CENTRE VOLUNTEERS IN MEDICINE: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- CENTRE VOLUNTEERS IN MEDICINE (EIN 25-1897969)
- Tax period
- 2019-07-01 to 2020-06-30
- Filed
- 2021-03-10
- IRS object ID
- 202100699349301550
- Schema version
- 2019v5.2
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-03-10T15:26:31-06:00 | ReturnTs |
| Tax Period End | 2020-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 390859910 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BAKER TILLY US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1570 FRUITVILLE PIKE SUITE 400 | AddressLine1Txt |
| City | LANCASTER | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 17601 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 251897969 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CENTRE VOLUNTEERS IN MEDICINE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CENT | BusinessNameControlTxt |
| Phone | 8142314043 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2520 GREEN TECH DRIVE | AddressLine1Txt |
| City | STATE COLLEGE | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 16803 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CHERYL WHITE | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 8142314043 | PhoneNum |
| Signature | 2021-03-09 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | KERRI N BOGDA CPA | PreparerPersonNm |
| PTIN | P00760402 | PTIN |
| Phone | 7177404863 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | CHERYL WHITE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2520 GREEN TECH DRIVE | AddressLine1Txt |
| City | STATE COLLEGE | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 16803 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $1,591,034 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.CVIM.NET | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2001 | FormationYr |
| Legal Domicile State | PA | LegalDomicileStateCd |
| Activity Or Mission | WILL SERVE & ADVOCATE FOR THE MEDICALLY UNDERSERVED INDIVIDUALS LIVING OR WORKING IN CENTRE COUNTY | ActivityOrMissionDesc |
| Voting Members Governing Body | 19 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 19 | VotingMembersIndependentCnt |
| Total Employee | 21 | TotalEmployeeCnt |
| Total Volunteers | 168 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $838,012 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,464,900 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $16,665 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $12,126 | CYProgramServiceRevenueAmt |
| PY Investment Income | $49,440 | PYInvestmentIncomeAmt |
| CY Investment Income | $25,080 | CYInvestmentIncomeAmt |
| PY Other Revenue | $91,163 | PYOtherRevenueAmt |
| CY Other Revenue | $53,100 | CYOtherRevenueAmt |
| PY Total Revenue | $995,280 | PYTotalRevenueAmt |
| CY Total Revenue | $1,555,206 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $833,675 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,005,583 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $179,068 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $376,118 | PYOtherExpensesAmt |
| CY Other Expenses | $383,869 | CYOtherExpensesAmt |
| PY Total Expenses | $1,209,793 | PYTotalExpensesAmt |
| CY Total Expenses | $1,389,452 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$214,513 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $165,754 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,065,870 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,444,297 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $75,508 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $288,181 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $990,362 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,156,116 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | CENTRE VOLUNTEERS IN MEDICINE WILL SERVE AND ADVOCATE FOR THE MEDICALLY UNDERSERVED INDIVIDUALS LIVING OR WORKING IN CENTRE COUNTY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $496,761 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $0 | RevenueAmt |
| Desc | PROVIDE UNINSURED AND UNDERINSURED RESIDENTS OF CENTRE COUNTY WITH ACCESS TO FREE PREVENTATIVE, ACUTE AND BEHAVIORAL PRIMARY HEALTH CARE: IN FY 2020 PROVIDED 617 UNIQUE PATIENTS IN THE MEDICAL CLINIC WITH 1,582 PATIENT VISITS. 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. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $351,903 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $0 | RevenueAmt |
| Desc | PROVIDE UNINSURED AND UNDERINSURED RESIDENTS OF CENTRE COUNTY WITH ACCESS TO FREE RESTORATIVE AND ACUTE PRIMARY DENTAL CARE: IN FY 2020, PROVIDED 550 UNIQUE PATIENTS IN THE DENTAL CLINIC WITH 1,729 PATIENT VISITS. NUMBERS OF PATIENTS AND SERVICES WERE LOWER THAN FY19 DUE TO DENTAL CLINIC BEING CLOSED FOR ONE MONTH BECAUSE OF COVID. 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. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $129,418 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $0 | RevenueAmt |
| Desc | PROVIDE FREE PRESCRIPTION MEDICATIONS TO 395 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 2020, MAP ACCESSED APPROXIMATELY $526,296 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. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $103,584 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $12,126 | RevenueAmt |
| Desc | 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 2020, 328 UNIQUE PATIENTS WERE PROVIDED 501 VISITS FOR THESE SERVICES. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $103,584 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $0 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $12,126 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $1,081,666 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | 0 | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 14 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 21 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 19 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 19 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | PA | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHERYL WHITE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8142434043 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2520 GREEN TECH DRIVE | AddressLine1Txt |
| City | STATE COLLEGE | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 16803 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|
| CHERYL WHITE | ||||||
| EXECUTIVE DIRECTOR | 40.00 | Yes (X) | $77,057 | $0 | $2,484 | |
| LEANNE MARTIN | ||||||
| CHAIR | 5.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| ELLIS MARSH | ||||||
| VICE CHAIR | 3.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| LAWRENCE LOKMAN | ||||||
| SECRETARY | 3.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| BRIAN DEUTSCH | ||||||
| TREASURER | 3.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| BRIAN ALLEN | ||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |
| RONALD BRUNGO | ||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |
| RYAN BURKE | ||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |
| BILL BURMEISTER | ||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |
| TIFFANY CABIBBO | ||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |
| DONALD GAETANO | ||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |
| RANDY ILES | ||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |
| RICHARD KALIN | ||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |
| HEDDY KERVANDJIAN | ||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |
| HELEN MILLER | ||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |
| LANA WALKER | ||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |
| COLLEEN WILLIAMS | ||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |
| SUSAN WELCH | ||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |
| JOCELYN ANDERTON | ||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |
| OJ JOHNSTON | ||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $77,057 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $2,484 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $87,000 | FederatedCampaignsAmt |
| Fundraising | $24,356 | FundraisingAmt |
| All Other Contributions | $1,353,544 | AllOtherContributionsAmt |
| Noncash Contributions | $105,800 | NoncashContributionsAmt |
| Total Contributions | $1,464,900 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MEDICAL & DENTAL | Desc |
| Business | 621110 | BusinessCd |
| Total Revenue Column | $12,126 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $12,126 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $12,126 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $25,080 | TotalRevenueColumnAmt |
| Exclusion | $25,080 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $87,305 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $24,356 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $35,828 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $51,477 | TotalRevenueColumnAmt |
| Exclusion | $51,477 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | REIMBURSEMENTS | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $1,623 | TotalRevenueColumnAmt |
| Exclusion | $1,623 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,623 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,555,206 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $12,126 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $78,180 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $79,756 | TotalAmt |
| Program Services | $61,545 | ProgramServicesAmt |
| Management And General | $6,454 | ManagementAndGeneralAmt |
| Fundraising | $11,757 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $793,338 | TotalAmt |
| Program Services | $612,189 | ProgramServicesAmt |
| Management And General | $64,198 | ManagementAndGeneralAmt |
| Fundraising | $116,951 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $68,503 | TotalAmt |
| Program Services | $40,720 | ProgramServicesAmt |
| Management And General | $23,647 | ManagementAndGeneralAmt |
| Fundraising | $4,136 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $63,986 | TotalAmt |
| Program Services | $46,935 | ProgramServicesAmt |
| Management And General | $6,933 | ManagementAndGeneralAmt |
| Fundraising | $10,118 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,726 | TotalAmt |
| Program Services | $13,974 | ProgramServicesAmt |
| Management And General | $1,295 | ManagementAndGeneralAmt |
| Fundraising | $1,457 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,716 | TotalAmt |
| Program Services | $6,405 | ProgramServicesAmt |
| Management And General | $617 | ManagementAndGeneralAmt |
| Fundraising | $694 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,486 | TotalAmt |
| Program Services | $26,484 | ProgramServicesAmt |
| Management And General | $2,436 | ManagementAndGeneralAmt |
| Fundraising | $2,566 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $203,891 | TotalAmt |
| Program Services | $173,365 | ProgramServicesAmt |
| Management And General | $14,366 | ManagementAndGeneralAmt |
| Fundraising | $16,160 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,378 | TotalAmt |
| Program Services | $1,144 | ProgramServicesAmt |
| Management And General | $110 | ManagementAndGeneralAmt |
| Fundraising | $124 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,343 | TotalAmt |
| Program Services | $24,040 | ProgramServicesAmt |
| Management And General | $6,869 | ManagementAndGeneralAmt |
| Fundraising | $3,434 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,506 | TotalAmt |
| Program Services | $12,040 | ProgramServicesAmt |
| Management And General | $1,160 | ManagementAndGeneralAmt |
| Fundraising | $1,306 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| CLINIC SUPPLIES | $36,650 | $36,650 | ||
| PHARMACEUTICAL SUPPLIES | $19,979 | $19,979 | ||
| FUNDRAISING ACTIVITIES | $11,053 | $1,162 | $112 | $9,779 |
| LICENSE AND FEES | $3,538 | $2,937 | $283 | $318 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,603 | TotalAmt |
| Program Services | $2,097 | ProgramServicesAmt |
| Management And General | $238 | ManagementAndGeneralAmt |
| Fundraising | $268 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,389,452 | TotalAmt |
| Program Services | $1,081,666 | ProgramServicesAmt |
| Management And General | $128,718 | ManagementAndGeneralAmt |
| Fundraising | $179,068 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$1,264 | BOYAmt |
| EOY | -$20,730 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $456,987 | BOYAmt |
| EOY | $653,133 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $53,747 | BOYAmt |
| EOY | $37,567 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,807 | BOYAmt |
| EOY | $142,399 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,657 | BOYAmt |
| EOY | $9,513 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,663 | BOYAmt |
| EOY | $42,017 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $653,615 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $496,128 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $79,490 | BOYAmt |
| EOY | $157,487 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $402,783 | BOYAmt |
| EOY | $422,911 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,065,870 | BOYAmt |
| EOY | $1,444,297 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $63,508 | BOYAmt |
| EOY | $63,993 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,000 | BOYAmt |
| EOY | $75,710 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $148,478 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $75,508 | BOYAmt |
| EOY | $288,181 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $908,600 | BOYAmt |
| EOY | $1,072,337 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $81,762 | BOYAmt |
| EOY | $83,779 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $990,362 | BOYAmt |
| EOY | $1,156,116 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,065,870 | BOYAmt |
| EOY | $1,444,297 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $165,754 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,008,558 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,188,872 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,281,384 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $815,092 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,464,900 | CurrentTaxYearAmt |
| Total | $5,758,806 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,008,558 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,188,872 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,281,384 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $815,092 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,464,900 | CurrentTaxYearAmt |
| Total | $5,758,806 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $5,758,806 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,720 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,657 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $14,098 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $49,440 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $25,080 | CurrentTaxYearAmt |
| Total | $95,995 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $88,928 | CurrentTaxYearAmt |
| Total | $88,928 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $5,943,729 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $79,336 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.96890 | PublicSupportCY170Pct |
| Public Support PY170 | 0.98590 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | NON-CHARITABLE FUNDRAISING RECEIPTS - 2019 AMOUNT: $ 87,305. REIMBURSEMENTS - 2019 AMOUNT: $ 1,623. | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $170,801 | OtherCostOrOtherBasisAmt |
| Depreciation | $167,498 | DepreciationAmt |
| Book Value | $3,303 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $482,814 | OtherCostOrOtherBasisAmt |
| Depreciation | $328,630 | DepreciationAmt |
| Book Value | $154,184 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $157,487 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $2,319,031 | TotalRevEtcAuditedFinclStmtAmt |
| Donated Services And Use Fclts | $727,997 | DonatedServicesAndUseFcltsAmt |
| Revenue Not Reported | $727,997 | RevenueNotReportedAmt |
| Revenue Subtotal | $1,591,034 | RevenueSubtotalAmt |
| Other Revenues Not Included | -$35,828 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$35,828 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $1,555,206 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $2,153,277 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $727,997 | DonatedServicesUseFcltsAmt |
| Other Expenses Included | $35,828 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $763,825 | ExpensesNotReportedAmt |
| Expenses Subtotal | $1,389,452 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $1,389,452 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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, 2020 AND 2019. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | FUNDRAISING EXPENSE -35,828. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | FUNDRAISING EXPENSE 35,828. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | BATTLE OF THE MINDS | Event1Nm |
| Gross Receipts Event1 | $111,526 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $24,356 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $87,170 | GrossRevenueEvent1Amt |
| Food And Beverage Event1 | $24,520 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $2,465 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $7,065 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $111,526 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $24,356 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $87,170 | GrossRevenueTotalEventsAmt |
| Food And Beverage Total Events | $24,520 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $2,465 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $7,065 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $34,050 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $53,120 | NetIncomeSummaryAmt |
Schedule M IRS990ScheduleM
Other Non Cash Contri Table OtherNonCashContriTableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Desc | ULTRA SOUND MACHINE | Desc |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $105,800 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | COST | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8283 Received | 1 | Form8283ReceivedCnt |
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (1) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, COLUMN (B): | FormAndLineReferenceDesc |
| Explanation | THE NUMBER IN COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTORS. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | A COPY OF THE 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY IS MONITORED AND ENFORCED THROUGH ANNUAL DISCLOSURES. THE POLICY COVERS FAMILY AND BUSINESS RELATIONSHIPS AS A POTENTIAL SOURCE OF CONFLICT. |
| 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 | AVAILABLE UPON REQUEST AND GUIDESTAR WEBSITE. |
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