INDIANA IMMUNIZATION COALITION INC: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- INDIANA IMMUNIZATION COALITION INC (EIN 20-0484362)
- Tax period
- 2013-01-01 to 2013-12-31
- Filed
- 2014-09-13
- IRS object ID
- 201402569349300500
- Schema version
- 2013v3.1
- 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 | 2014-09-13T10:10:05-00:00 | ReturnTs |
| Tax Period End | 2013-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-01-01 | 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 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % Lisa K Robertson | InCareOfNm |
| Business Name Control | INDI | BusinessNameControlTxt |
| Phone | 3176287116 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12112 Briarway North Drive | AddressLine1 |
| City | Indianapolis | City |
| State | IN | State |
| ZIP Code | 46259 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Lisa K Robertson | PersonNm |
| Person Title | Executive Director | PersonTitleTxt |
| Phone | 3176287116 | PhoneNum |
| Signature | 2014-09-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Peggy Jackson | PreparerPersonNm |
| Phone | 7655324194 | PhoneNum |
| Preparation | 2014-09-13 | PreparationDt |
| Self Employed | Yes (X) | SelfEmployedInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | Yes (X) | AddressChangeInd |
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Indiana Immunization Coalition Inc | BusinessNameLine1 |
| 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 | AddressLine1 |
| City | Indianapolis | City |
| State | IN | State |
| ZIP Code | 46259 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $1,307,085 | 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. In 2013, the IIC continued implementing a statewide billing program for Indianas local health departments. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $821,869 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,307,085 | CYContributionsGrantsAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $821,869 | PYTotalRevenueAmt |
| CY Total Revenue | $1,307,085 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $98,950 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $71,949 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $722,444 | PYOtherExpensesAmt |
| CY Other Expenses | $1,174,845 | CYOtherExpensesAmt |
| PY Total Expenses | $821,394 | PYTotalExpensesAmt |
| CY Total Expenses | $1,246,794 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $475 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $60,291 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $502,766 | TotalAssetsBOYAmt |
| Total Assets EOY | $785,545 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $374,742 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $647,550 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $128,024 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $137,995 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| 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 | Yes (true) | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $118,138 | ExpenseAmt |
| Grant | $153,572 | GrantAmt |
| Revenue | $4,482 | RevenueAmt |
| 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 4 quarterly, regional meetings sponsoring 3 immunization summits collaborating on conferences to provide continuing education credits and presenting at professional meetings and conferences. The Coalition also sponsored 3 school convocations to inform students about meningitis and the MCV4 booster and continued their social media campaigns to inform and educate the public about immunizations via a website, email marketing, a school nurse webcast, and educational materials. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $516,346 | ExpenseAmt |
| Grant | $564,166 | GrantAmt |
| Revenue | $47,820 | RevenueAmt |
| Desc | The Coalition continued work on a statewide billing program under grants from the Centers for Disease Control and Provention and the Indiana State Department of Health. This billing program began in 2012 and was piloted in several local health departments. In 2013, funds were utilized to conduct site visits of Indiana county health departments across the state in order to launch new or expanded Medicaid billing systems train and consult with users and establish and maintain a help support hotline. In addition, credentialing for local health departments and HIPPA compliance training were provided. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $580,621 | ExpenseAmt |
| Grant | $580,621 | GrantAmt |
| Desc | The Coalition received grant monies from the Indiana State Department of Health to purchase storage and handling equipment for local health departments in Indiana. The deficiencies of all local Indiana health departments were assessed, and 66 of them responded with various equipment needs. Much of the equipment they used was old, non-lab/pharmaceutical grade, and in need of replacement. This, combined with stricter CDC recommendations, necessitated an immediate modernization of vaccine storage and handling equipment. The Coalition used the grant monies to purchase and deliver new lab-grade vaccine refrigerators and freezers data logger recording thermometers and fridge freeze vaccine transport carriers to the local Indiana health departments. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $737 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $3,156 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $2,419 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $1,215,842 | 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 | Yes (true) | 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 | 7 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| 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 | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | 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 | Yes (true) | LocalChaptersInd |
| Policies Reference Chapters | Yes (true) | PoliciesReferenceChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | 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 | 1827 Abbotsbury Way | AddressLine1 |
| City | Lafayette | City |
| State | IN | State |
| ZIP Code | 47909 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|
| Karen Long | |||||||
| President | 002.00 | Yes (X) | $0 | $0 | $0 | ||
| Jolene Bracale | |||||||
| President-Elect | 002.00 | Yes (X) | $0 | $0 | $0 | ||
| Donella Carter | |||||||
| Immediate Past-President | 001.00 | Yes (X) | $0 | $0 | $0 | ||
| Carolyn Snyder | |||||||
| Secretary | 002.00 | Yes (X) | $0 | $0 | $0 | ||
| Tina Elliott | |||||||
| Treasurer | 001.00 | Yes (X) | $0 | $0 | $0 | ||
| Laura Betten | |||||||
| Board Member At-Large | 001.00 | Yes (X) | $0 | $0 | $0 | ||
| Teresa Hohner | |||||||
| Board Member At-Large | 001.00 | Yes (X) | $0 | $0 | $0 | ||
| Elizabeth VanLaere | |||||||
| Board Member At-Large | 001.00 | Yes (X) | $0 | $0 | $0 | ||
| Leslie Ray | |||||||
| 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 | $22,917 | $0 | $0 | Yes (X) | ||
| Kristopher Kirby | |||||||
| Operations Coordinator | 040.00 | $19,383 | $0 | $0 | Yes (X) | ||
| Sarah Strawbridge | |||||||
| Executive Director | 040.00 | $27,553 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $69,853 | TotalReportableCompFromOrgAmt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Related Organizations | $3,156 | RelatedOrganizationsAmt |
| Government Grants | $1,298,359 | GovernmentGrantsAmt |
| All Other Contributions | $5,570 | AllOtherContributionsAmt |
| Total Contributions | $1,307,085 | TotalContributionsAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,307,085 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
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 | $71,949 | TotalAmt |
| Program Services | $64,754 | ProgramServicesAmt |
| Management And General | $7,195 | 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 | $0 | TotalAmt |
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 | $0 | TotalAmt |
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 | $12,667 | TotalAmt |
| Management And General | $12,667 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,385 | TotalAmt |
| Management And General | $9,385 | 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 | $358,812 | TotalAmt |
| Program Services | $358,812 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,998 | TotalAmt |
| Program Services | $17,998 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,030 | TotalAmt |
| Program Services | $4,527 | ProgramServicesAmt |
| Management And General | $503 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,292 | TotalAmt |
| Program Services | $3,863 | ProgramServicesAmt |
| Management And General | $429 | 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 | $20,199 | TotalAmt |
| Program Services | $19,679 | ProgramServicesAmt |
| Management And General | $520 | 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 | $46,584 | TotalAmt |
| Program Services | $46,331 | ProgramServicesAmt |
| Management And General | $253 | 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 | $0 | TotalAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| Training manuals, handouts, educational materials | $10,552 | $10,552 |
| Storage handling equipment for local health depts. | $580,621 | $580,621 |
| Medical billing software subscriptions | $108,705 | $108,705 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,246,794 | TotalAmt |
| Program Services | $1,215,842 | ProgramServicesAmt |
| Management And General | $30,952 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,651 | BOYAmt |
| EOY | $20,028 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $497,115 | BOYAmt |
| EOY | $763,115 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $420 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $2,645 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $663 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $1,982 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $502,766 | BOYAmt |
| EOY | $785,545 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $170,838 | BOYAmt |
| EOY | $647,550 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $203,904 | BOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $374,742 | BOYAmt |
| EOY | $647,550 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $128,024 | BOYAmt |
| EOY | $137,995 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $128,024 | BOYAmt |
| EOY | $137,995 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $502,766 | BOYAmt |
| EOY | $785,545 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $60,291 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | -$50,320 | PriorPeriodAdjustmentsAmt |
| 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 | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | 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 | $80,003 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $126,444 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $148,788 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $821,394 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,301,515 | CurrentTaxYearAmt |
| Total | $2,478,144 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $80,003 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $126,444 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $148,788 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $821,394 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,301,515 | CurrentTaxYearAmt |
| Total | $2,478,144 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $2,478,144 | PublicSupportTotal170Amt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $5,570 | CurrentTaxYearAmt |
| Total | $5,570 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $2,483,714 | TotalSupportAmt |
| Public Support CY170 | 0.99780 | PublicSupportCY170Pct |
| Public Support PY170 | 1.00000 | 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 Line Section B, Line 10 Other income of 5,570 for 2013 includes 3,920 in registration fees collected for a CHIRP Summit 1,538 in vendor exhibitor fees received for a year-end celebration and 112 of the prior years expenses that were refunded. | 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 | $2,645 | OtherCostOrOtherBasisAmt |
| Depreciation | $663 | DepreciationAmt |
| Book Value | $1,982 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,982 | 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 | $1,307,085 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $1,307,085 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $1,307,085 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $1,246,794 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $1,246,794 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $1,246,794 | TotalExpensesPerForm990Amt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|
| Kristopher Kirby | ||
| Operations Coordinator | $19,383 | $19,383 |
| Sarah Strawbridge | ||
| Executive Director | $27,553 | $27,553 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, Line 4d | Program Service Expenses 737, Grants and allocations 3,156, Revenue 2,419 The Coaltion finished a project that began in 2012 to improve adult immunization rates with a grant from Interstate Postgraduate Medical Association. Practitioners supporting rural adult immunizations were invited to live lectures across Indiana. A web-based learning system was also made available, and a model training experience was created in order to empower providers. |
| Form 990, Part III, Line 2 | In 2013, the Coalition received 580,621 of grant monies from the Indiana State Department of Health to purchase storage and handling equipment for local health departments in Indiana. Numerous county health departments were in need of new lab grade vaccine refrigerators and freezers, data logger recording thermometers, and fridge freeze vaccine transport carriers. The Coalition used the 580,621 of grant monies to purchase and deliver this equipment to the local health departments. |
| Form 990, Part VI, Section B, Line 11b | The Coalitions current President of the Board of Directors, Treasurer, and Executive Director were all given a copy of the completed Form 990 to review prior to its filing. The Form 990 was discussed, and questions were posed to the Coalitions Accountant who is also the tax preparer for this Form 990. Once all questions were answered and changes made, the Form 990 was filed. |
| 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 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. |
| Form 990, Part VI, Section A, Line 9 | Officers and Members unable to be reached at the Coalitions mailing address are Karen Long, Howard Co. Health Dept, 120 East Mulberry, Rm 206, Kokomo, IN 46901 Jolene Bracale, IN DOE, 115 W. Washington St, South Tower, Ste 600, Indianapolis, IN 46204 Donella Carter, Tippecanoe Co. Health Dept., 629 N 6th St., Ste. A, Lafayette, IN 47901 Carolyn Snyder, IASN, 611 S. Water St., Crawfordsville, IN 47933 Tina Elliot, IRHA, 2901 Ohio Blvd., Ste 110, Terre Haute, IN 47803 Laura Betten, Anthem Medicaid, 51 W. 78th Place, Merrillville, IN 46410 Teresa Hohner, Porter Co. Health Dept, 155 Indiana Ave., Suite 104, Valparaiso, IN 46383 Elizabeth Van Laere, Tippecanoe Co. Health Dept, 629 N. 6th St. Ste. A, Lafayette, IN 47901 Leslie Ray, Kroger Pharmacy Central Division, 5960 Castleway West Dr, Indianapolis, IN 46250 Anita Wright, IUPUI School of Nursing, 1111 Brookside Ln, Plainfield, IN 46168 Kristopher Kirby, 5627 Roseberry Ridge, Lafayette, IN 47905 Sarah Strawbridge, 2344 Broadway St, Indianapolis, IN 46205 |
| Form 990, Part XI, Line 8 | The Coalitions financial statements were audited in 2013 for the year ended December 31, 2012. At the conclusion of the audit, it was determined that a prior period adjustment was needed. The net effect of the adjustment was to decrease 2012 revenue by 50,320 and increase 2013 revenue by that same amount. The revenue reported in 2013 is properly categorized and included on the Form 990 for 2013. |
| Form 990, Part VI, Section B, Line 15 a and b | Compensation for the Executive Director and other key 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. When a new Executive Director was hired in 2013, the Board performed an extensive search for applicants interviewed the applicants reviewed salaries for comparable positions throughout the state then made a collaborative decision on whom to hire and how much to pay them. |
| Form 990, Part IX, Line 24 b | Storage handling equipment for local health departments consists of 580,621 of expenditures for new lab grade vaccine refrigerators and freezers, data logger recording thermometers, and fridge freeze vaccine transport carriers. The Coalition received grant monies in 2013 from the Indiana State Department of Health for the specific purpose of purchasing the equipment for local health departments. |
| Form 990, Part IX, Line 11 g | Other fees for services paid to non-employees of 358,812 is comprised of expenses related to the statewide billing project that began in 2012 and continued in 2013. These fees were paid to medical billing and accounting service companies and include the cost of the following creating manuals training local health departments designing billing software and graphics managing the billing project providing training workshops establishing and maintaining a hotline for local health departments to get assistance with their questions visiting local health departments to get their billing programs up and running and providing credentialing. |