Civic Intelligence

Super Shot Inc.

990 • Fiscal year 2019 • EIN 35-2122575

Jan 01, 2019 to Dec 31, 2019 • Filed on Oct 28, 2020

1515 Hobson RoadFort Wayne, IN 46805

(260) 424-7468

Siviq Scores

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

Liabilities / Assets

34th percentile

0.02x

Higher debt load relative to assets than 34% of similar nonprofits.

2019 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2019

Liabilities / Revenue

23rd percentile

0.01x

Higher debt load relative to revenue than 23% of similar nonprofits.

2019 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2019

Net Margin

47th percentile

2.3%

Higher net margin than 47% of similar nonprofits.

2019 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2019

Top Officer Pay

52nd percentile

$68,000

Higher top officer pay than 52% of similar nonprofits.

Top officer pay equals 2.8% of source-year revenue.

2019 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2019

Asset Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2019

Revenue Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2019

Assets

$1,069,873

No earlier filing loaded for comparison.

Net Assets

$1,046,277

No earlier filing loaded for comparison.

Liabilities

$23,596

No earlier filing loaded for comparison.

Revenue

$2,400,800

No earlier filing loaded for comparison.

Expenses

$2,344,695

No earlier filing loaded for comparison.

Net Income

$56,105

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

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

$6.0M$4.0M$2.0M$0Assets 2019: $1,069,873Liabilities 2019: $23,596Net Assets 2019: $1,046,2772019Assets 2020: $1,474,264Liabilities 2020: $20,099Net Assets 2020: $1,454,1652020Assets 2021: $3,496,185Liabilities 2021: $42,243Net Assets 2021: $3,453,9422021Assets 2022: $3,966,451Liabilities 2022: $50,251Net Assets 2022: $3,916,2002022Assets 2023: $4,984,958Liabilities 2023: $45,910Net Assets 2023: $4,939,0482023Assets 2024: $5,831,583Liabilities 2024: $93,522Net Assets 2024: $5,738,0612024

Highlighted filing

2019

Assets$1,069,873
Liabilities$23,596
Net Assets$1,046,277

Operations Trend

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

$6.0M$4.0M$2.0M$0Revenue 2019: $2,400,800Expenses 2019: $2,344,695Net Income 2019: $56,1052019Revenue 2020: $2,574,497Expenses 2020: $2,166,609Net Income 2020: $407,8882020Revenue 2021: $4,312,454Expenses 2021: $2,323,462Net Income 2021: $1,988,9922021Revenue 2022: $3,490,921Expenses 2022: $2,630,956Net Income 2022: $859,9652022Revenue 2023: $3,375,011Expenses 2023: $2,621,101Net Income 2023: $753,9102023Revenue 2024: $3,773,922Expenses 2024: $3,245,877Net Income 2024: $528,0452024

Highlighted filing

2019

Revenue$2,400,800
Expenses$2,344,695
Net Income$56,105
Jump To
Filing Snapshot
Filing Period
Jan 1, 2019 to Dec 31, 2019
Signed
Oct 28, 2020
Return Version
2019v5.0
Gross Receipts
$2,400,800
Mission and Program Overview

Mission

To educate, promote vaccination and increase avenues for immunizations for all children in Allen County and surrounding communities.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$764,381$875,636▲ $111,255
Pledges and Grants Receivable$126,345$95,500▼ $30,845
Land, Buildings, and Equipment, Net$52,497$41,376▼ $11,121
Cash and Non-Interest-Bearing Accounts$32,815$34,543▲ $1,728
Inventories for Sale or Use$16,240$0▼ $16,240
Accounts Receivable$14,622$14,779▲ $157
Prepaid Expenses and Deferred Charges$9,451$8,039▼ $1,412
Other Notes and Loans Receivable, Net-$0-
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities-$0-
Investments Program Related-$0-
Investments in Publicly Traded Securities-$0-
Intangible Assets-$0-
Total Assets$1,016,351$1,069,873▲ $53,522
Other Assets Total-$0-
Liabilities
Accounts Payable and Accrued Expenses$26,179$23,596▼ $2,583
Total Liabilities$26,179$23,596▼ $2,583
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$815,962$943,077▲ $127,115
Net Assets With Donor Restrictions$174,210$103,200▼ $71,010
Total Net Assets Fund Balance$990,172$1,046,277▲ $56,105
Total Liabilities and Net Assets / Fund Balance$1,016,351$1,069,873▲ $53,522

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$41,376$54,890$96,266
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseTotal
Connie HeflinExecutive DirectorFT$68,000$68,000

Board Members and Trustees

NameTitle
Gail DoranChairman
Gregory PerigoVice-Chairman
Amy Dawson MDDirector
Corey SniderDirector
Deb JonesDirector
Deborah McMahan MDDirector
Mary Hess RN BSNDirector
Patti BraheDirector
Raquel Argon KlineDirector
Sarah GiaQunita MDDirector
Susan JohnsonDirector
Krista PeakSecretary
Mona ReimersTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
None---
Revenue and Support

Revenue Composition

Contributions and Grants
$2,150,460
Program Service Revenue
$233,645
Investment Income
$16,695
Other Revenue
$0
All Other Contributions
$393,752
Change in Net Assets
$56,105

Noncash Contribution Practices

Property subject to holding requirements
No
Reviewed unusual noncash gifts
No
Third parties used for noncash contributions
No

Noncash Contributions

Contribution TypeContribution CountReported AmountValuation Method
Drugs and Medical Supplies27,361$1,756,708CDC Pricing
Other Non Cash Contri Table15$1,605Depr Cost
Total Noncash Contributions27,376$1,758,313-
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$1,945,617
Salaries, Compensation, and Employee Benefits$399,078
Total Fundraising Expense$21,513
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$253,356$43,085$73$296,514
Current Officers, Directors, Trustees, and Key Employees$45,333$11,333$11,334$68,000
Fees for Services Other$9,511$16,268$8,500$34,279
Payroll Taxes$23,817$4,199$867$28,883
Insurance$20,407$3,950-$24,357
Office Expenses$6,472$11,339$739$18,550
Fees for Services Accounting-$17,396-$17,396
Other Expenses$16,240--$16,240
Depreciation Depletion$11,349$783-$12,132
Information Technology$10,241$1,601-$11,842
All Other Expenses$10,653$647-$11,300
Pension Plan Contributions$4,594$1,087-$5,681
Occupancy$1,688--$1,688
Advertising$1,615--$1,615
Conferences and Meetings-$20-$20
Total Functional Expenses$2,211,474$111,708$21,513$2,344,695
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
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
Yes
Annual disclosure for covered persons
Yes
Audit committee
No
Backup withholding compliance
Yes
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
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et

Several members of the Board of Directors are CEO's of clinics, hospitals and other health-related entities. These Board members have contact with each other when conducting business for their respective organizations. None have a 35% or greater ownership interest in the organizations that they serve.

Form 990, Part VI, Line 11B: Form 990 Review Process

Form 990 is reviewed by the full governing Board at its meeting preceding the filing deadline for the return. A vote is taken to approve the filing of Form 990 if no items are flagged for further review / investigation.

Form 990, Part VI, Line 12C: Explanation of Monitoring and Enforcement of Conflicts

Annually, members of the governing Board and Officers provide the names of entities, from which they, or their family members, receive compensation, have greater than a 10% ownership or investment interest, or otherwise might benefit personally from business transactions between the entity and Super Shot. Steps outlined in the Conflict of Interest policy are followed when potential transactions involving these businesses and organizations arise.

Form 990, Part VI, Line 15A: Compensation Review & Approval Process - CEO, Top Management

Annually, the Executive Committee obtains updated compensation data for comparable positions within Allen County, Indiana. These data are taken into account in determining Executive Director compensation for the upcoming budget year. The full Board approves the Executive Director's compensation in conjunction with its approval of the budget for the fiscal year.

Form 990, Part VI, Line 15B: Compensation Review and Approval Process for Officers and Key Employees

Not applicable. No officers other than the Executive Director are compensated.

Form 990, Part VI, Line 19: Other Organization Documents Publicly Available

Articles of Incorporation, by-laws, conflict of interest policy and annual report are made available upon request.

Filing and Contact Details

Filer

Filer Name
Super Shot Inc
EIN
35-2122575
Phone
2604247468
Address
1515 Hobson Road, Fort Wayne, IN 46805

Signing Officer

Name
Connie Heflin
Title
Executive Director
Signed
2020-10-28
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Gail Doran
Formed
1997
Legal Domicile
In
Voting Board Members
13
Independent Board Members
13
Employees
29
Volunteers
25

Preparer

Firm
Targeted Services PC
Address
709 Clay Street Suite 102, Fort Wayne, IN 46802
Preparer
Patricia Oppor
Phone
2602033121
Supplemental Narrative

Additional Explanations

Part III, line 4A (continued)

Since 1993, Super Shot has been ensuring the health of the most vulnerable children in our community by providing life-saving immunizations. We break down the barriers of vaccination - access and cost - and increase awareness of the importance of vaccination though our four walk-in Clinics and community education. Super Shot was founded by the compassion of two determined community leaders who cared deeply about the health of local children. Dr. Jane Irmscher, Health Commissioner of the Allen County Health Department, and Sister Mary Conrad Kirchhoff, a Poor Handmaid of Jesus Christ, brought key community leaders and hundreds of volunteers together to address our communitys low immunization rate. 25 years later, there is still a great need. Nationally, Indiana ranks 49th worst in public health spending. Super Shot helps address this gap and with your support, we are ensuring the health of our community. We ask uninsured/underinsured families for a $10 administration fee, per vaccination, to help support our program, but no one is turned away if they are unable to pay. We offer 16 vaccines to uninsured, underinsured and Medicaid eligible children and 14 vaccines to underinsured and uninsured adults. Vaccines are one of the greatest medical advancements and are the best way to prevent infectious disease. While getting vaccinated seems like the obvious choice, barriers and awareness, remain obstacles. Continuing to break down barriers as we strive to increase vaccination rates is critical to the health of our community. Our clinics ensure the most vulnerable children and adults have access to vaccines.Clinics Locations and Times:1.Grabill Missionary Church 13637 State Street, Grabill, IN Monday 10 am 1 pm 2.Parkview Hospital 1818 Carew Street, Fort Wayne, IN Tuesday 10 am 1 pm & 4 pm 7 pm; Thursday 4 7 pm3.Anthony Medical Center 5717 S. Anthony Blvd., Fort Wayne, INWednesday 4 7 pm; Thursday 10 am 1 pm4.Parkview First Care 3909 New Vision Drive, Fort Wayne, INSaturday 9 am 12 pm Super Shot works to educate the community on the importance of immunizations through ongoing training and distribution of educational materials at local hospitals, schools, health events, to child-care providers, and at our clinic sites. Our staff empowers parents by providing them with the facts on immunizations. Our education coordinator speaks, consults, and engages in the community to provide scientific data on how immunizations work, the immunization schedule, and how immunizations save lives. Super Shot participates in many community health events to reinforce the value of community immunity. We serve children from birth through age 18 that are eligible for the Vaccine for Children Program (Medicaid eligible, uninsured, underinsured) and uninsured and underinsured adults. There are many economic reasons why vaccinations are important. From containing an infectious outbreak, to employees calling in sick and absenteeism, disease and illness cost money. But more importantly, vaccinations save lives. Vaccines protect you, me, our children, our parents, our grandchildren, our neighbors, our co-workers, and our entire community against deadly diseases.

Financial Statement Notes

Part X : FIN48 Footnote

Super Shot is a nonprofit organization exempt from federal income tax under Section 501(c)(3) of the Internal Revenue Code and qualifies for the 50% charitable contribution limitation. The Organization has been classified as an organization that is not a private foundation under Section 509(a) of the Internal Revenue Code. However, the Organization is subject to federal income tax on any unrelated business taxable income. No unrelated business taxable income was reported in 2019 or 2018. The company is generally no longer subject to examination by the Internal Revenue Service for years before 2016. Super Shot, Inc. follows the guidance in FASB ASC 740-10-25 and determined no material unrecognized tax benefits or liabilities exist as of December 31, 2019. The adoption of 740-10-25 did not impact Super Shot, Inc.'s financial position or results of operations. If applicable, Super Shot, Inc. will recognize interest and penalties related to underpayment of income taxes as income tax expense. As of December 31, 2019 and 2018, Super Shot, Inc. had no amounts related to unrecognized income tax benefits and no amounts related to accrued interest and penalties. Super Shot, Inc. does not anticipate any significant changes to unrecognized income tax benefits over the next year.

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IRS990/Desc0Super Shot breaks down the barriers of access and cost by operating four immunization clinics throughout Allen County. We are a walk-in service with no appointment needed, and operate during non-traditional after school and weekend hours. The clinics are located on bus routes or areas of high need. Spanish-speaking and Burmese-speaking interpreters assist families at our clinics to break down language and cultural barriers. Our clinics ensure the most vulnerable children and adults have access to vaccines. In 2019, Super Shot provided 27,361 immunizations to 7,697 Medicaid eligible children and 894 uninsured adults through 10,800 clinic visits. Please see Schedule O for further information.
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