KONBIT SANTE CAP-HAITIEN HEALTH: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
KONBIT SANTE CAP-HAITIEN HEALTH (EIN 01-0540292)
Tax period
2012-09-01 to 2013-08-31
Filed
2014-01-16
IRS object ID
201430169349300018
Schema version
2012v2.0
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)
Timestamp2014-01-16T10:25:40-08:00Timestamp
Tax Period End Date2013-08-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BLAKE HURLEY MCCALLUM AND CONLEYBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1344 MAIN STAddressLine1
CityWESTBROOKCity
StateMEState
ZIP Code040924727ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-09-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN010540292EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Konbit Sante Cap Haitien Health PartnersBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlKONBNameControl
Phone2073476733Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 11281AddressLine1
CityPortlandCity
StateMEState
ZIP Code04104ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameNathan NickersonName
TitleExecutive DirecTitle
Date Signed2014-01-16DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJames C McCallumName
PTINP00908667PTIN
Phone2078542115Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts1284084GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2000YearFormation
State Legal DomicileMEStateLegalDomicile
Activity Or Mission DescriptionTo support the development of a sustainable health care system to meet the needs of the Cap-Haitien coummuntiy with maximum local direction and support.ActivityOrMissionDescription
Nbr Voting Members Governing Body19NbrVotingMembersGoverningBody
Nbr Independent Voting Members19NbrIndependentVotingMembers
Total Nbr Employees5TotalNbrEmployees
Total Nbr Volunteers100TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year861694ContributionsGrantsPriorYear
Contributions Grants Current Year1215540ContributionsGrantsCurrentYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year1515InvestmentIncomePriorYear
Investment Income Current Year381InvestmentIncomeCurrentYear
Other Revenue Prior Year48022OtherRevenuePriorYear
Other Revenue Current Year68163OtherRevenueCurrentYear
Total Revenue Prior Year911231TotalRevenuePriorYear
Total Revenue Current Year1284084TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year266533SalariesEtcPriorYear
Salaries Etc Current Year241668SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year12912TotalFundrsngExpCurrentYear
Other Expense Prior Year819542OtherExpensePriorYear
Other Expenses Current Year1125099OtherExpensesCurrentYear
Total Expenses Prior Year1086075TotalExpensesPriorYear
Total Expenses Current Year1366767TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-174844RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-82683RevenuesLessExpensesCY
Total Assets BOY511279TotalAssetsBOY
Total Assets EOY424668TotalAssetsEOY
Total Liabilities BOY18919TotalLiabilitiesBOY
Total Liabilities EOY14991TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY492360NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY409677NetAssetsOrFundBalancesEOY
Mission DescriptionTo support the development of a sustainable health care system to meet the needs of the Cap-Haitien coummuntiy with maximum local direction and support.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense1155462Expense
DescriptionKonbit Sante Expanded women's health programming in Fort St. Michel by iniating training for traditional birth attendants. A nurse supervisor was hired to oversee community outreach with community health workers. A study of child survival/abortion and family planning needs was conducted at the Justinian Hospital. Funds were also provided for a TB study. Emergency response materials were pre-positioned before the hurricane season, and were later integrated into stock supplies. Funds were also provided for ecological sanitation systems.Description
Total Program Service Expense1155462TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficetrueForeignOffice
Foreign ActivitiestrueForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingfalseComplianceWithBackupWitholding
Number Of Employees5NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccounttrueForeignFinancialAccount
Name Of Foreign CountryHANameOfForeignCountry
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members19NbrVotingGoverningBodyMembers
Number Independent Voting Members19NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonsfalseAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementfalseRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonRichard Williams OperationsNamePerson
Telephone Number2073476733TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1362 US Route 1AddressLine1
CityFalmouthCity
StateMEState
ZIP Code04105ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (18 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficer
Nathan Nickerson
Executive Direc40.000.002703800
Peter Plumb Esq
Clerk0.000.00000X
John Shoos
Director0.000.00000X
Hugh Tozer PE
Director0.000.00000X
David Verrill
Director0.000.00000X
Stephen Larned MD
Director0.000.00000X
Jonathon Simon DSc MPH
Director0.000.00000X
Amanda Similien
Director0.000.00000X
Malcolm Porteous Rogers MD
Vice President0.000.00000XX
Jon Queally
Director0.000.00000X
Marion Knox
Director0.000.00000X
Jeffrey Musich PE
Director0.000.00000X
Nancy Martz
Director0.000.00000X
Eva Lathrop MD MPH
Director0.000.00000X
Robert N MacKinnon Jr
Treasurer0.000.00000XX
Marianne Ringel
Secretary0.000.00000XX
Brian Dean Curran
Vice President0.000.00000XX
EJ Lovett III PhD
President0.000.00000XX
FieldValueIRS element (for citing)
Total Reportable Comp From Org27038TotalReportableCompFromOrg
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Government Grants102736GovernmentGrants
All Other Contributions1112804AllOtherContributions
Noncash Contributions568570NoncashContributions
Total Contributions1215540TotalContributions
Total Program Service Revenue0TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column381TotalRevenueColumn
Related Or Exempt Function Income381RelatedOrExemptFunctionIncome

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

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Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

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Total Revenue Column0TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

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Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

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Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

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Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Unreimbursed Vol. Travel5615003156331563
Donated Rent7210003660036600
FieldValueIRS element (for citing)
Total Other Revenue68163TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column1284084TotalRevenueColumn
Related Or Exempt Function Income68544RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total27038Total
Program Services13519ProgramServices
Management And General13519ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total166144Total
Program Services41170ProgramServices
Management And General124974ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total48486Total
Program Services18473ProgramServices
Management And General30013ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total0Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total6055Total
Management And General6055ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total12912Total
Fundraising12912Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total14079Total
Program Services6463ProgramServices
Management And General7616ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total12600Total
Management And General12600ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total0Total

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total4167Total
Program Services4167ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total0Total

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
Fort St. Michel6880468804
Soil Ecological Sanitation8252882528
Tikay TB Study9355893558
Supply Chain Expenses608456608456

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total221940Total
Program Services218324ProgramServices
Management And General3616ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total1366767Total
Program Services1155462ProgramServices
Management And General198393ManagementAndGeneral
Fundraising12912Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY330309BOY
EOY382514EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY169322BOY
EOY36312EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2273BOY
EOY634EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis5208LandBuildingsEquipmentBasis

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY9375BOY
EOY5208EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY511279BOY
EOY424668EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY18919BOY
EOY14991EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY18919BOY
EOY14991EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY351433BOY
EOY346141EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY140927BOY
EOY63536EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY492360BOY
EOY409677EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY511279BOY
EOY424668EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-82683ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years707442CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1114660CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1138006CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year861694CurrentTaxYearMinus1Year
Current Tax Year1215540CurrentTaxYear
Total5037342Total

Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170

FieldValueIRS element (for citing)
Total0Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

FieldValueIRS element (for citing)
Total0Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years707442CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1114660CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1138006CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year861694CurrentTaxYearMinus1Year
Current Tax Year1215540CurrentTaxYear
Total5037342Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total0AmountsSubstContributorsTotal
Public Support Total1705037342PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5054CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1311CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2111CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1515CurrentTaxYearMinus1Year
Current Tax Year381CurrentTaxYear
Total10372Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Total0Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years64757CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years98358CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years67244CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year48022CurrentTaxYearMinus1Year
Current Tax Year68163CurrentTaxYear
Total346544Total
FieldValueIRS element (for citing)
Total Support5394258TotalSupport
Public Support Pertcentage1700.93380PublicSupportPertcentage170
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170
Facts And Circumstances TestPart II, Line 10--Part II - Line 10: Other Income = $68,163$31,563 - Contributed Services reflects the unreimbursed volunteer travel expenses paid by the volunteers providing program services and it is reported on the books of Konbit Sante as both revenue and expenses.$36,600 - In Kind Contributions reflects donated office and warehouse space occupied by Konbit Sante staff and it is reported on the books of Konbit Sante as both revenue and expenses.FactsAndCircumstancesTest

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis5208InvestmentCostOrOtherBasis
Book Value5208BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings5208TotalOfBookValueLandBuildings
Tot Revenue Etc Audited Fincl Stmt1284084TotRevenueEtcAuditedFinclStmt
Revenue Subtotal1284084RevenueSubtotal
Total Revenue Per Form9901284084TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt1366767TotExpensesEtcAuditedFinclStmt
Expenses Subtotal1366767ExpensesSubtotal
Total Expenses Per Form9901366767TotalExpensesPerForm990

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable

FieldValueIRS element (for citing)
RegionCentral America & CaribbeanRegion
Number Of Offices1NumberOfOffices
Number Of Employees24NumberOfEmployees
Type Of Activities ConductedProgram ServicesTypeOfActivitiesConducted
Specific Services ProvidedSee Part IVSpecificServicesProvided
Total Expenditures1141943TotalExpenditures
FieldValueIRS element (for citing)
Subtotal Number Of Offices1SubtotalNumberOfOffices
Subtotal Number Of Employees24SubtotalNumberOfEmployees
Total Number Of Offices1TotalNumberOfOffices
Total Number Of Employees24TotalNumberOfEmployees
Subtotal Amount Spent1141943SubtotalAmountSpent
Total Amount Spent1141943TotalAmountSpent
Transfer To Foreign CorpfalseTransferToForeignCorp
Interest In Foreign TrustfalseInterestInForeignTrust
Own Foreign CorpfalseOwnForeignCorp
Passive Foreign Invest CofalsePassiveForeignInvestCo
Foreign PartnershipfalseForeignPartnership
Boycott CountriesfalseBoycottCountries

Form990 Schedule F Part V Form990ScheduleFPartV

FieldValueIRS element (for citing)
IdentifierAdditional Supplemental InformationIdentifier
ExplanationSchedul F - Part 1, Line 3 - Column EThis number includes funds spent for program services in Haiti from Konbit Sante's Haitian bank accounts and the value in-kind donations of supplies and equipment that are used exclusively in Haiti. It does not include certain other program related expenses made in Haiti such as U.S. staff time in and travel to Haiti, and volunteer travel costs to Haiti.Explanation

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSupplies

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F990568570NoncashContribsRptdF990
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (15 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part IX, Line 24eForm 990, Part IX, Line 24e: Other ExpensesWound Care (ER): Column (A) - Total = $2948; Column (B) - Program Services = $2948; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24eForm 990, Part IX, Line 24e: Other ExpensesWomen's Health Program: Column (A) - Total = $43023; Column (B) - Program Services = $43023; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24eForm 990, Part IX, Line 24e: Other ExpensesPediatrics: Column (A) - Total = $41813; Column (B) - Program Services = $41813; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24eForm 990, Part IX, Line 24e: Other ExpensesInfrastructure Expenses: Column (A) - Total = $7354; Column (B) - Program Services = $7354; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24eForm 990, Part IX, Line 24e: Other ExpensesHHA Maternity Study: Column (A) - Total = $218; Column (B) - Program Services = $218; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24eForm 990, Part IX, Line 24e: Other ExpensesGeneral Travel & Training: Column (A) - Total = $65798; Column (B) - Program Services = $65798; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24eForm 990, Part IX, Line 24e: Other ExpensesEmory University Project: Column (A) - Total = $8531; Column (B) - Program Services = $8531; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24eForm 990, Part IX, Line 24e: Other ExpensesEarthquake & Cholera: Column (A) - Total = $2771; Column (B) - Program Services = $2771; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24eForm 990, Part IX, Line 24e: Other ExpensesDiabetes Project: Column (A) - Total = $2628; Column (B) - Program Services = $2628; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24eForm 990, Part IX, Line 24e: Other ExpensesChemonic's Health Systems Proj: Column (A) - Total = $41177; Column (B) - Program Services = $41177; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24eForm 990, Part IX, Line 24e: Other ExpensesBoard/Committee Expenses: Column (A) - Total = $1941; Column (B) - Program Services = $0; Column (C) - Management & General = $1941; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24eForm 990, Part IX, Line 24e: Other ExpensesBank Charges: Column (A) - Total = $3738; Column (B) - Program Services = $2063; Column (C) - Management & General = $1675; Column (D) - Fundraising = $0
Form 990, Part VI, Line 19Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableKonbit Sante makes its Form 990 and other documents available to the public upon request and in the Guidestar website.
Form 990, Part VI, Line 15aForm 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top ManagementExecutive Director's salary is determined by the finance committee and recommended to the Board of Directors for approval.
Form 990, Part VI, Line 11bForm 990, Part VI, Line 11b: Form 990 Review ProcessForm 990 is prepared by the independent auditor and reviewed by senior administration before filing.

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