2026-07-31T12:12:14+00:00 2025-12-31 135381590 BDO USA 200 PARK AVE 38TH FLOOR NEW YORK NY 10166 990 2025-01-01 471442997 MEDICAL DEBT RESOLUTION INC MEDI 8446373328 28-07 JACKSON AVE 5TH FL LONG ISLAND CITY NY 11101 JOSE PENABAD TREASURER 8446373328 2026-07-31 true TARA COOKE P01281186 2128858000 2026-07-30 2025 2025-03-06 01:10:19Z UNDUE MEDICAL DEBT ALLISON SESSO 28-07 JACKSON AVE 5TH FL LONG ISLAND CITY NY 11101 118435372 false X WWW.UNDUEMEDICALDEBT.ORG X 2014 NY TO END MEDICAL DEBT. 8 8 53 14 0 88847941 61149489 0 0 3638276 1380023 93802 0 92580019 62529512 0 0 0 3990904 6071690 651594 0 1791854 28475627 56845129 33118125 62916819 59461894 -387307 154555115 169891115 975528 14362315 153579587 155528800 X THE MISSION OF THE ORGANIZATION IS TO END MEDICAL DEBT. (CONTINUED ON SCHEDULE O) false false 54875471 0 0 MEDICAL DEBT RELIEF: THE DEBT RELIEF PROGRAM MODEL COMBINES DEBT PORTFOLIO ACQUISITION WITH SPECIALIZED DATA ANALYSIS, TECHNOLOGY INFRASTRUCTURE, COMPLIANCE ACTIVITIES, BENEFICIARY NOTIFICATION, AND PROGRAM ADMINISTRATION. THESE ACTIVITIES ARE INTEGRAL COMPONENTS OF THE MEDICAL DEBT RELIEF PROGRAM AND ARE REFLECTED WITHIN PROGRAM SERVICE EXPENSES. THIS PROGRAM CONSISTS OF ACQUISITION AND RELIEF (I.E., CANCELLATION) OF MEDICAL DEBTS BELONGING TO PEOPLE EXPERIENCING POVERTY OR OTHER HARDSHIPS,WHO ARE DEFINED AS THOSE EARNING 400% OR LESS THAN THE FEDERAL POVERTY LEVEL, OR HAVE A MEDICAL DEBT MORE THAN 5% OF ESTIMATED ANNUAL HOUSEHOLD GROSS INCOME. IN 2025, UNDUE MEDICAL DEBT HELPED OVER 6.5 MILLION PEOPLE AND RELIEVED MORE THAN $9.9 BILLION OF MEDICAL DEBT. 1110784 0 0 COMMUNITY ENGAGEMENT, EDUCATION, AND PUBLIC POLICY: THIS PROGRAM CONSISTS OF ENGAGING IN EFFORTS TO RAISE PUBLIC AWARENESS OF THE ECONOMIC AND SOCIAL EFFECTS OF MEDICAL DEBT, FACILITATE STRATEGIC PARTNERSHIPS TO FURTHER COMMUNITY AWARENESS AND YOUTH ENGAGEMENT, AND INFORM AND SUPPORT PUBLIC POLICY EFFORTS TO ADDRESS SYSTEMIC CAUSES OF MEDICAL DEBT. 860625 0 0 TECHNOLOGY INFRASTRUCTURE DEVELOPMENT: THIS PROGRAM CONSISTS OF DEVELOPING SYSTEMS TO MORE EFFICIENTLY ACQUIRE AND ABOLISH MEDICAL DEBT. 316661 0 0 MEDICAL DEBT RESEARCH AND STORYTELLING: THIS PROGRAM CONSISTS OF SUPPORTING RESEARCH AND SURVEY ACTIVITIES STUDYING THE ECONOMIC AND SOCIAL EFFECTS OF MEDICAL DEBT, AND MEDICAL DEBT RELIEF, AND HIGHLIGHTING PERSONAL STORIES AND COMMON THEMES FROM RECIPIENTS OF THE ORGANIZATION'S MEDICAL DEBT RELIEF EFFORTS. THIS IS DONE IN AN EFFORT TO REMOVE THE STIGMA ASSOCIATED WITH, AND BETTER UNDERSTAND THE IMPACTS OF, MEDICAL DEBT. 316661 57163541 true true false true false false false false false false true true false false true true true false false false false false false false false false false false false true false false false false false false false true true false true false false false false false false false false false true 26 0 true 53 true false false false false false false false false false X 8 8 false false false false false false false true true false false false true true true true true true true true false false CA CO CT DE FL GA AL HI ID IL IN IA KS KY LA ME AK MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA AZ RI SC SD TN TX UT VT VA AR WA WV WI WY X X ALLISON SESSO 8446373328 28-07 JACKSON AVE 5TH FL LONG ISLAND CITY NY 11101 ELIZABETH MARINCOLA TREASURER 1.0 0.0 X X 0 0 0 JEFF SMEDSRUD SECRETARY (AS OF 12/2025) 1.0 0.0 X X 0 0 0 JOSE PENABAD VICE CHAIR 1.0 0.0 X X 0 0 0 MICHELE MASUCCI BOARD CHAIR 1.0 0.0 X X 0 0 0 TED SANN SECRETARY (THRU 12/2025) 1.0 0.0 X X 0 0 0 DR OXIRIS BARBOT DIRECTOR 1.0 0.0 X 0 0 0 DR RAMANATHAN RAJU DIRECTOR 1.0 0.0 X 0 0 0 JONATHAN LINDSEY DIRECTOR 1.0 0.0 X 0 0 0 JONATHAN WIGGS DIRECTOR 1.0 0.0 X 0 0 0 ALLISON SESSO CEO & PRESIDENT 40.0 0.0 X 354901 0 72573 JANA KNAUEROVA VP FINANCE & ADMINISTRATION 40.0 0.0 X 195941 0 50953 COURTNEY STORY VP GOVERNMENT INITIATIVES 40.0 0.0 X 205496 0 59050 MARISA CLEMENTE VP PHILANTHROPY 40.0 0.0 X 232058 0 27993 RAVNEETA CONSUL COO 40.0 0.0 X 300406 0 69799 RUTH LANDE VP PROVIDER PARTNERSHIPS 40.0 0.0 X 278191 0 48916 BETH ZINDA AVP PROVIDER PARTNERSHIPS 40.0 0.0 X 153738 0 33555 DANIEL LEMPERT VP MARKETING & COMMUNICATIONS 40.0 0.0 X 166989 0 25007 DAVID REYNOLDS VP INFO SYSTEMS 40.0 0.0 X 244990 0 61396 EVA STAHL VP POLICY EDUCATION & RESEARCH 40.0 0.0 X 205000 0 7175 MICHAEL DERBES GENERAL COUNSEL 40.0 0.0 X 200225 0 52246 2537935 0 508663 15 false true false LOBCOM INC 2261 MARKET STREET SUITE 5668 SAN FRANCISCO CA 94114 PRINTING & MAILING SERVICES 6104572 NIXON PEABODY LLP 70 WEST MADISON SUITE 5200 CHICAGO IL 20005 LEGAL SERVICES 442073 APPTION CORPORATION 1600 SCOTT STREET SUITE 400 OTTAWA CA K1Y4N7 SOFTWARE DEVELOPMENT 340470 IMMORTAL STRATEGIES LLC 9708 69TH AVENUE FOREST HILLS NY 11375 CONSULTING SERVICES 300000 PERRY UNDEM 4800 HAMPDEN LANE SUITE 200 BETHESDA MD 20814 RESEARCH AND SURVEY SERVICES 205890 11 31420501 29728988 10016202 61149489 0 0 0 0 0 1414424 0 0 1414424 0 0 55871459 55905860 -34401 0 -34401 0 0 -34401 0 0 0 0 0 0 62529512 0 0 1380023 1896279 981585 556611 358083 153000 153000 2464498 1275718 723398 465382 125318 64870 36784 23664 946238 489808 277747 178683 486357 251757 142759 91841 416106 209885 174166 32055 140687 0 140687 0 1114 1114 0 0 33449 33449 2173359 1160467 829334 183558 55290 40290 15000 0 239268 57802 135641 45825 749961 220340 189664 339957 220360 0 220360 0 281701 37454 172477 71770 44458 44458 0 0 442659 417933 23690 1036 136657 0 136657 0 DEBT PORTFOLIO ACQUISITION COSTS 46120009 46120009 0 0 MAILING - DEBT RELIEF NOTIFICATIONS 5790051 5790051 0 0 0 0 0 0 62916819 57163541 3961424 1791854 26897953 10087876 42496871 26239476 11700247 10395374 0 0 0 0 0 0 0 0 0 0 17180286 64487059 85978 49023 39745 36955 0 0 54768302 57095964 0 1039448 1295500 432263 252911 154555115 169891115 591078 14141369 0 0 14643 0 0 0 0 0 0 0 0 0 0 0 369807 220946 975528 14362315 X 142237144 142205670 11342443 13323130 153579587 155528800 154555115 169891115 -387307 2336520 0 X false true true true true X 17097377 42362810 26290875 88847941 61149489 235748492 0 0 0 0 17097377 42362810 26290875 88847941 61149489 235748492 0 235748492 32240 510785 2061575 3667863 1380975 7653438 0 0 0 0 0 0 0 0 243401930 0 0.96856 0.97458 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 614 500 1114 58954280 58955394 1000000 0 250000 0 0 false 652793 1000000 1000000 1000000 3652793 5479190 14091 16622 7107 1114 38934 163198 250000 250000 250000 913198 1369797 0 0 0 614 614 SCHEDULE C, PART II-A, LINE 1B, COLUMN (A) THE AMOUNT INCURRED FOR LOBBYING WERE FOR DIRECT CONTACT WITH LEGISLATORS AND OTHER STATE OFFICIALS TO DETERMINE BUDGETARY APPROPRIATIONS THAT WOULD SUPPORT THE ORGANIZATION'S PROGRAMS, AS WELL AS FOR WORK RELATED TO SUPPORTING POLICY CHANGES IMPACTING MEDICAL DEBT. THE ORGANIZATION CONDUCTED GRASSROOTS LOBBYING BY COMMUNICATING ITS POSITION ON PROPOSED LEGISLATION RELATED TO MEDICAL DEBT AND ENCOURAGING MEMBERS OF THE PUBLIC TO CONTACT POLICYMAKERS REGARDING SUCH LEGISLATION, IN FURTHERANCE OF ITS EXEMPT CHARITABLE PURPOSES. 84555 47932 36623 1423 1091 332 36955 CLOSELY-HELD EQUITY INTERESTS FINANCIAL DERIVATIVES INVESTMENTS 57095964 F 57095964 FEDERAL INCOME TAXES OPERATING LEASE LIABILITY 220946 220946 X 65013154 2336520 180571 0 2517091 62496063 33449 0 33449 62529512 63063941 180571 0 180571 62883370 33449 0 33449 62916819 SCHEDULE D, PART X, LINE 2 FIN 48 (ASC 740) FOOTNOTE THE ORGANIZATION IS EXEMPT FROM FEDERAL, STATE, AND LOCAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE IRC AND, THEREFORE, HAS MADE NO PROVISION FOR INCOME TAXES IN THE ACCOMPANYING FINANCIAL STATEMENTS. UNDER GAAP, AN ORGANIZATION MUST RECOGNIZE THE TAX BENEFIT ASSOCIATED WITH TAX POSITIONS TAKEN FOR TAX RETURN PURPOSES WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION BY A TAXING AUTHORITY. THE ORGANIZATION DOES NOT BELIEVE IT HAS TAKEN ANY MATERIAL UNCERTAIN TAX POSITIONS AND, ACCORDINGLY, IT HAS NOT RECORDED ANY LIABILITY FOR UNRECOGNIZED TAX BENEFITS. THE ORGANIZATION HAS FILED FOR AND RECEIVED INCOME TAX EXEMPTIONS IN THE JURISDICTIONS WHERE IT IS REQUIRED TO DO SO. ADDITIONALLY, THE ORGANIZATION HAS FILED INTERNAL REVENUE SERVICE (IRS) FORM 990 INFORMATION RETURNS, AS REQUIRED, AND ALL OTHER APPLICABLE RETURNS IN JURISDICTIONS WHERE SO REQUIRED. FOR THE YEARS ENDED DECEMBER 31, 2025 AND 2024, THERE WERE NO INTEREST OR PENALTIES RECORDED OR INCLUDED IN THE STATEMENTS OF ACTIVITIES. THE ORGANIZATION IS SUBJECT TO ROUTINE AUDIT BY A TAXING AUTHORITY. AS OF DECEMBER 31, 2025 AND 2024, THE ORGANIZATION WAS NOT SUBJECT TO ANY EXAMINATION BY A TAXING AUTHORITY. X X X X X X false false false false false false false false false ALLISON SESSO CEO & PRESIDENT 354901 0 0 0 0 0 12699 0 59874 0 427474 0 0 0 JANA KNAUEROVA VP FINANCE & ADMINISTRATION 195941 0 0 0 0 0 7175 0 43778 0 246894 0 0 0 RAVNEETA CONSUL COO 300406 0 0 0 0 0 10763 0 59036 0 370205 0 0 0 RUTH LANDE VP PROVIDER PARTNERSHIPS 278191 0 0 0 0 0 9888 0 39028 0 327107 0 0 0 MARISA CLEMENTE VP PHILANTHROPY 232058 0 0 0 0 0 8225 0 19768 0 260051 0 0 0 COURTNEY STORY VP GOVERNMENT INITIATIVES 205496 0 0 0 0 0 7483 0 51567 0 264546 0 0 0 DAVID REYNOLDS VP INFO SYSTEMS 244990 0 0 0 0 0 7350 0 54046 0 306386 0 0 0 EVA STAHL VP POLICY EDUCATION & RESEARCH 205000 0 0 0 0 0 7175 0 0 0 212175 0 0 0 MICHAEL DERBES GENERAL COUNSEL 200225 0 0 0 0 0 7088 0 45158 0 252471 0 0 0 DANIEL LEMPERT VP MARKETING & COMMUNICATIONS 166989 0 0 0 0 0 5880 0 19127 0 191996 0 0 0 BETH ZINDA AVP PROVIDER PARTNERSHIPS 153738 0 0 0 0 0 5381 0 28174 0 187293 0 0 0 DINI VON MUEFFLING CONSULTING FAMILY MEMBER OF FORMER BOARD MEMBERS 153000 CONSULTANT false SCHEDULE L, PART IV, COLUMN (B) THE OWNER OF DINI VON MUEFFLING CONSULTING IS A FAMILY MEMBER OF THE FORMER BOARD CHAIRMAN, WILLIAM VON MUEFFLING AND THE SECRETARY, TED SANN. 35 227638 OTHER - FMV X DEBT PORTFOLIOS 17 9788074 MARKET VALUE X CRYPTOCURRENCY 1 490 MARKET VALUE 0 false true true SCHEDULE M, PART I, LINE 32B THIRD PARTIES USED TO SOLICIT, PROCESS, OR SELL NONCASH CONTRIBUTIONS THE ORGANIZATION USES A THIRD-PARTY SERVICE FOR PROCESSING AND SELLING CRYPTOCURRENCY DONATIONS. FORM 990, PART III, LINE 1 MISSION OF MEDICAL DEBT RESOLUTION, INC., DBA UNDUE MEDICAL DEBT: A 501(C)(3) NONPROFIT WHOSE MISSION IS TO END MEDICAL DEBT AND BE: ** A SOURCE OF JUSTICE IN AN UNJUST HEALTHCARE FINANCE SYSTEM. OUR UNIQUE AND HIGHLY LEVERAGED DEBT ABOLISHMENT MODEL COMBINES THE GENEROSITY OF DONORS WITH DEBT INDUSTRY EXPERTISE TO PRODUCE A HIGH VOLUME OF DEBT RELIEF RETURN, MITIGATING SIGNIFICANT FINANCIAL AND MENTAL DISTRESS FOR MILLIONS OF PEOPLE. ** A UNIQUE SOLUTION FOR PATIENT-CENTERED HEALTH CARE PROVIDERS. BY PARTNERING WITH US, HEALTH CARE SYSTEMS CAN STRENGTHEN INDIVIDUALS AND COMMUNITIES BY RELIEVING DORMANT, UNCOLLECTIBLE, AND DAMAGING BAD DEBTS AND CAN IDENTIFY OPPORTUNITIES TO REFINE THEIR FINANCIAL ASSISTANCE PROGRAMS TO BETTER SERVE THEIR COMMUNITIES. ** A MORAL FORCE OF SYSTEMIC CHANGE. OUR WORK BRINGS ATTENTION TO THE RANGE OF NEGATIVE IMPACTS CAUSED BY MEDICAL DEBT AND A DEEPER UNDERSTANDING OF ITS CAUSES. THESE EFFORTS SUPPORT PROGRESS TOWARD A MORE COMPASSIONATE, TRANSPARENT, EQUITABLE AND AFFORDABLE HEALTHCARE SYSTEM. WHO IS UNDUE MEDICAL DEBT? WE ARE A NOT-FOR-PROFIT, NATIONAL CHARITY THAT RAISES FUNDS FROM DONORS AND USES THOSE FUNDS TO ACQUIRE AND ABOLISH MEDICAL DEBT. SINCE OUR FOUNDING IN 2014 (AS MEDICAL DEBT RESOLUTION, INC.), WE HAVE ABOLISHED MORE THAN $27.3 BILLION OF MEDICAL DEBT AND HELPED APPROXIMATELY 17.9 MILLION PEOPLE. WHAT IS THE GOAL OF UNDUE MEDICAL DEBT? UNDUE MEDICAL DEBT SEEKS TO HELP FAMILIES AND INDIVIDUALS BURDENED BY MEDICAL DEBT BY ACQUIRING AND ABOLISHING THESE DEBTS. BY CANCELLING THESE DEBTS, WE BRING FINANCIAL RELIEF TO FAMILIES AND REDUCE RELATED STRESS. THIS THEN IMPROVES THE HEALTH OF PATIENTS, FAMILIES, AND COMMUNITIES. OVER THE COURSE OF THE ORGANIZATION'S GROWTH, ITS VISION HAS EXPANDED TO ADDRESS THE ROOT CAUSES OF MEDICAL DEBT AND SEEKS TO TRANSFORM THE HEALTHCARE SYSTEM TO MAKE DEBT RELIEF UNNECESSARY IN THE FUTURE. WHY WE DO THIS WORK? MEDICAL DEBT OFTEN RESULTS FROM UNPLANNED AND UNEXPECTED ILLNESSES AND ACCIDENTS. ABOUT ONE THIRD OF ADULTS IN THE UNITED STATES HAVE DIFFICULTY PAYING THEIR HEALTH CARE BILLS. IN MANY AREAS AND FOR MANY REASONS, PEOPLE REMAIN UNINSURED AND THOSE WHO ARE INSURED OFTEN RECEIVE EXPENSIVE BILLS AFTER RECEIVING CARE. MEDICAL DEBT IS THE LEADING CAUSE OF BANKRUPTCY IN THE UNITED STATES. WE DO THIS WORK TO RELIEVE THE BURDEN OF MEDICAL DEBT, TO PREVENT PEOPLE FROM SKIPPING OR DELAYING MEDICAL CARE BECAUSE OF COST-RELATED CONCERNS, AND TO SUPPORT PEOPLE LIVING HEALTHIER LIVES. PEOPLE, HELPING PEOPLE WE DEPEND ON DONATIONS AND GRANTS FROM INDIVIDUALS, CORPORATIONS, CHARITABLE ORGANIZATIONS AND GOVERNMENT TO SUPPORT US IN OUR MISSION AND PURPOSE TO END MEDICAL DEBT. IN MAY 2024, THE ORGANIZATION CHANGED THEIR DOING BUSINESS NAME TO "UNDUE MEDICAL DEBT". TO LEARN MORE ABOUT UNDUE MEDICAL DEBT, PLEASE VISIT US AT HTTPS://WWW.UNDUEMEDICALDEBT.ORG/. FORM 990, PART III, LINE 4A-4C DESCRIPTION OF PROGRAM SERVICES (EXPENSES $ 316,661 INCLUDING GRANTS OF $ 0)(REVENUE $ 0) MEDICAL DEBT RESEARCH AND STORYTELLING: THIS PROGRAM CONSISTS OF SUPPORTING RESEARCH AND SURVEY ACTIVITIES STUDYING THE ECONOMIC AND SOCIAL EFFECTS OF MEDICAL DEBT, AND MEDICAL DEBT RELIEF, AND HIGHLIGHTING PERSONAL STORIES AND COMMON THEMES FROM RECIPIENTS OF THE ORGANIZATION'S MEDICAL DEBT RELIEF EFFORTS. THIS IS DONE IN AN EFFORT TO REMOVE THE STIGMA ASSOCIATED WITH, AND BETTER UNDERSTAND THE IMPACTS OF, MEDICAL DEBT. FORM 990, PART VI, LINE 11B REVIEW OF FORM 990 BY GOVERNING BODY A COMPLETE COPY OF THIS FORM 990 HAS BEEN REVIEWED BY BOTH THE AUDIT COMMITTEE AND THE FULL BOARD OF DIRECTORS PRIOR TO FILING. THIS PROCESS IS PRESCRIBED IN THE CHARTER OF THE ORGANIZATION'S AUDIT COMMITTEE. FORM 990, PART VI, LINE 12C CONFLICT OF INTEREST POLICY 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, LINE 15A PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL THE CEO COMPENSATION IS DETERMINED BY THE INDEPENDENT MEMBERS OF THE BOARD (COMPENSATION COMMITTEE) IN ACCORDANCE WITH WRITTEN POLICY, AND INFORMED BY A REPORT OF INDEPENDENT COMPENSATION CONSULTANTS, INCLUDING MARKET SURVEYS, AND OTHER INDEPENDENT RESEARCH. THE COMPENSATION COMMITTEE IS COMPRISED OF AT LEAST THREE (3) INDEPENDENT DIRECTORS AND HAS RESPONSIBILITY FOR ADVISING THE INDEPENDENT MEMBERS OF THE BOARD IN SETTING THE COMPENSATION OF THE ORGANIZATION'S CEO. CURRENTLY THE NUMBER OF PERSONS SERVING ON THE COMPENSATION COMMITTEE IS FOUR (4). FORM 990, PART VI, LINE 15B PROCESS TO ESTABLISH COMPENSATION OF OTHER EMPLOYEES THE COMPENSATION OF OFFICERS AND KEY EMPLOYEES WAS DETERMINED BY SENIOR MANAGEMENT IN ACCORDANCE WITH WRITTEN POLICY, INFORMED, WHERE APPROPRIATE, BY A REPORT OF INDEPENDENT COMPENSATION CONSULTANTS OR OTHER INDEPENDENT RESEARCH, INCLUDING MARKET SURVEYS, AS APPLICABLE. FORM 990, PART VI, LINE 19 REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. WHERE REQUIRED, THE ORGANIZATION ALSO FURNISHES THESE DOCUMENTS TO STATE AUTHORITIES. FORM 990, PART IX, LINE 24A THE COST STRUCTURE OF THE ORGANIZATION'S MEDICAL DEBT RELIEF PROGRAM INCLUDES BOTH THE ACQUISITION OF MEDICAL DEBT PORTFOLIOS AND THE OPERATIONAL ACTIVITIES NECESSARY TO IDENTIFY, EVALUATE, PURCHASE, QUALIFY, ABOLISH, AND REPORT DEBT RELIEF. PROGRAM EXPENSES THEREFORE INCLUDE PORTFOLIO ACQUISITION COSTS AS WELL AS PERSONNEL, ANALYTICAL DATA, TECHNOLOGY, COMPLIANCE, BENEFICIARY NOTIFICATION, AND OTHER EXPENSES DIRECTLY SUPPORTING DEBT RELIEF ACTIVITIES. PORTFOLIO ACQUISITION COSTS REPRESENT ONLY ONE COMPONENT OF THE TOTAL COST OF DELIVERING MEDICAL DEBT RELIEF. FORM 990, PART IX, LINE 24A: DETAIL OF DEBT PORTFOLIO ACQUISITION COSTS: * PURCHASED DEBT PORTFOLIOS: $80,376,315 * DONATED DEBT PORTFOLIOS: $9,788,074 * DEBT ACQUISITION & ANALYSIS LABOR: $1,743,145 * DEBT ACQUISITION CONSULTING FEES: $10,000 * DEBT PLATFORM FEES: $322,143 * ANALYTICAL/QUALIFICATION DATA PURCHASES: $1,361,380 * DE/(IN)CREASE IN DEFERRED DEBT COSTS: $(47,481,048) TOTAL DEBT PORTFOLIO ACQUISITION COSTS: $46,120,009