2023-05-01T07:30:09-05:00 2022-06-30 390859910 BAKER TILLY US LLP 1570 FRUITVILLE PIKE SUITE 400 LANCASTER PA 17601 990 2021-07-01 251897969 CENTRE VOLUNTEERS IN MEDICINE CENT 8142314043 2520 GREEN TECH DRIVE STATE COLLEGE PA 16803 CHERYL WHITE EXECUTIVE DIRECTOR 8142314043 2023-04-06 1 CHERYL WHITE XXX-XX-XXXX KERRI N BOGDA CPA P00760402 7177404863 2023-04-06 X 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z CHERYL WHITE 2520 GREEN TECH DRIVE STATE COLLEGE PA 16803 5674902 0 X WWW.CVIM.NET X 2001 PA WILL SERVE & ADVOCATE FOR THE MEDICALLY UNDERSERVED INDIVIDUALS LIVING OR WORKING IN CENTRE COUNTY 17 17 25 463 0 0 2450621 5529080 175893 133579 29406 10815 -346 -11093 2655574 5662381 0 25000 0 0 1105273 1017488 0 0 326325 473124 611720 1578397 1654208 1077177 4008173 2594660 7183868 287817 925770 2306843 6258098 X CENTRE VOLUNTEERS IN MEDICINE WILL SERVE AND ADVOCATE FOR THE MEDICALLY UNDERSERVED INDIVIDUALS LIVING OR WORKING IN CENTRE COUNTY. 0 0 556314 0 0 PROVIDE UNINSURED AND UNDERINSURED RESIDENTS OF CENTRE COUNTY WITH ACCESS TO FREE PREVENTATIVE, ACUTE AND BEHAVIORAL PRIMARY HEALTH CARE: IN FY 2022 PROVIDED 501 UNIQUE PATIENTS IN THE MEDICAL CLINIC WITH 1,631 PATIENT VISITS, BOTH IN-HOUSE AND TELEMEDICINE. STAFF AND VOLUNTEERS UTILIZE A REFERRAL NETWORK TO ASSIST PATIENTS TO ACCESS ANCILLARY SERVICES SUCH AS X-RAY, ULTRASOUND AND OTHER DIAGNOSTIC TESTING, AND SPECIALTY SERVICES SUCH AS ORTHOPEDIST, CARDIOLOGIST AND OPTOMETRIST CARE. THE VALUE OF THESE VISITS IS ESTIMATED AT $207,267. 168256 0 0 PROVIDE UNINSURED AND UNDERINSURED RESIDENTS OF CENTRE COUNTY WITH ACCESS TO FREE RESTORATIVE AND ACUTE PRIMARY DENTAL CARE: IN FY 2022, PROVIDED 270 UNIQUE PATIENTS IN THE DENTAL CLINIC WITH 516 PATIENT VISITS. DENTISTS AND DENTAL HYGIENISTS (MANY VOLUNTEERS) PROVIDED EMERGENCY EVALUATIONS OF PATIENTS WITH SEVERE DENTAL PAIN, EXTRACTED TEETH DECAYED BEYOND SALVAGING, RESTORED TEETH THAT COULD BE SALVAGED, AND PROVIDED REGULAR CLEANING AND HYGIENE SERVICES. SOME DESIGNATED REVENUES ARE RESTRICTED TO SPECIALIST SERVICES AND AMOUNTS ROLL OVER INTO THE NEXT FISCAL YEAR. THE VALUE OF THESE VISITS IS ESTIMATED AT $157,668. 111478 0 0 PROVIDE FREE PRESCRIPTION MEDICATIONS TO 238 UNIQUE PATIENTS THAT ARE PURCHASED DIRECTLY BY CVIM, DONATED OR APPLIED FOR THROUGH THE MEDICATION ASSISTANCE PROGRAM (MAP). MAP IS A TEAM OF VOLUNTEERS WHO APPLY FOR FREE MEDICATION PROGRAMS AT PHARMACEUTICAL COMPANIES ON BEHALF OF CVIM PATIENTS. IN FY 2022, MAP ACCESSED APPROXIMATELY $468,615 WORTH OF MEDICATIONS FROM PHARMACEUTICAL COMPANIES TO BE PROVIDED TO CVIM PATIENTS OVER 1,390 MEDICATION FILLS. THE VALUE OF THESE PRESCRIPTION MEDICATIONS IS NOT CONSIDERED A DONATION TO THE ORGANIZATION AND THUS IS NOT REFLECTED IN FINANCIAL STATEMENTS. 319379 25000 133579 PROVIDE ACCESS TO FREE CASE MANAGEMENT SERVICES TO ASSIST UNINSURED AND UNDERINSURED RESIDENTS OF CENTRE COUNTY TO ENROLL IN AND UTILIZE EXISTING MEDICAL ASSISTANCE AND OTHER SOCIAL SERVICE PROGRAMS SUCH AS HEAT AND RENT ASSISTANCE, THE FOOD BANK, AND OFFICE OF VOCATIONAL REHABILITATION SERVICES. IN FY 2022, 148 UNIQUE PATIENTS WERE PROVIDED 309 VISITS FOR THESE SERVICES VALUED AT $7,600. 319379 25000 133579 1155427 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 8 0 25 1 0 0 0 0 0 0 0 0 0 0 0 0 X 17 17 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 PA X CHERYL WHITE 8142434043 2520 GREEN TECH DRIVE STATE COLLEGE PA 16803 LEANNE MARTIN CHAIR 5.00 X X 0 0 0 ELLIS MARSH VICE CHAIR 3.00 X X 0 0 0 LAWRENCE LOKMAN SECRETARY 3.00 X X 0 0 0 BRIAN DEUTSCH TREASURER 3.00 X X 0 0 0 BRIAN ALLEN DIRECTOR 1.00 X 0 0 0 RONALD BRUNGO DIRECTOR 1.00 X 0 0 0 RYAN BURKE DIRECTOR 1.00 X 0 0 0 BILL BURMEISTER DIRECTOR 1.00 X 0 0 0 TIFFANY CABIBBO DIRECTOR 1.00 X 0 0 0 DONALD GAETANO DIRECTOR 1.00 X 0 0 0 RANDY ILES DIRECTOR 1.00 X 0 0 0 RICHARD KALIN DIRECTOR 1.00 X 0 0 0 HEDDY KERVANDJIAN DIRECTOR 1.00 X 0 0 0 HELEN MILLER DIRECTOR 1.00 X 0 0 0 LANA WALKER DIRECTOR 1.00 X 0 0 0 COLLEEN WILLIAMS DIRECTOR 1.00 X 0 0 0 SUSAN WELCH DIRECTOR 1.00 X 0 0 0 CHERYL WHITE EXECUTIVE DIRECTOR 40.00 X 79312 0 1893 79312 0 1893 0 0 0 0 0 80000 127915 437895 4883270 5529080 MEDICAL & DENTAL 621110 133579 133579 133579 10815 10815 0 127915 12521 -12521 -12521 COVID TESTING 900099 4095 4095 SPECIAL OCCASION LUNCH 900099 646 646 MISCELLANEOUS REV 900099 497 497 -3810 -3810 1428 5662381 133579 0 -278 25000 25000 85150 59605 8515 17030 774589 542212 77459 154918 94947 66463 9495 18989 62802 43962 6280 12560 9977 9977 17956 12569 1796 3591 3640 2548 364 728 44675 31265 4472 8938 251997 176398 25200 50399 5926 4148 593 1185 617 432 62 123 29359 20551 2936 5872 11794 8256 1179 2359 CLINIC SUPPLIES 99888 69921 9989 19978 OTHER 92532 57315 11742 23475 PHARMACEUTICAL SUPPLIES 18007 18007 FUNDRAISING ACTIVITIES 12984 8117 1160 3707 12368 8658 1237 2473 1654208 1155427 172456 326325 771314 1946529 923434 939902 16463 991428 123530 70064 8105 7443 92407 26658 3272850 559120 133836 2713730 525571 478808 0 9306 2594660 7183868 69053 78720 35439 94631 752419 183325 287817 925770 X 2222768 2348923 84075 3909175 2306843 6258098 2594660 7183868 4008173 -56918 0 X 0 1 X 1 0 X 1281384 815092 1464900 2291447 5401165 11253988 1281384 815092 1464900 2291447 5401165 11253988 378805 10875183 14098 49440 25080 10088 10815 109521 88928 166547 129343 384818 11748327 354928 0.92570 0.88850 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: NON-CHARITABLE FUNDRAISING RECEIPTS - 2019 AMOUNT: $ 87,305. 2020 AMOUNT: $ 159,174. 2021 AMOUNT: $ 127,915. REIMBURSEMENTS - 2019 AMOUNT: $ 1,623. 2020 AMOUNT: $ 7,373. 2021 AMOUNT: $ 124. COVID TESTING - 2021 AMOUNT: $ 4,095. MISCELLANEOUS REV - 2021 AMOUNT: $ 1,143. UNCLASSIFIED CASH RECEIPTS - 2021 AMOUNT: $ -3,934. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 170800 169861 939 492797 389259 103538 2609253 2609253 2713730 X 6772581 -56918 1154597 1097679 5674902 -12521 -12521 5662381 2821326 1154597 12521 1167118 1654208 0 1654208 PART X, LINE 2: THE ORGANIZATION ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD IS MET. MANAGEMENT DETERMINED THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD JUNE 30, 2022 AND 2021. PART XI, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENSE -12,521. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSE 12,521. BATTLE OF THE MINDS 79538 79538 5430 2450 2916 CYCLING 36761 36761 849 1 11616 11616 876 127915 127915 5430 2450 4641 12521 -12521 1 CENTRE FOUNDATION 1377 RIDGE MASTER DRIVE STATE COLLEGE PA 16803 251782197 25000 0 GENERAL OPERATIONS 1 PART I, LINE 2: DURING 2022, THE ORGANIZATION TRANSFERRED $25,000 TO THE CENTRE FOUNDATION (FOUNDATION) TO SET UP A FAULKNER ENDOWMENT FUND. DISTRIBUTIONS FROM THE FUND SHALL BE PAID TO THE ORGANIZATION FOR GENERAL OPERATING TO PROVIDE HEALTHCARE TO THE UNINSURED. ALL DISTRIBUTIONS MADE FROM THE FUND SHALL BE IN ACCORDANCE WITH THE SPENDING POLICY OF THE FOUNDATION AS APPROVED BY THE BOARD OF DIRECTORS OF THE FOUNDATION (THE BOARD) FROM TIME TO TIME. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE 990 IS PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW AND APPROVAL BEFORE FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY IS REVIEWED WITH ALL BOARD MEMBERS AND OFFICERS UPON STARTING WITH THE ORGANIZATION. EACH YEAR BOARD MEMBERS AND OFFICERS MUST SIGN A NEW CONFLICT OF INTEREST DISCLOSURE TO IDENTIFY ANY NEW CONFLICTS THAT HAVE ARISEN. FAMILY AND BUSINESS RELATIONSHIPS ARE EXPRESSLY MENTIONED IN THE POLICY. ANYONE WHO HAS A CONFLICT OF INTEREST MUST RECUSE THEMSELVES FROM VOTING ON THE MATTER WHERE A CONFLICT EXISTS. THE DESIGNEE RESPONSIBLE FOR REPORTING TO AND MANAGING ANY POTENTIAL CONFLICT OF INTEREST IS THE CHAIR OF THE BOARD DEVELOPMENT COMMITTEE. FORM 990, PART VI, SECTION B, LINE 15A THE EXECUTIVE DIRECTOR'S COMPENSATION IS DETERMINED BY A SEPARATE COMMITTEE SELECTED BY THE BOARD OF DIRECTORS. THE ORGANIZATION USES COMPARABLE DATA OF SIMILAR ORGANZIATIONS TO ENSURE THE SALARY IS WITHIN FAIR MARKET VALUE OF SIMILAR ORGANIZATIONS. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE AVAILABLE TO THE PUBLIC AND GRANTORS BY VARIOUS MEANS (VOLUNTEER HANDBOOK, EMPLOYEE HANDBOOK, AUDITED FINANCIAL STATEMENTS, 990'S). THESE INCLUDE BUT ARE NOT LIMITED TO CONFIDENTIALITY POLICY, DISCRIMINATION POLICY, CONFLICT OF INTEREST POLICY, HARASSMENT POLICY, WHISTLEBLOWER POLICY, AUDITED FINANCIAL STATEMENTS, 990'S, AND THE DISABILITY POLICY. THESE DOCUMENTS ARE SHARED WITH GRANTORS, FUND RAISING COMMITTEES, EMPLOYEES, VOLUNTEERS AND UPON REQUEST, IN HANDBOOKS, OR THROUGH GUIDESTAR.