PERINATAL NETWORK OF MONROE COUNTY INC: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- PERINATAL NETWORK OF MONROE COUNTY INC (EIN 16-1509322)
- Tax period
- 2014-07-01 to 2015-06-30
- Filed
- 2015-12-18
- IRS object ID
- 201513529349300326
- Schema version
- 2014v5.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-12-18T12:45:33-06:00 | ReturnTs |
| Tax Period End | 2015-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 271895149 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Heveron & Company CPAs PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 260 Plymouth Avenue South | AddressLine1Txt |
| City | Rochester | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14608 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 161509322 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Perinatal Network of Monroe County | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PERI | BusinessNameControlTxt |
| Phone | 5855464930 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 693 East Avenue - Suite 200 | AddressLine1Txt |
| City | Rochester | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14607 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Lauren S Deutsch Esq | PersonNm |
| Person Title | Executive Director | PersonTitleTxt |
| Phone | 5855464930 | PhoneNum |
| Signature | 2015-12-04 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Brenda Smith | PreparerPersonNm |
| PTIN | P00617844 | PTIN |
| Phone | 5852322956 | PhoneNum |
| Preparation | 2015-12-04 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Lauren S Deutsch Esq | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 693 East Avenue - Suite 200 | AddressLine1Txt |
| City | Rochester | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14607 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $1,537,319 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.pnmc-hsr.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1996 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | To ensure availability of programs and services for improving perinatal and family health. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 15 | VotingMembersIndependentCnt |
| Total Employee | 12 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,041,843 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,506,615 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $64,845 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $30,316 | CYProgramServiceRevenueAmt |
| PY Investment Income | $58 | PYInvestmentIncomeAmt |
| CY Investment Income | $108 | CYInvestmentIncomeAmt |
| PY Other Revenue | $2,253 | PYOtherRevenueAmt |
| CY Other Revenue | $280 | CYOtherRevenueAmt |
| PY Total Revenue | $1,108,999 | PYTotalRevenueAmt |
| CY Total Revenue | $1,537,319 | 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 | $385,851 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $412,261 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $715,169 | PYOtherExpensesAmt |
| CY Other Expenses | $1,125,563 | CYOtherExpensesAmt |
| PY Total Expenses | $1,101,020 | PYTotalExpensesAmt |
| CY Total Expenses | $1,537,824 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $7,979 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$505 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $234,577 | TotalAssetsBOYAmt |
| Total Assets EOY | $328,270 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $168,125 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $262,323 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $66,452 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $65,947 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | The Perinatal Network of Monroe County is a not-for-profit organization that provides community leadership to achieve optimal health for babies and their mothers. We promote high quality, comprehensive, and accessible care, education, and services, especially for underserved families. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $447,082 | ExpenseAmt |
| Desc | Healthy Start Rochester is devoted to reducing infant mortality and low birth weight through such services as outreach, case management, health education, and a community consortium. There are two Healthy Start Centers in Rochester: Healthy Start Center/Unity and Healthy Start/CFHC. From July 1, 2014 to June 30, 2015, 471 women entered the program. The program generated $511,941 in government grant contributions included on Form 990, Page 9, Part VIII, line 1(e). | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $634,038 | ExpenseAmt |
| Desc | The Maternal and Infant Community Health Collaborative provides community health workers for at-risk pregnant women, identifies and links women needing health care and insurance with appropriate resources, and educates consumers and health and human service providers about perinatal issues. From July 1, 2014 to June 30, 2015, 369 providers attended MICHC sponsored events and 199 consumers attended health education workshops, 1,754 men and women were encountered during outreach, and 120 pregnant women enrolled in the UR/BabyLove CHW program.The program generated $697,189 in government grant contributions included on Form 990, Page 9, Part VIII, line 1(e). | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $215,360 | ExpenseAmt |
| Desc | The Medicaid Redesign Team/Health Information Technology grant supports the creation of technological linkage between the PeerPlace Networks referral system and the Greater Rochester Regional Health Organization to support cross-system information sharing in support of a more integrated system of care for high risk pregnant women.The program generated $248,498 in government grant contributions included on Form 990, Page 9, Part VIII, line 1(e). | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (3 entries)
| ExpenseExpenseAmt | RevenueRevenueAmt | DescDesc |
|---|---|---|
| $18,006 | $17,883 | The Association of Perinatal Networks, of which PNMC is a member received a grant from the March of Dimes to create an educational toolkit on the subject of early elected delivery. When the association lost its staff person, PNMC volunteered to take over the project. A presentation, user guide, participant hand-out, evaluation forms, and consumer incentives will be designed for future production by the March of Dimes. |
| $23,898 | Oral Health Strategies is a U.S. Department of Health program that seeks to integrate dental care into pregnancy care for high risk mothers coming through the MICHC program. This is accomplished through partnering with dentists and pregnancy care providers to educate regarding dental care best practices during pregnancy, and problem solve regarding barriers to dental care access.The program generated $29,901 in government grant contributions included on Form 990, Page 9, Part VIII, line 1(e). | |
| $7,735 | $12,713 | National Institute of Health Program - A subcontract on a five year research project at the University of Rochester working towards a goal of increasing the rate of breastfeeding in low-income women. Perinatal Network of Monroe County convenes and facilitates the Community Council, which provides refreshments, childcare, transportation and member stipends. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $49,639 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $30,596 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $1,346,119 | 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 | 0 | 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 | 3 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 12 | 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 15 | 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 | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | 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 | Lauren Deustch Esq | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5855464930 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 693 East Avenue - Suite 200 | AddressLine1Txt |
| City | Rochester | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14607 | 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 |
|---|---|---|---|---|---|---|
| Lisa Stauch Smith | ||||||
| President | 0.50 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| Kim Hess | ||||||
| Vice President | 0.50 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| Deborah Tuttle | ||||||
| Secretary | 0.50 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| Mark Mandrycky | ||||||
| Treasurer | 0.50 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| Carla D'Angelo | ||||||
| Member | 0.50 | Yes (X) | $0 | $0 | $0 | |
| Brett Farrow | ||||||
| Member | 0.50 | Yes (X) | $0 | $0 | $0 | |
| Linda Johnson | ||||||
| Member | 0.50 | Yes (X) | $0 | $0 | $0 | |
| Lynne Scalzo | ||||||
| Member | 0.50 | Yes (X) | $0 | $0 | $0 | |
| James Sutton | ||||||
| Member | 0.50 | Yes (X) | $0 | $0 | $0 | |
| Jane August | ||||||
| Member | 0.50 | Yes (X) | $0 | $0 | $0 | |
| Emily Barrett | ||||||
| Member | 0.50 | Yes (X) | $0 | $0 | $0 | |
| Karen Elam | ||||||
| Member | 0.50 | Yes (X) | $0 | $0 | $0 | |
| Alise Gintner | ||||||
| Member | 0.50 | Yes (X) | $0 | $0 | $0 | |
| Ruth Lawrence | ||||||
| Member | 0.50 | Yes (X) | $0 | $0 | $0 | |
| Yissette Rivas | ||||||
| Member | 0.50 | Yes (X) | $0 | $0 | $0 | |
| Lauren Deutsch | ||||||
| Executive Director (Effective 10/20/14) | 40.00 | Yes (X) | $10,400 | $0 | $542 | |
| Patricia Brantingham | ||||||
| Executive Director (Until 10/20/14) | 40.00 | Yes (X) | $75,727 | $0 | $1,699 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $86,127 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $2,241 | 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 |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Unity Health Systems | BusinessNameLine1Txt |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 Kings Highway South | AddressLine1Txt |
| City | Rochester | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14617 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | Health Care Services | ServicesDesc |
| Compensation | $148,807 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $4,517 | FederatedCampaignsAmt |
| Government Grants | $1,487,529 | GovernmentGrantsAmt |
| All Other Contributions | $14,569 | AllOtherContributionsAmt |
| Noncash Contributions | $588 | NoncashContributionsAmt |
| Total Contributions | $1,506,615 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Perinatal Assn Network | 624100 | $17,603 | $17,603 |
| Natl Health Inst Grant | 624100 | $12,713 | $12,713 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $30,316 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $108 | TotalRevenueColumnAmt |
| Exclusion | $108 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Other Program Revenue | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $280 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $280 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $280 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,537,319 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $30,596 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $108 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $72,962 | TotalAmt |
| Program Services | $29,185 | ProgramServicesAmt |
| Management And General | $43,777 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $272,738 | TotalAmt |
| Program Services | $221,603 | ProgramServicesAmt |
| Management And General | $51,135 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,985 | TotalAmt |
| Program Services | $7,936 | ProgramServicesAmt |
| Management And General | $2,049 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,845 | TotalAmt |
| Program Services | $23,232 | ProgramServicesAmt |
| Management And General | $8,613 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,731 | TotalAmt |
| Program Services | $17,994 | ProgramServicesAmt |
| Management And General | $6,737 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,820 | TotalAmt |
| Management And General | $2,820 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,815 | TotalAmt |
| Management And General | $30,815 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $657,600 | TotalAmt |
| Program Services | $646,277 | ProgramServicesAmt |
| Management And General | $11,323 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,150 | TotalAmt |
| Program Services | $16,136 | ProgramServicesAmt |
| Management And General | $14 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,955 | TotalAmt |
| Program Services | $20,487 | ProgramServicesAmt |
| Management And General | $8,468 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $244,187 | TotalAmt |
| Program Services | $241,927 | ProgramServicesAmt |
| Management And General | $2,260 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,574 | TotalAmt |
| Program Services | $28,340 | ProgramServicesAmt |
| Management And General | $12,234 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,018 | TotalAmt |
| Program Services | $4,018 | ProgramServicesAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,082 | TotalAmt |
| Program Services | $19,188 | ProgramServicesAmt |
| Management And General | $2,894 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,700 | TotalAmt |
| Program Services | $1,577 | ProgramServicesAmt |
| Management And General | $123 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,087 | TotalAmt |
| Management And General | $5,087 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Education Materials | $54,559 | $54,209 | $350 |
| Equipment Rental & Main | $11,034 | $8,028 | $3,006 |
| Training | $5,982 | $5,982 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,537,824 | TotalAmt |
| Program Services | $1,346,119 | ProgramServicesAmt |
| Management And General | $191,705 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,311 | BOYAmt |
| EOY | $11,216 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $111,063 | BOYAmt |
| EOY | $115,638 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $111,492 | BOYAmt |
| EOY | $193,982 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,919 | BOYAmt |
| EOY | $1,457 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $34,753 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $30,547 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,021 | BOYAmt |
| EOY | $4,206 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,771 | BOYAmt |
| EOY | $1,771 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $234,577 | BOYAmt |
| EOY | $328,270 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $141,986 | BOYAmt |
| EOY | $253,787 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,139 | BOYAmt |
| EOY | $8,536 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $168,125 | BOYAmt |
| EOY | $262,323 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $66,452 | BOYAmt |
| EOY | $65,947 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $66,452 | BOYAmt |
| EOY | $65,947 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $234,577 | BOYAmt |
| EOY | $328,270 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$505 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| 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 | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
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 | $940,721 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $974,094 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $904,158 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,041,843 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,506,615 | CurrentTaxYearAmt |
| Total | $5,367,431 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $940,721 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $974,094 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $904,158 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,041,843 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,506,615 | CurrentTaxYearAmt |
| Total | $5,367,431 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $5,367,431 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $3 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $81 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $58 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $108 | CurrentTaxYearAmt |
| Total | $250 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $230 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $70 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,253 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $280 | CurrentTaxYearAmt |
| Total | $2,836 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $5,370,517 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $372,724 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.99940 | PublicSupportCY170Pct |
| Public Support PY170 | 0.99940 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule A, Part II, Line 10, Explanation of Other Income: | FormAndLineReferenceDesc |
| Explanation | Other Program Revenue Health Care Credit | ExplanationTxt |
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
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $34,753 | OtherCostOrOtherBasisAmt |
| Depreciation | $30,547 | DepreciationAmt |
| Book Value | $4,206 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $4,206 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $1,605,877 | TotalRevEtcAuditedFinclStmtAmt |
| Donated Services And Use Fclts | $68,558 | DonatedServicesAndUseFcltsAmt |
| Revenue Not Reported | $68,558 | RevenueNotReportedAmt |
| Revenue Subtotal | $1,537,319 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $1,537,319 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $1,606,382 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $68,558 | DonatedServicesUseFcltsAmt |
| Expenses Not Reported | $68,558 | ExpensesNotReportedAmt |
| Expenses Subtotal | $1,537,824 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $1,537,824 | TotalExpensesPerForm990Amt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section B, line 11 | The Finance Committee will review the 990, and it will then be made available to the full board for review before being filed. |
| Form 990, Part VI, Section B, line 12c | In addition to signing conflict of interest statements annually, board members are asked to declare any conflicts of interest at the beginning of each board meeting. |
| Form 990, Part VI, Section B, line 15a | The Executive Director's salary is compared to benchmarks for similar not for profits. This information is discussed by the Treasurer and President of the Board. The Executive Director's salary is further approved as part of the budgeting process. There are no other key employees compensated. |
| Form 990, Part VI, Section C, line 19 | The organization makes its governing documents, conflict of interest policy, and financial statements available upon request. |
| Form 990, Part IX, line 11g | Medical Services: Program service expenses 645,482. Management and general expenses 0. Fundraising expenses 0. Total expenses 645,482. Other Professional Services: Program service expenses 795. Management and general expenses 10,710. Fundraising expenses 0. Total expenses 11,505. 401 (k) Plan Services: Program service expenses 0. Management and general expenses 613. Fundraising expenses 0. Total expenses 613. |
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