HEALTH HORIZONS INTERNATIONAL FOUNDATION INC: Form 990EZ, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- HEALTH HORIZONS INTERNATIONAL FOUNDATION INC (EIN 27-1060487)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-06-05
- IRS object ID
- 201341569349200709
- 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 | 2013-06-05T12:55:37-05:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 042774062 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ABRAMS LITTLE-GILL LOBERFELD PC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1330 BOYLSTON STREET | AddressLine1 |
| City | CHESTNUT HILL | City |
| State | MA | State |
| ZIP Code | 02467 | 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 | 271060487 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HEALTH HORIZONS INTERNATIONAL FOUNDATION INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | HEAL | NameControl |
| Phone | 8602743344 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 314 MAIN STREET | AddressLine1 |
| City | OAKVILLE | City |
| State | CT | State |
| ZIP Code | 06779 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | CRAIG W CZARSTY MD | Name |
| Title | PRESIDENT | Title |
| Phone | 8602743344 | Phone |
| Date Signed | 2013-05-29 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | WAYNE E NICHOLS | Name |
| PTIN | P00084325 | PTIN |
| Phone | 6177385200 | Phone |
| Date Prepared | 2013-05-23 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Web Site | WWW.HHIDR.ORG | WebSite |
| Organization501c3 | X | Organization501c3 |
| Gross Receipts | 185824 | GrossReceipts |
| Info In Schedule O Part I | X | InfoInScheduleOPartI |
| Contributions Gifts Grants Etc | 184335 | ContributionsGiftsGrantsEtc |
| Investment Income | 873 | InvestmentIncome |
| Other Revenue Total | 616 | OtherRevenueTotal |
| Total Revenue | 185824 | TotalRevenue |
| Salaries Other Comp Empl Benefits | 88215 | SalariesOtherCompEmplBenefits |
| Fees And Oth Pymt To Ind Contractors | 5331 | FeesAndOthPymtToIndContractors |
| Occupancy Rent Utilities And Maint | 14541 | OccupancyRentUtilitiesAndMaint |
| Printing Publications Postage | 1055 | PrintingPublicationsPostage |
| Other Expenses Total | 61773 | OtherExpensesTotal |
| Total Expenses | 170915 | TotalExpenses |
| Excess Or Deficit For Year | 14909 | ExcessOrDeficitForYear |
| Net Assets Or Fund Balances BOY | 112168 | NetAssetsOrFundBalancesBOY |
| Other Changes In Net Assets | 25000 | OtherChangesInNetAssets |
| Net Assets Or Fund Balances EOY | 152077 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part II | X | InfoInScheduleOPartII |
Cash Savings And Investments CashSavingsAndInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 112168 | BOY |
| EOY | 153337 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 112168 | BOY |
| EOY | 153337 | EOY |
Sum Of Total Liabilities SumOfTotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 1260 | EOY |
Net Assets Or Fund Balances NetAssetsOrFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 112168 | BOY |
| EOY | 152077 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Primary Exempt Purpose | PROVIDE MEDICAL CARE TO INDIGENTS IN DOMINICAN REPUBLIC | PrimaryExemptPurpose |
Program Service Accomplishment ProgramServiceAccomplishment (5 entries)
| Description Program Service AccomDescriptionProgramServiceAccom | Grants And AllocationsGrantsAndAllocations | Program Service ExpensesProgramServiceExpenses |
|---|---|---|
| PROVIDED 1,339 PRIMARY HEALTH CONSULTATIONS, INCLUDING MEDICATION AND FOLLOW-UP, AND ENGAGED 15 PHYSICIANS AND 34 STUDENTS AND OTHER VOLUNTEERS ENGAGED IN INTERNATIONAL SERVICE. THE MSTS PROVIDE CONTINUITY OF PRIMARY HEALTH CARE IN FOUR IMPOVERISHED COMMUNITIES IN THE DOMINICAN REPUBLIC | 0 | 13179 |
| 400 PATIENTS PROVIDED WITH REFERRALS AND DIRECT ACCOMPANIMENT TO SPECIALIST CONSULTS, PREVENTIVE CARE, SURGERY, DIAGNOSTIC TESTING AND IMAGING, AND OTHER CRITICAL FOLLOW-UP | 0 | 11501 |
| TRAINED 5 NEW COMMUNITY HEALTH WORKERS FROM LOCAL DR COMMUNITIES, AND PROVIDED ON-GOING EDUCATION AND SUPPORT TO A TOTAL OF 19. THE CHWS PROVIDE BASI PATIENT CARE AND HEALTH EDUCATION IN THE COMMUNITIES, AND MANAGE A TOTAL OF 100 PATIENTS DIAGNOSED WITH CHRONIC DISEASES | 0 | 24460 |
| 100 PATIENTS PROVIDED WITH YEAR-ROUND ACCESS TO MEDICATION, REGULAR CHECK-UPS AND MONITORING, INDIVIDUALIZED MEDICATION ADHERENCE COUNSELING, AND SUPPORT FOR HEATLH BEHAVIOR CHANGE | 0 | 16567 |
| 4 ORIGINAL RESEARCH STUDIES ON PUBLIC HEALTH AND CLINICAL TOPICS CONDUCTED, AND 1 COLLABORATIVE PROJECTS WITH THE MINISTRY OF HEALTH TO ADDRESS LOCAL HOSPITAL SELF-EVALUATION AND QUALITY | 0 | 23516 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | 89223 | TotalProgramServiceExpenses |
Officer Director Trustee Key Empl OfficerDirectorTrusteeKeyEmpl (8 entries)
| TitleTitle | Avg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPosition | CompensationCompensation | Contri To Empl Benefit Plans EtcContriToEmplBenefitPlansEtc | Expense Account Other AllowancesExpenseAccountOtherAllowances |
|---|---|---|---|---|
| CRAIG W CZARSTY MD | ||||
| PRESIDENT AND CHAIR OF BOD | 4.00 | 0 | 0 | 0 |
| PAUL GUGGENHEIM | ||||
| EXECUTIVE DIRECTOR | 40.00 | 20833 | 0 | 0 |
| MICHAEL GOOD MD | ||||
| DIRECTOR | 1.00 | 0 | 0 | 0 |
| ANGELA KANG | ||||
| DIRECTOR | 1.00 | 0 | 0 | 0 |
| AYAZ MADRASWALLA MD | ||||
| DIRECTOR | 1.00 | 0 | 0 | 0 |
| LAURA MCNULTY | ||||
| TREASURER | 3.00 | 0 | 0 | 0 |
| BRAD WILKINSON MD | ||||
| VICE PRESIDENT AND VICE-CHAIR | 2.00 | 0 | 0 | 0 |
| LAURA MCNULTY | ||||
| FORMER EXECUTIVE DIRECTOR | 40.00 | 16782 | 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 |
| States Where Copy Of Return Is Filed | CT | StatesWhereCopyOfReturnIsFiled |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CRAIG W CZARSTY MD | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 314 MAIN STREET | AddressLine1 |
| City | OAKVILLE | City |
| State | CT | State |
| ZIP Code | 06779 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 8602743344 | TelephoneNumber |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | 1 | ForeignFinancialAccount |
| Foreign Financial Account Country | DR | ForeignFinancialAccountCountry |
| Foreign Office | 1 | ForeignOffice |
| Foreign Office Country | DR | ForeignOfficeCountry |
| Maintain Any Donor Advised Funds | 0 | MaintainAnyDonorAdvisedFunds |
| Does Org Have Hospital | 0 | DoesOrgHaveHospital |
| Tanning Services Provided | 0 | TanningServicesProvided |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| 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 Minus3 Years | 32567 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 83733 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 153228 | CurrentTaxYearMinus1Year |
| Current Tax Year | 184335 | CurrentTaxYear |
| Total | 453863 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 32567 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 83733 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 153228 | CurrentTaxYearMinus1Year |
| Current Tax Year | 184335 | CurrentTaxYear |
| Total | 453863 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amounts Subst Contributors Total | 69400 | AmountsSubstContributorsTotal |
| Public Support Total170 | 384463 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | 375 | CurrentTaxYearMinus1Year |
| Current Tax Year | 873 | CurrentTaxYear |
| Total | 1248 | Total |
Other Income170 OtherIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | 16840 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 21114 | CurrentTaxYearMinus1Year |
| Current Tax Year | 616 | CurrentTaxYear |
| Total | 38570 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 493681 | TotalSupport |
| Public Support Pertcentage170 | 0.77880 | PublicSupportPertcentage170 |
| 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 (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| OTHER INVESTMENT INCOME | FORM 990-EZ, PART I, LINE 4 | INVESTMENT INCOME 873.. |
| OTHER REVENUE | FORM 990-EZ, PART I, LINE 8 | DESCRIPTION: UNREALIZED GAIN/LOSS. AMOUNT: 616. |
| OTHER EXPENSES | FORM 990-EZ, PART I, LINE 16 | DESCRIPTION: OTHER EXPENSES. AMOUNT: 6,978. DESCRIPTION: BUSINESS EXPENSES. AMOUNT: 7,552. DESCRIPTION: TRAVEL AND MEETINGS. AMOUNT: 10,698. DESCRIPTION: OPERATION EXPENSES. AMOUNT: 8,717. DESCRIPTION: PROGRAM EXPENSES. AMOUNT: 22,877. DESCRIPTION: INSURANCE. AMOUNT: 4,614. DESCRIPTION: STAFF DEVELOPMENT. AMOUNT: 337. TOTAL TO FORM 990-EZ, LINE 16: 61,773. |
| OTHER CHANGES IN NET ASSETS | FORM 990-EZ, PART I, LINE 20 | DESCRIPTION: NET ASSETS ADJUSTMENT FOR ACCRUAL BASIS (SFAS 116) - PLEDGE RECEIVABLE. AMOUNT: 25,000. |
| OTHER LIABILITIES | FORM 990-EZ, PART II, LINE 26 | DESCRIPTION: PAYROLL LIABILITIES. BEG. OF YEAR AMOUNT: 0. END OF YEAR AMOUNT: 1,260. |
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 |
Comments