GRANT FOUNDATION: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- GRANT FOUNDATION (EIN 25-1017587)
- Tax period
- 2020-01-01 to 2020-12-31
- Filed
- 2021-09-23
- IRS object ID
- 202112669349301451
- Schema version
- 2020v4.1
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule F
- Schedule G
- Schedule J
- Schedule M
- Schedule O
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-09-23T13:17:33-05:00 | ReturnTs |
| Tax Period End | 2020-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 251622758 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MAHER DUESSEL CPA'S | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 503 MARTINDALE STREET SUITE 600 | AddressLine1Txt |
| City | PITTSBURGH | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 15212 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 251017587 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GRANT FOUNDATION INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | GRAN | BusinessNameControlTxt |
| Phone | 4123615200 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 110091 | AddressLine1Txt |
| City | PITTSBURGH | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 15232 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | NEVIN FORD | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 4123615200 | PhoneNum |
| Signature | 2021-09-23 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | NEVIN | PersonFirstNm |
| Person Last | FORD | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ELIZABETH E KRISHER | PreparerPersonNm |
| PTIN | P01275616 | PTIN |
| Phone | 4124715500 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOPITAL ALBERT SCHWEITZER HAITI | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | NEVIN FORD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 110091 | AddressLine1Txt |
| City | PITTSBURGH | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 15232 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $7,238,165 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.HASHAITI.ORG | WebsiteAddressTxt |
| Type Of Organization Assoc | Yes (X) | TypeOfOrganizationAssocInd |
| Formation | 1956 | FormationYr |
| Legal Domicile State | PA | LegalDomicileStateCd |
| Activity Or Mission | HOPITAL ALBERT SCHWEITZER (HAS) PROVIDES ESSENTIAL HEALTH AND DEVELOPMENT SERVICES IN CENTRAL HAITI TO AN UNDERSERVED POPULATION OF 350,000. HAS HAS OPERATED CONTINUOUSLY SINCE 1956. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 10 | TotalEmployeeCnt |
| Total Volunteers | 12 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $3,723,291 | PYContributionsGrantsAmt |
| CY Contributions Grants | $4,624,818 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $555,438 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $629,158 | CYProgramServiceRevenueAmt |
| PY Investment Income | $364,471 | PYInvestmentIncomeAmt |
| CY Investment Income | $382,214 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$15,349 | PYOtherRevenueAmt |
| CY Other Revenue | -$33,160 | CYOtherRevenueAmt |
| PY Total Revenue | $4,627,851 | PYTotalRevenueAmt |
| CY Total Revenue | $5,603,030 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $4,088,041 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $3,582,300 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $319,422 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,825,236 | PYOtherExpensesAmt |
| CY Other Expenses | $2,327,932 | CYOtherExpensesAmt |
| PY Total Expenses | $6,913,277 | PYTotalExpensesAmt |
| CY Total Expenses | $5,910,232 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$2,285,426 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$307,202 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $12,133,871 | TotalAssetsBOYAmt |
| Total Assets EOY | $12,382,710 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $695,032 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $793,236 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $11,438,839 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $11,589,474 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE MISSION OF HOPITAL ALBERT SCHWEITZER (HAS) IS TO COLLABORATE WITH THE PEOPLE OF THE ARTIBONITE VALLEY AS THEY STRIVE TO IMPROVE THEIR HEALTH AND QUALITY OF LIFE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $4,645,857 | ExpenseAmt |
| Revenue | $578,172 | RevenueAmt |
| Desc | THE HAS NETWORK OF CARE INCLUDES A 200-BED HOSPITAL LOCATED IN DESCHAPELLES, HAITI WHICH SERVES AS THE PRIMARY REFERENCE HOSPITAL IN THE AREA. THE HOSPITAL OFFERS ADVANCED CARE IN INTERNAL MEDICINE, SURGERY, OBSTETRICS AND GYNECOLOGY (OB/GYN), AND PEDIATRICS, AS WELL AS PHYSICAL REHABILITATION, LABORATORY DIAGNOSTICS, PROSTHETICS AND ORTHOTICS AND PHARMACY SERVICES. IN 2020, HAS OPENED A COVID TREATMENT CENTER TO RECEIVE AND TREAT COVID PATIENTS. HAS ANNUAL HOSPITAL ADMISSIONS ARE OVER 11,000 IN ADDITION TO 50,000+ OUTPATIENT VISITS TO THE HOSPITAL. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $715,034 | ExpenseAmt |
| Revenue | $50,986 | RevenueAmt |
| Desc | INTEGRATED COMMUNITY SERVICESHEALTH SERVICES:HAS BRINGS HEALTH SERVICES TO THE FAR REACHES OF ITS 610 SQUARE MILES SERVICE AREA THROUGH FOUR COMMUNITY HEALTH CENTERS, MOBILE HEALTH CLINICS AND A NETWORK OF COMMUNITY HEALTH WORKERS. EVEN WITH MONTHS OF RESTRICTIONS DURING COVID HAS COMPLETED NEARLY 70,000 COMMUNITY HEALTH CENTER CONSULTATIONS, 51,000 HOME HEALTH VISITS, AND REACHED 70,000 PEOPLE WITH HEALTH EDUCATION SESSIONS IN 2020. DEVELOPMENT PROGRAMS:HAS DEVELOPMENT PROGRAMS FOCUS ON BRINGING CLEAN WATER AND SANITATION TO LOCAL COMMUNITIES, PROVIDING WELLS, WATER FILTERS, HANDWASHING STATIONS, SANTIZER, AND LATRINE BLOCKS AS WELL AS EXTENSIVE COMMUNITY ENGAGEMENT AND EDUCATION. HAS ALSO OPERATES AN AGROFORESTRY PROGRAM WHICH TRAINS COMMUNITY MEMBERS IN REFORESTATION TECHNIQUES. THE PROGRAMS HAVE PLANTED OVER 2.4 MILLION TREES LOCALLY SINCE INCEPTION. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $5,360,891 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | Yes (1) | ForeignOfficeInd |
| Foreign Activities | Yes (1) | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 16 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 10 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | Yes (1) | ForeignFinancialAccountInd |
| Foreign Country | HA | ForeignCountryCd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | VA | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | PA | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | SC | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | FL | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | CT | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | NJ | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | MA | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | MN | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | MD | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | CO | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | GA | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | IL | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | NC | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | WA | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | AL | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | KS | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | AK | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | AR | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | KY | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | MI | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | MS | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | NH | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | NM | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | ND | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | OK | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | OR | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | RI | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | TN | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | UT | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | WV | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | WI | StatesWhereCopyOfReturnIsFldCd |
| Own Website | Yes (X) | OwnWebsiteInd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ANJA GRANT ZWETSLOOT | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4123615200 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 110091 | AddressLine1Txt |
| City | PITTSBURGH | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 15232 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| JOHN WALTON | ||||||
| CHAIR | 10.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| DAVID G HEIMAN ESQ | ||||||
| VICE CHAIR | 5.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| ADELINE AZRACK | ||||||
| SECRETARY | 5.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| BRADLEY A BERQUIST CMA | ||||||
| TREASURER | 10.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| LESLIE COCKBURN | ||||||
| DIRECTOR | 5.00 | Yes (X) | $0 | $0 | $0 | |
| MARLYN DELVA EDD | ||||||
| DIRECTOR | 5.00 | Yes (X) | $0 | $0 | $0 | |
| SCOTT DOWELL MD | ||||||
| DIRECTOR | 5.00 | Yes (X) | $0 | $0 | $0 | |
| DANIEL FITZGERALD MD | ||||||
| DIRECTOR | 5.00 | Yes (X) | $0 | $0 | $0 | |
| JENIFER GRANT | ||||||
| DIRECTOR | 5.00 | Yes (X) | $0 | $0 | $0 | |
| URSULA GROSS LEEMANN ESQ | ||||||
| DIRECTOR | 5.00 | Yes (X) | $0 | $0 | $0 | |
| GERALD LEREBOURS MD | ||||||
| DIRECTOR | 5.00 | Yes (X) | $0 | $0 | $0 | |
| ROLF A MAIBACH MD | ||||||
| DIRECTOR | 5.00 | Yes (X) | $0 | $0 | $0 | |
| CHLOE SQUIRES | ||||||
| DIRECTOR | 5.00 | Yes (X) | $0 | $0 | $0 | |
| LOUISE H STEPHAICH | ||||||
| DIRECTOR | 5.00 | Yes (X) | $0 | $0 | $0 | |
| THOMAS C SUCCOP | ||||||
| DIRECTOR (THROUGH 4/2020) | 5.00 | Yes (X) | $0 | $0 | $0 | |
| JEAN MARC DE MATTEIS | ||||||
| CEO | 50.00 | Yes (X) | Yes (X) | $375,000 | $0 | $0 |
| NEVIN FORD | ||||||
| CFO | 45.00 | Yes (X) | $160,000 | $0 | $21,185 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $535,000 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $21,185 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 2 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $298,577 | FundraisingAmt |
| Government Grants | $474,813 | GovernmentGrantsAmt |
| All Other Contributions | $3,851,428 | AllOtherContributionsAmt |
| Noncash Contributions | $658,843 | NoncashContributionsAmt |
| Total Contributions | $4,624,818 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | HOSP. & COMM. SVC. FEES | Desc |
| Business | 624200 | BusinessCd |
| Total Revenue Column | $629,158 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $629,158 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $629,158 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $109,833 | TotalRevenueColumnAmt |
| Exclusion | $109,833 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,864,296 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,591,915 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $272,381 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $272,381 | TotalRevenueColumnAmt |
| Exclusion | $272,381 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $10,060 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $298,577 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $43,220 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$33,160 | TotalRevenueColumnAmt |
| Exclusion | -$33,160 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,603,030 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $629,158 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $349,054 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $681,185 | TotalAmt |
| Program Services | $681,185 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,427,579 | TotalAmt |
| Program Services | $2,219,299 | ProgramServicesAmt |
| Management And General | $91,530 | ManagementAndGeneralAmt |
| Fundraising | $116,750 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,499 | TotalAmt |
| Program Services | $10,400 | ProgramServicesAmt |
| Management And General | $7,322 | ManagementAndGeneralAmt |
| Fundraising | $8,777 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $306,520 | TotalAmt |
| Program Services | $276,260 | ProgramServicesAmt |
| Management And General | $12,903 | ManagementAndGeneralAmt |
| Fundraising | $17,357 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $140,517 | TotalAmt |
| Program Services | $123,893 | ProgramServicesAmt |
| Management And General | $7,257 | ManagementAndGeneralAmt |
| Fundraising | $9,367 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $61,045 | TotalAmt |
| Program Services | $58,237 | ProgramServicesAmt |
| Management And General | $2,808 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,343 | TotalAmt |
| Program Services | $37,521 | ProgramServicesAmt |
| Management And General | $17,822 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,936 | TotalAmt |
| Management And General | $10,936 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $118,220 | TotalAmt |
| Program Services | $25,234 | ProgramServicesAmt |
| Management And General | $3,200 | ManagementAndGeneralAmt |
| Fundraising | $89,786 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $54,996 | TotalAmt |
| Fundraising | $54,996 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,778 | TotalAmt |
| Program Services | $1,260 | ProgramServicesAmt |
| Management And General | $15,332 | ManagementAndGeneralAmt |
| Fundraising | $186 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,555 | TotalAmt |
| Program Services | $26,373 | ProgramServicesAmt |
| Management And General | $4,054 | ManagementAndGeneralAmt |
| Fundraising | $14,128 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,418 | TotalAmt |
| Management And General | $30,418 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $100,796 | TotalAmt |
| Program Services | $91,075 | ProgramServicesAmt |
| Management And General | $4,696 | ManagementAndGeneralAmt |
| Fundraising | $5,025 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $522 | TotalAmt |
| Management And General | $522 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $321,528 | TotalAmt |
| Program Services | $318,752 | ProgramServicesAmt |
| Management And General | $2,776 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,507 | TotalAmt |
| Management And General | $5,507 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | FundraisingFundraisingAmt |
|---|---|---|---|
| HOSPITAL SUPPLIES | $1,213,240 | $1,213,240 | |
| MAINTENANCE&POWER GEN. | $240,793 | $240,793 | |
| TRAINING & EDUCATION | $26,169 | $25,940 | $229 |
| HOSPITAL EXPENSES | $8,427 | $8,427 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,659 | TotalAmt |
| Program Services | $3,002 | ProgramServicesAmt |
| Management And General | $12,836 | ManagementAndGeneralAmt |
| Fundraising | $2,821 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,910,232 | TotalAmt |
| Program Services | $5,360,891 | ProgramServicesAmt |
| Management And General | $229,919 | ManagementAndGeneralAmt |
| Fundraising | $319,422 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $393,380 | BOYAmt |
| EOY | $418,539 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $621,306 | BOYAmt |
| EOY | $350,951 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $11,467 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $86,755 | BOYAmt |
| EOY | $321,462 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,146,101 | BOYAmt |
| EOY | $1,304,738 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,410 | BOYAmt |
| EOY | $5,175 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $13,133,863 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $9,156,458 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,749,435 | BOYAmt |
| EOY | $3,977,405 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,011,592 | BOYAmt |
| EOY | $5,928,820 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $104,327 | BOYAmt |
| EOY | $61,275 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,565 | BOYAmt |
| EOY | $2,878 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,133,871 | BOYAmt |
| EOY | $12,382,710 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $606,883 | BOYAmt |
| EOY | $756,412 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $53,060 | BOYAmt |
| EOY | $8,167 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,089 | BOYAmt |
| EOY | $28,657 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $695,032 | BOYAmt |
| EOY | $793,236 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,740,243 | BOYAmt |
| EOY | $7,206,370 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,698,596 | BOYAmt |
| EOY | $4,383,104 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,438,839 | BOYAmt |
| EOY | $11,589,474 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,133,871 | BOYAmt |
| EOY | $12,382,710 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$307,202 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $469,772 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$11,935 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,793,911 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,512,334 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,992,827 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,723,291 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,624,818 | CurrentTaxYearAmt |
| Total | $24,647,181 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,793,911 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,512,334 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,992,827 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,723,291 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,624,818 | CurrentTaxYearAmt |
| Total | $24,647,181 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $1,758,328 | SubstantialContributorsTotAmt |
| Public Support Total170 | $22,888,853 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $179,146 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $198,366 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $164,403 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $150,362 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $109,833 | CurrentTaxYearAmt |
| Total | $802,110 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $25,449,291 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $3,010,543 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.89940 | PublicSupportCY170Pct |
| Public Support PY170 | 0.86450 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $4,807,643 | BeginningYearBalanceAmt |
| Contributions | $600 | ContributionsAmt |
| Investment Earnings Or Losses | $644,856 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $5,176 | AdministrativeExpensesAmt |
| End Year Balance | $5,447,923 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $4,559,675 | BeginningYearBalanceAmt |
| Contributions | $31,829 | ContributionsAmt |
| Investment Earnings Or Losses | $220,660 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $4,521 | AdministrativeExpensesAmt |
| End Year Balance | $4,807,643 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $5,048,323 | BeginningYearBalanceAmt |
| Contributions | $26,100 | ContributionsAmt |
| Investment Earnings Or Losses | -$509,809 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $4,939 | AdministrativeExpensesAmt |
| End Year Balance | $4,559,675 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $4,664,212 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $412,478 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $23,411 | OtherExpendituresAmt |
| Administrative Expenses | $4,956 | AdministrativeExpensesAmt |
| End Year Balance | $5,048,323 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,043,941 | BeginningYearBalanceAmt |
| Contributions | $1,002,219 | ContributionsAmt |
| Investment Earnings Or Losses | $620,735 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $2,683 | AdministrativeExpensesAmt |
| End Year Balance | $4,664,212 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.36700 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.57400 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.05900 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $183,295 | OtherCostOrOtherBasisAmt |
| Book Value | $183,295 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,772,174 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,572,670 | DepreciationAmt |
| Book Value | $3,199,504 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,178,394 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,583,788 | DepreciationAmt |
| Book Value | $594,606 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $3,977,405 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | ACCRUED PENSION LIABILITY | Desc |
| Amt | $28,657 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $28,657 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $6,093,151 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $469,772 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $31,285 | OtherRevenueAmt |
| Revenue Not Reported | $501,057 | RevenueNotReportedAmt |
| Revenue Subtotal | $5,592,094 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $10,936 | InvestmentExpensesNotIncldAmt |
| Revenue Not Reported Fincl Stmt | $10,936 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $5,603,030 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $5,942,516 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $43,220 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $43,220 | ExpensesNotReportedAmt |
| Expenses Subtotal | $5,899,296 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $10,936 | InvestmentExpensesNotIncld2Amt |
| Expenses Not Rpt Fincl Stmt | $10,936 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $5,910,232 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | THE ENDOWMENT'S PURPOSE IS TO SUPPORT THE MISSION OF THE GRANT FOUNDATION. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | SPECIAL EVENT EXPENSE 43,220. FOREIGN EXCHANGE GAIN (LOSS) -11,935. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | SPECIAL EVENT EXPENSE 43,220. |
Schedule F IRS990ScheduleF
Account Activities Outside US AccountActivitiesOutsideUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | CENTRAL ARTIBONITE VALLEY AND SURROUNDING AREAS IN HAITI | RegionTxt |
| Offices | 1 | OfficesCnt |
| Employee | 490 | EmployeeCnt |
| Type Of Activities Conducted | OPERATE AN INTEGRATED COMMUNITY HEALTH CARE NETWORK | TypeOfActivitiesConductedTxt |
| Specific Services Provided | HOSPITAL SERVICES AND INTEGRATED COMMUNITY SERVICES | SpecificServicesProvidedTxt |
| Region Total Expenditures | $5,110,891 | RegionTotalExpendituresAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Offices | 1 | SubtotalOfficesCnt |
| Subtotal Employees | 490 | SubtotalEmployeesCnt |
| Continuation Total Office | 0 | ContinuationTotalOfficeCnt |
| Continuation Total Employee | 0 | ContinuationTotalEmployeeCnt |
| Total Office | 1 | TotalOfficeCnt |
| Total Employee | 490 | TotalEmployeeCnt |
| Subtotal Spent | $5,110,891 | SubtotalSpentAmt |
| Continuation Spent | $0 | ContinuationSpentAmt |
| Total Spent | $5,110,891 | TotalSpentAmt |
| Transfer To Foreign Corp | 0 | TransferToForeignCorpInd |
| Interest In Foreign Trust | 0 | InterestInForeignTrustInd |
| Foreign Corp Ownership | 0 | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | 0 | PassiveForeignInvestmestCoInd |
| Foreign Partnership | 0 | ForeignPartnershipInd |
| Boycott Countries | 0 | BoycottCountriesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART III ACCOUNTING METHOD: | FormAndLineReferenceDesc |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | PALM BEACH | Event1Nm |
| Gross Receipts Event1 | $249,487 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $243,987 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $5,500 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $3,796 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $17,020 | FoodAndBeverageEvent1Amt |
| Other Direct Expenses Event1 | $7,352 | OtherDirectExpensesEvent1Amt |
| Event2 | DC | Event2Nm |
| Gross Receipts Event2 | $59,150 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $54,590 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $4,560 | GrossRevenueEvent2Amt |
| Food And Beverage Event2 | $3,452 | FoodAndBeverageEvent2Amt |
| Entertainment Event2 | $11,600 | EntertainmentEvent2Amt |
| Gross Receipts Total | $308,637 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $298,577 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $10,060 | GrossRevenueTotalEventsAmt |
| Rent Fclty Costs Total Events | $3,796 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $20,472 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $11,600 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $7,352 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $43,220 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$33,160 | NetIncomeSummaryAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JEAN MARC DE MATTEIS | ||||||||||||||
| CEO | $250,000 | $0 | $125,000 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $375,000 | $0 | $0 | $0 |
| NEVIN FORD | ||||||||||||||
| CFO | $160,000 | $0 | $0 | $0 | $0 | $0 | $12,800 | $0 | $8,385 | $0 | $181,185 | $0 | $0 | $0 |
Schedule M IRS990ScheduleM
Securities Publicly Traded SecuritiesPubliclyTradedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 20 | ContributionCnt |
| Noncash Contributions Rpt F990 | $264,826 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FAIR VALUE | MethodOfDeterminingRevenuesTxt |
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 776 | ContributionCnt |
| Noncash Contributions Rpt F990 | $394,017 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FAIR VALUE | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (1) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 990 PART V, LINE 2A | THE FOUNDATION EMPLOYED A TOTAL OF 500 EMPLOYEES DURING 2020. OF THIS TOTAL, APPROXIMATELY 95% OF THE EMPLOYEES ARE HAITIAN OR NON-U.S. CITIZENS, WHO ARE NOT ISSUED W-2S. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS DRAFTED BY THE ORDGANIZATION'S AUDITORS AND FINANCE DIRECTOR, REVIEWED BY THE CHIEF FINANCIAL OFFICER AND BOARD TREASURER AND UPDATED AS REQUIRED. NEXT THE DOCUMENT IS SHARED WITH ALL BOARD MEMBERS TO REVIEW AND COMMENT, THEN FINALIZED AND APPROVED BY THE BOARD TREASURER. |
| FORM 990, PART VI, SECTION B, LINE 12C | BOARD MEMBERS ARE REMINDED ANNUALLY OF THE CONFLICT OF INTEREST POLICY AND ARE REQUIRED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST STATEMENT. ANY DECLARED CONFLICTS ARE REVIEWED BY THE BOARD CHAIR AND ANY INDIVIDUALS WITH CONFLICTS ARE REQUIRED TO DECLARE THEIR CONFLICTS IF AND WHEN RELATED ISSUES ARISE. |
| FORM 990, PART VI, SECTION B, LINE 15 | COMPENSATION IS SET BY THE BOARD, CEO, AND THE PERSONNEL AND COMPENSATION COMMITTEE. WAGES ARE SET BASED ON COMPARABILITY DATA SUCH AS COMPENSATION LEVELS PAID BY SIMILAR INSTITUTIONS AND THE AVAILABILITY OF SIMILAR SERVICES IN THE GEOGRAPHIC AREA. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE FOUNDATION MAKES ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE UPON REQUEST. FINANCIAL STATEMENTS ARE AVAILABLE ON THE FOUNDATION WEBSITE, HASHAITI.ORG. |
| FORM 990, PART VI, SECTION B, LINE 12B: | THE WIFE OF A MEMBER OF THE BOARD OF HAS IS ON THE BOARD OF SWISS PARTNERSCHAFT HOPITAL ALBERT SCHWEITZER HAITI (SPHASH). SPHASH, A NON-PROFIT ORGANIZATION, LOCATED IN SWITZERLAND, CONTRIBUTED A TOTAL OF $1,093,983 IN 2020 FOR THE SUPPORT OF HAS. THESE AMOUNTS INCLUDE BOTH CASH AND DONATED GOODS AND SERVICES. THIS NON-PROFIT EXPANDS AWARENESS OF THE NEED FOR HEALTH SERVICES IN HAITI. A BOARD MEMBER OF HAS ALSO SERVES ON THE BOARD OF THE CANADIAN FRIENDS OF HOPITAL ALBERT SCHWEITZER HAITI. CANADIAN FRIENDS OF HOPITAL ALBERT SCHWEITZER HAITI, A NON-PROFIT ORGANIZATION, CONTRIBUTED $77,700 IN 2020 TO HAS. THIS NON-PROFIT SUPPORTS MATERNAL AND CHILD HEALTH SERVICES AT HAS AND EXPANDS AWARENESS IN CANADA OF THE NEED FOR HEALTH SERVICES IN HAITI. |
| FORM 990, PART XI, LINE 9: | FOREIGN CURRENCY GAIN -11,935. |
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