Civic Intelligence

Chesapeake Regional Information System for Our Patients Inc.

990 • Fiscal year 2021 • EIN 27-0332436

Jul 01, 2020 to Jun 30, 2021 • Filed on May 13, 2022

7160 Columbia Gateway Drive No 10Columbia, MD 21046

(443) 285-0160

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

81st percentile

0.66x

Higher debt load relative to assets than 81% of similar nonprofits.

2021 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2021

Liabilities / Revenue

40th percentile

0.24x

Higher debt load relative to revenue than 40% of similar nonprofits.

2021 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2021

Net Margin

29th percentile

2.6%

Higher net margin than 29% of similar nonprofits.

2021 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2021

Top Officer Pay

71st percentile

$503,966

Higher top officer pay than 71% of similar nonprofits.

Top officer pay equals 1.0% of source-year revenue.

2021 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2021

Asset Growth

84th percentile

32%

Faster asset growth than 84% of similar nonprofits.

2021 filings • 501(c)3 • $50M-$100M nonprofits • Annualized from 2020 to 2021

Revenue Growth

59th percentile

17%

Faster revenue growth than 59% of similar nonprofits.

2021 filings • 501(c)3 • $50M-$100M nonprofits • Annualized from 2020 to 2021

Assets

Up

$18,949,461

Up $4,542,833 (+32%) from 2020

Net Assets

Up

$6,481,115

Up $1,323,051 (+26%) from 2020

Liabilities

Up

$12,468,346

Up $3,219,782 (+35%) from 2020

Revenue

Up

$51,004,961

Up $7,403,436 (+17%) from 2020

Expenses

Up

$49,681,910

Up $6,613,710 (+15%) from 2020

Net Income

Up

$1,323,051

Up $789,726 (+148%) from 2020

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$30M$20M$10M$0Assets 2010: $4,257,399Liabilities 2010: $4,257,399Net Assets 2010: $02010Assets 2011: $2,779,475Liabilities 2011: $2,125,438Net Assets 2011: $654,0372011Assets 2012: $3,080,091Liabilities 2012: $2,188,725Net Assets 2012: $891,3662012Assets 2013: $3,887,676Liabilities 2013: $3,022,087Net Assets 2013: $865,5892013Assets 2018: $11,543,032Liabilities 2018: $7,210,654Net Assets 2018: $4,332,3782018Assets 2019: $12,389,057Liabilities 2019: $7,764,318Net Assets 2019: $4,624,7392019Assets 2020: $14,406,628Liabilities 2020: $9,248,564Net Assets 2020: $5,158,0642020Assets 2021: $18,949,461Liabilities 2021: $12,468,346Net Assets 2021: $6,481,1152021Assets 2022: $20,760,550Liabilities 2022: $13,342,873Net Assets 2022: $7,417,6772022Assets 2023: $17,289,283Liabilities 2023: $9,863,501Net Assets 2023: $7,425,7822023Assets 2024: $21,230,988Liabilities 2024: $12,661,844Net Assets 2024: $8,569,1442024

Highlighted filing

2021

Assets$18,949,461
Liabilities$12,468,346
Net Assets$6,481,115

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$60M$40M$20M$0Expenses 2010: $2,565,5892010Expenses 2011: $5,986,6842011Expenses 2012: $8,266,4472012Expenses 2013: $8,099,9682013Revenue 2018: $36,317,838Expenses 2018: $35,831,950Net Income 2018: $485,8882018Revenue 2019: $38,261,743Expenses 2019: $37,969,382Net Income 2019: $292,3612019Revenue 2020: $43,601,525Expenses 2020: $43,068,200Net Income 2020: $533,3252020Revenue 2021: $51,004,961Expenses 2021: $49,681,910Net Income 2021: $1,323,0512021Revenue 2022: $48,631,747Expenses 2022: $47,695,185Net Income 2022: $936,5622022Revenue 2023: $42,179,120Expenses 2023: $42,171,014Net Income 2023: $8,1062023Revenue 2024: $49,274,134Expenses 2024: $48,130,772Net Income 2024: $1,143,3622024

Highlighted filing

2021

Revenue$51,004,961
Expenses$49,681,910
Net Income$1,323,051
Jump To
Filing Snapshot
Filing Period
Jul 1, 2020 to Jun 30, 2021
Signed
May 13, 2022
Return Version
2020v4.2
Gross Receipts
$51,004,961
Mission and Program Overview

Mission

Chesapeake regional information system for our patients, inc. (crisp) is a health information exchange (hie) that operates to advance health and wellness by deploying health information technology solutions adopted through cooperation and collaboration. The mission of crisp is to enable and support the healthcare community of maryland and our region to appropriately and securely share data in order to facilitate care, reduce costs, and improve health outcomes.

To advance health and wellness by deploying health information technology solutions adopted through cooperation and collaboration

Balance Sheet Detail
LineBeginningEndChange
Assets
Pledges and Grants Receivable$10,701,636$12,721,987▲ $2,020,351
Cash and Non-Interest-Bearing Accounts$1,639,551$2,484,455▲ $844,904
Accounts Receivable$897,812$2,213,210▲ $1,315,398
Land, Buildings, and Equipment, Net$267,197$1,156,057▲ $888,860
Prepaid Expenses and Deferred Charges$884,958$50,530▼ $834,428
Total Assets$14,406,628$18,949,461▲ $4,542,833
Other Assets Total$15,474$323,222▲ $307,748
Liabilities
Accounts Payable and Accrued Expenses$8,429,976$11,014,365▲ $2,584,389
Other Liabilities$365,427$1,018,626▲ $653,199
Deferred Revenue$453,161$435,355▼ $17,806
Total Liabilities$9,248,564$12,468,346▲ $3,219,782
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$5,158,064$6,481,115▲ $1,323,051
Total Net Assets Fund Balance$5,158,064$6,481,115▲ $1,323,051
Total Liabilities and Net Assets / Fund Balance$14,406,628$18,949,461▲ $4,542,833

Asset Categories

AssetBook ValueDepreciationBasis
Other Land Buildings$996,115$1,917,266$2,913,381
Equipment$159,942$1,164,049$1,323,991
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
David HorrocksCEO and PresidentFT$324,374$89,259$413,633
Brandon NeiswednerChief Operating OfficerFT$216,345$57,768$274,113
Craig BehmExecutive DirectorFT$191,106$39,082$230,188
Ryan BrambleExecutive DirectorFT$186,077$30,184$216,261
Cheryl JonesSenior Director of Human ResourcesFT$122,522$23,812$146,334
Stacey BenicewiczSenior Director of FinanceFT$116,180$21,079$137,259

Board Members and Trustees

NameTitle
Patrick DooleyChair (thru 12/2020)
Alicia CunninghamDIRECTOR (THRU 12/2020); VICE CHAIR
Pamela RayneVICE CHAIR (THRU 12/2020); CHAIR
Beth Sammis PhdDirector
Dewayne OberlanderDirector
Gregg ColonDirector
Jacqueline Fulton MdDirector
Laura Herrera-scott MdDirector
Peter Greene MdDirector
Scott MacleanDirector
Susan NelsonDirector
Willarda Edwards MdDirector
Colin Ward DrphDirector (eff. 12/2020)
David Wertheimer IiDirector (eff. 12/2020)
Brian WheelerDirector (eff. 4/2021)
Howard Haft MdDirector (thru 12/2020)
Jonathan Kromm PhdDirector (thru 4/2021)
Tricia RoddySecretary
Bob ReillyTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Dynamed SolutionsStaffing5520 RESEARCH PARK DRIVE, Baltimore, MD 21228$2,019,865
HmetrixTechnology150 MONUMENT ROAD STE 600, Bala Cynwyd, PA 19004$2,013,478
Leap Orbit LLCTechnology1343 CERNAN LANE, Blue Bell, PA 19422$1,721,966
Audacious InquiryTechnology5523 RESEARCH PARK DRIVE STE 370, Baltimore, MD 21228$1,636,299
Lyneer Staffing SolutionsStaffing1011 WHITEHEAD ROAD, Ewing, NJ 08638$1,139,901
Revenue and Support

Revenue Composition

Contributions and Grants
$45,081,049
Program Service Revenue
$5,923,912
Investment Income
$0
Other Revenue
$0
All Other Contributions
$5,318,651
Change in Net Assets
$1,323,051
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$44,468,629
Salaries, Compensation, and Employee Benefits$5,213,281
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Other$30,700,257$2,296,334-$32,996,591
Information Technology$7,853,115$743,648-$8,596,763
Other Salaries and Wages$3,140,414$1,314,398-$4,454,812
Advertising$1,146,342$4,272-$1,150,614
Current Officers, Directors, Trustees, and Key Employees$446,166$186,754-$632,920
Fees for Services Legal$462,293$34,579-$496,872
Occupancy$30,693$308,028-$338,721
Office Expenses$20,352$137,570-$157,922
Pension Plan Contributions$79,577$33,306-$112,883
Other Expenses$37,976$71,439-$109,415
Depreciation Depletion$107,255--$107,255
Fees for Services Accounting$67,219$5,028-$72,247
Insurance$9,602$58,405-$68,007
Travel$570$45,005-$45,575
Fees for Services Management$22,078$9,241-$31,319
Conferences and Meetings$2,271$25,690-$27,961
Other Employee Benefits$8,929$3,737-$12,666
All Other Expenses$472$5,343-$5,815
Total Functional Expenses$44,267,325$5,414,585$0$49,681,910
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Other Entities$845,632
Deferred Rent$172,994
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
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
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 6

Chesapeake regional information system for our patients, inc. Has two classes of members, class a members and class b members. Class a members can 1) vote on any matters before the members, 2) appoint and remove two directors, 3) select one or more representatives who may attend and speak at the meetings of the members and receive a copy of any materials made available to the members but who shall not have the right to vote as a member, and 4) by a majority of the class a members, to approve any action of the board of directors or a board committee concerning the exercise of the corporation's authority as a class a member of crisp shared services, inc. Class b members can 1) vote on any matters before the members, 2) appoint and remove one director, and 3) select one or more representatives who may attend and speak at the meetings of the members and receive a copy of any materials made available to the members but who shall not have the right to vote as a member.

Form 990, Part VI, Section A, Line 7A

The admission of new members must have the affirmative vote of at least one director appointed by each class a member and at least one director appointed by either the class b or the class c member.

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

A copy of the form 990 is provided to the board of directors before it was filed.

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

The purpose of this conflict of interest policy is to protect the chesapeake regional information system for our patients, inc. (the organization's") interest when it is contemplating entering into a transaction or arrangement that might benefit the private interest of an officer, director, or senior manager of the organization. Any director, officer, member of a board committee, or senior manager who has a direct or indirect financial interest with the organization is an interested person. In connection with any actual or possible financial conflicts of interest, an interested person must disclose the existence of his or her financial interest and all material facts to the board of directors or members of committees considering the proposed transaction or arrangement. The disclosure required by this section shall be in writing, on a form prescribed by the board, and shall be submitted no less frequently than annually. Disclosure forms shall be updated on an interim basis by the interested person whenever there has been a material change in the underlying facts and circumstances. After disclosure of the financial interest and all material facts, and after any discussion with the interested person desired by the board or committee, he or she shall leave the board or committee meeting while the determination of a conflict of interest is discussed and voted upon. The remaining board or committee members shall decide if a conflict of interest exists. The minutes of the board and all committees shall contain-- 1. The names of the persons who disclosed or otherwise were found to have a financial interest in connection with an actual or possible conflict of interest, the nature of the financial interest, any action taken to determine whether a conflict of interest was present, and the board's or committee's decision as to whether a conflict of interest in fact existed. 2. The names of the persons who were present for discussions and votes relating to the transaction or arrangement, the content of the discussion, including any alternatives to the proposed transaction or arrangement, and a record of any votes taken in connection therewith. To ensure the organization operates in a manner consistent with charitable purposes and does not engage in activities that could jeopardize its tax-exempt status, periodic reviews shall be conducted. The periodic reviews shall, at a minimum, include the following subjects: a. Whether compensation arrangements and benefits are reasonable, based on competent survey information, and the result of arm's length bargaining. B. Whether partnerships, joint ventures, and arrangements with management organizations conform to the organization's written policies, are properly recorded, reflect reasonable investment or payments for goods and services, further charitable purposes and do not result in inurement, impermissible private benefit or in an excess benefit transaction.

Form 990, Part VI, Section B, Line 15

To determine compensation for the organization ceo, a salary survey was first conducted to understand compensation for positions of similar responsibility at organizations in the health care and health it industry. Base compensation and a percentage of potential variable compensation were set to be consistent with the survey findings. At the end of each year, the board of directors compares organizational accomplishments to stated goals, and determines if any of the potential variable compensation will be awarded. An annual cola adjustment is applied to the ceo compensation, using the cola of a large hospital system in the baltimore area as the standard. The board will authorize salary surveys in future years as appropriate. When determining the compensation of officers and key employees, an independent consultant is engaged to provide a suggested salary range based on market research. The results are presented to the board of directors for their final approval.

Form 990, Part VI, Section C, Line 19

Crisp does not make its governing documents, conflict of interest policy or financial statements available to the public.

Filing and Contact Details

Filer

Filer Name
Chesapeake Regional Information
EIN
27-0332436
Phone
4432850160
Address
7160 COLUMBIA GATEWAY DRIVE NO 10, COLUMBIA, MD 21046

Signing Officer

Name
Brandon Neiswender
Title
Interim CEO
Phone
4432850160
Signed
2022-05-13
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Brandon Neiswender
Formed
2008
Legal Domicile
Md
Voting Board Members
16
Independent Board Members
16
Employees
0
Volunteers
19

Preparer

Firm
Cliftonlarsonallen Llp
Address
2523 US HIGHWAY 27 S, SEBRING, FL 33870-4926
Preparer
Kristina Himrod
Phone
8633851577
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G

Contract services: program service expenses 30,472,783. Management and general expenses 2,279,319. Fundraising expenses 0. Total expenses 32,752,102. Deap user fee credits: program service expenses 227,474. Management and general expenses 17,015. Fundraising expenses 0. Total expenses 244,489.

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IRS990/Desc0HEALTH INFORMATION EXCHANGE (HIE)- CRISP CONTINUES TO FOCUS ON THE EXCHANGE. SINCE BUILD-OUT OF THE EXCHANGE, CRISP HIE HAS ALLOWED PROVIDERS PRACTICING AT ONE LOCATION TO INSTANTLY ACCESS PATIENTS' RECORDS, TEST RESULTS, AND OTHER IMPORTANT INFORMATION EVEN IF THAT INFORMATION IS PHYSICALLY STORED MILES AWAY IN SEVERAL UNRELATED LOCATIONS. A BRIEF DESCRIPTION OF THE HIE CONCEPT IS AS FOLLOWS: WHILE PHYSICIAN ACCESS IS IMPROVED BY AN HIE, SO IS THE SECURITY OF PATIENTS' MEDICAL INFORMATION. SECURE ELECTRONIC TRANSMISSION OF MEDICAL DATA ENSURES THAT IS REACHED THE INTENDED RECIPIENT AND ONLY THE INTENDED RECIPIENT. CONTINUED ON SCHEDULE OTHE INSTANTANEOUS ACCESS AND IMPROVED SECURITY OFFERED BY A HIE IS MADE POSSIBLE BY THE HIGH-SPEED COMPUTER NETWORKING HARDWARE USED TO CONNECT ALL PARTICIPATING HEALTH CARE FACILITIES AND IDENTIFY THE LOCATION OF PATIENT RECORDS WITHIN THOSE PARTICIPATING FACILITIES. INCREASED AVAILABILITY AND SECURITY OF PATIENT INFORMATION REDUCES ERRORS, IMPROVES PATIENT CARE, AND LOWERS HEALTH CARE COSTS. HIE ALSO PERMIT, ON A VAST SCALE, THE COLLECTION OF EPIDEMIOLOGICAL AND OTHER DATA PROVIDING UNIQUE SCIENTIFIC AND EDUCATIONAL OPPORTUNITIES. THROUGH ITS ABILITY TO ACCESS AND "DE-IDENTIFY" (REMOVE IDENTIFYING INFORMATION, SUCH AS NAMES OR SOCIAL SECURITY NUMBERS) PATIENT RECORDS FROM MANY (IF NOT ALL) OF A REGION'S PATIENTS, CRISP WILL HELP RELIABLY DETERMINE THE MOST SUCCESSFUL TREATMENTS, RECOGNIZE IMPORTANT AREAS IN NEED OF QUALITY IMPROVEMENT, AND IDENTIFY MEDICAL ERRORS AND OTHER INEFFICIENCIES (SUCH AS TREATMENT COMPLICATIONS) ACROSS AN ENTIRE REGION. IN SUM, HIES PERMIT HEALTHCARE PROVIDERS TO EXCHANGE DATA ON AN UNPRECEDENTED SCALE WHICH SHOULD IMPROVE TREATMENT OUTCOMES AND LOWERS HEALTHCARE COSTS FOR ALL. ADDITIONALLY, HIES PROVIDE A UNIQUE SCIENTIFIC AND EDUCATIONAL OPPORTUNITY. CRISP INTENDS TO OPERATE ITS HIE IN SUCH A WAY AS TO FACILITATE ALL EDUCATIONAL AND SCIENTIFIC USES OF ITS HIE THAT WILL NOT COMPROMISE DATA SECURITY OR PRIVACY. AS CRISP DEVELOPS AND GAINS ACCESS TO AN INCREASING AMOUNT OF MEDICAL DATA, FACILITATION WILL INCLUDE 1) WORKING WITH PARTICIPANTS TO IDENTIFY AREAS WORTH OF STUDY AND/OR RESEARCH, 2) DEVELOPING MEANS FOR DATA COLLECTION WHILE MAINTAINING DATA SECURITY AND PRIVACY, AND 3) PROMOTING THE USE OF APPROPRIATE DATA MINED FROM CRISP IN SCIENTIFIC STUDIES AND EDUCATIONAL SETTINGS.
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IRS990/MissionDesc0CHESAPEAKE REGIONAL INFORMATION SYSTEM FOR OUR PATIENTS, INC. (CRISP) IS A HEALTH INFORMATION EXCHANGE (HIE) THAT OPERATES TO ADVANCE HEALTH AND WELLNESS BY DEPLOYING HEALTH INFORMATION TECHNOLOGY SOLUTIONS ADOPTED THROUGH COOPERATION AND COLLABORATION. THE MISSION OF CRISP IS TO ENABLE AND SUPPORT THE HEALTHCARE COMMUNITY OF MARYLAND AND OUR REGION TO APPROPRIATELY AND SECURELY SHARE DATA IN ORDER TO FACILITATE CARE, REDUCE COSTS, AND IMPROVE HEALTH OUTCOMES.
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