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PETEN HEALTH: Form 990EZ, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
PETEN HEALTH (EIN 81-5408198)
Tax period
2022-01-01 to 2022-12-31
Filed
2023-10-17
IRS object ID
202322909349200707
Schema version
2022v5.0
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)
Return2023-10-17T06:17:03-04:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt
Return Type990EZReturnTypeCd
Tax Period Begin2022-01-01TaxPeriodBeginDt

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
Signature2023-10-17SignatureDt
FieldValueIRS element (for citing)
Tax2022TaxYr
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$142,548GrossReceiptsAmt
Info In Schedule O Part IYes (X)InfoInScheduleOPartIInd
Contributions Gifts Grants Etc$90,215ContributionsGiftsGrantsEtcAmt
Program Service Revenue$0ProgramServiceRevenueAmt
Membership Dues$0MembershipDuesAmt
Investment Income$5,242InvestmentIncomeAmt
Sale Of Assets Gross$47,091SaleOfAssetsGrossAmt
Cost Or Other Basis Expense Sale$53,142CostOrOtherBasisExpenseSaleAmt
Gain Or Loss From Sale Of Assets-$6,051GainOrLossFromSaleOfAssetsAmt
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$89,406TotalRevenueAmt
Grants And Similar Amounts Paid$3,680GrantsAndSimilarAmountsPaidAmt
Benefits Paid To Or For Members$0BenefitsPaidToOrForMembersAmt
Salaries Other Comp Empl Bnft$0SalariesOtherCompEmplBnftAmt
Fees And Other Pymt To Ind Cntrct$250FeesAndOtherPymtToIndCntrctAmt
Occupancy Rent Utlts And Maint$0OccupancyRentUtltsAndMaintAmt
Printing Publications Postage$534PrintingPublicationsPostageAmt
Other Expenses Total$2,381OtherExpensesTotalAmt
Total Expenses$6,845TotalExpensesAmt
Excess Or Deficit For Year$82,561ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY$334,731NetAssetsOrFundBalancesBOYAmt
Other Changes In Net Assets-$26,082OtherChangesInNetAssetsAmt
Net Assets Or Fund Balances EOY$391,210NetAssetsOrFundBalancesEOYAmt

Cash Savings And Investments CashSavingsAndInvestmentsGrp

FieldValueIRS element (for citing)
BOY$334,731BOYAmt
EOY$391,210EOYAmt

Land And Buildings LandAndBuildingsGrp

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

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$334,731BOYAmt
EOY$391,210EOYAmt

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY$334,731BOYAmt
EOY$391,210EOYAmt
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 medical supply and equipment purchases: A1c tests lanterns etc. Total health care expenses: $2,570$2,458Yes (X)$2,570
Provided continuing medical education to 33 CHWs. Expenses were largely for books on women's health and production of training materials for cervical cancer detection. Total education expenses: $972.$597Yes (X)$972
Mentored CHW leadership and supported program administration including efforts to improve program effectiveness. Expenses are largely a licensing fee for the CHW program in San Francisco Guatemala. Total program development expenses: $719.$625$719
Building construction and maintenance.$0$4
FieldValueIRS element (for citing)
Total Program Service Expenses$4,265TotalProgramServiceExpensesAmt

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$93,225CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$109,613CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$159,948CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$101,961CurrentTaxYearMinus1YearAmt
Current Tax Year$90,215CurrentTaxYearAmt
Total$554,962TotalAmt

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$93,225CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$109,613CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$159,948CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$101,961CurrentTaxYearMinus1YearAmt
Current Tax Year$90,215CurrentTaxYearAmt
Total$554,962TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$127,841SubstantialContributorsTotAmt
Public Support Total170$427,121PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$644CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,179CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,313CurrentTaxYearMinus1YearAmt
Current Tax Year$5,242CurrentTaxYearAmt
Total$9,378TotalAmt

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$564,340TotalSupportAmt
Gross Receipts Rltd Activities$0GrossReceiptsRltdActivitiesAmt
Public Support CY1700.76PublicSupportCY170Pct
Public Support PY1700.72PublicSupportPY170Pct
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 28 2018, "2018", $100000, Cash| 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 (4 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, $3680|
Part I, line 16| Other Expenses:, Amount:| Travel meals and entertainment largely expenses for one person's round-trip airfare to Guatemala, $843| Information technology, $1319| Office supplies, $98| Taxes and registrations, $101| Service fees, $20|
Part I, line 20| Explanation:, Amount:| Unrealized losses in marketable securities, $-26082|
Part III, Line 28| Explanation:| Petén Health expenditures were unusually low in 2022 because the Community Health Workers CHWs were able to directly access funds from another source to cover the majority of program expenses for the year. This has enabled Petén Health to build a reserve to ensure future sustainability of the program.

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