Civic Intelligence

The Foundation for Improving Patient Outcomes(Bankrupt) C/O B Stanziale Esq

990 • Fiscal year 2015 • EIN 27-3571323

Jan 01, 2015 to Dec 31, 2015 • Filed on Jul 12, 2017

29 NORTHFIELD AVENUE No 201West Orange, NJ 07052

(973) 731-9393

Siviq Scores

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

Liabilities / Assets

99th percentile

7.21x

Higher debt load relative to assets than 99% of similar nonprofits.

2015 filings • 501(c)3 • <$500k nonprofits • Source year 2015

Liabilities / Revenue

94th percentile

0.75x

Higher debt load relative to revenue than 94% of similar nonprofits.

2015 filings • 501(c)3 • <$500k nonprofits • Source year 2015

Net Margin

40th percentile

-0.2%

Higher net margin than 40% of similar nonprofits.

2015 filings • 501(c)3 • <$500k nonprofits • Source year 2015

Top Officer Pay

99th percentile

$147,902

Higher top officer pay than 99% of similar nonprofits.

Top officer pay equals 40.1% of source-year revenue.

2015 filings • 501(c)3 • <$500k nonprofits • Source year 2015

Asset Growth

5th percentile

-72%

Faster asset growth than 5% of similar nonprofits.

2015 filings • 501(c)3 • <$500k nonprofits • Annualized from 2014 to 2015

Revenue Growth

29th percentile

-14%

Faster revenue growth than 29% of similar nonprofits.

2015 filings • 501(c)3 • <$500k nonprofits • Annualized from 2014 to 2015

Assets

Down

$38,157

Down $99,025 (-72%) from 2014

Net Assets

Down

-$236,976

Down $777 (-0.3%) from 2014

Liabilities

Down

$275,133

Down $98,248 (-26%) from 2014

Revenue

Down

$368,415

Down $62,097 (-14%) from 2014

Expenses

Up

$369,192

Up $44,773 (+14%) from 2014

Net Income

Down

-$777

Down $106,870 (-101%) from 2014

Historical Trend

Balance Sheet Trend

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

$600K$400K$200K$0-$200K-$400KAssets 2013: $99,438Liabilities 2013: $441,730Net Assets 2013: -$342,2922013Assets 2014: $137,182Liabilities 2014: $373,381Net Assets 2014: -$236,1992014Assets 2015: $38,157Liabilities 2015: $275,133Net Assets 2015: -$236,9762015Assets 2016: $2,705Liabilities 2016: $221,518Net Assets 2016: -$218,8132016Assets 2017: $2,705Liabilities 2017: $224,518Net Assets 2017: -$221,8132017

Highlighted filing

2015

Assets$38,157
Liabilities$275,133
Net Assets-$236,976

Operations Trend

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

$1.0M$500K$0-$500KRevenue 2013: $473,461Expenses 2013: $684,657Net Income 2013: -$211,1962013Revenue 2014: $430,512Expenses 2014: $324,419Net Income 2014: $106,0932014Revenue 2015: $368,415Expenses 2015: $369,192Net Income 2015: -$7772015Revenue 2016: $57,104Expenses 2016: $38,941Net Income 2016: $18,1632016Revenue 2017: $0Expenses 2017: $3,000Net Income 2017: -$3,0002017

Highlighted filing

2015

Revenue$368,415
Expenses$369,192
Net Income-$777
Jump To
Filing Snapshot
Filing Period
Jan 1, 2015 to Dec 31, 2015
Signed
Jul 12, 2017
Return Version
2015v3.0
Gross Receipts
$368,415
Mission and Program Overview

Mission

Improving the quality of medical care

Improving the outcome of medical care

Balance Sheet Detail
LineBeginningEndChange
Assets
Accounts Receivable$91,950--
Loans From Officers Directors-$53,833-
Land, Buildings, and Equipment, Net$18,049$16,511▼ $1,538
Prepaid Expenses and Deferred Charges$7,608$1,704▼ $5,904
Cash and Non-Interest-Bearing Accounts$384$751▲ $367
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Rtn Earn Endowment Incm Other Fnds$-236,199$-236,976▼ $777
Total Assets$137,182$38,157▼ $99,025
Other Assets Total$19,191$19,191→ $0
Liabilities
Deferred Revenue$266,431$142,956▼ $123,475
Accounts Payable and Accrued Expenses$106,950$78,344▼ $28,606
Total Liabilities$373,381$275,133▼ $98,248
Net Assets / Fund Balance
Total Net Assets Fund Balance$-236,199$-236,976▼ $777
Total Liabilities and Net Assets / Fund Balance$137,182$38,157▼ $99,025

Asset Categories

AssetBook ValueDepreciationBasis
Other Land Buildings$10,000-$10,000
Equipment$2,938$6,427$9,365
Leasehold Improvements$3,573$1,989$5,562
Other Assets Org$19,191--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Paul GershDirectorPT$3,846$144,056$147,902
Ali GershVP of OperationsPT$9,567$106,318$115,885
Warren BeckmanVP of ProductionPT$4,975$45,431$50,406

Board Members and Trustees

NameTitle
Dr Tim AvrechBoard Member
Michael LernerBoard Member
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$368,415
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$-777
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$198,596
Salaries, Compensation, and Employee Benefits$170,596
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages-$167,640-$167,640
Payments to Affiliates$114,947--$114,947
Fees for Services Accounting-$10,700-$10,700
Insurance-$7,953-$7,953
Fees for Services Other-$6,557-$6,557
Occupancy-$5,544-$5,544
Office Expenses-$5,466-$5,466
Fees for Services Legal-$5,335-$5,335
Depreciation Depletion-$4,768-$4,768
Advertising-$4,440-$4,440
Interest-$3,215-$3,215
Payroll Taxes-$2,956-$2,956
All Other Expenses-$2,316-$2,316
Other Expenses$14,214$726-$726
Information Technology-$437-$437
Total Functional Expenses$129,161$240,031$0$369,192
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
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
-Common ControlManagement FeesNo$114,947
Kellie GershCommon ControlRent ReimbNo$5,544
-Wife of Paul GershSalaryNo$1,654

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees-$53,833-
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
No
Backup withholding compliance
Yes
Business relationship with family members
Yes
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
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 2

Paul gersh principal officer/trustee is the father of ali gersh, vp mr. Gersh's wife is employed at the foundation

Form 990, Part VI, Section A, line 8A

There were no formal board meetings in 2015

Form 990, Part VI, Section A, line 8B

There were no formal board meetings in 2015

Form 990, Part VI, Section B, line 11

No review will be conducted

Form 990, Part VI, Section C, line 19

All documents are available upon request by mail

Filing and Contact Details

Filer

Filer Name
The Foundation for Improving Patient
EIN
27-3571323
Phone
9737319393
Address
29 NORTHFIELD AVENUE No 201, WEST ORANGE, NJ 07052

Signing Officer

Name
Benjamin Stanziale Esq Trustee
Title
Trustee
Phone
9737319393
Signed
2017-07-12
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Benjamin Stanziale Esq
Formed
2010
Legal Domicile
Nj
Voting Board Members
4
Independent Board Members
2
Employees
5
Volunteers
0

Preparer

Firm
Bederson Llp
Address
347 MT PLEASANT AVENUE, WEST ORANGE, NJ 07052
Preparer
Timothy J King
Phone
9735309140
Supplemental Narrative

Additional Explanations

Addendum to Form 990

FOUNDATION FOR IMPROVING PATIENT OUTCOMES (BANKRUPT) FEDERAL IDENTIFICATION NUMBER: 27-3571323 FOR THE YEAR ENDED DECEMBER 31, 2015 We are the Court Appointed Accountants for the Trustee of Foundation for Improving Patient Outcomes (Bankrupt), which filed bankruptcy on June 24, 2016 and is currently under the protection of Chapter 7 of the United States Bankruptcy Code. Due to the bankruptcy certain key financial records, account analysis, reconciliations, and supporting information that would normally be present were missing or unavailable. We prepared this tax return from the best information available; that is, the Debtor's available records and the Debtor's prior tax returns. The 2015 tax year predates the appointment of the Trustee. Neither the Trustee nor our firm have any personal knowledge of any transaction that occurred prior to the Trustee's appointment. The Trustee, by his signature on the face of this tax return has relied upon our expertise in preparing the return from the available records. However, it is our qualified opinion that these is a complete tax return based on the limited financial information available which was caused by the bankrupt status of the entity. BEDERSON LLP JULY 2017

Raw XML AppendixShowing 400 of 450 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.

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IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/NameOfInterested/PersonNm0KELLIE GERSH
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/RelationshipDescriptionTxt0COMMON CONTROL
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/RelationshipDescriptionTxt1WIFE OF PAUL GERSH
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/RelationshipDescriptionTxt2COMMON CONTROL
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/SharingOfRevenuesInd00
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/SharingOfRevenuesInd10
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/SharingOfRevenuesInd20
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/TransactionAmt05544
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/TransactionAmt11654
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/TransactionAmt2114947
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/TransactionDesc0RENT REIMB
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/TransactionDesc1SALARY
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/TransactionDesc2MANAGEMENT FEES
IRS990ScheduleL/LoansBtwnOrgInterestedPrsnGrp/BalanceDueAmt053833
IRS990ScheduleL/LoansBtwnOrgInterestedPrsnGrp/BoardOrCommitteeApprovalInd00
IRS990ScheduleL/LoansBtwnOrgInterestedPrsnGrp/DefaultInd00
IRS990ScheduleL/LoansBtwnOrgInterestedPrsnGrp/LoanPurposeTxt0TO FUND OPERATIONS
IRS990ScheduleL/LoansBtwnOrgInterestedPrsnGrp/LoanToOrganizationInd0X
IRS990ScheduleL/LoansBtwnOrgInterestedPrsnGrp/OriginalPrincipalAmt053833
IRS990ScheduleL/LoansBtwnOrgInterestedPrsnGrp/PersonNm0PAUL GERSH
IRS990ScheduleL/LoansBtwnOrgInterestedPrsnGrp/RelationshipWithOrgTxt0OFFICER/BOARD MEMBER
IRS990ScheduleL/LoansBtwnOrgInterestedPrsnGrp/WrittenAgreementInd00
IRS990ScheduleL/TotalBalanceDueAmt053833
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0PAUL GERSH PRINCIPAL OFFICER/TRUSTEE IS THE FATHER OF ALI GERSH, VP MR. GERSH'S WIFE IS EMPLOYED AT THE FOUNDATION
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THERE WERE NO FORMAL BOARD MEETINGS IN 2015
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THERE WERE NO FORMAL BOARD MEETINGS IN 2015
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3NO REVIEW WILL BE CONDUCTED
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4ALL DOCUMENTS ARE AVAILABLE UPON REQUEST BY MAIL
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5FOUNDATION FOR IMPROVING PATIENT OUTCOMES (BANKRUPT) FEDERAL IDENTIFICATION NUMBER: 27-3571323 FOR THE YEAR ENDED DECEMBER 31, 2015 We are the Court Appointed Accountants for the Trustee of Foundation for Improving Patient Outcomes (Bankrupt), which filed bankruptcy on June 24, 2016 and is currently under the protection of Chapter 7 of the United States Bankruptcy Code. Due to the bankruptcy certain key financial records, account analysis, reconciliations, and supporting information that would normally be present were missing or unavailable. We prepared this tax return from the best information available; that is, the Debtor's available records and the Debtor's prior tax returns. The 2015 tax year predates the appointment of the Trustee. Neither the Trustee nor our firm have any personal knowledge of any transaction that occurred prior to the Trustee's appointment. The Trustee, by his signature on the face of this tax return has relied upon our expertise in preparing the return from the available records. However, it is our qualified opinion that these is a complete tax return based on the limited financial information available which was caused by the bankrupt status of the entity. BEDERSON LLP JULY 2017
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Form 990, Part VI, Section A, line 2
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Form 990, Part VI, Section A, line 8a
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2Form 990, Part VI, Section A, line 8b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3Form 990, Part VI, Section B, line 11
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4Form 990, Part VI, Section C, line 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5ADDENDUM TO FORM 990
IRS990ScheduleR/AssetExchangeInd00
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd00
IRS990ScheduleR/AssetSaleToOtherOrgInd00
IRS990ScheduleR/DivRelatedOrganizationInd00
IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd00
IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd00
IRS990ScheduleR/IdDisregardedEntitiesGrp/DirectControllingNACd0N/A
IRS990ScheduleR/IdDisregardedEntitiesGrp/DisregardedEntityName/BusinessNameLine1Txt0HEALTH E BOARDS LLC
IRS990ScheduleR/IdDisregardedEntitiesGrp/EIN0472581621
IRS990ScheduleR/IdDisregardedEntitiesGrp/EndOfYearAssetsAmt0166055
IRS990ScheduleR/IdDisregardedEntitiesGrp/LegalDomicileStateCd0NJ
IRS990ScheduleR/IdDisregardedEntitiesGrp/PrimaryActivitiesTxt0PROVIDER OF HEALTH RELATED INFORMATION
IRS990ScheduleR/IdDisregardedEntitiesGrp/TotalIncomeAmt0-802154
IRS990ScheduleR/IdDisregardedEntitiesGrp/USAddress/AddressLine1Txt0C/O BSTANZIALE 29 NORTHFIELD AVENUE
IRS990ScheduleR/IdDisregardedEntitiesGrp/USAddress/CityNm0WEST ORANGE
IRS990ScheduleR/IdDisregardedEntitiesGrp/USAddress/StateAbbreviationCd0NJ
IRS990ScheduleR/IdDisregardedEntitiesGrp/USAddress/ZIPCd007052
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/DirectControllingNACd0N/A
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/DisproportionateAllocationsInd00
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/EIN0452992357
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/GeneralOrManagingPartnerInd00
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/LegalDomicileStateCd0NJ
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/PredominantIncomeTypeTxt0N/A
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/PrimaryActivitiesTxt0PROVIDER OF HEALTH RELATED INFORMATION
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/RelatedOrganizationName/BusinessNameLine1Txt0HEALTH E GALAXY LLC
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/USAddress/AddressLine1Txt0C/O BSTANZIALE 29 NORTHFIELD AVENUE
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/USAddress/CityNm0WEST ORANGE
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/USAddress/StateAbbreviationCd0NJ
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/USAddress/ZIPCd007052
IRS990ScheduleR/LoansOrGuaranteesFromOthOrgInd00
IRS990ScheduleR/LoansOrGuaranteesToOtherOrgInd00
IRS990ScheduleR/PaidEmployeesSharingInd01
IRS990ScheduleR/PerformOfServicesByOtherOrgInd00
IRS990ScheduleR/PerformOfServicesForOthOrgInd00
IRS990ScheduleR/ReceiptOfIntAnntsRntsRyltsInd00
IRS990ScheduleR/ReimbursementPaidByOtherOrgInd00
IRS990ScheduleR/ReimbursementPaidToOtherOrgInd01
IRS990ScheduleR/RentalOfFacilitiesToOthOrgInd00
IRS990ScheduleR/RentalOfFcltsFromOthOrgInd00
IRS990ScheduleR/SharingOfFacilitiesInd01
IRS990ScheduleR/TransactionsRelatedOrgGrp/InvolvedAmt05544
IRS990ScheduleR/TransactionsRelatedOrgGrp/InvolvedAmt10
IRS990ScheduleR/TransactionsRelatedOrgGrp/InvolvedAmt231645
IRS990ScheduleR/TransactionsRelatedOrgGrp/InvolvedAmt3114947
IRS990ScheduleR/TransactionsRelatedOrgGrp/MethodOfAmountDeterminationTxt0ACTUAL
IRS990ScheduleR/TransactionsRelatedOrgGrp/MethodOfAmountDeterminationTxt1ESTIMATE
IRS990ScheduleR/TransactionsRelatedOrgGrp/MethodOfAmountDeterminationTxt2ACTUAL W-2S
IRS990ScheduleR/TransactionsRelatedOrgGrp/MethodOfAmountDeterminationTxt3ACTUAL MANAGEMENT FEES
IRS990ScheduleR/TransactionsRelatedOrgGrp/OtherOrganizationName/BusinessNameLine1Txt0HEALTH E GALAXY LLC
IRS990ScheduleR/TransactionsRelatedOrgGrp/OtherOrganizationName/BusinessNameLine1Txt1HEALTH E GALAXY LLC
IRS990ScheduleR/TransactionsRelatedOrgGrp/OtherOrganizationName/BusinessNameLine1Txt2HEALTH E GALAXY LLC
IRS990ScheduleR/TransactionsRelatedOrgGrp/OtherOrganizationName/BusinessNameLine1Txt3HEALTH E GALAXY LLC
IRS990ScheduleR/TransactionsRelatedOrgGrp/TransactionTypeTxt0N
IRS990ScheduleR/TransactionsRelatedOrgGrp/TransactionTypeTxt1P
IRS990ScheduleR/TransactionsRelatedOrgGrp/TransactionTypeTxt2O
IRS990ScheduleR/TransactionsRelatedOrgGrp/TransactionTypeTxt3R
IRS990ScheduleR/TransferFromOtherOrgInd00
IRS990ScheduleR/TransferToOtherOrgInd01
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/StatesWhereCopyOfReturnIsFldCd0NJ
IRS990/SubjectToProxyTaxInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TempOrPermanentEndowmentsInd00
IRS990/TerminateOperationsInd00
IRS990/TotalAssetsBOYAmt0137182
IRS990/TotalAssetsEOYAmt038157
IRS990/TotalAssetsGrp/BOYAmt0137182
IRS990/TotalAssetsGrp/EOYAmt038157
IRS990/TotalCompGreaterThan150KInd00
IRS990/TotalEmployeeCnt05
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt0240031
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0129161
IRS990/TotalFunctionalExpensesGrp/TotalAmt0369192
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt0373381
IRS990/TotalLiabilitiesEOYAmt0275133
IRS990/TotalLiabilitiesGrp/BOYAmt0373381
IRS990/TotalLiabilitiesGrp/EOYAmt0275133
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0-236199
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0-236976
IRS990/TotalOtherCompensationAmt0142956
IRS990/TotalProgramServiceExpensesAmt0129161

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