2023-09-05T12:22:19-05:00 2022-12-31 363168081 SIKICH LLP 17335 GOLF PARKWAY SUITE 500 BROOKFIELD WI 53045 990 2022-01-01 391809174 ANDEAN HEALTH AND DEVELOPMENT INC ANDE 6197886833 3902 MILWAUKEE ST 7702 MADISON WI 53707 LAURA BROWN COO 6197886833 2023-08-31 1 LAURA BROWN XXX-XX-XXXX 0 JILL M BOYLE CPA P01246734 2627549400 2023-08-31 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z DAVID GAUS MD 3902 MILWAUKEE ST 7702 MADISON WI 53707 3022661 0 X WWW.ANDEANHEALTH.ORG X 1997 WI PROVIDING FUNDING FOR PRIMARY HEALTH CARE. 4 3 2 50 0 0 2181653 2896983 0 0 9500 125678 0 -24641 2191153 2998020 2063626 1068578 0 0 405663 416391 0 0 190135 103543 218325 2572832 1703294 -381679 1294726 1250881 2514569 1625 418 1249256 2514151 THE ORGANIZATION'S PRIMARY OPERATION IS TO PROVIDE FUNDING FOR THE OPERATION OF A HEALTH CARE ORGANIZATION LOCATED IN PEDRO VICENTE MALDONADO AND SANTO DOMINGO, ECUADOR. 0 0 1345674 1068578 PROVIDED HIGH QUALITY MEDICAL SERVICES TO THOUSANDS OF LOW-INCOME ECUADORIAN FAMILIES WHILE TRAINING ECUADORIAN PHYSICIANS TO BE THE NEXT GENERATION OF RURAL HEALTH LEADERS. 1345674 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 0 0 1 0 1 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 0 2 1 0 0 0 0 0 0 0 0 0 0 0 0 X 4 3 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 1 1 0 0 WI X THE ORGANIZATION 6197886833 3902 MILWAUKEE ST 7702 MADISON WI 53707 DAVID GAUS MD MPHTM PRESIDENT 50.00 X X 203980 0 63958 JOHN BURCHETT JD VICE PRESIDENT 25.00 X X 0 0 0 LAURIE MCKEON JD TREASURER 15.00 X X 0 0 0 MICHAEL HEISLER MD MPH SECRETARY 15.00 X X 0 0 0 LAURA BROWN COO 50.00 X 89699 0 36705 293679 0 100663 1 0 1 0 0 605808 2291175 2896983 125678 125678 0 605808 24641 -24641 -24641 2998020 0 0 101037 1068578 1068578 384129 128043 128043 128043 32262 10754 10754 10754 17905 15433 2472 19200 2900 2900 13400 10954 5232 108 5614 2302 2302 25050 8350 8350 8350 BAD DEBT 119315 119315 MISCELLANEOUS 19053 200 104 18749 MEALS 2753 2753 BANK CHARGES 1793 1793 1703294 1345674 167485 190135 548314 473289 602567 2041280 100000 0 9153 9153 0 0 1250881 2514569 1625 418 1625 418 X 1149256 2514151 100000 0 1249256 2514151 1250881 2514569 1294726 -29831 0 X 0 1 X 1 0 X 1237189 2636127 1522750 2181653 2896983 10474702 1237189 2636127 1522750 2181653 2896983 10474702 4033816 6440886 1403 666 448 9500 125678 137695 10612397 0.60690 0.75010 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 224255 66666 -29831 261090 224255 224255 1.00000 0.00000 0.00000 0 0 4139 4139 0 5014 5014 0 0 X 2992830 -29831 24641 -5190 2998020 0 2998020 1727935 24641 24641 1703294 0 1703294 PART X, LINE 2: THE ORGANIZATION IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND, ACCORDINGLY, IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE AS OTHER THAN A PRIVATE FOUNDATION. PART XI, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENTS NETTED WITH REVENUE 24,641. PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENTS NETTED WITH REVENUE 24,641. 1 0 0 0 0 0 0 0 0 0 ECUADOR HEALTH CARE SERVICES AND PHYSICIAN TRAINING 784727 WIRE TRANSFER 283851 HOSPITAL EQUIPMENT AND SUPPLIES FMV 0 0 0 0 0 0 PART I, LINE 2: ALL GRANTS TO THAT FOUNDATION ARE APPROVED BY THE BOARD AT ANDEAN HEALTH AND THE CRITERIA USED TO DETERMINE WHETHER TO SEND THOSE GRANTS IS WHETHER USE OF THE FUNDS WILL FULFILL THE MISSION OF ANDEAN HEALTH PART III ACCOUNTING METHOD: MILWAUKEE EVENT 217855 217855 2541 10664 26 BIKE RIDE 387953 387953 3516 31 7863 605808 605808 3516 2541 10695 7889 24641 -24641 0 0 0 0 0 0 0 0 0 DAVID GAUS MD MPHTM PRESIDENT 203980 0 0 0 0 0 30000 0 33958 0 267938 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B BOARD MEMBERS RECEIVE A COPY OF THE FORM 990 FOR REVIEW PRIOR TO MAILING. FORM 990, PART VI, SECTION B, LINE 12C ALL OFFICERS, DIRECTORS AND EMPLOYEES ARE INFORMED OF THE ORGANZATION'S CONFLICT OF INTEREST POLICY AND ARE INSTRUCTED TO NOTIFY THE BOARD OF DIRECTORS IF THEY HAVE ANY CONCERNS. THE BOARD OF DIRECTORS REVIEWS AND MONITORS ANY CONCERNS RELATED TO CONFLICT OR INTERESTS. FORM 990, PART VI, SECTION B, LINE 15A MEMBERS OF THE BOARD OF DIRECTORS ANNUALLY REVIEW THE COMPENSATION FOR THE EXECUTIVE DIRECTOR AND BASED UPON PRIOR SALARIES AND ANTICIPATED REVENUE THE BOARD MEMBERS OFFER THE EXECUTIVE DIRECTOR A COMPENSATION PACKAGE. FORM 990, PART VI, SECTION C, LINE 19 ALL FINANCIAL RECORDS ARE MAINTAINED BY THE TREASURER AND ARE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST.