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.