Civic Intelligence

Fernald Medical Screening & Union

990 • Fiscal year 2021 • EIN 31-0577529

Jan 01, 2021 to Dec 31, 2021 • Filed on Nov 03, 2022

207A Walnut StreetLawrenceburg, IN 47025

(812) 577-0113

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

79th percentile

0.03x

Higher debt load relative to assets than 79% of similar nonprofits.

2021 filings • 501(c)5 • <$500k nonprofits • Source year 2021

Liabilities / Revenue

63rd percentile

0.01x

Higher debt load relative to revenue than 63% of similar nonprofits.

2021 filings • 501(c)5 • <$500k nonprofits • Source year 2021

Net Margin

19th percentile

-6.9%

Higher net margin than 19% of similar nonprofits.

2021 filings • 501(c)5 • <$500k nonprofits • Source year 2021

Top Officer Pay

96th percentile

$82,150

Higher top officer pay than 96% of similar nonprofits.

Top officer pay equals 62.3% of source-year revenue.

2021 filings • 501(c)5 • <$500k nonprofits • Source year 2021

Asset Growth

7th percentile

-25%

Faster asset growth than 7% of similar nonprofits.

2021 filings • 501(c)5 • <$500k nonprofits • Annualized from 2020 to 2021

Revenue Growth

18th percentile

-14%

Faster revenue growth than 18% of similar nonprofits.

2021 filings • 501(c)5 • <$500k nonprofits • Annualized from 2020 to 2021

Assets

Down

$26,273

Down $8,677 (-25%) from 2020

Net Assets

Down

$25,419

Down $9,068 (-26%) from 2020

Liabilities

Up

$854

Up $391 (+84%) from 2020

Revenue

Down

$131,899

Down $21,167 (-14%) from 2020

Expenses

Down

$140,967

Down $4,942 (-3.4%) from 2020

Net Income

Down

-$9,068

Down $16,225 (-227%) from 2020

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$40K$30K$20K$10K$0Assets 2010: $11,484Liabilities 2010: $5,698Net Assets 2010: $5,7862010Assets 2011: $27,055Liabilities 2011: $5,440Net Assets 2011: $21,6152011Assets 2012: $22,210Liabilities 2012: $4,425Net Assets 2012: $17,7852012Assets 2013: $27,764Liabilities 2013: $5,010Net Assets 2013: $22,7542013Assets 2014: $23,417Liabilities 2014: $4,620Net Assets 2014: $18,7972014Assets 2015: $12,816Liabilities 2015: $480Net Assets 2015: $12,3362015Assets 2016: $10,898Liabilities 2016: $1,710Net Assets 2016: $9,1882016Assets 2017: $11,983Liabilities 2017: $1,696Net Assets 2017: $10,2872017Assets 2018: $13,670Liabilities 2018: $1,502Net Assets 2018: $12,1682018Assets 2019: $28,094Liabilities 2019: $764Net Assets 2019: $27,3302019Assets 2020: $34,950Liabilities 2020: $463Net Assets 2020: $34,4872020Assets 2021: $26,273Liabilities 2021: $854Net Assets 2021: $25,4192021Assets 2022: $25,502Liabilities 2022: $850Net Assets 2022: $24,6522022Assets 2023: $27,271Liabilities 2023: $868Net Assets 2023: $26,4032023Assets 2024: $27,124Liabilities 2024: $0Net Assets 2024: $27,1242024

Highlighted filing

2021

Assets$26,273
Liabilities$854
Net Assets$25,419

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$300K$200K$100K$0-$100KExpenses 2010: $181,4422010Expenses 2011: $186,5592011Expenses 2012: $197,1932012Revenue 2013: $203,101Expenses 2013: $198,132Net Income 2013: $4,9692013Revenue 2014: $202,076Expenses 2014: $206,033Net Income 2014: -$3,9572014Revenue 2015: $193,713Expenses 2015: $200,174Net Income 2015: -$6,4612015Revenue 2016: $197,230Expenses 2016: $200,378Net Income 2016: -$3,1482016Revenue 2017: $199,026Expenses 2017: $197,927Net Income 2017: $1,0992017Revenue 2018: $206,004Expenses 2018: $204,123Net Income 2018: $1,8812018Revenue 2019: $212,417Expenses 2019: $197,255Net Income 2019: $15,1622019Revenue 2020: $153,066Expenses 2020: $145,909Net Income 2020: $7,1572020Revenue 2021: $131,899Expenses 2021: $140,967Net Income 2021: -$9,0682021Revenue 2022: $132,420Expenses 2022: $133,187Net Income 2022: -$7672022Revenue 2023: $136,691Expenses 2023: $134,940Net Income 2023: $1,7512023Revenue 2024: $140,769Expenses 2024: $140,048Net Income 2024: $7212024

Highlighted filing

2021

Revenue$131,899
Expenses$140,967
Net Income-$9,068
Jump To
Filing Snapshot
Filing Period
Jan 1, 2021 to Dec 31, 2021
Signed
Nov 3, 2022
Return Version
2021v4.0
Gross Receipts
$131,899
Mission and Program Overview

Mission

MEDICAL SCREENING

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$34,932$26,273▼ $8,659
Rtn Earn Endowment Incm Other Fnds$34,487$25,419▼ $9,068
Land, Buildings, and Equipment, Net$18--
Total Assets$34,950$26,273▼ $8,677
Liabilities
Accounts Payable and Accrued Expenses$463$854▲ $391
Total Liabilities$463$854▲ $391
Net Assets / Fund Balance
Total Net Assets Fund Balance$34,487$25,419▼ $9,068
Total Liabilities and Net Assets / Fund Balance$34,950$26,273▼ $8,677

Asset Categories

AssetBook ValueDepreciationBasis
Equipment-$11,383$11,383
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseTotal
Andrew BreitenbachDirectorFT$82,150$82,150
Allen CallawayAsst DirectoPT$18,900$18,900
Everett Ray Beatty SrAsst DirectoPT$5,150$5,150
Revenue and Support

Revenue Composition

Contributions and Grants
$131,899
Program Service Revenue
$0
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$-9,068
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$114,561
Other Expenses$26,406
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Current Officers, Directors, Trustees, and Key Employees-$106,200-$106,200
Occupancy-$10,800-$10,800
Payroll Taxes-$8,361-$8,361
Fees for Services Accounting-$6,140-$6,140
Information Technology-$4,766-$4,766
Office Expenses-$4,182-$4,182
Insurance-$500-$500
Depreciation Depletion-$18-$18
Total Functional Expenses$0$140,967$0$140,967
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
No
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Page 6, Part VI, Line 11B

No review was or will be conducted.

Form 990, Page 6, Part VI, Line 19

No documents available to the public

Filing and Contact Details

Filer

Filer Name
Fernald Medical Screening & Union
EIN
31-0577529
Phone
8125770113
Address
207A WALNUT STREET, LAWRENCEBURG, IN 47025

Signing Officer

Name
Andrew Breitenbach
Title
Director
Phone
8125770113
Signed
2022-11-03
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Andrew Breitenbach
Formed
2007
Legal Domicile
Oh
Voting Board Members
0
Independent Board Members
0
Employees
3

Preparer

Firm
Flaspohler CPA Inc
Address
1151-11 STONE DR, HARRISON, OH 45030
Preparer
Darrel H Flaspohler CPA
Phone
5133675115
Supplemental Narrative

Additional Explanations

Form 990, Page 2, Part III, Line 4D

Our primary focus is to educate and screen former employees of fernald feed materials production center

Raw XML Appendix239 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt20
IRS990/Form990PartVIISectionAGrp/TitleTxt0DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt1ASST DIRECTO
IRS990/Form990PartVIISectionAGrp/TitleTxt2ASST DIRECTO
IRS990/Form990ProvidedToGvrnBodyInd0false
IRS990/FormationYr02007
IRS990/FormerOfcrEmployeesListedInd0false
IRS990/FSAuditedInd0false
IRS990/FundraisingActivitiesInd0false
IRS990/GamingActivitiesInd0false
IRS990/GoverningBodyVotingMembersCnt00
IRS990/GovernmentGrantsAmt0131899
IRS990/GrantsToIndividualsInd0false
IRS990/GrantsToOrganizationsInd0false
IRS990/GrantToRelatedPersonInd0false
IRS990/GrossReceiptsAmt0131899
IRS990/GroupReturnForAffiliatesInd0false
IRS990/IncludeFIN48FootnoteInd0false
IRS990/IndependentAuditFinclStmtInd0false
IRS990/IndependentVotingMemberCnt00
IRS990/IndoorTanningServicesInd0false
IRS990/InfoInScheduleOPartIIIInd0X
IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt04766
IRS990/InformationTechnologyGrp/TotalAmt04766
IRS990/InsuranceGrp/ManagementAndGeneralAmt0500
IRS990/InsuranceGrp/TotalAmt0500
IRS990/InvestmentInJointVentureInd0false
IRS990/IRPDocumentCnt01
IRS990/IRPDocumentW2GCnt00
IRS990/LandBldgEquipAccumDeprecAmt011383
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IRS990/LandBldgEquipCostOrOtherBssAmt011383
IRS990/LegalDomicileStateCd0OH
IRS990/LoanOutstandingInd0false
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IRS990/MethodOfAccountingCashInd0X
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IRS990/MoreThan5000KToIndividualsInd0false
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IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt04182
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IRS990/OfficerMailingAddressInd0false
IRS990/OperateHospitalInd0false
IRS990/Organization501cInd0X
IRS990/OrgDoesNotFollowFASB117Ind0X
IRS990/PartialLiquidationInd0false
IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt08361
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IRS990/PoliticalCampaignActyInd0false
IRS990/PrincipalOfficerNm0ANDREW BREITENBACH
IRS990/ProfessionalFundraisingInd0false
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IRS990/ProhibitedTaxShelterTransInd0false
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IRS990/ReconcilationRevenueExpnssAmt0-9068
IRS990/RelatedEntityInd0false
IRS990/RelatedOrganizationCtrlEntInd0false
IRS990/ReportInvestmentsOtherSecInd0false
IRS990/ReportLandBuildingEquipmentInd0true
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ReturnHeader/BuildTS02022-09-23 18:48:47Z
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ReturnHeader/TaxPeriodBeginDt02021-01-01
ReturnHeader/TaxPeriodEndDt02021-12-31
ReturnHeader/TaxYr02021

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$0.27$0.00$0.27$1.41$1.40$0.01
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.27$0.01$0.26$1.37$1.35$0.02
2022Detailed filing. Detailed filing data is available for this year.$0.26$0.01$0.25$1.32$1.33$0.01
2021Detailed filing. Detailed filing data is available for this year.$0.26$0.01$0.25$1.32$1.41$0.09
2020Detailed filing. Detailed filing data is available for this year.$0.35$0.00$0.34$1.53$1.46$0.07
2019Detailed filing. Detailed filing data is available for this year.$0.28$0.01$0.27$2.12$1.97$0.15
2018Detailed filing. Detailed filing data is available for this year.$0.14$0.02$0.12$2.06$2.04$0.02
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.12$0.02$0.10$1.99$1.98$0.01
2016Detailed filing. Detailed filing data is available for this year.$0.11$0.02$0.09$1.97$2.00$0.03
2015Detailed filing. Detailed filing data is available for this year.$0.13$0.00$0.12$1.94$2.00$0.06
2014Detailed filing. Detailed filing data is available for this year.$0.23$0.05$0.19$2.02$2.06$0.04
2013Detailed filing. Detailed filing data is available for this year.$0.28$0.05$0.23$2.03$1.98$0.05
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.22$0.04$0.18$1.97
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.27$0.05$0.22$1.87
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.11$0.06$0.06$1.81