WEST VIRGINIA HEALTH INFORMATION NETWORK: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- WEST VIRGINIA HEALTH INFORMATION NETWORK (EIN 82-3386945)
- Tax period
- 2020-07-01 to 2021-06-30
- Filed
- 2022-05-16
- IRS object ID
- 202221369349303502
- Schema version
- 2020v4.2
- 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 | 2022-05-16T09:24:26-05:00 | ReturnTs |
| Tax Period End | 2021-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 410746749 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2523 US HIGHWAY 27 S | AddressLine1Txt |
| City | SEBRING | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 338704926 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 823386945 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WEST VIRGINIA HEALTH INFORMATION | BusinessNameLine1Txt |
| Business Name Line2 | NETWORK INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | WEST | BusinessNameControlTxt |
| Phone | 3045584503 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 WASHINGTON STREET EAST NO 124 | AddressLine1Txt |
| City | CHARLESTON | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 25301 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SONIA CHAMBERS | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 3045584503 | PhoneNum |
| Signature | 2022-05-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | SONIA | PersonFirstNm |
| Person Last | CHAMBERS | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | KRISTINA HIMROD CPA | PreparerPersonNm |
| PTIN | P01544190 | PTIN |
| Phone | 8633851577 | PhoneNum |
| Preparation | 2022-05-09 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | SONIA CHAMBERS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 WASHINGTON STREET EAST NO 124 | AddressLine1Txt |
| City | CHARLESTON | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 25301 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $4,713,889 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.WVHIN.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2017 | FormationYr |
| Legal Domicile State | WV | LegalDomicileStateCd |
| Activity Or Mission | PROVIDE THE HEALTH CARE COMMUNITY WITH AN ELECTRONIC STRUCTURE FOR MEDICAL DATA EXCHANGE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 17 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,353,968 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,233,686 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $1,300,914 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $1,480,203 | CYProgramServiceRevenueAmt |
| PY Investment Income | $10,153 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $3,665,035 | PYTotalRevenueAmt |
| CY Total Revenue | $4,713,889 | 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 | $561,666 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $626,263 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,707,192 | PYOtherExpensesAmt |
| CY Other Expenses | $3,676,774 | CYOtherExpensesAmt |
| PY Total Expenses | $3,268,858 | PYTotalExpensesAmt |
| CY Total Expenses | $4,303,037 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $396,177 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $410,852 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $2,605,784 | TotalAssetsBOYAmt |
| Total Assets EOY | $3,243,560 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,038,074 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,264,998 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,567,710 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,978,562 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | PROVIDE THE HEALTH CARE COMMUNITY WITH A TRUSTED, INTEGRATED AND SEAMLESS ELECTRONIC STRUCTURE ENABLING MEDICAL DATA EXCHANGE NECESSARY FOR HIGH-QUALITY, PATIENT-CENTERED CARE | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $3,878,830 | ExpenseAmt |
| Revenue | $1,480,203 | RevenueAmt |
| Desc | HEALTH INFORMATION TECHNOLOGY (HIT) IMPLEMENTATION ADVANCED PLANNING DOCUMENT (IAPD): WITH THE ASSISTANCE OF IAPD FUNDS WVHIN HAS ACCOMPLISHED THE FOLLOWING:- ROLLED OUT CLINICAL DATA ACCESS VIA THE UNIFIED LANDING PAGE (ULP) TO OVER 3,500 USERS, INCLUDING ALL MEDICAID MANAGED CARE ORGANIZATIONS (MCOS), DISEASE INVESTIGATORS AND FIRST RESPONDERS- SENT OVER 19.7 MILLION ENCOUNTER NOTIFICATIONS TO PARTICIPATING ORGANIZATIONS IN THE PAST YEAR- BEGAN DISPLAYING FEE-FOR-SERVICE MEDICAID CLAIMS AND MANAGED CARE ENCOUNTER DATA IN ULPCONTINUED ON SCHEDULE O- REESTABLISHED CONNECTION TO THE WEST VIRGINIA END-OF-LIFE REGISTRY AND MADE ADVANCE DIRECTIVES AND MEDICAL ORDERS ACCESSIBLE VIA THE ULP- IMPLEMENTED NUMEROUS TOOLS TO ASSIST PARTICIPANTS AND PUBLIC HEALTH OFFICIALS WITH THE STATE COVID -19 RESPONSE INCLUDING: VARIOUS MEANS OF ELECTRONICALLY REPORTING COVID LAB RESULTS, PROVIDING LAB RESULTS TO TREATING PROVIDERS, TOOLS TO ASSIST WITH VACCINE STATUS AND OUTREACH, ENHANCING THE RACE AND ETHNICITY IDENTIFICATION OF COVID LAB RESULTS, SOPHISTICATED BREAKTHROUGH AND REINFECTION REPORTS. - RECEIVING ADMIT, DISCHARGE, AND TRANSFER (ADT) DATA DIRECTLY FROM 45 HOSPITALS, 8 POST-ACUTE CARE ORGANIZATIONS, THE LARGEST URGENT CARE ORGANIZATION IN WEST VIRGINIA, AND A FEW INDEPENDENT AMBULATORY PRACTICES- RECEIVING CLINICAL DATA FROM 31 HOSPITALS, WITH ADDITIONAL PROJECTS UNDERWAY TO INCREASE THE NUMBER OF HOSPITALS TRANSMITTING CLINICAL DATA AND ENHANCING THE CURRENT DATA- DEVELOPED SEVERAL HUB MODELS TO EASE IN THE DELIVERY OF ADTS AND CCDS FROM AMBULATORY ELECTRONIC HEALTH RECORD VENDORS. - ENABLED ROLES FOR PARTICIPANTS TO VIEW HIE DATA IN-CONTEXT (DIRECTLY IN WORKFLOW) | Desc |
| Total Program Service Expenses | $3,878,830 | 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 |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | 0 | 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 With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| 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 | 8 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| 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 |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | 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 | 0 | 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 | WV | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CRISP | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4437414902 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7160 COLUMBIA GATEWAY DR | AddressLine1Txt |
| City | COLUMBIA | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 21046 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
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 |
|---|---|---|---|---|---|---|
| KIMBERLY CLARKE | ||||||
| CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| JEFF SANDENE | ||||||
| VICE CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| JAMES FAWCETT | ||||||
| SECRETARY/TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| TONY ATKINS | ||||||
| DIRECTOR UNTIL 10/2020 | 0.50 | Yes (X) | $0 | $0 | $0 | |
| R THOMAS BOWDEN | ||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | |
| MICHELLE COON | ||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | |
| JUSTIN DAVIS | ||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | |
| CINDY FARLEY | ||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | |
| SHERRI FERRELL | ||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | |
| KAREN FITZPATRICK | ||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | |
| MICHAEL MCCARTHY | ||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | |
| AARON SPURLOCK | ||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | |
| KAREN YOST | ||||||
| DIRECTOR UNTIL 6/2021 | 0.50 | Yes (X) | $0 | $0 | $0 | |
| BECKY MANNING | ||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | |
| BJ EVANS | ||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | |
| SONIA CHAMBERS | ||||||
| EXECUTIVE DIRECTOR | 40.00 | Yes (X) | $0 | $0 | $0 | |
| DENISE HERSHEY | ||||||
| CHIEF OPERATING OFFICER | 40.00 | Yes (X) | $0 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | 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 (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CRISP | |||||
| 7160 COLUMBIA GATEWAY DRIVE | COLUMBIA | MD | 21046 | TECHNICAL INFRASTRUCTURE | $3,153,920 |
| MARSHALL HEALTH | |||||
| 1600 MEDICAL CENTER DRIVE | HUNTINGTON | WV | 25701 | LEASED EMPLOYEES | $643,248 |
| WV HEALTH CARE AUTHORITY | |||||
| ONE DAVIS SQUARE SUITE 403 | CHARLESTON | WV | 25301 | GOVERNMENT AGENCY | $371,521 |
| GREEN ROSE | |||||
| 223 MAPLEWOOD ESTS | SCOTT DEPOT | WV | 25560 | CONSULTING SERVICES | $242,878 |
| JACKSON KELLY PLLC | |||||
| PO BOX 45705 | BALTIMORE | MD | 21297 | LEGAL SERVICES | $113,635 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $3,233,686 | GovernmentGrantsAmt |
| Total Contributions | $3,233,686 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | USER FEES | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $1,480,203 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,480,203 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $1,480,203 | TotalProgramServiceRevenueAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,713,889 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,480,203 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | 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 | $237,775 | TotalAmt |
| Program Services | $191,781 | ProgramServicesAmt |
| Management And General | $45,994 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $286,186 | TotalAmt |
| Program Services | $222,178 | ProgramServicesAmt |
| Management And General | $64,008 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,650 | TotalAmt |
| Program Services | $9,337 | ProgramServicesAmt |
| Management And General | $313 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $92,652 | TotalAmt |
| Program Services | $81,826 | ProgramServicesAmt |
| Management And General | $10,826 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $75,426 | TotalAmt |
| Management And General | $75,426 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,300 | TotalAmt |
| Management And General | $25,300 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,465,031 | TotalAmt |
| Program Services | $3,354,954 | ProgramServicesAmt |
| Management And General | $110,077 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,758 | TotalAmt |
| Program Services | $449 | ProgramServicesAmt |
| Management And General | $5,309 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,047 | TotalAmt |
| Management And General | $23,047 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,502 | TotalAmt |
| Management And General | $3,502 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,700 | TotalAmt |
| Management And General | $29,700 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,547 | TotalAmt |
| Program Services | $229 | ProgramServicesAmt |
| Management And General | $1,318 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,904 | TotalAmt |
| Management And General | $27,904 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEMBERSHIPS & DUES | $17,759 | $17,674 | $85 |
| TRAINING | $1,690 | $402 | $1,288 |
| LICENSES & REGISTRATION | $110 | $110 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,303,037 | TotalAmt |
| Program Services | $3,878,830 | ProgramServicesAmt |
| Management And General | $424,207 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,297,193 | BOYAmt |
| EOY | $1,278,799 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,106,016 | BOYAmt |
| EOY | $1,698,364 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $189,150 | BOYAmt |
| EOY | $248,823 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,425 | BOYAmt |
| EOY | $17,574 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,605,784 | BOYAmt |
| EOY | $3,243,560 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,038,074 | BOYAmt |
| EOY | $1,264,998 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,038,074 | BOYAmt |
| EOY | $1,264,998 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,567,710 | BOYAmt |
| EOY | $1,978,562 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,567,710 | BOYAmt |
| EOY | $1,978,562 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,605,784 | BOYAmt |
| EOY | $3,243,560 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $410,852 | 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 Minus3 Years | $2,124,690 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,033,764 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,353,968 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,233,686 | CurrentTaxYearAmt |
| Total | $9,746,108 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $2,124,690 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,033,764 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,353,968 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,233,686 | CurrentTaxYearAmt |
| Total | $9,746,108 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $9,746,108 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $10,946 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $10,153 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $21,099 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $9,767,207 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $4,087,165 | GrossReceiptsRltdActivitiesAmt |
| First5 Years170 | Yes (X) | First5Years170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II, SHORT YEAR EXPLANATION | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION WAS INCORPORATED ON NOVEMBER 9, 2017 AND HAS ELECTED A FISCAL YEAR END OF JUNE 30TH. THEREFORE, AN INITIAL SHORT YEAR RETURN WAS FILED. | 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $0 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $4,713,889 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $4,713,889 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $4,713,889 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $4,303,037 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $4,303,037 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $4,303,037 | TotalExpensesPerForm990Amt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 1 | THE EXECUTIVE COMMITTEE SHALL BE COMPRISED OF FIVE (5) MEMBERS CONSISTING OF THE CHAIR, VICE CHAIR, SECRETARY-TREASURER, THE IMMEDIATE PAST CHAIR, AND ONE (1) ADDITIONAL DIRECTOR APPOINTED BY THE CHAIR AND APPROVED BY THE BOARD. THE EXECUTIVE COMMITTEE SHALL MEET IN ACCORDANCE WITH ANY STANDING RESOLUTION OF THE COMMITTEE, OR WHEN CALLED BY THE CHAIR. THE EXECUTIVE COMMITTEE SHALL PERFORM THE DUTIES DELEGATED TO IT BY THESE BYLAWS, SHALL TRANSACT ALL BUSINESS REFERRED TO IT BY THE BOARD, SHALL PERFORM WHEN NECESSARY THE DUTIES OF THE BOARD BETWEEN REGULAR MEETINGS OF THE BOARD, SHALL MAKE A REPORT FOR APPROVAL OF ALL TRANSACTIONS TO THE BOARD, AND SHALL ACT IN EMERGENCIES ON BEHALF OF THE BOARD. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS PRESENTED TO THE EXECUTIVE/FINANCE COMMITTEE FOR REVIEW PRIOR TO FILING, AND PRESENTED TO THE FULL BOARD AT THE NEXT MEETING BUT NOT PRIOR TO FILING WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | ANY DIRECTOR, OFFICER, OR MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWERS, WHO HAS A DIRECT OR INDIRECT FINANCIAL INTEREST IS AN INTERESTED PERSON. AN INTERESTED PERSON MAY MAKE A PRESENTATION AT THE BOARD OR COMMITTEE MEETING, BUT AFTER SUCH PRESENTATION, HE OR SHE SHALL ABSTAIN FROM MAKING MOTIONS, VOTING, EXECUTING AGREEMENTS, OR TAKING ANY OTHER SIMILAR ACTION ON BEHALF OF THE CORPORATION TO WHICH THE CONFLICT MIGHT PERTAIN. AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE OR SHE SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. IF A CONFLICT OF INTEREST IS DETERMINED TO EXIST, THE INTERESTED PERSON SHALL NOT TAKE PART IN ANY DISCUSSIONS OF THE PROPOSED ARRANGEMENT OR TRANSACTION, AND SHALL ABSENT HIMSELF OR HERSELF FROM ANY MEETINGS, VOTES, OR OTHER DELIBERATIONS THEREON. UPON RECEIPT OF A DISCLOSURE NOTICE FROM AN INTERESTED PERSON REGARDING A TRANSACTION, THAT TRANSACTION SHALL NOT BE ENTERED INTO BY THE CORPORATION WITHOUT THE AUTHORIZATION OF THE BOARD OF DIRECTORS BASED UPON THE DETERMINATION OF THE MAJORITY OF DISINTERESTED VOTING DIRECTORS THAT THE TRANSACTION IS FAIR AND REASONABLE TO THE CORPORATION AT THE TIME IT IS AUTHORIZED. |
| FORM 990, PART VI, SECTION B, LINE 15A | THE EXECUTIVE COMMITTEE OF THE GOVERNING BODY MADE UP OF INDEPENDENT PERSONS REVIEW COMPARABILITY DATA AND MAKE A RECOMMENDATION REGARDING OFFICER COMPENSATION TO THE GOVERNING BODY FOR APPROVAL. THIS PROCESS WAS LAST COMPLETED IN 2019. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | DEAP: PROGRAM SERVICE EXPENSES 112,500. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 112,500. CONTRACTUAL SERVICES: PROGRAM SERVICE EXPENSES 3,242,454. MANAGEMENT AND GENERAL EXPENSES 110,077. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,352,531. |