HEALING ART MISSIONS: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
HEALING ART MISSIONS (EIN 31-1618706)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-05-20
IRS object ID
202231409349300238
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)
Return2022-05-20T11:28:05-05:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1HW&COBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line123240 Chagrin Blvd Suite 700AddressLine1Txt
CityClevelandCityNm
State AbbreviationOHStateAbbreviationCd
ZIP441225450ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN311618706EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HEALING ART MISSIONSBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% TRACEE LAING MDInCareOfNm
Business Name ControlHEALBusinessNameControlTxt
Phone7405872472PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 645AddressLine1Txt
CityGRANVILLECityNm
State AbbreviationOHStateAbbreviationCd
ZIP43023ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTracee LaingPersonNm
Person TitleFOUNDING DIRECTORPersonTitleTxt
Phone7405872472PhoneNum
Signature2022-05-14SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstTraceePersonFirstNm
Person LastLaingPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMelanice C Hicks EAPreparerPersonNm
PTINP01295482PTIN
Phone2168311200PhoneNum
Preparation2022-05-14PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerTracee LaingPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 645AddressLine1Txt
CityGRANVILLECityNm
State AbbreviationOHStateAbbreviationCd
ZIP43023ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$810,053GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.healingartmissions.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1999FormationYr
Legal Domicile StateOHLegalDomicileStateCd
Activity Or MissionHEALING ART MISSIONS EXISTS TO SUPPORT THOSE IN NEED AROUND THE WORLD, ESPECIALLY IN THE AREAS OF HEALTH, NUTRITION, EDUCATION, HOUSING, AND SOCIAL JUSTICE.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers30TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$304,647PYContributionsGrantsAmt
CY Contributions Grants$743,702CYContributionsGrantsAmt
PY Program Service Revenue$32,243PYProgramServiceRevenueAmt
CY Program Service Revenue$36,503CYProgramServiceRevenueAmt
PY Investment Income$14,779PYInvestmentIncomeAmt
CY Investment Income$29,231CYInvestmentIncomeAmt
PY Other Revenue-$2,124PYOtherRevenueAmt
CY Other Revenue-$3,579CYOtherRevenueAmt
PY Total Revenue$349,545PYTotalRevenueAmt
CY Total Revenue$805,857CYTotalRevenueAmt
PY Grants And Similar Paid$233,308PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$510,176CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$52,000PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$52,000CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$37,234PYOtherExpensesAmt
CY Other Expenses$58,189CYOtherExpensesAmt
PY Total Expenses$322,542PYTotalExpensesAmt
CY Total Expenses$620,365CYTotalExpensesAmt
PY Revenues Less Expenses$27,003PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$185,492CYRevenuesLessExpensesAmt
Total Assets BOY$921,708TotalAssetsBOYAmt
Total Assets EOY$1,167,852TotalAssetsEOYAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$921,708NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,167,852NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionHEALING ART MISSIONS EXISTS TO SUPPORT THOSE IN NEED AROUND THE WORLD, ESPECIALLY IN THE AREAS OF HEALTH, NUTRITION, EDUCATION, HOUSING, AND SOCIAL JUSTICE.MissionDesc
Significant New Program SrvcYes (true)SignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$243,298ExpenseAmt
Grant$243,298GrantAmt
Revenue$36,503RevenueAmt
DescFOR MORE THAN 20 YEARS, HEALING ART MISSIONS (HAM) HAS WORKED WITH THE DUMAY COMMUNITY IN HAITI TO PROVIDE ACCESSIBLE PRIMARY COMMUNITY HEALTH CARE TO A POPULATION OF 20,000, PRIMARILY THROUGH ITS CENTER FOR COMMUNITY HEALTH IN DUMAY. THIS CLINIC PROVIDED LOW-COST OR FREE MEDICAL CARE TO 14,103 PATIENTS DURING 2021, AT A COST TO PATIENTS OF $2.00 PER VISIT, INCLUDING PRESCRIPTIONS,719 PROCEDURES PERFORMED, including major surgical procedure done while training surgical residents, 2504 patient VACCINATIONS GIVEN, The entire staff was vaccinated for COVID as soon as the Gov. made vaccines available to u, AND 902 VISITS WERE COMPLETELY IN THE FAMILY PLANNING PROGRAM. 8,613 LABORATORY TESTS WERE ALSO PERFORMED AT THE CLINIC, WITH PATIENTS PAYING ONLY THE COST OF THE TEST MATERIALS UNLESS THEY COULD NOT AFFORD IT, IN WHICH CASE THE TESTS WERE AT A REDUCED RATE OR FREE. 298 EYE EXAMS WERE PERFORMED. THERE WERE 1,471 VISITS TO THE SAFE BIRTHING PROGRAM, AND 104 HEALTHY DELIVERIES COMPLETED.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$24,000ExpenseAmt
Grant$24,000GrantAmt
DescTHE CHARLES SALOMON SCHOOL (FORMERLY HOPE FOR THE CHILDREN OF HAITI SCHOOL), PORT-DE-PAIX: HAM FUNDED ALL THE STAFF SALARIES FOR THIS SCHOOL, WHICH PROVIDED PRIMARY EDUCATION IN A POOR NEIGHBORHOOD FOR 368 CHILDREN, PRESCHOOL THROUGH THE 9TH GRADE. DURING 2021, AN ADULT LITERACY PROGRAM SERVED TWO LEVELS OF CLASSES WITH 57 ADULT STUDENTS.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$235,477ExpenseAmt
Grant$235,477GrantAmt
DescEARTHQUAKE RESPONSE: SEE SCHEDULE ODesc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (2 entries)

ExpenseExpenseAmtGrantGrantAmtDescDesc
$7,826$7,826CLEAN WATER PROGRAM
$61,962ALL OTHER PROGRAMS
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$69,788TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$7,826TotalOtherProgSrvcGrantAmt
Total Program Service Expenses$572,563TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundYes (true)DonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficeYes (true)ForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsYes (true)MoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document3IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountYes (true)ForeignFinancialAccountInd
Foreign CountryHAForeignCountryCd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsYes (true)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (true)QuidProQuoContriDisclInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldOHStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonTRACEE LAING MDPersonNm
Phone7405870632PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 645AddressLine1Txt
CityGranvilleCityNm
State AbbreviationOHStateAbbreviationCd
ZIP43023ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (10 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
DR JN FITZ JACQUES
MEDICAL DIRECTOR40.50.0Yes (X)Yes (X)$0$0$52,000
TRACEE LAING MD
FOUNDING/MEDICAL DIRECTOR30.00.0Yes (X)Yes (X)$0$0$0
JACK BLANKS
DIRECTOR5.00.0Yes (X)$0$0$0
PAUL HAMMOND
DIRECTOR OF OPERATIONS30.00.0Yes (X)Yes (X)$0$0$0
KEITH HARE
DIRECTOR2.00.0Yes (X)$0$0$0
LESLIE MIHALOV MD
DIRECTOR6.00.0Yes (X)$0$0$0
CONNIE RAY PHARM D
DIRECTOR0.50.0Yes (X)$0$0$0
JEFF HAMMOND
DIRECTOR2.00.0Yes (X)$0$0$0
ADAM RHODES
DIRECTOR0.50.0Yes (X)$0$0$0
CHERYL JALBERT
DIRECTOR0.50.0Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$52,000TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
All Other Contributions$743,702AllOtherContributionsAmt
Noncash Contributions$109,312NoncashContributionsAmt
Total Contributions$743,702TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT SERVICES AND LAB FEESDesc
Business621400BusinessCd
Total Revenue Column$36,503TotalRevenueColumnAmt
Related Or Exempt Func Income$36,503RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$36,503TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$29,231TotalRevenueColumnAmt
Exclusion$29,231ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

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

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$617FundraisingGrossIncomeAmt
Fundraising Direct Expenses$4,196FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$3,579TotalRevenueColumnAmt
Exclusion-$3,579ExclusionAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

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

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$805,857TotalRevenueColumnAmt
Related Or Exempt Func Income$36,503RelatedOrExemptFuncIncomeAmt
Exclusion$25,652ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$510,176TotalAmt
Program Services$510,176ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$52,000TotalAmt
Program Services$52,000ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$36,071TotalAmt
Management And General$36,071ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$5,197TotalAmt
Management And General$5,197ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$10,052TotalAmt
Program Services$10,052ProgramServicesAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$335TotalAmt
Program Services$335ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$6,534TotalAmt
Management And General$6,534ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$620,365TotalAmt
Program Services$572,563ProgramServicesAmt
Management And General$47,802ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$144,576BOYAmt
EOY$248,283EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$737,944BOYAmt
EOY$886,915EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

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

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$50BOYAmt
EOY$50EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$194,995LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$162,391LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$39,138BOYAmt
EOY$32,604EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

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

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

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

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$921,708BOYAmt
EOY$1,167,852EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

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

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

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

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$921,708BOYAmt
EOY$1,167,852EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$921,708BOYAmt
EOY$1,167,852EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$921,708BOYAmt
EOY$1,167,852EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$185,492ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$60,652NetUnrlzdGainsLossesInvstAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedfalseFSAuditedInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$570,458CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$351,499CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$358,446CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$304,647CurrentTaxYearMinus1YearAmt
Current Tax Year$743,702CurrentTaxYearAmt
Total$2,328,752TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$16,408CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$19,437CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$27,155CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$32,243CurrentTaxYearMinus1YearAmt
Current Tax Year$36,503CurrentTaxYearAmt
Total$131,746TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$586,866CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$370,936CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$385,601CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$336,890CurrentTaxYearMinus1YearAmt
Current Tax Year$780,205CurrentTaxYearAmt
Total$2,460,498TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$92,711CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$107,303CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$174,725CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$81,100CurrentTaxYearMinus1YearAmt
Current Tax Year$100,950CurrentTaxYearAmt
Total$556,789TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$92,711CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$107,303CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$174,725CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$81,100CurrentTaxYearMinus1YearAmt
Current Tax Year$100,950CurrentTaxYearAmt
Total$556,789TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$1,903,709PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,365CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$12,774CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,852CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$17,238CurrentTaxYearMinus1YearAmt
Current Tax Year$29,231CurrentTaxYearAmt
Total$74,460TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,365CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$12,774CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,852CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$17,238CurrentTaxYearMinus1YearAmt
Current Tax Year$29,231CurrentTaxYearAmt
Total$74,460TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$592,231CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$383,710CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$395,453CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$354,128CurrentTaxYearMinus1YearAmt
Current Tax Year$809,436CurrentTaxYearAmt
Total$2,534,958TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.75098PublicSupportCY509Pct
Public Support PY5090.75953PublicSupportPY509Pct
Investment Income CY0.02937InvestmentIncomeCYPct
Investment Income PY0.01830InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

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

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp
LandLandGrp
BuildingsBuildingsGrp

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$84,732OtherCostOrOtherBasisAmt
Depreciation$59,681DepreciationAmt
Book Value$25,051BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$110,263OtherCostOrOtherBasisAmt
Depreciation$102,710DepreciationAmt
Book Value$7,553BookValueAmt
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildingsGrp
Total Book Value Land Buildings$32,604TotalBookValueLandBuildingsAmt

Schedule F IRS990ScheduleF

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Account Activities Outside US AccountActivitiesOutsideUSGrp (6 entries)

RegionRegionTxtOfficesOfficesCntEmployeeEmployeeCntType Of Activities ConductedTypeOfActivitiesConductedTxtSpecific Services ProvidedSpecificServicesProvidedTxtRegion Total ExpendituresRegionTotalExpendituresAmt
Central America and the Caribbean137Program ServicesCOMMUNITY HEALTH$243,298
Central America and the Caribbean135Program ServicesFUND THE LOCAL SCHOOL$24,000
Central America and the Caribbean15Program ServicesCLEAN WATER PROGRAM$7,826
Central America and the Caribbean127Program ServicesEARTHQUAKE RESPONSE$235,477
Central America and the Caribbean10InvestmentsMEDICAL CARE & EDUCATI$31,585
Central America and the Caribbean00FundraisingPURCHASE HAITIAN ART$2,165
FieldValueIRS element (for citing)
Subtotal Offices5SubtotalOfficesCnt
Subtotal Employees104SubtotalEmployeesCnt
Total Office5TotalOfficeCnt
Total Employee104TotalEmployeeCnt
Subtotal Spent$544,351SubtotalSpentAmt
Total Spent$544,351TotalSpentAmt

Foreign Individuals Grants ForeignIndividualsGrantsGrp (5 entries)

Type Of AssistanceTypeOfAssistanceTxtRegionRegionTxtRecipientRecipientCntCash GrantCashGrantAmtManner Of Cash DisbursementMannerOfCashDisbursementTxtNon Cash AssistanceNonCashAssistanceAmtDescription Of Non Cash AsstDescriptionOfNonCashAsstTxtValuation Method UsedValuationMethodUsedDesc
PRIMARY HEALTH CARE/CHOLERA CLINICCentral America and the Caribbean14103$233,986CASH/CK/WIRE$9,312MEDICATIONCOST
EDUCATIONCentral America and the Caribbean525$24,000CASH/CK/WIRECOST
CLEAN WATERCentral America and the Caribbean1500$7,826CASH/CK/WIRECOST
EXPENSES EFFECTING ALL PROGRAMS (TRANSPORT/COMPUTECentral America and the Caribbean16438$401,289CASH/CK/WIRECOST
EARTHQUAKE RESPONSECentral America and the Caribbean310$135,477CASH/CK/WIRE$100,000surgical suppliesCOST
FieldValueIRS element (for citing)
Transfer To Foreign CorpfalseTransferToForeignCorpInd
Interest In Foreign TrustfalseInterestInForeignTrustInd
Foreign Corp OwnershipfalseForeignCorpOwnershipInd
Passive Foreign Investmest CofalsePassiveForeignInvestmestCoInd
Foreign PartnershipfalseForeignPartnershipInd
Boycott CountriesfalseBoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3, ACTIVITIES PER REGIONREGION EXPENDITURES INVESTMENTS CENTRAL AMERICA AND THE CARIBBEAN $ 243,298 CENTRAL AMERICA AND THE CARIBBEAN $ 24,000 CENTRAL AMERICA AND THE CARIBBEAN $ 7,826 CENTRAL AMERICA AND THE CARIBBEAN $ 235,477 CENTRAL AMERICA AND THE CARIBBEAN $ 31,585 CENTRAL AMERICA AND THE CARIBBEAN $ 2,165
PART III, LINE (1) (D) AMOUNT OF CASH GRANTMEDICAL DIRECTOR DR. JN FITZ JACQUES IS BASED IN HAITI AND ONLY COMPENSATED FOR SERVICE PROVIDED AT THE CLINIC. HIS COMPENSATION WAS INCLUDED IN GRANTS PAID TO PROGRAM SERVICES IN HAITI.

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArtGrp
Art Historical TreasuresArtHistoricalTreasuresGrp
Art Fractional InterestArtFractionalInterestGrp
Books And PublicationsBooksAndPublicationsGrp
Clothing And Household GoodsClothingAndHouseholdGoodsGrp
Cars And Other VehiclesCarsAndOtherVehiclesGrp
Boats And PlanesBoatsAndPlanesGrp
Intellectual PropertyIntellectualPropertyGrp
Securities Publicly TradedSecuritiesPubliclyTradedGrp
Securities Closely Held StockSecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust IntrstsSecurPrtnrshpTrustIntrstsGrp
Securities MiscellaneousSecuritiesMiscellaneousGrp
Qualified Contrib Hist StructQualifiedContribHistStructGrp
Qualified Contrib OtherQualifiedContribOtherGrp
Real Estate ResidentialRealEstateResidentialGrp
Real Estate CommercialRealEstateCommercialGrp
Real Estate OtherRealEstateOtherGrp
CollectiblesCollectiblesGrp
Food InventoryFoodInventoryGrp

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution8ContributionCnt
Noncash Contributions Rpt F990$109,312NoncashContributionsRptF990Amt
Method Of Determining RevenuesVALUE OF MEDICATIONSMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
TaxidermyTaxidermyGrp
Historical ArtifactsHistoricalArtifactsGrp
Scientific SpecimensScientificSpecimensGrp
Archaeological ArtifactsArchaeologicalArtifactsGrp
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 4D - ALL OTHER ACCOMPLISHMENTNUTRITION ASSISTANCE PROGRAM. A SUMMER CAMP FOR THE CHILDREN IN DUMAY. EMERGENCY RESPONSE SYSTEM LOCATED ON OUR PROPERTY. FARMING IS DONE ON THE CLINIC GROUNDS MAKING GOOD USE OF THE LAND AND PROVIDING FRESH EGGS, ETC. LOCAL SCHOOLS HAVE BEEN SUPPLIED WITH CLEAN WATER AS WELL AS EDUCATING THE COMMUNITY ABOUT CLEAN WATER/CHOLERA PREVENTION. 950 GIFT OF WATER SYSTEMS WERE MAINTAINED. 1,735 GALLONS OF LIVING WATER FOR THE WORLD PURIFIED WATER HAVE BEEN DISTRIBUTED TO 3 LOCAL SCHOOLS, 330 GALLONS TO THE CLINIC, AND 5,045 GALLONS TO THE COMMUNITY OF DUMAY.
FORM 990, PART V, LINE 4B - FINANCIAL ACCOUNTS IN FOREIGN COUNTRIESHAITI
FORM 990, PART VI, LINE 2 - RELATED PARTY INFO AMONG OFFICERSTRACEE LAING, MEDICAL DIRECTOR AND PAUL HAMMOND, DIRECTOR OF OPERATION ARE MARRIED.
FORM 990, PART VI, LINE 11B - ORGANIZATION'S PROCESS TO REVIEWTHE FORM 990 WILL BE DISTRIBUTED TO ALL BOARD MEMBERS. WE WILL HOLD A QUESTION AND ANSWER SESSION USING A VIDEO CONFERENCE IN WHICH BOARD MEMBERS WILL BE ENCOURAGED TO REVIEW THE FORM 990. BOARD MEMBERS WILL BE ENCOURAGED TO READ THE ENTIRE DOCUMENT BEFORE THIS MEETING.
FORM 990, PART VI, LINE 12C - ENFORCEMENT OF CONFLICTS POLICYIN REGARDS TO THE CONFLICT OF INTEREST POLICY: 1-DUTY TO DISCLOSE: IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF THE FINANCIAL INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF COMMITTEES WITH GOVERNING BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. 2-DETERMINING WHETHER A CONFLICT OF INTEREST EXISTS: AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE/SHE SHALL LEAVE THE GOVERNING BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLLICT OF INTEREST EXISTS. 3-PROCEDURES FOR ADDRESSING THE CONFLICT: A)AN INTERESTED PERSON MAY MAKE A PRESENTATION AT THE GOVERNING BOARD OR COMMITTEE MEETING, BUT AFTER THE PRESENTATION, HE/SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT INVOLVING THE POSSIBLE CONFLICT OF INTEREST. B)THE CHAIRPERSON OF THE GOVERNING BOARD OR COMMITTEE SHALL, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE THE ALTERNATIVE TO THE PROPOSED TRANSACTION OR ARRANGEMENT. C)AFTER EXERCISING DUE DILIGENCE, THE GOVERNING BOARD OR COMMITTEE WILL DETERMINE WHETHER THE ORGANIZATION CAN OBTAIN WITH REASONABLE EFFORTS A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLILCT OF INTEREST. D)IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY POSSIBLE UNDER CIRCUMSTANCES NOT PRODUCING A CONFLICT OF INTEREST, THE GOVERNING BOARD OR COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE ORGANIZATION'S BEST INTEREST, FOR ITS OWN BENEFIT, AND WHETHER IT IS FAIR AND REASONABLE. IN CONFORMITY WITH THE ABOVE DETERMINATION IT SHALL MAKE ITS DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT. 4-VIOLATIONS OF THE CONFLICTS OF INTEREST POLICY: A)IF THE GOVERNING BOARD OR COMMITTEE HAS REASONABLE CAUSE TO BELIEVE A MEMBER HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, IT SHALL INFORM THE MEMBER OF THE BASIS FOR SUCH BELIEVE AND AFFORD THE MEMBER AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. B)IF, AFTER HEARING THE MEMBER'S RESPONSE AND AFTER MAKING FURTHER INVESTIGATION AS WARRANTED BY THE CIRCUMSTANCES, THE GOVERNING BOARD OR COMMITTEE DETERMINES THE MEMBER HAS FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, IT SHALL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION. EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS SUCH PERSON: A)HAS RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY; B)HAS READ AND UNDERSTANDS THE POLICY; C)HAS AGREED TO COMPLY WITH THE POLICY, AND D)UNDERSTANDS THE ORGANIZATIONS IS CHARITABLE AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES.
FORM 990, PART VI, LINE 18 - NO PUBLIC DISCLOSURE EXPLANATIONTHE BOARD REVIEWS, AND THE ORGANIZATION'S GOVERNING DOCUMENTS ARE AVAILABLE TO ANYONE WHO WANTS TO SEE THEM. THE ORGANIZATION HAS A PUBLIC COPY AT ITS OFFICE.
FORM 990, PART VI, LINE 19 - GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONALL OF THE GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VII, SECTION A - OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEDR. JN FITZ JACQUES IS LISTED AS WORKING 0.5 HRS PER WEEK SERVING AS A NON-COMPENSATED BOARD MEMBER; 40 HRS PER WEEK SERVING AS MEDICAL DIRECTOR IN HAITI AND RECEIVES $52,000 COMPENSATION.
FORM 990, PART VI, LINE 15B - OFFICER COMPENSATION DETERMINATIONDr. Jn Fritz Jacques is paid to manage the clinic in Dumay, Haiti, to take care for patients, including surgery, and to represent HAM to the Government of Haiti. The founding director, Tracee Laing, researched salary packages for similar positions in Haiti by requesting information from known directors of several clinics and hospitals in Haiti. After bringing that information to the board, and discussion at a regularly scheduled board meeting (excluding Dr. Jacques), the current salary package was agreed upon and presented to Dr. Jacques which he accepted. The Executive Committee reviews Dr. Jacques compensation annually in the last meeting of the year, usually following the November Board Meeting. The process was documented in the board meeting notes. The process was last undertaken in 2021.
FORM 990, PART III, LINE 2EARTHQUAKE RESPONSE: A 7.2 earthquake struck Haiti's southern peninsula on the 14th of August, 2021 killing over 2,200 people and injuring over 12,200. HAM Haitian Medical Director, Dr. Jean Jacques, immediately began contacting local hospitals and surgical colleagues to mount a medical response. In conjunction, the HAM team in the U.S. obtained a grant of $131,000 from the Together Rising Foundation, and through Dr. Jacques, organized a collaboration with the Haitian Ministry of Health (MSPP), Association of Surgeons at Haiti State Univ. Hospital in Port-au-Prince, and seven major hospitals in the most damaged areas. HAM funded and oversees the planning, supplying, and deployment of Haitian medical teams for this three-month emergency response. To date, the coordinated care effort Dr. Jacques has orchestrated has completed 248 surgeries, with follow-up care for 68 patients with complicated wounds, plus the delivery of 62 newborns and provision of 158 pre and post-natal visits. Working strategically, Dr. Jacques directly involved local health providers in the response, and he reached out to the local Voodoo practitioner Doc La, whose prominent role in the Nippes community, utilizing remedies handed down through generations, made him a key resource. Dr. Jacques worked with Doc La to secure care for those who needed surgical treatment. Staff of 27: 6 surgeons, 10 surgical residents, 3 anesthesia specialist, 4 nurses, 1 midwife, 3 administrators Surgeries = 248 62 midwife assisted deliveries

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