EQUALHEALTH INC: Form 990EZ, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
EQUALHEALTH INC (EIN 27-3645742)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-05-07
IRS object ID
201331279349200418
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)
Timestamp2013-05-07T10:14:01-07:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate
Return Type990EZReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN273645742EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1PHYSICIANS FOR HAITI INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlPHYSNameControl
Phone8054534212Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1575AddressLine1
CityBROOKLINECity
StateMAState
ZIP Code02446ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameZadok SacksName
TitleFounding Co-DirectorTitle
Phone8054534212Phone
Date Signed2013-05-07DateSigned
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990-EZ IRS990EZ

FieldValueIRS element (for citing)
Method Of Accounting CashXMethodOfAccountingCash
Web SiteWWW.PHYSICIANSFORHAITI.ORGWebSite
Organization501c3XOrganization501c3
Gross Receipts67032GrossReceipts
Info In Schedule O Part IXInfoInScheduleOPartI
Contributions Gifts Grants Etc65216ContributionsGiftsGrantsEtc
Program Service Revenue0ProgramServiceRevenue
Membership Dues0MembershipDues
Investment Income0InvestmentIncome
Gross Amount From Sale Of Assets0GrossAmountFromSaleOfAssets
Cost Other Basis And Sales Expenses0CostOtherBasisAndSalesExpenses
Gain Or Loss From Sale Of Assets0GainOrLossFromSaleOfAssets
Gaming Gross Income0GamingGrossIncome
Fundraising Gross Income1700FundraisingGrossIncome
Special Events Direct Expenses0SpecialEventsDirectExpenses
Special Events Net Income Loss1700SpecialEventsNetIncomeLoss
Gross Sales Of Inventory116GrossSalesOfInventory
Cost Of Goods Sold16CostOfGoodsSold
Gro Profit Loss Sales Of Inventory100GroProfitLossSalesOfInventory
Other Revenue Total0OtherRevenueTotal
Total Revenue67016TotalRevenue
Grants And Similar Amounts Paid13119GrantsAndSimilarAmountsPaid
Benefits Paid To Or For Members0BenefitsPaidToOrForMembers
Salaries Other Comp Empl Benefits15556SalariesOtherCompEmplBenefits
Fees And Oth Pymt To Ind Contractors200FeesAndOthPymtToIndContractors
Occupancy Rent Utilities And Maint0OccupancyRentUtilitiesAndMaint
Printing Publications Postage280PrintingPublicationsPostage
Other Expenses Total16251OtherExpensesTotal
Total Expenses45406TotalExpenses
Excess Or Deficit For Year21610ExcessOrDeficitForYear
Net Assets Or Fund Balances BOY4392NetAssetsOrFundBalancesBOY
Other Changes In Net Assets0OtherChangesInNetAssets
Net Assets Or Fund Balances EOY26002NetAssetsOrFundBalancesEOY

Cash Savings And Investments CashSavingsAndInvestments

FieldValueIRS element (for citing)
BOY4392BOY
EOY26002EOY

Land And Buildings LandAndBuildings

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY4392BOY
EOY26002EOY

Sum Of Total Liabilities SumOfTotalLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Net Assets Or Fund Balances NetAssetsOrFundBalances

FieldValueIRS element (for citing)
BOY4392BOY
EOY26002EOY
FieldValueIRS element (for citing)
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Primary Exempt PurposeThe primary exempt purpose of Physicians for Haiti, a 501(c)(3) charitable organization, is to support the educational and professional development of Haitian physicians through the provision of travel and project grants, the organization of educational and leadership conferences in Haiti, and the development of computer-based learning materials for Haitian physicians.PrimaryExemptPurpose

Program Service Accomplishment ProgramServiceAccomplishment (4 entries)

Description Program Service AccomDescriptionProgramServiceAccomGrants And AllocationsGrantsAndAllocationsProgram Service ExpensesProgramServiceExpenses
The provision of grants for Haitian physicians to attend medical conferences in the US. In 2012, seven doctors received grants that enabled them to attend three high-profile conferences in New Haven, CT and Boston, MA, and then conducted teaching sessions for their colleagues in Haiti upon their return. Thus, we estimate that there were 7 direct and approximately 200 indirect beneficiaries of this program.1060411277
The organization of Haiti-based continuing medical education and leadership conferences for Haitian doctors and nurses. Over 140 Haitian health professionals attended the largest conference, and approximately 25 each of four smaller conferences. We estimate that over 200 individuals benefited from this service in all in 2012.08792
In December 2012, we introduced Pataje Sante, an innovative leadership development program that combines leadership training for hospital staff in Haiti with training in the development of quality improvement programs. This program currently has 20 participants (direct beneficiaries) at St. Boniface Hospital in Fond-des-Blancs, Haiti, with indirect benefit accruing to approximately 75 other staff members there.03711
Other program service accomplishments in 2012 included: 1) medical education training for committee chairs ($1500 total, $0 of which was grants); 2) expenses related to nurse training programs in Haiti ($1070, $0 of which was grants); 3) a Visiting Professor Program that connect US-based experts with Haitian institutions interested in their areas of expertise ($2199, $1186 of which was grants); 4) increasing awareness about the need for our approach through academic presentations ($455, $455 of which was grants); 5) laying the groundwork for our first annual Social Medicine Course, scheduled for July 2013 ($2019, $0 of which was grants); 6) supporting our Advocacy's Committee's presentations to United Nations staff about the cholera epidemic ($1047, none of which was grants); 7) supporting the efforts of two Boston-based partner organizations with approaches that complement our own ($550, $550 of which was grants); 8) developing a set of web-based learning resources than includes interactive learning modules, discussion forums, and evidence-based Powerpoint lectures for use by residencies in Haiti ($0 - this program area is implemented entirely through the efforts of volunteers); and 9) supporting the growth of our career development program in Haiti ($324, $324 of which was grants).25159162
FieldValueIRS element (for citing)
Total Program Service Expenses32942TotalProgramServiceExpenses

Officer Director Trustee Key Empl OfficerDirectorTrusteeKeyEmpl (12 entries)

TitleTitleAvg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPositionCompensationCompensationContri To Empl Benefit Plans EtcContriToEmplBenefitPlansEtcExpense Account Other AllowancesExpenseAccountOtherAllowances
Zadok Sacks
Treasurer, Clerk, and Director20000
Michelle Morse
President and Director20000
Cassandra Fox
Executive Officer351289600
Marisa Nadas
Director and Implementation Chair10000
James Hudspeth
Director and Curriculum Chair10000
Jill Caporiccio
Director5000
Babette Witkind Davis
Director and Outreach Chair10000
Paul Farmer
Director0000
Sanjiv Chopra
Director0000
Loune Viaud
Director0000
Leon David
Director2000
Chris Curry
Director and Monitoring and Evaluation Chair10000
FieldValueIRS element (for citing)
Activities Not Previously Rpt0ActivitiesNotPreviouslyRpt
Made Changes To Orgnzng Etc Doc0MadeChangesToOrgnzngEtcDoc
Organization Had UBI0OrganizationHadUBI
Subject To Proxy Tax0SubjectToProxyTax
Organization Dissolved Etc0OrganizationDissolvedEtc
Direct Indirect Political Expend0DirectIndirectPoliticalExpend
Did Org File Form1120 POL This Year0DidOrgFileForm1120POLThisYear
Made Loans To From Officers0MadeLoansToFromOfficers
Tax Imposed Under IRC49110TaxImposedUnderIRC4911
Tax Imposed Under IRC49120TaxImposedUnderIRC4912
Tax Imposed Under IRC49550TaxImposedUnderIRC4955
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTrans
Amount Of Tax Imposed On Org Mgr0AmountOfTaxImposedOnOrgMgr
Amount Of Tax Reimbursed By Org0AmountOfTaxReimbursedByOrg
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
States Where Copy Of Return Is FiledMAStatesWhereCopyOfReturnIsFiled

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonZadok SacksNamePerson

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 1575AddressLine1
CityBROOKLINECity
StateMAState
ZIP Code02446ZIPCode
FieldValueIRS element (for citing)
Telephone Number8054534212TelephoneNumber
FieldValueIRS element (for citing)
Foreign Financial Account0ForeignFinancialAccount
Foreign Office0ForeignOffice
Maintain Any Donor Advised Funds0MaintainAnyDonorAdvisedFunds
Does Org Have Hospital0DoesOrgHaveHospital
Tanning Services Provided0TanningServicesProvided
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction With Control Entity0TransactionWithControlEntity
Engage Political Cmpgn Activities0EngagePoliticalCmpgnActivities
Engage In Lobbying Activities0EngageInLobbyingActivities
Operating School0OperatingSchool
Trnsfrs Exempt Non Char Related Org0TrnsfrsExemptNonCharRelatedOrg
Part VI Of Comp Of Highest Paid EmplNONEPartVIOfCompOfHighestPaidEmpl
Part VIA Hghst Paid Cntrct Prof SerNONEPartVIAHghstPaidCntrctProfSer
Filed Schedule A1FiledScheduleA

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years556CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year19678CurrentTaxYearMinus1Year
Current Tax Year65216CurrentTaxYear
Total85450Total

Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years556CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year19678CurrentTaxYearMinus1Year
Current Tax Year65216CurrentTaxYear
Total85450Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total18500AmountsSubstContributorsTotal
Public Support Total17066950PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total
FieldValueIRS element (for citing)
Total Support85450TotalSupport
Gross Receipts From Admissions Etc2153GrossReceiptsFromAdmissionsEtc
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 O IRS990ScheduleO

General Explanation GeneralExplanation (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
F99Z_P01_S00_L10Form 990-EZ, Part I, Line 10This total includes the following: Travel grants to enable Haitian physicians to attend medical conferences in the US (see part III; $10,604 in grants); a need-based grant to a physician trainee that enabled her to travel to Haiti as a visiting professor ($1,186); a monthly communication stipend to the leaders of a group of Haitian physicians to facilitate our work with them ($324); a grant to one of our volunteers to support research presentation at a conference ($455); and two contributions made to local partner organizations that work in Haiti ($550).
F99Z_P01_S00_L16Form 990-EZ, Part I, Line 16Description;Amount^Costs related to 4 small medical education conferences in Haiti;1203|Costs related to organizing one large medical education conference in Haiti;6243|Nursing program costs including lodging for staff and training supplies;1070|Advocacy committee expenses in Haiti including travel and transportation;1047|Kidnap and Ransom and Directors and Officers Insurance;2567|Board and staff meeting expenses;1395|Items for StartSomeGood online fundraising;200|Office supplies and filing fees and finance charges;420|Training for P4H staff;1500|Monthly Paychex payroll fees and wire transfer fees;606^Total;16251^
F99Z_P03_S00_L32Form 990-EZ, Part III, Line 32In 2012, nearly 50 volunteers, many of them medical professionals, devoted an estimated 6,500 total hours to our work and, in most cases, personally funded their trips to Haiti to support our efforts. The work done during over 1,500 of these volunteered hours required medical training, and thus may be considered donations of "medically skilled time." Given that our organization relies heavily on the service and expertise of our dedicated volunteers, many of whom provided us with services (including the development of educational materials, translation, web development, etc) that would otherwise have needed to be purchased, and because the value of donated services is not taken into account on Form 990, the figure on line 32 is far lower than it would be if the value of donated time and services were included. We therefore also include here the estimated total value of the donated time and unreimbursed expenses incurred by our volunteers in 2012, in order to provide a more accurate picture of the small percentage of our true "assets" that we devote to non-programmatic expenses: $207,687. (This figure is a conservative estimate based on Independent Sector's 2011 estimated value of volunteer time of $21.79 per hour for all volunteer hours not requiring specialized skills; the Bureau of Labor Statistics' 2011 mean hourly wage data for volunteer hours requiring specialized skills; and the out-of-pocket, unreimbursed travel costs incurred by volunteers traveling to Haiti on P4H business.)

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