PARTNERS IN HEALTH: Form 990EZ, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- PARTNERS IN HEALTH (EIN 01-0471949)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-05-14
- IRS object ID
- 201341349349203464
- 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 | 2013-05-14T15:38:07-05:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 043374690 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WILLIAMS & ASSOCIATES PA | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| 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 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 010471949 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PARTNERS IN HEALTH | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | PART | NameControl |
| Phone | 2079894166 | Phone |
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 |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JILL GRANT | Name |
| Title | VICE PRESIDENT/TREASURER | Title |
| Phone | 2079894166 | Phone |
| Date Signed | 2013-05-09 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | CULLEN G WILLIAMS CPA | Name |
| PTIN | P00042986 | PTIN |
| Phone | 2079419810 | Phone |
| Date Prepared | 2013-05-09 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | X | AddressChange |
| Method Of Accounting Cash | X | MethodOfAccountingCash |
| Web Site | WWW.PIHOM.COM | WebSite |
| Organization501c3 | X | Organization501c3 |
| Gross Receipts | 62466 | GrossReceipts |
| Info In Schedule O Part I | X | InfoInScheduleOPartI |
| Contributions Gifts Grants Etc | 62397 | ContributionsGiftsGrantsEtc |
| Investment Income | 69 | InvestmentIncome |
| Total Revenue | 62466 | TotalRevenue |
| Grants And Similar Amounts Paid | 23753 | GrantsAndSimilarAmountsPaid |
| Salaries Other Comp Empl Benefits | 10920 | SalariesOtherCompEmplBenefits |
| Fees And Oth Pymt To Ind Contractors | 1075 | FeesAndOthPymtToIndContractors |
| Printing Publications Postage | 2777 | PrintingPublicationsPostage |
| Other Expenses Total | 5570 | OtherExpensesTotal |
| Total Expenses | 44095 | TotalExpenses |
| Excess Or Deficit For Year | 18371 | ExcessOrDeficitForYear |
| Net Assets Or Fund Balances BOY | 55177 | NetAssetsOrFundBalancesBOY |
| Other Changes In Net Assets | 0 | OtherChangesInNetAssets |
| Net Assets Or Fund Balances EOY | 73548 | NetAssetsOrFundBalancesEOY |
Cash Savings And Investments CashSavingsAndInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 55177 | BOY |
| EOY | 73548 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 55177 | BOY |
| EOY | 73548 | EOY |
Sum Of Total Liabilities SumOfTotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Net Assets Or Fund Balances NetAssetsOrFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 55177 | BOY |
| EOY | 73548 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Primary Exempt Purpose | HEALTHCARE SUPPORT TO MEDICALLY UNDERSERVED AREAS | PrimaryExemptPurpose |
Program Service Accomplishment ProgramServiceAccomplishment (4 entries)
| Description Program Service AccomDescriptionProgramServiceAccom | Grants And AllocationsGrantsAndAllocations | Program Service ExpensesProgramServiceExpenses |
|---|---|---|
| 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 | TotalProgramServiceExpenses |
Officer Director Trustee Key Empl OfficerDirectorTrusteeKeyEmpl (12 entries)
| TitleTitle | Avg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPosition | CompensationCompensation | Contri To Empl Benefit Plans EtcContriToEmplBenefitPlansEtc | Expense Account Other AllowancesExpenseAccountOtherAllowances |
|---|---|---|---|---|
| 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 | X | InfoInScheduleOPartV |
| Activities Not Previously Rpt | 0 | ActivitiesNotPreviouslyRpt |
| Made Changes To Orgnzng Etc Doc | 0 | MadeChangesToOrgnzngEtcDoc |
| Organization Had UBI | 0 | OrganizationHadUBI |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Organization Dissolved Etc | 0 | OrganizationDissolvedEtc |
| Direct Indirect Political Expend | 0 | DirectIndirectPoliticalExpend |
| Made Loans To From Officers | 0 | MadeLoansToFromOfficers |
| Tax Imposed Under IRC4911 | 0 | TaxImposedUnderIRC4911 |
| Tax Imposed Under IRC4912 | 0 | TaxImposedUnderIRC4912 |
| Tax Imposed Under IRC4955 | 0 | TaxImposedUnderIRC4955 |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTrans |
| Amount Of Tax Imposed On Org Mgr | 0 | AmountOfTaxImposedOnOrgMgr |
| Amount Of Tax Reimbursed By Org | 0 | AmountOfTaxReimbursedByOrg |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | MS JILL GRANT | NamePerson |
Address US AddressUS
| 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) |
|---|---|---|
| Telephone Number | 2079894166 | TelephoneNumber |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Foreign Office | 0 | ForeignOffice |
| Maintain Any Donor Advised Funds | 0 | MaintainAnyDonorAdvisedFunds |
| Does Org Have Hospital | 0 | DoesOrgHaveHospital |
| Tanning Services Provided | 0 | TanningServicesProvided |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction With Control Entity | 0 | TransactionWithControlEntity |
| Engage Political Cmpgn Activities | 0 | EngagePoliticalCmpgnActivities |
| Engage In Lobbying Activities | 0 | EngageInLobbyingActivities |
| Operating School | 0 | OperatingSchool |
| Trnsfrs Exempt Non Char Related Org | 0 | TrnsfrsExemptNonCharRelatedOrg |
| Part VI Of Comp Of Highest Paid Empl | NONE | PartVIOfCompOfHighestPaidEmpl |
| Part VIA Hghst Paid Cntrct Prof Ser | NONE | PartVIAHghstPaidCntrctProfSer |
| Filed Schedule A | 1 | FiledScheduleA |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 41933 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 56718 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 54303 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 88741 | CurrentTaxYearMinus1Year |
| Current Tax Year | 62397 | CurrentTaxYear |
| Total | 304092 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 41933 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 56718 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 54303 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 88741 | CurrentTaxYearMinus1Year |
| Current Tax Year | 62397 | CurrentTaxYear |
| Total | 304092 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amounts Subst Contributors Total | 112556 | AmountsSubstContributorsTotal |
| Public Support Total170 | 191536 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 126 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 104 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 112 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 158 | CurrentTaxYearMinus1Year |
| Current Tax Year | 69 | CurrentTaxYear |
| Total | 569 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 304661 | TotalSupport |
| Public Support Pertcentage170 | 0.62870 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.47000 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
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 O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| OTHER INVESTMENT INCOME | FORM 990-EZ, PART I, LINE 4 | INVESTMENT INCOME 69.. |
| GRANTS AND SIMILAR AMOUNTS PAID | FORM 990-EZ, PART I, LINE 10 | ACTIVITY CLASSIFICATION: MEDICAL DIRECT CARE SUPPORT. GRANTEE NAME: VARIOUS. AMOUNT GIVEN: 1,820. |
| GRANTS AND SIMILAR AMOUNTS PAID | FORM 990-EZ, PART I, LINE 10 | ACTIVITY CLASSIFICATION: DONATED GOODS & SERVICES. GRANTEE NAME: VARIOUS. AMOUNT GIVEN: 6,078. |
| GRANTS AND SIMILAR AMOUNTS PAID | FORM 990-EZ, PART I, LINE 10 | ACTIVITY CLASSIFICATION: GENERAL WELFARE PROJECTS. GRANTEE NAME: VARIOUS. AMOUNT GIVEN: 1,315. |
| GRANTS AND SIMILAR AMOUNTS PAID | FORM 990-EZ, PART I, LINE 10 | ACTIVITY CLASSIFICATION: BUILDING PROJECTS. GRANTEE NAME: VARIOUS. AMOUNT GIVEN: 8,760. |
| GRANTS AND SIMILAR AMOUNTS PAID | FORM 990-EZ, PART I, LINE 10 | ACTIVITY CLASSIFICATION: EDUCATION & LITERACY PROJECTS. GRANTEE NAME: VARIOUS. AMOUNT GIVEN: 5,780. TOTAL INCLUDED ON FORM 990-EZ, LINE 10: 23,753. |
| OTHER EXPENSES | FORM 990-EZ, PART I, LINE 16 | DESCRIPTION: TRANSPORTATION. AMOUNT: 550. DESCRIPTION: OFFICE . AMOUNT: 136. DESCRIPTION: REPAIRS & MAINTENANCE. AMOUNT: 700. DESCRIPTION: BANK CHARGES. AMOUNT: 510. DESCRIPTION: ADMINISTRATION. AMOUNT: 3,674. TOTAL TO FORM 990-EZ, LINE 16: 5,570. |
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. | Declaration |
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