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PETEN HEALTH: Form 990EZ, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
PETEN HEALTH (EIN 81-5408198)
Tax period
2023-01-01 to 2023-12-31
Filed
2024-05-03
IRS object ID
202411249349200441
Schema version
2023v5.0
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)
Return2024-05-03T11:35:38-04:00ReturnTs
Tax Period End2023-12-31TaxPeriodEndDt
Return Type990EZReturnTypeCd
Tax Period Begin2023-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN815408198EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PETEN HEALTHBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% Kate FeibuschInCareOfNm
Business Name ControlPETEBusinessNameControlTxt
Foreign Phone7077915974ForeignPhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 45AddressLine1Txt
CityWINDSORCityNm
State AbbreviationCAStateAbbreviationCd
ZIP954920045ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKate FeibuschPersonNm
Person TitlePresidentPersonTitleTxt
Signature2024-05-03SignatureDt
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990-EZ IRS990EZ

FieldValueIRS element (for citing)
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Website Addresshttps: www.petenhealth.orgWebsiteAddressTxt
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Gross Receipts$132,052GrossReceiptsAmt
Info In Schedule O Part IYes (X)InfoInScheduleOPartIInd
Contributions Gifts Grants Etc$121,720ContributionsGiftsGrantsEtcAmt
Program Service Revenue$750ProgramServiceRevenueAmt
Membership Dues$0MembershipDuesAmt
Investment Income$9,582InvestmentIncomeAmt
Sale Of Assets Gross$0SaleOfAssetsGrossAmt
Cost Or Other Basis Expense Sale$0CostOrOtherBasisExpenseSaleAmt
Gain Or Loss From Sale Of Assets$0GainOrLossFromSaleOfAssetsAmt
Gaming Gross Income$0GamingGrossIncomeAmt
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Special Events Direct Expenses$0SpecialEventsDirectExpensesAmt
Special Events Net Income Loss$0SpecialEventsNetIncomeLossAmt
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt
Gross Profit Loss Sls Of Invntry$0GrossProfitLossSlsOfInvntryAmt
Total Revenue$132,052TotalRevenueAmt
Grants And Similar Amounts Paid$39,245GrantsAndSimilarAmountsPaidAmt
Benefits Paid To Or For Members$0BenefitsPaidToOrForMembersAmt
Salaries Other Comp Empl Bnft$0SalariesOtherCompEmplBnftAmt
Fees And Other Pymt To Ind Cntrct$3,625FeesAndOtherPymtToIndCntrctAmt
Occupancy Rent Utlts And Maint$0OccupancyRentUtltsAndMaintAmt
Printing Publications Postage$1,261PrintingPublicationsPostageAmt
Other Expenses Total$10,415OtherExpensesTotalAmt
Total Expenses$54,546TotalExpensesAmt
Excess Or Deficit For Year$77,506ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY$391,210NetAssetsOrFundBalancesBOYAmt
Other Changes In Net Assets$13,147OtherChangesInNetAssetsAmt
Net Assets Or Fund Balances EOY$481,863NetAssetsOrFundBalancesEOYAmt

Cash Savings And Investments CashSavingsAndInvestmentsGrp

FieldValueIRS element (for citing)
BOY$391,210BOYAmt
EOY$481,863EOYAmt

Land And Buildings LandAndBuildingsGrp

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

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$391,210BOYAmt
EOY$481,863EOYAmt

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY$391,210BOYAmt
EOY$481,863EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
Primary Exempt PurposePetén Health trains and supports community health workers CHWs in the most remote rural villages of Petén Guatemala. By providing education mentoring and resources we ensure that community members can provide quality affordable culturally-sensitive health care to their neighbors.PrimaryExemptPurposeTxt

Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp (4 entries)

Description Program Srvc AccomDescriptionProgramSrvcAccomTxtGrants And AllocationsGrantsAndAllocationsAmtForeign GrantsForeignGrantsIndProgram Service ExpensesProgramServiceExpensesAmt
Supported community health workers in rural Guatemala who provided basic medical care to their neighbors in a population of 60,000. Expenses include salaries operations and medical supply and equipment purchases: thermocoagulator etc. Total health care expenses: $22,480$20,913Yes (X)$22,480
US volunteer physicians provided continuing medical education to 33 trained CHWs during week-long courses and clinic-based mentoring. Total education expenses: $4,064.$2,076Yes (X)$4,064
Mentored CHW leadership and supported program administration including efforts to improve program effectiveness. Expenses include the portion of Guatemalan salaries that supported their program administration a series of workshops on organizational dynamics and a contractor to help transition to 2024 when Petén Health will fund the majority of salaries and operations. Total program development expenses: $21,105.$13,500Yes (X)$21,105
Building construction and maintenance. Expenses were largely for utilities at the Casa de Salud.$2,756Yes (X)$2,781
FieldValueIRS element (for citing)
Total Program Service Expenses$50,430TotalProgramServiceExpensesAmt

Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (4 entries)

TitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
Kate Feibusch
President10$0$0$0
Kathy Cirksena
Secretary10$0$0$0
Kelly Pfeifer
Treasurer0.25$0$0$0
Steve Toub
Volunteer7$0$0$0
FieldValueIRS element (for citing)
Activities Not Previously RptfalseActivitiesNotPreviouslyRptInd
Chg Made To Orgnzng Doc Not RptfalseChgMadeToOrgnzngDocNotRptInd
Organization Had UBIfalseOrganizationHadUBIInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Organization Dissolved EtcfalseOrganizationDissolvedEtcInd
Direct Indirect Pltcl Expend$0DirectIndirectPltclExpendAmt
Form1120 Pol FiledfalseForm1120PolFiledInd
Made Loans To From OfficersfalseMadeLoansToFromOfficersInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonSteve ToubPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11110 Francisco StAddressLine1Txt
Address Line2Apt AAddressLine2Txt
CityBerkeleyCityNm
State AbbreviationCAStateAbbreviationCd
ZIP947021363ZIPCd
FieldValueIRS element (for citing)
Phone6505769746PhoneNum
FieldValueIRS element (for citing)
Foreign Financial AccountfalseForeignFinancialAccountInd
Foreign OfficefalseForeignOfficeInd
Donor Advised FndsfalseDonorAdvisedFndsInd
Operate HospitalfalseOperateHospitalInd
Tanning Services ProvidedfalseTanningServicesProvidedInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
School OperatingfalseSchoolOperatingInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Part VI Of Comp Of Hghst Pd EmplNONEPartVIOfCompOfHghstPdEmplTxt
Part VI Hghst Pd Cntrct Prof SrvcNONEPartVIHghstPdCntrctProfSrvcTxt
Filed Schedule AYes (true)FiledScheduleAInd

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$109,613CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$159,948CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$101,961CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$90,215CurrentTaxYearMinus1YearAmt
Current Tax Year$122,470CurrentTaxYearAmt
Total$584,207TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$109,613CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$159,948CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$101,961CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$90,215CurrentTaxYearMinus1YearAmt
Current Tax Year$122,470CurrentTaxYearAmt
Total$584,207TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$145,752SubstantialContributorsTotAmt
Public Support Total170$438,455PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$644CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,179CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,313CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,242CurrentTaxYearMinus1YearAmt
Current Tax Year$9,582CurrentTaxYearAmt
Total$18,960TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt
FieldValueIRS element (for citing)
Total Support$603,167TotalSupportAmt
Gross Receipts Rltd Activities$0GrossReceiptsRltdActivitiesAmt
Public Support CY1700.7269PublicSupportCY170Pct
Public Support PY1700.75PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferencePart II - Line 1, Unusual Grant ListsFormAndLineReferenceDesc
Explanation| Name of the Contributor:, Date of Grant:, Year:, Amount:, Description:| Donor08 16 2021, "2021", $110000, Cash|ExplanationTxt

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 O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, line 10| Grants And Similar Amounts Paid:, Amount:| Grants to organizations and individuals: cash and supplies to Guatemalan Community Health Worker CHW program, $39245|
Part I, line 16| Other Expenses:, Amount:| Travel meals and entertainment largely expenses for round-trip airfare to Guatemala for six passengers., $7855| Information technology, $1135| Taxes and registrations, $50| Service fees, $216| Insurance, $1159|
Part I, line 20| Explanation:, Amount:| Unrealized gains in marketable securities, $13147|

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