Civic Intelligence

Palliative Care Quality Collaborative Nfp

990 • Fiscal year 2020 • EIN 83-4460105

Jan 01, 2020 to Dec 31, 2020 • Filed on Nov 11, 2021

Organization Profilewww.palliativequality.org

View Organization Page

8735 W Higgins Rd 300Chicago, IL 60631

(833) 903-2201

Siviq Scores

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

Liabilities / Assets

44th percentile

0.07x

Higher debt load relative to assets than 44% of similar nonprofits.

2020 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2020

Liabilities / Revenue

36th percentile

0.06x

Higher debt load relative to revenue than 36% of similar nonprofits.

2020 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2020

Net Margin

97th percentile

84%

Higher net margin than 97% of similar nonprofits.

2020 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2020

Top Officer Pay

37th percentile

$0

Higher top officer pay than 37% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

2020 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2020

Asset Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2020

Revenue Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2020

Balance Sheet
Liabilities / Assets44th percentile

Assets

$936,296

No earlier filing loaded for comparison.

Net Assets

$872,031

No earlier filing loaded for comparison.

Liabilities

$64,265

No earlier filing loaded for comparison.

Revenue And Expenses
Liabilities / Revenue36th percentileNet Margin97th percentile

Revenue

$1,040,529

No earlier filing loaded for comparison.

Expenses

$168,498

No earlier filing loaded for comparison.

Net Income

$872,031

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

Asset GrowthScore unavailable

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

$1.0M$500K$0Assets 2020: $936,296Liabilities 2020: $64,265Net Assets 2020: $872,0312020Assets 2021: $771,231Liabilities 2021: $123,571Net Assets 2021: $647,6602021Assets 2022: $496,274Liabilities 2022: $327,166Net Assets 2022: $169,1082022Assets 2023: $487,814Liabilities 2023: $326,455Net Assets 2023: $161,3592023Assets 2024: $170,909Liabilities 2024: $153,608Net Assets 2024: $17,3012024

Highlighted filing

2020

Assets$936,296
Liabilities$64,265
Net Assets$872,031
Open 2020 Filing

Operations Trend

Revenue GrowthScore unavailable

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

$1.5M$1.0M$500K$0-$500KRevenue 2020: $1,040,529Expenses 2020: $168,498Net Income 2020: $872,0312020Revenue 2021: $446,482Expenses 2021: $670,853Net Income 2021: -$224,3712021Revenue 2022: $596,191Expenses 2022: $1,074,743Net Income 2022: -$478,5522022Revenue 2023: $720,933Expenses 2023: $728,682Net Income 2023: -$7,7492023Revenue 2024: $548,008Expenses 2024: $692,066Net Income 2024: -$144,0582024

Highlighted filing

2020

Revenue$1,040,529
Expenses$168,498
Net Income$872,031
Open 2020 Filing
Jump To
Filing Snapshot
Filing Period
Jan 1, 2020 to Dec 31, 2020
Signed
Nov 11, 2021
Return Version
2020v4.0
Gross Receipts
$1,040,529
Mission and Program Overview

Mission

create a unified palliative care registry

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts-$809,054-
Accounts Receivable-$118,931-
Prepaid Expenses and Deferred Charges-$8,311-
Savings and Temporary Cash Investments-$0-
Other Notes and Loans Receivable, Net-$0-
Pledges and Grants Receivable-$0-
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities-$0-
Investments Program Related-$0-
Investments in Publicly Traded Securities-$0-
Land, Buildings, and Equipment, Net-$0-
Intangible Assets-$0-
Inventories for Sale or Use-$0-
Total Assets$0$936,296▲ $936,296
Other Assets Total-$0-
Liabilities
Accounts Payable and Accrued Expenses-$50,015-
Deferred Revenue-$14,250-
Total Liabilities$0$64,265▲ $64,265
Net Assets / Fund Balance
Net Assets With Donor Restrictions-$921,535-
Net Assets Without Donor Restrictions-$-49,504-
Total Net Assets Fund Balance$0$872,031▲ $872,031
Total Liabilities and Net Assets / Fund Balance$0$936,296▲ $936,296
Compensation and Service Providers
Top Officer Pay37th percentile

Board Members and Trustees

NameTitle
Steven PantilatChair
Arif KamalChair-elect
Janet BullDirector
Kristyn FazzalaroDirector
Melissa D AldridgeDirector
Rachel ThienprayoonDirector
Jon NicollaExecutive Director
Diane MeierSecretary
Phillip E RodgersTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$1,040,465
Program Service Revenue
$64
Investment Income
$0
Other Revenue
$0
All Other Contributions
$1,040,465
Change in Net Assets
$872,031
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$151,831
Grants and Similar Amounts Paid$16,667
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Management$38,312$49,188-$87,500
Fees for Services Other$48,900--$48,900
Grants to Domestic Orgs$16,667--$16,667
Fees for Services Legal$11,524--$11,524
Other Expenses$3,528$161-$161
Total Functional Expenses$118,931$49,567$0$168,498
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Four SeasonsFlat Rock, NC501c3Grant$16,667
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

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
Yes
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
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
No
Key decisions subject to board approval
Yes
Management duties delegated
Yes

Governance Explanations

Form 990, Part VI, Line 3: Description of Delegated Duties to Management Company

“Organization utilizes an association management company to perform the management & administrative duties of the organization.”

Form 990, Part VI, Line 11B: Form 990 Review Process

“The form 990 was provided to the treasurer to review.”

Form 990, Part VI, Line 12C: Explanation of Monitoring and Enforcement of Conflicts

“New board members are asked to review and accept the conflict of interest policy. All board members are asked to update their disclosure of conflicts at least on an annual basis.”

Form 990, Part VI, Line 15A: Compensation Review & Approval Process - CEO, Top Management

“The organization has no employees. It outsources staff functions to an association management company. The management company competitvely compensates the staff that provides the service. The management company evaluates compensation based upon surveys and reviews of industry benchmark data.”

Form 990, Part VI, Line 18: Explanation of Other Means Forms Available For Public Inspection

“Documents made available upon request.”

Form 990, Part VI, Line 19: Other Organization Documents Publicly Available

“Documents made available upon request.”

Filing and Contact Details

Filer

Filer Name
Palliative Care Quality Collaborative
EIN
83-4460105
Phone
8339032201
Address
8735 W HIGGINS RD 300, CHICAGO, IL 60631

Signing Officer

Name
Jon Nicolla
Title
Executive Director
Signed
2021-11-11
Discuss with paid preparer
Yes

Organization Details

Formed
2019
Legal Domicile
Il
Voting Board Members
8
Independent Board Members
8
Employees
0

Preparer

Firm
Barnes Givens & Barnes
Address
200 E Evergreen Ave STE 117, Mount Prospect, IL 60056
Preparer
William J Barnes
Phone
2247642442
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0ORGANIZATION UTILIZES AN ASSOCIATION MANAGEMENT COMPANY TO PERFORM THE MANAGEMENT & ADMINISTRATIVE DUTIES OF THE ORGANIZATION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE FORM 990 WAS PROVIDED TO THE TREASURER TO REVIEW.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2NEW BOARD MEMBERS ARE ASKED TO REVIEW AND ACCEPT THE CONFLICT OF INTEREST POLICY. ALL BOARD MEMBERS ARE ASKED TO UPDATE THEIR DISCLOSURE OF CONFLICTS AT LEAST ON AN ANNUAL BASIS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE ORGANIZATION HAS NO EMPLOYEES. IT OUTSOURCES STAFF FUNCTIONS TO AN ASSOCIATION MANAGEMENT COMPANY. THE MANAGEMENT COMPANY COMPETITVELY COMPENSATES THE STAFF THAT PROVIDES THE SERVICE. THE MANAGEMENT COMPANY EVALUATES COMPENSATION BASED UPON SURVEYS AND REVIEWS OF INDUSTRY BENCHMARK DATA.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4DOCUMENTS MADE AVAILABLE UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5DOCUMENTS MADE AVAILABLE UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Form 990, Part VI, Line 3: Description of Delegated Duties to Management Company
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Form 990, Part VI, Line 11b: Form 990 Review Process
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4Form 990, Part VI, Line 18: Explanation of Other Means Forms Available For Public Inspection
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5Form 990, Part VI, Line 19: Other Organization Documents Publicly Available
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ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/FederatedAssuranceLevelCd0FAL1
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ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/TrustedCustomerCd00
ReturnHeader/BuildTS02022-09-23 18:48:47Z
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ReturnHeader/BusinessOfficerGrp/PersonNm0Jon Nicolla
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0Executive Dir.
ReturnHeader/BusinessOfficerGrp/SignatureDt02021-11-11
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0PALLIATIVE CARE QUALITY COLLABORATIVE
ReturnHeader/Filer/BusinessName/BusinessNameLine2Txt0NFP
ReturnHeader/Filer/BusinessNameControlTxt0PALL
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ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0362716239
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0BARNES GIVENS & BARNES
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0200 E Evergreen Ave STE 117
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0Mount Prospect
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0IL
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd060056
ReturnHeader/PreparerPersonGrp/PhoneNum02247642442
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0William J Barnes
ReturnHeader/ReturnTs02021-11-11T14:36:57-08:00
ReturnHeader/ReturnTypeCd0990

Document Assets

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Filings

Displayed year

2020 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$936,296
Liabilities
$64,265
Net assets
$872,031
Revenue
$1,040,529
Expenses
$168,498
Net income
$872,031
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$0.17$0.15$0.02$0.55$0.69$0.14
2023Detailed filing. Detailed filing data is available for this year.$0.49$0.33$0.16$0.72$0.73$0.01
2022Detailed filing. Detailed filing data is available for this year.$0.50$0.33$0.17$0.60$1.07$0.48
2021Detailed filing. Detailed filing data is available for this year.$0.77$0.12$0.65$0.45$0.67$0.22
2020Detailed filing. Detailed filing data is available for this year.$0.94$0.06$0.87$1.04$0.17$0.87