Civic Intelligence

Medical Technology and Practice Patterns Institute Inc.

990 • Fiscal year 2023 • EIN 52-1483174

Jan 01, 2023 to Dec 31, 2023 • Filed on Nov 15, 2024

Organization ProfileWWW.MTPPI.ORG

View Organization Page

4800 Hampden Lane 200Bethesda, MD 20814

(301) 652-4005

Siviq Scores

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

Liabilities / Assets

62nd percentile

0.15x

Higher debt load relative to assets than 62% of similar nonprofits.

2023 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2023

Liabilities / Revenue

84th percentile

0.72x

Higher debt load relative to revenue than 84% of similar nonprofits.

2023 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2023

Net Margin

11th percentile

-31%

Higher net margin than 11% of similar nonprofits.

2023 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2023

Top Officer Pay

93rd percentile

$248,659

Higher top officer pay than 93% of similar nonprofits.

Top officer pay equals 29.3% of source-year revenue.

2023 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2023

Asset Growth

48th percentile

3.6%

Faster asset growth than 48% of similar nonprofits.

2023 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2022 to 2023

Revenue Growth

23rd percentile

-12%

Faster revenue growth than 23% of similar nonprofits.

2023 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2022 to 2023

Balance Sheet
Liabilities / Assets62nd percentile

Assets

Up

$4,134,159

Up $143,903 (+3.6%) from 2022

Net Assets

Up

$3,526,693

Up $36,831 (+1.1%) from 2022

Liabilities

Up

$607,466

Up $107,072 (+21%) from 2022

Revenue And Expenses
Liabilities / Revenue84th percentileNet Margin11th percentile

Revenue

Down

$847,823

Down $119,697 (-12%) from 2022

Expenses

Up

$1,107,795

Up $1,714 (+0.2%) from 2022

Net Income

Down

-$259,972

Down $121,411 (-88%) from 2022

Historical Trend

Balance Sheet Trend

Asset Growth48th percentile

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

$8.0M$6.0M$4.0M$2.0M$0Assets 2011: $5,576,530Liabilities 2011: $45,301Net Assets 2011: $5,531,2292011Assets 2012: $7,227,521Liabilities 2012: $49,121Net Assets 2012: $7,178,4002012Assets 2013: $5,808,245Liabilities 2013: $527,222Net Assets 2013: $5,281,0232013Assets 2014: $6,383,143Liabilities 2014: $1,080,720Net Assets 2014: $5,302,4232014Assets 2015: $5,115,353Liabilities 2015: $298,903Net Assets 2015: $4,816,4502015Assets 2016: $5,186,495Liabilities 2016: $504,607Net Assets 2016: $4,681,8882016Assets 2017: $5,167,113Liabilities 2017: $280,917Net Assets 2017: $4,886,1962017Assets 2018: $4,363,826Liabilities 2018: $267,626Net Assets 2018: $4,096,2002018Assets 2019: $4,643,164Liabilities 2019: $532,375Net Assets 2019: $4,110,7892019Assets 2020: $4,874,126Liabilities 2020: $598,014Net Assets 2020: $4,276,1122020Assets 2021: $4,682,047Liabilities 2021: $402,156Net Assets 2021: $4,279,8912021Assets 2022: $3,990,256Liabilities 2022: $500,394Net Assets 2022: $3,489,8622022Assets 2023: $4,134,159Liabilities 2023: $607,466Net Assets 2023: $3,526,6932023Assets 2024: $4,303,817Liabilities 2024: $790,294Net Assets 2024: $3,513,5232024

Highlighted filing

2023

Assets$4,134,159
Liabilities$607,466
Net Assets$3,526,693
Open 2023 Filing

Operations Trend

Revenue Growth23rd percentile

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

$3.0M$2.0M$1.0M$0-$1.0MRevenue 2011: $1,037,543Expenses 2011: $918,614Net Income 2011: $118,9292011Revenue 2012: $2,722,120Expenses 2012: $1,074,949Net Income 2012: $1,647,1712012Revenue 2013: $1,910,922Expenses 2013: $1,772,181Net Income 2013: $138,7412013Revenue 2014: $1,202,426Expenses 2014: $1,515,355Net Income 2014: -$312,9292014Revenue 2015: $779,112Expenses 2015: $1,278,397Net Income 2015: -$499,2852015Revenue 2016: $1,006,652Expenses 2016: $1,317,942Net Income 2016: -$311,2902016Revenue 2017: $1,115,632Expenses 2017: $1,283,584Net Income 2017: -$167,9522017Revenue 2018: $791,621Expenses 2018: $1,263,783Net Income 2018: -$472,1622018Revenue 2019: $889,949Expenses 2019: $1,310,800Net Income 2019: -$420,8512019Revenue 2020: $1,011,370Expenses 2020: $1,257,064Net Income 2020: -$245,6942020Revenue 2021: $864,770Expenses 2021: $1,208,161Net Income 2021: -$343,3912021Revenue 2022: $967,520Expenses 2022: $1,106,081Net Income 2022: -$138,5612022Revenue 2023: $847,823Expenses 2023: $1,107,795Net Income 2023: -$259,9722023Revenue 2024: $911,470Expenses 2024: $1,125,755Net Income 2024: -$214,2852024

Highlighted filing

2023

Revenue$847,823
Expenses$1,107,795
Net Income-$259,972
Open 2023 Filing
Jump To
Filing Snapshot
Filing Period
Jan 1, 2023 to Dec 31, 2023
Signed
Nov 15, 2024
Return Version
2023v5.1
Gross Receipts
$847,823
Mission and Program Overview

Mission

Founded in 1986, medical technology and practice patterns institute(mtppi) is a research organization specializing in health service research, education and health policy analysis of new and emerging technologies.

Founded in 1986, mtppi is a research organization specializing in health service research, education and health policy analysis of new and emerging technologies.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$3,090,172$3,493,448▲ $403,276
Pledges and Grants Receivable$483,598$407,180▼ $76,418
Cash and Non-Interest-Bearing Accounts$4,182$209,170▲ $204,988
Investments Other Securities$14,480$14,480→ $0
Land, Buildings, and Equipment, Net$442$0▼ $442
Prepaid Expenses and Deferred Charges$298--
Total Assets$3,990,256$4,134,159▲ $143,903
Other Assets Total$397,084$9,881▼ $387,203
Liabilities
Other Liabilities$398,427$571,038▲ $172,611
Accounts Payable and Accrued Expenses$101,967$36,428▼ $65,539
Total Liabilities$500,394$607,466▲ $107,072
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$3,489,862$3,526,693▲ $36,831
Total Net Assets Fund Balance$3,489,862$3,526,693▲ $36,831
Total Liabilities and Net Assets / Fund Balance$3,990,256$4,134,159▲ $143,903

Asset Categories

AssetBook ValueDepreciationBasis
Other Land Buildings$0$2,266-
Equipment$0$2,945-
Compensation and Service Providers
Top Officer Pay93rd percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Mr Dennis CotterPresidentFT$239,027$9,632$248,659
Dr Mae Thamer-nallResearch DirectorFT$195,387$6,500$201,887
Dr Yi ZhangResearch AssociateFT$158,109$26,687$184,796
Nicholas Hamilton-cotterDirector of DevelopmentFT$150,000$5,625$155,625

Board Members and Trustees

NameTitle
Dr Andrew NarvaBoard Member
Mr Amit LambaBoard Member
Tom KeonTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$473,333
Program Service Revenue
$220,137
Investment Income
$154,203
Other Revenue
$150
Change in Net Assets
$-259,972
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$860,108
Other Expenses$247,687
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$364,046$138,549-$502,595
Current Officers, Directors, Trustees, and Key Employees$127,971$111,957-$239,928
Fees for Services Other$129,083$918-$130,001
Payroll Taxes$33,671$16,351-$50,022
Other Employee Benefits$21,878$23,072-$44,950
Fees for Services Accounting$35,495$7,065-$42,560
Interest-$35,809-$35,809
Pension Plan Contributions$12,063$10,550-$22,613
Office Expenses$8,878$7,077-$15,955
Occupancy$1,669$1,912-$3,581
Information Technology$3,475$3-$3,478
Other Expenses$1,529$1,944-$3,473
Insurance$802$544-$1,346
Depreciation Depletion$205$237-$442
Advertising$153$135-$288
Travel$125$111-$236
Fees for Services Legal$107--$107
Total Functional Expenses$745,813$361,982$0$1,107,795
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
Nicholas Hamilton-cotterSon of Dennis Cotter, President of the OrganizationEmployee CompensationNo$150,000
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Line of Credit$467,047
Other Accrued Expenses$103,991
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
Yes
Annual disclosure for covered persons
Yes
Audit committee
No
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
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
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 2

“Nicholas hamilton-cotter is the son of dennis cotter”

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

“Draft copy of the form 990 is emailed or mailed via post office as appropriate to the members of the financial committee of mtppi. Each member then sends back his or her approval to the president prior to filing of the form.”

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

“On an annual basis, all personnel subject to the organization's conflict of interest policy are required to review their personal facts and circumstances in order to identify any potential conflicts. If any are identified, the potential conflicts are required to be reported under the procedures described in the policy.”

Form 990, Part VI, Section B, Line 15

“On an annual basis, salaries of the organization's top management official and other key personnel are reviewed by board. The board review consists of the use of compensation studies and other relevant data.”

Form 990, Part VI, Section C, Line 19

“AVAILABLE UPON REQUEST”

Filing and Contact Details

Filer

Filer Name
Medical Technology and Practice Patterns
EIN
52-1483174
Phone
3016524005
Address
4800 HAMPDEN LANE 200, BETHESDA, MD 20814

Signing Officer

Name
Dennis Cotter
Title
President
Phone
3016524005
Signed
2024-11-15
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Dennis Cotter
Formed
1986
Legal Domicile
Dc
Voting Board Members
4
Independent Board Members
3
Employees
4
Volunteers
3

Preparer

Firm
Lobel Cooper & Associates Pc
Address
6309 EXECUTIVE BLVD, NORTH BETHESDA, MD 20852
Preparer
Andrew S Cooper
Phone
3016377080
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G

“Consortium and consultants: program service expenses 129,083. Management and general expenses 918. Fundraising expenses 0. Total expenses 130,001.”

Financial Statement Notes

PART X, LINE 2:

“For the year ended december 31, 2023, the organizations have documented their consideration of fasb asc 740-10, income taxes, that provides guidance for reporting uncertainty in income taxes and has determined that no material uncertain tax positions qualify for either recognition or disclosure in the consolidated financial statements.”

Raw XML AppendixShowing 400 of 542 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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IRS990/Desc0RESEARCHING BARRIERS TO ARTERIOVENOUS FISTULA USE IN BLACK HEMODIALYSIS PATIENTS IN COLLABORATION WITH THE UNIVERSITY OF ALABAMA AT BIRMINGHAMMTPPI CONTINUED ITS COLLABORATION WITH THE UNIVERSITY OF ALABAMA AT BIRMINGHAM (UAB) IN YEAR FOUR OF INVESTIGATING THE FACTORS CONTRIBUTING TO RACIAL DISPARITIES IN ARTERIOVENOUS FISTULA (AVF) USE AMONG HEMODIALYSIS PATIENTS. THE PRIMARY DATA SOURCE FOR THE RESEARCH WAS THE USRDS, A NATIONAL REGISTRY OF PATIENTS WITH ESKD. THE FOLLOWING COMPONENTS OF USRDS WERE USED: (I) CENTERS FOR MEDICARE & MEDICAIDSERVICES ESKD MEDICAL EVIDENCE FORM 2728, COMPLETED BY DIALYSIS FACILITIES ON ALL INCIDENT DIALYSIS PATIENTS, WAS USED TO OBTAIN TYPE OF VASCULAR ACCESS IN USE AT THE START OF ESKD, INCLUDING DEMOGRAPHICS, SUCH AS SEX AND RACE, AND COMORBID CONDITION INFORMATION. (II) CROWNWEB DATA, SUBMITTED BY DIALYSIS FACILITIES MONTHLY, WERE USED TO EXTRACT AND TRACK THE TYPE OF VASCULAR ACCESS IN USE (DURING THE LAST HD SESSION OF THE MONTH) FOR EACH OUTPATIENT DIALYSIS MONTH AFTER ONSET OF ESKD. CROWNWEB ALLOWED US TO INCLUDE ALL OUTPATIENT DIALYSIS PATIENTS IN THE UNITED STATES, REGARDLESS OF THEIR USE OF MEDICARE AS THEIR PRIMARY PAYER. (III) MEDICARE CLAIMS DATA, INCLUDING INPATIENT,OUTPATIENT, AND PHYSICIAN/SUPPLIER CLAIMS, WERE USED TO IDENTIFY SURGEONS WHO PERFORMED VASCULAR ACCESS PROCEDURES BY THEIR NATIONAL PROVIDER IDENTIFIER NUMBERS. OUR MAIN INDEPENDENT VARIABLE OF INTEREST WAS THE SUPPLY OF SURGEONS, DEFINED AS THE NUMBER OF SURGEONS PERFORMING AVF OR AVG PLACEMENT PER 1000 PREVALENT PATIENTS WITH ESKD,ACROSS 306 HRRS IN 2016 AND 2017. PHYSICIANS WHO PERFORMED AVF OR AVG PLACEMENT PROCEDURES WERE DETERMINED BASED ON THE NATIONAL PROVIDER IDENTIFIERS FROM ALL 2016 TO 2017 MEDICARE CLAIMS FOR VASCULAR ACCESS PROCEDURES AND THEN AGGREGATED FOR EACH HRR REGION. THESE CLAIMS INCLUDED CURRENT PROCEDURAL TERMINOLOGY CODES 36800, 36810, 36818,36819, 36820, 36821, AND 36825 FOR AVF PLACEMENTS AND CPT CODE 36830 FOR AVG PLACEMENTS. NUMBER OF ESKD PATIENTS, AS THE DENOMINATOR OF SURGEON SUPPLY MEASURE, WAS CALCULATED BY ADDING ALL PREVALENT DIALYSIS PATIENTS IN 2016 TO 2017 CROWNWEB DATA IN EACH HRR REGION BASED ON THE ZIP CODE FOR PATIENTS' RESIDENCE. IN YEAR 4, THE RESEARCH TEAM PUBLISHED THE FOLLOWING ARTICLE: TRENDS IN VASCULAR ACCESS AMONG PATIENTS INITIATING HEMODIALYSIS IN THE US. (ALLON M, ZHANG Y, THAMER M, CREWS DC, LEE T. JAMA NETWORK OPEN. 2023 AUG 1;6(8):E2326458. DOI: 10.1001/JAMANETWORKOPEN.2023.26458. PMID: 37526939). THE RESEARCHDEMONSTRATED A CONCERNING TREND OF LOWER AVF USE AND HIGHER CATHETER USE FROM 2015 - 2020; A FINDING THAT CONTRADICTS LONG STANDING CLINICAL PRACTICE GUIDELINE RECOMMENDATIONS. THE RESEARCH TEAM WILL ALSO BE PRESENTING THIS RESEARCH AT THE ANNUAL ASN CONFERENCE HELD IN PHILADELPHIA, PA. A SECOND FINDING WAS ACCEPTED FOR PRESENTATION AT THIS CONFERENCE FROM THE RESEARCH TEAM BASED ON QUALITATIVE RESEARCH CONDUCTED ON DIALYSIS PATIENTS AT UAB BASED ON VARIOUS STAGES OF VASCULAR ACCESS CARE. THE RESEARCH COMPARED ATTITUDES AND CONCERNS REGARDING FISTULA ACCESS IN BLACK VS. WHITE PATIENTS TO UNDERSTAND RACIAL DISPARITIES. THE PRESENTATION IS ENTITLED "PATIENT PERSPECTIVES ON AV FISTULA USE: IMPLICATIONS FOR RACIAL DISPARITIES."IN 2023 THE PAPER TRENDS IN VASCULAR ACCESS AMOUNT PATIENTS INITIATING HEMODIALYSIS IN THE US BY ALLON M, ZHANG Y, THAMER M, CREWS DC, LEE T. WAS PUBLISHED IN JAMA NETW OPEN. 2023 AUG 1;6(8):E2326458. DOI: 10. 1001/JAMANETWORKOPEN.2023.26458
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IRS990/ProgSrvcAccomActy2Grp/Desc0GILEAD COMMIT PROGRAM:SUBPROGRAM 1: EXAMINATION OF CLINICAL COURSE & OUTCOME OF COVID-19 AMONG THE UNINSURED WORKING POOR IN DALLAS TX SUBPROGRAM 2: EVALUATING THE EPIDEMIOLOGY, CLINICAL COURSE, & OUTCOMES CHRONIC LIVER DISEASE PATIENTS INFECTED WITH SARS-COV-2SUBPROGRAM 1: THIS RESEARCH PROGRAM CONTINUES A COLLABORATION WITH THE UT SOUTHWESTERN MEDICAL CENTER AND THE UTHEALTH MCGOVERN MEDICAL SCHOOL. MTPPI'S RESEARCHERS CONTINUED TO EXAMINE HIV PATIENTS FOR RISKS THAT CONTRIBUTE TO NEW HEPATITIS B INFECTIONS. VACCINES AND HEPATITIS B SPECIFIC ANTIRETROVIRAL THERAPIES MAY OFFER PROTECTION FOR PEOPLE WITH HIV (PWH). HEPATITIS B PLACES PWH AT INCREASED RISK FOR MORTALITY COMPARED TO THOSE PWH WITHOUT HEPATITIS B OR THOSE WITH HEPATITIS B ALONE. RESEARCHERS EXAMINED THE INCIDENCE OF NEW HEPATITIS B INFECTIONS AND FACTORS WHICH PREDICT RISK FOR ACQUIRING INFECTION AMONG PWH. TO VALIDATE A POTENTIAL POPULATION OF PWH, FOUR VALIDATION STEPS WERE EXECUTED: 1) IDED PHW WITH 1 TO 9 YEARS OF FOLLOW-UP FROM 1/11/11-12/31/2018 . OF THE PATIENTS REMAINING 2) EXCLUDE THOSE WITH NO HIV VIRAL LOAD, NO CD4 COUNT. OF THE PATIENTS REMAINING 3) EXCLUDE HEPATITIS B SURFACE ANTIGEN (HBSAG)-POSITIVE WITHIN 6 MONTHS OF STUDY ENTRY OR 1 YEAR AFTER. OF THE PATIENTS REMAINING 4) EXCLUDE THOSE WITH HBV DNA AND HBEAG+ AT FIRST 6 MONTHS PRIOR TO STUDY ENTRY. ONCE THE STUDY POPULATION WAS ISOLATED, A BASELINE DESCRIPTION OF DEMOGRAPHICS WAS CREATED WHICH WAS CATEGORIZED BY INSURANCE STATUS, HEP B SURFACE AB, AGE, CD4, RACE AND HIV VIRAL LOAD. RESEARCHERS THEN CALCULATED THE LIKELIHOOD OF NEW HEPATITIS B AND THE ADJUSTED ODDS RATIO AND DETERMINED 1) THE INCIDENCE OF NEW HEPATITIS B INFECTION BASED ON +HBSAG STRATIFIED BY HCV 2) INCIDENCE OF NEW HEPATITIS B INFECTION BASED ON HBSAG+ STRATIFIED BY BASELINE HBSAB+ AND 3) THE PROPORTION OF PATIENTS ON HBV SPECIFIC MEDICATIONS WHO HAD NEW HBV INFECTION IS SIMILAR TO OVERALL COHORT. RESEARCH FINDINGS SHOW THAT PWH WHO ARE UNVACCINATED FOR HEPATITIS B ARE AT HIGHER RISK FOR NEW INFECTIONS. THE YEAR'S RESEARCH HAS BEEN DISSEMINATED THROUGH CLINICAL CONFERENCE POSTER PRESENTATIONS. THREE POSTERS WERE ACCEPTED FOR THE INFECTIOUS DISEASES SOCIETY OF AMERICA (IDSA) ANNUAL CONFERENCE HELD IN BOSTON,MA. THE POSTERS WHERE TITLED COVID-19 HOSPITALIZATION - IMPACT OF AGE,RACE AND ETHNICITY AMONG MEDICAID AND UNINSURED, COVID-19 HOSPITALIZATIONS IN NORTH TEXAS IMPACT OF INSURANCE: MEDICAID VS. UNINSURED, AND IMPACT OF INSURANCE STATUS ON COVID-19 PNEUMONIA OUTCOMES IN NORTH TEXAS. IN 2023 THREE POSTERS WERE PRESENTED AT 2023 INFECTIOUS DISEASE OF AMERICA (IDSA): COVID-19 HOSPITALIZATION IMPACT OF AGE, RACE AND ETHNICITY AMONG MEDICAID AND UNINSURED; COVID-19 HOSPITALIZATIONS IN NORTH TEXAS IMPACT OF INSURANCE: MEDICAID VS. UNINSURED; IMPACT OF INSURANCE STATUS ON COVID-19 PNEUMONIA OUTCOMES IN NORTH TEXAS ALL BY AUTHORS: MAMTA K JAIN, M.D., M.P.H., YI ZHANG, PH.D., MAE THAMER, PH.D., MICHAEL HARMS, M.S.B.A., JILLIAN SMARTT, R.N., STEPHANIE BAIERLIPP, M.A., KAVITA BHAVAN, M.D., M.H.S.SUBPROGRAM 2: THIS RESEARCH PROGRAM CONTINUES A COLLABORATION BETWEEN MTPPI, THE STANFORD UNIVERSITY SCHOOL OF MEDICINE, AND THE VETERANS AFFAIRS PALO ALTO HEALTHCARE SYSTEM. THE RESEARCH TEAM HYPOTHESIZED THAT CHRONIC LIVER DISEASE (CLD) PATIENTS HAVE A GREATER RISK OF DEVELOPING LIVER DECOMPENSATION FOLLOWING COVID-19 INFECTION. HOWEVER, IT WAS UNCLEAR WHETHER THE INCREASED RISKS OF LIVER DECOMPENSATION RESULT IN HIGHER OVERALL MORTALITY IN CLD PATIENTS WITH COVID-19 VS. CLD PATIENTS WITHOUT COVID-19. RESEARCHERS AIMED TO EVALUATE WHETHER ACUTE SARS-COV-2 INFECTION IS ASSOCIATED WITH INCREASED RISKS OF INPATIENT HOSPITALIZATION, INTENSIVE CARE UNIT (ICU) ADMISSION, AND OVERALL MORTALITY AMONG PATIENTS WITH CLD. RESEARCHERS USED THE COMMON DATA SCHEMA FROM THE "COVID-19 RESEARCH DATABASE", A LARGE U.S. DATABASE CONTAINING OVER 72 MILLION LINKED PATIENTS' ELECTRONIC HEALTH RECORDS AND CLAIMS DATA, WE IDENTIFIED PATIENTS WITH CLD (HEPATITIS C,HEPAT
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IRS990/ProgSrvcAccomActy3Grp/Desc0NIMHD R01 MD017063-01 RACIAL AND ETHNIC DISPARITIES IN HCC SURVEILLANCEMTPPI RESEARCHERS COLLABORATED WITH THE STANFORD UNIVERSITY SCHOOL OF MEDICINE AND THE VETERANS AFFAIRS PALO ALTO HEALTHCARE SYSTEM TO COLLECT DATA FROM THE TIME PERIOD OF 1/1/2010 TO 12/31/2020 WITH A TARGET OF 19,250 CIRRHOSIS PATIENTS THAT RECEIVE USUAL CARE FROM 550 PROVIDERS. THE PROVIDERS ARE AFFILIATED WITH FIVE GEOGRAPHICALLY DISPERSE SAFETY-NET HEALTH SYSTEMS REPRESENTING BROAD GEOGRAPHIC AND ETHNIC DIVERSITY INCLUDING SAN FRANCISCO COMMUNITY HEALTH NETWORK (CA), OCHSNER HEALTH SYSTEM (LA), PARKLAND HEALTH AND HOSPITAL SYSTEM (TX), JACKSON MEMORIAL HEALTH SYSTEM (FL), AND METROHEALTH SYSTEM (OH). THE RESEARCHERS SELECTED SAFETY-NET HEALTH SYSTEMS AS STUDY SITES SINCE THEY PREDOMINATELY SERVE INDIGENT AND ETHNIC MINORITY POPULATIONS WHO REPRESENT THE GREATEST DISPARITIES IN CHRONIC LIVER DISEASE CARE AND WOULD ACHIEVE THE GREATEST BENEFIT FROM STUDIES FOCUSED ON IMPROVINGHCC OUTCOMES. THE YEAR'S RESEARCH AIMED TO EXAMINE THE IMPACT OF COVID-19 PANDEMIC RELATED DISRUPTIONS IN HEALTHCARE DELIVERY IN EXACERBATING RACIAL AND ETHNIC DISPARITIES IN HCC SCREENING BY EVALUATING ADHERENCE TO AND PREDICTORS OF GUIDELINE CONCORDANT HCC SCREENING AMONG CIRRHOSIS PATIENTS IN THE PRE-COVID-19, COVID-19, AND POST-COVID-19 RECOVERY PERIODS. RESEARCHERS HYPOTHESIZED THAT THERE WOULD BE SIGNIFICANTLY LOWER RATES OF PATIENTS RECEIVING GUIDELINE-CONCORDANT HCC SCREENINGS AMONG ETHNIC MINORITIES AND CIRRHOSIS PATIENTS OF LOWER SOCIOECONOMIC STATUS (SES). THE RESEARCH ALSO AIMED TO IDENTIFY WHICH PATIENT, PROVIDER, AND SYSTEM LEVEL FACTORS MEDIATE THE RELATIONSHIP BETWEEN RACIAL AND ETHNIC DISPARITIES IN HCC SCREENING, STAGE OF TUMOR AT DIAGNOSIS, AND RECEIPT OF CURATIVE TREATMENTS. MTPPI ACHIEVED THESE GOALS BY UTILIZING TIME DEPENDENT KAPLAN MEIER METHODS AND ASSOCIATED LOG-RANK TESTING TO EVALUATE RACE AND ETHNICITY-SPECIFIC PROBABILITY OF RECEIVING HCC SCREENING. AMONG CIRRHOSIS PATIENTS THAT SUCCESSFULLY UNDERWENT FIRST-TIME HCC SCREENING, MTPPI CALCULATED OVERALL CRUDE RACE AND ETHNICITY-SPECIFIC RATES OF RECEIVING TWO ADDITIONAL HCC SCREENING TESTS WITHIN 12 MONTHS FOLLOWING INDEX HCC SCREENING AS WELL AS CONDUCTED TIME-DEPENDENT ANALYSES USING KAPLAN MEIER METHODS AND ASSOCIATED LOG-RANK TESTING. THE PRIMARY OBJECTIVE IS TO EVALUATE RACE AND ETHNICITY-SPECIFIC DISPARITIES IN HCC SCREENING. THE COMPREHENSIVE NATURE OF THE STUDY WILL ALLOW FOR SUB-ANALYSES TO EVALUATE HCC SCREENING RATES AMONG OTHER POPULATIONS, SPECIFICALLY THOSE WITH LIMITED EXISTING DATA. IN ADDITION, WHILE 6-MONTH IS THE GUIDELINE RECOMMENDED INTERVAL, MTPPI WILL PERFORM A SENSITIVITY ANALYSIS USING A 12-MONTH INTERVAL FOR INITIAL HCC SCREENING AND AN ADDITIONAL 24-MONTH FOLLOW-UP FOR ASSESSING 2 ADDITIONAL HCC SCREENING EXAMS. THE RESEARCH ACTIVITIES WILL INCLUDE TESTS OF THE MEDIATING ROLE OF PATIENT, PROVIDER, AND SYSTEM FACTORS IN THE RELATIONSHIP BETWEEN ETHNIC MINORITY STATUS AND HCC SCREENING. THREE LOGISTIC REGRESSION EQUATIONS, COMPRISING 'MEDIATIONAL ANALYSES', WERE ESTIMATED. FIRST, THE DEPENDENT VARIABLE, HCC SCREENING (DONE SEPARATELY FOR FIRST TIME AND REPEAT HCC SCREENING AND SEPARATELY FOR RACE, HISPANIC ETHNICITY, AND ENGLISH AS PRIMARYLANGUAGE), WAS REGRESSED ON THE INDEPENDENT VARIABLE OF RACE; SECOND,THE MEDIATOR (PATIENT, PROVIDER AND SYSTEM FACTORS) WAS REGRESSED ON HCC SCREENING; AND THIRD, HCC SCREENING WAS REGRESSED ON BOTH THEINDEPENDENT VARIABLE (RACE) AND MEDIATOR.THE AMERICAN ASSOCIATION FOR THE STUDY OF LIVER DISEASES (AASLD) SELECTED AN ABSTRACT FROM THE RESEARCH TEAM TITLED "EVALUATING PROVIDER-LEVEL FACTORS CONTRIBUTING TO SUB-OPTIMAL SURVEILLANCE FORHEPATOCELLULAR CARCINOMA AMONG PATIENTS WITH CIRRHOSIS ACROSS FOUR SAFETY-NET HEALTH SYSTEMS IN THE UNITED STATES" FOR POSTER PRESENTATION AT THE LIVER MEETING IN BOSTON, MA.IN 2023 A POSTER WAS PRESENTED AT THE LIVER MEETING IN BOSTON, MA, USA. AUTHORS WERE ROBERT J. WONG, PATRICIA JONES, BOLIN NIU, GEORGE THERAPON
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IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0FOR THE YEAR ENDED DECEMBER 31, 2023, THE ORGANIZATIONS HAVE DOCUMENTED THEIR CONSIDERATION OF FASB ASC 740-10, INCOME TAXES, THAT PROVIDES GUIDANCE FOR REPORTING UNCERTAINTY IN INCOME TAXES AND HAS DETERMINED THAT NO MATERIAL UNCERTAIN TAX POSITIONS QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS.
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt2RESEARCH ASSOCIATE
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt3DIRECTOR OF DEVELOPMENT
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt0248659
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt1201887
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt2184796
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt3155625

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Filings

Displayed year

2023 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$4,134,159
Liabilities
$607,466
Net assets
$3,526,693
Revenue
$847,823
Expenses
$1,107,795
Net income
-$259,972
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$4.30$0.79$3.51$0.91$1.13$0.21
2023Detailed filing. Detailed filing data is available for this year.$4.13$0.61$3.53$0.85$1.11$0.26
2022Detailed filing. Detailed filing data is available for this year.$3.99$0.50$3.49$0.97$1.11$0.14
2021Detailed filing. Detailed filing data is available for this year.$4.68$0.40$4.28$0.86$1.21$0.34
2020Detailed filing. Detailed filing data is available for this year.$4.87$0.60$4.28$1.01$1.26$0.25
2019Detailed filing. Detailed filing data is available for this year.$4.64$0.53$4.11$0.89$1.31$0.42
2018Detailed filing. Detailed filing data is available for this year.$4.36$0.27$4.10$0.79$1.26$0.47
2017Detailed filing. Detailed filing data is available for this year.$5.17$0.28$4.89$1.12$1.28$0.17
2016Detailed filing. Detailed filing data is available for this year.$5.19$0.50$4.68$1.01$1.32$0.31
2015Detailed filing. Detailed filing data is available for this year.$5.12$0.30$4.82$0.78$1.28$0.50
2014Detailed filing. Detailed filing data is available for this year.$6.38$1.08$5.30$1.20$1.52$0.31
2013Summary only. Only limited summary data is available for this year.$5.81$0.53$5.28$1.91$1.77$0.14
2012Summary only. Only limited summary data is available for this year.$7.23$0.05$7.18$2.72$1.07$1.65
2011Summary only. Only limited summary data is available for this year.$5.58$0.05$5.53$1.04$0.92$0.12