HEALTH BRIDGES INTERNATIONAL INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
HEALTH BRIDGES INTERNATIONAL INC (EIN 20-3681041)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-10-29
IRS object ID
202103029349300135
Schema version
2020v4.1
Note
A later return for the same period supersedes this one.
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)
Return2021-10-29T08:47:32-07:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Jacolyn C Wheatley CPA LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12403 SE Monroe Suite EAddressLine1Txt
CityMilwaukieCityNm
State AbbreviationORStateAbbreviationCd
ZIP97222ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN203681041EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Health Bridges International IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlHEALBusinessNameControlTxt
Phone5038052346PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 8813AddressLine1Txt
CityPortlandCityNm
State AbbreviationORStateAbbreviationCd
ZIP97219ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDr Wayne CentronePersonNm
Person TitlePresidentPersonTitleTxt
Phone5038052346PhoneNum
Signature2021-10-04SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstDr WaynePersonFirstNm
Person LastCentronePersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJax WheatleyPreparerPersonNm
PTINP00195569PTIN
Phone5036548580PhoneNum
Preparation2021-10-29PreparationDt
Self EmployedYes (X)SelfEmployedInd

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
Federated Assurance LevelFAL1FederatedAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDr Wayne CentronePrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 8813AddressLine1Txt
CityPortlandCityNm
State AbbreviationORStateAbbreviationCd
ZIP97219ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$672,223GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.hbint.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2006FormationYr
Legal Domicile StateORLegalDomicileStateCd
Activity Or MissionHealth Bridges International, Inc. (HBI)is dedicated to a world where every child, youth, and young adult has access to health, hope, home, & purpose. We build evidence-based models to protect vulnerable children & familes.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee4TotalEmployeeCnt
Total Volunteers75TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$374,272PYContributionsGrantsAmt
CY Contributions Grants$623,436CYContributionsGrantsAmt
PY Program Service Revenue$102,832PYProgramServiceRevenueAmt
CY Program Service Revenue$48,787CYProgramServiceRevenueAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$64,134PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$541,238PYTotalRevenueAmt
CY Total Revenue$672,223CYTotalRevenueAmt
PY Grants And Similar Paid$72,492PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$116,160CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$141,977PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$172,729CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$21,066CYTotalFundraisingExpenseAmt
PY Other Expenses$298,261PYOtherExpensesAmt
CY Other Expenses$274,342CYOtherExpensesAmt
PY Total Expenses$512,730PYTotalExpensesAmt
CY Total Expenses$563,231CYTotalExpensesAmt
PY Revenues Less Expenses$28,508PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$108,992CYRevenuesLessExpensesAmt
Total Assets BOY$156,067TotalAssetsBOYAmt
Total Assets EOY$265,059TotalAssetsEOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$156,067NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$265,059NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionHealth Bridges International, Inc. (HBI)is dedicated to a world where every child, youth, and young adult has access to health, hope, home, & purpose. We build evidence-based models to protect vulnerable children & familes.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$153,919ExpenseAmt
Grant$0GrantAmt
Revenue$91,454RevenueAmt
DescThe Casa girasoles homes are located in the city of Ica and the Sacred Valley of Cusco. The homes work with formerly abandoned or homeless boys to find a safe, stable residential care facility. The homes work with outdoor education, life skills development, and formal classroom preparation. The homes include a large project to develop evidence-based practices for serving marginalized youth and young adults.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$45,948ExpenseAmt
Grant$0GrantAmt
Revenue$8,875RevenueAmt
DescThe Ines Project for Medically Fragile Children improves the health of economically marginalized, medically complex children on the outskirts of Lima, Peru. We do this through advocacy education and targeted resource allocation to maximize the patients' appropriate utilization of the exsisting state health care system. In 2020, income from the Ines Project helped with COVID-19 relief and support for families living in extreme poverty with a child living with a disabilityDesc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$6,918ExpenseAmt
Grant$0GrantAmt
Revenue$5,500RevenueAmt
DescThe Tigers Project works with formerly homeless and abandoned children to find pathways to success. We work with youth and young adults transitioning from residential care facilities, prison, or challenging life circumstances to find the knowledge and resources they need to build solid life course skills. The Tigers Project works with peer mentors, trained professional counselors and healthcare providers.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$307,627ExpenseAmt
Grant$97,242GrantAmt
Revenue$513,677RevenueAmt
DescOther Programs: Street Youth Workshops, Linfield Nurses NRP Training, Emergency Training, Electronic Health Record Development, & General Programs.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$307,627TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$97,242TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$513,677TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$514,412TotalProgramServiceExpensesAmt
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 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
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 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 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 Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee4EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsYes (true)NondeductibleContributionsInd
Nondeductible Contri DisclYes (true)NondeductibleContriDisclInd
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
DAF Excess Business HoldingsfalseDAFExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
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 PolicyfalseConflictOfInterestPolicyInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldORStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonLee CentronePersonNm
Phone5038075185PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line10509 SW Texas StAddressLine1Txt
CityPortlandCityNm
State AbbreviationORStateAbbreviationCd
ZIP97219ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndKey EmployeeKeyEmployeeIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
Dr Wayne Centrone
President & Executive Dir.50.00Yes (X)Yes (X)Yes (X)$60,000$0$0
Dean Boyer
Vice-President6.00Yes (X)Yes (X)$0$0$0
Lee Centrone
Treasurer6.00Yes (X)Yes (X)$0$0$0
Dr Robert Gehringer
Medical Director3.00Yes (X)$0$0$0
Margaret Hendrix
Trustee3.00Yes (X)$0$0$0
Monte Roulier
Trustee1.00Yes (X)$0$0$0
Stephen Manning
Trustee3.00Yes (X)$0$0$0
Benjamin Grass
Trustee3.00Yes (X)$0$0$0
Patrick Flanagan
Trustee3.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$60,000TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Government Grants$4,000GovernmentGrantsAmt
All Other Contributions$619,436AllOtherContributionsAmt
Total Contributions$623,436TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPPP Loan ForgivenessDesc
Business999999BusinessCd
Total Revenue Column$48,787TotalRevenueColumnAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$48,787ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$48,787TotalProgramServiceRevenueAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$672,223TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$48,787ExclusionAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$116,160TotalAmt
Program Services$116,160ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$60,000TotalAmt
Program Services$35,410ProgramServicesAmt
Management And General$11,168ManagementAndGeneralAmt
Fundraising$13,422FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$99,446TotalAmt
Program Services$99,446ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$13,283TotalAmt
Program Services$11,234ProgramServicesAmt
Management And General$942ManagementAndGeneralAmt
Fundraising$1,107FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$112TotalAmt
Program Services$112ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$2,605TotalAmt
Program Services$200ProgramServicesAmt
Management And General$2,405ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,217TotalAmt
Program Services$0ProgramServicesAmt
Management And General$1,217ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$5,581TotalAmt
Program Services$0ProgramServicesAmt
Management And General$3,082ManagementAndGeneralAmt
Fundraising$2,499FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$7,949TotalAmt
Program Services$1,943ProgramServicesAmt
Management And General$2,630ManagementAndGeneralAmt
Fundraising$3,376FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$3,271TotalAmt
Program Services$796ProgramServicesAmt
Management And General$2,475ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,094TotalAmt
Program Services$0ProgramServicesAmt
Management And General$1,094ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$18,128TotalAmt
Program Services$17,585ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$543FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,020TotalAmt
Program Services$920ProgramServicesAmt
Management And General$50ManagementAndGeneralAmt
Fundraising$50FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$486TotalAmt
Program Services$0ProgramServicesAmt
Management And General$486ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,937TotalAmt
Program Services$0ProgramServicesAmt
Management And General$1,937ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$230,942TotalAmt
Program Services$230,606ProgramServicesAmt
Management And General$267ManagementAndGeneralAmt
Fundraising$69FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$563,231TotalAmt
Program Services$514,412ProgramServicesAmt
Management And General$27,753ManagementAndGeneralAmt
Fundraising$21,066FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$148,496BOYAmt
EOY$258,490EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,584BOYAmt
EOY$2,068EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$13,520LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$9,019LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$4,987BOYAmt
EOY$4,501EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$156,067BOYAmt
EOY$265,059EOYAmt

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$156,067BOYAmt
EOY$265,059EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$156,067BOYAmt
EOY$265,059EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$156,067BOYAmt
EOY$265,059EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$108,992ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedfalseFSAuditedInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind
Other Support Sum$0OtherSupportSumAmt
Public Support CY1700PublicSupportCY170Pct

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$79,747CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$136,269CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$161,789CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$374,272CurrentTaxYearMinus1YearAmt
Current Tax Year$619,436CurrentTaxYearAmt
Total$1,371,513TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$212,754CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$180,700CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$237,557CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$177,872CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$808,883TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$292,501CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$316,969CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$399,346CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$552,144CurrentTaxYearMinus1YearAmt
Current Tax Year$619,436CurrentTaxYearAmt
Total$2,180,396TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$42,505CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$43,925CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$34,075CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$49,607CurrentTaxYearMinus1YearAmt
Current Tax Year$26,200CurrentTaxYearAmt
Total$196,312TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$151,940CurrentTaxYearMinus1YearAmt
Current Tax Year$427,975CurrentTaxYearAmt
Total$579,915TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$42,505CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$43,925CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$34,075CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$201,547CurrentTaxYearMinus1YearAmt
Current Tax Year$454,175CurrentTaxYearAmt
Total$776,227TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$1,404,169PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Total$0TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Total$2,180,396TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.64400PublicSupportCY509Pct
Public Support PY5090.80530PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Investment Income PY0.00000InvestmentIncomePYPct
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

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Book Value$0BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$13,520OtherCostOrOtherBasisAmt
Book Value$13,520BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$13,520TotalBookValueLandBuildingsAmt

Schedule F IRS990ScheduleF

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

Account Activities Outside US AccountActivitiesOutsideUSGrp

FieldValueIRS element (for citing)
RegionSouth AmericaRegionTxt
Offices1OfficesCnt
Employee1EmployeeCnt
Type Of Activities ConductedProgram ServicesTypeOfActivitiesConductedTxt
Specific Services ProvidedHealth Education & TrainingSpecificServicesProvidedTxt
Region Total Expenditures$313,888RegionTotalExpendituresAmt
FieldValueIRS element (for citing)
Subtotal Offices1SubtotalOfficesCnt
Subtotal Employees1SubtotalEmployeesCnt
Total Office1TotalOfficeCnt
Total Employee1TotalEmployeeCnt
Subtotal Spent$313,888SubtotalSpentAmt
Total Spent$313,888TotalSpentAmt

Grants To Org Outside US GrantsToOrgOutsideUSGrp (7 entries)

RegionRegionTxtPurpose Of GrantPurposeOfGrantTxt
South AmericaMedical mission
South AmericaMedical Mission
South AmericaMedical Mission
South AmericaMedical Mission
South AmericaMedical Mission
South AmericaMedical Mission
South AmericaMedical Mission
FieldValueIRS element (for citing)
Total501c3 Org7Total501c3OrgCnt
Transfer To Foreign CorpfalseTransferToForeignCorpInd
Interest In Foreign TrustfalseInterestInForeignTrustInd
Foreign Corp OwnershipfalseForeignCorpOwnershipInd
Passive Foreign Investmest CofalsePassiveForeignInvestmestCoInd
Foreign PartnershipfalseForeignPartnershipInd
Boycott CountriesfalseBoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePt I Line 2FormAndLineReferenceDesc
ExplanationRegular visits to Peru progams. Evaluation of program efficacy completed through surveys, round-table discussions, and data collection.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Pt VI, Line 2Board President and Board Treasurer are married.
Pt VI, Line 2Board Member at Large is the mother of Board Treasurer.
Pt VI, Line 11bBoard review and approval prior to filing.
Form 990, Part III, Line 4dOther Programs: 307627. 97242. 513677.
Form 990, Part IX, Line 24eStipends 28351. 28351. 0. 0.
Form 990, Part IX, Line 24eLicenses & Fees 334. 94. 240. 0.
Form 990, Part IX, Line 24eMerchant Fees 619. 547. 3. 69.
Form 990, Part IX, Line 24eProgram Supplies 199547. 199547. 0. 0.
Form 990, Part IX, Line 24eBank & Wire Fees 2091. 2067. 24. 0.

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