SHALOM FOUNDATION: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
SHALOM FOUNDATION (EIN 95-4894733)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-11-08
IRS object ID
202123129349301677
Schema version
2020v4.0
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)
Return2021-11-08T10:33:48-06:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

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 Begin2020-01-01TaxPeriodBeginDt

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)
PersonSTEVE MOOREPersonNm
Person TitleCHAIRMANPersonTitleTxt
Phone6155955811PhoneNum
Signature2021-10-21SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstSTEVEPersonFirstNm
Person LastMOOREPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSCOTT A FELTS CPAPreparerPersonNm
PTINP01547515PTIN
Phone6153733771PhoneNum
Preparation2021-10-21PreparationDt
FieldValueIRS element (for citing)
Tax2020TaxYr
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$954,284GrossReceiptsAmt
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 Independent7VotingMembersIndependentCnt
Total Employee2TotalEmployeeCnt
Total Volunteers700TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$992,266PYContributionsGrantsAmt
CY Contributions Grants$672,369CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$8,252PYInvestmentIncomeAmt
CY Investment Income$747CYInvestmentIncomeAmt
PY Other Revenue$9,779PYOtherRevenueAmt
CY Other Revenue$234,473CYOtherRevenueAmt
PY Total Revenue$1,010,297PYTotalRevenueAmt
CY Total Revenue$907,589CYTotalRevenueAmt
PY Grants And Similar Paid$810,718PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$699,517CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$56,571PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$70,183CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$18,506CYTotalFundraisingExpenseAmt
PY Other Expenses$180,198PYOtherExpensesAmt
CY Other Expenses$120,479CYOtherExpensesAmt
PY Total Expenses$1,047,487PYTotalExpensesAmt
CY Total Expenses$890,179CYTotalExpensesAmt
PY Revenues Less Expenses-$37,190PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$17,410CYRevenuesLessExpensesAmt
Total Assets BOY$1,321,786TotalAssetsBOYAmt
Total Assets EOY$1,489,177TotalAssetsEOYAmt
Total Liabilities BOY$79,011TotalLiabilitiesBOYAmt
Total Liabilities EOY$121,608TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,242,775NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,367,569NetAssetsOrFundBalancesEOYAmt
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$849,058ExpenseAmt
Grant$699,517GrantAmt
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$849,058TotalProgramServiceExpensesAmt
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 OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document4IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee2EmployeeCnt
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 Member7IndependentVotingMemberCnt
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)
PersonERIC HOBSON TREASURERPersonNm
Phone6155955811PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1412 CUMMINS STREETAddressLine1Txt
CityFRANKLINCityNm
State AbbreviationTNStateAbbreviationCd
ZIP37064ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (8 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
STEVE MOORE
CHAIRMAN20.00Yes (X)Yes (X)$0$0$0
DR KEN MOORE
VICE CHAIRMA5.00Yes (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
BEVERLY HERRO
BOARD MEMBER1.00Yes (X)$0$0$0
TERESA PARR
BOARD MEMBER1.00Yes (X)$10,500$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$10,500TotalReportableCompFromOrgAmt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Government Grants$10,000GovernmentGrantsAmt
All Other Contributions$662,369AllOtherContributionsAmt
Noncash Contributions$50,299NoncashContributionsAmt
Total Contributions$672,369TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,465TotalRevenueColumnAmt
Exclusion$1,465ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$9,750RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$9,750RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,750TotalRevenueColumnAmt
Exclusion$9,750ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$44,389SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$45,107SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$718SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$718TotalRevenueColumnAmt
Exclusion-$718ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$226,311FundraisingGrossIncomeAmt
Fundraising Direct Expenses$1,588FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$224,723TotalRevenueColumnAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$907,589TotalRevenueColumnAmt
Exclusion$10,497ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$100,000TotalAmt
Program Services$100,000ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$599,517TotalAmt
Program Services$599,517ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$10,500TotalAmt
Program Services$7,560ProgramServicesAmt
Management And General$1,890ManagementAndGeneralAmt
Fundraising$1,050FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$54,723TotalAmt
Program Services$39,401ProgramServicesAmt
Management And General$9,850ManagementAndGeneralAmt
Fundraising$5,472FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$4,960TotalAmt
Program Services$3,571ProgramServicesAmt
Management And General$893ManagementAndGeneralAmt
Fundraising$496FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$860TotalAmt
Program Services$619ProgramServicesAmt
Management And General$155ManagementAndGeneralAmt
Fundraising$86FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$24,512TotalAmt
Program Services$19,790ProgramServicesAmt
Management And General$3,036ManagementAndGeneralAmt
Fundraising$1,686FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$193TotalAmt
Program Services$165ProgramServicesAmt
Fundraising$28FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$16,952TotalAmt
Program Services$12,644ProgramServicesAmt
Management And General$2,608ManagementAndGeneralAmt
Fundraising$1,700FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$5,063TotalAmt
Program Services$3,711ProgramServicesAmt
Management And General$869ManagementAndGeneralAmt
Fundraising$483FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$6,511TotalAmt
Program Services$4,687ProgramServicesAmt
Management And General$1,172ManagementAndGeneralAmt
Fundraising$652FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$17,450TotalAmt
Program Services$17,450ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$26TotalAmt
Program Services$22ProgramServicesAmt
Fundraising$4FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$47,544TotalAmt
Program Services$40,888ProgramServicesAmt
Fundraising$6,656FundraisingAmt

Other Expenses OtherExpensesGrp

FieldValueIRS element (for citing)
DescOTHERDesc
Total$1,368TotalAmt
Program Services$1,175ProgramServicesAmt
Fundraising$193FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$890,179TotalAmt
Program Services$851,200ProgramServicesAmt
Management And General$20,473ManagementAndGeneralAmt
Fundraising$18,506FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$8,768BOYAmt
EOY$176,636EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$100,442BOYAmt
EOY$202,389EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$225,302BOYAmt
EOY$128,260EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,380,344LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$547,005LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$867,634BOYAmt
EOY$833,339EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$119,640BOYAmt
EOY$148,553EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,321,786BOYAmt
EOY$1,489,177EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$43,920BOYAmt
EOY$23,299EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$35,091BOYAmt
EOY$6,309EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$79,011BOYAmt
EOY$121,608EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,220,721BOYAmt
EOY$1,234,908EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$22,054BOYAmt
EOY$132,661EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,242,775BOYAmt
EOY$1,367,569EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,321,786BOYAmt
EOY$1,489,177EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$17,410ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$20,876NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments$128,260PriorPeriodAdjustmentsAmt
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$789,085CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,132,385CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$732,710CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$992,266CurrentTaxYearMinus1YearAmt
Current Tax Year$672,369CurrentTaxYearAmt
Total$4,318,815TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$789,085CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,132,385CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$732,710CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$992,266CurrentTaxYearMinus1YearAmt
Current Tax Year$672,369CurrentTaxYearAmt
Total$4,318,815TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$595,220SubstantialContributorsTotAmt
Public Support Total170$3,723,595PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,116CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,905CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$11,510CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,999CurrentTaxYearMinus1YearAmt
Current Tax Year$11,215CurrentTaxYearAmt
Total$51,745TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$82,000CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$70,333CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$315,425CurrentTaxYearMinus2YearsAmt
Total$467,758TotalAmt
FieldValueIRS element (for citing)
Total Support$4,838,318TotalSupportAmt
Gross Receipts Rltd Activities$1,281,409GrossReceiptsRltdActivitiesAmt
Public Support CY1700.76960PublicSupportCY170Pct
Public Support PY1700.74630PublicSupportPY170Pct
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
Explanation467,758ExplanationTxt

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$275,227DepreciationAmt
Book Value$794,948BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$310,169OtherCostOrOtherBasisAmt
Depreciation$271,778DepreciationAmt
Book Value$38,391BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$833,339TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$806,701TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$20,876NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts$18,400DonatedServicesAndUseFcltsAmt
Other Revenue$1,588OtherRevenueAmt
Revenue Not Reported-$888RevenueNotReportedAmt
Revenue Subtotal$807,589RevenueSubtotalAmt
Other Revenues Not Included$100,000OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$100,000RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$907,589TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$681,907TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$18,400DonatedServicesUseFcltsAmt
Prior Year Adjustments-$128,260PriorYearAdjustmentsAmt
Other Expenses Included$1,588OtherExpensesIncludedAmt
Expenses Not Reported-$108,272ExpensesNotReportedAmt
Expenses Subtotal$790,179ExpensesSubtotalAmt
Other Expenses Not Included$100,000OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$100,000ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$890,179TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 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, 2020, 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 2017.
SCHEDULE D, PAGE 4, PART XI, LINE 2DFUNDRAISING EVENT EXPENSES 1,588
SCHEDULE D, PAGE 4, PART XI, LINE 4BDONATION TO VANDERBILT NETTED FROM REVENUE 100,000
SCHEDULE D, PAGE 4, PART XII, LINE 2DFUNDRAISING EVENT EXPENSES 1,588
SCHEDULE D, PAGE 4, PART XII, LINE 4BDONATION TO VANDERBILT NETTED FROM REVENUE 100,000

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$599,517RegionTotalExpendituresAmt
FieldValueIRS element (for citing)
Subtotal Offices1SubtotalOfficesCnt
Subtotal Employees1SubtotalEmployeesCnt
Total Office1TotalOfficeCnt
Total Employee1TotalEmployeeCnt
Subtotal Spent$599,517SubtotalSpentAmt
Total Spent$599,517TotalSpentAmt

Grants To Org Outside US GrantsToOrgOutsideUSGrp (2 entries)

Purpose Of GrantPurposeOfGrantTxtCash GrantCashGrantAmtManner Of Cash DisbursementMannerOfCashDisbursementTxt
MEDICAL SERVICES$302,092WIRE TRANSFER
MEDICAL SERVICES$297,425WIRE 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 599,517 0

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1CONCERT PROMOTIEvent1Nm
Gross Receipts Event1$226,311GrossReceiptsEvent1Amt
Gross Revenue Event1$226,311GrossRevenueEvent1Amt
Other Direct Expenses Event1$1,588OtherDirectExpensesEvent1Amt
Gross Receipts Total$226,311GrossReceiptsTotalAmt
Gross Revenue Total Events$226,311GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$1,588OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$1,588DirectExpenseSummaryEventsAmt
Net Income Summary$224,723NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1VANDERBILT UNVIERSITY MEDICAL CENTEBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line13322 WEST END AVENUE STE 900AddressLine1Txt
CityNASHVILLECityNm
State AbbreviationTNStateAbbreviationCd
ZIP37203ZIPCd
FieldValueIRS element (for citing)
Recipient EIN352528741RecipientEIN
IRC Section3IRCSectionDesc
Cash Grant$100,000CashGrantAmt
Purpose Of GrantPROGRAM SUPPORTPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$50,299NoncashContributionsRptF990Amt
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

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 1,588 DONATION TO VANDERBILT NETTED FROM REVENUE -100,000 FUNDRAISING EVENT EXPENSES -1,588 DONATION TO VANDERBILT NETTED FROM REVENUE 100,000

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