2022-03-28T14:20:46-05:00 2021-06-30 390859910 BAKER TILLY US LLP 1570 FRUITVILLE PIKE SUITE 400 LANCASTER PA 17601 990 2020-07-01 251897969 CENTRE VOLUNTEERS IN MEDICINE CENT 8142314043 2520 GREEN TECH DRIVE STATE COLLEGE PA 16803 CHERYL WHITE EXECUTIVE DIRECTOR 8142314043 2022-03-24 1 CHERYL WHITE 999009999 KERRI N BOGDA CPA P00760402 7177404863 X 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z CHERYL WHITE 2520 GREEN TECH DRIVE STATE COLLEGE PA 16803 2663349 0 X WWW.CVIM.NET X 2001 PA WILL SERVE & ADVOCATE FOR THE MEDICALLY UNDERSERVED INDIVIDUALS LIVING OR WORKING IN CENTRE COUNTY 19 19 23 159 0 0 1464900 2450621 12126 175893 25080 29406 53100 -346 1555206 2655574 0 0 0 0 1005583 1105273 0 0 297206 383869 473124 1389452 1578397 165754 1077177 1444297 2594660 288181 287817 1156116 2306843 X CENTRE VOLUNTEERS IN MEDICINE WILL SERVE AND ADVOCATE FOR THE MEDICALLY UNDERSERVED INDIVIDUALS LIVING OR WORKING IN CENTRE COUNTY. 0 0 562834 PROVIDE UNINSURED AND UNDERINSURED RESIDENTS OF CENTRE COUNTY WITH ACCESS TO FREE PREVENTATIVE, ACUTE AND BEHAVIORAL PRIMARY HEALTH CARE: IN FY 2021 PROVIDED 524 UNIQUE PATIENTS IN THE MEDICAL CLINIC WITH 2,967 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 $495,877.SOME EXPENSE AND GRANT INCOME IS FOR VACCINE CLINICS THAT WERE HELD OUTSIDE THE CLINIC. 247541 PROVIDE UNINSURED AND UNDERINSURED RESIDENTS OF CENTRE COUNTY WITH ACCESS TO FREE RESTORATIVE AND ACUTE PRIMARY DENTAL CARE: IN FY 2021, PROVIDED 318 UNIQUE PATIENTS IN THE DENTAL CLINIC WITH 1,103 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. 101532 PROVIDE FREE PRESCRIPTION MEDICATIONS TO 335 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 2021, MAP ACCESSED APPROXIMATELY $485,744 WORTH OF MEDICATIONS FROM PHARMACEUTICAL COMPANIES TO BE PROVIDED TO CVIM PATIENTS. THE VALUE OF THESE PRESCRIPTION MEDICATIONS IS NOT CONSIDERED A DONATION TO THE ORGANIZATION AND THUS IS NOT REFLECTED IN FINANCIAL STATEMENTS. 194037 175893 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 2021, 268 UNIQUE PATIENTS WERE PROVIDED 540 VISITS FOR THESE SERVICES. 194037 175893 1105944 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 7 0 23 1 0 0 0 0 0 0 0 0 0 0 0 0 X 19 19 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 JOCELYN ANDERTON DIRECTOR 1.00 X 0 0 0 OJ JOHNSTON DIRECTOR 1.00 X 0 0 0 CHERYL WHITE EXECUTIVE DIRECTOR 40.00 X 79757 0 2484 79757 0 2484 0 0 0 0 0 87000 159174 148478 2055969 2450621 MEDICAL & DENTAL 621110 175893 175893 175893 29406 29406 0 159174 7775 -7775 -7775 REIMBURSEMENTS 900099 7429 7429 7429 2655574 175893 0 29060 83402 58382 8340 16680 872743 610920 87275 174548 88135 53342 27072 7721 60993 46443 6546 8004 10448 10448 26238 18366 2625 5247 5049 3534 505 1010 53599 42790 5388 5421 207326 144667 11329 51330 2256 1579 226 451 33941 23759 3394 6788 18117 12682 1812 3623 CLINIC SUPPLIES 69064 48345 6906 13813 PHARMACEUTICAL SUPPLIES 15692 15692 FUNDRAISING ACTIVITIES 14939 13072 1867 0 OTHER 9451 6616 945 1890 7004 5755 569 680 1578397 1105944 175247 297206 -20730 771314 653133 923434 37567 16463 142399 123530 9513 8105 42017 92407 663597 529761 157487 133836 422911 525571 1444297 2594660 63993 69053 75710 35439 148478 183325 288181 287817 X 1072337 2222768 83779 84075 1156116 2306843 1444297 2594660 1077177 73550 0 X 0 1 X 1 0 X 1188872 1281384 815092 1464900 2291447 7041695 1188872 1281384 815092 1464900 2291447 7041695 465741 6575954 5657 14098 49440 25080 10088 104363 88928 166547 255475 7401533 238014 0.88850 0.96890 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: NON-CHARITABLE FUNDRAISING RECEIPTS - 2019 AMOUNT: $ 87,305. 2020 AMOUNT: $ 159,174. REIMBURSEMENTS - 2019 AMOUNT: $ 1,623. 2020 AMOUNT: $ 7,373. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 170800 168922 1878 492797 360839 131958 133836 X 3825927 73550 1089028 1162578 2663349 -7775 -7775 2655574 2675200 1089028 7775 1096803 1578397 0 1578397 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, 2021 AND 2020. PART XI, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENSE -7,775. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSE 7,775. BATTLE OF THE MINDS 64892 64892 4405 CYCLING 63917 63917 2036 2 30365 30365 1334 159174 159174 7775 7775 -7775 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.