GLOBAL BIRTHING HOME FOUNDATION INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
GLOBAL BIRTHING HOME FOUNDATION INC (EIN 41-2156522)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-01
IRS object ID
201343089349301374
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)
Timestamp2013-11-01T15:44:21-07:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN311717077EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Support Kansas City IncBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line15960 Dearborn Ste 200AddressLine1
CityMissionCity
StateKSState
ZIP Code66202ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN412156522EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MAISON DE NAISSANCE FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMAISNameControl
Phone9134026800Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line15000 W 134th StAddressLine1
CityLeawoodCity
StateKSState
ZIP Code66209ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJames C GrantName
TitleExecutive DirectorTitle
Phone9134026800Phone
Date Signed2013-09-27DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameFrances MayerName
PTINP00225160PTIN
Phone9138314752Phone
Date Prepared2013-09-24DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJames C GrantNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line15000 W 134th StAddressLine1
CityLeawoodCity
StateKSState
ZIP Code66209ZIPCode
FieldValueIRS element (for citing)
Gross Receipts334305GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.maisondenaissance.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2004YearFormation
State Legal DomicileMOStateLegalDomicile
Activity Or Mission DescriptionThe mission of Maison de Naissance Foundation is to improve health for mothers and babies in impoverished communities.ActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees1TotalNbrEmployees
Total Nbr Volunteers9TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year255586ContributionsGrantsPriorYear
Contributions Grants Current Year260078ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year1962InvestmentIncomePriorYear
Investment Income Current Year10526InvestmentIncomeCurrentYear
Other Revenue Prior Year6086OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year263634TotalRevenuePriorYear
Total Revenue Current Year270604TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year330616GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY312994GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year84457SalariesEtcPriorYear
Salaries Etc Current Year36567SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year14413TotalFundrsngExpCurrentYear
Other Expense Prior Year55507OtherExpensePriorYear
Other Expenses Current Year101448OtherExpensesCurrentYear
Total Expenses Prior Year470580TotalExpensesPriorYear
Total Expenses Current Year451009TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-206946RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-180405RevenuesLessExpensesCY
Total Assets BOY223420TotalAssetsBOY
Total Assets EOY38117TotalAssetsEOY
Total Liabilities BOY4570TotalLiabilitiesBOY
Total Liabilities EOY4826TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY218850NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY33291NetAssetsOrFundBalancesEOY
Mission DescriptionTo improve health for mothers and babies in impoverished communities. The services of a modern maternity center and community health program are offered from the hospitality of a safe, culturally appropriate, welcoming, and friendly home - a home for birth - Maison de Naissance.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense411962Expense
Grants312994Grants
Revenue0Revenue
DescriptionAs a ministry of the Episcopal Church of Haiti, Maison de Naissance, a birthing home in Haiti, provides the following healthcare services to women and babies, free of charge: Women's reproductive health and family planning, prenatal care, supervised labor and delivery, postpartum care, well baby care and vaccinations through 15 months, and a community health outreach program. In 2012, 11,568 Family Planning Consultations were conducted; 1,853 First Prenatal Consultations, 1,393 Second Prenatal Visits, 1,088 Third Prenatal Visits, and 1,508 Fourth or more Prenatal Visits were performed. In 2012, 2,468 pregnant women were tested for HIV, and 42 pregnant women tested HIV positive. The birthing center saw 801 labor patients, and had 753 births; 2,354 Well-Baby Visits were carried out, and 3,463 Community Health Promoter Home Visits were acheived.Description
Total Of Other Program Service Exp0TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt0TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev0TotalOfOtherProgramServiceRev
Total Program Service Expense411962TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office1ForeignOffice
Foreign Activities1ForeignActivities
More Than5000 K To Organizations1MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10961NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees1NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Form8899 Filed0Form8899Filed
Form1098 C Filed0Form1098CFiled
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons0AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement0RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Support Kansas City IncBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number9138314752TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line15960 Dearborn Ste 200AddressLine1
CityMissionCity
StateKSState
ZIP Code66202ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (11 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
Dr Elizabeth Wickstrom
President2.00XX000
Cara Busenhart
Vice President2.00XX000
Steve Swartzman
Treasurer2.00XX000
Dr Lynn Black
Board Member2.00X000
Lindsey Patterson
Board Member2.00X000
Dr AnneKathryn Goodman
Board Member2.00X000
Carol Hogue
Board Member2.00X000
Grace Snell
Board Member2.00X000
Bruce Johnson
Board Member2.00X000
John Hicks
Board Member2.00X000
James Grant
Executive Director40.00X3396900
FieldValueIRS element (for citing)
Total Reportable Comp From Org33969TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Federated Campaigns0FederatedCampaigns
Membership Dues0MembershipDues
Fundraising Events0FundraisingEvents
Related Organizations0RelatedOrganizations
Government Grants0GovernmentGrants
All Other Contributions260078AllOtherContributions
Noncash Contributions17251NoncashContributions
Total Contributions260078TotalContributions
Total Program Service Revenue0TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2553TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$2,553ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities71674Securities
Other0Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities63701Securities
Other0Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities7973Securities
Other0Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column7973TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$7,973ExclusionAmount
FieldValueIRS element (for citing)
Cntrbtns Rprtd Fundraising Events0CntrbtnsRprtdFundraisingEvents
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column270604TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$10,526ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total312994Total
Program Services312994ProgramServices

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total33969Total
Program Services16985ProgramServices
Management And General8492ManagementAndGeneral
Fundraising8492Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2598Total
Program Services1299ProgramServices
Management And General649ManagementAndGeneral
Fundraising650Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total325Total
Program Services0ProgramServices
Management And General325ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total2859Total
Program Services0ProgramServices
Management And General2859ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total
Fundraising0Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total41087Total
Program Services36000ProgramServices
Management And General5012ManagementAndGeneral
Fundraising75Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total13373Total
Program Services10969ProgramServices
Management And General268ManagementAndGeneral
Fundraising2136Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total4195Total
Program Services1479ProgramServices
Management And General1823ManagementAndGeneral
Fundraising893Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1746Total
Program Services1518ProgramServices
Management And General228ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total8426Total
Program Services8426ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2200Total
Program Services0ProgramServices
Management And General1100ManagementAndGeneral
Fundraising1100Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total1466Total
Program Services0ProgramServices
Management And General1466ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Bank and Filing Fees2412024120
Miscellaneous Expense6108504101067
In-Kind Medical Supplies172511725100

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total451009Total
Program Services411962ProgramServices
Management And General24634ManagementAndGeneral
Fundraising14413Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY67219BOY
EOY157EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY144359BOY
EOY23532EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY7612BOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
EOY12400EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis16226LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec14198LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY4230BOY
EOY2028EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY223420BOY
EOY38117EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY4570BOY
EOY4826EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY4570BOY
EOY4826EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY61242BOY
EOY9759EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY157608BOY
EOY23532EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY218850BOY
EOY33291EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY223420BOY
EOY38117EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-180405ReconcilationRevenueExpenses
Reconciliation Unrealized Invest-5154ReconciliationUnrealizedInvest
Reconcilation Donated Services0ReconcilationDonatedServices
Reconcilation Invest Expenses0ReconcilationInvestExpenses
Reconcilation Prior Adjustment0ReconcilationPriorAdjustment
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited0FSAudited
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1403774CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years517502CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years470879CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year255586CurrentTaxYearMinus1Year
Current Tax Year260078CurrentTaxYear
Total2907819Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1403774CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years517502CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years470879CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year255586CurrentTaxYearMinus1Year
Current Tax Year260078CurrentTaxYear
Total2907819Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total1007929AmountsSubstContributorsTotal
Public Support Total1701899890PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4302CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years472CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years266CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1962CurrentTaxYearMinus1Year
Current Tax Year10526CurrentTaxYear
Total17528Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years868CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9131CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total9999Total
FieldValueIRS element (for citing)
Total Support2935346TotalSupport
Gross Receipts From Admissions Etc7725GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.64725PublicSupportPertcentage170
Public Support Pertcent Prior Year0.72823PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170
General Explanation2010: Mo comp deduction and voided checks; 2011: 990T tax credit for health insurance, and special event income; 2012: zero.GeneralExplanation

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 D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance134207BeginningOfYearBalance
Contributions0Contributions
Investment Earnings Or Losses5369InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures115000OtherExpenditures
Administrative Expenses1044AdministrativeExpenses
End Of Year Balance23532EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance60526BeginningOfYearBalance
Contributions62500Contributions
Investment Earnings Or Losses11747InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures0OtherExpenditures
Administrative Expenses566AdministrativeExpenses
End Of Year Balance134207EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance0BeginningOfYearBalance
Contributions62500Contributions
Investment Earnings Or Losses0InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures1974OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance60526EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance0BeginningOfYearBalance
Contributions0Contributions
Investment Earnings Or Losses0InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures0OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance0EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance0BeginningOfYearBalance
Contributions0Contributions
Investment Earnings Or Losses0InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures0OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance0EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0PermanentEndowmentEOYBalance
Term Endowment EOY Balance1TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis0OtherCostOrOtherBasis
Book Value0BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis0OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value0BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis0OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value0BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis14788OtherCostOrOtherBasis
Depreciation12760Depreciation
Book Value2028BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis1438OtherCostOrOtherBasis
Depreciation1438Depreciation
Book Value0BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings2028TotalOfBookValueLandBuildings

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierSchD_P05_S00_L04Identifier
Return ReferenceSchedule D, Part V, Line 4ReturnReference
ExplanationIt is the Board of Directors intent that the Endowment will provide a predictable stream of funding to the organziation's programs while seeking to maintain purchasing power of those endowment assets over the long-term.Explanation

Schedule F IRS990ScheduleF

FieldValueIRS element (for citing)
Grant Records Maintained1GrantRecordsMaintained

Accts Actvs Out US Table AcctsActvsOutUSTable

FieldValueIRS element (for citing)
RegionCentral America and the CaribbeanRegion
Number Of Offices1NumberOfOffices
Number Of Employees1NumberOfEmployees
Type Of Activities ConductedProgram ServicesTypeOfActivitiesConducted
Specific Services ProvidedHealthcare service for needy communities.SpecificServicesProvided
Total Expenditures394711TotalExpenditures
FieldValueIRS element (for citing)
Total Number Of Offices1TotalNumberOfOffices
Total Number Of Employees1TotalNumberOfEmployees
Total Amount Spent394711TotalAmountSpent

Grants To Orgs Outside US GrantsToOrgsOutsideUS

FieldValueIRS element (for citing)
RegionCentral America and the CaribbeanRegion
Purpose Of GrantHaiti operations.PurposeOfGrant
Amount Of Cash Grant312994AmountOfCashGrant
Manner Of Cash Disbursementwire transferMannerOfCashDisbursement
Amount Of Non Cash Assistance10581AmountOfNonCashAssistance
Description Of Non Cash AssistanceMedical supplies.DescriptionOfNonCashAssistance
Method Of ValuationFMVMethodOfValuation
FieldValueIRS element (for citing)
Total Number Of501c3 Orgs1TotalNumberOf501c3Orgs
Total Number Of Other Orgs1TotalNumberOfOtherOrgs
Transfer To Foreign Corp0TransferToForeignCorp
Interest In Foreign Trust0InterestInForeignTrust
Own Foreign Corp0OwnForeignCorp
Passive Foreign Invest Co0PassiveForeignInvestCo
Foreign Partnership0ForeignPartnership
Boycott Countries0BoycottCountries

Form990 Schedule F Part V Form990ScheduleFPartV

FieldValueIRS element (for citing)
IdentifierSchF_P01_S00_L02Identifier
Return ReferenceSchedule F, Part I, Line 2ReturnReference
ExplanationWire transfers of funds are maintained in the organizations accounting system.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
F990_P06_S0B_L11bForm 990, Part VI, Section B, Line 11bA copy of the Form 990 is given to the Executive Director and Finance Committee to review before filing.
F990_P06_S0B_L15Form 990, Part VI, Section B, Line 15The Executive Committee reviewed comparable salaries in the industries applicable to this organization.
F990_P06_S0C_L19Form 990, Part VI, Section C, Line 19Governing documents and financial statements are available upon request.

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