TRISTATE TRAUMA NETWORK: Form 990EZ, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- TRISTATE TRAUMA NETWORK (EIN 75-3256296)
- Tax period
- 2022-07-01 to 2023-06-30
- Filed
- 2024-03-12
- IRS object ID
- 202420729349201412
- Schema version
- 2022v5.0
- 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 | 2024-03-12T12:55:53-05:00 | ReturnTs |
| Tax Period End | 2023-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 273858252 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DEAN DORTON ALLEN FORD PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 810 WRIGHTS SUMMIT PARKWAY SUITE | AddressLine1Txt |
| Address Line2 | 300 | AddressLine2Txt |
| City | FORT WRIGHT | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 41011 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnTypeCd |
| Tax Period Begin | 2022-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 753256296 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TRISTATE TRAUMA NETWORK | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | TRIS | BusinessNameControlTxt |
| Phone | 8593381751 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 6331 | AddressLine1Txt |
| City | FLORENCE | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 41042 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BRADFORD MCCLAIN | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 8593381751 | PhoneNum |
| Signature | 2024-03-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | BRADFORD | PersonFirstNm |
| Person Last | MCCLAIN | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | BRYAN PAUTSCH | PreparerPersonNm |
| PTIN | P00034913 | PTIN |
| Phone | 8593313300 | PhoneNum |
| Preparation | 2024-03-12 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 0 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Website Address | WWW.TRISTATETRAUMANETWORK.ORG | WebsiteAddressTxt |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Gross Receipts | $181,293 | GrossReceiptsAmt |
| Info In Schedule O Part I | Yes (X) | InfoInScheduleOPartIInd |
| Contributions Gifts Grants Etc | $86,114 | ContributionsGiftsGrantsEtcAmt |
| Program Service Revenue | $94,079 | ProgramServiceRevenueAmt |
| Investment Income | $998 | InvestmentIncomeAmt |
| Other Revenue Total | $102 | OtherRevenueTotalAmt |
| Total Revenue | $181,293 | TotalRevenueAmt |
| Salaries Other Comp Empl Bnft | $76,205 | SalariesOtherCompEmplBnftAmt |
| Fees And Other Pymt To Ind Cntrct | $14,734 | FeesAndOtherPymtToIndCntrctAmt |
| Printing Publications Postage | $4,201 | PrintingPublicationsPostageAmt |
| Other Expenses Total | $131,379 | OtherExpensesTotalAmt |
| Total Expenses | $226,519 | TotalExpensesAmt |
| Excess Or Deficit For Year | -$45,226 | ExcessOrDeficitForYearAmt |
| Net Assets Or Fund Balances BOY | $69,668 | NetAssetsOrFundBalancesBOYAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Net Assets Or Fund Balances EOY | $24,442 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part II | Yes (X) | InfoInScheduleOPartIIInd |
Cash Savings And Investments CashSavingsAndInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $67,839 | BOYAmt |
| EOY | $28,716 | EOYAmt |
Other Assets Total Detail OtherAssetsTotalDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,420 | BOYAmt |
| EOY | $88 | EOYAmt |
Form990 Total Assets Form990TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $72,259 | BOYAmt |
| EOY | $28,804 | EOYAmt |
Sum Of Total Liabilities SumOfTotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,591 | BOYAmt |
| EOY | $4,362 | EOYAmt |
Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $69,668 | BOYAmt |
| EOY | $24,442 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Primary Exempt Purpose | TO BE AN ACTIVE LEADER AND PARTNER IN CREATING A COMMUNITY-WIDE COMMITMENT TO THE PREVENTION OF AND RECOVERY FROM TRAUMA AND TOXIC STRESS BY PROVIDING TRAINING, EDUCATION, CONSULTATION, AND RESOURCES, AND PROMOTING THE PRACTICE OF TRAUMA-INFORMED CARE.OUR FOCUS IS ON OFFERING HIGH-QUALITY TRAINING TO PROFESSIONALS, BUILDING COMMUNITY AWARENESS, SERVING AS A CLEARINGHOUSE FOR INFORMATION AND RESOURCES, FOSTERING COLLABORATION, AND DEVELOPING TRAUMA-INFORMED AND TRAUMA-RESPONSIVE SYSTEMS OF CARE. | PrimaryExemptPurposeTxt |
Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Program Srvc Accom | TRISTATE TRAUMA NETWORK PROMOTES AND ADMINISTERS TRAINING TO ITS MEMBERSHIP, WHICH IS MADE UP OF PROFESSIONALS FROM THE FIELDS OF SOCIAL WORK, MENTAL HEALTH, EDUCATION, FIRST RESPONSE, LEGAL, AND OTHERS. FOR TAX YEAR ENDING 6/30/2023, TRAINER/CONSULTANT FEES TOTALED $90,486 AND SERVED APPROXIMATELY 400 MEMBERS FROM THE GROUPS LISTED ABOVE. | DescriptionProgramSrvcAccomTxt |
| Grants And Allocations | $0 | GrantsAndAllocationsAmt |
| Program Service Expenses | $204,740 | ProgramServiceExpensesAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $204,740 | TotalProgramServiceExpensesAmt |
Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (12 entries)
| TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|
| BRADFORD MCCLAIN | ||||
| EXEC. DIRECTOR (BEGAN 3/06/2023) | 40.00 | $37,367 | $0 | $120 |
| MELISSA ADAMCHIK | ||||
| EXEC. DIRECTOR (1/01/23 - 2/06/23) | 40.00 | $9,831 | $0 | $60 |
| GINA WESLEY | ||||
| BOARD DIRECTOR - CHAIR | 3.00 | $0 | $0 | $0 |
| KARA ATWELL | ||||
| BOARD DIRECTOR - SECRETARY | 3.00 | $0 | $0 | $0 |
| DARYL DENHAM | ||||
| BOARD DIRECTOR - TREASURER | 3.00 | $0 | $0 | $0 |
| TIMOTHY NOLAN | ||||
| BOARD DIRECTOR | 3.00 | $0 | $0 | $0 |
| KIM BOTTO | ||||
| BOARD DIRECTOR | 3.00 | $0 | $0 | $0 |
| PENNY MIDDAUGH | ||||
| BOARD DIRECTOR | 3.00 | $0 | $0 | $0 |
| TINA CVETKOVICH | ||||
| BOARD DIRECTOR | 3.00 | $0 | $0 | $0 |
| MATTHEW O'BRYAN | ||||
| BOARD DIRECTOR | 3.00 | $0 | $0 | $0 |
| DANIEL RITCHIE | ||||
| BOARD DIRECTOR | 3.00 | $0 | $0 | $0 |
| MILENA STEELE | ||||
| BOARD DIRECTOR | 3.00 | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| Activities Not Previously Rpt | 0 | ActivitiesNotPreviouslyRptInd |
| Chg Made To Orgnzng Doc Not Rpt | 0 | ChgMadeToOrgnzngDocNotRptInd |
| Organization Had UBI | 0 | OrganizationHadUBIInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Organization Dissolved Etc | 0 | OrganizationDissolvedEtcInd |
| Direct Indirect Pltcl Expend | $0 | DirectIndirectPltclExpendAmt |
| Made Loans To From Officers | 0 | MadeLoansToFromOfficersInd |
| Tax Imposed Under IRC4911 | $0 | TaxImposedUnderIRC4911Amt |
| Tax Imposed Under IRC4912 | $0 | TaxImposedUnderIRC4912Amt |
| Tax Imposed Under IRC4955 | $0 | TaxImposedUnderIRC4955Amt |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| Tax Imposed On Organization Mgr | $0 | TaxImposedOnOrganizationMgrAmt |
| Tax Reimbursed By Organization | $0 | TaxReimbursedByOrganizationAmt |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| States Where Copy Of Return Is Fld | KY | StatesWhereCopyOfReturnIsFldCd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE ORGANIZATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 6331 | AddressLine1Txt |
| City | FLORENCE | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 41042 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8593381751 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Donor Advised Fnds | 0 | DonorAdvisedFndsInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Tanning Services Provided | 0 | TanningServicesProvidedInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| School Operating | 0 | SchoolOperatingInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Part VI Of Comp Of Hghst Pd Empl | NONE | PartVIOfCompOfHghstPdEmplTxt |
| Part VI Hghst Pd Cntrct Prof Srvc | NONE | PartVIHghstPdCntrctProfSrvcTxt |
| Filed Schedule A | Yes (1) | FiledScheduleAInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $82,636 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $71,194 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $92,210 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $51,261 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $86,114 | CurrentTaxYearAmt |
| Total | $383,415 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $119,822 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $102,116 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $127,978 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $127,418 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $94,079 | CurrentTaxYearAmt |
| Total | $571,413 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $202,458 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $173,310 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $220,188 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $178,679 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $180,193 | CurrentTaxYearAmt |
| Total | $954,828 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $54,446 | CurrentTaxYearAmt |
| Total | $54,446 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $54,446 | CurrentTaxYearAmt |
| Total | $54,446 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $900,382 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $998 | CurrentTaxYearAmt |
| Total | $998 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $998 | CurrentTaxYearAmt |
| Total | $998 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $102 | CurrentTaxYearAmt |
| Total | $102 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $202,458 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $173,310 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $220,188 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $178,679 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $181,293 | CurrentTaxYearAmt |
| Total | $955,928 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.94190 | PublicSupportCY509Pct |
| Public Support PY509 | 1.00000 | PublicSupportPY509Pct |
| Investment Income CY | 0.00100 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00000 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | OTHER INCOME - 2022 AMOUNT: $ 102. | 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 O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990-EZ, PART I, LINE 4 - OTHER INVESTMENT INCOME | DESCRIPTION: INTEREST. AMOUNT: 998. |
| FORM 990-EZ, PART I, LINE 8 - OTHER REVENUE | DESCRIPTION: OTHER. AMOUNT: 102. |
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: LEARNING COMMUNITY AND TRAINING OPERATIONS. AMOUNT: 15,683. DESCRIPTION: NKY HORIZON GRANT SOFTWARE AND TRAINING. AMOUNT: 5,000. DESCRIPTION: MARKETING. AMOUNT: 7,445. DESCRIPTION: PAYROLL FEES. AMOUNT: 3,469. DESCRIPTION: SERVICE CONTRACT FULLFILLMENT EXPENSES. AMOUNT: 94,727. DESCRIPTION: TRAVEL AND MEALS. AMOUNT: 699. DESCRIPTION: PROFESSIONAL DEVELOPMENT. AMOUNT: 1,183. DESCRIPTION: PURCHASES AND OTHER EXPENSES. AMOUNT: 3,012. DESCRIPTION: BANK FEES. AMOUNT: 161. TOTAL TO FORM 990-EZ, LINE 16: 131,379. |
| FORM 990-EZ, PART II, LINE 24 - OTHER ASSETS | DESCRIPTION: ACCOUNTS RECEIVABLE, NET. BEG. OF YEAR AMOUNT: 4,420. END OF YEAR AMOUNT: 0. DESCRIPTION: PREPAID EXPENSES. BEG. OF YEAR AMOUNT: 0. END OF YEAR AMOUNT: 88. |
| FORM 990-EZ, PART II, LINE 26 - OTHER LIABILITIES | DESCRIPTION: CREDIT CARDS. BEG. OF YEAR AMOUNT: 2,591. END OF YEAR AMOUNT: 0. DESCRIPTION: ACCRUED EXPENSES. BEG. OF YEAR AMOUNT: 0. END OF YEAR AMOUNT: 1,100. DESCRIPTION: WAGE PAYABLE. BEG. OF YEAR AMOUNT: 0. END OF YEAR AMOUNT: 2,388. DESCRIPTION: PAYROLL LIABILITIES. BEG. OF YEAR AMOUNT: 0. END OF YEAR AMOUNT: 874. |
Transfer Prsnl Bnft Contracts Decl TransferPrsnlBnftContractsDecl
| Field | Value | IRS element (for citing) |
|---|---|---|
| Declaration | THE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY,OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT.THE ORGANIZATION, DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY,OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT. | DeclarationDesc |