CENTRE VOLUNTEERS IN MEDICINE: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- CENTRE VOLUNTEERS IN MEDICINE (EIN 25-1897969)
- Tax period
- 2018-07-01 to 2019-06-30
- Filed
- 2020-04-13
- IRS object ID
- 202001049349301005
- Schema version
- 2018v3.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-04-13T09:50:15-05:00 | ReturnTs |
| Tax Period End | 2019-06-30 | 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 VIRCHOW KRAUSE LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 431 SCIENCE PARK ROAD SUITE 302 | AddressLine1Txt |
| City | STATE COLLEGE | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 16803 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2018-07-01 | 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 | 2020-03-30 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JUSTIN W SMITH | PreparerPersonNm |
| PTIN | P01290176 | PTIN |
| Phone | 8142388474 | PhoneNum |
| Preparation | 2020-03-30 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 72.72.203.52 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-03-30 | IPDt |
| IP Tm | 13:09:24 | IPTm |
| IP Timezone | ED | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 4A462BD4148D98EC3E4D20FD808069CD158B68FB | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | 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 | $1,030,149 | 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 | CENTRE VOLUNTEERS IN MEDICINE WILL SERVE AND ADVOCATE FOR THE MEDICALLY UNDERSERVED RESIDENTS OF CENTRE COUNTY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 16 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 16 | VotingMembersIndependentCnt |
| Total Employee | 21 | TotalEmployeeCnt |
| Total Volunteers | 233 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,159,802 | PYContributionsGrantsAmt |
| CY Contributions Grants | $838,012 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $16,665 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $16,665 | CYProgramServiceRevenueAmt |
| PY Investment Income | $13,745 | PYInvestmentIncomeAmt |
| CY Investment Income | $49,440 | CYInvestmentIncomeAmt |
| PY Other Revenue | $91,840 | PYOtherRevenueAmt |
| CY Other Revenue | $91,163 | CYOtherRevenueAmt |
| PY Total Revenue | $1,282,052 | PYTotalRevenueAmt |
| CY Total Revenue | $995,280 | 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 | $698,106 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $833,675 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $133,619 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $416,399 | PYOtherExpensesAmt |
| CY Other Expenses | $376,118 | CYOtherExpensesAmt |
| PY Total Expenses | $1,114,505 | PYTotalExpensesAmt |
| CY Total Expenses | $1,209,793 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $167,547 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$214,513 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,269,317 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,065,870 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $64,442 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $75,508 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,204,875 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $990,362 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | CENTRE VOLUNTEERS IN MEDICINE WILL SERVE AND ADVOCATE FOR THE MEDICALLY UNDERSERVED RESIDENTS OF CENTRE COUNTY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $375,118 | ExpenseAmt |
| Revenue | $58,998 | RevenueAmt |
| Desc | PROVIDE UNINSURED AND UNDERINSURED RESIDENTS OF CENTRE COUNTY WITH ACCESS TO FREE PREVENTATIVE AND ACUTE PRIMARY HEALTH CARE: IN FY 2019 PROVIDED 483 UNIQUE PATIENTS IN THE MEDICAL CLINIC WITH 1,427 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 | $361,958 | ExpenseAmt |
| Revenue | $150,892 | RevenueAmt |
| Desc | PROVIDE UNINSURED AND UNDERINSURED RESIDENTS OF CENTRE COUNTY WITH ACCESS TO FREE RESTORATIVE AND ACUTE PRIMARY DENTAL CARE: IN FY 2019, PROVIDED 632 UNIQUE PATIENTS IN THE DENTAL CLINIC WITH 2,355 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. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $120,743 | ExpenseAmt |
| Desc | PROVIDE FREE PRESCRIPTION MEDICATIONS TO 408 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 2019, MAP ACCESSED APPROXIMATELY $785,391 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 | $98,196 | ExpenseAmt |
| Revenue | $11,665 | 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 2019, 341 UNIQUE PATIENTS WERE PROVIDED 578 VISITS FOR THESE SERVICES. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $98,196 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $11,665 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $956,015 | 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 |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| 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 With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | 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 | 10 | 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 | 16 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 16 | 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 | 0 | 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 (17 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| BRIAN DEUTSCH | ||||||
| TREASURER | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| LEANNE MARTIN | ||||||
| CHAIR | 5.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| ELLIS MARSH MD | ||||||
| VICE CHAIR | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| LANA WALKER | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| BRIAN ALLEN | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| JOCELYN ANDERTON | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| DONALD GAETANO | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| RANDY ILES | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| OJ JOHNSTON | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| WILLIAM BURMEISTER | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| RICHARD KALIN | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| HEDDY KERVANDJIAN | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| LAWRENCE LOKMAN | ||||||
| SECRETARY | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| TIFFANY CABIBBO | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| HELEN MILLER | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| COLLEEN WILLIAMS | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| CHERYL WHITE | ||||||
| EXECUTIVE DIRECTOR | 40.00 | Yes (X) | $78,331 | $0 | $2,437 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $78,331 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $2,437 | 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 |
| Fundraising | $22,920 | FundraisingAmt |
| All Other Contributions | $815,092 | AllOtherContributionsAmt |
| Total Contributions | $838,012 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MEDICAL & DENTAL | Desc |
| Business | 621110 | BusinessCd |
| Total Revenue Column | $16,665 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $16,665 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $16,665 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $49,440 | TotalRevenueColumnAmt |
| Exclusion | $49,440 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $114,209 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $22,920 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $34,869 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $79,340 | TotalRevenueColumnAmt |
| Exclusion | $79,340 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $11,823 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $11,823 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $11,823 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $995,280 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $28,488 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $128,780 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $81,440 | TotalAmt |
| Program Services | $48,864 | ProgramServicesAmt |
| Management And General | $32,576 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $623,413 | TotalAmt |
| Program Services | $499,734 | ProgramServicesAmt |
| Management And General | $34,831 | ManagementAndGeneralAmt |
| Fundraising | $88,848 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60,344 | TotalAmt |
| Program Services | $36,420 | ProgramServicesAmt |
| Management And General | $22,941 | ManagementAndGeneralAmt |
| Fundraising | $983 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $68,478 | TotalAmt |
| Program Services | $53,291 | ProgramServicesAmt |
| Management And General | $6,249 | ManagementAndGeneralAmt |
| Fundraising | $8,938 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,273 | TotalAmt |
| Program Services | $28,446 | ProgramServicesAmt |
| Management And General | $2,742 | ManagementAndGeneralAmt |
| Fundraising | $3,085 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,442 | TotalAmt |
| Program Services | $5,347 | ProgramServicesAmt |
| Management And General | $515 | ManagementAndGeneralAmt |
| Fundraising | $580 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,130 | TotalAmt |
| Program Services | $14,218 | ProgramServicesAmt |
| Management And General | $1,370 | ManagementAndGeneralAmt |
| Fundraising | $1,542 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $172,354 | TotalAmt |
| Program Services | $146,780 | ProgramServicesAmt |
| Management And General | $12,035 | ManagementAndGeneralAmt |
| Fundraising | $13,539 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,597 | TotalAmt |
| Program Services | $1,325 | ProgramServicesAmt |
| Management And General | $128 | ManagementAndGeneralAmt |
| Fundraising | $144 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,616 | TotalAmt |
| Program Services | $30,134 | ProgramServicesAmt |
| Management And General | $2,580 | ManagementAndGeneralAmt |
| Fundraising | $2,902 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,366 | TotalAmt |
| Program Services | $11,094 | ProgramServicesAmt |
| Management And General | $1,069 | ManagementAndGeneralAmt |
| Fundraising | $1,203 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| OTHER SUPPLIES | $36,035 | $36,035 | $0 | $0 |
| REAL ESTATE TAXES | $13,086 | $10,861 | $1,047 | $1,178 |
| PHARMACEUTICAL SUPPLIES | $11,421 | $11,421 | $0 | $0 |
| FUNDRAISING ACTIVITIES | $9,933 | $1,218 | $117 | $8,598 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,865 | TotalAmt |
| Program Services | $20,827 | ProgramServicesAmt |
| Management And General | $1,959 | ManagementAndGeneralAmt |
| Fundraising | $2,079 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,209,793 | TotalAmt |
| Program Services | $956,015 | ProgramServicesAmt |
| Management And General | $120,159 | ManagementAndGeneralAmt |
| Fundraising | $133,619 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $114,289 | BOYAmt |
| EOY | -$1,264 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $605,466 | BOYAmt |
| EOY | $456,987 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $55,502 | BOYAmt |
| EOY | $53,747 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,578 | BOYAmt |
| EOY | $27,807 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,514 | BOYAmt |
| EOY | $11,657 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,787 | BOYAmt |
| EOY | $34,663 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $541,276 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $461,786 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $77,191 | BOYAmt |
| EOY | $79,490 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $364,990 | BOYAmt |
| EOY | $402,783 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,269,317 | BOYAmt |
| EOY | $1,065,870 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,323 | BOYAmt |
| EOY | $63,508 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,119 | BOYAmt |
| EOY | $12,000 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $64,442 | BOYAmt |
| EOY | $75,508 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,121,476 | BOYAmt |
| EOY | $908,600 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $83,399 | BOYAmt |
| EOY | $81,762 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,204,875 | BOYAmt |
| EOY | $990,362 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,269,317 | BOYAmt |
| EOY | $1,065,870 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$214,513 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| 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 | $779,358 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,008,558 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,188,872 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,281,384 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $815,092 | CurrentTaxYearAmt |
| Total | $5,073,264 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $779,358 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,008,558 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,188,872 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,281,384 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $815,092 | CurrentTaxYearAmt |
| Total | $5,073,264 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $5,073,264 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,444 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,720 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,657 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $14,098 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $49,440 | CurrentTaxYearAmt |
| Total | $72,359 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $5,145,623 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $128,803 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.98590 | PublicSupportCY170Pct |
| Public Support PY170 | 0.99510 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
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 | $159,938 | DepreciationAmt |
| Book Value | $10,863 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $370,475 | OtherCostOrOtherBasisAmt |
| Depreciation | $301,848 | DepreciationAmt |
| Book Value | $68,627 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $79,490 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $2,080,010 | TotalRevEtcAuditedFinclStmtAmt |
| Donated Services And Use Fclts | $1,049,861 | DonatedServicesAndUseFcltsAmt |
| Revenue Not Reported | $1,049,861 | RevenueNotReportedAmt |
| Revenue Subtotal | $1,030,149 | RevenueSubtotalAmt |
| Other Revenues Not Included | -$34,869 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$34,869 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $995,280 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $2,294,523 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $1,049,861 | DonatedServicesUseFcltsAmt |
| Other Expenses Included | $34,869 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $1,084,730 | ExpensesNotReportedAmt |
| Expenses Subtotal | $1,209,793 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $1,209,793 | 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, 2019 AND 2018. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | FUNDRAISING EXPENSE -34,869. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | FUNDRAISING EXPENSE 34,869. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | BATTLE OF THE MINDS | Event1Nm |
| Gross Receipts Event1 | $112,281 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $22,920 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $89,361 | GrossRevenueEvent1Amt |
| Food And Beverage Event1 | $25,806 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $3,265 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $4,218 | OtherDirectExpensesEvent1Amt |
| Event2 | CYCLING FOR CARE | Event2Nm |
| Gross Receipts Event2 | $24,848 | GrossReceiptsEvent2Amt |
| Gross Revenue Event2 | $24,848 | GrossRevenueEvent2Amt |
| Food And Beverage Event2 | $678 | FoodAndBeverageEvent2Amt |
| Other Direct Expenses Event2 | $902 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 1 | OtherEventsTotalCnt |
| Gross Receipts Total | $137,129 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $22,920 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $114,209 | GrossRevenueTotalEventsAmt |
| Food And Beverage Total Events | $26,484 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $3,265 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $5,120 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $34,869 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $79,340 | NetIncomeSummaryAmt |
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 MONITORED AND ENFORCED THROUGH ANNUAL DISCLOSURE |
| FORM 990, PART VI, SECTION C, LINE 19 | AVAILABLE UPON REQUEST AND GUIDESTAR WEBSITE. |
| FORM 990, PART XI, LINE 2C | NO CHANGE IN THE OVERSIGHT PROCESS IN THE CURRENT YEAR. |
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