Civic Intelligence

Elevatemed Inc.

990 • Fiscal year 2019 • EIN 83-3557457

Jan 01, 2019 to Dec 31, 2019 • Filed on Sep 02, 2020

12622 N 56th PiScottsdale, AZ 85254

(480) 269-5774

Siviq Scores

Scores are not available for this record yet.

Balance Sheet

Assets

Flat

$175,440

Flat from 2019

Net Assets

Flat

$175,440

Flat from 2019

Liabilities

Flat

$0

Flat from 2019

Revenue And Expenses

Revenue

Flat

$201,457

Flat from 2019

Expenses

Flat

$26,017

Flat from 2019

Net Income

Flat

$175,440

Flat from 2019

Historical Trend

Balance Sheet Trend

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

$800K$600K$400K$200K$0Assets 2018: $1Liabilities 2018: $0Net Assets 2018: $02018Assets 2019: $175,440Liabilities 2019: $0Net Assets 2019: $175,4402019Assets 2019: $175,440Liabilities 2019: $0Net Assets 2019: $175,4402019Assets 2020: $359,901Liabilities 2020: $3,898Net Assets 2020: $356,0032020Assets 2021: $521,979Liabilities 2021: $0Net Assets 2021: $521,9792021Assets 2022: $637,593Liabilities 2022: $0Net Assets 2022: $637,5932022Assets 2023: $351,926Liabilities 2023: $4,689Net Assets 2023: $347,2372023Assets 2024: $486,187Liabilities 2024: $0Net Assets 2024: $486,1872024

Highlighted filing

2019

Assets$175,440
Liabilities$0
Net Assets$175,440

Operations Trend

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

$1.0M$500K$0-$500KRevenue 2018: $2,500Expenses 2018: $2,500Net Income 2018: $02018Revenue 2019: $201,457Expenses 2019: $26,017Net Income 2019: $175,4402019Revenue 2019: $201,457Expenses 2019: $26,017Net Income 2019: $175,4402019Revenue 2020: $316,061Expenses 2020: $153,085Net Income 2020: $162,9762020Revenue 2021: $462,373Expenses 2021: $296,397Net Income 2021: $165,9762021Revenue 2022: $512,935Expenses 2022: $397,321Net Income 2022: $115,6142022Revenue 2023: $688,555Expenses 2023: $978,911Net Income 2023: -$290,3562023Revenue 2024: $853,873Expenses 2024: $715,347Net Income 2024: $138,5262024

Highlighted filing

2019

Revenue$201,457
Expenses$26,017
Net Income$175,440
Jump To
Filing Snapshot
Filing Period
Jan 1, 2019 to Dec 31, 2019
Signed
Sep 2, 2020
Return Version
2019v5.1
Gross Receipts
$236,858
Mission and Program Overview

Mission

Provide financial assistance and mentoring to medical students from racial and ethnic backgrounds traditionally underrepresented in medicine.

Create financial assistance to medical students from racial and ethnic backgrounds traditionally underrepresented in medicine.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts-$175,440-
Rtn Earn Endowment Incm Other Fnds-$175,440-
Total Assets$0$175,440▲ $175,440
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Net Assets Without Donor Restrictions-$175,440-
Total Net Assets Fund Balance$0$175,440▲ $175,440
Total Liabilities and Net Assets / Fund Balance$0$175,440▲ $175,440
Compensation and Service Providers

Board Members and Trustees

NameTitle
Alyx Porter Umphrey MD FAANChair, Development Committee Head
Marissa Vasquez MD MBAVice-Chair, Program Committee Head
Greg Umphrey MDDevelopment Committee Member
Gyasi Chisley PMP FACHEDevelopment Committee Member
Ricardo Correa MD EsD FACP FACE CMQDevelopment Committee Member
Andrew Sanderson MD MPH FASGEProgram Committee Member
Shannon Smith MD FAAPMRScholarship Committee Head
Bert Vargas MD FAHS FAANScholarship Committee Member
Tiffany Hardaway MD MSSecretary, Scholarship Committee Member
Patrick Brooks CPATreasurer, Program Committee Member
Revenue and Support

Revenue Composition

Contributions and Grants
$236,846
Program Service Revenue
$0
Investment Income
$12
Other Revenue
$-35,401
All Other Contributions
$151,695
Change in Net Assets
$175,440

Noncash Contribution Practices

Property subject to holding requirements
No
Reviewed unusual noncash gifts
No

Noncash Contributions

Contribution TypeContribution CountReported AmountValuation Method
Other Non Cash Contri Table1$26,362Fair Market Value (FMV)
Other Non Cash Contri Table1$4,000Fair Market Value (FMV)
Other Non Cash Contri Table6$2,660Fair Market Value (FMV)
Other Non Cash Contri Table2$2,379Fair Market Value (FMV)
Total Noncash Contributions10$35,401-
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$26,017
Total Fundraising Expense$13,558
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Advertising--$10,612$10,612
Fees for Services Accounting-$999-$999
Other Expenses-$740$2,946$740
Fees for Services Legal-$250-$250
All Other Expenses-$50-$50
Total Functional Expenses$0$12,459$13,558$26,017
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
Yes

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$35,401
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Dinner and Auction$85,141$85,141$9,039$76,102
Total Events$85,141$85,141$35,401$49,740
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Backup withholding compliance
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
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 2

Alex Porter Umphrey and Greg Umphrey are married.

Form 990, Part VI, Section B, Line 11B

The form 990 is circulated to all members prior to a board meeting. Any needed changes are provided to the treasury who takes the changes back to the outside CPA. The board approves the 990.

Filing and Contact Details

Filer

Filer Name
Elevatemed Inc
EIN
83-3557457
Phone
4802695774
Address
12622 N 56TH PI, Scottsdale, AZ 85254

Signing Officer

Name
Dr Alyx Porter Umphrey
Title
Chairman
Signed
2020-09-02
Discuss with paid preparer
No

Organization Details

Principal Officer
Dr Alyx Porter Umphrey
Formed
2018
Legal Domicile
Az
Voting Board Members
10
Independent Board Members
10
Employees
0

Preparer

Firm
Profound Financial PLLC
Address
2550 W Union Hills Dr Ste 350, Phoenix, AZ 85027
Preparer
Dannett Gardiner
Phone
6235669821
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IRS990ScheduleM/OtherNonCashContriTableGrp/NoncashContributionsRptF990Amt24000
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IRS990/ScheduleORequiredInd0false
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0Alex Porter Umphrey and Greg Umphrey are married.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1The form 990 is circulated to all members prior to a board meeting. Any needed changes are provided to the treasury who takes the changes back to the outside CPA. The board approves the 990.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Form 990, Part VI, Section A, Line 2
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Form 990, Part VI, Section B, Line 11B
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IRS990/TotalContributionsAmt0236846
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IRS990/TotalLiabilitiesGrp/EOYAmt00
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt00
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0175440
IRS990/TotalProgramServiceExpensesAmt026018
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0201457
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt00
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0175440
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IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt07336 E Wing Shadow Road
IRS990/USAddress/CityNm0Scottsdale
IRS990/USAddress/StateAbbreviationCd0AZ
IRS990/USAddress/ZIPCd085255
IRS990/VotingMembersGoverningBodyCnt010
IRS990/VotingMembersIndependentCnt010
IRS990/WebsiteAddressTxt0www.elevatemed.org
IRS990/WhistleblowerPolicyInd0true
ReturnHeader/BuildTS02021-01-29 14:40:06Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0false
ReturnHeader/BusinessOfficerGrp/PersonNm0Dr Alyx Porter Umphrey
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0Chairman
ReturnHeader/BusinessOfficerGrp/SignatureDt02020-09-02
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0ELEVATEMED INC
ReturnHeader/Filer/BusinessNameControlTxt0ELEV
ReturnHeader/Filer/EIN0833557457
ReturnHeader/Filer/PhoneNum04802695774
ReturnHeader/Filer/USAddress/AddressLine1Txt012622 N 56TH PI
ReturnHeader/Filer/USAddress/CityNm0Scottsdale
ReturnHeader/Filer/USAddress/StateAbbreviationCd0AZ
ReturnHeader/Filer/USAddress/ZIPCd085254
ReturnHeader/FilingSecurityInformation/AtSubmissionCreationDeviceId03A7BE361C0F782B96C1241E2505B2D019D832137
ReturnHeader/FilingSecurityInformation/AtSubmissionFilingDeviceId03A7BE361C0F782B96C1241E2505B2D019D832137
ReturnHeader/FilingSecurityInformation/FilingLicenseTypeCd0P
ReturnHeader/FilingSecurityInformation/IPAddress/IPv4AddressTxt065.156.50.18
ReturnHeader/FilingSecurityInformation/IPDt02020-09-12
ReturnHeader/FilingSecurityInformation/IPTimezoneCd0MS
ReturnHeader/FilingSecurityInformation/IPTm022:35:42
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0Profound Financial PLLC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt02550 W Union Hills Dr Ste 350
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0Phoenix
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0AZ
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd085027
ReturnHeader/PreparerPersonGrp/PhoneNum06235669821
ReturnHeader/PreparerPersonGrp/PreparationDt02020-09-02
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0Dannett Gardiner
ReturnHeader/ReturnTs02020-09-02T12:37:17-00:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02019-01-01
ReturnHeader/TaxPeriodEndDt02019-12-31
ReturnHeader/TaxYr02019

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