2019-11-03T09:28:25-06:00
2018-12-31
133597814
SKODY SCOT & CO CPAS PC
520 EIGHTH AVE SUITE 2200
NEW YORK
NY
10018
990
2018-01-01
471442997
MEDICAL DEBT RESOLUTION INC
MEDI
8446373328
80 THEODORE FREMD AVENUE
RYE
NY
10580
CHRISTOPHER SIMMONS
TREASURER
8446373328
2019-11-03
1
WILLIAM SKODY
P00631754
2129671100
2019-11-03
38.122.225.90
2019-11-03
10:28:20
ES
P
744111110870A6F1869E9C7708983D3D0F8C87A4
744111110870A6F1869E9C7708983D3D0F8C87A4
2018
2020-01-14 16:20:31Z
RIP MEDICAL DEBT
TED SANN
80 THEODORE FREMD AVENUE
RYE
NY
10580
5460587
0
X
WWW.RIPMEDICALDEBT.ORG
X
2014
NY
PURCHASES AND ABOLISHES MEDICAL DEBT FOR POOR INDIVIDUALS.
5
3
9
0
0
0
2163479
5339832
0
120755
0
0
0
0
2163479
5460587
0
0
0
0
278819
806827
83125
242000
496673
807946
4196108
1169890
5244935
993589
215652
1121826
1577897
53374
293794
1068452
1284103
X
ACQUIRE AND ABOLISH MEDICAL DEBT FOR INDIVIDUALS EXPERIENCING POVERTY OR OTHER HARDSHIP
0
0
3144042
MEDICAL DEBT RELIEF - DEBT FORGIVENESS PROGRAM - IDENTIFY, ACQUIRE AND ABOLISH, I.E. FORGIVE, MEDICAL DEBT FOR INDIVIDUALS WHO MAKE LESS THAN 200% OF THE FEDERAL POVERTY LEVEL OR WHO HAVE HARDSHIPS THAT MAKE PAYING OFF THE DEBT DIFFICULT OR IMPOSSIBLE (A HARDSHIP CASE). EXAMPLES OF HARDSHIPS MAY BE EXCESSIVE MEDICAL DEBT (I.E. OUT OF POCKET MEDICAL EXPENSES AMOUNTING TO MORE THAN 5% OF GROSS INCOME), EXCESSIVE NON-MEDICALDEBT, JOB LOSS, NUMEROUS OR SICK DEPENDENTS, ETC.
562422
TECHNOLOGY INFRASTRUCTURE DEVELOPMENT - RESEARCH, DESIGN, AND DEVELOP TECHNOLOGIES TO DIRECTLY SUPPORT THE ORGANIZATION'S CORE MISSION OF LOCATING, ACQUIRING, AND ABOLISHING MEDICAL DEBT.
214169
EDUCATION & OUTREACH - CONDUCT CONFERENCES AND PUBLISH WEBSITES, BOOKS, AND ARTICLES TO RAISE PUBLIC AWARENESS OF THE ECONOMIC AND SOCIAL COSTS OF MEDICAL DEBT.
160774
120755
MEDICAL DEBT RESEARCH - PURCHASE AND ABOLISH MEDICAL DEBT IN CONNECTION WITH RESEARCH CONDUCTED BY MAJOR UNIVERSITIES INTO THE ECONOMIC AND SOCIAL IMPACT OF MEDICAL DEBT.
160774
120755
4081407
1
1
0
0
0
0
0
0
0
0
1
0
0
0
0
0
1
0
0
0
0
0
0
1
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
17
0
1
9
1
0
0
0
0
0
0
0
0
0
0
0
0
X
5
3
0
0
1
0
0
1
0
1
1
0
0
1
1
1
1
1
1
1
1
0
AL
AK
AZ
AR
CA
CO
CT
DC
FL
GA
HI
IL
KS
KY
LA
ME
MD
MA
MI
MN
MS
NV
NH
NJ
NM
NC
ND
OH
OK
OR
PA
RI
SC
TN
UT
VA
WA
WV
WI
X
CHRISTOPHER SIMMONS TREASURER
8446373328
80 THEODORE FREMD AVENUE
RYE
NY
10580
CRAIG ANTICO
EVP, COO
50.00
X
X
344465
0
0
JERRY ASHTON
DIRECTOR, EXECUTIVE DIRECTOR
50.00
X
X
106667
0
0
ROBERT GOFF
DIRECTOR
1.00
X
0
0
0
MICHELE MASUCCI
DIRECTOR, SECRETARY
1.00
X
X
0
0
0
WILLIAM VON MUEFFLING
DIRECTOR, CHAIR
5.00
X
X
0
0
0
CHRISTOPHER SIMMONS
TREASURER
35.00
X
87974
0
0
539106
0
0
2
0
1
0
SANDRA DAVIS LLC DBA DONORLY
1460 BROADWAY
NEW YORK
NY
10036
FUNDRAISING COUNSEL
242000
1
5339832
240
5339832
PROGRAM SERVICE REVENU
900099
120755
120755
120755
5460587
120755
0
0
X
539106
283405
144119
111582
226269
133545
92724
1526
1526
39926
22870
10392
6664
72311
72311
242000
242000
939505
761051
74225
104229
78596
10480
64114
4002
63389
2633
57872
2884
74511
74511
136923
51857
59994
25072
25999
25759
240
6943
6943
8124
8124
DEBT PORTFOLIO PUCHASED
2309492
2309492
DATA PURCHASE
264819
264819
DEBT ANALYSIS
134925
134925
MAILING COSTS
80571
80571
5244935
4081407
666855
496673
728518
1200703
890
300000
314136
43068
8912
40883
26746
25684
11038
9357
14646
0
11864
1121826
1577897
53374
293794
53374
293794
X
86741
298890
981711
985213
1068452
1284103
1121826
1577897
215652
-1
0
X
X
0
1
X
1
0
X
2800
11416
259534
2163479
5339832
7777061
2800
11416
259534
2163479
5339832
7777061
479427
7297634
7777061
120755
0.93840
0.90300
X
24415
10509
13906
1269
529
740
14646
5689572
228985
228985
5460587
0
5460587
5473919
228985
228985
5244934
1
1
5244935
PART XII, LINE 4B - OTHER ADJUSTMENTS:
ROUNDING
X
X
X
X
1
DONORLY
1460 BROADWAY
NEW YORK
NY
10036
FUNDRAISING COUNSEL
0
0
242000
0
242000
SCHEDULE G, PART I, LINE 2B, COLUMN (V)
AS FUNDRAISING COUNSEL FOR THE ORGANIZATION, THE FIRM OF SANDRA DAVIS, LLC DBA "DONORLY", PROVIDES A TEAM OF SKILLED PERSONNEL WHO MANAGE SUBSTANTIALLY ALL BACK OFFICE ACTIVITIES ASSOCIATED WITH THE ORGANIZATION'S FUNDRAISING AND DEVELOPMENT FUNCTION, INCLUDING CAMPAIGN DEVELOPMENT AND EXECUTION, DONOR RESEARCH, GIFT ACKNOWLEDGMENT, GRANT APPLICATIONS, DONOR MANAGEMENT SYSTEMS MAINTENANCE, IN ADDITION TO PROVIDING ADVICE ON HIGH LEVEL FUNDRAISING AND DEVELOPMENT STRATEGY. IN PERFORMING THESE FUNCTIONS, DONORLY IS EITHER DIRECTLY OR INDIRECTLY RESPONSIBLE FOR VIRTUALLY ALL REVENUE, EXCEPT FOR IN-KIND REVENUE.
X
X
0
0
0
0
0
0
0
0
0
CRAIG ANTICO
EVP, COO
231667
0
102528
0
10270
0
0
0
0
0
344465
0
0
0
PART II
IN 2018, UNDER THE LEADERSHIP OF CRAIG ANTICO, THE ORGANIZATION ABOLISHED $505 MILLION OF MEDICAL DEBT, HELPING 180,286 INDIVIDUALS AND THEIR FAMILIES, COMPARED TO $34 MILLION OF DEBT AND 23,363 INDIVIDUALS AND THEIR FAMILIES IN THE PRIOR YEAR. IN RECOGNITION OF THIS ACCOMPLISHMENT AND SACRIFICES MADE BY MR. ANTICO IN LEADING THE ORGANIZATION THROUGH A PERIOD OF EXTRAORDINARY CHANGE AND GROWTH, THE BOARD OF DIRECTORS APPROVED A BONUS FOR MR. ANTICO OF $102,528. ALSO, THE BOARD APPROVED ADDITIONAL FULLY TAXABLE COMPENSATION OF $10,270 IN LIEU OF HIS PARTICIPATION IN A GROUP HEALTH INSURANCE PLAN.
PAGE 1
FORM 990, PART I, LINE 3: ON APRIL 30, 2019, TED SANN AND JOSE PENABAD WERE ELECTED TO THE ORGANIZATION'S BOARD OF DIRECTORS, BRINGING THE TOTAL NUMBER OF DIRECTORS TO SEVEN (7) AND THE TOTAL NUMBER OF INDEPENDENT DIRECTORS TO FIVE (5). FORM 990, PART I, LINE 4: ON APRIL 30, 2019, TED SANN AND JOSE PENABAD WERE ELECTED TO THE ORGANIZATION'S BOARD OF DIRECTORS, BRINGING THE TOTAL NUMBER OF DIRECTORS TO SEVEN (7) AND THE TOTAL NUMBER OF INDEPENDENT DIRECTORS TO FIVE (5).
FORM 990, PART VI, SECTION A, LINE 4
AND ALSO FORM 990, PART VI, SECTION A, LINES 6, 7A AND 7B: PRIOR TO DECEMBER 19, 2018, THE CORPORATION WAS A SOLE MEMBER CORPORATION, AND CHANGES SUCH AS THE NUMBER OF DIRECTORS REQUIRED APPROVAL BY THE SOLE MEMBER, CRAIG ANTICO. AT A MEETING OF THE BOARD OF DIRECTORS ON DECEMBER 19, 2018, CRAIG ANTICO RESIGNED AS SOLE MEMBER AND DIRECTED THAT THE BYLAWS OF THE CORPORATION BE DEEMED AMENDED TO ELIMINATE ANY REFERENCES TO THE MEMBER OR MEMBERS. ON APRIL 22, 2019, THE BOARD APPROVED VIA UNANIMOUS WRITTEN CONSENT AMENDED BYLAWS FORMALLY REMOVING ANY REFERENCES TO THE MEMBER OR MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7A
SEE LINE 4 DISCLOSURE
FORM 990, PART VI, SECTION B, LINE 11B
THE FORM 990 HAS BEEN REVIEWED BY THE BOARD OF DIRECTORS PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12C
THE ORGANIZATION ENFORCES THE CONFLICT OF INTEREST POLICY BY MONITORING KNOWN RELATIONSHIPS, QUESTIONNAIRES, AND NOTING ANY CHANGES IN DISCLOSED INFORMATION. ANY CONFLICT IS REVIEWED BY THE BOARD BEFORE A DECISION IS MADE AS TO WHETHER TO APPROVE THE TRANSACTION.
FORM 990, PART VI, SECTION B, LINE 15
THIS REVIEW INCLUDES RESEARCHING GUIDESTAR, FORM 990S, NY NON-PROFIT NETWORK ANNUAL SALARY SURVEY, PHONE CALLS TO OTHER ORGANIZATIONS TO COLLECT DATA.
FORM 990, PART VI, SECTION C, LINE 19
THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
PAGE 6
FORM 990, PART VI, SECTION A, LINES 1A AND 1B: ON APRIL 30, 2019, TED SANN AND JOSE PENABAD WERE ELECTED TO THE ORGANIZATION'S BOARD OF DIRECTORS, BRINGING THE TOTAL NUMBER OF DIRECTORS TO SEVEN (7) AND THE TOTAL NUMBER OF INDEPENDENT DIRECTORS TO FIVE (5).
FORM 990, PART IX, LINE 11G
SOFTWARE & SYSTEM CONSULTING: PROGRAM SERVICE EXPENSES 564,527. MANAGEMENT AND GENERAL EXPENSES 24,050. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 588,577. PUBLICITY & PUBLIC RELATIONS SERVICES: PROGRAM SERVICE EXPENSES 21,706. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 43,889. TOTAL EXPENSES 65,595. OTHER PROFESSIONAL & CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 174,818. MANAGEMENT AND GENERAL EXPENSES 50,175. FUNDRAISING EXPENSES 60,340. TOTAL EXPENSES 285,333.
FORM 990, PART XII, LINE 2C:
IN NOVEMBER 2018, THE ORGANIZATION'S BOARD OF DIRECTORS APPROVED A FINANCIAL REPORTING POLICY WHICH, AMONG OTHER THINGS, DEFINED THE ROLE OF INDEPENDENT DIRECTORS IN OVERSIGHT OF THE ORGANIZATION'S ANNUAL AUDIT AND SELECTION OF ITS AUDITORS.