Civic Intelligence

Palliative Care Quality Collaborative Nfp

990 • Fiscal year 2021 • EIN 83-4460105

Jan 01, 2021 to Dec 31, 2021 • Filed on Sep 28, 2022

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

71st percentile

0.16x

Higher debt load relative to assets than 71% of similar nonprofits.

2021 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2021

Liabilities / Revenue

78th percentile

0.28x

Higher debt load relative to revenue than 78% of similar nonprofits.

2021 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2021

Net Margin

6th percentile

-50%

Higher net margin than 6% of similar nonprofits.

2021 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2021

Top Officer Pay

72nd percentile

$60,000

Higher top officer pay than 72% of similar nonprofits.

Top officer pay equals 13.4% of source-year revenue.

2021 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2021

Asset Growth

7th percentile

-18%

Faster asset growth than 7% of similar nonprofits.

2021 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2020 to 2021

Revenue Growth

5th percentile

-57%

Faster revenue growth than 5% of similar nonprofits.

2021 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2020 to 2021

Assets

Down

$771,231

Down $165,065 (-18%) from 2020

Net Assets

Down

$647,660

Down $224,371 (-26%) from 2020

Liabilities

Up

$123,571

Up $59,306 (+92%) from 2020

Revenue

Down

$446,482

Down $594,047 (-57%) from 2020

Expenses

Up

$670,853

Up $502,355 (+298%) from 2020

Net Income

Down

-$224,371

Down $1,096,402 (-126%) from 2020

Historical Trend

Balance Sheet Trend

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

2021

Assets$771,231
Liabilities$123,571
Net Assets$647,660

Operations Trend

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

2021

Revenue$446,482
Expenses$670,853
Net Income-$224,371
Jump To
Filing Snapshot
Filing Period
Jan 1, 2021 to Dec 31, 2021
Signed
Sep 28, 2022
Return Version
2021v4.0
Gross Receipts
$446,482
Mission and Program Overview

Mission

create a unified palliative care registry

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$809,054$760,847▼ $48,207
Accounts Receivable$118,931$0▼ $118,931
Prepaid Expenses and Deferred Charges$8,311$10,384▲ $2,073
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$936,296$771,231▼ $165,065
Other Assets Total-$0-
Liabilities
Deferred Revenue$14,250$112,992▲ $98,742
Accounts Payable and Accrued Expenses$50,015$10,579▼ $39,436
Total Liabilities$64,265$123,571▲ $59,306
Net Assets / Fund Balance
Net Assets With Donor Restrictions$921,535$358,793▼ $562,742
Net Assets Without Donor Restrictions$-49,504$288,867▲ $338,371
Total Net Assets Fund Balance$872,031$647,660▼ $224,371
Total Liabilities and Net Assets / Fund Balance$936,296$771,231▼ $165,065
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseTotal
Jon NicollaExecutive DirectorFT$60,000$60,000

Board Members and Trustees

Highest Paid Contractors

ContractorServicesLocationCompensation
Association Management CenterManagement8735 W Higgins Rd, Chicago, IL 60631$290,000
Revenue and Support

Revenue Composition

Contributions and Grants
$285,203
Program Service Revenue
$161,258
Investment Income
$21
Other Revenue
$0
All Other Contributions
$285,203
Change in Net Assets
$-224,371

Audited Revenue Reconciliation

Revenue per Audited Statements
$446,482
Total Revenue per Audited Statements
$446,482
Total Revenue per Form 990
$446,482
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$526,478
Grants and Similar Amounts Paid$78,025
Salaries, Compensation, and Employee Benefits$66,350
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Management$47,848$242,152-$290,000
Grants to Domestic Orgs$78,025--$78,025
Fees for Services Other$57,300$20,137-$77,437
Fees for Services Legal$12,924$50,994-$63,918
Current Officers, Directors, Trustees, and Key Employees-$60,000-$60,000
Insurance-$10,010-$10,010
Payroll Taxes-$4,850-$4,850
All Other Expenses$760$3,861-$4,621
Fees for Services Accounting-$3,550-$3,550
Other Expenses$2,850$4,300-$2,850
Pension Plan Contributions-$1,500-$1,500
Travel-$1,489-$1,489
Total Functional Expenses$203,585$467,268$0$670,853

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$670,853
Total Expenses per Audited Statements$670,853
Total Expenses per Form 990$670,853
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Duke UniversityCharlotte, NC-Grant$45,025
ICAHN School of medicineNew York, NY-Grant$33,000
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
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
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 EDs compensation is reviewed and determined by the governing body.ALSO, THE ORGANIZATION OUTSOURCES MANY 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
2022-09-28
Discuss with paid preparer
Yes

Organization Details

Formed
2019
Legal Domicile
Il
Voting Board Members
8
Independent Board Members
8
Employees
1

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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IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt08311
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt010384
IRS990/ProfessionalFundraisingInd0false
IRS990/ProgramServiceRevenueGrp/Desc0Membership Dues & Assessments
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt0161258
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt0161258
IRS990/ProhibitedTaxShelterTransInd0false
IRS990/PYContributionsGrantsAmt01040465
IRS990/PYExcessBenefitTransInd0false
IRS990/PYGrantsAndSimilarPaidAmt016667
IRS990/PymtTravelEntrtnmntPubOfclGrp/TotalAmt00
IRS990/PYOtherExpensesAmt0151831
IRS990/PYProgramServiceRevenueAmt064
IRS990/PYRevenuesLessExpensesAmt0872031
IRS990/PYTotalExpensesAmt0168498
IRS990/PYTotalRevenueAmt01040529
IRS990/QuidProQuoContributionsInd0false
IRS990/RcvblFromDisqualifiedPrsnGrp/EOYAmt00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd0false
IRS990/ReceivablesFromOfficersEtcGrp/EOYAmt00
IRS990/ReconcilationRevenueExpnssAmt0-224371
IRS990/RegularMonitoringEnfrcInd0true
IRS990/RelatedEntityInd0false
IRS990/RelatedOrganizationCtrlEntInd0false
IRS990/ReportInvestmentsOtherSecInd0false
IRS990/ReportLandBuildingEquipmentInd0false
IRS990/ReportOtherAssetsInd0false
IRS990/ReportOtherLiabilitiesInd0false
IRS990/ReportProgramRelatedInvstInd0false
IRS990/RoyaltiesGrp/TotalAmt00
IRS990/RoyaltiesRevenueGrp/TotalRevenueColumnAmt00
IRS990/SavingsAndTempCashInvstGrp/EOYAmt00
IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/TotalAmt00
IRS990ScheduleA/First5Years509Ind0X
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearAmt0446461
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus1YearAmt01040465
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/TotalAmt01486926
IRS990ScheduleA/GovtFurnSrvcFcltsVl509Grp/TotalAmt00
IRS990ScheduleA/GrossInvestmentIncome509Grp/TotalAmt00
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearAmt021
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus1YearAmt064
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/TotalAmt085
IRS990ScheduleA/GrossReceiptsNonUnrltBusGrp/TotalAmt00
IRS990ScheduleA/InvestmentIncomeCYPct00.00000
IRS990ScheduleA/NetIncomeFromOtherUBIGrp/TotalAmt00
IRS990ScheduleA/OtherIncome509Grp/TotalAmt00
IRS990ScheduleA/Post1975UBTIGrp/TotalAmt00
IRS990ScheduleA/PubliclySupportedOrg509a2Ind0X
IRS990ScheduleA/PublicSupportCY509Pct00.00000
IRS990ScheduleA/PublicSupportTotal509Amt01487011
IRS990ScheduleA/SubstantialContributorsAmtGrp/TotalAmt00
IRS990ScheduleA/TaxRevLeviedOrgnztnlBnft509Grp/TotalAmt00
IRS990ScheduleA/Total509Grp/CurrentTaxYearAmt0446482
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus1YearAmt01040529
IRS990ScheduleA/Total509Grp/TotalAmt01487011
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearAmt0446482
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus1YearAmt01040529
IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt01487011
IRS990ScheduleB/ContributorInformationGrp/ContributorBusinessName/BusinessNameLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorNum0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine20RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/City0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt0RESTRICTED
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IRS990ScheduleD/TotalRevenuePerForm990Amt0446482
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IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt0670853
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IRS990ScheduleI/RecipientTable/CashGrantAmt045025
IRS990ScheduleI/RecipientTable/CashGrantAmt133000
IRS990ScheduleI/RecipientTable/NonCashAssistanceAmt00
IRS990ScheduleI/RecipientTable/NonCashAssistanceAmt10
IRS990ScheduleI/RecipientTable/PurposeOfGrantTxt0GRANT
IRS990ScheduleI/RecipientTable/PurposeOfGrantTxt1GRANT
IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine1Txt0Duke University
IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine1Txt1ICAHN School of medicine
IRS990ScheduleI/RecipientTable/RecipientEIN0562070036
IRS990ScheduleI/RecipientTable/RecipientEIN1475508988
IRS990ScheduleI/RecipientTable/USAddress/AddressLine1Txt0PO Box 602651
IRS990ScheduleI/RecipientTable/USAddress/AddressLine1Txt155 W 125th St
IRS990ScheduleI/RecipientTable/USAddress/CityNm0Charlotte
IRS990ScheduleI/RecipientTable/USAddress/CityNm1New York
IRS990ScheduleI/RecipientTable/USAddress/StateAbbreviationCd0NC
IRS990ScheduleI/RecipientTable/USAddress/StateAbbreviationCd1NY
IRS990ScheduleI/RecipientTable/USAddress/ZIPCd028260
IRS990ScheduleI/RecipientTable/USAddress/ZIPCd110027
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IRS990ScheduleI/TotalOtherOrgCnt00
IRS990/ScheduleJRequiredInd0false
IRS990/ScheduleORequiredInd0true
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 EDs compensation is reviewed and determined by the governing body.ALSO, THE ORGANIZATION OUTSOURCES MANY 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
IRS990/SchoolOperatingInd0false
IRS990/SignificantChangeInd0false
IRS990/SignificantNewProgramSrvcInd0false
IRS990/SubjectToExcsTaxNetInvstIncInd0false
IRS990/SubjectToProxyTaxInd0false
IRS990/SubjToTaxRmnrtnExPrchtPymtInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TerminateOperationsInd0false
IRS990/TotalAssetsBOYAmt0936296
IRS990/TotalAssetsEOYAmt0771231
IRS990/TotalAssetsGrp/BOYAmt0936296
IRS990/TotalAssetsGrp/EOYAmt0771231
IRS990/TotalCompGreaterThan150KInd0false
IRS990/TotalContributionsAmt0285203

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