Civic Intelligence

Medical Debt Resolution Inc

EIN 47-1442997 • 501(c)3 • Long Island City, NY

Profile

The mission of the organization is to end medical debt. (see schedule o)

28-07 Jackson Ave 5th FLLong Island City, NY 11101

www.unduemedicaldebt.org

Siviq Scores

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

Liabilities / Assets

8th percentile

0.01x

Higher debt load relative to assets than 8% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Liabilities / Revenue

6th percentile

0.01x

Higher debt load relative to revenue than 6% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Net Margin

95th percentile

64%

Higher net margin than 95% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Top Officer Pay

37th percentile

$393,586

Higher top officer pay than 37% of similar nonprofits.

Top officer pay equals 0.4% of source-year revenue.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Asset Growth

96th percentile

61%

Faster asset growth than 96% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Annualized from 2023 to 2024

Revenue Growth

98th percentile

227%

Faster revenue growth than 98% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Annualized from 2023 to 2024

Assets

Up

$154,555,115

Up $58,657,736 (+61%) from 2023

Liabilities

Down

$975,528

Down $875,022 (-47%) from 2023

Net Assets

Up

$153,579,587

Up $59,532,758 (+63%) from 2023

Revenue

Up

$92,580,019

Up $64,285,218 (+227%) from 2023

Expenses

Up

$33,118,125

Up $10,461,337 (+46%) from 2023

Net Income

Up

$59,461,894

Up $53,823,881 (+955%) from 2023

Trend Graphs

Balance Sheet Trend

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

$200M$150M$100M$50M$0-$50MAssets 2014: $154Liabilities 2014: $02014Assets 2015: $1,922Liabilities 2015: $13,820Net Assets 2015: -$11,8982015Assets 2016: $99,977Liabilities 2016: $25,113Net Assets 2016: $74,8642016Assets 2017: $1,121,826Liabilities 2017: $53,374Net Assets 2017: $1,068,4522017Assets 2018: $1,577,897Liabilities 2018: $293,794Net Assets 2018: $1,284,1032018Assets 2019: $4,572,339Liabilities 2019: $306,006Net Assets 2019: $4,266,3332019Assets 2020: $57,765,850Liabilities 2020: $361,090Net Assets 2020: $57,404,7602020Assets 2021: $56,504,785Liabilities 2021: $407,679Net Assets 2021: $56,097,1062021Assets 2022: $88,257,653Liabilities 2022: $968,146Net Assets 2022: $87,289,5072022Assets 2023: $95,897,379Liabilities 2023: $1,850,550Net Assets 2023: $94,046,8292023Assets 2024: $154,555,115Liabilities 2024: $975,528Net Assets 2024: $153,579,5872024

Highlighted filing

2024

Assets$154,555,115
Liabilities$975,528
Net Assets$153,579,587

Operations Trend

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

$100M$50M$0-$50MRevenue 2014: $2,800Expenses 2014: $2,646Net Income 2014: $1542014Revenue 2015: $11,416Expenses 2015: $23,468Net Income 2015: -$12,0522015Revenue 2016: $259,533Expenses 2016: $172,771Net Income 2016: $86,7622016Revenue 2017: $2,163,479Expenses 2017: $1,169,890Net Income 2017: $993,5892017Revenue 2018: $5,460,587Expenses 2018: $5,244,935Net Income 2018: $215,6522018Revenue 2019: $10,067,024Expenses 2019: $7,084,794Net Income 2019: $2,982,2302019Revenue 2020: $66,172,951Expenses 2020: $13,034,524Net Income 2020: $53,138,4272020Revenue 2021: $17,143,600Expenses 2021: $18,437,272Net Income 2021: -$1,293,6722021Revenue 2022: $42,872,028Expenses 2022: $11,679,627Net Income 2022: $31,192,4012022Revenue 2023: $28,294,801Expenses 2023: $22,656,788Net Income 2023: $5,638,0132023Revenue 2024: $92,580,019Expenses 2024: $33,118,125Net Income 2024: $59,461,8942024

Highlighted filing

2024

Revenue$92,580,019
Expenses$33,118,125
Net Income$59,461,894

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Aug 26, 2025
Return Version
2024v5.1
Gross Receipts
$149,552,984
Mission and Program Overview

Mission

Acquire and abolish, i.e. Relieve, medical debt owed by individuals experiencing poverty or other hardship (please see schedule o for a more complete description of the organization's mission)

TO END MEDICAL DEBT.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments Other Securities$52,156,633$54,768,302▲ $2,611,669
Savings and Temporary Cash Investments$23,971,663$42,496,871▲ $18,525,208
Cash and Non-Interest-Bearing Accounts$11,389,912$26,897,953▲ $15,508,041
Prepaid Expenses and Deferred Charges$7,085,809$17,180,286▲ $10,094,477
Pledges and Grants Receivable$448,752$11,700,247▲ $11,251,495
Intangible Assets$813,209$1,039,448▲ $226,239
Land, Buildings, and Equipment, Net$26,130$39,745▲ $13,615
Accounts Receivable$0$0→ $0
Other Notes and Loans Receivable, Net$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Program Related$0--
Investments in Publicly Traded Securities$0$0→ $0
Inventories for Sale or Use$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$95,897,379$154,555,115▲ $58,657,736
Other Assets Total$5,271$432,263▲ $426,992
Liabilities
Accounts Payable and Accrued Expenses$584,793$591,078▲ $6,285
Other Liabilities$0$369,807▲ $369,807
Deferred Revenue$1,265,757$14,643▼ $1,251,114
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$1,850,550$975,528▼ $875,022
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$82,567,389$142,237,144▲ $59,669,755
Net Assets With Donor Restrictions$11,479,440$11,342,443▼ $136,997
Total Net Assets Fund Balance$94,046,829$153,579,587▲ $59,532,758
Total Liabilities and Net Assets / Fund Balance$95,897,379$154,555,115▲ $58,657,736

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$39,745$44,031$83,776
Other Securities$54,768,302--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Allison SessoCEO & PresidentFT$343,962$49,624$393,586
Ravneeta ConsulCOOFT$272,907$45,130$318,037
Ruth LandeVP Hospital RelationsFT$267,890$36,010$303,900
David ReynoldsVP Info SystemsFT$224,308$31,723$256,031
Marisa ClementeVP PhilanthropyFT$220,499$22,357$242,856
Jana KnauerovaVP Finance & AdministrationFT$184,038$34,474$218,512
Eva StahlVP Policy & ProgramsFT$184,750$6,725$191,475
Charles RussekSenior Software DeveloperFT$144,894$38,170$183,064
Daniel LempertVP Marketing & CommunicationsFT$160,316$17,503$177,819
Peter NieuwkerkBusiness Process ManagerFT$138,149$16,727$154,876

Board Members and Trustees

NameTitle
William Von MuefflingBoard Chair (thru 12/11/2024)
Jose PenabadTreasurer (thru 12/2024), Vice Chair (as of 12/2024)
Michele MasucciVice Chair (thru 12/2024), Board Chair (as of 12/2024)
Dr Oxiris BarbotDirector
Dr Ramanathan RajuDirector
Jeff SmedsrudDirector
Jonathan LindseyDirector
Jonathan WiggsDirector
Robert GoffDirector (thru 12/11/2024)
Harold AshtonDirector (thru 5/24/2024)
Ted SannSecretary
Elizabeth MarincolaTreasurer (as of 12/2024)

Highest Paid Contractors

ContractorServicesLocationCompensation
Lobcom INCPrinting & Mailing Svcs2261 MARKET STREET SUITE 5668, San Francisco, CA 94114, Ca$2,956,135
Sandra Davis LLC Dba DonorlyFundraising Counsel1460 BROADWAY, New York, NY 10036$651,594
Nixon Peabody LLPLegal Services70 WEST MADISON SUITE 5200, Chicago, IL 20005$604,437
Apption CorporationSoftware Development2807 JACKSON AVENUE FLOOR 5, Long Island City, NY 11101$255,178
Immortal Strategies LLCConsulting Services-$225,000
Revenue and Support

Revenue Composition

Contributions and Grants
$88,847,941
Program Service Revenue
$0
Investment Income
$3,638,276
Other Revenue
$93,802
All Other Contributions
$79,401,053
Change in Net Assets
$59,461,894

Noncash Contribution Practices

Property subject to holding requirements
No
Reviewed unusual noncash gifts
Yes
Third parties used for noncash contributions
No

Noncash Contributions

Contribution TypeContribution CountReported AmountValuation Method
Securities Publicly Traded41$198,309Other - Fair Market Value (FMV)
Other Non Cash Contri Table13$12,500Other - Fair Market Value (FMV)
Total Noncash Contributions54$210,809-

Audited Revenue Reconciliation

Revenue per Audited Statements
$92,580,019
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$932,476
Other Revenue Adjustments
$0
Total Revenue per Audited Statements
$93,512,495
Total Revenue per Form 990
$92,580,019
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$28,475,627
Salaries, Compensation, and Employee Benefits$3,990,904
Total Fundraising Expense$1,646,686
Professional Fundraising Fees$651,594
Grants and Similar Amounts Paid$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Expenses$3,003,785$0$1,659$3,005,444
Fees for Services Other$1,075,569$736,828$158,274$1,970,671
Current Officers, Directors, Trustees, and Key Employees$717,868$530,464$241,733$1,490,065
Other Salaries and Wages$630,611$465,985$212,351$1,308,947
Other Employee Benefits$319,846$236,348$107,704$663,898
Fees for Services Professional Fundraising--$651,594$651,594
Fees for Services Legal$491,734$121,022$0$612,756
Information Technology$172,467$101,893$172,371$446,731
Payroll Taxes$164,466$121,531$55,382$341,379
Depreciation Depletion$314,455$17,700$1,037$333,192
Office Expenses$13,889$164,826$22,664$201,379
Occupancy$0$190,551$0$190,551
Fees for Services Accounting$0$164,348$0$164,348
Advertising$0$128,232$7,500$135,732
Comp Disqual Persons$0$99,000$0$99,000
Travel$23,486$69,847$203$93,536
Pension Plan Contributions$42,210$31,191$14,214$87,615
Insurance$19,286$60,339$0$79,625
Conferences and Meetings$11,395$3,006$0$14,401
Fees for Services Lobbying$7,107$0$0$7,107
Total Functional Expenses$28,228,328$3,243,111$1,646,686$33,118,125

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$33,979,737
Expenses per Audited Statements$33,118,125
Total Expenses per Form 990$33,118,125
Expenses Not Reported on Form 990$861,612
Expenses Not Reported on Financial Statements$0
Other Expense Adjustments$0
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
Yes

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$651,594
Fundraising Gross Income$345,662
Fundraising Direct Expenses$251,860

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
10-year Anniversary Gala$515,355$345,662-$345,662
Event 2-$0-$0
Total Events$515,355$345,662$251,860$93,802
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
-Family Member of ChairmanConsultantNo$99,000

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Federal Income Taxes$369,807
Operating Lease Liability-
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
Yes
Business relationship with organization members
Yes
Material changes to governing documents
Yes
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, Line 2 Family/business relationships amongst interested persons

WILLIAM VON MUEFFLING, CHAIR OF THE BOARD (THROUGH 12/11/2024) IS THE BROTHER-IN-LAW OF TED SANN, SECRETARY OF THE BOARD. - Family relationship

Form 990, Part VI, Line 4 Significant changes to organizational documents

In 2024, organization changed its doing business as name to 'undue medical debt' from 'rip medical debt'.

Form 990, Part VI, Line 11B Review of form 990 by governing body

A complete copy of this form 990 has been reviewed by both the audit committee and the full board of directors prior to filing. This process is prescribed in the charter of the organization's audit committee.

Form 990, Part VI, Line 12C Conflict of interest policy

The organization enforces the conflict of interest policy by monitoring known relationships, questionnaires, and noting any changes in disclosed information. Any conflict is reviewed by the board before a decision is made as to whether to approve the transaction.

Form 990, Part VI, Line 15A Process to establish compensation of top management official

The ceo compensation is determined by the independent members of the board (compensation committee) in accordance with written policy, and informed by a report of independent compensation consultants, including market surveys, and other independent research. The compensation committee is comprised of at least three (3) independent directors and has responsibility for advising the independent members of the board in setting the compensation of the organization's ceo. Currently the number of persons serving on the compensation committee is four (4).

Form 990, Part VI, Line 15B Process to establish compensation of other employees

The compensation of officers and key employees was determined by senior management in accordance with written policy, informed, where appropriate, by a report of independent compensation consultants or other independent research, including market surveys, as applicable.

Form 990, Part VI, Line 19 Required documents available to the public

The organization's governing documents, conflict of interest policy, and financial statements are available upon request. Where required, the organization also furnishes these documents to state authorities.

Filing and Contact Details

Filer

Filer Name
Medical Debt Resolution Inc
EIN
47-1442997
Phone
8446373328
Address
28-07 JACKSON AVE 5TH FL, LONG ISLAND CITY, NY 11101
Doing Business As
Undue Medical Debt

Signing Officer

Name
Jose Penabad
Title
Treasurer
Phone
8446373328
Signed
2025-08-26
Discuss with paid preparer
Yes

Organization Details

Formed
2014
Legal Domicile
Ny
Voting Board Members
9
Independent Board Members
9
Employees
39
Volunteers
13

Preparer

Firm
Bdo USA
Address
200 PARK AVE 38TH FLOOR, NEW YORK, NY 10017
Preparer
Tara Cooke
Phone
2128858040
Supplemental Narrative

Additional Explanations

Form 990, Part III, Line 1

Mission of medical debt resolution, inc., dba undue medical debt: a 501(c)(3) nonprofit whose mission is to end medical debt and be: ** a source of justice in an unjust healthcare finance system. Our unique and highly leveraged debt abolishment model combines the generosity of donors with debt industry expertise to produce a high volume of debt relief return, mitigating significant financial and mental distress for millions of people. ** a unique solution for patient-centered health care providers. By partnering with us, health care systems can strengthen individuals and communities by relieving dormant, uncollectible, and damaging bad debts and can identify opportunities to refine their financial assistance programs to better serve their communities. ** a moral force of systemic change. Our work brings attention to the range of negative impacts caused by medical debt and a deeper understanding of its causes. These efforts support progress toward a more compassionate, transparent, equitable and affordable healthcare system. Who is undue medical debt? We are a not-for-profit, national charity that raises funds from donors and uses those funds to acquire and abolish medical debt. Since our founding in 2014 (as medical debt resolution, inc.), we have abolished more than $17 billion of medical debt and helped more than 11 million people. What is the goal of undue medical debt? Undue medical debt seeks to help families and individuals burdened by medical debt by acquiring and abolishing these debts. By cancelling these debts, we bring financial relief to families and reduce related stress. This then improves the health of patients, families, and communities. Over the course of the organization's growth, its vision has expanded to address the root causes of medical debt and seeks to transform the healthcare system to make debt relief unnecessary in the future. Why we do this work? Medical debt often results from unplanned and unexpected illnesses and accidents. About one third of adults in the united states have difficulty paying their health care bills. In many areas and for many reasons, people remain uninsured and those who are insured often receive expensive bills after receiving care. Medical debt is the leading cause of bankruptcy in the united states. We do this work to relieve the burden of medical debt, to prevent people from skipping or delaying medical care because of cost-related concerns, and to support people living healthier lives. People, helping people we depend on donations and grants from individuals, corporations, charitable organizations and government to support us in our mission and purpose to end medical debt. In may 2024, the organization changed their doing business name to "undue medical debt". To learn more about undue medical debt, please visit us at https://www.unduemedicaldebt.org/.

Form 990, Part IX, Line 24A

Details of cost of debt abolished: purchases - debt portfolios: $27,930,389 debt acquisition consulting & analysis fees: $ 108,000 direct labor: $ 1,515,007 donated debt portfolios: $ 196,752 purchases - debt platform fees: $ 247,620 purchases - analytical data: $ 1,192,229 de/(in)crease in deferred debt costs: $ (9,969,843) total cost of debt abolished: $ 21,220,154

Financial Statement Notes

Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote

The organization is exempt from federal, state, and local income taxes under section 501(c)(3) of the irc and, therefore, has made no provision for income taxes in the accompanying financial statements. Under gaap, an organization must recognize the tax benefit associated with tax positions taken for tax return purposes when it is more likely than not that the position will be sustained upon examination by a taxing authority. The organization does not believe it has taken any material uncertain tax positions and, accordingly, it has not recorded any liability for unrecognized tax benefits. The organization has filed for and received income tax exemptions in the jurisdictions where it is required to do so. Additionally, the organization has filed internal revenue service (irs) form 990 information returns, as required, and all other applicable returns in jurisdictions where so required. For the years ended december 31, 2024 and 2023, there were no interest or penalties recorded or included in the statements of activities. The organization is subject to routine audit by a taxing authority. As of december 31, 2024 and 2023, the organization was not subject to any examination by a taxing authority.

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IRS990/Form990PartVIISectionAGrp/TitleTxt12CEO & PRESIDENT
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