KONBIT SANTE CAP-HAITIEN HEALTH: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
KONBIT SANTE CAP-HAITIEN HEALTH (EIN 01-0540292)
Tax period
2021-10-01 to 2022-09-30
Filed
2023-08-10
IRS object ID
202312229349302106
Schema version
2021v4.2
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)
Return2023-08-10T14:04:43-05:00ReturnTs
Tax Period End2022-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN010463013PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Purdy Powers & CompanyBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1130 Middle StreetAddressLine1Txt
CityPortlandCityNm
State AbbreviationMEStateAbbreviationCd
ZIP04101ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN010540292EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Konbit Sante Cap Haitien HealthBusinessNameLine1Txt
Business Name Line2PartnershipBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlKONBBusinessNameControlTxt
Phone2073476733PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1362 US Route 1AddressLine1Txt
CityFalmouthCityNm
State AbbreviationMEStateAbbreviationCd
ZIP04105ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTezita NegussiePersonNm
Person TitleInterim Executive DirectorPersonTitleTxt
Phone2073476733PhoneNum
Signature2023-08-10SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstTezitaPersonFirstNm
Person LastNegussiePersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDavid J Shorette CPAPreparerPersonNm
PTINP00086553PTIN
Phone2077753496PhoneNum
Preparation2023-08-10PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer0TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerTezita NegussiePrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1362 US Route 1AddressLine1Txt
CityFalmouthCityNm
State AbbreviationMEStateAbbreviationCd
ZIP04105ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$688,900GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.konbitsante.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2000FormationYr
Legal Domicile StateMELegalDomicileStateCd
Activity Or MissionTo support the development of a sustainable health care system to meet the needs of the Cap-Hatien community with maximum local direction and support.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee6TotalEmployeeCnt
Total Volunteers31TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$977,233PYContributionsGrantsAmt
CY Contributions Grants$683,319CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$909PYInvestmentIncomeAmt
CY Investment Income$774CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$978,142PYTotalRevenueAmt
CY Total Revenue$684,093CYTotalRevenueAmt
PY Grants And Similar Paid$24,000PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$24,000CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$387,647PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$334,511CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$55,252CYTotalFundraisingExpenseAmt
PY Other Expenses$526,152PYOtherExpensesAmt
CY Other Expenses$517,081CYOtherExpensesAmt
PY Total Expenses$937,799PYTotalExpensesAmt
CY Total Expenses$875,592CYTotalExpensesAmt
PY Revenues Less Expenses$40,343PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$191,499CYRevenuesLessExpensesAmt
Total Assets BOY$571,890TotalAssetsBOYAmt
Total Assets EOY$382,545TotalAssetsEOYAmt
Total Liabilities BOY$35,950TotalLiabilitiesBOYAmt
Total Liabilities EOY$38,104TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$535,940NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$344,441NetAssetsOrFundBalancesEOYAmt
MissionTo support the development of a sustainable health care system to meet the needs of the Cap-Hatien community with maximum local direction and support.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$653,603ExpenseAmt
Grant$24,000GrantAmt
DescKonbit Sante is a global health non-profit organization that supports the delivery of quality health services in northern Haiti. Founded in 2001, the organization strives to impact the "building blocks, or essential functions, of a health system by working with partners to ensure that they have a well-trained workforce, reliable data, well-maintained facilities, access to essential medication, supplies, and equipment, adequate financing, and strong management practices. Konbit Sante believes that supporting the capacity of local health systems is the path to ensuring sustainable quality, accessible, and efficient health care for all.Desc
Total Program Service Expenses$653,603TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign OfficeYes (1)ForeignOfficeInd
Foreign ActivitiesYes (1)ForeignActivitiesInd
More Than5000 K To OrgYes (1)MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document3IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee6EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial AccountYes (1)ForeignFinancialAccountInd
Foreign CountryHAForeignCountryCd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc0RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Own WebsiteYes (X)OwnWebsiteInd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Konbit SanteBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2073476733PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1362 US-1AddressLine1Txt
CityFalmouthCityNm
State AbbreviationMEStateAbbreviationCd
ZIP04105ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
Barbara Ginley
President5.00Yes (X)Yes (X)$0$0$0
John Wipfler
Vice President5.00Yes (X)Yes (X)$0$0$0
Manuchca Marc Alcime
Vice President5.00Yes (X)Yes (X)$0$0$0
Frank Feeley
Treasurer5.00Yes (X)Yes (X)$0$0$0
Jeffrey Musich
Secretary5.00Yes (X)Yes (X)$0$0$0
Kathleen G Healy
Board Member1.00Yes (X)$0$0$0
Bob MacKinnon
Board Member1.00Yes (X)$0$0$0
Pascale S Gaetjens
Board Member1.00Yes (X)$0$0$0
Andre Jean-Pierre
Board Member1.00Yes (X)$0$0$0
Eva Lathrop MD
Board Member1.00Yes (X)$0$0$0
Jonathon Simon DSc MPH
Board Member1.00Yes (X)$0$0$0
Hugh Tozer
Board Member1.00Yes (X)$0$0$0
Youseline Telemaque
Board Member1.00Yes (X)$0$0$0
Adam Silverman MD
Board Member1.00Yes (X)$0$0$0
Tezita Negussie
Executive Director40.00Yes (X)$30,724$0$1,246
FieldValueIRS element (for citing)
Total Reportable Comp From Org$30,724TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$1,246TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising-$857FundraisingAmt
All Other Contributions$684,176AllOtherContributionsAmt
Noncash Contributions$124,741NoncashContributionsAmt
Total Contributions$683,319TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$774TotalRevenueColumnAmt
Exclusion$774ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$4,807FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event-$857ContriRptFundraisingEventAmt
Fundraising Direct Expenses$4,807FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$684,093TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$774ExclusionAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$24,000TotalAmt
Program Services$24,000ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$74,654TotalAmt
Program Services$40,164ProgramServicesAmt
Management And General$26,045ManagementAndGeneralAmt
Fundraising$8,445FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$194,975TotalAmt
Program Services$104,898ProgramServicesAmt
Management And General$68,022ManagementAndGeneralAmt
Fundraising$22,055FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$48,279TotalAmt
Program Services$15,026ProgramServicesAmt
Management And General$29,399ManagementAndGeneralAmt
Fundraising$3,854FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$16,603TotalAmt
Program Services$3,088ProgramServicesAmt
Management And General$11,020ManagementAndGeneralAmt
Fundraising$2,495FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$6,500TotalAmt
Management And General$6,500ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$4,678TotalAmt
Program Services$2,404ProgramServicesAmt
Management And General$2,274ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$15,653TotalAmt
Fundraising$15,653FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$19,555TotalAmt
Program Services$15,054ProgramServicesAmt
Management And General$4,501ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$25,075TotalAmt
Program Services$12,475ProgramServicesAmt
Management And General$12,600ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$21,065TotalAmt
Program Services$21,065ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,750TotalAmt
Fundraising$2,750FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$6,376TotalAmt
Management And General$6,376ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
Supply Chain Expenses$163,112$163,112
Healthcare Program$123,605$123,605
Infrastructure Program$93,456$93,456
Other Program Expenses$22,119$22,119

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$13,137TotalAmt
Program Services$13,137ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$875,592TotalAmt
Program Services$653,603ProgramServicesAmt
Management And General$166,737ManagementAndGeneralAmt
Fundraising$55,252FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$544,380BOYAmt
EOY$307,056EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$22,631BOYAmt
EOY$75,489EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$29,000LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$29,000LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$2,750BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,129BOYAmt
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$571,890BOYAmt
EOY$382,545EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$35,950BOYAmt
EOY$38,104EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$35,950BOYAmt
EOY$38,104EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$494,189BOYAmt
EOY$324,809EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$41,751BOYAmt
EOY$19,632EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$535,940BOYAmt
EOY$344,441EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$571,890BOYAmt
EOY$382,545EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$191,499ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

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$937,659CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$725,848CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$833,192CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$977,233CurrentTaxYearMinus1YearAmt
Current Tax Year$643,840CurrentTaxYearAmt
Total$4,117,772TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$937,659CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$725,848CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$833,192CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$977,233CurrentTaxYearMinus1YearAmt
Current Tax Year$643,840CurrentTaxYearAmt
Total$4,117,772TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$4,117,772PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,514CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,667CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,147CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$909CurrentTaxYearMinus1YearAmt
Current Tax Year$774CurrentTaxYearAmt
Total$11,011TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year$39,479CurrentTaxYearAmt
Total$39,479TotalAmt
FieldValueIRS element (for citing)
Total Support$4,168,262TotalSupportAmt
Public Support CY1700.98790PublicSupportCY170Pct
Public Support PY1700.96270PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

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 D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$16,500OtherCostOrOtherBasisAmt
Depreciation$16,500DepreciationAmt
Book Value$0BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$12,500OtherCostOrOtherBasisAmt
Depreciation$12,500DepreciationAmt
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

FieldValueIRS element (for citing)
RegionCentral America and the CaribbeanRegionTxt
Offices1OfficesCnt
Employee37EmployeeCnt
Region Total Expenditures$531,394RegionTotalExpendituresAmt
FieldValueIRS element (for citing)
Subtotal Offices1SubtotalOfficesCnt
Subtotal Employees37SubtotalEmployeesCnt
Continuation Total Office0ContinuationTotalOfficeCnt
Continuation Total Employee0ContinuationTotalEmployeeCnt
Total Office1TotalOfficeCnt
Total Employee37TotalEmployeeCnt
Subtotal Spent$531,394SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$531,394TotalSpentAmt

Grants To Org Outside US GrantsToOrgOutsideUSGrp

FieldValueIRS element (for citing)
Purpose Of GrantWorking CapitalPurposeOfGrantTxt
Cash Grant$24,000CashGrantAmt
Manner Of Cash DisbursementMo. BankMannerOfCashDisbursementTxt
Non Cash Assistance$0NonCashAssistanceAmt
Valuation Method UsedBookValuationMethodUsedDesc
FieldValueIRS element (for citing)
Transfer To Foreign Corp0TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp Ownership0ForeignCorpOwnershipInd
Passive Foreign Investmest Co0PassiveForeignInvestmestCoInd
Foreign Partnership0ForeignPartnershipInd
Boycott Countries0BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart III Accounting Method:FormAndLineReferenceDesc

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$100,000NoncashContributionsRptF990Amt

Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)

Non Cash CheckboxNonCashCheckboxIndDescDescContributionContributionCntNoncash Contributions Rpt F990NoncashContributionsRptF990Amt
Yes (X)Rent1$24,600
Yes (X)Volunteer Travel1$141
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section B, line 11bForm 990 is prepared by independent Reviewer/Tax Preparer and reviewed by senior administration before filing. The executive director and the chair of the board's finance committee will review the 990 before it is filed.
Form 990, Part VI, Section B, line 15aExecutive director's salary is determined by the finance committee and recommended to the board of directors for approval.
Form 990, Part VI, Section C, line 19Konbit Sante makes its form 990 and other documents available fo the public upon request, in the guidestar website, and on the organization's own website.

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