INDIANA IMMUNIZATION COALITION INC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- INDIANA IMMUNIZATION COALITION INC (EIN 20-0484362)
- Tax period
- 2015-01-01 to 2015-12-31
- Filed
- 2016-08-22
- IRS object ID
- 201632389349300848
- Schema version
- 2015v2.1
- 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 | 2016-08-22T04:32:27-00:00 | ReturnTs |
| Tax Period End | 2015-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 200484362 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Indiana Immunization Coalition Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | INDI | BusinessNameControlTxt |
| Phone | 3176287116 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12112 Briarway North Drive | AddressLine1Txt |
| City | Indianapolis | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46259 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Lisa K Robertson | PersonNm |
| Person Title | Executive Director | PersonTitleTxt |
| Signature | 2016-08-22 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Peggy E Jackson | PreparerPersonNm |
| Phone | 7655324194 | PhoneNum |
| Preparation | 2016-08-22 | PreparationDt |
| Self Employed | Yes (X) | SelfEmployedInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2016-12-15 16:53:06Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Indiana Immunization Coalition Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Lisa Robertson | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12112 Briarway North Drive | AddressLine1Txt |
| City | Indianapolis | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46259 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $309,649 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | http://www.vaccinateindiana.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2003 | FormationYr |
| Legal Domicile State | IN | LegalDomicileStateCd |
| Activity Or Mission | The Indiana Immunization Coalition IIC exists to reduce the spread of vaccine-preventable disease through immunization education, advocacy, promotion, and statewide collaborative partnerships. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 3 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $643,152 | PYContributionsGrantsAmt |
| CY Contributions Grants | $309,649 | CYContributionsGrantsAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $643,152 | PYTotalRevenueAmt |
| CY Total Revenue | $309,649 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $144,395 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $163,287 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $495,597 | PYOtherExpensesAmt |
| CY Other Expenses | $141,882 | CYOtherExpensesAmt |
| PY Total Expenses | $639,992 | PYTotalExpensesAmt |
| CY Total Expenses | $305,169 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $3,160 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $4,480 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $312,755 | TotalAssetsBOYAmt |
| Total Assets EOY | $167,960 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $171,600 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $22,325 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $141,155 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $145,635 | NetAssetsOrFundBalancesEOYAmt |
| Mission | The Indiana Immunization Coalitions mission is to reduce the spread of vaccine-preventable disease by means of immunization education, advocacy, promotion, and statewide collaborations. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $228,619 | ExpenseAmt |
| Desc | The Coalitions immunization program served the citizens of the State of Indiana by working to increase the immunization rates and decrease vaccine-preventable disease rates throughout the state. The Coalition provided professional development opportunities for immunization practitioners throughout the state by coordinating regional meetings sponsoring immunization summits collaborating on conferences to provide continuing education credits and presenting at professional meetings and conferences. The Coalition also hosted grant workshops and a new school nurse orientation, as well as continued social media campaigns to inform and educate the public about immunizations via their website, email marketing, PSAs, webcasts, and educational materials. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $13,754 | ExpenseAmt |
| Desc | The Coalition continued work on a statewide billing program, which began in 2012. In 2015, funds were utilized to assist local health departments in becoming billing entities and credentialing those health departments. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $5,666 | ExpenseAmt |
| Desc | The Coalition received grant money from the Indiana State Department of Health to purchase and deliver a new lab-grade vaccine refrigerator to a local health care provider. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $248,039 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | false | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 3 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 3 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | Yes (true) | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | false | WhistleblowerPolicyInd |
| Document Retention Policy | false | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | IN | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Peggy Jackson | PersonNm |
| Phone | 7655324194 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4705 Masons Ridge Road | AddressLine1Txt |
| City | Lafayette | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 47909 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd |
|---|---|---|---|---|---|---|
| Leslie Lake | ||||||
| President | 002.00 | Yes (X) | $0 | $0 | $0 | |
| Laurie Weinzapfel | ||||||
| President-Elect | 002.00 | Yes (X) | $0 | $0 | $0 | |
| Teresa Hohner | ||||||
| Secretary | 002.00 | Yes (X) | $0 | $0 | $0 | |
| Elizabeth VanLaere | ||||||
| Treasurer | 002.00 | Yes (X) | $0 | $0 | $0 | |
| Dana Greenwood | ||||||
| Nurse Planner | 001.00 | Yes (X) | $0 | $0 | $0 | |
| Mary Barnard | ||||||
| Board Member At-Large | 001.00 | Yes (X) | $0 | $0 | $0 | |
| Tara Hatfield | ||||||
| Board Member At-Large | 001.00 | Yes (X) | $0 | $0 | $0 | |
| Karla Loken Bohm | ||||||
| Board Member At-Large | 001.00 | Yes (X) | $0 | $0 | $0 | |
| Karen Long | ||||||
| Board Member At-Large | 001.00 | Yes (X) | $0 | $0 | $0 | |
| Melissa McMasters | ||||||
| Board Member At-Large | 001.00 | Yes (X) | $0 | $0 | $0 | |
| Maureen Pierce Monteith | ||||||
| Board Member At-Large | 001.00 | Yes (X) | $0 | $0 | $0 | |
| Carolyn Snyder | ||||||
| Board Member At-Large | 001.00 | Yes (X) | $0 | $0 | $0 | |
| Anita Wright | ||||||
| Board Member At-Large | 001.00 | Yes (X) | $0 | $0 | $0 | |
| Lisa Robertson | ||||||
| Executive Director | 040.00 | $55,000 | $0 | $0 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $55,000 | TotalReportableCompFromOrgAmt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Government Grants | $303,266 | GovernmentGrantsAmt |
| All Other Contributions | $6,383 | AllOtherContributionsAmt |
| Total Contributions | $309,649 | TotalContributionsAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $309,649 | TotalRevenueColumnAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,000 | TotalAmt |
| Program Services | $49,500 | ProgramServicesAmt |
| Management And General | $5,500 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $96,812 | TotalAmt |
| Program Services | $85,500 | ProgramServicesAmt |
| Management And General | $11,312 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,475 | TotalAmt |
| Management And General | $11,475 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,507 | TotalAmt |
| Management And General | $6,507 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,000 | TotalAmt |
| Management And General | $14,000 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fees For Services Prof Fundraising | FeesForServicesProfFundraising |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $255 | TotalAmt |
| Program Services | $230 | ProgramServicesAmt |
| Management And General | $25 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,160 | TotalAmt |
| Program Services | $6,685 | ProgramServicesAmt |
| Management And General | $1,475 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,982 | TotalAmt |
| Program Services | $7,184 | ProgramServicesAmt |
| Management And General | $798 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,421 | TotalAmt |
| Program Services | $24,781 | ProgramServicesAmt |
| Management And General | $1,640 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $898 | TotalAmt |
| Management And General | $898 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,619 | TotalAmt |
| Program Services | $1,519 | ProgramServicesAmt |
| Management And General | $1,100 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical billing program | $13,754 | $13,754 | |
| Vaccine storage equipment for local provider | $5,666 | $5,666 | |
| Educational materials supplies | $50,495 | $48,095 | $2,400 |
| Training for staff health care providers | $5,125 | $5,125 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $305,169 | TotalAmt |
| Program Services | $248,039 | ProgramServicesAmt |
| Management And General | $57,130 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,129 | BOYAmt |
| EOY | $61,863 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $299,500 | BOYAmt |
| EOY | $57,692 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $13,222 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $33,205 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $3,935 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,957 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,126 | BOYAmt |
| EOY | $1,978 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $312,755 | BOYAmt |
| EOY | $167,960 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $156,600 | BOYAmt |
| EOY | $3,955 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,000 | BOYAmt |
| EOY | $18,370 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $171,600 | BOYAmt |
| EOY | $22,325 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $141,155 | BOYAmt |
| EOY | $145,635 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $141,155 | BOYAmt |
| EOY | $145,635 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $312,755 | BOYAmt |
| EOY | $167,960 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $4,480 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | 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 (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | 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 | $148,788 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $821,394 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,301,515 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $625,378 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $303,266 | CurrentTaxYearAmt |
| Total | $3,200,341 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $148,788 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $821,394 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,301,515 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $625,378 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $303,266 | CurrentTaxYearAmt |
| Total | $3,200,341 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $3,200,341 | PublicSupportTotal170Amt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $5,570 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $17,774 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,383 | CurrentTaxYearAmt |
| Total | $29,727 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $3,230,068 | TotalSupportAmt |
| Public Support CY170 | 0.99080 | PublicSupportCY170Pct |
| Public Support PY170 | 0.99230 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
| Public Support CY509 | 0.00000 | PublicSupportCY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Facts And Circumstances Test | Part II Section B Line 10 Other income of 6,383 includes registration and exhibitor fees collected at conferences and meetings hosted by the Coalition and Maintenance of Certification fees for providing continuing education to providers. | FactsAndCircumstancesTestTxt |
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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Incl Escrow Custodial Acct Liab | false | InclEscrowCustodialAcctLiabInd |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,935 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,957 | DepreciationAmt |
| Book Value | $1,978 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,978 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (2 entries)
| DescDesc |
|---|
| Financial derivatives and other financial products |
| Closely-held equity interests |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Federal income taxes | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Rev Etc Audited Fincl Stmt | $309,649 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $309,649 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $309,649 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $305,169 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $305,169 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $305,169 | TotalExpensesPerForm990Amt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, Line 9 | Officers Members unable to be reached at Coalitions mailing address Leslie Lake, Kroger Pharmacy, 5960 Castleway West Drive, Indianapolis, IN 46250 Laurie Weinzapfel, MDwise Inc, 1200 Madison Ave, Suite 400, Indianapolis, IN 46225 Teresa Hohner, Porter County Health Dept, Portage Medical Annex, 3610 Willowcreek Rd., Suite 2, Portage, IN 46368 Elizabeth VanLaere, Tippecanoe County Health Dept, 629 N 6th St, Suite A, Lafayette, IN 47901 Dana Greenwood, St. Vincent Seton Specialty Hospital, 8050 Township Line Rd, Indianapolis, IN 46260 Mary Barnard, Managed Health Services, 4624 W 79th St, Indianapolis, IN 46268 Tara Hatfield, Purdue Healthcare Advisors, 1435 Win Hentschel Blvd, Suite 215, West Lafayette, IN 47906 Karla Loken Bohm, Henry County Hospital, 1000 N 16th St, New Castle, IN 47362 Karen Long, Howard County Health Dept, 120 E Mulberry St 206, Kokomo, IN 46901 Melissa McMasters, Marion County Public Health Dept, 3838 N. Rural St., Indianapolis, IN 46205 Maureen Pierce Monteith, Anthem Inc., 220 Virginia Ave, Indianapolis, IN 46204 Carolyn Snyder, Indiana School Nurse Assn, 611 South Water St, Crawfordsville, IN 47933 Anita Wright, IUPUI School of Nursing, 1111 Brookside Lane, Plainfield, IN 46168 |
| Form 990, Part VI, Section B, Line 11b | The Coalitions current Executive Director was given a copy of the completed Form 990 to review prior to its filing. Any questions that arose during the review of the Form 990 were addressed prior to its filing. A copy of the completed Form 990 was also made available to the entire Board of Directors although, it was not formally reviewed prior to the 990s filing due to time constraints. |
| Form 990, Part VI, Section B, Line 12c | The Coalition provides a copy of its Conflict of Interest policy to its Board of Directors, officers, and staff. On an annual basis, the Board must sign and complete an acknowledgement form, disclosing any potential conflicts. In addition, disclosure is required throughout the year, whenever a conflict arises with any Board member, officer, or staff person. Disinterested members of the Board make a determination as to whether a conflict does exist and what subsequent action is needed. |
| Form 990, Part VI, Section B, Line 15 | Compensation for the Executive Director and other employees is reviewed annually by the Board of Directors. The Board votes on the compensation that will be given to said employees at an annual meeting where the upcoming budget is reviewed. |
| Form 990, Part VI, Section C, Line 19 | The Coalitions Articles of Incorporation have been filed with the Indiana Secretary of State SOS and are available online at the SOSs website for viewing. Governing documents, a conflict of interest policy, and financial statements are available to the public upon request. The Coalition can be reached by the public in several ways, including phone, website, mail, and e-mail. |