2024-11-01T09:47:05-05:00 2023-12-31 273858252 DEAN DORTON ALLEN FORD PLLC 810 WRIGHTS SUMMIT PARKWAY SUITE 300 FORT WRIGHT KY 41011 990 2023-01-01 471803207 CIVITAS NETWORKS FOR HEALTH ASSOCIATION CIVI 8776974432 500 WESTOVER DRIVE 95712 SANFORD NC 27330 LISA BARI CEO 8776974432 2024-10-31 1 0 BRYAN PAUTSCH P00034913 8593313300 2024-10-31 2023 2024-10-15 13:58:12Z LISA BARI 500 WESTOVER DRIVE 95712 SANFORD NC 27330 668387 0 X CIVITASFORHEALTH.ORG X 2014 CO A MISSION AND MEMBER DRIVEN ORGANIZATION DEDICATED TO USING HEALTH INFORMATION EXCHANGE, HEALTH DATA, AND MULTI-STAKEHOLDER, CROSS-SECTOR APPROACHES TO IMPROVE HEALTH. 13 13 0 13 0 0 0 0 110307 668270 14 117 2000 0 112321 668387 0 0 0 0 0 263410 0 0 0 121708 294721 121708 558131 -9387 110256 1187137 1143007 201919 47533 985218 1095474 X CIVITAS NETWORKS FOR HEALTH ASSOCIATON CONVENES ACTION-ORIENTED THOUGHT LEADERS AND IMPLEMENTERS AT THE LOCAL, REGIONAL, STATE, AND NATIONAL LEVEL. TO ACHIEVE OUR MISSION, WE DRIVE CROSS-SECTOR, MULTI-STAKEHOLDER, AND DATA-INFORMED INITIATIVES BY: 1. INCREASING COLLABORATION AND SHARED LEARNING WITHIN AND ACROSS COMMUNITIES THAT USE DATA TO ENSURE BETTER HEALTH OUTCOMES AND DRIVE HEALTH EQUITY. 2. PROVIDING THOUGHT LEADERSHIP AND TECHNICAL EXPERTISE ON COMMUNITY, REGIONAL, AND STATEWIDE HEALTH INFORMATION EXCHANGE, IN ADDITION TO HEALTH AND QUALITY IMPROVEMENT ACTIVITIES. 3. EDUCATING PUBLIC AND PRIVATE ENTITIES ABOUT THE BENEFITS, FUNCTIONS, AND ROLES OF HEALTH INFORMATION EXCHANGES (HIES), ALL-PAYER CLAIMS DATABASES (APCDS), REGIONAL HEALTH IMPROVEMENT COLLABORATIVES (RHICS), AND COMBINED ORGANIZATIONS. 4. PROMOTING BUSINESS CONDITIONS, TOOLS, AND LEGISLATION TO IMPROVE THE EFFECTIVENESS AND SUSTAINABILITY OF HIES, RHICS AND COMBINED ORGANIZATIONS. 0 0 EDUCATE PUBLIC AND PRIVATE ENTITIES REGARDING THE BENEFITS, FUNCTIONS AND ROLES OF HIES, RHICS AND ALIGNED ORGANIZATIONS. PROMOTE BUSINESS CONDITIONS, TOOLS AND LEGISLATION TO IMPROVE THE EFFECTIVENESS AND SUSTAINABILITY OF HIES, RHICS, AND ALIGNED ORGANIZATIONS. ACHIEVE ECONOMIES OF SCALE WHILE SUPPORTING MEMBERS' AUTONOMY AND ABILITY TO SERVE LOCAL NEEDS. 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X CHERRY BEKAERT LLP 8776974432 PO BOX 25549 RICHMOND VA 23260 MELISSA KOTRYS BOARD MEMBER, CHAIR 1.00 1.00 X X 0 0 0 MARC H BENNETT BOARD MEMBER, VICE CHAIR 1.00 1.00 X X 0 0 0 BETH ANDERSON BOARD MEMBERS, TREASURER 1.00 1.00 X X 0 0 0 ANGIE BASS BOARD MEMBERS, SECRETARY 1.00 1.00 X 0 0 0 JAIME BLAND BOARD MEMBERS, AT-LARGE 1.00 1.00 X 0 0 0 THOMAS EVANS BOARD MEMBERS, AT-LARGE 1.00 1.00 X 0 0 0 JENELLE HOSEUS BOARD MEMBERS, AT-LARGE 1.00 1.00 X 0 0 0 JOHN KANSKY BOARD MEMBERS, AT-LARGE 1.00 1.00 X 0 0 0 DAVID KENDRICK BOARD MEMBERS, AT-LARGE 1.00 1.00 X 0 0 0 CINDY MUNN BOARD MEMBERS, AT-LARGE 1.00 1.00 X 0 0 0 WADE NORWOOD BOARD MEMBERS, AT-LARGE 1.00 1.00 X 0 0 0 DAN PORRECA BOARD MEMBERS, AT-LARGE 1.00 1.00 X 0 0 0 SARAH BRINKMAN BOARD MEMBERS, AT-LARGE 1.00 1.00 X 0 0 0 LISA BARI CEO 7.00 33.00 X 0 335064 11434 JESSICA LITTLE VICE PRESIDENT, BUSINESS D 7.00 33.00 X 0 175537 5821 JOLIE RITZO VICE PRESIDENT, STRATEGY AND NETWORK ENGAGEMENT 7.00 33.00 X 0 147704 18182 0 658305 35437 0 0 1 0 0 MEMBERSHIP DUES 900099 639990 639990 CONTRACT REVENUE 900099 28280 28280 668270 117 117 668387 668270 0 117 X 228038 3476 18843 13053 23042 50310 40515 145637 195 995 12721 951 18120 459 PROXY TAX 2427 POSTAGE AND PRINTING 1347 EDUCATION AND SEMINARS 199 BANK CHARGES 29 -2226 558131 1184872 1141948 1915 1059 350 0 1187137 1143007 11638 5516 190281 42017 201919 47533 X 985218 1095474 985218 1095474 1187137 1143007 110256 0 X 0 1 X 1 0 0 0 0 639990 40515 40515 40515 0 DUE TO RELATED 501C3 ORGANIZATION 42017 42017 X PART X, LINE 2: THE ORGANIZATION HAS ADOPTED THE PROVISIONS OF THE ACCOUNTING PRONOUNCEMENT RELATED TO ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. THE ORGANIZATION RECOGNIZED NO INTEREST OR PENALTIES IN THE CONSOLIDATED STATEMENTS OF ACTIVITIES FOR EITHER OF THE YEARS ENDED DECEMBER 31, 2023 AND 2022. IF THE SITUATION AROSE IN WHICH THE ORGANIZATION WOULD HAVE INTEREST TO RECOGNIZE, IT WOULD RECOGNIZE THIS AS INTEREST EXPENSE AND PENALTIES WOULD BE RECOGNIZED IN OTHER EXPENSES. CURRENTLY, THE PRIOR THREE YEARS ARE OPEN UNDER FEDERAL AND STATE STATUTES OF LIMITATIONS AND REMAIN SUBJECT TO REVIEW AND CHANGE. THE ORGANIZATION IS NOT CURRENTLY UNDER AUDIT NOR HAS THE ORGANIZATION BEEN CONTACTED BY THESE JURISDICTIONS. BASED ON THE EVALUATION OF THE ORGANIZATION'S TAX POSITIONS, MANAGEMENT BELIEVES ALL POSITIONS TAKEN WOULD BE UPHELD UNDER AN EXAMINATION. THEREFORE, NO PROVISION FOR THE EFFECTS OF UNCERTAIN TAX POSITIONS HAS BEEN RECORDED FOR EITHER OF THE YEARS ENDED DECEMBER 31, 2023 AND 2022. 0 0 0 LISA BARI CEO 0 289164 0 45900 0 0 0 1587 0 9847 0 346498 0 0 JESSICA LITTLE VICE PRESIDENT, BUSINESS D 0 162637 0 12900 0 0 0 5265 0 556 0 181358 0 0 JOLIE RITZO VICE PRESIDENT, STRATEGY AND NETWORK 0 138744 0 8960 0 0 0 4606 0 13576 0 165886 0 0 PART I, LINE 3 COMPENSATION IS PAID ON RELATED ORGANIZATION. METHODS FOR ESTABLISHING COMPENSATION INCLUDES INDEPENDENT COMPENSATION CONSULTANT AND APPROVAL BY THE BOARD. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION OFFERS THREE DISTINCT MEMBERSHIP CATEGORIES: FULL MEMBERS, AFFILIATE MEMBERS, AND STRATEGIC BUSINESS AND TECHNOLOGY MEMBERS. FULL MEMBERS AND AFFILIATE MEMBERS POSSESS THE RIGHT TO VOTE, WHILE ALL MEMBERS ARE OBLIGATED TO PAY ANNUAL DUES. FORM 990, PART VI, SECTION A, LINE 7A THE ELECTION AND REMOVAL OF THE BOARD DIRECTORS ARE SUBJECT TO THE VOTING RIGHTS OF ALL FULL MEMBERS. FORM 990, PART VI, SECTION B, LINE 11B THE CEO IS RESPONSIBLE FOR ENSURING THAT ALL TAX FILINGS ARE TIMELY AND COMPLETE. BEFORE SUBMISSION, A COPY OF THE IRS FORM 990 IS THOROUGHLY REVIEWED AND APPROVED BY BOTH THE FAC COMMITTEE AND FULL BOARD. FORM 990, PART VI, SECTION B, LINE 12C THE COMPLIANCE WITH THE CONFLICTS POLICY IS REVIEWED ANNUALLY, AND ALL MEMBERS ARE REQUIRED TO RE-SIGN ON AN ANNUAL BASIS. THE BOARD MEMBERS ARE GIVEN A REMINDER TO REPORT ANY CONFLICT OF INTEREST AT THE BEGINNING OF ALL BOARD MEETINGS. ANY BOARD MEMBER WITH A CONFLICT IS NOT PERMITTED TO VOTE ON THE MATTER. FORM 990, PART VI, SECTION B, LINE 15A COMPENSATION PROCESS FOR TOP OFFICIAL EXECUTIVE COMPENSATION IS APPROVED BY (1) THE FINANCE COMMITTEE IN THE COURSE OF ITS BUDGET APPROVAL PROCESS, (2) THE BOARD OF DIRECTORS, IN THE COURSE OF ITS BUDGET APPROVAL AND GOAL REVIEW PROCESSES, AND (3) THE EXECUTIVE COMMITTEE. EXECUTIVE COMPENSATION IS ALSO SUBJECT TO REVIEW AS PART OF THE EXECUTIVE'S ANNUAL EVALUATION REVIEW. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION IS COMMITTED TO TRANSPARENCY AND MAKES ITS GOVERNING DOCUMENTS READILY AVAILABLE TO THE PUBLIC. INTERESTED PARTIES CAN REQUEST COPIES OF THE DOCUMENTS VIA EMAIL OR POSTAL MAIL, OR ACCESS THEM THROUGH THIRD-PARTY WEBSITES LIKE GUIDESTAR OR THE IRS WEBSITE. BY PROVIDING EASY ACCESS TO ITS GOVERNING DOCUMENTS, THE ORGANIZATION STRIVES TO FOSTER TRUST AND ACCOUNTABILITY WITH ITS STAKEHOLDERS. FORM 990, PART IX, LINE 11G OTHER PROFESSIONAL FEES 24,094. ADVOCACY EXPENSE 121,543. CIVITAS NETWORKS FOR HEALTH 1486 BROADWAY SUITE 7 SOUTH PORTLAND ME 04106 451754340 SEE STATEMENT ON SCHEDULE O ME 501(C)(3) LINE 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0