LAST MILE HEALTH: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
LAST MILE HEALTH (EIN 26-1401736)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-07
IRS object ID
201301279349301455
Schema version
2011v1.5
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)
Timestamp2013-05-07T14:54:16-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN042684828EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1FEELEY & DRISCOLL PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1200 PORTLAND STREETAddressLine1
CityBOSTONCity
StateMAState
ZIP Code02114ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN261401736EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1TIYATIEN HEALTHBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlTIYANameControl
Phone8479175331Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 426133AddressLine1
CityCAMBRIDGECity
StateMAState
ZIP Code02142ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NamePETER LUCKOWName
TitleCHIEF OPERATING OFFICERTitle
Phone8479175331Phone
Date Signed2013-04-30DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJEFFREY T ROGERSName
PTINP01074284PTIN
Phone6177427788Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonPETER LUCKOWNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1295 RIVER STREET APT 3LAddressLine1
CityCAMBRIDGECity
StateMAState
ZIP Code02139ZIPCode
FieldValueIRS element (for citing)
Gross Receipts483667GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.TIYATIENHEALTH.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2008YearFormation
State Legal DomicileCTStateLegalDomicile
Activity Or Mission DescriptionTIYATIEN HEALTH'S (TH) MISSION IS TO COMBAT THE CYNICISM, INDIFFERENCE, AND LACK OF CREATIVITY THAT PLAGUES HEALTH CARE DELIVERY IN THE MOST REMOTE CORNERS OF LIBERIA. BY PIONEERING AND PROVING NEW POSSIBILITIES IN HEALTH DELIVERY IN LIBERIA'S MOST REMOTE VILLAGES, WE AIM TO CREATE A NEW STANDARD OF HEALTH CARE FOR THE POOREST OF THE POOR THROUGHOUT THE WORLD.ActivityOrMissionDescription
Nbr Voting Members Governing Body7NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers12TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year125744ContributionsGrantsPriorYear
Contributions Grants Current Year468001ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year0InvestmentIncomePriorYear
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year15666OtherRevenueCurrentYear
Total Revenue Prior Year125744TotalRevenuePriorYear
Total Revenue Current Year483667TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year68390GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year0SalariesEtcPriorYear
Salaries Etc Current Year127293SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year16273TotalFundrsngExpCurrentYear
Other Expense Prior Year26164OtherExpensePriorYear
Other Expenses Current Year164719OtherExpensesCurrentYear
Total Expenses Prior Year94554TotalExpensesPriorYear
Total Expenses Current Year292012TotalExpensesCurrentYear
Revenues Less Expenses Prior Year31190RevenuesLessExpensesPriorYear
Revenues Less Expenses CY191655RevenuesLessExpensesCY
Total Assets BOY52348TotalAssetsBOY
Total Assets EOY289003TotalAssetsEOY
Total Liabilities BOY0TotalLiabilitiesBOY
Total Liabilities EOY45000TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY52348NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY244003NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTIYATIEN HEALTH'S (TH) MISSION IS TO COMBAT THE CYNICISM, INDIFFERENCE, AND LACK OF CREATIVITY THAT PLAGUES HEALTH CARE DELIVERY IN THE MOST REMOTE CORNERS OF LIBERIA. BY PIONEERING AND PROVING NEW POSSIBILITIES IN HEALTH DELIVERY IN LIBERIA'S MOST REMOTE VILLAGES, WE AIM TO CREATE A NEW STANDARD OF HEALTH CARE FOR THE POOREST OF THE POOR THROUGHOUT THE WORLD.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense189692Expense
Revenue468001Revenue
DescriptionPROVIDE CLINICAL HEALTH CARE SERVICES TO RURAL COMMUNITIES IN LIBERIA.Description
Total Program Service Expense189692TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip0ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities1ForeignActivities
More Than5000 K To Organizations1MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members7NbrVotingGoverningBodyMembers
Number Independent Voting Members7NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy0ConflictOfInterestPolicy
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledCTStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1PETER LUCKOWBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8479175331TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12 ATLANTIC AVE 4TH FLOORAddressLine1
CityBOSTONCity
StateMAState
ZIP Code02110ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (8 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
LESLIE VENSEL
DIRECTOR1.00X000
ED CARDOZA
DIRECTOR1.00X000
AMISHA RAJA
DIRECTOR1.00X000
JOIA MUKHERJEE
DIRECTOR1.00X000
LYNN BLACK
DIRECTOR1.00X000
RAJESH PANJABI
EXECUTIVE DIRECTOR30.00X000X
KATHERINE COLLINS
DIRECTOR1.00X000
PETER LUCKOW
CHIEF OPERATING OFFICER50.000025000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation25000TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
All Other Contributions468001AllOtherContributions
Total Contributions468001TotalContributions

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER INCOMEDescription
Business Code900099BusinessCode
Total Revenue Column15666TotalRevenueColumn
Related Or Exempt Function Income15666RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue15666TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column483667TotalRevenueColumn
Related Or Exempt Function Income15666RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total127293Total
Program Services85236ProgramServices
Management And General33807ManagementAndGeneral
Fundraising8250Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total3022Total
Program Services1300ProgramServices
Management And General1722ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total3801Total
Program Services926ProgramServices
Management And General375ManagementAndGeneral
Fundraising2500Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total24520Total
Management And General24520ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total23149Total
Management And General23149ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total34142Total
Program Services27645ProgramServices
Management And General974ManagementAndGeneral
Fundraising5523Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total1500Total
Management And General1500ManagementAndGeneral

Other Expenses OtherExpenses

FieldValueIRS element (for citing)
DescriptionOTHER EXPENSESDescription
Total74585Total
Program Services74585ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total292012Total
Program Services189692ProgramServices
Management And General86047ManagementAndGeneral
Fundraising16273Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY52348BOY
EOY188928EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY100075EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY52348BOY
EOY289003EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
EOY45000EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY45000EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY52348BOY
EOY244003EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY52348BOY
EOY244003EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY52348BOY
EOY289003EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses191655ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited0FSAudited
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years239013CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years79220CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year125744CurrentTaxYearMinus1Year
Current Tax Year468001CurrentTaxYear
Total911978Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years239013CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years79220CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year125744CurrentTaxYearMinus1Year
Current Tax Year468001CurrentTaxYear
Total911978Total
FieldValueIRS element (for citing)
Public Support Total170911978PublicSupportTotal170
Total Support911978TotalSupport
First5 Years170XFirst5Years170

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

FieldValueIRS element (for citing)
Total Of Book Value Land Buildings0TotalOfBookValueLandBuildings
Total Revenue483667TotalRevenue
Total Expenses292012TotalExpenses
Excess Or Deficit For Year191655ExcessOrDeficitForYear
Excess Or Deficit Per FS191655ExcessOrDeficitPerFS

Schedule F IRS990ScheduleF

FieldValueIRS element (for citing)
Grant Records Maintained0GrantRecordsMaintained

Accts Actvs Out US Table AcctsActvsOutUSTable

FieldValueIRS element (for citing)
RegionLIBERIA AFRICARegion
Number Of Offices0NumberOfOffices
Number Of Employees0NumberOfEmployees
Type Of Activities ConductedFUNDS AND SUPPLIES SENT DIRECTLY TO ANOTHER ORGANIZATION IN LIBERIA TO IMPROVE HEALTHCARETypeOfActivitiesConducted
Total Expenditures165005TotalExpenditures
FieldValueIRS element (for citing)
Subtotal Number Of Offices0SubtotalNumberOfOffices
Subtotal Number Of Employees0SubtotalNumberOfEmployees
Cont Number Of Offices0ContNumberOfOffices
Cont Number Of Employees0ContNumberOfEmployees
Total Number Of Offices0TotalNumberOfOffices
Total Number Of Employees0TotalNumberOfEmployees
Subtotal Amount Spent165005SubtotalAmountSpent
Cont Amount Spent0ContAmountSpent
Total Amount Spent165005TotalAmountSpent

Grants To Orgs Outside US GrantsToOrgsOutsideUS

FieldValueIRS element (for citing)
RegionLIBERIA AFRICARegion
Purpose Of GrantTO IMPROVE HEALTHCARE SERVICES IN LIBERIA AFRICA.PurposeOfGrant
Amount Of Cash Grant165005AmountOfCashGrant
FieldValueIRS element (for citing)
Total Number Of501c3 Orgs1TotalNumberOf501c3Orgs
Total Number Of Other Orgs1TotalNumberOfOtherOrgs
Transfer To Foreign Corp0TransferToForeignCorp
Interest In Foreign Trust0InterestInForeignTrust
Own Foreign Corp0OwnForeignCorp
Passive Foreign Invest Co0PassiveForeignInvestCo
Foreign Partnership0ForeignPartnership
Boycott Countries0BoycottCountries

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION A, LINE 2THE EXECUTIVE DIRECTOR AND EX OFICIO BOARD MEMBER IS MARRIED TO ANOTHER BOARD MEMBER.
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 IS ELECTRONICALLY TRANSMITTED TO THE ORGANIZATION'S BOARD OF DIRECTORS PRIOR TO FINALIZATION AND FILING
FORM 990, PART VI, SECTION C, LINE 18THE ORGANIZATION MAKES ITS 990 AVAILABLE FOR PUBLIC INSPECTION VIA ANOTHER'S WEBSITE AND ALSO UPON REQUEST.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST

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