INSTITUTE OF MEDICAL HUMANISM INC: Form 990EZ, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
INSTITUTE OF MEDICAL HUMANISM INC (EIN 03-0371823)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-11-15
IRS object ID
202013209349200441
Schema version
2019v5.0
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)
Return2020-11-15T11:18:35-08:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN030346239PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CROSSROADS ACCOUNTING LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1150 DEPOT STAddressLine1Txt
CityBENNINGTONCityNm
State AbbreviationVTStateAbbreviationCd
ZIP05201ZIPCd
FieldValueIRS element (for citing)
Return Type990EZReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

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)
PersonBernard M Bandman PhDPersonNm
Person TitleExecutive DirecPersonTitleTxt
Signature2020-11-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonGail MauricettePreparerPersonNm
PTINP00140935PTIN
Phone8024428174PhoneNum
Self EmployedYes (X)SelfEmployedInd
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-04-22 16:20:28ZBuildTS

Form 990-EZ IRS990EZ

FieldValueIRS element (for citing)
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Website AddressN/AWebsiteAddressTxt
Organization501c3Yes (X)Organization501c3Ind
Gross Receipts$70,657GrossReceiptsAmt
Info In Schedule O Part IYes (X)InfoInScheduleOPartIInd
Contributions Gifts Grants Etc$70,575ContributionsGiftsGrantsEtcAmt
Program Service Revenue$78ProgramServiceRevenueAmt
Investment Income$4InvestmentIncomeAmt
Cost Or Other Basis Expense Sale$0CostOrOtherBasisExpenseSaleAmt
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Special Events Direct Expenses$0SpecialEventsDirectExpensesAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt
Total Revenue$70,657TotalRevenueAmt
Salaries Other Comp Empl Bnft$32,295SalariesOtherCompEmplBnftAmt
Fees And Other Pymt To Ind Cntrct$22,003FeesAndOtherPymtToIndCntrctAmt
Occupancy Rent Utlts And Maint$4,879OccupancyRentUtltsAndMaintAmt
Printing Publications Postage$9,601PrintingPublicationsPostageAmt
Other Expenses Total$14,018OtherExpensesTotalAmt
Total Expenses$82,796TotalExpensesAmt
Excess Or Deficit For Year-$12,139ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY$102,767NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$90,628NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIYes (X)InfoInScheduleOPartIIInd

Cash Savings And Investments CashSavingsAndInvestmentsGrp

FieldValueIRS element (for citing)
BOY$101,049BOYAmt
EOY$87,974EOYAmt

Other Assets Total Detail OtherAssetsTotalDetail

FieldValueIRS element (for citing)
BOY$2,507BOYAmt
EOY$3,762EOYAmt

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$103,556BOYAmt
EOY$91,736EOYAmt

Sum Of Total Liabilities SumOfTotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$789BOYAmt
EOY$1,108EOYAmt

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY$102,767BOYAmt
EOY$90,628EOYAmt
FieldValueIRS element (for citing)
Primary Exempt PurposeTo redefine the medical encounter; to recognize the differences between the language of medicine and the language of the patient's world transformed by illness, to acknowledge the patient's voice as a cornerstone of best care, to bridge the communication between doctor and patient, and in so doing, improve quality of care.PrimaryExemptPurposeTxt

Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp (6 entries)

Description Program Srvc AccomDescriptionProgramSrvcAccomTxtGrants And AllocationsGrantsAndAllocationsAmt
Education Programs: SpeakSooner: A Patient's 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 patient's 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. Educational and Training programs are offered in person and online.$71,334
Community 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.
Healthcare Education: Medical Grand Rounds where Center for Communication in Medicine staff present hospital based healthcare providers an overview of SpeakSooner programs and tools for improving doctor-patient communication. The Doctors Conversation Hour is a monthly meeting hosted by CCM staff where physicians can explore concerns and consider solutions to the challenges of their practice. Recent examples of Healthcare Education include - 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.
Film Series: Our film series uses contemporary films with panel discussions to illustrate and guide audience Q & A on topics of interest.
Patients Speak Video Series: Our video series harnesses the power of patients speaking about their own experience with illness 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 Talk.
Recent 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.
FieldValueIRS element (for citing)
Total Program Service Expenses$71,334TotalProgramServiceExpensesAmt

Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (7 entries)

TitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmt
Bernard M Bandman PhD
Executive Direc20.00$0
Costance West
Trustee0$0
Sheila Harden
Secretary/Treas1.00$0
John Yost
President0$0
Michael Keane
Trustee0$0
Michael Welther MD
Trustee0$0
Vicki Corey Dejnozka
Trustee0$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
Tax Imposed Under IRC4911$0TaxImposedUnderIRC4911Amt
Tax Imposed Under IRC4912$0TaxImposedUnderIRC4912Amt
Tax Imposed Under IRC4955$0TaxImposedUnderIRC4955Amt
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
Tax Imposed On Organization Mgr$0TaxImposedOnOrganizationMgrAmt
Tax Reimbursed By Organization$0TaxReimbursedByOrganizationAmt
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonBernard M Bandman PhDPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1160 Benmont AveAddressLine1Txt
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$66,173CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$55,335CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$109,108CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$78,926CurrentTaxYearMinus1YearAmt
Current Tax Year$70,575CurrentTaxYearAmt
Total$380,117TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$66,173CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$55,335CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$109,108CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$78,926CurrentTaxYearMinus1YearAmt
Current Tax Year$70,575CurrentTaxYearAmt
Total$380,117TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$0SubstantialContributorsTotAmt
Public Support Total170$380,117PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$28CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$15CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4CurrentTaxYearMinus1YearAmt
Total$51TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Total Support$380,168TotalSupportAmt
Gross Receipts Rltd Activities$23,115GrossReceiptsRltdActivitiesAmt
Public Support CY1700.99990PublicSupportCY170Pct
Public Support PY1700.93090PublicSupportPY170Pct
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 (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Other Expenses.1001Advertising and Promotion $12
Other Expenses.1002Office Expenses $1817
Other Expenses.1005Travel $1728
Other Expenses.1007Conferences, Conventions, and Meetings $378
Other Expenses.1009Depreciation $865
Other Expenses.1012Insurance $2083
Other Expenses.2Telephone $4108
Other Expenses.3Books, subscriptions $2677
Other Expenses.5Program Expenses $350
Other Assets.1003Machinery and Equipment - Beginning $2251 Machinery and Equipment - Ending $3506
Other Assets.1Deposits - Beginning $256 Deposits - Ending $256
Total Liabilities.1001Accounts Payable and Accrued Expenses - Beginning $789 Accounts Payable and Accrued Expenses - Ending $1108

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