NORTHWEST GEORGIA REGIONAL CANCER COALITION INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: NORTHWEST GEORGIA REGIONAL CANCER COALITION INC (EIN 02-0657616)
Tax period: 2016-01-01 to 2016-12-31
Filed: 2017-06-29
IRS object ID: 201711809349300536
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-06-29T13:22:07-05:00	ReturnTs
Tax Period End	2016-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	461381910	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	WHITTINGTON JONES & RUDERT CPAS LLC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 1264	AddressLine1Txt
City	ROME	CityNm
State Abbreviation	GA	StateAbbreviationCd
ZIP	301621264	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2016-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	020657616	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	NORTHWEST GEORGIA REGIONAL CANCER	BusinessNameLine1Txt
Business Name Line2	COALITION INC	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
Business Name Control	NORT	BusinessNameControlTxt
Phone	7062919998	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	11 BRIDGEPOINT PLAZA NO 120	AddressLine1Txt
City	ROME	CityNm
State Abbreviation	GA	StateAbbreviationCd
ZIP	30161	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	GENA AGNEW	PersonNm
Person Title	EXECUTIVE DIRECTOR	PersonTitleTxt
Phone	7062919998	PhoneNum
Signature	2017-06-19	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	LISA MCWHORTER	PreparerPersonNm
PTIN	P01044722	PTIN
Phone	7062347571	PhoneNum
Preparation	2017-06-01	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	173.165.188.56	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2017-06-19	IPDt
IP Tm	14:40:30	IPTm
IP Timezone	ED	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	DB44125E40327351D88FFC540CC22E114B941245	AtSubmissionCreationDeviceId
At Submission Filing Device Id	D9094F4A93F35951889CFE9FF5346C5D03989576	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	GENA AGNEW	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	11 BRIDGEPOINT PLAZA NO 120	AddressLine1Txt
City	ROME	CityNm
State Abbreviation	GA	StateAbbreviationCd
ZIP	30161	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$403,284	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.NWGACANCER.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2000	FormationYr
Legal Domicile State	GA	LegalDomicileStateCd
Activity Or Mission	TO IMPROVE CANCER AWARENESS AND EDUCATION AND THE QUALITY AND AVAILABILITY OF CANCER CARE FOR THOSE RESIDING IN AND AROUND NORTHWEST GEORGIA THROUGH THE PROVISION OF PROGRAMS AND SERVICES. SPECIFIC GOALS OF THESE PROGRAMS AND SERVICES INCLUDE DEVELOPMENT OF THE CANCER CARE PROVIDER WORK FORCE, SERVING THE MEDICALLY UNDERSERVED AND CREATING A CONTINUM OF CANCER CARE.	ActivityOrMissionDesc
Voting Members Governing Body	11	VotingMembersGoverningBodyCnt
Voting Members Independent	11	VotingMembersIndependentCnt
Total Employee	0	TotalEmployeeCnt
Total Volunteers	0	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$54,252	PYContributionsGrantsAmt
CY Contributions Grants	$53,360	CYContributionsGrantsAmt
PY Program Service Revenue	$410,271	PYProgramServiceRevenueAmt
CY Program Service Revenue	$344,782	CYProgramServiceRevenueAmt
PY Investment Income	$214	PYInvestmentIncomeAmt
CY Investment Income	$186	CYInvestmentIncomeAmt
PY Other Revenue	$0	PYOtherRevenueAmt
CY Other Revenue	$4,956	CYOtherRevenueAmt
PY Total Revenue	$464,737	PYTotalRevenueAmt
CY Total Revenue	$403,284	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	$192,147	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$107,409	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$323,849	PYOtherExpensesAmt
CY Other Expenses	$342,691	CYOtherExpensesAmt
PY Total Expenses	$515,996	PYTotalExpensesAmt
CY Total Expenses	$450,100	CYTotalExpensesAmt
PY Revenues Less Expenses	-$51,259	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$46,816	CYRevenuesLessExpensesAmt
Total Assets BOY	$500,093	TotalAssetsBOYAmt
Total Assets EOY	$431,595	TotalAssetsEOYAmt
Total Liabilities BOY	$84,278	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$62,596	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$415,815	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$368,999	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO IMPROVE CANCER AWARENESS AND EDUCATION AND THE QUALITY AND AVAILABILITY OF CANCER CARE FOR THOSE RESIDING IN AND AROUND NORTHWEST GEORGIA THROUGH THE PROVISION OF PROGRAMS AND SERVICES. SPECIFIC GOALS FO THESE PROGRAMS AND SERVICES INCLUDE DEVELOPMENT OF THE CANCER CARE PROVIDER WORK FORCE, SERVING THE MEDICALLY UNDERSERVED AND CREATING A CONTINUM OF CANCER CARE.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$107,052	ExpenseAmt
Desc	DHR COLORECTAL/PROSTATE AWARENESS	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$65,571	ExpenseAmt
Desc	TOBACCO PREVENTION EXPENSE	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$47,293	ExpenseAmt
Desc	SCREENING PROGRAM EXPENSE	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (13 entries)

ExpenseExpenseAmt	DescDesc
$36,913	PROMOTORA DE SALUD
$591	ONC
$32,432	CERVICAL CANCER EDUCATION
$1,354	DCH COLORECTAL CANCER PROGRAM
$22,156	DPH SURVIVORSHIP GRANT
$27,205	AHA - INSURE GEORGIA
$3,460	CANCER CARE NURSE NAVIGATOR
$19,211	SUMMIT QUEST
$9,171	TRANSPORTATION ASSISTANCE
$1,364	BREAST CANCER SCREENING PROGRAM
$32,609	OUTREACH
$3,084	SKIN CANCER AWARENESS
$1,749	OTHER PROGRAM EXPENSES

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$191,299	TotalOtherProgSrvcExpenseAmt
Total Program Service Expenses	$411,215	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
Temp Or Permanent Endowments	0	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	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 With Officer Ent	0	BusinessRlnWithOfficerEntInd
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	0	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
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	11	GoverningBodyVotingMembersCnt
Independent Voting Member	11	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	0	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	0	ConflictOfInterestPolicyInd
Whistleblower Policy	0	WhistleblowerPolicyInd
Document Retention Policy	0	DocumentRetentionPolicyInd
Compensation Process CEO	0	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	GA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	GENA AGNEW	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	7062919998	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	11 BRIDGEPOINT PLAZA NO 120	AddressLine1Txt
City	ROME	CityNm
State Abbreviation	GA	StateAbbreviationCd
ZIP	30161	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt
GENA AGNEW
EXEC DIR.	40.00	Yes (X)	Yes (X)	$0	$105,409	$0
MATT MUMBER
NON-VOTING MEMBER	1.00	Yes (X)		$0	$0	$0
AMY JORDAN
VICE-CHAIRMAN	1.00	Yes (X)		$0	$0	$0
SANDY MCKENZIE
CHAIRMAN	1.00	Yes (X)		$0	$0	$0
DAN SWEITZER
TREASURER	1.00	Yes (X)		$0	$0	$0
BILL MCKAY
DIRECTOR	1.00	Yes (X)		$0	$0	$0
DANNY SMITH
DIRECTOR	1.00	Yes (X)		$0	$0	$0
JC ABDOU
DIRECTOR	1.00	Yes (X)		$0	$0	$0
ERIC TURNER
DIRECTOR	1.00	Yes (X)		$0	$0	$0
SAM NAGUIB
DIRECTOR	1.00	Yes (X)		$0	$0	$0
CHARLES STEWART
SECRETARY	1.00	Yes (X)		$0	$0	$0
ERIC GARRARD
DIRECTOR	1.00	Yes (X)		$0	$0	$0
ERIN HERNANCDEZ
EXECUTIVE VICE PRESIDENT	1.00	Yes (X)	Yes (X)	$0	$2,000	$0
SYLVIA CASTILLO
PROMOTORA PROGRAM DIRECTOR	1.00	Yes (X)		$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$0	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$107,409	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
Cntrct Rcvd Greater Than100 K	0	CntrctRcvdGreaterThan100KCnt
All Other Contributions	$53,360	AllOtherContributionsAmt
Total Contributions	$53,360	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
GA CORE	624100	$240,948	$240,948
AHA INSURE GA GRANT	624100	$47,557	$47,557
GA TECH SMART HEALTH G	624100	$30,000	$30,000
DPH CERVICAL CANCER GR	624100	$12,717	$12,717
DEPARTMENT OF COMMUNIT	624100	$6,000	$6,000

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,560	TotalRevenueColumnAmt
Related Or Exempt Func Income	$7,560	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$344,782	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$186	TotalRevenueColumnAmt
Related Or Exempt Func Income	$186	RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	OTHER INCOME	Desc
Business	624100	BusinessCd
Total Revenue Column	$4,956	TotalRevenueColumnAmt
Related Or Exempt Func Income	$4,956	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$4,956	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$403,284	TotalRevenueColumnAmt
Related Or Exempt Func Income	$349,924	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	$107,409	TotalAmt
Program Services	$80,557	ProgramServicesAmt
Management And General	$26,852	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$1,288	TotalAmt
Management And General	$1,288	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$170	TotalAmt
Management And General	$170	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$870	TotalAmt
Management And General	$870	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,920	TotalAmt
Management And General	$3,920	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,478	TotalAmt
Management And General	$1,478	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$165	TotalAmt
Management And General	$165	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,006	TotalAmt
Management And General	$1,006	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
TOBACCO PREVENTION EXPE	$65,571	$65,571
DHR COLORECTAL/PROSTATE	$48,877	$48,877
SCREENING PROGRAM	$47,293	$47,293
PROMOTORA DE SALUD	$36,913	$36,913

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$135,140	TotalAmt
Program Services	$132,004	ProgramServicesAmt
Management And General	$3,136	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$450,100	TotalAmt
Program Services	$411,215	ProgramServicesAmt
Management And General	$38,885	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$280,733	BOYAmt
EOY	$231,791	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$217,197	BOYAmt
EOY	$198,300	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$18,912	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$17,408	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$2,163	BOYAmt
EOY	$1,504	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$500,093	BOYAmt
EOY	$431,595	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$50,047	BOYAmt
EOY	$52,381	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$10,840	BOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$23,391	BOYAmt
EOY	$10,215	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$84,278	BOYAmt
EOY	$62,596	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	-$131,058	BOYAmt
EOY	-$111,441	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$546,873	BOYAmt
EOY	$480,440	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$415,815	BOYAmt
EOY	$368,999	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$500,093	BOYAmt
EOY	$431,595	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	-$46,816	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	0	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

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	$786,388	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$443,516	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$457,574	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$464,523	CurrentTaxYearMinus1YearAmt
Current Tax Year	$398,142	CurrentTaxYearAmt
Total	$2,550,143	TotalAmt

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$786,388	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$443,516	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$457,574	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$464,523	CurrentTaxYearMinus1YearAmt
Current Tax Year	$398,142	CurrentTaxYearAmt
Total	$2,550,143	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)
Total	$0	TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total509	$2,550,143	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$805	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$349	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$255	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$214	CurrentTaxYearMinus1YearAmt
Current Tax Year	$186	CurrentTaxYearAmt
Total	$1,809	TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$805	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$349	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$255	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$214	CurrentTaxYearMinus1YearAmt
Current Tax Year	$186	CurrentTaxYearAmt
Total	$1,809	TotalAmt

Other Income509 OtherIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$3,720	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$935	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$9,588	CurrentTaxYearMinus2YearsAmt
Current Tax Year	$4,956	CurrentTaxYearAmt
Total	$19,199	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$790,913	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$444,800	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$467,417	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$464,737	CurrentTaxYearMinus1YearAmt
Current Tax Year	$403,284	CurrentTaxYearAmt
Total	$2,571,151	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.99180	PublicSupportCY509Pct
Public Support PY509	0.99250	PublicSupportPY509Pct
Investment Income CY	0.00070	InvestmentIncomeCYPct
Investment Income PY	0.00180	InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509	Yes (X)	ThirtyThrPctSuprtTestsCY509Ind

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

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$18,912	OtherCostOrOtherBasisAmt
Depreciation	$17,408	DepreciationAmt
Book Value	$1,504	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$1,504	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	MEMBER ACTIVITY ALLOCATIONS	Desc
Amt	$10,215	Amt

Field	Value	IRS element (for citing)
Total Liability	$10,215	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$403,284	TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported	$0	RevenueNotReportedAmt
Revenue Subtotal	$403,284	RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$403,284	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$450,100	TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$450,100	ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$450,100	TotalExpensesPerForm990Amt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 8B	A COPY OF THE RETURN IS AVAILABLE UPON REQUEST
FORM 990, PART VI, SECTION B, LINE 11B	A COPY OF THE RETURN IS AVAILABLE FOR ALL GOVERNING BODY MEMEBERS TO REVIEW
FORM 990, PART VI, SECTION C, LINE 19	ALL INFORMATION IS AVAILABLE UPON REQUEST
FORM 990, PART IX, LINE 24E	OUTREACH: PROGRAM SERVICE EXPENSES 32,609. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 32,609. CERVICAL CANCER EDUCATION: PROGRAM SERVICE EXPENSES 21,891. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 21,891. DPH SURVIVORSHIP GRANT: PROGRAM SERVICE EXPENSES 21,856. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 21,856. SUMMITT QUEST: PROGRAM SERVICE EXPENSES 19,211. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 19,211. OTHER PROGRAM SERVICE EXPENSES: PROGRAM SERVICE EXPENSES 18,113. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 18,113. TRANSPORTATION ASSISTANCE: PROGRAM SERVICE EXPENSES 9,171. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,171. CANCER CARE NURSE NAVIGATOR: PROGRAM SERVICE EXPENSES 3,460. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,460. SKIN CANCER AWARENESS: PROGRAM SERVICE EXPENSES 3,084. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,084. BREAST CANCER SCREENING PROGRAM: PROGRAM SERVICE EXPENSES 1,364. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,364. TELEPHONE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,212. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,212. DCH COLORECTAL CANCER PROGRAM: PROGRAM SERVICE EXPENSES 654. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 654. ONC GRANT: PROGRAM SERVICE EXPENSES 591. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 591. EQUIPMENT: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 514. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 514. CONFERENCES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 387. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 387. MEALS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 359. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 359. FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 242. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 242. REPAIRS AND MAINTENANCE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 130. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 130. POSTAGE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 119. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 119. CONSULTING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 79. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 79. PRINTING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 76. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 76. BANK SERVICE CHARGES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 10. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10. DUES AND SUBSCRIPTIONS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 8. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8.