Form 990 for tax year 2022

Totals

Total revenue

$42,179,120

Total expenses

$42,171,014

Contributions and grants received

$36,649,721

Grants paid

$103,300

Program service revenue

$5,529,399

Investment income

$0

Other revenue

$0

Total assets, end of year

$17,289,283

Total liabilities, end of year

$9,863,501

Net assets or fund balances, end of year

$7,425,782

Program services expenses (Part IX)

$36,998,568

Management and general expenses

$5,172,446

Fundraising expenses

$0

Program service expenses (Part III)

$36,998,568

Program services were 87.7% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Mission and programs · 2022

• GRANT FUNDING- CRISP HAS BEEN WORKING ON SEVERAL SIGNIFICANT GRANT FUNDED INITIATIVES. THE SIGNIFICANT GRANTS ARE AS FOLLOWS: PRESCRIPTIONS DRUG MONITORING PROGRAM (PDMP): CRISP WAS AWARDED FUNDS FROM THE MARYLAND STATE DEPARTMENT OF HEALTH AND MENTAL HYGIENE (MDH) FOR THE PURPOSE OF DEVELOPING AND IMPLEMENTING PRESCRIPTION DRUG MONITORING CAPABILITIES INTO THE EXISTING FRAMEWORK OF THE HIE. IMPLEMENTATION WAS COMPLETED BY CLOSE OF FY15, AND PROJECT FOCUS HAS SINCE SHIFTED TO MAINTENANCE AND NEW PHYSICIAN ENROLLMENT. IMPLEMENTATION ADVANCED PLANNING DOCUMENT (IAPD): IN LATE FY13, MDH WAS AWARDED FUNDS BY CMS FOR THE PURPOSES OF AUGMENTING THE STATEWIDE HIE WITH ADDITIONAL SERVICES MADE AVAILABLE TO ELIGIBLE PROVIDERS WITHIN MARYLAND. CONTINUED ON SCHEDULE OCRISP IS THE SPECIFIED CONTRACTOR FOR MDH. CONTINUING THROUGH FY19, PROJECTS AND SERVICES SUCH AS ENCOUNTER NOTIFICATION SERVICES, (ENS) DIRECT MESSAGING, PORTAL ENHANCEMENT, EMBEDDED APP, IMAGE EXCHANGE AND DATA ROUTER WILL BE OPTIMIZED AND ROLLED OUT TO THE PROVIDER COMMUNITY. IN ORDER TO DRIVE ADOPTION AND INCORPORATION OF THE SERVICES, THE IAPD GRANTS ALLOWS FUNDING FOR OUTREACH EDUCATIONAL ACTIVITIES FOR THE PROVIDER COMMUNITY. INTEGRATED CARE NETWORK: IN 2014, THE MARYLAND HEALTH SERVICES COST REVIEW COMMISSION (HSCRC), WITH THE SUPPORT OF THE MARYLAND STATE DEPARTMENT OF HEALTH AND MENTAL HYGIENE (MDH), ESTABLISHED A CARE COORDINATION WORK GROUP TO OFFER ADVICE ON HOW HOSPITALS, PHYSICIANS, AND OTHER KEY STAKEHOLDERS CAN WORK TOGETHER WITH GOVERNMENT LEADERS IN EFFECTIVE CARE COORDINATION TO SUPPORT THE MARYLAND ALL-PAYER MODEL. THE WORKGROUP LED TO THE CREATION OF THE INTEGRATED CARE NETWORK INFRASTRUCTURE OR "ICN" PROJECT, THROUGH WHICH CRISP WAS CHARGED TO ESTABLISH PROCESSES AND LEVERAGE SERVICES FOR THREE COMPONENTS CRITICAL TO MODERNIZATION EFFORT: IDENTIFICATION OF AT-RISK PATIENTS WHO COULD BENEFIT FROM CARE, COORDINATION OR A TARGETED INTERVENTION, COMMUNICATION ESPECIALLY AT THE POINT OF CARE OF EXISTING PATIENTS RELATIONSHIPS AND CONNECTED SERVICES, AND MONITORING THE EFFECTIVENESS OF PROGRAMS AND INITIATIVES, ESPECIALLY BY MEASURING THEIR IMPACTS ON THE BIGGER TOTAL-COST-OF-CARE. THIS INITIATIVE CONTINUED THROUGH FY19. IN ADDITION, EFFECTIVE 7/1/2019, THE PROJECTS HAVE TRANSITIONED TO THE MAINTENANCE PHASE AND CONSIDERED OPERATIONAL ENHANCED HIE SERVICES.

  Expenses $31,797,684 · Revenue $5,529,399

• HEALTH INFORMATION EXCHANGE (HIE)- CRISP CONTINUES TO FOCUS ON THE EXCHANGE. SINCE BUILD-OUT OF THE EXCHANGE, CRISP HIE HAS ALLOWED PROVIDERS PRACTICING AT ONE LOCATION TO INSTANTLY ACCESS PATIENTS' RECORDS, TEST RESULTS, AND OTHER IMPORTANT INFORMATION EVEN IF THAT INFORMATION IS PHYSICALLY STORED MILES AWAY IN SEVERAL UNRELATED LOCATIONS. A BRIEF DESCRIPTION OF THE HIE CONCEPT IS AS FOLLOWS: WHILE PHYSICIAN ACCESS IS IMPROVED BY AN HIE, SO IS THE SECURITY OF PATIENTS' MEDICAL INFORMATION. SECURE ELECTRONIC TRANSMISSION OF MEDICAL DATA ENSURES THAT IS REACHED THE INTENDED RECIPIENT AND ONLY THE INTENDED RECIPIENT. CONTINUED ON SCHEDULE OTHE INSTANTANEOUS ACCESS AND IMPROVED SECURITY OFFERED BY A HIE IS MADE POSSIBLE BY THE HIGH-SPEED COMPUTER NETWORKING HARDWARE USED TO CONNECT ALL PARTICIPATING HEALTH CARE FACILITIES AND IDENTIFY THE LOCATION OF PATIENT RECORDS WITHIN THOSE PARTICIPATING FACILITIES. INCREASED AVAILABILITY AND SECURITY OF PATIENT INFORMATION REDUCES ERRORS, IMPROVES PATIENT CARE, AND LOWERS HEALTH CARE COSTS. HIE ALSO PERMIT, ON A VAST SCALE, THE COLLECTION OF EPIDEMIOLOGICAL AND OTHER DATA PROVIDING UNIQUE SCIENTIFIC AND EDUCATIONAL OPPORTUNITIES. THROUGH ITS ABILITY TO ACCESS AND "DE-IDENTIFY" (REMOVE IDENTIFYING INFORMATION, SUCH AS NAMES OR SOCIAL SECURITY NUMBERS) PATIENT RECORDS FROM MANY (IF NOT ALL) OF A REGION'S PATIENTS, CRISP WILL HELP RELIABLY DETERMINE THE MOST SUCCESSFUL TREATMENTS, RECOGNIZE IMPORTANT AREAS IN NEED OF QUALITY IMPROVEMENT, AND IDENTIFY MEDICAL ERRORS AND OTHER INEFFICIENCIES (SUCH AS TREATMENT COMPLICATIONS) ACROSS AN ENTIRE REGION. IN SUM, HIES PERMIT HEALTHCARE PROVIDERS TO EXCHANGE DATA ON AN UNPRECEDENTED SCALE WHICH SHOULD IMPROVE TREATMENT OUTCOMES AND LOWERS HEALTHCARE COSTS FOR ALL. ADDITIONALLY, HIES PROVIDE A UNIQUE SCIENTIFIC AND EDUCATIONAL OPPORTUNITY. CRISP INTENDS TO OPERATE ITS HIE IN SUCH A WAY AS TO FACILITATE ALL EDUCATIONAL AND SCIENTIFIC USES OF ITS HIE THAT WILL NOT COMPROMISE DATA SECURITY OR PRIVACY. AS CRISP DEVELOPS AND GAINS ACCESS TO AN INCREASING AMOUNT OF MEDICAL DATA, FACILITATION WILL INCLUDE 1) WORKING WITH PARTICIPANTS TO IDENTIFY AREAS WORTH OF STUDY AND/OR RESEARCH, 2) DEVELOPING MEANS FOR DATA COLLECTION WHILE MAINTAINING DATA SECURITY AND PRIVACY, AND 3) PROMOTING THE USE OF APPROPRIATE DATA MINED FROM CRISP IN SCIENTIFIC STUDIES AND EDUCATIONAL SETTINGS.

  Expenses $2,643,951 · Grants $103,300

• OTHER EDUCATION ACTIVITIES- AN IMPORTANT PART OF CRISP'S MISSION IS TO EDUCATE THE PUBLIC (INCLUDING HEALTHCARE PROVIDERS) REGARDING THE BENEFITS OF ELECTRONIC HEALTH RECORDS, AND, BY EXTENSION, CRISP'S MISSION TO ENCOURAGE ELECTRONIC HEALTH RECORD ADOPTION AND MEANINGFUL USE. TO FURTHER THIS ASPECT OF ITS MISSION, CRISP HAS CREATED EDUCATIONAL PROGRAMS FOR PROVIDERS AND THE PUBLIC REGARDING HEALTH INFORMATION NETWORKS, ELECTRONIC HEALTH RECORDS, AND HEALTH INFORMATION PRIVACY, CRISP WILL CONTINUE TO INVESTIGATE, IMPLEMENT, AND WIDELY PUBLICIZE "BEST PRACTICES" WITH REGARD TO ELECTRONIC HEALTH RECORD SECURITY AND ACCURACY. CONTINUED ON SCHEDULE OIN CONJUNCTION WITH OTHER ORGANIZATIONS, CRISP CONTINUES TO ENGAGE IN OUTREACH PROGRAMS TARGETING THE PROVIDER COMMUNITY AND WHICH PROVIDE RESOURCES AND GUIDANCE REGARDING EHR ADOPTION AND ACHIEVING MEANINGFUL USE OF REQUIRED SYSTEMS. IN ADDITION TO PROVIDING GENERAL EDUCATION OF THE HEALTH INFORMATION EXCHANGE, CRISP'S EDUCATIONAL EFFORTS HAVE EXPANDED BEYOND THE BASIC CRISP SERVICES, QUERY PORTAL, ENCOUNTER NOTIFICATION SERVICE, AND THE PRESCRIPTION DRUG MONITORING PROGRAM, TO INCLUDE AN EMPHASIS ON AMBULATORY CONNECTIVITY AND THE BI-DIRECTIONAL EXCHANGE OF PATIENT DATA IN OUR REGION. CRISP EDUCATION AMBULATORY HEALTHCARE PROVIDERS ON THE BENEFITS OF BI-DIRECTIONAL DATA EXCHANGE BETWEEN HEALTHCARE FACILITY AND CRISP, IN IMPROVING THE TREATMENT AND CARE COORDINATION FOR THE REGION'S PATIENTS. CRISP CONTINUES TO ENGAGE IN OUTREACH PROGRAMS WHICH WILL EDUCATE THE PUBLIC ABOUT THE BENEFITS OF ELECTRONIC HEALTH RECORDS AND THE PRIVACY MEASURE THAT WILL ENSURE THE SECURITY OF THEIR PERSONAL HEALTH INFORMATION. CRISP EDUCATION OFFERINGS TAKE THE FORM OF CONFERENCES, PRESENTATIONS AND LECTURES DIRECTED BOTH TO PROVIDERS AND THE PUBLIC. THESE CONFERENCES, PRESENTATIONS AND LECTURES HAVE BEEN SPONSORED BY CRISP ALONE AS WELL AS IN CONCERT WITH OTHER CHARITABLE, EDUCATIONAL AND GOVERNMENTAL ORGANIZATIONS. SPEAKERS HAVE BEEN SELECTED BY CRISP AND OTHER SPONSORING ORGANIZATIONS, AND IN SOME CASES, CRISP MAY CHARGE A MODEST REGISTRATION FEE FOR SUCH CONFERENCES, PRESENTATIONS AND LECTURES TO RECOUP ITS COSTS.

  Expenses $2,556,933

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

• CRISP DC

  $103,300

  SUPPORT

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

• CRISP SHARED SERVICES

  501(C)(3) · HIE MEMBER SUPPORT · MD · controlled entity

  Directly controlled by CHESAPEAKE REGIONAL INFORMATION SYSTEM FOR OUR PATIENTS INC

Provenance

Return type

form_990

Tax year

2022

Filed

14 May 2024

IRS schema version

2022v5.0

Source object

202421369349305887

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

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