Civic Intelligence

National Pace Association

EIN 94-3212616 • 501(c)3 • Alexandria, VA

Profile

National pace association's principal purpose is to increase the provision of quality, comprehensive health care services to frail, older adults through the program of all-inclusive care for the elderly, and to support, maintain, and promote the pace model of care.

675 N Washington St Suite 300Alexandria, VA 22314

www.npaonline.org

Siviq Scores

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

Liabilities / Assets

70th percentile

0.33x

Higher debt load relative to assets than 70% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Source year 2024

Liabilities / Revenue

55th percentile

0.20x

Higher debt load relative to revenue than 55% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Source year 2024

Net Margin

22nd percentile

-8.1%

Higher net margin than 22% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Source year 2024

Top Officer Pay

Score unavailable

No value available

No filing with officer rows is available for this organization yet.

Asset Growth

10th percentile

-12%

Faster asset growth than 10% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Annualized from 2023 to 2024

Revenue Growth

50th percentile

7.2%

Faster revenue growth than 50% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Annualized from 2023 to 2024

Assets

Down

$5,595,052

Down $760,670 (-12%) from 2023

Liabilities

Down

$1,827,317

Down $220,550 (-11%) from 2023

Net Assets

Down

$3,767,735

Down $540,120 (-13%) from 2023

Revenue

Up

$9,165,036

Up $615,458 (+7.2%) from 2023

Expenses

Up

$9,911,350

Up $1,401,032 (+16%) from 2023

Net Income

Down

-$746,314

Down $785,574 (-2001%) from 2023

Trend Graphs

Balance Sheet Trend

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

$8.0M$6.0M$4.0M$2.0M$0Assets 2011: $1,255,079Liabilities 2011: $306,526Net Assets 2011: $948,5532011Assets 2012: $1,348,083Liabilities 2012: $362,486Net Assets 2012: $985,5972012Assets 2013: $1,497,195Liabilities 2013: $318,515Net Assets 2013: $1,178,6802013Assets 2014: $2,172,472Liabilities 2014: $649,879Net Assets 2014: $1,522,5932014Assets 2015: $2,121,465Liabilities 2015: $465,885Net Assets 2015: $1,655,5802015Assets 2016: $3,134,239Liabilities 2016: $679,199Net Assets 2016: $2,455,0402016Assets 2017: $4,126,013Liabilities 2017: $1,062,180Net Assets 2017: $3,063,8332017Assets 2018: $4,576,194Liabilities 2018: $1,025,002Net Assets 2018: $3,551,1922018Assets 2019: $4,594,262Liabilities 2019: $982,010Net Assets 2019: $3,612,2522019Assets 2020: $5,227,385Liabilities 2020: $1,290,194Net Assets 2020: $3,937,1912020Assets 2021: $5,961,641Liabilities 2021: $1,277,546Net Assets 2021: $4,684,0952021Assets 2022: $5,577,479Liabilities 2022: $1,479,061Net Assets 2022: $4,098,4182022Assets 2023: $6,355,722Liabilities 2023: $2,047,867Net Assets 2023: $4,307,8552023Assets 2024: $5,595,052Liabilities 2024: $1,827,317Net Assets 2024: $3,767,7352024

Highlighted filing

2024

Assets$5,595,052
Liabilities$1,827,317
Net Assets$3,767,735

Operations Trend

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

$10M$5.0M$0-$5.0MRevenue 2011: $3,131,195Expenses 2011: $2,914,851Net Income 2011: $216,3442011Revenue 2012: $3,447,945Expenses 2012: $3,395,284Net Income 2012: $52,6612012Expenses 2013: $4,014,6322013Revenue 2014: $4,359,387Expenses 2014: $4,064,511Net Income 2014: $294,8762014Revenue 2015: $4,732,281Expenses 2015: $4,558,497Net Income 2015: $173,7842015Revenue 2016: $5,650,667Expenses 2016: $4,822,907Net Income 2016: $827,7602016Revenue 2017: $6,148,662Expenses 2017: $5,647,553Net Income 2017: $501,1092017Revenue 2018: $6,674,777Expenses 2018: $6,209,128Net Income 2018: $465,6492018Revenue 2019: $6,573,725Expenses 2019: $6,520,637Net Income 2019: $53,0882019Revenue 2020: $6,590,874Expenses 2020: $6,156,434Net Income 2020: $434,4402020Revenue 2021: $6,635,656Expenses 2021: $6,429,962Net Income 2021: $205,6942021Revenue 2022: $7,340,349Expenses 2022: $7,145,673Net Income 2022: $194,6762022Revenue 2023: $8,549,578Expenses 2023: $8,510,318Net Income 2023: $39,2602023Revenue 2024: $9,165,036Expenses 2024: $9,911,350Net Income 2024: -$746,3142024

Highlighted filing

2024

Revenue$9,165,036
Expenses$9,911,350
Net Income-$746,314

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$5.60$1.83$3.77$9.17$9.91$0.75
2023Detailed filing. Detailed filing data is available for this year.$6.36$2.05$4.31$8.55$8.51$0.04
2022Detailed filing. Detailed filing data is available for this year.$5.58$1.48$4.10$7.34$7.15$0.19
2021Detailed filing. Detailed filing data is available for this year.$5.96$1.28$4.68$6.64$6.43$0.21
2020Detailed filing. Detailed filing data is available for this year.$5.23$1.29$3.94$6.59$6.16$0.43
2019Detailed filing. Detailed filing data is available for this year.$4.59$0.98$3.61$6.57$6.52$0.05
2018Detailed filing. Detailed filing data is available for this year.$4.58$1.03$3.55$6.67$6.21$0.47
2017Detailed filing. Detailed filing data is available for this year.$4.13$1.06$3.06$6.15$5.65$0.50
2016Detailed filing. Detailed filing data is available for this year.$3.13$0.68$2.46$5.65$4.82$0.83
2015Detailed filing. Detailed filing data is available for this year.$2.12$0.47$1.66$4.73$4.56$0.17
2014Detailed filing. Detailed filing data is available for this year.$2.17$0.65$1.52$4.36$4.06$0.29
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.50$0.32$1.18$4.01
2012Summary only. Only limited summary data is available for this year.$1.35$0.36$0.99$3.45$3.40$0.05
2011Summary only. Only limited summary data is available for this year.$1.26$0.31$0.95$3.13$2.91$0.22
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2023 to Jun 30, 2024
Signed
May 15, 2025
Return Version
2023v6.0
Gross Receipts
$9,848,039
Mission and Program Overview

Mission

National pace association's principal purpose is to increase the provision of quality, comprehensive health care services to frail, older adults through the program of all-inclusive care for the elderly, and to support, maintain, and promote the pace model of care.

Increase the provision of comprehensive health care services to older adults in the u.s.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$3,666,675$4,056,093▲ $389,418
Savings and Temporary Cash Investments$438,556$461,949▲ $23,393
Intangible Assets$736,879$374,513▼ $362,366
Land, Buildings, and Equipment, Net$242,182$209,050▼ $33,132
Prepaid Expenses and Deferred Charges$131,066$152,395▲ $21,329
Accounts Receivable$161,793$137,331▼ $24,462
Pledges and Grants Receivable$106,785--
Cash and Non-Interest-Bearing Accounts$871,786$104,281▼ $767,505
Other Notes and Loans Receivable, Net-$99,440-
Total Assets$6,355,722$5,595,052▼ $760,670
Liabilities
Accounts Payable and Accrued Expenses$771,672$904,248▲ $132,576
Deferred Revenue$421,626$483,206▲ $61,580
Other Liabilities$854,569$439,863▼ $414,706
Total Liabilities$2,047,867$1,827,317▼ $220,550
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$4,307,855$3,767,735▼ $540,120
Total Net Assets Fund Balance$4,307,855$3,767,735▼ $540,120
Total Liabilities and Net Assets / Fund Balance$6,355,722$5,595,052▼ $760,670

Asset Categories

AssetBook ValueDepreciationBasis
Other Land Buildings$162,034$795,580$957,614
Equipment$44,051$301,992$346,043
Leasehold Improvements$2,965$32,845$35,810
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Shawn BloomPresident and CEOFT$474,595$109,713$584,308
Peter FitzgeraldExec. VP of Policy and StrategyFT$297,017$42,290$339,307
Elizabeth GantSr. VP of Legal and ChiefFT$246,952$38,544$285,496
Mary PahnerVP of Regulatory AffairsFT$253,438$19,131$272,569
Robert GreenwoodSr. VP of Public AffairsFT$217,275$33,659$250,934
Mia PhiferVP of QualityFT$212,072$35,458$247,530
Jeffrey OlszewskiSr. VP of Finance & AdminiFT$171,761$35,478$207,239
Anita GibsonSenior Director, Project Management and Policy COMFT$171,296$12,229$183,525
Anita GibsonSenior Director, Project Management-$167,715$15,810$183,525

Board Members and Trustees

NameTitle
Grace LiChair
Maria ZamoraImmediate Past Chair
Alan SadowskyDirector
Cathy KenzigDirector
Cliff BauerDirector
Jill GrazianoDirector
Joyita GargDirector
Kristine BostekDirector
Mary NaberDirector
Michael GarlieDirector
Paul F SoczynskiDirector
Samira BeckwithDirector
Sonja FeltonDirector
Ursula RobinsonDirector
Lori FrankDirector (outgoing)
Maureen NashDirector (outgoing)
Stephanie WinslowDirector (outgoing)
Nate OlsonSecretary
Joan KwiatkowskiTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
University Of RochesterDepartment Of Public Health Sciences265 CRITTENDEN BLVD CU 420644, Rochester, NY 14642$153,409
The Solutions Group LLCTechnology Support1932 POWHATAN STREET, Falls Church, VA 22043$137,832
Mehlan Castagnetti Rosen Bingel & ThomasGovt Affairs Consulting1341 G STREET NW STE 1100, Washington, DC 20005$130,000
Natural Opinion Research CenterData AnalysisPO BOX 772327, Detroit, MI 48277-2327$110,000
Revenue and Support

Revenue Composition

Contributions and Grants
$98,007
Program Service Revenue
$8,039,685
Investment Income
$240,785
Other Revenue
$786,559
All Other Contributions
$98,007
Change in Net Assets
$-746,314

Audited Revenue Reconciliation

Revenue per Audited Statements
$9,132,709
Revenue Not Reported on Financial Statements
$32,327
Revenue Not Reported on Form 990
$206,194
Total Revenue per Audited Statements
$9,338,903
Total Revenue per Form 990
$9,165,036
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$5,551,963
Other Expenses$4,359,387
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$3,243,991$295,434-$3,539,425
Conferences and Meetings$1,549,296$10,946-$1,560,242
Current Officers, Directors, Trustees, and Key Employees$1,081,213$96,917-$1,178,130
Fees for Services Other$1,048,220$105,696-$1,153,916
Occupancy$293,258$103,962-$397,220
Other Employee Benefits$340,739$25,057-$365,796
Payroll Taxes$264,253$19,432-$283,685
Office Expenses$207,698$64,369-$272,067
Information Technology$181,029$8,462-$189,491
Pension Plan Contributions$172,260$12,667-$184,927
Travel$121,767$21,340-$143,107
Depreciation Depletion$49,988$17,722-$67,710
All Other Expenses$31,071$25,257-$56,328
Fees for Services Accounting$32,614$11,561-$44,175
Insurance$23,895$8,693-$32,588
Fees for Service Investment Mgmnt Fees-$32,327-$32,327
Other Expenses$15,644$12,717-$28,361
Fees for Services Legal$14,265$5,057-$19,322
Total Functional Expenses$8,976,214$935,136$0$9,911,350

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$9,911,350
Expenses per Audited Statements$9,879,023
Total Expenses per Audited Statements$9,879,023
Expenses Not Reported on Financial Statements$32,327
Expenses Not Reported on Form 990$0
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
Yes
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Operating Lease Liability$439,863
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
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 6

Members: the corporation shall have members. The characteristics, qualifications, rights, limitations and obligations attaching to each or any class of members shall be determined by the board of directors; provided, however, that only two (2) classes of members, provider members and prospective provider members, shall have the right to vote and hold office in the corporation. Membership classifications and qualifications: the board of directors shall determine the characteristics, qualifications, rights, limitations and obligations attaching to each or any class of the members. Application for membership in the corporation shall be made pursuant to procedures established by the board of directors. Membership eligibility qualifications shall be determined by the board of directors in its sole discretion.

Form 990, Part VI, Section A, Line 7A

Provider members shall be: (1) entities that operate pace programs under sections 1894 and 1934 of the social security act, (2) entities that operate pace programs under dual medicare and medicaid waivers, (3) organizations operating under dual medicare and medicaid capitation that predominantly serve the frail elderly, or (4) pre-pace programs, or those organizations operating under medicaid capitation only. Provider members may be not-for-profit corporations operating under 501(c)(3) tax status or for-profit corporations. Provider members shall maintain a membership in their respective npa-chartered state pace association (if one is available in their state). If a provider organization is related to a parent organization that has multiple provider or prospective provider organizations, all of the organizations must be a member in order for any one of the organizations to be a member. Provider members shall have the following rights and privileges: (1)the right to nominate one employee of any current provider member, or an employee of any provider member's sponsoring organization, to serve on the corporation's board of directors; (2)the right to vote in each annual election to fill open seats on the board of directors, or vote on any matter submitted to a vote of the members of the corporation; (3)the right to have either the medical director (or equivalent) or a primary care professional of the provider member serve on the primary care committee; (4)the privilege to have specific persons associated with the provider member serve on standing and working committees of the board of directors upon the request of the board of directors; and (5)the privilege to access certain materials, including official publications and other documents distributed by the corporation, as well as conferences offered by the corporation. Prospective provider members shall be: (1) entities that are evaluating or pursuing pace development, or (2) entities that are completing or have submitted pace provider applications. Prospective provider members may be not-for-profit corporations operating under 501(c)(3) tax status or for-profit corporations. Prospective provider members shall maintain a membership in their respective npa-chartered state pace association (if one is available in their state). If a prospective provider organization is related to a parent organization that has multiple provider or prospective provider organizations, all of the organizations must be a member in order for any one of the organizations to be a member. Prospective provider members shall have the following rights and privileges: (1)the right to nominate one employee of any current prospective provider member, or an employee of any prospective provider member's sponsoring organization, to serve on the corporation's board of directors; (2)the right to vote in each annual election to fill open seats on the board of directors, or vote on any matter submitted to a vote of the members of the corporation; (3)the privilege to have specific persons associated with the prospective provider member serve on standing and working committees of the board of directors upon the request of the board of directors; and (4)the privilege to access certain materials, including official publications and other documents distributed by the corporation, as well as conferences offered by the corporation.

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

The form 990 is reviewed by the senior vice president of finance and administration. A copy of the form 990 is then provided to each member of the board of the governing body before it is filed.

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

1. Duty to disclose in connection with any actual or possible conflicts of interest, an interested person must disclose the existence and nature of his or her financial interest to the directors and members of committees with board-delegated powers considering the proposed transaction or arrangement. 2. Determining whether a conflict of interest exists after disclosure of the financial interest, the interested person shall leave the board or committee meeting while the financial interest is discussed and voted upon. The remaining board or committee members shall decide if a conflict of interest exists. 3. Procedures for addressing the conflict of interest (a)the chair of the board or committee shall, if appropriate, appoint a disinterested person or committee to investigate alternatives to the proposed transaction or arrangement. (b)after exercising due diligence, the board or committee shall determine whether npa can obtain a more advantageous transaction or arrangement with reasonable efforts from a person or entity that would not give rise to a conflict of interest. (c)if a more advantageous transaction or arrangement is not reasonably attainable under circumstances that would not give rise to a conflict of interest, the board or committee shall determine by a majority vote of the disinterested directors whether the transaction or arrangement is in npa's best interest and for its own benefit and whether the transaction is fair and reasonable to npa and shall make its decision as to whether to enter into the transaction or arrangement in conformity with such determination. 4. Violations of the conflict of interest policy (a)if the board or committee has reasonable cause to believe that a member has failed to disclose actual or possible conflicts of interest, it shall inform the member of the basis for such belief and afford the member an opportunity to explain the alleged failure to disclose. (b)if, after hearing the response of the member and making such further investigation as may be warranted in the circumstances, the board or committee determines that the member has in fact failed to disclose an actual or possible conflict of interest, it shall take appropriate disciplinary and corrective action. Records of proceedings the minutes of the board and all committees with board-delegated powers shall contain: 1. The names of the persons who disclosed or otherwise were found to have a financial interest in connection with an actual or possible conflict of interest, the nature of the financial interest, any action to determine whether a conflict of interest was present, and the board's or committee's decision as to whether a conflict of interest in fact existed. 2. The names of the persons who were present for discussions and votes relating to the transaction or arrangement, the content of the discussion, including any alternatives to the proposed transaction or arrangement, and a record of any votes taken in connection herewith. Annual statements each director, principal officer and member of a committee with board-delegated powers shall annually sign a statement which affirms that such person: (a)has received a copy of the conflicts of interest policy, (b)has read and understands the policy, (c)has agreed to comply with the policy, and (d)understands that npa is a charitable organization and that in order to maintain its federal tax exemption it must engage primarily in activities which accomplish one or more of its tax-exempt purposes.

Form 990, Part VI, Section B, Line 15A

The executive committee of the governing body reviewed the president/ceo's compensation in april as part of the annual performance evaluation process. A compensation review was conducted by an independent firm which reviewed a market analysis of salaries for this position. The compensation review was provided to the executive committee as part of their determination process. At the conclusion of the process a salary determination was made by the executive committee, documented in compliance with the organization's policies, and provided to the finance department for inclusion in the next pay cycle.

Form 990, Part VI, Section C, Line 19

The governing documents, conflict of interest policy, and financial statements are available to the public upon request.

Filing and Contact Details

Filer

Filer Name
National Pace Association
EIN
94-3212616
Phone
7035351565
Address
675 N WASHINGTON ST SUITE 300, ALEXANDRIA, VA 22314

Signing Officer

Name
Shawn Bloom
Title
President & CEO
Phone
7035351565
Signed
2025-05-15
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Shawn Bloom
Formed
1994
Legal Domicile
CA
Voting Board Members
16
Independent Board Members
16
Employees
32
Volunteers
100

Preparer

Firm
Cohnreznick Advisory LLC
Address
7501 WISCONSIN AVENUE SUITE 400E, BETHESDA, MD 20814
Preparer
DANIEL O'SHEA
Phone
3016529100
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G

Consultant fees: program service expenses 1,048,220. Management and general expenses 105,696. Fundraising expenses 0. Total expenses 1,153,916.

Financial Statement Notes

PART X, LINE 2:

Npa is exempt from the payment of income taxes on its exempt activities under section 501(c)(3) of the internal revenue code and is classified by the internal revenue service ("irs") as other than a private foundation within the meaning of section 509(a)(2) of the internal revenue code. However, npa is subject to taxes on income unrelated to its exempt purpose. Npa had income tax expense of $23,865 and $17,430 for the years ended june 30, 2024 and 2023, respectively, related to unrelated business taxable income. The provision for unrelated business income tax has been included in miscellaneous expense within management and general expenses in the statements of activities and change in net assets. Tax years prior to 2020 are no longer subject to examination by the irs and the tax jurisdictions of virginia and california. In accordance with the provisions in the income taxes topic 740 of the financial accounting standards board accounting standards codification ("fasb asc"), npa has performed an evaluation of its tax positions and believes it has appropriate support for its tax positions taken; therefore, there is no provision in these financial statements for interest and penalties related to income taxes on uncertain tax positions. It is npa's policy to record interest and penalties related to income taxes on uncertain tax positions in management and general expense on the statements of activities and change in net assets and in accounts payable on the statements of financial position.

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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/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt1THE SOLUTIONS GROUP LLC
IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt2MEHLAN CASTAGNETTI ROSEN BINGEL & THOMAS
IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt3NATURAL OPINION RESEARCH CENTER
IRS990/ContractorCompensationGrp/ServicesDesc0DEPARTMENT OF PUBLIC HEALTH SCIENCES
IRS990/ContractorCompensationGrp/ServicesDesc1TECHNOLOGY SUPPORT
IRS990/ContractorCompensationGrp/ServicesDesc2GOVT AFFAIRS CONSULTING
IRS990/ContractorCompensationGrp/ServicesDesc3DATA ANALYSIS
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IRS990/Desc0MEMBER SERVICES - A COLLECTION OF EFFORTS UNDERTAKEN TO ASSIST NATIONAL PACE ASSOCIATION MEMBERS WITH COMPLEX ISSUES THEY FACE.
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IRS990/Form990PartVIISectionAGrp/TitleTxt18DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt19SR. VP OF FINANCE & ADMINI
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IRS990/Form990PartVIISectionAGrp/TitleTxt21EXEC. VP OF POLICY AND STRATEGY
IRS990/Form990PartVIISectionAGrp/TitleTxt22SENIOR DIRECTOR, PROJECT MANAGEMENT AND POLICY COM
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IRS990/Form990PartVIISectionAGrp/TitleTxt24SR. VP OF LEGAL AND CHIEF
IRS990/Form990PartVIISectionAGrp/TitleTxt25VP OF QUALITY
IRS990/Form990PartVIISectionAGrp/TitleTxt26SR. VP OF PUBLIC AFFAIRS
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IRS990/MissionDesc0NATIONAL PACE ASSOCIATION'S PRINCIPAL PURPOSE IS TO INCREASE THE PROVISION OF QUALITY, COMPREHENSIVE HEALTH CARE SERVICES TO FRAIL, OLDER ADULTS THROUGH THE PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY, AND TO SUPPORT, MAINTAIN, AND PROMOTE THE PACE MODEL OF CARE.
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