ANDEAN HEALTH AND DEVELOPMENT INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: ANDEAN HEALTH AND DEVELOPMENT INC (EIN 39-1809174)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-08-29
IRS object ID: 201342419349300319
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule F
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-08-29T10:58:14-05:00	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	LULLOFF & TAYLOR LLC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	3333 N MAYFAIR RD STE 203	AddressLine1
City	WAUWATOSA	City
State	WI	State
ZIP Code	53222	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	391809174	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	ANDEAN HEALTH AND DEVELOPMENT INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	ANDE	NameControl

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1100 DELAPLAINE COURT	AddressLine1
City	MADISON	City
State	WI	State
ZIP Code	53715	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	DAVID GAUS	Name
Title	EXECUTIVE DIRECTOR	Title
Date Signed	2013-08-06	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	DAVID A TAYLOR	Name
Phone	4147770700	Phone
Date Prepared	2013-08-19	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)
Gross Receipts	2047264	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.ANDEANHEALTH.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1997	YearFormation
State Legal Domicile	WI	StateLegalDomicile
Activity Or Mission Description	PROVIDING FUNDING FOR PRIMARY HEALTH CARE	ActivityOrMissionDescription
Nbr Voting Members Governing Body	14	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	0	NbrIndependentVotingMembers
Total Nbr Employees	2	TotalNbrEmployees
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	2199813	ContributionsGrantsPriorYear
Contributions Grants Current Year	2021699	ContributionsGrantsCurrentYear
Program Service Revenue CY	0	ProgramServiceRevenueCY
Investment Income Prior Year	694	InvestmentIncomePriorYear
Investment Income Current Year	-333	InvestmentIncomeCurrentYear
Other Revenue Prior Year	-935	OtherRevenuePriorYear
Other Revenue Current Year	0	OtherRevenueCurrentYear
Total Revenue Prior Year	2199572	TotalRevenuePriorYear
Total Revenue Current Year	2021366	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	734460	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	1397408	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	197830	SalariesEtcPriorYear
Salaries Etc Current Year	208605	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	11696	TotalFundrsngExpCurrentYear
Other Expense Prior Year	81890	OtherExpensePriorYear
Other Expenses Current Year	54290	OtherExpensesCurrentYear
Total Expenses Prior Year	1014180	TotalExpensesPriorYear
Total Expenses Current Year	1660303	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	1185392	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	361063	RevenuesLessExpensesCY
Total Assets BOY	1366162	TotalAssetsBOY
Total Assets EOY	1756827	TotalAssetsEOY
Total Liabilities BOY	434931	TotalLiabilitiesBOY
Total Liabilities EOY	461165	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	931231	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	1295662	NetAssetsOrFundBalancesEOY
Mission Description	PROVIDING FUNDING FOR PRIMARY HEALTH CARE	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	1628769	Expense
Grants	1397408	Grants
Description	IMPLEMENTATION OF PRIMARY HEALTH CARE SERVICES IN RURAL ECUADOR BENEFITING OVER 50,000 PEOPLE SINCE MARCH 2001	Description
Total Program Service Expense	1628769	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	true	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	true	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	false	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	true	ForeignOffice
Foreign Activities	false	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	false	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	true	ScheduleORequired
Number Forms Transmitted With1096	2	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	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	14	NbrVotingGoverningBodyMembers
Number Independent Voting Members	0	NumberIndependentVotingMembers
Family Or Business Relationship	false	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	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	false	WhistleblowerPolicy
Document Retention Policy	false	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	false	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
States Where Copy Of Return Is Filed	WI	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	ANDEAN HEALTH & DEVELOPMENT INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	6197886833	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1100 DELAPLANE COURT	AddressLine1
City	MADISON	City
State	WI	State
ZIP Code	53715	ZIPCode

Field	Value	IRS element (for citing)
No Listed Persons Compensated	X	NoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (2 entries)

TitleTitle	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation
THEODORE M HESBURGH CSC
PRESIDENT	X	0	0	0
MICHAEL HEISLER MD
VICE PRESIDE	X	0	0	0

Field	Value	IRS element (for citing)
Formers Listed	false	FormersListed
Total Comp GT150 K	false	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources
All Other Contributions	2021699	AllOtherContributions
Total Contributions	2021699	TotalContributions

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	550	TotalRevenueColumn
Exclusion	$550	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	25000	Securities
Other	15	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	25898	Securities

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	-898	Securities
Other	15	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-883	TotalRevenueColumn
Related Or Exempt Function Income	-898	RelatedOrExemptFunctionIncome
Exclusion	$15	ExclusionAmount

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	2021366	TotalRevenueColumn
Related Or Exempt Function Income	-898	RelatedOrExemptFunctionIncome
Exclusion	$565	ExclusionAmount

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	1397408	Total
Program Services	1397408	ProgramServices

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	191647	Total
Program Services	171647	ProgramServices
Management And General	10000	ManagementAndGeneral
Fundraising	10000	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	16958	Total
Program Services	13566	ProgramServices
Management And General	1696	ManagementAndGeneral
Fundraising	1696	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	3841	Total
Management And General	3841	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	14340	Total
Program Services	14340	ProgramServices

Interest Interest

Field	Value	IRS element (for citing)
Total	4590	Total
Program Services	4590	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	680	Total
Program Services	680	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	4212	Total
Management And General	4212	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices
OUTSIDE SERVICES	14247	14247
CONTRACT LABOR	5446	5446
OFFICE EXPENSES	4634	4634
BANK CHARGES	1980	1980

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	320	Total
Program Services	231	ProgramServices
Management And General	89	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	1660303	Total
Program Services	1628769	ProgramServices
Management And General	19838	ManagementAndGeneral
Fundraising	11696	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	267897	BOY
EOY	44341	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
EOY	20431	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	1055323	BOY
EOY	1672136	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	9499	BOY
EOY	9535	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	9154	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	7876	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	2778	BOY
EOY	1278	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	30665	BOY
EOY	9106	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	1366162	BOY
EOY	1756827	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	30534	BOY
EOY	1504	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	400000	BOY
EOY	425000	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	4397	BOY
EOY	34661	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	434931	BOY
EOY	461165	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	931231	BOY
EOY	345662	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
EOY	950000	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	931231	BOY
EOY	1295662	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1366162	BOY
EOY	1756827	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	361063	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	4188	ReconciliationUnrealizedInvest
Reconcilation Other Changes	-820	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Separate	X	FinancialStatementSeparate

Field	Value	IRS element (for citing)
Audit Committee	true	AuditCommittee
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	351268	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	455627	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	405450	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	1539859	CurrentTaxYearMinus1Year
Current Tax Year	2021699	CurrentTaxYear
Total	4773903	Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

Field	Value	IRS element (for citing)
Current Tax Year Minus3 Years	12968	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	5566	CurrentTaxYearMinus2Years
Total	18534	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	351268	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	468595	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	411016	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	1539859	CurrentTaxYearMinus1Year
Current Tax Year	2021699	CurrentTaxYear
Total	4792437	Total

Field	Value	IRS element (for citing)
Public Support Total509	4792437	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	9138	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	2473	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	1658	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	694	CurrentTaxYearMinus1Year
Current Tax Year	550	CurrentTaxYear
Total	14513	Total

Investment Income And UBTI InvestmentIncomeAndUBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	9138	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	2473	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	1658	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	694	CurrentTaxYearMinus1Year
Current Tax Year	550	CurrentTaxYear
Total	14513	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	360406	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	471068	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	412674	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	1540553	CurrentTaxYearMinus1Year
Current Tax Year	2022249	CurrentTaxYear
Total	4806950	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	0.99700	PublicSupportPercentage509
Prior Year Support Percentage	0.99160	PriorYearSupportPercentage
Investment Income Percentage	0.00000	InvestmentIncomePercentage
Prior Yr Invest Income Percentage	0.01000	PriorYrInvestIncomePercentage
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	9154	OtherCostOrOtherBasis
Depreciation	7876	Depreciation
Book Value	1278	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	1278	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescription	AmountAmount
ACCRUED PAYROLL	$33,000
ACCRUED PAYROLL LIABILITIES	$1,661

Field	Value	IRS element (for citing)
Total Of Amounts	34661	TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt	2025554	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	4188	NetUnrealizedGainsInvestments
Revenue Not Rptd F990	4188	RevenueNotRptdF990
Revenue Subtotal	2021366	RevenueSubtotal
Total Revenue Per Form990	2021366	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	1661123	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	820	OtherExpensesIncluded
Expenses Not Rptd F990	820	ExpensesNotRptdF990
Expenses Subtotal	1660303	ExpensesSubtotal
Total Expenses Per Form990	1660303	TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

Field	Value	IRS element (for citing)
Identifier	EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHER	Identifier
Return Reference	SCHEDULE D, PAGE 4, PART XII, LINE 2D	ReturnReference
Explanation	BOOK / TAX DEPRECIATION DIFFERENCE 820	Explanation

Schedule F IRS990ScheduleF

Grants To Orgs Outside US GrantsToOrgsOutsideUS

Field	Value	IRS element (for citing)
Purpose Of Grant	HOSPITAL OPERATIONS	PurposeOfGrant
Amount Of Cash Grant	1397408	AmountOfCashGrant
Manner Of Cash Disbursement	BANK TRANSFERS	MannerOfCashDisbursement
Method Of Valuation	FMV	MethodOfValuation

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

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990	FORM 990, PAGE 6, PART VI, LINE 11B	BOARD MEMBERS RECEIVE A COPY OF THE FORM 990 FOR REVIEW PRIOR TO MAILING.
ENFORCEMENT OF CONFLICTS POLICY	FORM 990, PAGE 6, PART VI, LINE 12C	ALL OFFICERS, DIRECTORS AND EMPLOYEES ARE INFORMED OF THE ORGANZATIONS CONFLICT OF INTEREST POLICY AND ARE INSTRUCTED TO NOTIFY THE BOARD OF DIRECTORS IF THEY HAVE ANY CONCERNS. THE BOARD OF DIRECTORS REVIEWS AND MONITORS ANY CONCERNS RELATED TO CONFLICT OR INTERESTS.
COMPENSATION PROCESS FOR TOP OFFICIAL	FORM 990, PAGE 6, PART VI, LINE 15A	MEMBERS OF THE BOARD OF DIRECTORS ANNUALLY REVIEW THE COMPENSATION FOR THE EXECUTIVE DIRECTOR AND BASED UPON PRIOR SALARIES AND ANTICIPATED REVENUE THE BOARD MEMBERS OFFER THE EXECUTIVE DIRECTOR A COMPENSATION PACKAGE.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION	FORM 990, PAGE 6, PART VI, LINE 19	ALL FINANCIAL RECORDS ARE MAINTAINED BY THE TREASURER AND ARE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST.
RECONCILIATION OF CHANGES - OTHER	FORM 990, PART XI, LINE 9	BOOK / TAX DEPRECIATION DIFFERENCE -820

ANDEAN HEALTH AND DEVELOPMENT INC: Form 990, tax year 2012

Return header ReturnHeader

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Preparer Firm US Address PreparerFirmUSAddress

Filer Filer

Name Name

US Address USAddress

Officer Officer

Preparer Preparer

Form 990 IRS990

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Address US AddressUS

Form990 Part VII Section A Form990PartVIISectionA (2 entries)

Investment Income InvestmentIncome

Gross Amount Sales Assets GrossAmountSalesAssets

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Gain Or Loss GainOrLoss

Net Gain Or Loss Investments NetGainOrLossInvestments

Total Revenue TotalRevenue

Foreign Grants ForeignGrants

Other Salaries And Wages OtherSalariesAndWages

Other Employee Benefits OtherEmployeeBenefits

Office Expenses OfficeExpenses

Travel Travel

Interest Interest

Depreciation Depletion DepreciationDepletion

Insurance Insurance

Other Expenses OtherExpenses (4 entries)

All Other Expenses AllOtherExpenses

Total Functional Expenses TotalFunctionalExpenses

Cash Non Interest Bearing CashNonInterestBearing

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Pledges And Grants Receivable PledgesAndGrantsReceivable

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Total Assets TotalAssets

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Other Liabilities OtherLiabilities

Total Liabilities TotalLiabilities

Unrestricted Net Assets UnrestrictedNetAssets

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FS Audited Basis FSAuditedBasis

Schedule A IRS990ScheduleA

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

Total509 Total509

Gross Investment Income509 GrossInvestmentIncome509

Investment Income And UBTI InvestmentIncomeAndUBTI

Total Support Total TotalSupportTotal

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Contributor Name Business ContributorNameBusiness

Contributor Address US ContributorAddressUS

Schedule D IRS990ScheduleD

Other Land Buildings OtherLandBuildings

Other Liabilities OtherLiabilities (2 entries)

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

Schedule F IRS990ScheduleF

Grants To Orgs Outside US GrantsToOrgsOutsideUS

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Comments