2017-11-14T16:16:10-06:00 2016-12-31 352123203 KSM BUSINESS SERVICES INC PO BOX 40857 INDIANAPOLIS IN 462400857 990 2016-01-01 310921774 HEAR INDIANA INC HEAR 3178280211 4740 KINGSWAY DRIVE NO 33 INDIANAPOLIS IN 46205 SALLI BETZ FINANCE DIRECTOR 3178280211 2017-11-02 1 SCOTT A SCHUSTER P00019243 3175802000 2017-10-30 64.132.79.19 2017-11-02 11:08:07 ED P 019CA3EE3F2C8A78E48DEC9828FFDFDF32C798E7 019CA3EE3F2C8A78E48DEC9828FFDFDF32C798E7 2016 2017-02-10 21:41:12Z ALICE ZIMMERMAN 4740 KINGSWAY DRIVE NO 33 INDIANAPOLIS IN 46205 552827 0 X HTTP://HEARINDIANA.ORG X 1971 IN TO EMPOWER AND SUPPORT FAMILIES OF CHILDREN WHO ARE DEAF OR HARD OF HEARING. 10 10 10 50 0 0 238806 234505 51606 291779 2407 2469 -29039 -26020 263780 502733 0 0 0 0 365312 436232 0 0 54843 244603 444457 609915 880689 -346135 -377956 921049 570580 38322 65809 882727 504771 X HEAR INDIANA'S MISSION IS TO EMPOWER AND SUPPORT FAMILIES OF CHILDREN WHO ARE DEAF OR HARD OF HEARING. 0 0 506230 113693 SPEECH AND HEARING RESOURCE CENTER IN PARTNERSHIP WITH EASTER SEALS CROSSROADS. HEAR INDIANA OPERATES THE SPEECH & HEARING RESOURCE CENTER, A STATE OF THE ART FACILITY TO MEET THE NEEDS OF HOOSIER CHILDREN WITH HEARING LOSS AND THEIR FAMILIES. THE SPEECH AND HEARING RESOURCE CENTER IS A ONE STOP SHOP WHICH OFFERS: PEDIATRIC AUDIOLOGY SERVICES, LISTENING AND SPOKEN LANGUAGE THERAPY, PARENT ENCOURAGEMENT AND CARE COORDINATION, CONSULTATIVE SERVICES TO LOCAL EDUCATION AGENCIES, AND RESOURCE LIBRARY AND MORE. 152346 158125 HEARING AID ASSISTANCE PROGRAM OF INDIANA: HEAR INDIANA WAS AWARDED THE ADMINISTRATION OF THE HEARING AID ASSISTANCE PROGRAM OF INDIANA (HAAPI) BY THE INDIANA STATE DEPARTMENT OF HEALTH AND THE CENTER FOR DEAF AND HARD OF HEARING EDUCATION. UNDER THE PROGRAM, INDIVIDUALS FROM AGES 3 TO 21 WITH HEARING LOSS MAY BE ELGIBLE TO APPLY FOR FINANCIAL ASSISTANCE IN OBTAINING APPROVED HEARING AIDS. 64505 11370 CAMP HELD IS A WEEK-LONG RESIDENTIAL CAMP FOR YOUTH AGES 8-18 WHO WEAR HEARING AIDS OR COCHLEAR IMPLANTS BUT ATTEND MAINSTREAM SCHOOLS. THE CAMP IS AN OPPORTUNITY TO MAKE NEW FRIENDS WITH CHILDREN WHO SHARE SIMILAR LIFE EXPERIENCES. THIS CAMP GIVES CHILDREN AND TEENAGERS WITH HEARING LOSS THE OPPORTUNITY TO FURTHER THEIR LEADERSHIP AND ASSERTIVENESS SKILLS IN A STRUCTURED ATMOSPHERE. 53038 OTHER PROGRAMS ARE COMPOSED OF EARLY INTERVENTION AND ADVOCACY, WHICH ASSIST CLIENT FAMILIES WHO HAVE A CHILD WITH HEARING LOSS DEAL WITH SCHOOL ISSUES, MEDICAL ISSUES AND GETTING ANY NECESSARY ASSSITANCE. 53038 776119 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 13 0 1 10 1 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 0 0 1 0 0 IN X JARED S HAMMACK CPA 3173879881 7386 BUSINESS CENTER DRIVE SUITE B AVON IN 46123 ALICE ZIMMERMAN PRESIDENT 2.00 X X 0 0 0 THERESA CAPRON VICE PRESIDENT 2.00 X X 0 0 0 NATE KAEMINGK TREASURER 2.00 X X 0 0 0 CATHRYN LUCKOSKI SECRETARY 2.00 X X 0 0 0 JUSTIN ALLEN BOARD MEMBER 2.00 X 0 0 0 ANGELA CARTER BOARD MEMBER 1.00 X 0 0 0 MITCH DENTON BOARD MEMBER 1.00 X 0 0 0 ANDY FOUTS BOARD MEMBER 1.00 X 0 0 0 TONY GIGLI BOARD MEMBER 1.00 X 0 0 0 CHARLES YATES BOARD MEMBER 1.00 X 0 0 0 NAOMI HORTON EXECUTIVE DIRECTOR 40.00 X 74792 0 0 74792 0 0 0 0 0 0 0 97792 136713 19346 234505 PATIENT REVENUE 900099 271818 271818 REGISTRATION FEES 900099 19097 19097 OTHER RECEIPTS 900099 864 864 291779 2469 2469 24074 97792 50094 -26020 -26020 502733 291779 0 -23551 X 74792 67313 1496 5983 329318 294887 8160 26271 1100 1100 31022 27953 746 2323 23950 10208 13742 119652 91687 17960 10005 8441 5307 3134 16990 12792 160 4038 15 15 4768 2674 2094 6494 6451 43 75 75 38923 38923 10461 7218 3243 HEARING AID COST 162424 162424 BAD DEBT 22489 22489 FOOD AND BEVERAGE 10601 7393 743 2465 CLINIC SUPPLIES 4393 4393 14781 12892 1308 581 880689 776119 49727 54843 78465 89393 259687 260257 490897 155164 25948 10916 78411 23561 66052 54850 921049 570580 38322 65809 38322 65809 X 178480 313295 704247 191476 882727 504771 921049 570580 -377956 0 X X 0 1 X 1 0 X 78633 203449 1388641 238806 234505 2144034 78633 203449 1388641 238806 234505 2144034 15500 2128534 348 309 442 2407 2469 5975 2150009 456238 0.99000 0.99580 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 78411 23561 54850 54850 X 600159 47332 50094 97426 502733 0 502733 978115 47332 50094 97426 880689 0 880689 PART X, LINE 2: THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THEREFORE, NO PROVISION FOR INCOME TAXES HAS BEEN INCLUDED IN THE FINANCIAL STATEMENTS. IN ADDITION, THE ORGANIZATION HAS BEEN DETERMINED BY THE INTERNAL REVENUE SERVICE NOT TO BE A PRIVATE FOUNDATION WITHIN THE MEANING OF SECTION 509(A) OF THE INTERNAL REVENUE CODE. THERE WAS NO UNRELATED BUSINESS INCOME FOR THE YEAR ENDED DECEMBER 31, 2016. THE ORGANIZATION FILES ANNUAL INFORMATION RETURNS IN THE U.S. FEDERAL JURISDICTION AND IN THE STATE OF INDIANA. THE ORGANIZATION IS NO LONGER SUBJECT TO U.S. FEDERAL AND STATE INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2013. PART XI, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSES 50,094. PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSES 50,094. TALK WALK RUN 121866 97792 24074 50094 121866 97792 24074 50094 50094 -26020 X PRINTING, SUPPLIES, FOOD ETC 53 19346 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B BEFORE THE RETURN IS PREPARED BY OUR OUTSIDE AUDITING FIRM, A DETAILED BACKGROUND QUESTIONNAIRE IS PREPARED. UPON COMPLETION, THE RETURN IS REVIEWED IN DETAIL BY THE EXECUTIVE DIRECTOR, THE TREASURER, AND THE GOVERNING BOARD BEFORE BEING FILED. FORM 990, PART VI, SECTION B, LINE 12 THE CONFLICT OF INTEREST POLICY WAS PUT INTO EFFECT IN 2014. EACH BOARD MEMBER AND KEY EMPLOYEE IS REQUIRED TO SIGN A FORM ANNUALLY DISCLOSING ANY AND ALL CONFLICTS. ANY DISCLOSURES NEEDING FOLLOW-UP WILL BE HANDLED BY THE BOARD OF DIRECTORS' EXECUTIVE COMMITTEE AND APPROPRIATE ACTION TAKEN. FORM 990, PART VI, SECTION B, LINE 15A PERFORMANCE OF THE EXECUTIVE DIRECTOR IS REVIEWED ANNUALLY AND COMPENSATION DETERMINED FOR THE ENSUING YEAR BY THE EXECUTIVE COMMITTEE OF THE BOARD. THE FULL BOARD APPROVES THE BUDGET CONTAINING THIS SALARY. WE HAVE NO OTHER PAID OFFICERS OR KEY EMPLOYEES. FORM 990, PART VI, SECTION C, LINE 18 FORM 1023 IS AVAILABLE UPON REQUEST. FORM 990 IS MADE AVAILABLE ON OUR WEBSITE VIA GUIDE STAR. SEE LINK AT: HTTPS://HEARINDIANA.ORG/ABOUTUS/FINANCIAL-TRANSPARENCY FORM 990, PART VI, SECTION C, LINE 19 NOT GENERALLY MADE AVAILABLE TO THE PUBLIC. FORM 990, PART IX, LINE 11G EXHIBITOR FEE: PROGRAM SERVICE EXPENSES 1,185. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 75. TOTAL EXPENSES 1,260. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 24,414. MANAGEMENT AND GENERAL EXPENSES 17,578. FUNDRAISING EXPENSES 4,294. TOTAL EXPENSES 46,286. SOFTWARE FEES: PROGRAM SERVICE EXPENSES 10,388. MANAGEMENT AND GENERAL EXPENSES 382. FUNDRAISING EXPENSES 5,636. TOTAL EXPENSES 16,406. PROGRAM FEES: PROGRAM SERVICE EXPENSES 55,700. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 55,700. FORM 990, PART XII, LINE 2C THE EXECUTIVE COMMITTEE HAS OVERSIGHT OF THE AUDIT PROCESS.