PARTNERS IN HEALTH: Form 990EZ, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- PARTNERS IN HEALTH (EIN 01-0471949)
- Tax period
- 2013-01-01 to 2013-12-31
- Filed
- 2014-05-07
- IRS object ID
- 201401279349201340
- Schema version
- 2013v3.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2014-05-07T15:59:02-05:00 | ReturnTs |
| Tax Period End | 2013-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 043374690 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WILLIAMS & ASSOCIATES PA | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 11 DEBECK DRIVE | AddressLine1 |
| City | HOLDEN | City |
| State | ME | State |
| ZIP Code | 04429 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnTypeCd |
| Tax Period Begin | 2013-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 010471949 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PARTNERS IN HEALTH | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PART | BusinessNameControlTxt |
| Phone | 2079894166 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 150 STATE STREET | AddressLine1 |
| City | BREWER | City |
| State | ME | State |
| ZIP Code | 04412 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JILL GRANT | PersonNm |
| Person Title | VICE PRESIDENT/TREASURER | PersonTitleTxt |
| Phone | 2079894166 | PhoneNum |
| Signature | 2014-05-06 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | CULLEN G WILLIAMS CPA | PreparerPersonNm |
| PTIN | P00042986 | PTIN |
| Phone | 2079419810 | PhoneNum |
| Preparation | 2014-05-02 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
| Website Address | WWW.PIHOM.COM | WebsiteAddressTxt |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Gross Receipts | $54,263 | GrossReceiptsAmt |
| Info In Schedule O Part I | Yes (X) | InfoInScheduleOPartIInd |
| Contributions Gifts Grants Etc | $54,227 | ContributionsGiftsGrantsEtcAmt |
| Investment Income | $36 | InvestmentIncomeAmt |
| Total Revenue | $54,263 | TotalRevenueAmt |
| Grants And Similar Amounts Paid | $65,212 | GrantsAndSimilarAmountsPaidAmt |
| Salaries Other Comp Empl Bnft | $10,920 | SalariesOtherCompEmplBnftAmt |
| Fees And Other Pymt To Ind Cntrct | $2,095 | FeesAndOtherPymtToIndCntrctAmt |
| Occupancy Rent Utlts And Maint | $300 | OccupancyRentUtltsAndMaintAmt |
| Printing Publications Postage | $1,390 | PrintingPublicationsPostageAmt |
| Other Expenses Total | $11,123 | OtherExpensesTotalAmt |
| Total Expenses | $91,040 | TotalExpensesAmt |
| Excess Or Deficit For Year | -$36,777 | ExcessOrDeficitForYearAmt |
| Net Assets Or Fund Balances BOY | $73,548 | NetAssetsOrFundBalancesBOYAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Net Assets Or Fund Balances EOY | $36,771 | NetAssetsOrFundBalancesEOYAmt |
Cash Savings And Investments CashSavingsAndInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $73,548 | BOYAmt |
| EOY | $36,771 | EOYAmt |
Form990 Total Assets Form990TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $73,548 | BOYAmt |
| EOY | $36,771 | EOYAmt |
Sum Of Total Liabilities SumOfTotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $73,548 | BOYAmt |
| EOY | $36,771 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Primary Exempt Purpose | HEALTHCARE SUPPORT TO MEDICALLY UNDERSERVED AREAS | PrimaryExemptPurposeTxt |
Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp (4 entries)
| Description Program Srvc AccomDescriptionProgramSrvcAccomTxt | Grants And AllocationsGrantsAndAllocationsAmt | Program Service ExpensesProgramServiceExpensesAmt |
|---|---|---|
| PURCHAS/COLLECTION/SHIPPING/DISTRIBUTION OF USED AND NEW MEDICAL SUPPLIES AND EQUIPMENT FROM VARIOUS U.S. HEALTHCARE PROVIDERS AND SUPPLIERS TO NICARAGUAN HEALTHCARE PROVIDERS IN THE MEDICALLY UNDERSERVED NORTHEAST REGION OF NICARAGUA WITH A POPULATION OF OVER 50,000. | $0 | $0 |
| HEALTHCARE AND GENERAL WELFARE BUILDING PROJECT SUPPORT: CONTRIBUTION/COMPLETION/UPGRADE OF SEVERAL BUILDING PROJECTS INCLUDING A SCHOOL FOR HANDICAPPED CHILDREN IN PUERTO CABEZAS, NICARAGUA TO SERVE UP TO 100 AND REPLACEMENT OF ITEMS SUPPORTING HOUSING FOR HEALTHCARE PROVIDERS SERVING THE REGION OF 50,000+. | $0 | $0 |
| EDUCATION SUPPORT TO ASSIST THREE NICARAGUAN MEDICAL STUDENTS WITH THE COSTS OF BOOKS AND SUPPLIES FOR MEDICAL SCHOOL. TWO STUDENTS ARE ATTENDING MEDICAL SCHOOL IN MANAGUA AND THE OTHER IS ATTENDING THE NEW MEDICAL SCHOOL IN PUERTO CABEZAS. | $0 | $0 |
| HEALTHCARE & GENERAL WELFARE PROJECTS | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $0 | TotalProgramServiceExpensesAmt |
Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (12 entries)
| TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|
| DR ROBERT BACH | ||||
| PRESIDENT | 15.00 | $0 | $0 | $0 |
| MS JILL GRANT | ||||
| VICE PRESIDENT/TREASURER | 15.00 | $0 | $0 | $0 |
| MR STEPHEN P JOHNSON | ||||
| DIRECTOR | 5.00 | $0 | $0 | $0 |
| DR JOAN MACCRAKEN | ||||
| DIRECTOR | 5.00 | $0 | $0 | $0 |
| DR JOHN BENZIGER | ||||
| DIRECTOR | 5.00 | $0 | $0 | $0 |
| MS MARY BENZIGER | ||||
| DIRECTOR | 5.00 | $0 | $0 | $0 |
| DR PETER HAUPERT | ||||
| DIRECTOR | 5.00 | $0 | $0 | $0 |
| MS HELEN MCKENDRY | ||||
| DIRECTOR | 5.00 | $0 | $0 | $0 |
| DR MAXWELL BARUS | ||||
| DIRECTOR | 5.00 | $0 | $0 | $0 |
| MS MIKI MACDONALD | ||||
| DIRECTOR | 5.00 | $0 | $0 | $0 |
| DR ROBERT HOLMBERG | ||||
| DIRECTOR | 5.00 | $0 | $0 | $0 |
| DR JAMES MCKENDRY | ||||
| DIRECTOR | 5.00 | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| Activities Not Previously Rpt | 0 | ActivitiesNotPreviouslyRptInd |
| Chg Made To Orgnzng Doc Not Rpt | 0 | ChgMadeToOrgnzngDocNotRptInd |
| Organization Had UBI | 0 | OrganizationHadUBIInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Organization Dissolved Etc | 0 | OrganizationDissolvedEtcInd |
| Direct Indirect Pltcl Expend | $0 | DirectIndirectPltclExpendAmt |
| Made Loans To From Officers | 0 | MadeLoansToFromOfficersInd |
| Tax Imposed Under IRC4911 | $0 | TaxImposedUnderIRC4911Amt |
| Tax Imposed Under IRC4912 | $0 | TaxImposedUnderIRC4912Amt |
| Tax Imposed Under IRC4955 | $0 | TaxImposedUnderIRC4955Amt |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| Tax Imposed On Organization Mgr | $0 | TaxImposedOnOrganizationMgrAmt |
| Tax Reimbursed By Organization | $0 | TaxReimbursedByOrganizationAmt |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MS JILL GRANT | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 150 STATE STREET | AddressLine1 |
| City | BREWER | City |
| State | ME | State |
| ZIP Code | 04412 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2079894166 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Donor Advised Fnds | 0 | DonorAdvisedFndsInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Tanning Services Provided | 0 | TanningServicesProvidedInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| School Operating | 0 | SchoolOperatingInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Part VI Of Comp Of Hghst Pd Empl | NONE | PartVIOfCompOfHghstPdEmplTxt |
| Part VI Hghst Pd Cntrct Prof Srvc | NONE | PartVIHghstPdCntrctProfSrvcTxt |
| Filed Schedule A | Yes (1) | FiledScheduleAInd |
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 | $56,718 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $54,303 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $88,741 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $62,397 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $54,227 | CurrentTaxYearAmt |
| Total | $316,386 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $56,718 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $54,303 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $88,741 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $62,397 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $54,227 | CurrentTaxYearAmt |
| Total | $316,386 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $128,664 | SubstantialContributorsTotAmt |
| Public Support Total170 | $187,722 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $104 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $112 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $158 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $69 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $36 | CurrentTaxYearAmt |
| Total | $479 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $316,865 | TotalSupportAmt |
| Public Support CY170 | 0.59240 | PublicSupportCY170Pct |
| Public Support PY170 | 0.62870 | 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 O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990-EZ, PART I, LINE 4 - OTHER INVESTMENT INCOME | DESCRIPTION: INVESTMENT INCOME. AMOUNT: 36. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: MEDICAL DIRECT CARE SUPPORT. GRANTEE NAME: VARIOUS. AMOUNT GIVEN: 980. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: DONATED GOODS & SERVICES. GRANTEE NAME: VARIOUS. AMOUNT GIVEN: 5,908. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: GENERAL WELFARE PROJECTS. GRANTEE NAME: VARIOUS. AMOUNT GIVEN: 2,167. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: BUILDING PROJECTS. GRANTEE NAME: VARIOUS. AMOUNT GIVEN: 4,812. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: EDUCATION & LITERACY PROJECTS. GRANTEE NAME: VARIOUS. AMOUNT GIVEN: 8,440. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: HEALTHCARE SERVICE PROJECTS. GRANTEE NAME: VARIOUS. AMOUNT GIVEN: 42,905. TOTAL INCLUDED ON FORM 990-EZ, LINE 10: 65,212. |
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: TRANSPORTATION. AMOUNT: 2,290. DESCRIPTION: ADMINISTRATION. AMOUNT: 326. DESCRIPTION: DAVID FELLOWS FOUNDATION. AMOUNT: 7,332. DESCRIPTION: PALLIATIVE CARE PROJECT. AMOUNT: 1,175. TOTAL TO FORM 990-EZ, LINE 16: 11,123. |
Transfer Prsnl Bnft Contracts Decl TransferPrsnlBnftContractsDecl
| Field | Value | IRS element (for citing) |
|---|---|---|
| Declaration | THE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY,OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT.THE ORGANIZATION, DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY,OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT. | DeclarationDesc |
Comments