtherLiabilitiesInd | 0 | 0 |
| IRS990/ReportProgramRelatedInvstInd | 0 | 0 |
| IRS990/SavingsAndTempCashInvstGrp/BOYAmt | 0 | 663981 |
| IRS990/SavingsAndTempCashInvstGrp/EOYAmt | 0 | 321629 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearAmt | 0 | 966811 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus1YearAmt | 0 | 785344 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus2YearsAmt | 0 | 936165 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus3YearsAmt | 0 | 690276 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus4YearsAmt | 0 | 851628 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/TotalAmt | 0 | 4230224 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearAmt | 0 | 20057 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus1YearAmt | 0 | 5478 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus2YearsAmt | 0 | 67 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus3YearsAmt | 0 | 1972 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus4YearsAmt | 0 | 1679 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/TotalAmt | 0 | 29253 |
| IRS990ScheduleA/GrossReceiptsRltdActivitiesAmt | 0 | 110821 |
| IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearAmt | 0 | 6677 |
| IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearMinus1YearAmt | 0 | 530069 |
| IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearMinus2YearsAmt | 0 | 3736 |
| IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearMinus3YearsAmt | 0 | 135144 |
| IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearMinus4YearsAmt | 0 | 110555 |
| IRS990ScheduleA/OtherIncome170Grp/TotalAmt | 0 | 786181 |
| IRS990ScheduleA/PublicOrganization170Ind | 0 | X |
| IRS990ScheduleA/PublicSupportCY170Pct | 0 | 0.83840 |
| IRS990ScheduleA/PublicSupportPY170Pct | 0 | 0.82990 |
| IRS990ScheduleA/PublicSupportTotal170Amt | 0 | 4230224 |
| IRS990ScheduleA/ThirtyThrPctSuprtTestsCY170Ind | 0 | X |
| IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearAmt | 0 | 966811 |
| IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus1YearAmt | 0 | 785344 |
| IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus2YearsAmt | 0 | 936165 |
| IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus3YearsAmt | 0 | 690276 |
| IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus4YearsAmt | 0 | 851628 |
| IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt | 0 | 4230224 |
| IRS990ScheduleA/TotalSupportAmt | 0 | 5045658 |
| IRS990ScheduleB/ContributorInformationGrp/ContributorBusinessName/BusinessNameLine1 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorNum | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine1 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine2 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/City | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt | 0 | RESTRICTED |
| IRS990/ScheduleBRequiredInd | 0 | 1 |
| IRS990ScheduleC/DirectContactLegislatorsAmt | 0 | 14365 |
| IRS990ScheduleC/DirectContactLegislatorsInd | 0 | 1 |
| IRS990ScheduleC/GrantsOtherOrganizationsInd | 0 | 0 |
| IRS990ScheduleC/MailingsMembersAmt | 0 | 13856 |
| IRS990ScheduleC/MailingsMembersInd | 0 | 1 |
| IRS990ScheduleC/MediaAdvertisementsInd | 0 | 0 |
| IRS990ScheduleC/NotDescribedSection501c3Ind | 0 | 0 |
| IRS990ScheduleC/OtherActivitiesAmt | 0 | 1875 |
| IRS990ScheduleC/OtherActivitiesInd | 0 | 1 |
| IRS990ScheduleC/PaidStaffOrManagementInd | 0 | 1 |
| IRS990ScheduleC/PublicationsOrBroadcastAmt | 0 | 8798 |
| IRS990ScheduleC/PublicationsOrBroadcastInd | 0 | 1 |
| IRS990ScheduleC/RalliesDemonstrationsAmt | 0 | 2996 |
| IRS990ScheduleC/RalliesDemonstrationsInd | 0 | 1 |
| IRS990ScheduleC/SupplementalInformationDetail/ExplanationTxt | 0 | A: USPF PROVIDES ACTION ALERTS AND WEBINARS TO VOLUNTEERS TO TAKE ACTION REGARDING VARIOUS POLICIES THAT IMPACT HEALTH B: USPF STAFF INCLUDES AN ADVOCACY DEPARTMENT THAT HAS EFFORTS FOCUSING ON IMPROVING PAIN POLICY, WHICH SOMETIMES INVOLVE LEGISLATION D: USPF UTILIZES ENGAGEMENT PLATFORMS TO HELP PUBLIC LEARN ABOUT POLICY ISSUES AND CONTACT REPRESENTATIVES TO EDUCATE THEM ON PAIN ISSUES, WHICH SOMETIMES INVOLVES SOPPORTING OR OPPOSING LEGISLATION IMPACTING THE PAIN COMMUNITY E: USPF AUTHORS OP-EDS AND COMMENTARY, AS WELL AS BROADCASTS ADVOCACY WEBINAR EVENTS ON THE NEGATIVE AND/OR POSITIVE IMPACTS OF VARIOUS POLICIES AFFECTING PAIN CARE, WHICH COULD INCLUDE GUIDELINES, GUIDANCE, RECOMMENDATIONS, PROPOSED RULES AND BILLS G : USPF STAFF, AS WELL AS VOLUNTEERS MET IN-PERSON AND VIRTUALLY WITH POLICYMAKERS TO DISCUSS ISSUES IMPEDING OR IMPROVING PAIN CARE, SUCH AS COVERAGE FOR THERAPIES, BEST PRACTICE RECOMMENDATIONS FOR PAIN, TELEHEALTH COVERAGE, GUIDELINES FOR PAIN MANAGEMENT, MEDICAL CANNABIS, ETC. SOME OF THESE RELATE TO POSSIBLE LEGISLATION AND SOME DO NOT. H : USPF STAFF AND MANAGEMENT SPOKE ON ISSUES REGARDING PAIN CARE THROUGHOUT THE YEAR. USPF HOSTED ADVOCACY WEBINARS TO DISCUSS POLICY ISSUES. ADDITIONALLY, USPF HELD A VIRTUAL ADVOCACY DAY TO IMPROVE PATIENT ACCESS TO CARE AS WELL AS ITS THIRD VIRTUAL ADVOCACY TRAINING SERIES. USPF ALSO SPONSORED PATIENT VOLUNTEERS ATTENDING AN EDUCATIONAL PROGRAM FOLLOWED BY MEETINGS WITH LAWMAKERS ADDRESSING LEGISLATION AIMED AT ENHANCING PATIENT ACCESS TO THERAPY OPTIONS. I: USPF IS A MEMBER OF DIFFERENT COALITIONS AND ALLIANCES TO AMPLIFY THE PATIENT VOICE AND THE NEED FOR BETTER ACCESS TO EQUITABLE CARE. IN ADDITION, USPF REVIEWED LEGISLATIVE LANGUAGE TO IMPROVE PAIN CARE AND PAIN POLICY. |
| IRS990ScheduleC/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | PART II-B |
| IRS990ScheduleC/TotalLobbyingExpendituresAmt | 0 | 41890 |
| IRS990ScheduleC/VolunteersInd | 0 | 1 |
| IRS990ScheduleD/EquipmentGrp/BookValueAmt | 0 | 920 |
| IRS990ScheduleD/EquipmentGrp/DepreciationAmt | 0 | 1070 |
| IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt | 0 | 1990 |
| IRS990ScheduleD/ExpensesNotReportedAmt | 0 | 0 |
| IRS990ScheduleD/ExpensesNotRptFinclStmtAmt | 0 | 0 |
| IRS990ScheduleD/ExpensesSubtotalAmt | 0 | 1085079 |
| IRS990ScheduleD/RevenueNotReportedAmt | 0 | 0 |
| IRS990ScheduleD/RevenueNotReportedFinclStmtAmt | 0 | 0 |
| IRS990ScheduleD/RevenueSubtotalAmt | 0 | 1001093 |
| IRS990ScheduleD/TotalBookValueLandBuildingsAmt | 0 | 920 |
| IRS990ScheduleD/TotalExpensesPerForm990Amt | 0 | 1085079 |
| IRS990ScheduleD/TotalRevenuePerForm990Amt | 0 | 1001093 |
| IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt | 0 | 1001093 |
| IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt | 0 | 1085079 |
| IRS990/ScheduleJRequiredInd | 0 | 0 |
| IRS990ScheduleM/AnyPropertyThatMustBeHeldInd | 0 | 0 |
| IRS990ScheduleM/OtherNonCashContriTableGrp/ContributionCnt | 0 | 0 |
| IRS990ScheduleM/OtherNonCashContriTableGrp/Desc | 0 | CONSUMABLE SUPPLIES |
| IRS990ScheduleM/OtherNonCashContriTableGrp/MethodOfDeterminingRevenuesTxt | 0 | FAIR MARKET VALUE |
| IRS990ScheduleM/OtherNonCashContriTableGrp/NonCashCheckboxInd | 0 | X |
| IRS990ScheduleM/OtherNonCashContriTableGrp/NoncashContributionsRptF990Amt | 0 | 168375 |
| IRS990ScheduleM/ReviewProcessUnusualNCGiftsInd | 0 | 0 |
| IRS990ScheduleM/ThirdPartiesUsedInd | 0 | 0 |
| IRS990/ScheduleORequiredInd | 0 | 1 |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 0 | BOARD WILL RECEIVE A COPY OF 990 BY EMAIL AND HAVE THE OPPORTUNITY TO ASK QUESTIONS PRIOR TO FILING |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 1 | CHAIRMAN RECEIVES FORMS ON AN ANNUAL BASIS |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 2 | ALL COMPENSATION DECISIONS INVOLVING THE PRESIDENT, CFO AND TOP MANAGEMENT OFFICIALS ARE REVIEWED BY THE BOARD |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 3 | BY REQUEST, GUIDESTAR.ORG AND ORGANIZATION'S WEBSITE |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 4 | BY REQUEST |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | FORM 990, PART VI, SECTION B, LINE 11B |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 1 | FORM 990, PART VI, SECTION B, LINE 12C |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 2 | FORM 990, PART VI, SECTION B, LINE 15 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 3 | FORM 990, PART VI, SECTION C, LINE 18 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 4 | FORM 990, PART VI, SECTION C, LINE 19 |
| IRS990/SchoolOperatingInd | 0 | 0 |
| IRS990/SignificantChangeInd | 0 | 0 |
| IRS990/SignificantNewProgramSrvcInd | 0 | 0 |
| IRS990/StatesWhereCopyOfReturnIsFldCd | 0 | CT |
| IRS990/StatesWhereCopyOfReturnIsFldCd | 1 | AL |
| IRS990/StatesWhereCopyOfReturnIsFldCd | 2 | AR |
| IRS990/StatesWhereCopyOfReturnIsFldCd | 3 | CA |
| IRS990/StatesWhereCopyOfReturnIsFldCd | 4 | FL |
| IRS990/StatesWhereCopyOfReturnIsFldCd | 5 | GA |
| IRS990/StatesWhereCopyOfReturnIsFldCd | 6 | HI |
| IRS990/StatesWhereCopyOfReturnIsFldCd | 7 | IL |
| IRS990/StatesWhereCopyOfReturnIsFldCd | 8 | KS |
| IRS990/StatesWhereCopyOfReturnIsFldCd | 9 | KY |
| IRS990/StatesWhereCopyOfReturnIsFldCd | 10 | MD |
| IRS990/StatesWhereCopyOfReturnIsFldCd | 11 | MA |
| IRS990/StatesWhereCopyOfReturnIsFldCd | 12 | MI |
| IRS990/StatesWhereCopyOfReturnIsFldCd | 13 | MN |
| IRS990/StatesWhereCopyOfReturnIsFldCd | 14 | MS |
| IRS990/StatesWhereCopyOfReturnIsFldCd | 15 | NH |
| IRS990/StatesWhereCopyOfReturnIsFldCd | 16 | NJ |
| IRS990/StatesWhereCopyOfReturnIsFldCd | 17 | NM |
| IRS990/StatesWhereCopyOfReturnIsFldCd | 18 | NY |
| IRS990/StatesWhereCopyOfReturnIsFldCd | 19 | NC |
| IRS990/StatesWhereCopyOfReturnIsFldCd | 20 | OR |
| IRS990/StatesWhereCopyOfReturnIsFldCd | 21 | PA |
| IRS990/StatesWhereCopyOfReturnIsFldCd | 22 | RI |
| IRS990/StatesWhereCopyOfReturnIsFldCd | 23 | SC |
| IRS990/StatesWhereCopyOfReturnIsFldCd | 24 | TN |
| IRS990/StatesWhereCopyOfReturnIsFldCd | 25 | UT |
| IRS990/StatesWhereCopyOfReturnIsFldCd | 26 | VA |
| IRS990/StatesWhereCopyOfReturnIsFldCd | 27 | WV |
| IRS990/StatesWhereCopyOfReturnIsFldCd | 28 | WI |
| IRS990/StatesWhereCopyOfReturnIsFldCd | 29 | CO |
| IRS990/StatesWhereCopyOfReturnIsFldCd | 30 | ME |
| IRS990/StatesWhereCopyOfReturnIsFldCd | 31 | ND |
| IRS990/StatesWhereCopyOfReturnIsFldCd | 32 | AK |
| IRS990/SubjectToExcsTaxNetInvstIncInd | 0 | 0 |
| IRS990/SubjectToProxyTaxInd | 0 | 0 |
| IRS990/SubjToTaxRmnrtnExPrchtPymtInd | 0 | 0 |
| IRS990/TaxablePartyNotificationInd | 0 | 0 |
| IRS990/TaxExemptBondsInd | 0 | 0 |
| IRS990/TerminateOperationsInd | 0 | 0 |
No mirrored PDF or thumbnail assets are attached yet.