Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
|
Total |
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Calendar year
(or fiscal year beginning in)
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(a) 2017 | (b) 2018 | (c) 2019 | (d) 2020 | (e) 2021 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | ||||||
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | ||||||
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) .. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | ||||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2017 | (b) 2018 | (c) 2019 | (d) 2020 | (e) 2021 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | ||||||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10 | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2017 | (b) 2018 | (c) 2019 | (d) 2020 | (e) 2021 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | 2,477 | 1,293 | 83,436 | 62,304 | 54,085 | 203,595 |
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose | 2,397,924 | 2,445,490 | 2,724,450 | 2,160,514 | 1,877,752 | 11,606,130 |
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513 ..... | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge | ||||||
| 6 | Total. Add lines 1 through 5 | 2,400,401 | 2,446,783 | 2,807,886 | 2,222,818 | 1,931,837 | 11,809,725 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | 21,000 | 21,000 | ||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | ||||||
| c | Add lines 7a and 7b.. | 21,000 | 21,000 | ||||
| 8 | Public support. (Subtract line 7c from line 6.) | 11,788,725 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2017 | (b) 2018 | (c) 2019 | (d) 2020 | (e) 2021 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 2,400,401 | 2,446,783 | 2,807,886 | 2,222,818 | 1,931,837 | 11,809,725 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 2,237 | 3,659 | 10,269 | 1,140 | 275 | 17,580 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 2,237 | 3,659 | 10,269 | 1,140 | 275 | 17,580 |
| 11 | Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | 2,402,638 | 2,450,442 | 2,818,155 | 2,223,958 | 1,932,112 | 11,827,305 |
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
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| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by 0.035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | 1 | |
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
2 | |
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | 3 | |
| 4 Amounts paid to acquire exempt-use assets | 4 | |
| 5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) | 5 | |
| 6 Other distributions (describe in Part VI). See instructions | 6 | |
| 7Total annual distributions. Add lines 1 through 6. | 7 | |
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
8 | |
| 9 Distributable amount for 2021 from Section C, line 6 | 9 | |
| 10 Line 8 amount divided by Line 9 amount | 10 | |
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2021 |
(iii) Distributable Amount for 2021 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2021 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2021 (reasonable cause required-- explain in Part VI). See instructions. |
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| 3 Excess distributions carryover, if any, to 2021: | ||||
| a From 2016....... | ||||
| b From 2017....... | ||||
| c From 2018....... | ||||
| d From 2019....... | ||||
| e From 2020....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2021 distributable amount | ||||
|
i
Carryover from 2016 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2021 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2021 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2021, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
6
Remaining underdistributions for 2021. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
7 Excess distributions carryover to 2022. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2017..... | ||||
| b Excess from 2018..... | ||||
| c Excess from 2019..... | ||||
| d Excess from 2020..... | ||||
| e Excess from 2021..... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|---|
| SUPPORTING SCHEDULE | PPP LOAN 299,471 |
| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990 - ORGANIZATION'S MISSION | TO IMPROVE THE QUALITY & EXPERIENCE OF HEALTHCARE FOR PATIENTS, THEIR FAMILIES & HEALTHCARE PROVIDERS THROUGH APPLIED RESEARCH AND DESIGN OF NEW SYSTEMS OF ADVANCED PREVENTIVE CARE THAT IMPROVE POPULATION HEALTH OUTCOMES, ENHANCE PATIENT & PROVIDER EXPERIENCES, AND REDUCE HEALTH CARE COSTS. |
| FORM 990, PAGE 2, PART III, LINE 4A | R&D SYSTEMS OF CARE INTEGRATED ADVANCED PREVENTIVE CARE (APC )DESIGN PILOT- HEALTH QUALITY PARTNERS (HQP) INNOVATED A HIGHLY EFFECTIVE SYSTEM OF CARE TO IMPROVE THE HEALTH OUTCOMES FOR COMMUNITY DWELLING OLDER ADULTS WITH COMPLEX HEALTH AND SOCIAL RISKS - THE ADVANCED PREVENTIVE CARE (APC) MODEL. DURING THE PAST YEAR, HQP IN COLLABORATION WITH A HIGH-PERFORMANCE PRIMARY CARE PRACTICE, WITH EXPERIENCE IN PARTICIPATING IN THE CENTERS FOR MEDICARE & MEDICAID ALTERNATIVE PAYMENT MODELS, HAS UNDERTAKEN A PRAGMATIC APPROACH TO DESIGN AND PILOT THE INTEGRATION OF APC INTO THE PRIMARY CARE PRACTICE SETTING. THE INTEGRATION OF THE APC MODEL AIMS TO TARGET AND PROACTIVELY CARE FOR A SUB-POPULATION OF MEDICARE BENEFICIARIES THAT HAVE HIGH AND EMERGING RISKS THAT CAN BE MITIGATED BY HIGHLY TRAINED NURSES DELIVERING HQP'S APC MODEL. THE PILOT IS HELPING TO DEFINE OPERATIONAL WORKFLOWS AND SPECIFICATIONS FOR IDENTIFYING AND ENGAGING HIGH AND RISING RISK MEDICARE BENEFICIARIES FOR APC, DELINEATING PRACTICE CARE MANAGEMENT (CM) ROLES AND FUNCTIONS, OUTLINING STANDARD WORKFLOWS, AND DEVELOPING STRUCTURED ASSESSMENTS, AND COMMUNICATIONS PROTOCOLS. DURING THE TIME PERIOD, THE PILOT PROVIDED CARE FOR APPROXIMATELY 30 HIGH-RISK PATIENTS. INSIGHTS AND EXPERIENCES WILL CONTINUE ACCRUE AND INFORM THE DESIGN OF THE INTEGRATION OF APC IN THE PRIMARY CARE SETTING. GRANT FUNDED RESEARCH - THROUGH THE SUPPORT OF A GENEROUS GRANT FROM THE PETERSON CENTER ON HEALTHCARE AND IN COLLABORATION WITH THREE EXPERT PARTNERING ORGANIZATIONS (GRANT SUBCONTRACTORS), HQP CONDUCTED MARKET RESEARCH TO DETERMINE THE BEST APPROACH TO SPREAD APC, TO IDENTIFY REPLICATION PARTNERS THAT HAVE A COMMITMENT TO IMPROVE THE HEALTH AND QUALITY OF CARE FOR THEIR VULNERABLE MEDICARE BENEFICIARIES, AND BETTER UNDERSTAND THE BARRIERS AND CHALLENGES POTENTIAL REPLICATION PARTNERS FACE. THE RESEARCH UNCOVERED VALUABLE PERSPECTIVES FROM ACCOUNTABLE CARE ORGANIZATIONS, HEALTH SYSTEMS, POPULATION HEALTH ENABLEMENT COMPANIES, AND PRIVATE FOR-PROFIT HEALTHCARE BUSINESS INNOVATORS. A MODEL TO SUPPORT APC ADOPTION, AS WELL AS CRITICAL INSIGHTS INTO THE COMPLEX, MULTIPLE DIMENSIONS OF INNOVATION ADOPTION DECISION MAKING WERE UNCOVERED THROUGH THIS RESEARCH. |
| FORM 990, PAGE 2, PART III, LINE 4B | POPULATION HEALTH CONSULTING & ADVISORY SERVICES LEVERAGING MORE THAN 20 YEARS OF EXPERIENCE IN DESIGNING, IMPLEMENTING, MANAGING, EVALUATING, AND IMPROVING DISEASE AND CARE MANAGEMENT SYSTEMS WITH ADVANCED POPULATION HEALTH MANAGEMENT CAPABILITIES, HQP PROVIDED CONSULTING AND ADVISORY SERVICES FOR SEVERAL HEALTH CARE ORGANIZATIONS THIS YEAR. IN PERFORMANCE OF THIS WORK, HQP DEVELOPED SOPHISTICATED MODELS FOR SEVERITY RISK ADJUSTMENT FOR COMPARATIVE PERFORMANCE ANALYSES, VALIDATION METHODOLOGIES TO INDEPENDENTLY EVALUATE THE PREDICTIVE PERFORMANCE OF TARGETED POPULATION HEALTH RISK TOOLS, RISK STRATIFICATION ALGORITHMS FOR TARGETING HIGH AND RISING RISK BENEFICIARIES IN THE FEE FOR SERVICE MEDICARE POPULATION AND DEVELOPING PERFORMANCE METRICS FOR BUILDING HIGH- PERFORMANCE CARE MANAGEMENT SYSTEMS. |
| FORM 990, PAGE 2, PART III, LINE 4C | REPLICATION SYSTEMS HQP CONTINUES TO SUPPORT ITS HEALTH CARE PARTNERS IN THE ADOPTION AND REPLICATION OF THE APC MODEL. IN THE FISCAL YEAR 2022, HQP'S REPLICATION SYSTEMS CONSULTANCY PROVIDED SUBJECT MATTER EXPERTISE, COACHING, MENTORSHIP, AND TECHNICAL ASSISTANCE TO TWO LARGE PARTNERING ORGANIZATIONS COMMITTED TO IMPLEMENTING APC. IN ADDITION, HQP'S COMPREHENSIVE PURPOSE- BUILT SPERO SOFTWARE PLATFORM WAS SUBSTANTIALLY UPGRADED AND CONTINUOUSLY DEPLOYED TO SUPPORT REPLICATION PARTNERS IN THEIR IMPLEMENTATION AND MANAGEMENT OF APC. IN THE PAST YEAR, MORE THAN 1,300 AT-RISK OLDER ADULTS WERE SERVED THROUGH REPLICATION OF APC. REPLICATION PARTNERS REPORTED HIGH LEVELS OF PARTICIPANT ENGAGEMENT, HIGH SCORES IN PARTICIPANT AND PROVIDER SATISFACTION AND POSITIVE IMPACTS ON HEALTH AND COST OUTCOMES. |
| FORM 990, PAGE 6, PART VI, LINE 11B | A COPY OF THE FORM 990 IS GIVEN TO BOARD OF DIRECTORS FOR REVIEW PRIOR TO ISSUANCE. |
| FORM 990, PAGE 6, PART VI, LINE 12C | THE POLICY IS REVIEWED ANNUALLY WITH THE BOARD MEMBERS. |
| FORM 990, PAGE 6, PART VI, LINE 15A | A PERIODIC REVIEW OF THE CEO'S COMPENSATION BY THE BOARD IS REQUIRED BY THE BY-LAWS. THE PROCESS INCLUDES A REVIEW OF COMPENSATION FROM COMPARABLE ORGANIZATIONS. |
| FORM 990, PAGE 6, PART VI, LINE 15B | ALL KEY EMPLOYEES AND OFFICERS HAVE THEIR COMPENSATION REVIEWED BY THE BOARD WHEN DEEMED APPROPRIATE. |
| FORM 990, PAGE 6, PART VI, LINE 19 | ALL REQUIRED DOCUMENTS WILL BE MADE AVAILABLE UPON REQUEST. |
| FORM 990, PART VII | AMOUNTS LISTED REPRESENTS ONLY THE W-2 EARNINGS ASSOCIATED WITH SERVICES PROVIDED FOR HEALTH QUALITY PARTNERS. |
| FORM 990, PART IX, LINE 11G | PROFESSIONAL FEES 48,574 21,322 0 MARKET RESEARCH SUBCONTRACTS 167,000 0 0 TOTAL 215,574 21,322 0 |
| Software ID: | |
| Software Version: |