INSTITUTE OF MEDICAL HUMANISM INC: Form 990EZ, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
INSTITUTE OF MEDICAL HUMANISM INC (EIN 03-0371823)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-03-02
IRS object ID
202240619349200219
Schema version
2021v4.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-03-02T12:16:59-05:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN831231277PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1NANCY HURLEY EABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11284 COLEVILLE ROADAddressLine1Txt
CityBENNINGONCityNm
State AbbreviationVTStateAbbreviationCd
ZIP05201ZIPCd
FieldValueIRS element (for citing)
Return Type990EZReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN030371823EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE INSTITUTE OF MEDICAL HUMANISM INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlINSTBusinessNameControlTxt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 197AddressLine1Txt
CityBENNINGTONCityNm
State AbbreviationVTStateAbbreviationCd
ZIP05201ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBERNAARD M BANDMAN PhDPersonNm
Person TitleEXECUTIVE DIRECPersonTitleTxt
Phone8024425800PhoneNum
Signature2022-03-02SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstBERNAARDPersonFirstNm
Person LastBANDMANPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonNancy HurleyPreparerPersonNm
PTINP00964601PTIN
Phone8028344030PhoneNum
Preparation2022-03-02PreparationDt
Self EmployedYes (X)SelfEmployedInd

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer0TrustedCustomerCd
OOB Security Verification11OOBSecurityVerificationCd
Authentication Assurance LevelAAL2AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990-EZ IRS990EZ

FieldValueIRS element (for citing)
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Gross Receipts$55,115GrossReceiptsAmt
Info In Schedule O Part IYes (X)InfoInScheduleOPartIInd
Contributions Gifts Grants Etc$55,115ContributionsGiftsGrantsEtcAmt
Total Revenue$55,115TotalRevenueAmt
Salaries Other Comp Empl Bnft$32,419SalariesOtherCompEmplBnftAmt
Fees And Other Pymt To Ind Cntrct$19,179FeesAndOtherPymtToIndCntrctAmt
Occupancy Rent Utlts And Maint$4,594OccupancyRentUtltsAndMaintAmt
Printing Publications Postage$5,491PrintingPublicationsPostageAmt
Other Expenses Total$17,230OtherExpensesTotalAmt
Total Expenses$78,913TotalExpensesAmt
Excess Or Deficit For Year-$23,798ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY$70,101NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$46,303NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIYes (X)InfoInScheduleOPartIIInd

Cash Savings And Investments CashSavingsAndInvestmentsGrp

FieldValueIRS element (for citing)
BOY$73,168BOYAmt
EOY$51,545EOYAmt

Land And Buildings LandAndBuildingsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total Detail OtherAssetsTotalDetail

FieldValueIRS element (for citing)
BOY$4,265BOYAmt
EOY$3,198EOYAmt

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$77,433BOYAmt
EOY$54,743EOYAmt

Sum Of Total Liabilities SumOfTotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$7,332BOYAmt
EOY$8,440EOYAmt

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY$70,101BOYAmt
EOY$46,303EOYAmt
FieldValueIRS element (for citing)
Primary Exempt PurposeSee Schedule OPrimaryExemptPurposeTxt

Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp (3 entries)

Description Program Srvc AccomDescriptionProgramSrvcAccomTxt
See Schedule O
See Schedule O
See Schedule O
FieldValueIRS element (for citing)
Total Program Service Expenses$0TotalProgramServiceExpensesAmt

Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (9 entries)

TitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
BERNARD M BANDMAN PHD
EXECUTIVE DIRECTOR20.00$15,000$0$0
MICHAEL KEANE
PRESIDENT0.00$0$0$0
MICHAEL WELTHER MD
VICE PRESIDENT0.00$0$0$0
VICKY COREY DEJNOZKA
TREASURER1.00$0$0$0
SHEELA HARDEN
SECRETARY0.00$0$0$0
CONSTANCE WEST
TRUSTEE0.00$0$0$0
SARAH PERRIN
TRUSTEE0.00$0$0$0
JOHN YOST
TRUSTEE0.00$0$0$0
KATE COOPER
TRUSTEE0.00$0$0$0
FieldValueIRS element (for citing)
Activities Not Previously RptfalseActivitiesNotPreviouslyRptInd
Chg Made To Orgnzng Doc Not RptfalseChgMadeToOrgnzngDocNotRptInd
Organization Had UBIfalseOrganizationHadUBIInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Organization Dissolved EtcfalseOrganizationDissolvedEtcInd
Form1120 Pol FiledfalseForm1120PolFiledInd
Made Loans To From OfficersfalseMadeLoansToFromOfficersInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
States Where Copy Of Return Is FldVTStatesWhereCopyOfReturnIsFldCd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonBERNARD M BANDMA PHDPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1160 BENMONT AVEUEAddressLine1Txt
CityBENNINGTONCityNm
State AbbreviationVTStateAbbreviationCd
ZIP05201ZIPCd
FieldValueIRS element (for citing)
Phone8024425800PhoneNum
FieldValueIRS element (for citing)
Foreign Financial AccountfalseForeignFinancialAccountInd
Foreign OfficefalseForeignOfficeInd
Donor Advised FndsfalseDonorAdvisedFndsInd
Operate HospitalfalseOperateHospitalInd
Tanning Services ProvidedfalseTanningServicesProvidedInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
School OperatingfalseSchoolOperatingInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Part VI Of Comp Of Hghst Pd EmplNONEPartVIOfCompOfHghstPdEmplTxt
Part VI Hghst Pd Cntrct Prof SrvcNONEPartVIHghstPdCntrctProfSrvcTxt
Filed Schedule AYes (true)FiledScheduleAInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$109,108CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$78,926CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$70,575CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$53,578CurrentTaxYearMinus1YearAmt
Current Tax Year$55,115CurrentTaxYearAmt
Total$367,302TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$109,108CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$78,926CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$70,575CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$53,578CurrentTaxYearMinus1YearAmt
Current Tax Year$55,115CurrentTaxYearAmt
Total$367,302TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$2,751SubstantialContributorsTotAmt
Public Support Total170$364,551PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus1 Year$1CurrentTaxYearMinus1YearAmt
Total$9TotalAmt
FieldValueIRS element (for citing)
Total Support$367,311TotalSupportAmt
Gross Receipts Rltd Activities$14,857GrossReceiptsRltdActivitiesAmt
Public Support CY1700.99250PublicSupportCY170Pct
Public Support PY1700.99950PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
General explanation attachmentForm 990-EZ, Part III-Organizationss Primary Exempt PurposeTo redefine the medical encounter; to recognize the differences between thelanguage of medicine and the language of the patients world transformed byillness, to acknowledge the patients voice as a cornerstone of best care, tobridge the communication between doctor and patient, and in so doing, improvequality of care. Form 990-EZ, Part III, Line 28-Statement of Program Service AccomplishmentsEducation programs: SpeakSooner: A Patients Guide to Difficult Conversations (Guide) is our signature tool that help patients with serious illness better understand and communicate their needs and goals to healthcare providers. Our website, SpeakSooner.org, offers free online access to the Guide. Our SpeakSooner educational programs emphasize the patients role in communicating healthcare preferences and goals. Our programs are tailored to specific communities, healthcare organizations and advocacy groups to meet their individual needs. These educational programs include community education, healthcare education, a film series, the Patients Speak video series and a Facilitators Training program. Form 990-EZ, Part III, Line 29-Statement of Program Service AccomplishmentsCommunity Education Programs: Public forums with panel presentations and audience Q&A that educate the public about the key role of communication in improving quality of healthcare delivery and increasing patient satisfaction. The program format includes viewing films of actual patients sharing their experiences and panel discussions with experts. Fom 990-EZ, Part III, Line 30-Statement of Program Service AccomplishmentsHealthcare Education: Medical Grand Rounds where Center for Communication in Medicine staff present hospital based healthcare providers overview of SpeakSooner programs and tools for improving doctor-patient communication. The Doctors Conversation Hour is monthly meeting hosted by CCM staff where physicians can explore concerns and consider solutions to challenges of their practice. Recent examples of Healthcare Education- Elder Care Provider Network: SpeakSooner Initiative; American College of Surgeons; Challenges of Difficult Conversations; Stanford Medical Center: Difficult Conversations in Palliative Care; University of Vermont Family Medicine Grand Rounds: Difficult Conversations in Primary Care. Form 990-ez, Part III, Line 31 Statement of Program Service AccomplishmentsFilm Series: Our film series uses contemporary films with panel discussions to illustrate and guide audience Q&APatients Speak Video Series: Our video series harnesses the power of patients speaking about their own experience with illenss and the challenges they encounter in communicating with loved ones and healthcare providers. Our video series includes: The Difficult Conversations videos; Voices From the Lived World of Illness; Men Do TalkRecent online programs include Working with the Guide 101 a workshop for facilitators and Coping With COVID-19: Communication Challenges with Healthcare Providers: a panel discussion with Q&A
Description of other expenses Part I line 16Description AmountDepreciation from 4562 1,067ADVERTISING 3,901INSURANCE 2,358OFFICE EXPENSES 1,223OPERATIONAL EXPENSES 141BOOKS, SUBSCRIPTIONS 2,320TELEPHONE 4,227DEPRECIATION 1,067TRAVEL 427WEBSITE/IT 499
Description of other assets Part II line 24Category Beginning of Year End of YearDEPOSITS 256 256MACHINERY AND EQUIPMENT 4,009 2,942
Description of total liabilities Part II line 26Category Beginning of Year End of YearACCTS PAYABLE & ACCRUED EXPNS 1,082 755PPP LOAN PROCEEDS 6,250 0CHANGE IN NET INCOME 0 7,685

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