TRISTATE TRAUMA NETWORK: Form 990EZ, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- TRISTATE TRAUMA NETWORK (EIN 75-3256296)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-05-11
- IRS object ID
- 201831319349200923
- Schema version
- 2017v2.3
- 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 | 2018-05-11T10:19:58-04:00 | ReturnTs |
| Tax Period End | 2017-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 202213517 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RBSK PARTNERS PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 200 | AddressLine1Txt |
| City | GREENSBURG | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 472400200 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnTypeCd |
| Tax Period Begin | 2017-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 753256296 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE PARTNERSHIP OF MENTAL HEALTH I | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PART | BusinessNameControlTxt |
| Phone | 8125323471 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 71 CAVALIER BLVD STE 209 | AddressLine1Txt |
| City | FLORENCE | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 41042 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LUCY GILLESPIE | PersonNm |
| Person Title | CHAIR | PersonTitleTxt |
| Phone | 8125323471 | PhoneNum |
| Signature | 2018-05-02 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JOHN G SEALE CPACITP | PreparerPersonNm |
| PTIN | P00011210 | PTIN |
| Phone | 8126637567 | PhoneNum |
| Preparation | 2018-05-08 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | Yes (X) | AddressChangeInd |
| 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 | $183,119 | GrossReceiptsAmt |
| Info In Schedule O Part I | Yes (X) | InfoInScheduleOPartIInd |
| Contributions Gifts Grants Etc | $53,257 | ContributionsGiftsGrantsEtcAmt |
| Program Service Revenue | $126,707 | ProgramServiceRevenueAmt |
| Fundraising Gross Income | $3,155 | FundraisingGrossIncomeAmt |
| Special Events Net Income Loss | $3,155 | SpecialEventsNetIncomeLossAmt |
| Total Revenue | $183,119 | TotalRevenueAmt |
| Salaries Other Comp Empl Bnft | $66,605 | SalariesOtherCompEmplBnftAmt |
| Fees And Other Pymt To Ind Cntrct | $83,342 | FeesAndOtherPymtToIndCntrctAmt |
| Occupancy Rent Utlts And Maint | $2,090 | OccupancyRentUtltsAndMaintAmt |
| Printing Publications Postage | $763 | PrintingPublicationsPostageAmt |
| Other Expenses Total | $61,467 | OtherExpensesTotalAmt |
| Total Expenses | $214,267 | TotalExpensesAmt |
| Excess Or Deficit For Year | -$31,148 | ExcessOrDeficitForYearAmt |
| Net Assets Or Fund Balances BOY | $123,315 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $92,167 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part II | Yes (X) | InfoInScheduleOPartIIInd |
Cash Savings And Investments CashSavingsAndInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $123,834 | BOYAmt |
| EOY | $82,436 | EOYAmt |
Other Assets Total Detail OtherAssetsTotalDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,441 | BOYAmt |
| EOY | $29,719 | EOYAmt |
Form990 Total Assets Form990TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $130,275 | BOYAmt |
| EOY | $112,155 | EOYAmt |
Sum Of Total Liabilities SumOfTotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,960 | BOYAmt |
| EOY | $19,988 | EOYAmt |
Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $123,315 | BOYAmt |
| EOY | $92,167 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Primary Exempt Purpose | PROMOTE MENTAL HEALTH THROUGH COMMUNITY EDUCATION, ADVOCACY AND COLLABORATION. | PrimaryExemptPurposeTxt |
Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Program Srvc Accom | THE PARTNERSHIP FOR MENTAL HEALTH, INC. PROMOTES MENTAL HEALTH THROUGH COMMUNITY EDUCATION, ADVOCACY AND COLLABORATION. | DescriptionProgramSrvcAccomTxt |
| Program Service Expenses | $190,358 | ProgramServiceExpensesAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $190,358 | TotalProgramServiceExpensesAmt |
Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (14 entries)
| TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt |
|---|---|---|
| JANE HERMS | ||
| BOARD MEMBER | 4.00 | $0 |
| TRICIA BURKE | ||
| BOARD MEMBER | 4.00 | $0 |
| LUCY GILLESPIE | ||
| CHAIR | 4.00 | $0 |
| JODIE SHORT | ||
| BOARD MEMBER | 4.00 | $0 |
| JODI HARDING | ||
| VICE CHAIR | 4.00 | $0 |
| BRENDA KONRADI | ||
| BOARD MEMBER | 4.00 | $0 |
| MELANIE PALMER | ||
| BOARD MEMBER | 4.00 | $0 |
| CATHY PICHE | ||
| TREASURER | 4.00 | $0 |
| MARIA PIOMBO | ||
| SECRETARY | 4.00 | $0 |
| MARIA ANTE | ||
| BOARD MEMBER | 4.00 | $0 |
| AMANDA BROWN | ||
| BOARD MEMBER | 4.00 | $0 |
| ROSALYN BROWN-BEATTY | ||
| BOARD MEMBER | 4.00 | $0 |
| CRYSTAL LEUGERS | ||
| BOARD MEMBER | 4.00 | $0 |
| MELISSA ADAMCHIK | ||
| EXECUTIVE DI | 40.00 | $54,320 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRptInd |
| Chg Made To Orgnzng Doc Not Rpt | false | ChgMadeToOrgnzngDocNotRptInd |
| Organization Had UBI | false | OrganizationHadUBIInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Organization Dissolved Etc | false | OrganizationDissolvedEtcInd |
| Form1120 Pol Filed | false | Form1120PolFiledInd |
| Made Loans To From Officers | false | MadeLoansToFromOfficersInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| States Where Copy Of Return Is Fld | IN | StatesWhereCopyOfReturnIsFldCd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ONE COMMUNITY ONE FAMILY | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 22 N PARK AVENUE | AddressLine1Txt |
| City | BATESVILLE | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 47006 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8125323471 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Foreign Office | false | ForeignOfficeInd |
| Donor Advised Fnds | false | DonorAdvisedFndsInd |
| Operate Hospital | false | OperateHospitalInd |
| Tanning Services Provided | false | TanningServicesProvidedInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| School Operating | false | SchoolOperatingInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Part VI Of Comp Of Hghst Pd Empl | NONE | PartVIOfCompOfHghstPdEmplTxt |
| Part VI Hghst Pd Cntrct Prof Srvc | NONE | PartVIHghstPdCntrctProfSrvcTxt |
| Filed Schedule A | Yes (true) | FiledScheduleAInd |
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 Minus2 Years | $91,850 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $86,458 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $53,257 | CurrentTaxYearAmt |
| Total | $231,565 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $91,850 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $86,458 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $53,257 | CurrentTaxYearAmt |
| Total | $231,565 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $231,565 | PublicSupportTotal170Amt |
| Total Support | $231,565 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $266,832 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 1.00000 | PublicSupportCY170Pct |
| Public Support PY170 | 1.00000 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
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 (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990-EZ, PART I, LINE 16 | FUNDRAISER FUNDRAISING 4,471 EXPENSES OFFICE SUPPLIES 3,875 MILEAGE/PARKING 3,198 CONFERENCES/TRAINING 23,274 WORKERS COMPENSATION 500 INSURANCE 1,817 SUPPORT ADMINISTRATION CO 2,000 SUPPORT ADMINISTRATION CO 500 OTHER EXPENSES - MEMBERSH 980 OTHER EXPENSES - LEARNING 1,783 SUICIDE PREVENTION - PART 1,254 SUPPORT COST 7,500 SUPPORT COST 2 7,500 WEBSITE 1,405 TRAINING/EVENT SUPPLIES 1,410 TOTAL 61,467 |
| FORM 990-EZ, PART II, LINE 24 | ACCOUNTS RECEIVABLE 5,860 28,585 PREPAID EXPENSES AND DEFERRED CHARGES 581 1,134 TOTAL 6,441 29,719 |
| FORM 990-EZ, PART II, LINE 26 | ACCOUNTS PAYABLE AND ACCRUED EXPENSES 3,792 16,227 FEDERAL TAX WITHHOLDING 308 327 FICA TAX WITHHOLDING 315 365 STATE TAX WITHHOLDING 759 813 ACCRUED FICA TAX 315 365 ACCRUED PAYROLL 1,471 1,750 LOCAL TAX WITHHOLDING 0 141 |
| FORM 990-EZ, PART III | PROMOTE MENTAL HEALTH THROUGH COMMUNITY EDUCATION, ADVOCACY AND COLLABORATION. |