SHALOM FOUNDATION: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
SHALOM FOUNDATION (EIN 95-4894733)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-11-14
IRS object ID
202203189349315665
Schema version
2021v4.0
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)
Return2022-11-14T16:54:57-05:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN450491842PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BLANKENSHIP CPA GROUP PLLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1215 WARD CIRCLEAddressLine1Txt
CityBRENTWOODCityNm
State AbbreviationTNStateAbbreviationCd
ZIP370272304ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN954894733EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE SHALOM FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSHALBusinessNameControlTxt
Phone6155955811PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1P O BOX 1354AddressLine1Txt
CityFRANKLINCityNm
State AbbreviationTNStateAbbreviationCd
ZIP37065ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCAYLEN SANTOSPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone6155955811PhoneNum
Signature2022-11-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstCAYLENPersonFirstNm
Person LastSANTOSPersonLastNm
FieldValueIRS element (for citing)
SSN111001111SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSCOTT A FELTS CPAPreparerPersonNm
PTINP01547515PTIN
Phone6153733771PhoneNum
Preparation2022-11-14PreparationDt
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSTEVE MOOREPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1354AddressLine1Txt
CityFRANKLINCityNm
State AbbreviationTNStateAbbreviationCd
ZIP37065ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,266,191GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressTHESHALOMFOUNDATION.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2001FormationYr
Legal Domicile StateTNLegalDomicileStateCd
Activity Or MissionTHE MISSION OF THE ORGANIZATION IS TO ENCOURAGE CHRISTIAN VALUES BY PROVIDING MEDICAL AND SURGICAL CARE TO IMPOVERISHED CHILDREN IN GUATEMALA THROUGH THE MOORE PEDIATRIC SURGERY CENTER.ActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee1TotalEmployeeCnt
Total Volunteers700TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$672,369PYContributionsGrantsAmt
CY Contributions Grants$534,995CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$747PYInvestmentIncomeAmt
CY Investment Income$2,071CYInvestmentIncomeAmt
PY Other Revenue$234,473PYOtherRevenueAmt
CY Other Revenue$715,199CYOtherRevenueAmt
PY Total Revenue$907,589PYTotalRevenueAmt
CY Total Revenue$1,252,265CYTotalRevenueAmt
PY Grants And Similar Paid$699,517PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$645,403CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$70,183PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$79,781CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$19,982CYTotalFundraisingExpenseAmt
PY Other Expenses$120,479PYOtherExpensesAmt
CY Other Expenses$205,638CYOtherExpensesAmt
PY Total Expenses$890,179PYTotalExpensesAmt
CY Total Expenses$930,822CYTotalExpensesAmt
PY Revenues Less Expenses$17,410PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$321,443CYRevenuesLessExpensesAmt
Total Assets BOY$1,489,177TotalAssetsBOYAmt
Total Assets EOY$1,876,908TotalAssetsEOYAmt
Total Liabilities BOY$121,608TotalLiabilitiesBOYAmt
Total Liabilities EOY$150,984TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,367,569NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,725,924NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE MISSION OF THE ORGANIZATION IS TO ENCOURAGE CHRISTIAN VALUES BY PROVIDING MEDICAL AND SURGICAL CARE TO IMPOVERISHED CHILDREN IN GUATEMALA THROUGH THE MOORE PEDIATRIC SURGERY CENTER.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$887,131ExpenseAmt
Grant$645,403GrantAmt
DescTHE MEDICAL PROGRAM ENGAGES VOLUNTEER UNITED STATES MEDICAL PROFESSIONALS ALONG WITH GUATEMALAN MEDICAL PROFESSIONALS THROUGH SHORT-TERM SURGERY AND CLINIC MISSION TEAMS IN ORDER TO HELP MEET THE NEEDS OF IMPOVERISHED CHILDREN IN GUATEMALA. MEDICAL CARE: OUR STAFF AT THE MOORE CENTER BELIEVE IN A HOLISTIC APPROACH TO HELPING PATIENTS. WE NOT ONLY ADDRESS THEIR SURGICAL NEEDS, BUT WE TAKE CARE OF THEIR PRE AND POST-OPERATIVE CARE AS WELL. OUR TEAM OF U.S. AND GUATEMALAN-BASED MEDICAL STAFF PROUDLY WORK SIDE-BY-SIDE TO PROVIDE THE HIGHEST QUALITY CARE POSSIBLE FOR OUR PATIENTS. NUTRITIONAL CARE: WE KNOW THAT THE KEY TO PREVENTION AND RECOVERY COMES THROUGH PROPER NUTRITION FOR OUR KIDS. THATS WHY WE OFFER TOP-OF-THE-LINE NUTRITION PROGRAMS FOR OUR PATIENTS AT THE MOORE CENTER, ALONG WITH TAKE-HOME SUPPLEMENTS THAT ARE TAILORED TO THEIR SPECIFIC NEEDS SO THAT EACH CHILD CAN GROW HEALTHY AND STRONG. OUTREACH MISSIONS: THROUGH OUR OUTREACH MISSIONS ACROSS GUATEMALA, WHOLE VILLAGES AND OUTLYING COMMUNITIES RECEIVE GENERAL HEALTH CHECKUPS, DENTAL CARE, AND NUTRITIONAL SUPPLEMENTS TO PROVIDE SHORT-TERM RELIEF.Desc
Total Program Service Expenses$887,131TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
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 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficeYes (true)ForeignOfficeInd
Foreign ActivitiesYes (true)ForeignActivitiesInd
More Than5000 K To OrgYes (true)MoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
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 ContrifalseDeductibleNonCashContriInd
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 Document4IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee1EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
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
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 Members8GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
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 CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldTNStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonHENRY LEVENTISPersonNm
Phone6155955811PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1354AddressLine1Txt
CityFRANKLINCityNm
State AbbreviationTNStateAbbreviationCd
ZIP37065ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
STEVE MOORE
CHAIRMAN10.00Yes (X)Yes (X)$0$0$0
DR KEN MOORE
VICE CHAIRMA1.00Yes (X)Yes (X)$0$0$0
HENRY LEVENTIS
TREASURER1.00Yes (X)Yes (X)$0$0$0
DAN SIMPSON
SECRETARY1.00Yes (X)Yes (X)$0$0$0
AMY CASSERI
BOARD MEMBER1.00Yes (X)$0$0$0
MARC GOLDSTONE
BOARD MEMBER1.00Yes (X)$0$0$0
TERESA PARR
BOARD MEMBER1.00Yes (X)$0$0$0
MICHAEL PORTACCI
BOARD MEMBER1.00Yes (X)$0$0$0
CAYLEN SANTOS
EXECUTIVE DI40.00Yes (X)$71,539$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$71,539TotalReportableCompFromOrgAmt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
All Other Contributions$534,995AllOtherContributionsAmt
Total Contributions$534,995TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,071TotalRevenueColumnAmt
Exclusion$2,071ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$17,100RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$17,100RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$17,100TotalRevenueColumnAmt
Exclusion$17,100ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$712,025FundraisingGrossIncomeAmt
Fundraising Direct Expenses$13,926FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$698,099TotalRevenueColumnAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,252,265TotalRevenueColumnAmt
Exclusion$19,171ExclusionAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$645,403TotalAmt
Program Services$645,403ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$74,537TotalAmt
Program Services$53,666ProgramServicesAmt
Management And General$13,417ManagementAndGeneralAmt
Fundraising$7,454FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$5,244TotalAmt
Program Services$3,776ProgramServicesAmt
Management And General$944ManagementAndGeneralAmt
Fundraising$524FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$1,576TotalAmt
Program Services$1,134ProgramServicesAmt
Management And General$284ManagementAndGeneralAmt
Fundraising$158FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$38,601TotalAmt
Program Services$33,218ProgramServicesAmt
Management And General$3,461ManagementAndGeneralAmt
Fundraising$1,922FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$15TotalAmt
Program Services$13ProgramServicesAmt
Fundraising$2FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$21,342TotalAmt
Program Services$16,363ProgramServicesAmt
Management And General$3,075ManagementAndGeneralAmt
Fundraising$1,904FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$9,621TotalAmt
Program Services$7,956ProgramServicesAmt
Management And General$1,070ManagementAndGeneralAmt
Fundraising$595FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$8,098TotalAmt
Program Services$5,830ProgramServicesAmt
Management And General$1,458ManagementAndGeneralAmt
Fundraising$810FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$33,425TotalAmt
Program Services$33,425ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,876TotalAmt
Program Services$1,613ProgramServicesAmt
Fundraising$263FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$42,476TotalAmt
Program Services$36,529ProgramServicesAmt
Fundraising$5,947FundraisingAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtFundraisingFundraisingAmt
SUPPORT SERVICES$45,744$45,744
OTHER$2,864$2,461$403

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$930,822TotalAmt
Program Services$887,131ProgramServicesAmt
Management And General$23,709ManagementAndGeneralAmt
Fundraising$19,982FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$176,636BOYAmt
EOY$156,376EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$202,389BOYAmt
EOY$744,203EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$128,260BOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,380,344LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$589,480LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$833,339BOYAmt
EOY$790,864EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$148,553BOYAmt
EOY$185,465EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,489,177BOYAmt
EOY$1,876,908EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$23,299BOYAmt
EOY$34,579EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$6,309BOYAmt
EOY$24,405EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$92,000BOYAmt
EOY$92,000EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$121,608BOYAmt
EOY$150,984EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,234,908BOYAmt
EOY$1,725,924EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$132,661BOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,367,569BOYAmt
EOY$1,725,924EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,489,177BOYAmt
EOY$1,876,908EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$321,443ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$36,912NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts$19,800DonatedServicesAndUseFcltsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

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$1,132,385CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$732,710CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$992,266CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$672,369CurrentTaxYearMinus1YearAmt
Current Tax Year$534,995CurrentTaxYearAmt
Total$4,064,725TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,132,385CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$732,710CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$992,266CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$672,369CurrentTaxYearMinus1YearAmt
Current Tax Year$534,995CurrentTaxYearAmt
Total$4,064,725TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$467,569SubstantialContributorsTotAmt
Public Support Total170$3,597,156PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,905CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$11,510CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,999CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,215CurrentTaxYearMinus1YearAmt
Current Tax Year$19,171CurrentTaxYearAmt
Total$63,800TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$70,333CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$315,425CurrentTaxYearMinus3YearsAmt
Total$385,758TotalAmt
FieldValueIRS element (for citing)
Total Support$4,514,283TotalSupportAmt
Gross Receipts Rltd Activities$1,774,971GrossReceiptsRltdActivitiesAmt
Public Support CY1700.79680PublicSupportCY170Pct
Public Support PY1700.76960PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferencePART II, LINE 10FormAndLineReferenceDesc
Explanation385,758ExplanationTxt

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

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,070,175OtherCostOrOtherBasisAmt
Depreciation$305,808DepreciationAmt
Book Value$764,367BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$310,169OtherCostOrOtherBasisAmt
Depreciation$283,672DepreciationAmt
Book Value$26,497BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$790,864TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$1,322,903TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$36,912NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts$19,800DonatedServicesAndUseFcltsAmt
Other Revenue$13,926OtherRevenueAmt
Revenue Not Reported$70,638RevenueNotReportedAmt
Revenue Subtotal$1,252,265RevenueSubtotalAmt
Total Revenue Per Form990$1,252,265TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$964,548TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$19,800DonatedServicesUseFcltsAmt
Other Expenses Included$13,926OtherExpensesIncludedAmt
Expenses Not Reported$33,726ExpensesNotReportedAmt
Expenses Subtotal$930,822ExpensesSubtotalAmt
Total Expenses Per Form990$930,822TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PAGE 3, PART XTHE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND CLASSIFIED BY THE INTERNAL REVENUE SERVICE (IRS) AS OTHER THAN A PRIVATE FOUNDATION. US GAAP REQUIRES THE ORGANIZATION'S MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE ORGANIZATION AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE ORGANIZATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE ORGANIZATION, AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2021, NO UNCERTAIN POSITIONS HAVE BEEN TAKEN OR ARE EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE ORGANIZATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE ORGANIZATION IS GENERALLY NO LONGER SUBJECT TO EXAMINATION BY THE IRS FOR YEARS BEFORE 2018.
SCHEDULE D, PAGE 4, PART XI, LINE 2DFUNDRAISING EVENT EXPENSES 13,926
SCHEDULE D, PAGE 4, PART XII, LINE 2DFUNDRAISING EVENT EXPENSES 13,926

Schedule F IRS990ScheduleF

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

Account Activities Outside US AccountActivitiesOutsideUSGrp

FieldValueIRS element (for citing)
RegionCENTRAL AMERICARegionTxt
Offices1OfficesCnt
Employee1EmployeeCnt
Type Of Activities ConductedASSISTANCETypeOfActivitiesConductedTxt
Specific Services ProvidedMEDICAL/EDUCATIONSpecificServicesProvidedTxt
Region Total Expenditures$691,147RegionTotalExpendituresAmt
FieldValueIRS element (for citing)
Subtotal Offices1SubtotalOfficesCnt
Subtotal Employees1SubtotalEmployeesCnt
Total Office1TotalOfficeCnt
Total Employee1TotalEmployeeCnt
Subtotal Spent$691,147SubtotalSpentAmt
Total Spent$691,147TotalSpentAmt

Grants To Org Outside US GrantsToOrgOutsideUSGrp (2 entries)

Purpose Of GrantPurposeOfGrantTxtCash GrantCashGrantAmtManner Of Cash DisbursementMannerOfCashDisbursementTxt
MEDICAL SERVICES$399,778WIRE TRANSFER
MEDICAL SERVICES$245,625WIRE TRANSFER
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt
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
SCHEDULE F, PAGE 1, PART I, LINE 2THE ORGANIZATION IS PHYSICALLY PRESENT TO MONITOR THE USE OF FUNDS.
SCHEDULE F, PAGE 1, PART I, LINE 3CENTRAL AMERICA 691,147 0

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1CONCERT PROMOTIEvent1Nm
Gross Receipts Event1$712,025GrossReceiptsEvent1Amt
Gross Revenue Event1$712,025GrossRevenueEvent1Amt
Other Direct Expenses Event1$13,926OtherDirectExpensesEvent1Amt
Gross Receipts Total$712,025GrossReceiptsTotalAmt
Gross Revenue Total Events$712,025GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$13,926OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$13,926DirectExpenseSummaryEventsAmt
Net Income Summary$698,099NetIncomeSummaryAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 2, PART III, LINE 4ATHE MEDICAL PROGRAM ENGAGES VOLUNTEER UNITED STATES MEDICAL PROFESSIONALS ALONG WITH GUATEMALAN MEDICAL PROFESSIONALS THROUGH SHORT-TERM SURGERY AND CLINIC MISSION TEAMS IN ORDER TO HELP MEET THE NEEDS OF IMPOVERISHED CHILDREN IN GUATEMALA. MEDICAL CARE: OUR STAFF AT THE MOORE CENTER BELIEVE IN A HOLISTIC APPROACH TO HELPING PATIENTS. WE NOT ONLY ADDRESS THEIR SURGICAL NEEDS, BUT WE TAKE CARE OF THEIR PRE AND POST-OPERATIVE CARE AS WELL. OUR TEAM OF U.S. AND GUATEMALAN-BASED MEDICAL STAFF PROUDLY WORK SIDE-BY-SIDE TO PROVIDE THE HIGHEST QUALITY CARE POSSIBLE FOR OUR PATIENTS. NUTRITIONAL CARE: WE KNOW THAT THE KEY TO PREVENTION AND RECOVERY COMES THROUGH PROPER NUTRITION FOR OUR KIDS. THATS WHY WE OFFER TOP-OF-THE-LINE NUTRITION PROGRAMS FOR OUR PATIENTS AT THE MOORE CENTER, ALONG WITH TAKE-HOME SUPPLEMENTS THAT ARE TAILORED TO THEIR SPECIFIC NEEDS SO THAT EACH CHILD CAN GROW HEALTHY AND STRONG. OUTREACH MISSIONS: THROUGH OUR OUTREACH MISSIONS ACROSS GUATEMALA, WHOLE VILLAGES AND OUTLYING COMMUNITIES RECEIVE GENERAL HEALTH CHECKUPS, DENTAL CARE, AND NUTRITIONAL SUPPLEMENTS TO PROVIDE SHORT-TERM RELIEF.
FORM 990, PAGE 6, PART VI, LINE 11BTHE FORM 990 WAS DISTRIBUTED ELECTRONICALLY AND VIA PAPER FOR BOARD REVIEW.
FORM 990, PAGE 6, PART VI, LINE 12CUPDATES REQUESTED AT EACH BI-MONTHLY MEETING.
FORM 990, PAGE 6, PART VI, LINE 15AANNUAL REVIEWS AND COMPARISON TO LIKE ORGANIZATIONS BY KEY BOARD MEMBERS AND CONSULTANTS.
FORM 990, PAGE 6, PART VI, LINE 15BANNUAL REVIEWS AND COMPARISON TO LIKE ORGANIZATIONS.
FORM 990, PAGE 6, PART VI, LINE 19AVAILABLE UPON REQUEST MADE AT ORGANIZATION'S OFFICE.
FORM 990, PART XI, LINE 9FUNDRAISING EVENT EXPENSES 13,926 FUNDRAISING EVENT EXPENSES -13,926

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.