SCALPEL AT THE CROSS INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- SCALPEL AT THE CROSS INC (EIN 20-1175847)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-05-13
- IRS object ID
- 201301339349304780
- Schema version
- 2012v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-05-13T16:41:48-05:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | J L WIDMAN INC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1289 W 500 S | AddressLine1 |
| City | ROCHESTER | City |
| State | IN | State |
| ZIP Code | 469757564 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 201175847 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SCALPEL AT THE CROSS INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | SCAL | NameControl |
| Phone | 5748355174 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 146 W PLEASANT LAKE ROAD | AddressLine1 |
| City | NORTH OAKS | City |
| State | MN | State |
| ZIP Code | 55127 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | LISA SCHRODER | Name |
| Title | SECRETARY/TREASURER | Title |
| Phone | 5748355174 | Phone |
| Date Signed | 2013-05-10 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JENNIFER A KOROUS CPA | Name |
| Phone | 5742231040 | Phone |
| Date Prepared | 2013-05-13 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | DR PETER COLE | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 146 W PLEASANT LAKE ROAD | AddressLine1 |
| City | NORTH OAKS | City |
| State | MN | State |
| ZIP Code | 55127 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 327413 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.SCALPELATTHECROSS.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| State Legal Domicile | MN | StateLegalDomicile |
| Activity Or Mission Description | PURPOSE IS TO BUILD AND MAINTAIN A MEDICAL MISSION CAMP WHICH SERVES THE ORTHOPEDIC NEEDS OF PUCALLPAN PERUVIANS BY STAFFING CAMP WITH PART TIME HEALTH CARE PROFESSIONALS | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 7 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 7 | NbrIndependentVotingMembers |
| Total Nbr Employees | 2 | TotalNbrEmployees |
| Total Nbr Volunteers | 38 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 148276 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 327413 | ContributionsGrantsCurrentYear |
| Program Service Revenue CY | 0 | ProgramServiceRevenueCY |
| Investment Income Current Year | 0 | InvestmentIncomeCurrentYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 148276 | TotalRevenuePriorYear |
| Total Revenue Current Year | 327413 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 16106 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 58233 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 55148 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 10501 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 127180 | OtherExpensePriorYear |
| Other Expenses Current Year | 221847 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 185413 | TotalExpensesPriorYear |
| Total Expenses Current Year | 293101 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -37137 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 34312 | RevenuesLessExpensesCY |
| Total Assets BOY | 221232 | TotalAssetsBOY |
| Total Assets EOY | 255544 | TotalAssetsEOY |
| Total Liabilities EOY | 0 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 221232 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 255544 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | PURPOSE IS TO BUILD AND MAINTAIN A MEDICAL MISSION CAMP WHICH SERVES THE ORTHOPEDIC NEEDS OF PUCALLPAN PERUVIANS BY STAFFING CAMP WITH PART TIME HEALTH CARE PROFESSIONALS | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 75611 | Expense |
| Description | MEDICAL MISSION CAMPAIGNS: IN 2012, 35 VOLUNTEERS TRAVELED WITH SCALPEL AT THE CROSS ON 3 DIFFERENT 11-DAY MISSION TRIPS. FREE CLINICAL AND SURGICAL CARE WAS PROVIDED TO 174 INDIVIDUAL PATIENTS FOR AN ESTIMATED TOTAL VALUE OF MEDICAL CARE PROVIDED EQUALLYING 480,200. THE ESTIMATED VALUE OF DONATED TEAM MEMBER TIME WAS EQUAL TO 43,900. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 20314 | Expense |
| Description | PATIENT FOLLOW UP: IN 2012, 5 ADDITIONAL TRIPS TO PUCALLPA WERE COMPLETED BY OUR PERUVIAN MEDICAL DIRECTOR BETWEEN CAMPAIGNS TO COMPLETE THE FOLLOW- UP CARE TO SURGICAL PATIENTS. 64 PATIENTS RECEIVE FOLLOW-UP CLINICAL CONSULTATIONS ACROSS 127 VISITS AT INTERVALS OF 2-WEEKS, 6-WEEKS, 4-MONTHS, AND 12-MONTHS POST-SURGICAL CARE. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 95200 | Expense |
| Description | MEDICAL SUPPLY DONATIONS & TRANSPORT: IN 2012, SCALPEL AT THE CROSS PERSONNEL AND VOLUNTEERS GATHERED AND DELIVERED NEEDED MEDICAL EQUIPMENT AND SUPPLIES VALUED AT 87,381 IN CONJUNCTION WITH OUR SHORT-TERM MEDICAL CAMPAIGNS. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 28083 | Expense |
| Grants | 16106 | Grants |
| Description | IN 2012, 35 VOLUNTEERS TRAVELED WITH SCALPEL AT THE CROSS ON 3 SHORT-TERM (11 DAY) MEDICAL CAMPAIGN TRIPS. DURING THESE TRIPS, WE EVALUATED 174 PATIENTS IN CLINIC. IN ADDITION, OUR ORTHOPAEDIC SURGEON VOLUNTEERS PROVIDED LONG DISTANCE CONSULTATIONS FOR 24 ADDITIONAL PATIENTS GLOBALLY. THESE "E-CONSULT" REQUESTS COME FROM PERU AS WELL AS OTHER COUNTRIES WHERE MISSIONS CONTACTS ARE LOCATED. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 28083 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Grnt | 16106 | TotalOfOtherProgramServiceGrnt |
| Total Program Service Expense | 219208 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | false | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | false | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | true | ForeignOffice |
| Foreign Activities | true | ForeignActivities |
| More Than5000 K To Organizations | true | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | false | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | true | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | false | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | false | ScheduleORequired |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | false | ComplianceWithBackupWitholding |
| Number Of Employees | 2 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 7 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 7 | NumberIndependentVotingMembers |
| Family Or Business Relationship | true | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | false | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | false | ConflictOfInterestPolicy |
| Whistleblower Policy | false | WhistleblowerPolicy |
| Document Retention Policy | false | DocumentRetentionPolicy |
| Compensation Process CEO | false | CompensationProcessCEO |
| Compensation Process Other | false | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | MN | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | SCALPEL AT THE CROSS INC | NamePerson |
| Telephone Number | 5742237118 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1920 MAPLES COURT | AddressLine1 |
| City | ROCHESTER | City |
| State | IN | State |
| ZIP Code | 46975 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (3 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|
| LISA K SCHRODER | |||||
| SEC/TREAS | 10.00 | X | 30000 | 0 | 0 |
| DR PETER COLE | |||||
| PRESIDENT | X | 0 | 0 | 0 | |
| ROBERT R KORLJAN | |||||
| VICE PRESIDE | X | 0 | 0 | 0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 30000 | TotalReportableCompFromOrg |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | false | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
| All Other Contributions | 327413 | AllOtherContributions |
| Noncash Contributions | 92825 | NoncashContributions |
| Total Contributions | 327413 | TotalContributions |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 327413 | TotalRevenueColumn |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16106 | Total |
| Program Services | 16106 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 51300 | Total |
| Management And General | 51300 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3848 | Total |
| Management And General | 3848 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1168 | Total |
| Management And General | 1168 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11533 | Total |
| Management And General | 1032 | ManagementAndGeneral |
| Fundraising | 10501 | Fundraising |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6044 | Total |
| Management And General | 6044 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9312 | Total |
| Program Services | 9312 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| MEDICAL SUPPLIES, SHIPPIN | 95200 | 95200 |
| MISSION TRAVEL | 61320 | 61320 |
| PERU MED DIRECTOR COMP | 15850 | 15850 |
| TEAM HOUSING, MEALS, SUPP | 13238 | 13238 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8182 | Total |
| Program Services | 8182 | ProgramServices |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 293101 | Total |
| Program Services | 219208 | ProgramServices |
| Management And General | 63392 | ManagementAndGeneral |
| Fundraising | 10501 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 29497 | BOY |
| EOY | 71184 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 657 | BOY |
| EOY | 657 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 252327 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 68624 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 191078 | BOY |
| EOY | 183703 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 221232 | BOY |
| EOY | 255544 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 221232 | BOY |
| EOY | 255544 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 221232 | BOY |
| EOY | 255544 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 221232 | BOY |
| EOY | 255544 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 34312 | ReconcilationRevenueExpenses |
| Method Of Accounting Cash | X | MethodOfAccountingCash |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | false | FSAudited |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 200225 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 163774 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 196230 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 148276 | CurrentTaxYearMinus1Year |
| Current Tax Year | 327413 | CurrentTaxYear |
| Total | 1035918 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 200225 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 163774 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 196230 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 148276 | CurrentTaxYearMinus1Year |
| Current Tax Year | 327413 | CurrentTaxYear |
| Total | 1035918 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 1035918 | PublicSupportTotal509 |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 200225 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 163774 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 196230 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 148276 | CurrentTaxYearMinus1Year |
| Current Tax Year | 327413 | CurrentTaxYear |
| Total | 1035918 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 1.00000 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 1.00000 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00000 | InvestmentIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 252327 | OtherCostOrOtherBasis |
| Depreciation | 68624 | Depreciation |
| Book Value | 183703 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 183703 | TotalOfBookValueLandBuildings |
Schedule F IRS990ScheduleF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | false | GrantRecordsMaintained |
Accts Actvs Out US Table AcctsActvsOutUSTable (2 entries)
| RegionRegion | Number Of EmployeesNumberOfEmployees | Type Of Activities ConductedTypeOfActivitiesConducted | Specific Services ProvidedSpecificServicesProvided | Total ExpendituresTotalExpenditures | Number Of OfficesNumberOfOffices |
|---|---|---|---|---|---|
| PERU | 1 | PROGRAM SERVICE | PATIENT FOLLOW-UP | 20186 | |
| PERU | PROGRAM SERVICE | HOUSING PROVISION | 4361 | 1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Number Of Offices | 1 | SubtotalNumberOfOffices |
| Subtotal Number Of Employees | 1 | SubtotalNumberOfEmployees |
| Total Number Of Offices | 1 | TotalNumberOfOffices |
| Total Number Of Employees | 1 | TotalNumberOfEmployees |
| Subtotal Amount Spent | 24547 | SubtotalAmountSpent |
| Total Amount Spent | 24547 | TotalAmountSpent |
Grants To Orgs Outside US GrantsToOrgsOutsideUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Purpose Of Grant | PLAYGROUND | PurposeOfGrant |
| Amount Of Cash Grant | 16106 | AmountOfCashGrant |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transfer To Foreign Corp | false | TransferToForeignCorp |
| Interest In Foreign Trust | false | InterestInForeignTrust |
| Own Foreign Corp | false | OwnForeignCorp |
| Passive Foreign Invest Co | false | PassiveForeignInvestCo |
| Foreign Partnership | false | ForeignPartnership |
| Boycott Countries | false | BoycottCountries |
Form990 Schedule F Part V Form990ScheduleFPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | ACTIVITIES PER REGION | Identifier |
| Return Reference | SCHEDULE F, PAGE 1, PART I, LINE 3 | ReturnReference |
| Explanation | PERU 20,186 0 PERU 4,361 0 | Explanation |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSupplies
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 9 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 92825 | NoncashContribsRptdF990 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | false | ReviewProcessUnusualNCGifts |
| Third Parties Used | false | ThirdPartiesUsed |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| EXPLANATION ON VOLUNTEERS AND TYPES OF SERVICES OR BENEFITS | FORM 990, PAGE 1, PART I, LINE 6 | THE ORGANIZATION HAS 35 INDIVIDUALS TRAVELING ON THE MISSION TRIPS, ONE PERSON WHO VOLUNTEERS FOR BOOKKEEPING AND TWO OTHER PEOPLE WHO HELP RUN MISCELLANEOUS ERRANDS. |
| ALL OTHER ACCOMPLISHMENT DESCRIPTION | FORM 990, PAGE 2, PART III, LINE 4D | IN 2012, 35 VOLUNTEERS TRAVELED WITH SCALPEL AT THE CROSS ON 3 SHORT-TERM (11 DAY) MEDICAL CAMPAIGN TRIPS. DURING THESE TRIPS, WE EVALUATED 174 PATIENTS IN CLINIC. IN ADDITION, OUR ORTHOPAEDIC SURGEON VOLUNTEERS PROVIDED LONG DISTANCE CONSULTATIONS FOR 24 ADDITIONAL PATIENTS GLOBALLY. THESE "E-CONSULT" REQUESTS COME FROM PERU AS WELL AS OTHER COUNTRIES WHERE MISSIONS CONTACTS ARE LOCATED. |
| RELATED PARTY INFORMATION AMONG OFFICERS | FORM 990, PAGE 6, PART VI, LINE 2 | PETER COLE NANCY COLE BOARD MEMBER BOARD MEMBER HUSBAND/WIFE |
| ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 | FORM 990, PAGE 6, PART VI, LINE 11B | ACCOUNTING FIRM PREPARES DRAFT OF FORM 990 FOR TREASURER AND BOARD OF DIRECTORS TO REVIEW. ANY CHANGES RESULTING FOR BOARD DISCUSSIONS ARE COMMUNICATED TO ACCOUNTANT FOR ANAYLSIS AND ADJUSTMENT. ACCOUNTANT PREPARES FINAL COPY OF FORM 990 TO BE FILED. |
| GOVERNING DOCUMENTS DISCLOSURE EXPLANATION | FORM 990, PAGE 6, PART VI, LINE 19 | NO DOCUMENTS AVAILABLE TO THE PUBLIC |
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