STRATEGY STUDIO / PUBLIC DATA EXPLORER

ACADEMIC CONSORTIUM FOR INTEGRATIVE MEDICINE & HEALTH INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
ACADEMIC CONSORTIUM FOR INTEGRATIVE MEDICINE & HEALTH INC (EIN 56-2298880)
Tax period
2016-07-01 to 2017-06-30
Filed
2018-03-19
IRS object ID
201820789349300822
Schema version
2016v3.0
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

FieldValueIRS element (for citing)
Return2018-03-19T14:11:09-05:00ReturnTs
Tax Period End2017-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410746749PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1220 SOUTH SIXTH STREET SUITE 300AddressLine1Txt
CityMINNEAPOLISCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55402ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN562298880EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ACADEMIC CONSORTIUM FOR INTEGRATIVEBusinessNameLine1Txt
Business Name Line2MEDICINE AND HEALTH INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlACADBusinessNameControlTxt
Phone7035569222PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line16728 OLD MCLEAN VILLAGE DRIVEAddressLine1Txt
CityMCLEANCityNm
State AbbreviationVAStateAbbreviationCd
ZIP22101ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLAURA DEGNONPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone7035569222PhoneNum
Signature2018-03-02SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJOHN TAUERPreparerPersonNm
PTINP00294068PTIN
Phone6123764500PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address67.137.57.251IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-03-02IPDt
IP Tm10:58:25IPTm
IP TimezoneCSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdC75C06011B73D6F66A85DAF7D5BEDF01E370C5C1AtSubmissionCreationDeviceId
At Submission Filing Device IdF3F329DFBA37A4C14C73FD596159B47BC051605FAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerROBERT SAPER MD MPHPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line16728 OLD MCLEAN VILLAGE DRIVEAddressLine1Txt
CityMCLEANCityNm
State AbbreviationVAStateAbbreviationCd
ZIP22101ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$576,946GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.IMCONSORTIUM.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2006FormationYr
Legal Domicile StateDELegalDomicileStateCd
Activity Or MissionADVANCING INTEGRATIVE MEDICINE AND HEALTH THROUGH ACADEMIC INSTITUTIONS AND HEALTH SYSTEMS.ActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$141,532PYContributionsGrantsAmt
CY Contributions Grants$260,010CYContributionsGrantsAmt
PY Program Service Revenue$1,022,000PYProgramServiceRevenueAmt
CY Program Service Revenue$292,430CYProgramServiceRevenueAmt
PY Investment Income$8,914PYInvestmentIncomeAmt
CY Investment Income$17,801CYInvestmentIncomeAmt
PY Other Revenue$15,621PYOtherRevenueAmt
CY Other Revenue$6,705CYOtherRevenueAmt
PY Total Revenue$1,188,067PYTotalRevenueAmt
CY Total Revenue$576,946CYTotalRevenueAmt
PY Grants And Similar Paid$14,532PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$1,600CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,437,325PYOtherExpensesAmt
CY Other Expenses$727,605CYOtherExpensesAmt
PY Total Expenses$1,451,857PYTotalExpensesAmt
CY Total Expenses$729,205CYTotalExpensesAmt
PY Revenues Less Expenses-$263,790PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$152,259CYRevenuesLessExpensesAmt
Total Assets BOY$1,508,341TotalAssetsBOYAmt
Total Assets EOY$1,388,935TotalAssetsEOYAmt
Total Liabilities BOY$2,500TotalLiabilitiesBOYAmt
Total Liabilities EOY$16,170TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,505,841NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,372,765NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE MISSION OF THE CONSORTIUM IS TO ADVANCE THE PRINCIPLES AND PRACTICES OF INTEGRATIVE HEALTHCARE WITHIN ACADEMIC INSTITUTIONS.MissionDesc
Significant New Program SrvcYes (1)SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$150,683ExpenseAmt
Grant$0GrantAmt
Revenue$172,500RevenueAmt
DescMEMBERSHIP SERVICES - AS AN ORGANIZATION WE ARE COMMITTED TO SHARING INFORMATION AND IDEAS, MEETING CHALLENGES TOGETHER IN A PROCESS GROUNDED IN THE VALUES OF INTEGRATIVE MEDICINE SUPPORTING MEMBER INSTITUTIONS AND PROVIDING A NATIONAL VOICE FOR INTEGRATIVE MEDICINE. OUR MEMBERSHIP CURRENTLY INCLUDES APPROXIMATELY 60 HIGHLY ESTEEMED ACADEMIC MEDICAL CENTERS. PROVIDING ONLINE SERVICES FOR DUES PAYMENTS, CONFERENCE REGISTRATIONS, RELEVANT INFORMATION SHARING, PROGRAM UPDATES AND ANNOUNCEMENTS, VOTING PLATFORMS, AWARDS, MATERIALS ACCESS, ONLINE PRESENCE FOR PUBLIC ACCESS, AND MORE.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$206,030ExpenseAmt
Grant$0GrantAmt
Revenue$35,450RevenueAmt
DescCONFERENCES/MEETINGS - ANNUAL CONFERENCE FOR MEMBERS AND NONMEMBERS WITH LIKE INTERESTS TO COLLABORATE AND SHARE INFORMATION IN THE FIELD OF INTEGRATIVE MEDICINE AND PERIODIC LEADERSHIP MEETINGS FOR STRATEGIC PLANNING AND GOVERNANCE.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$67,268ExpenseAmt
Grant$0GrantAmt
Revenue$74,480RevenueAmt
DescHSRA GRANT - AS AN ORGANIZATION WE WILL, (1) PROVIDE UAZPIM WITH INTEGRATIVE MEDICINE CONTENT EXPERTISE; (2) COLLABORATE WITH CIMPC TO DISSEMINATE AND SUSTAIN EVIDENCE BASED IM CURRICULA INTO PRIMARY CARE RESIDENCY AND OTHER TRAINING PROGRAMS, AND (3) CONTRIBUTE TO THE EVIDENCE-BASE FOR IM THROUGH OUR RESEARCH ACTIVITIES AND CONGRESSES. WE WILL PROVIDE SPECIFIC EXPERTS, COORDINATE DISSEMINATION ACTIVITIES WITH CIMPC; AND CONVENE LIVE INTERPROFESSIONAL TRAININGS. IN YEARS 2 AND 3 OF THE PROJECT, THE CONSORTIUM WILL CONVENE 1-2 DAY LONG INTERPROFESSIONAL INTEGRATIVE MEDICINE WORKSHOPS FOR APPROXIMATELY 200 PRIMARY CARE PROFESSIONALS AND TRAINEES. THESE WILL BE HELD IN CONJUNCTION WITH THE CONSORTIUM'S 2016 RESEARCH CONGRESS AND 2017 ANNUAL MEETING.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$203,409ExpenseAmt
Grant$1,600GrantAmt
Revenue$11,400RevenueAmt
DescGFF, HRSA, BRAVEWELL, AND LEAPDesc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$203,409TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$1,600TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$11,400TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$627,390TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (1)BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document9IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members7GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org DocumentsYes (1)ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldVAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DEGNON ASSOCIATESBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7035569222PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line16728 OLD MCLEAN VILLAGE DRIVEAddressLine1Txt
CityMCLEANCityNm
State AbbreviationVAStateAbbreviationCd
ZIP22101ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
ROBERT SAPER MD MPH
CHAIR20.00Yes (X)Yes (X)$0$0$0
LORENZO COHEN PHD
VICE CHAIR3.00Yes (X)Yes (X)$0$0$0
SUSAN CARTER MMHC
SECRETARY/TREASURER3.00Yes (X)Yes (X)$0$0$0
MARGARET CHESNEY PHD
IMMEDIATE PAST CHAIR3.00Yes (X)Yes (X)$0$0$0
BRENT BAUER MD
MEMBER AT LARGE3.00Yes (X)$0$0$0
FRANCOISE ADAN MD
MEMBER AT LARGE2.50Yes (X)$0$0$0
SIAN COTTON PHD
MEMBER AT LARGE2.50Yes (X)$0$0$0
MARYANNA KLATT PHD
DIRECTOR, THROUGH 04/20172.50Yes (X)$0$0$0
LAURA DEGNON CAE
EXECUTIVE DIRECTOR20.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DEGNON ASSOCIATES INCBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line16728 OLD MCLEAN VILLAGE DRIVEAddressLine1Txt
CityMCLEANCityNm
State AbbreviationVAStateAbbreviationCd
ZIP22101ZIPCd
FieldValueIRS element (for citing)
ServicesMANAGEMENT SERVICESServicesDesc
Compensation$350,000CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
All Other Contributions$260,010AllOtherContributionsAmt
Total Contributions$260,010TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
MEMBERSHIP DUES900099$172,500$172,500$0
GOVERNMENT GRANTS900099$74,480$74,480$0
CONFERENCES900099$35,450$35,450$0
LEAP REGISTRATION900099$10,000$10,000
FieldValueIRS element (for citing)
Total Program Service Revenue$292,430TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$17,801TotalRevenueColumnAmt
Exclusion$17,801ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS INCOMEDesc
Business900099BusinessCd
Total Revenue Column$6,705TotalRevenueColumnAmt
Related Or Exempt Func Income$1,400RelatedOrExemptFuncIncomeAmt
Exclusion$5,305ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$6,705OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$576,946TotalRevenueColumnAmt
Related Or Exempt Func Income$293,830RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$23,106ExclusionAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$1,600TotalAmt
Program Services$1,600ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$350,000TotalAmt
Program Services$287,273ProgramServicesAmt
Management And General$62,727ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$225TotalAmt
Management And General$225ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$11,635TotalAmt
Management And General$11,635ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$5,000TotalAmt
Management And General$5,000ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$12,840TotalAmt
Program Services$3,366ProgramServicesAmt
Management And General$9,474ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$14,194TotalAmt
Program Services$14,194ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$24,480TotalAmt
Program Services$16,000ProgramServicesAmt
Management And General$8,480ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$81,364TotalAmt
Program Services$81,364ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$5,941TotalAmt
Program Services$3,961ProgramServicesAmt
Management And General$1,980ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,748TotalAmt
Management And General$1,748ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
LEAPS AND GFF COMMUNICA$92,039$92,039
HRSA$57,028$57,028
JOURNAL$39,201$39,201
BRAVEWELL LEGACY BOOKS$26,870$26,870

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$5,040TotalAmt
Program Services$4,494ProgramServicesAmt
Management And General$546ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$729,205TotalAmt
Program Services$627,390ProgramServicesAmt
Management And General$101,815ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$819,263BOYAmt
EOY$792,789EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$30,000BOYAmt
EOY$20,000EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$162,167BOYAmt
EOY$27,313EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,500BOYAmt
EOY$28,180EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$488,469BOYAmt
EOY$520,653EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$5,942BOYAmt
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,508,341BOYAmt
EOY$1,388,935EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
EOY$2,420EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$2,500BOYAmt
EOY$13,750EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,500BOYAmt
EOY$16,170EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,322,067BOYAmt
EOY$1,136,200EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$183,774BOYAmt
EOY$236,565EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,505,841BOYAmt
EOY$1,372,765EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,508,341BOYAmt
EOY$1,388,935EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$152,259ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$19,183NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$130,994CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$243,052CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,342,567CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$311,498CurrentTaxYearMinus1YearAmt
Current Tax Year$260,010CurrentTaxYearAmt
Total$2,288,121TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$130,994CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$243,052CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,342,567CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$311,498CurrentTaxYearMinus1YearAmt
Current Tax Year$260,010CurrentTaxYearAmt
Total$2,288,121TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$1,654,505SubstantialContributorsTotAmt
Public Support Total170$633,616PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,468CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,345CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,284CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$19,601CurrentTaxYearMinus1YearAmt
Current Tax Year$17,801CurrentTaxYearAmt
Total$41,499TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$575CurrentTaxYearMinus3YearsAmt
Total$575TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,184CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$500CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$13,460CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,621CurrentTaxYearMinus1YearAmt
Current Tax Year$6,705CurrentTaxYearAmt
Total$32,470TotalAmt
FieldValueIRS element (for citing)
Total Support$2,362,665TotalSupportAmt
Gross Receipts Rltd Activities$2,457,970GrossReceiptsRltdActivitiesAmt
Public Support CY1700.26820PublicSupportCY170Pct
Public Support PY1700.31420PublicSupportPY170Pct
Ten Pct Facts Crcmstncs Test CYYes (X)TenPctFactsCrcmstncsTestCYInd
Facts And Circumstances TestTHE ORGANIZATION MAINTAINS ACTIVE COMMUNITY SUPPORT WHICH HAS SUCCESSFULLYATTRACTED CONTRIBUTIONS FROM THE GENERAL PUBLIC. THEIR ANNUAL FUNDRAISINGEFFORTS PROVIDE AN OPPORTUNITY FOR THE GENERAL PUBLIC TO KNOW MORE ABOUTTHE ORGANIZATION AND TO SUPPORT THE ORGANIZATION'S PROGRAMS. THEORGANIZATION'S BOARD OF DIRECTORS REPRESENTS LEADERSHIP FROM AND OF THECOMMUNITY, AS WELL AS NONPROFIT MANAGEMENT EXPERTISE. THE BOARD HAS BEENDESIGNED BOTH TO FACILIATE INVOLVEMENT BY FUNDERS AND TO ENSUREACCOUNTABILITY TO THE BROAD COMMUNITY THE CLINIC SERVES. THE ORGANIZATIONHAS MANY PROGRAMS, COLLABORATIONS, AND RESOURCES AVAILABLE THAT PROVIDES THE PUBLIC AND COMMUNITY BENEFITS. THE ORGANIZATION HAS BEEN BROADENING ITS BASE OF SUPPORT THROUGH VARIOUS SOLICITATION EFFORTS TOWARDS THE GENERAL PUBLIC.FactsAndCircumstancesTestTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$596,129TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$19,183NetUnrealizedGainsInvstAmt
Revenue Not Reported$19,183RevenueNotReportedAmt
Revenue Subtotal$576,946RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$576,946TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$729,205TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$729,205ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$729,205TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. IT HAS BEEN CLASSIFIED AS AN ASSOCIATION THAT IS NOT A PRIVATE FOUNDATION UNDER THE INTERNAL REVENUE CODE AND CHARITABLE CONTRIBUTIONS BY DONORS ARE TAX DEDUCTIBLE. THE ORGANIZATION IS ALSO EXEMPT FROM STATE INCOME TAXES. THE ORGANIZATION FOLLOWS THE PROVISIONS OF ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. THIS STANDARD CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS AND PRESCRIBES A RECOGNITION THRESHOLD FOR THE FINANCIAL STATEMENT RECOGNITION OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN THAT ARE NOT CERTAIN TO BE REALIZED.ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
DEGNON ASSOCIATES INC
LAURA DEGNON IS OWNER OF DEGNON ASSOCIATES, INC AND ED FOR THE ORGANIZATION$350,000DEGNON AND ASSOCIATES PROVIDES MANAGEMENT SERVICES TO THE ORGANIZATION.0
OMV LLC
LAURA DEGNON IS MEMBER OF OMV, LLC AND PROVIDES ED SERVICES TO ORGANIZATION$24,000RENT PAID BY ORGANIZATION TO OMV, LLC0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 2HRSA GRANT AND BRAVEWELL LEGACY BOOK PROGRAMS WERE ADDED DURING THE YEAR.
FORM 990, PART VI, SECTION A, LINE 3THE CONSORTIUM HIRED DEGNON ASSOCIATES, INC. AS THE ACCREDITED ASSOCIATION MANAGEMENT COMPANY.
FORM 990, PART VI, SECTION A, LINE 4THE ORGANIZATION CHANGED THE BOARD OF DIRECTORS COMPOSITION SINCE THE PRIOR FORM 990 WAS FILED. THE ORGANIZATIONS COMBINED THE SECRETARY AND TREASURER POSITION INTO ONE POSITION, SECRETARY-TREASURER. ADDITIONALLY THE ORGANIZATION WENT FROM ONE AT LARGE MEMBER AND THE MEMBERSHIP CHAIR TO THREE AT LARGE MEMBERS.
FORM 990, PART VI, SECTION A, LINE 6THE ORGANIZATION HAS APPROXIMATELY 72 MEMBER INSTITUTIONS.
FORM 990, PART VI, SECTION A, LINE 7AMEMBER ORGANIZATIONS EACH PUT FORTH ONE REPRESENTATIVE WITH VOTING RIGHTS FOR OFFICER/BOARD ELECTIONS.
FORM 990, PART VI, SECTION B, LINE 11BTHE ORGANIZATION'S EXECUTIVE DIRECTOR AND TREASURER FIRST APPROVE A DRAFT OF THE FORM 990 BEFORE IT IS FORWARDED TO THE ORGANIZATION'S BOARD MEMBERS FOR THEIR REVIEW.
FORM 990, PART VI, SECTION B, LINE 12CDETERMINING WHETHER A CONFLICT OF INTEREST EXISTS: BOARD OF DIRECTORS AND BOARD-DELEGATED WORKING GROUPS, ACTION TEAMS AND COMMITTEES: AT ANY MEETING, AFTER DISCLOSURE OF THE CONFLICT OF INTEREST AND ALL MATERIAL FACTS, AND AFTER DISCUSSION WITH THE INTERESTED PERSON, SUCH PERSON 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 BY MAJORITY VOTE IF A CONFLICT OF INTEREST EXISTS. EXECUTIVE DIRECTOR: AN EMPLOYEE SHALL DISCLOSE ANY CONFLICT OF INTEREST TO THE EXECUTIVE DIRECTOR. THE EMPLOYEE SHALL MAKE THE DISCLOSURE PROMPTLY UPON LEARNING OF THE CONFLICT. IF THERE IS A QUESTION AS TO WHETHER THE EMPLOYEE HAS SUBSTANTIAL INFLUENCE OVER THE CONSORTIUM THE EXECUTIVE DIRECTOR SHALL PRESENT THE ISSUE TO THE BOARD WHO SHALL DECIDE BY MAJORITY VOTE IF A CONFLICT OF INTEREST EXISTS. THE EXECUTIVE DIRECTOR SHALL PROMPTLY DISCLOSE TO THE BOARD THEIR POTENTIAL CONFLICTS OF INTEREST AND ALL MATERIAL FACTS. AFTER DISCUSSION WITH THE EXECUTIVE DIRECTOR, THE EXECUTIVE DIRECTOR SHALL LEAVE WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE BOARD SHALL DECIDE BY MAJORITY VOTE IF A CONFLICT OF INTEREST EXISTS. PROCEDURES FOR ADDRESSING THE CONFLICT OF INTEREST THE INTERESTED PERSON MAY MAKE A PRESENTATION AT THE BOARD OR COMMITTEE MEETING, BUT AFTER THE PRESENTATION, THE PERSON SHALL LEAVE THE MEETING DURING DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT THAT RESULTS IN A CONFLICT OF INTEREST. THE BOARD OR COMMITTEE CHAIRPERSON, IF APPROPRIATE, SHALL APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER EXERCISING DUE DILIGENCE, THE BOARD OR COMMITTEE SHALL DETERMINE WHETHER THE CONSORTIUM CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT WITH REASONABLE EFFORTS THAT DOES NOT PRESENT A CONFLICT OF INTEREST. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT ATTAINABLE UNDER THE CIRCUMSTANCES, THE BOARD OR COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS OR COMMITTEE MEMBERS IF THE TRANSACTION OR ARRANGEMENT IS IN THE CONSORTIUM'S BEST INTEREST. A DECISION IS THEN MADE AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT IN CONFORMITY WITH THE DECISION.
FORM 990, PART VI, SECTION B, LINE 15AIN OCTOBER 2014, THE CONSORTIUM MADE THE DECISION TO HIRE AN ASSOCIATION MANAGEMENT COMPANY (AMC) AND THEREFORE RELEASED THE EXECUTIVE DIRECTOR UNDER DIRECT EMPLOYMENT IN MINNESOTA. MANAGEMENT FEE TO THE AMC (DEGNON ASSOCIATES, INC.) INCLUDES EXECUTIVE DIRECTOR AND STAFF SUPPORT POSITIONS. THE FEE IS REVIEWED WITHIN THE CONTRACT PRIOR TO APPROVAL. THE DECISION TO HIRE AN AMC WAS BASED ON REVIEW OF CURRENT MARKET DATA. THE PROCESS AND DECISION WAS MADE BY THE BOARD. NO INDIVIDUAL COMPENSATION IS PART OF THE PROCESS.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.