CENTRE VOLUNTEERS IN MEDICINE: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
CENTRE VOLUNTEERS IN MEDICINE (EIN 25-1897969)
Tax period
2015-07-01 to 2016-06-30
Filed
2017-02-18
IRS object ID
201720499349300102
Schema version
2015v3.0
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)
Return2017-02-18T07:47:05-06:00ReturnTs
Tax Period End2016-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN390859910PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BAKER TILLY VIRCHOW KRAUSE LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1220 REGENT COURT SUITE CAddressLine1Txt
CitySTATE COLLEGECityNm
State AbbreviationPAStateAbbreviationCd
ZIP16801ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN251897969EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CENTRE VOLUNTEERS IN MEDICINEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCENTBusinessNameControlTxt
Phone8142314043PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12520 GREEN TECH DRIVEAddressLine1Txt
CitySTATE COLLEGECityNm
State AbbreviationPAStateAbbreviationCd
ZIP16803ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCHERYL WHITEPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone8142314043PhoneNum
Signature2017-02-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRICK BAIR CPAPreparerPersonNm
PTINP00062995PTIN
Phone8142376586PhoneNum
Preparation2017-02-15PreparationDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerCHERYL WHITEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12520 GREEN TECH DRIVEAddressLine1Txt
CitySTATE COLLEGECityNm
State AbbreviationPAStateAbbreviationCd
ZIP16803ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,088,257GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CVIM.NETWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2001FormationYr
Legal Domicile StatePALegalDomicileStateCd
Activity Or MissionCENTRE VOLUNTEERS IN MEDICINE WILL SERVE AND ADVOCATE FOR THE MEDICALLY UNDERSERVED RESIDENTS OF CENTRE COUNTY.ActivityOrMissionDesc
Voting Members Governing Body18VotingMembersGoverningBodyCnt
Voting Members Independent18VotingMembersIndependentCnt
Total Employee17TotalEmployeeCnt
Total Volunteers199TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$779,358PYContributionsGrantsAmt
CY Contributions Grants$1,008,558CYContributionsGrantsAmt
PY Program Service Revenue$61,593PYProgramServiceRevenueAmt
CY Program Service Revenue$17,215CYProgramServiceRevenueAmt
PY Investment Income$1,444PYInvestmentIncomeAmt
CY Investment Income$1,270CYInvestmentIncomeAmt
PY Other Revenue$32,939PYOtherRevenueAmt
CY Other Revenue$31,276CYOtherRevenueAmt
PY Total Revenue$875,334PYTotalRevenueAmt
CY Total Revenue$1,058,319CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$592,135PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$611,736CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$99,592CYTotalFundraisingExpenseAmt
PY Other Expenses$282,243PYOtherExpensesAmt
CY Other Expenses$305,891CYOtherExpensesAmt
PY Total Expenses$874,378PYTotalExpensesAmt
CY Total Expenses$917,627CYTotalExpensesAmt
PY Revenues Less Expenses$956PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$140,692CYRevenuesLessExpensesAmt
Total Assets BOY$752,281TotalAssetsBOYAmt
Total Assets EOY$887,137TotalAssetsEOYAmt
Total Liabilities BOY$43,013TotalLiabilitiesBOYAmt
Total Liabilities EOY$37,177TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$709,268NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$849,960NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionCENTRE VOLUNTEERS IN MEDICINE WILL SERVE AND ADVOCATE FOR THE MEDICALLY UNDERSERVED RESIDENTS OF CENTRE COUNTY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$238,578ExpenseAmt
Revenue$65,242RevenueAmt
DescPROVIDE UNINSURED AND UNDERINSURED RESIDENTS OF CENTRE COUNTY WITH ACCESS TO FREE PREVENTATIVE AND ACUTE PRIMARY HEALTH CARE: IN FY 2016 PROVIDED 445 UNIQUE PATIENTS IN THE MEDICAL CLINIC WITH 2,062 PATIENT VISITS, INCLUDING 1,174 APPOINTMENTS WITH VOLUNTEER PHYSICIANS AND NURSE PRACTITIONERS. OTHER VISITS INCLUDED NURSE APPOINTMENTS, MENTAL HEALTH CONSULTS, DISEASE MANAGEMENT EDUCATION AND LAB DRAWS. 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

FieldValueIRS element (for citing)
Expense$309,340ExpenseAmt
Revenue$165,427RevenueAmt
DescPROVIDE UNINSURED AND UNDERINSURED RESIDENTS OF CENTRE COUNTY WITH ACCESS TO FREE RESTORATIVE AND ACUTE PRIMARY DENTAL CARE: IN FY 2016, PROVIDED 624 UNIQUE PATIENTS IN THE DENTAL CLINIC WITH 2,091 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.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$100,798ExpenseAmt
DescPROVIDE FREE PRESCRIPTION MEDICATIONS TO 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 2016, MAP ACCESSED APPROXIMATELY $788,046 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

FieldValueIRS element (for citing)
Expense$81,875ExpenseAmt
Revenue$11,665RevenueAmt
DescPROVIDE 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 2016, 313 UNIQUE PATIENTS WERE PROVIDED 464 VISITS FOR THESE SERVICES. WE ALSO ASSISTED 44 PEOPLE ENROLLING IN THE AFFORDABLE CARE ACT (ACA) AND ASSISTED 63 PEOPLE WITH RENEWING THEIR ACA INSURANCE.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$81,875TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$11,665TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$730,591TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document8IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee17EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members18GoverningBodyVotingMembersCnt
Independent Voting Member18IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldPAStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CHERYL WHITEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8142434043PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12520 GREEN TECH DRIVEAddressLine1Txt
CitySTATE COLLEGECityNm
State AbbreviationPAStateAbbreviationCd
ZIP16803ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
SUSAN HARTMAN
CHAIR5.00Yes (X)Yes (X)$0$0$0
LEANNE MARTIN
VICE CHAIR3.00Yes (X)Yes (X)$0$0$0
ELLIS MARSH MD
SECRETARY3.00Yes (X)Yes (X)$0$0$0
LANA WALKER
TREASURER3.00Yes (X)Yes (X)$0$0$0
JOSEPH FAULKNER
DIRECTOR1.00Yes (X)$0$0$0
BRIAN ALLEN
DIRECTOR1.00Yes (X)$0$0$0
JOCELYN ANDERTON
DIRECTOR1.00Yes (X)$0$0$0
DONALD GAETANO
DIRECTOR1.00Yes (X)$0$0$0
RANDY ILES
DIRECTOR1.00Yes (X)$0$0$0
OJ JOHNSON
DIRECTOR1.00Yes (X)$0$0$0
BILL JOSEPH
DIRECTOR1.00Yes (X)$0$0$0
RICHARD KALIN
DIRECTOR1.00Yes (X)$0$0$0
HEDDY KERVANDJIAN
DIRECTOR1.00Yes (X)$0$0$0
LAWRENCE LOKMAN
DIRECTOR1.00Yes (X)$0$0$0
MATTHEW NUSSBAUM
DIRECTOR1.00Yes (X)$0$0$0
IRA PELL
DIRECTOR1.00Yes (X)$0$0$0
COLLEEN WILLIAMS
DIRECTOR1.00Yes (X)$0$0$0
RICH WISNIWESKI
DIRECTOR1.00Yes (X)$0$0$0
CHERYL WHITE
EXECUTIVE DIRECTOR40.00Yes (X)$74,344$0$1,564
FieldValueIRS element (for citing)
Total Reportable Comp From Org$74,344TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$1,564TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$55,909FundraisingAmt
All Other Contributions$952,649AllOtherContributionsAmt
Total Contributions$1,008,558TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescMEDICAL & DENTALDesc
Business621110BusinessCd
Total Revenue Column$17,215TotalRevenueColumnAmt
Related Or Exempt Func Income$17,215RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$17,215TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,270TotalRevenueColumnAmt
Exclusion$1,270ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$59,329FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$55,909ContriRptFundraisingEventAmt
Fundraising Direct Expenses$29,938FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$29,391TotalRevenueColumnAmt
Exclusion$29,391ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUSDesc
Business900099BusinessCd
Total Revenue Column$1,885TotalRevenueColumnAmt
Related Or Exempt Func Income$1,885RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,885OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,058,319TotalRevenueColumnAmt
Related Or Exempt Func Income$19,100RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$30,661ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$75,909TotalAmt
Management And General$45,545ManagementAndGeneralAmt
Fundraising$30,364FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$455,650TotalAmt
Program Services$419,457ProgramServicesAmt
Management And General$3,137ManagementAndGeneralAmt
Fundraising$33,056FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$33,584TotalAmt
Program Services$17,223ProgramServicesAmt
Management And General$15,333ManagementAndGeneralAmt
Fundraising$1,028FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$46,593TotalAmt
Program Services$37,186ProgramServicesAmt
Management And General$4,703ManagementAndGeneralAmt
Fundraising$4,704FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$39,521TotalAmt
Program Services$37,141ProgramServicesAmt
Management And General$1,120ManagementAndGeneralAmt
Fundraising$1,260FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,449TotalAmt
Program Services$1,203ProgramServicesAmt
Management And General$116ManagementAndGeneralAmt
Fundraising$130FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$15,305TotalAmt
Program Services$12,728ProgramServicesAmt
Management And General$1,213ManagementAndGeneralAmt
Fundraising$1,364FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$160,208TotalAmt
Program Services$133,246ProgramServicesAmt
Management And General$12,688ManagementAndGeneralAmt
Fundraising$14,274FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$4,690TotalAmt
Program Services$3,893ProgramServicesAmt
Management And General$375ManagementAndGeneralAmt
Fundraising$422FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$5,471TotalAmt
Program Services$4,541ProgramServicesAmt
Management And General$438ManagementAndGeneralAmt
Fundraising$492FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$14,819TotalAmt
Program Services$12,299ProgramServicesAmt
Management And General$1,186ManagementAndGeneralAmt
Fundraising$1,334FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
OTHER SUPPLIES$24,440$24,440
PHARMACEUTICAL SUPPLIES$10,745$10,745
FUNDRAISING ACTIVITIES$10,215$696$67$9,452
TELEPHONE$5,482$4,550$439$493

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$13,546TotalAmt
Program Services$11,243ProgramServicesAmt
Management And General$1,084ManagementAndGeneralAmt
Fundraising$1,219FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$917,627TotalAmt
Program Services$730,591ProgramServicesAmt
Management And General$87,444ManagementAndGeneralAmt
Fundraising$99,592FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$38,176BOYAmt
EOY$4,701EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$601,384BOYAmt
EOY$803,972EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$58,304BOYAmt
EOY$15,440EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$10,184BOYAmt
EOY$8,176EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$31,574BOYAmt
EOY$42,139EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$429,877LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$417,168LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$12,659BOYAmt
EOY$12,709EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$752,281BOYAmt
EOY$887,137EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$32,313BOYAmt
EOY$29,277EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$10,700BOYAmt
EOY$7,900EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$43,013BOYAmt
EOY$37,177EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$664,394BOYAmt
EOY$813,028EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$44,874BOYAmt
EOY$36,932EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$709,268BOYAmt
EOY$849,960EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$752,281BOYAmt
EOY$887,137EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$140,692ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

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$745,167CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$692,670CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$797,559CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$779,358CurrentTaxYearMinus1YearAmt
Current Tax Year$1,008,558CurrentTaxYearAmt
Total$4,023,312TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$745,167CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$692,670CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$797,559CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$779,358CurrentTaxYearMinus1YearAmt
Current Tax Year$1,008,558CurrentTaxYearAmt
Total$4,023,312TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$4,023,312PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,448CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,872CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,064CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,444CurrentTaxYearMinus1YearAmt
Current Tax Year$1,720CurrentTaxYearAmt
Total$9,548TotalAmt
FieldValueIRS element (for citing)
Total Support$4,032,860TotalSupportAmt
Gross Receipts Rltd Activities$196,238GrossReceiptsRltdActivitiesAmt
Public Support CY1700.99760PublicSupportCY170Pct
Public Support PY1700.98820PublicSupportPY170Pct
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 D IRS990ScheduleD

FieldValueIRS element (for citing)
Endowments Held Unrelated OrgYes (1)EndowmentsHeldUnrelatedOrgInd

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$141,545OtherCostOrOtherBasisAmt
Depreciation$141,545DepreciationAmt
Book Value$0BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$288,332OtherCostOrOtherBasisAmt
Depreciation$275,623DepreciationAmt
Book Value$12,709BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$12,709TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$1,726,108TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts$637,851DonatedServicesAndUseFcltsAmt
Revenue Not Reported$637,851RevenueNotReportedAmt
Revenue Subtotal$1,088,257RevenueSubtotalAmt
Other Revenues Not Included-$29,938OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt-$29,938RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$1,058,319TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,585,416TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$637,851DonatedServicesUseFcltsAmt
Other Expenses Included$29,938OtherExpensesIncludedAmt
Expenses Not Reported$667,789ExpensesNotReportedAmt
Expenses Subtotal$917,627ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$917,627TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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, 2016 AND 2015.
PART XI, LINE 4B - OTHER ADJUSTMENTS:FUNDRAISING EXPENSE -29938.
PART XII, LINE 2D - OTHER ADJUSTMENTS:FUNDRAISING EXPENSE 29938.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1BATTLE OF THE MINDSEvent1Nm
Gross Receipts Event1$91,639GrossReceiptsEvent1Amt
Charitable Contri Event1$32,310CharitableContriEvent1Amt
Gross Revenue Event1$59,329GrossRevenueEvent1Amt
Food And Beverage Event1$22,029FoodAndBeverageEvent1Amt
Entertainment Event1$2,725EntertainmentEvent1Amt
Other Direct Expenses Event1$3,645OtherDirectExpensesEvent1Amt
Event2CYCLING FOR CAREEvent2Nm
Gross Receipts Event2$21,254GrossReceiptsEvent2Amt
Charitable Contri Event2$21,254CharitableContriEvent2Amt
Food And Beverage Event2$373FoodAndBeverageEvent2Amt
Other Direct Expenses Event2$970OtherDirectExpensesEvent2Amt
Other Events Total1OtherEventsTotalCnt
Gross Receipts Other Events$2,345GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$2,345CharitableContriOtherEventsAmt
Oth Direct Expnss Other Events$196OthDirectExpnssOtherEventsAmt
Gross Receipts Total$115,238GrossReceiptsTotalAmt
Charitable Contributions Tot$55,909CharitableContributionsTotAmt
Gross Revenue Total Events$59,329GrossRevenueTotalEventsAmt
Food And Beverage Total Events$22,402FoodAndBeverageTotalEventsAmt
Entertainment Total Events$2,725EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$4,811OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$29,938DirectExpenseSummaryEventsAmt
Net Income Summary$29,391NetIncomeSummaryAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11A COPY OF THE 990 IS PROVIDED TO THE BOARD OR DIRECTORS PRIOR TO FILLING.
FORM 990, PART VI, SECTION B, LINE 12CCOMPLIANCE MONITORED AND ENFORCED THROUGH ANNUAL DISCLOSURE
FORM 990, PART VI, SECTION C, LINE 19AVAILABLE UPON REQUEST AND GUIDESTAR WEBSITE.
FORM 990, PART XI, LINE 2CNO CHANGE IN THE OVERSIGHT PROCESS IN THE CURRENT YEAR.

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