2024-08-15T12:38:04-05:00 2023-09-30 873231666 PKF O'CONNOR DAVIES ADVISORY LLC 500 MAMARONECK AVENUE SUITE 301 HARRISON NY 105281633 990 2022-10-01 010648561 HEALTH360 INC HEAL 2038341143 PO BOX 42 NEWTOWN CT 06470 PATRICIA HARRITY PRESIDENT/EXECUTIVE DIRECTOR 2038341143 2024-08-15 1 1 EVA MRUK P00543254 9143818900 2024-08-15 2022 2024-08-08 14:25:15Z PATRICIA HARRITY PO BOX 42 NEWTOWN CT 06470 2924494 0 X WWW.HEALTH360.ORG X 2001 CT TO IMPROVE HEALTH EQUITY IN OUR NATION'S COMMUNITIES THROUGH INNOVATIVE PARTNERSHIP-BASED INITIATIVES IN EDUCATION, SERVICE AND LEADERSHIP DEVELOPMENT. 8 7 89 7 0 0 905985 2194022 314300 730000 214 472 0 0 1220499 2924494 0 0 0 0 1062498 1943638 0 0 27469 254805 413100 1317303 2356738 -96804 567756 558466 1121166 131845 126789 426621 994377 HEALTH360'S MISSION IS TO IMPROVE HEALTH EQUITY IN OUR NATION'S COMMUNITIES THROUGH INNOVATIVE PARTNERSHIP-BASED INITIATIVES IN EDUCATION, SERVICE AND LEADERSHIP DEVELOPMENT. 0 0 1684752 0 730000 HEALTHY MINDS ALLIANCE - 50 FULL TIME AMERICORPS MEMBERS PLACED IN COMMUNITY BASED ORGANIZATIONS IN STATES ACROSS THE NATION TO IMPLEMENT TRAININGS TO CERTIFY INDIVIDUALS IN MENTAL HEALTH GATEKEEPER TRAININGS. 413467 0 0 AREA HEALTH EDUCATION CENTERS/CAPITAL YOUTH EMPOWERMENT PROGRAM - HEALTH CAREER PIPELINE STUDENT COMMUNITY-BASED EDUCATION TRAINING STUDENTS ARE PLACED IN COMMUNITY SETTINGS WHERE THEY LEARN ABOUT UNIQUE HEALTH CARE NEEDS AND RURAL UNDERSERVED COMMUNITIES. 85985 0 0 HEALTH FORWARD 42 AMERICORPS MEMBERS ARE PLACED AT THE 19 CENTERS AND PROGRAM OFFICE THAT COMPRISES THE CT AHEC NETWORK WHERE THEY IMPLEMENT HEALTH CAREERS RECRUITMENT PROGRAMMING WITH HIGH SCHOOL, COLLEGE AND HEALTH PROFESSION STUDENTS. 2184204 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 1 6 0 89 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 7 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X PATRICIA HARRITY 2038341143 PO BOX 42 NEWTOWN CT 06470 PATRICIA HARRITY PRESIDENT/EXECUTIVE DIRECTOR 40.00 X X 109233 0 43717 DANIEL PEARSON CHAIR 2.00 X X 0 0 0 ALEX PUZONE SECRETARY/TREASURER 2.00 X X 0 0 0 VICTORIA BOSMAN BOARD MEMBER 1.50 X 0 0 0 NANA MARFO BOARD MEMBER 1.50 X 0 0 0 CHRIS MARINO BOARD MEMBER 1.50 X 0 0 0 ARUN NARIKETTE BOARD MEMBER 1.50 X 0 0 0 KALIE PECCERILLO BOARD MEMBER 1.50 X 0 0 0 109233 0 43717 1 0 1 0 0 2193539 483 2194022 MENTAL HEALTH TRAINING 611710 730000 730000 730000 472 472 2924494 730000 0 472 151379 136241 4541 10597 18887 18887 1487653 1424166 52333 11154 21448 20336 740 372 116514 111043 3953 1518 147757 140818 5014 1925 5014 5014 17200 17200 102415 98222 3029 1164 65055 62392 1924 739 48818 22710 26108 15080 15080 20276 20276 6782 3391 3391 TRAINING & DEVELOPMENT 92595 92595 OTHER PROGRAM SUPPLIES 25810 25810 BACKGROUND CHECK 7317 7317 BAD DEBT 5875 5875 863 863 2356738 2184204 145065 27469 55082 321072 288426 235393 120504 210429 33625 147750 0 441 60829 206081 558466 1121166 104345 126789 27500 0 131845 126789 X 426621 994377 426621 994377 558466 1121166 567756 0 X X 0 1 X 0 1 1 X 854982 921614 1220522 900735 2194022 6091875 854982 921614 1220522 900735 2194022 6091875 6091875 855 22 1313 214 472 2876 6094751 1521581 0.99950 0.99940 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 X 2924494 0 2924494 0 2924494 2356738 0 2356738 0 2356738 PART X, LINE 2: THE ORGANIZATION IS A NON-PROFIT ORGANIZATION EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, ACCORDINGLY NO PROVISION FOR INCOME TAXES IS MADE. THE ORGANIZATION BELIEVES THAT INCOME TAX FILING POSITIONS WILL BE SUSTAINED UPON EXAMINATION AND DOES NOT ANTICIPATE ANY ADJUSTMENTS THAT WOULD RESULT IN A MATERIAL ADVERSE EFFECT ON THE ORGANIZATION'S FINANCIAL CONDITION, RESULTS OF OPERATIONS OR CASH FLOWS. ACCORDINGLY, THE ORGANIZATION HAS NOT RECORDED ANY RESERVES, OR RELATED ACCRUALS FOR INTEREST AND PENALTIES FOR UNCERTAIN INCOME TAX POSITIONS AT SEPTEMBER 30, 2023. THE ORGANIZATION IS NO LONGER SUBJECT TO EXAMINATIONS BY THE APPLICABLE TAX JURISDICTIONS FOR PERIODS PRIOR TO 2020. X X X 0 0 0 0 0 0 0 0 0 PATRICIA HARRITY PRESIDENT/EXECUTIVE DIRECTOR 109233 0 0 0 0 0 7660 0 36057 0 152950 0 0 0 JULIA R PUZONE SIBLING OF BOARD MEMBER 18887 EMPLOYEE 0 FORM 990, PART VI, SECTION B, LINE 11B THE 990 IS PROVIDED TO THE BOARD ELECTRONICALLY FOR REVIEW AND FEEDBACK. ONCE FINALIZED, THE BOARD VOTES TO APPROVE THE SUBMISSION OF THE 990. FORM 990, PART VI, SECTION B, LINE 12C THE PURPOSE OF THE BOARD CONFLICT OF INTEREST POLICY IS TO PROTECT HEALTH360'S INTERESTS WHEN IT IS CONTEMPLATING ENTERING INTO A TRANSACTION OR ARRANGEMENT THAT MIGHT BENEFIT THE PRIVATE INTERESTS OF AN OFFICER OR DIRECTOR OF HEALTH360 OR MIGHT RESULT IN A POSSIBLE EXCESS BENEFIT TRANSACTION. THIS POLICY IS INTENDED TO SUPPLEMENT, BUT NOT REPLACE, ANY APPLICABLE STATE AND FEDERAL LAWS GOVERNING CONFLICTS OF INTEREST APPLICABLE TO NONPROFIT AND CHARITABLE ORGANIZATIONS. THIS POLICY IS ALSO INTENDED TO IDENTIFY "INDEPENDENT" DIRECTORS. INTERESTED PERSON - ANY DIRECTOR, PRINCIPAL OFFICER, OR MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS, WHO HAS A DIRECT OR INDIRECT FINANCIAL INTEREST, AS DEFINED BELOW, IS AN INTERESTED PERSON. DUTY TO DISCLOSE - IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF THE FINANCIAL INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE BOARD OR EXECUTIVE COMMITTEE. ANNUAL STATEMENTS 1. EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE WITH BOARD DELEGATED POWERS SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS SUCH PERSON: A. HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, B. HAS READ AND UNDERSTANDS THE POLICY, C. HAS AGREED TO COMPLY WITH THE POLICY, AND D. UNDERSTANDS HEALTH360 IS CHARITABLE AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. 2. EACH VOTING MEMBER OF THE BOARD SHALL ANNUALLY SIGN A STATEMENT WHICH DECLARES WHETHER SUCH PERSON IS AN INDEPENDENT DIRECTOR. 3. IF AT ANY TIME DURING THE YEAR, THE INFORMATION IN THE ANNUAL STATEMENT CHANGES MATERIALLY, THE DIRECTOR SHALL DISCLOSE SUCH CHANGES AND REVISE THE ANNUAL DISCLOSURE FORM. 4. THE EXECUTIVE COMMITTEE SHALL REGULARLY AND CONSISTENTLY MONITOR AND ENFORCE COMPLIANCE WITH THIS POLICY BY REVIEWING ANNUAL STATEMENTS AND TAKING SUCH OTHER ACTIONS AS ARE NECESSARY FOR EFFECTIVE OVERSIGHT. PROCEDURES FOR ADDRESSING THE CONFLICT OF INTEREST A. AN INTERESTED PERSON MAY MAKE A PRESENTATION AT THE BOARD OR EXECUTIVE COMMITTEE MEETING, BUT AFTER THE PRESENTATION, HE/SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT INVOLVING THE POSSIBLE CONFLICT OF INTEREST. B. THE CHAIRPERSON OF THE BOARD OR EXECUTIVE COMMITTEE SHALL, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. C. AFTER EXERCISING DUE DILIGENCE, THE BOARD OR EXECUTIVE COMMITTEE SHALL DETERMINE WHETHER HEALTH360 CAN OBTAIN WITH REASONABLE EFFORTS A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. D. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY POSSIBLE UNDER CIRCUMSTANCES NOT PRODUCING A CONFLICT OF INTEREST, THE BOARD OR EXECUTIVE COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN HEALTH360'S BEST INTEREST, FOR ITS OWN BENEFIT, AND WHETHER IT IS FAIR AND REASONABLE. IN CONFORMITY WITH THE ABOVE DETERMINATION, IT SHALL MAKE ITS DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT. VIOLATIONS OF THE CONFLICTS OF INTEREST POLICY A. IF THE BOARD OR EXECUTIVE COMMITTEE HAS REASONABLE CAUSE TO BELIEVE 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 MEMBER'S RESPONSE AND AFTER MAKING FURTHER INVESTIGATION AS WARRANTED BY THE CIRCUMSTANCES, THE BOARD OR EXECUTIVE COMMITTEE DETERMINES THE MEMBER HAS FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, IT SHALL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION. FORM 990, PART VI, SECTION B, LINE 15A THE EXECUTIVE COMMITTEE REVIEWS THE COMPENSATION FOR THE PRESIDENT ANNUALLY AND GIVES A RECOMMENDED SALARY ADJUSTMENT. THE ORGANIZATION USES THE EXECUTIVE DIRECTOR COMPENSATION SURVEY ISSUED BY THE NATIONAL AHEC ORGANIZATION. THE COMPENSATION IS VOTED ON EACH YEAR AS PART OF THE BUDGET APPROVAL PROCESS AT THE BOARD MEETING AND DOCUMENTED IN THE ANNUAL APPROVED BUDGET. THIS PROCESS WAS LAST COMPLETED IN 2023. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C: THE ORGANIZATION'S BOARD OF DIRECTORS ACTING AS A WHOLE ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT ACCOUNTANT. THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. HEALTHY MINDS ALLIANCE LLC PO BOX 42 NEWTOWN CT 06470 922109619 MENTAL HEALTH EDUCATION CT 0 0 HEALTH360 INC