2024-05-15T09:34:14-05:00 2023-06-30 111986323 MARCUM LLP 555 LONG WHARF DRIVE NEW HAVEN CT 06511 990 2022-07-01 475041001 NATIONAL NURSE PRACTITIONER RESIDENCY & FELLOWSHIP TRAINING CONSORTIUM INC NATI 8603476971 635 MAIN STREET MIDDLETOWN CT 06457 MARK MASSELLI PRESIDENT/CEO 8603476971 2024-05-14 1 MARK MASSELLI XXX-XX-XXXX 1 MARY ANTONETTI P00431862 2037819600 2024-05-14 3 AAL1 IAL1 2022 2023-04-26 12:10:37Z CONSORTIUM FOR ADVANCED PRACTICE PROVIDERS MARK MASSELLI 635 MAIN STREET MIDDLETOWN CT 06457 356680 0 X WWW.NPPOSTGRADTRAINING.COM X 2015 CT ESTABLISHING, DEVELOPING AND REFINING AN EDUCATIONAL AND TRAINING MODEL FOR NURSE PRACTITIONERS 12 9 3 10 0 0 0 0 362047 356680 0 0 0 0 362047 356680 0 0 0 0 282673 317774 0 0 0 127696 230187 410369 547961 -48322 -191281 100721 150236 596551 837347 -495830 -687111 X THE PURPOSE OF NATIONAL NURSE PRACTITIONER RESIDENCY & FELLOWSHIP TRAINING CONSORTIUM, INC. IS TO IMPROVE HEALTHCARE THROUGH THE DEVELOPMENT OF POST-GRADUATE RESIDENCY AND FELLOWSHIP PROGRAMS FOR NURSE PRACTITIONERS AND PHYSICIAN ASSISTANTS/ASSOCIATES AND TO FUNCTION AS AN ACCREDITING AGENCY. 0 0 269730 356680 TO IMPROVE THE AVAILABILITY, EFFICIENCY AND QUALITY OF HEALTHCARE THROUGH THE DEVELOPMENT AND SUPPORT OF POST-GRADUATE RESIDENCY AND FELLOWSHIP TRAINING PROGRAMS FOR NURSE PRACTITIONERS (NP'S) AND PHYSICIAN ASSISTANTS/ASSOCIATES (PA'S) AND TO FUNCTION AS AN ACCREDITING AGENCY WITH THE PURPOSE OF ACCREDITING POST-GRADUATE RESIDENCY AND FELLOWSHIP TRAINING PROGRAMS. 269730 1 0 0 0 0 0 0 0 0 0 1 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 0 0 1 0 0 0 1 9 0 1 3 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 9 0 0 1 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X MOSES-WEITZMAN HEALTH SYSTEM INC 8603476971 635 MAIN STREET MIDDLETOWN CT 06457 MARGARET FLINTER APRN CHAIRPERSON 2.00 46.10 X X 0 517946 44507 PATRICIA DENNEHY VICE CHAIRPERSON 0.50 X X 0 0 0 JASON PNIEWSKI TREASURER (FROM 05/2023) 2.00 52.10 X X 0 201822 23690 MARK KEELEY TREASURER (TO 05/2023) 2.00 52.10 X X 0 261364 613 JULIE STUCKEY SECRETARY 0.50 X X 0 0 0 MARK MASSELLI PRESIDENT/CEO 2.00 52.10 X X 0 812533 47220 TODD WALLENIUS DIRECTOR 0.50 X 0 0 0 LISA J PARKER DIRECTOR 0.50 X 0 0 0 SHANNON FITZGERALD DIRECTOR 0.50 X 0 0 0 RAMONA BENKERT DIRECTOR 0.50 X 0 0 0 MITCHEL ERICKSON DIRECTOR 0.50 X 0 0 0 AMANDA PEARS KELLY DIRECTOR 0.50 X 0 0 0 VANESSA ROTHSTEIN DIRECTOR 0.50 X 0 0 0 KERRYANNE BAMRICK EXECUTIVE DIRECTOR 40.00 X 165149 0 23232 165149 1793665 139262 1 0 1 0 0 CONSULTING REVENUE 621400 161531 161531 ACCREDITATION FEES 611430 91000 91000 CONFERENCE/EVENT FEES 611430 63250 63250 MEMBERSHIP DUES 611430 21899 21899 APPLICATION FEES 611430 16000 16000 3000 3000 356680 356680 356680 0 0 X 189954 94977 94977 83021 41510 41511 10084 5042 5042 17223 8612 8611 17492 8746 8746 10164 10164 3204 3204 84415 40802 43613 10619 10619 6098 6098 7483 7483 4751 4751 70041 70041 731 731 HONORARIUMS 13200 13200 MEMBERSHIP & DUES 6572 6572 MINOR EQUIPMENT 1987 1987 LICENSES & CERT. 1805 1805 9117 9117 547961 269730 278231 0 72034 96974 8500 22000 20187 31262 39345 39345 0 0 100721 150236 48898 87433 46300 92275 501353 657639 596551 837347 X -495830 -687111 -495830 -687111 100721 150236 -191281 0 X X 0 1 X 1 0 X 66098 248653 417947 362047 356680 1451425 66098 248653 417947 362047 356680 1451425 0 0 0 1451425 2523 2523 66098 251176 417947 362047 356680 1453948 0.99830 0.99780 0.00000 X 39345 39345 0 0 DUE TO RELATED 501(C)(3) ENTITIES 657639 657639 X PART X, LINE 2: EXCERPT FROM FOOTNOTE 1 FROM CONSOLIDATED AUDITED FINANCIAL STATEMENTS FOR MOSES-WEITZMAN HEALTH SYSTEM, INC. MWHS AND ITS AFFILIATES HAVE RECEIVED EXEMPTION FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE ORGANIZATION HAS ALSO BEEN CLASSIFIED AS AN ENTITY THAT IS NOT A PRIVATE FOUNDATION WITHIN THE MEANING OF SECTION 509(A) AND QUALIFIES FOR DEDUCTIBLE CONTRIBUTIONS. THE ORGANIZATION ACCOUNTS FOR UNCERTAIN TAX PROVISIONS UNDER FASB ASC 740, INCOME TAXES, WHICH PROVIDES A FRAMEWORK FOR HOW ENTITIES SHOULD RECOGNIZE, MEASURE, PRESENT AND DISCLOSE UNCERTAIN TAX POSITIONS IN THEIR FINANCIAL STATEMENTS. THE ORGANIZATION MAY RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. MANAGEMENT HAS REVIEWED THE ORGANIZATION'S REPORTING AND BELIEVE THEY HAVE NOT TAKEN TAX POSITIONS THAT ARE MORE LIKELY THAN NOT TO BE DETERMINED TO BE INCORRECT BY THE INTERNAL REVENUE SERVICE AND THEREFORE, NO ADJUSTMENTS OR DISCLOSURES ARE REQUIRED. THE ORGANIZATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS PENDING OR IN PROGRESS. X 0 0 0 0 0 0 0 0 0 MARK MASSELLI PRESIDENT/CEO 0 615949 0 189121 0 7463 0 30899 0 16321 0 859753 0 0 MARGARET FLINTER APRN CHAIRPERSON 0 441350 0 70500 0 6096 0 36818 0 7689 0 562453 0 0 MARK KEELEY TREASURER (TO 05/2023) 0 249687 0 10000 0 1677 0 0 0 613 0 261977 0 0 JASON PNIEWSKI TREASURER (FROM 05/2023) 0 191552 0 10000 0 270 0 16685 0 7005 0 225512 0 0 KERRYANNE BAMRICK EXECUTIVE DIRECTOR 144969 0 20000 0 180 0 18200 0 5032 0 188381 0 0 0 FORM 990, PART VI, SECTION A, LINE 4 ORGANIZATION DOCUMENTS WERE AMENDED TO UPDATE THE SOLE MEMBER. FORM 990, PART VI, SECTION A, LINE 6 THE CORPORATION HAS A SINGLE MEMBER, MOSES-WEITZMAN HEALTH SYSTEM, INC., A CONNECTICUT NONSTOCK CORPORATION EXEMPT FROM TAXATION UNDER CODE SECTION 501(A) AS AN ORGANIZATION DESCRIBED IN CODE SECTION 501(C)(3). FORM 990, PART VI, SECTION A, LINE 7A MWHS SHALL HAVE THE EXCLUSIVE POWER TO ELECT DIRECTORS OF THE CORPORATION AND TO REMOVE SUCH DIRECTORS, WITH OR WITHOUT CAUSE. FORM 990, PART VI, SECTION B, LINE 11B EACH MEMBER OF THE BOARD RECEIVES A COPY OF THE 990 FOR REVIEW BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C EACH DIRECTOR AND OFFICER OF THE CORPORATION SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS THAT SUCH PERSON (A) HAS RECEIVED A COPY OF THE CORPORATION'S CONFLICT OF INTEREST POLICY AND BYLAWS, (B) HAS READ AND UNDERSTANDS THE CONFLICT OF INTEREST POLICY AND BYLAWS, (C) HAS AGREED TO COMPLY WITH THE CONFLICT OF INTEREST POLICY, AND (D) UNDERSTANDS THAT THE CORPORATION IS A TAX-EXEMPT ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES THAT ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. THE ANNUAL STATEMENT IS REVIEWED BY THE LEGAL DEPARTMENT OF MOSES-WEITZMAN HEALTH SYSTEM, INC. IF AN INDIVIDUAL HAS A POTENTIAL CONFLICT OF INTEREST, THEY WOULD RECUSE THEMSELF FROM ANY DISCUSSION OF THE MATTER. FORM 990, PART VI, SECTION B, LINE 15 LINE 15A THE COMPENSATION OF THE EXECUTIVE DIRECTOR IS DETERMINED BY THE CHAIRMAN OF THE BOARD AFTER DOING A REVIEW OF THEIR COMPENSATION AND PERFORMANCE. LINE 15B THE OFFICERS OTHER THAN THE EXECUTIVE DIRECTOR ARE PAID BY A RELATED ORGANIZATION, MWHS. TO DETERMINE CEO COMPENSATION, MWHS ENGAGED AN OUTSIDE CONSULTANT TO PERFORM AN INDEPENDENT COMPENSATION STUDY IN 2023. THE CONSULTING FIRM CONTACTED SEVERAL ORGANIZATIONS, SENT INTERVIEW GUIDES, AND GATHERED COMPENSATION THROUGH PHONE INTERVIEWS WITH SURVEY ORGANIZATION PRINCIPALS. THE INFORMATION OBTAINED THROUGH THESE INTERVIEWS WAS SUPPLEMENTED WITH FORM 990 INFORMATION FROM OTHER IDENTIFIED COMPARABLE ORGANIZATIONS. AFTER THIS REVIEW WAS COMPLETE, THE MWHS BOARD DISCUSSED AND APPROVED THE COMPENSATION. TO DETERMINE COMPENSATION FOR OTHER OFFICERS, MWHS FOLLOWED THE FOLLOWING PROCEDURE: THE PROCESS TO DETERMINE THE COMPENSATION FOR OTHER OFFICERS IS FOR SALARY SURVEYS TO BE PERFORMED BY THE CFO AND HR DIRECTOR TO ENSURE THE ORGANIZATION'S SALARIES ARE COMPETITIVE. USING THIS INPUT THE PRESIDENT/CEO AND VP/CLINICAL DIRECTOR EVALUATES THE PERFORMANCE OF THE INDIVIDUALS DURING THE YEAR AND APPROVES THE SALARIES. FORM 990, PART VI, SECTION C, LINE 19 ALL GOVERNING DOCUMENTS ARE MADE AVAILABLE UPON REQUEST WITHIN A REASONABLE AMOUNT OF TIME. FORM 990, PART VII CONTACT ADDRESSES FOR OFFICERS, DIRECTORS, ETC PATRICIA DENNEHY - 51 BAY WAY, SAN RAFAEL, CA 94901. JULIE STUCKEY - 38 SPRING HILL DRIVE, BOERNE, TX 78006. FORM 990, PART IX, LINE 11G SPECIALIST CONTRACTUAL: PROGRAM SERVICE EXPENSES 40,802. MANAGEMENT AND GENERAL EXPENSES 43,613. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 84,415. FORM 990, PART XII, LINE 2C THE ORGANIZATION HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS. THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. COMMUNITY HEALTH CENTER INC 635 MAIN STREET MIDDLETOWN CT 06457 060897105 MED/SCO CT 501(C)(3) LINE 7 MWHS 0 CHC1 MEDIA INC 635 MAIN STREET MIDDLETOWN CT 06457 453784467 SUPPORT CT 501(C)(3) LINE 12A, I CHC 0 COMMUNITY ECONSULT NETWORK INC 635 MAIN STREET MIDDLETOWN CT 06457 810690892 MEDICAL CT 501(C)(3) LINE 10 MWHS 0 NATIONAL INSTITUTE FOR MEDICAL ASSISTANT ADVANCEMENT INC 635 MAIN STREET MIDDLETOWN CT 06457 813293048 TRAINING CT 501(C)(3) LINE 2 MWHS 0 CHC REALTY INC 635 MAIN STREET MIDDLETOWN CT 06457 274296337 SUPPORT CT 501(C)(3) LINE 12A, I CHC 0 MOSES-WEITZMAN HEALTH SYSTEM INC 635 MAIN STREET MIDDLETOWN CT 06457 850521893 SUPPORT CT 501(C)(3) LINE 12A, I N/A 0 CHC REALTY II INC 635 MAIN STREET MIDDLETOWN CT 06457 821653914 SUPPORT CT 501(C)(3) LINE 12A, I CHC 0 CHILD GUIDANCE CENTER OF SOUTHERN CONNECTICUT INC 103 WEST BROAD STREET STAMFORD CT 06902 060712058 SUPPORT CT 501(C)(3) LINE 12A, I CHC 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1