AFRICAN MISSION HEALTHCARE FOUNDATION: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- AFRICAN MISSION HEALTHCARE FOUNDATION (EIN 27-3663856)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-11
- IRS object ID
- 201343169349301964
- 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 | 2013-11-11T12:24:25-06:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 310800053 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLARK SCHAEFER HACKETT & CO | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4449 EASTON WAY SUITE 400 | AddressLine1 |
| City | COLUMBUS | City |
| State | OH | State |
| ZIP Code | 43219 | 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 | 273663856 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AFRICAN MISSION HEALTHCARE | BusinessNameLine1 |
| Business Name Line2 | FOUNDATION C/O HERITAGE CHRISTIAN CHURCH | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | AFRI | NameControl |
| Phone | 2129848500 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7413 MAXTON RD | AddressLine1 |
| City | WESTERVILLE | City |
| State | OH | State |
| ZIP Code | 43082 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JON FIELDER | Name |
| Title | CEO | Title |
| Phone | 2129848500 | Phone |
| Date Signed | 2013-11-07 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JANE E PFEIFER | Name |
| PTIN | P00014949 | PTIN |
| Phone | 6148852208 | Phone |
| Date Prepared | 2013-11-07 | 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) |
|---|---|---|
| Name Of Principal Officer Person | JON FIELDER | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7413 MAXTON RD | AddressLine1 |
| City | WESTERVILLE | City |
| State | OH | State |
| ZIP Code | 43082 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 2738271 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.AMHF.US | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2010 | YearFormation |
| State Legal Domicile | DE | StateLegalDomicile |
| Activity Or Mission Description | THE AMHF EXISTS TO SUPPORT THE EFFECTIVE AND COMPASSIONATE MEDICAL EFFORTS OF MISSION & CHURCH ORGANIZATIONS ACROSS THE CONTINENT. THE FOUNDATION SEEKS TO LINK THE GENEROSITY OF AMERICAN CITIZENS, CHURCHES & PHILANTHROPY TO INCREASE THE REACH & IMPACT OF EFFECTIVE ON-THE-GROUND SERVANTS OF THE POOR. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 5 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 4 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 2 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1282159 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 2738271 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 0 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 0 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 0 | InvestmentIncomePriorYear |
| Investment Income Current Year | 0 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 1282159 | TotalRevenuePriorYear |
| Total Revenue Current Year | 2738271 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 917115 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 2296488 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 9028 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 37015 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 3779 | OtherExpensePriorYear |
| Other Expenses Current Year | 4998 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 929922 | TotalExpensesPriorYear |
| Total Expenses Current Year | 2338501 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 352237 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 399770 | RevenuesLessExpensesCY |
| Total Assets BOY | 352237 | TotalAssetsBOY |
| Total Assets EOY | 1182948 | TotalAssetsEOY |
| Total Liabilities BOY | 0 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 0 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 352237 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 1182948 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | THE AMHF EXISTS TO SUPPORT THE EFFECTIVE AND COMPASSIONATE MEDICAL EFFORTS OF MISSION & CHURCH ORGANIZATIONS ACROSS THE CONTINENT. THE FOUNDATION SEEKS TO LINK THE GENEROSITY OF AMERICAN CITIZENS, CHURCHES & PHILANTHROPY TO INCREASE THE REACH & IMPACT OF EFFECTIVE ON-THE-GROUND SERVANTS OF THE POOR. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 1872299 | Expense |
| Grants | 1872299 | Grants |
| Description | AMHF PROVIDES SUPPORT FOR HOSPITALS AND MEDICAL CLINICS IN THE SUB-SAHARAN REGION OF AFRICA. IT PROVIDES GRANTS TO MULTIPLE HOSPITALS IN THE REGION TO HELP WITH MEDICAL SUPPLIES, CERTAIN SURGERIES SUCH AS CLUBFOOT REPAIR, PURCHASING EQUIPMENT SUCH AS X-RAYS OR POWER GENERATORS. AMHF ALSO HELPS SUPPORT THE INFRASTRUCTURE OF THE CLINICS AND HOSPITALS IN THE SAME REGION OF AFRICA. IN 2012 THEY HELPED SUPPORT RESIDENT HOUSING, LAB RENOVATION, CLINIC EXPANSION, AND THE CONSTRUCTION OF A PEDIATRIC REHABILITATION FACILITY. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 424189 | Expense |
| Grants | 424189 | Grants |
| Description | THE ORGANIZATION SUPPORTS TRAINING AND EDUCATION EFFORTS IN THE SUB-SAHARAN REGION AREA HOSPITALS AND CLINICS. IN 2012 AMHF HELPED SUPPORT TRAINING TO NURSES AND PHYSICIAN ASSISTANTS ACROSS VARIOUS HOSPITALS AND CLINICS IN THE SOUTH-SUDAN REGION OF AFRICA. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 2296488 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 0 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 1 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 0 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 1 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 5 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 4 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Own Website | X | OwnWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PAVI THOMAS | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 2129848500 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7413 MAXTON RD | AddressLine1 |
| City | WESTERVILLE | City |
| State | OH | State |
| ZIP Code | 43082 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (5 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|---|---|
| JON FIELDER | |||||||
| CEO | 20.00 | 0.00 | X | X | 0 | 0 | 0 |
| JONATHAN MWIINDI | |||||||
| MEMBER | 20.00 | 0.00 | X | X | 37015 | 0 | 0 |
| PAVI THOMAS | |||||||
| TREASURER | 1.00 | 0.00 | X | X | 0 | 0 | 0 |
| MARK GERSON | |||||||
| CHAIRMAN | 2.00 | 0.00 | X | X | 0 | 0 | 0 |
| SEAN FIELER | |||||||
| MEMBER | 1.00 | 0.00 | X | 0 | 0 | 0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 37015 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 0 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 0 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| All Other Contributions | 2738271 | AllOtherContributions |
| Total Contributions | 2738271 | TotalContributions |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2738271 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 490738 | Total |
| Program Services | 490738 | ProgramServices |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1805750 | Total |
| Program Services | 1805750 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 37015 | Total |
| Management And General | 37015 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1835 | Total |
| Management And General | 1835 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 733 | Total |
| Management And General | 733 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2430 | Total |
| Management And General | 2430 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2338501 | Total |
| Program Services | 2296488 | ProgramServices |
| Management And General | 42013 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 352237 | BOY |
| EOY | 1182948 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 352237 | BOY |
| EOY | 1182948 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 606138 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 576810 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 352237 | BOY |
| EOY | 1182948 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 352237 | BOY |
| EOY | 1182948 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 399770 | ReconcilationRevenueExpenses |
| Reconcilation Prior Adjustment | 430941 | ReconcilationPriorAdjustment |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Method Of Accounting Cash | X | MethodOfAccountingCash |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 0 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
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 Minus1 Year | 1282159 | CurrentTaxYearMinus1Year |
| Current Tax Year | 2738271 | CurrentTaxYear |
| Total | 4020430 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | 1282159 | CurrentTaxYearMinus1Year |
| Current Tax Year | 2738271 | CurrentTaxYear |
| Total | 4020430 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amounts Subst Contributors Total | 3068364 | AmountsSubstContributorsTotal |
| Public Support Total170 | 952066 | PublicSupportTotal170 |
| Total Support | 4020430 | TotalSupport |
| First5 Years170 | X | First5Years170 |
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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 0 | TotalOfBookValueLandBuildings |
| Tot Revenue Etc Audited Fincl Stmt | 2738271 | TotRevenueEtcAuditedFinclStmt |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 2738271 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 2738271 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 2338501 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 2338501 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 2338501 | TotalExpensesPerForm990 |
Schedule F IRS990ScheduleF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | 1 | GrantRecordsMaintained |
| Subtotal Number Of Offices | 0 | SubtotalNumberOfOffices |
| Subtotal Number Of Employees | 0 | SubtotalNumberOfEmployees |
| Cont Number Of Offices | 0 | ContNumberOfOffices |
| Cont Number Of Employees | 0 | ContNumberOfEmployees |
| Total Number Of Offices | 0 | TotalNumberOfOffices |
| Total Number Of Employees | 0 | TotalNumberOfEmployees |
| Subtotal Amount Spent | 0 | SubtotalAmountSpent |
| Cont Amount Spent | 0 | ContAmountSpent |
| Total Amount Spent | 0 | TotalAmountSpent |
Grants To Orgs Outside US GrantsToOrgsOutsideUS (28 entries)
| RegionRegion | Purpose Of GrantPurposeOfGrant | Amount Of Cash GrantAmountOfCashGrant | Manner Of Cash DisbursementMannerOfCashDisbursement |
|---|---|---|---|
| SUB-SAHARAN AFRICA | PURCHASE OF X-RAY MACHINE FOR USE BY GENERAL HOSPITAL IN CAMEROON | 49543 | WIRE TRANSFER |
| SUB-SAHARAN AFRICA | 500 CHILDREN RECEIVED CORRECTION OF CLUBFOOT DEFORMITY. | 52851 | WIRE TRANSFER |
| SUB-SAHARAN AFRICA | 340 INDIVIDUALS RECEIVED MENTORED TRAINING IN MANAGEMENT OF HIV AND TB. | 132815 | WIRE TRANSFER |
| SUB-SAHARAN AFRICA | 8 NURSING STUDENTS SPONSORED FOR EDUCATION FOLLOWING COMPETITIVE HOSPITAL SELECTION PROCESS | 6775 | WIRE TRANSFER |
| SUB-SAHARAN AFRICA | TO SUPPORT THE TRAINING OF INDIVIDUALS IN HIV AND TB CARE | 28788 | WIRE TRANSFER |
| SUB-SAHARAN AFRICA | TO SUPPORT 14 STUDENTS LEARNING TO BECOME ANESTHETISTS | 68350 | WIRE TRANSFER |
| SUB-SAHARAN AFRICA | TO ALLOW FOR STERILE INSTRUMENTS FOR SURGERY AND PROCESSING OF X-RAY FILMS | 15469 | WIRE TRANSFER |
| SUB-SAHARAN AFRICA | SUPPORT FOR 24,000 OUTPATIENT CLINIC VISITS | 66606 | WIRE TRANSFER |
| SUB-SAHARAN AFRICA | SUPPORT FOR FREE CARE OF 16,000 OUTPATIENT HIV CLINIC VISITS | 176472 | |
| SUB-SAHARAN AFRICA | SUPPORT FOR THE HOSPITAL ACCOUNTING SYSTEM. | 11687 | WIRE TRANSFER |
| SUB-SAHARAN AFRICA | SUPPORT FOR LABORATORY RENOVATION ALLOWING IMPROVED SERVICES AT RURAL GENERAL HOSPITAL | 37037 | WIRE TRANSFER |
| SUB-SAHARAN AFRICA | SUPPORT FOR APPROXIMATELY 7,000 PATIENTS TO RECEIVE MEDICATIONS | 8546 | WIRE TRANSFER |
| SUB-SAHARAN AFRICA | SUPPORT FOR 100 WOMEN TO RECEIVE SURGICAL CORRECTION OF BIRTH-RELATED INJURY | 50000 | WIRE TRANSFER |
| SUB-SAHARAN AFRICA | SUPPORT FOR 28,000 OUTPATIENT CLINIC VISITS | 134440 | WIRE TRANSFER |
| SUB-SAHARAN AFRICA | SUPPORT OF SURGICAL TRIPS TO SOUTH SUDAN; COMMUNITY HEALTH EDUCATION | 52380 | WIRE TRANSFER |
| SUB-SAHARAN AFRICA | NURSING STAFF SALARIES FOR LARGE RURAL GENERAL HOSPITAL | 17032 | WIRE TRANSFER |
| SUB-SAHARAN AFRICA | PURCHASE OF MEDICATIONS FOR RURAL INFECTIOUS DISEASES CLINIC IN SOUTH SUDAN | 29476 | WIRE TRANSFER |
| SUB-SAHARAN AFRICA | TRAINING OF SOUTH SUDANESE PHYSICIAN ASSISTANT IN KENYA | 4000 | WIRE TRANSFER |
| SUB-SAHARAN AFRICA | SUPPORT FOR 215 SURGERIES. | 115000 | WIRE TRANSFER |
| SUB-SAHARAN AFRICA | TRAINING OF 15 PHYSICIAN ASSISTANTS | 30000 | WIRE TRANSFER |
| SUB-SAHARAN AFRICA | CONTRUCTION OF REHABILITATION CENTER FOR CHILDREN UNDERGOING SURGERY | 270240 | WIRE TRANSFER |
| SUB-SAHARAN AFRICA | TRAINING OF 6 NURSES, 1 PHYSICIAN ASSISTANT, AND 1 DOCTOR | 17515 | WIRE TRANSFER |
| SUB-SAHARAN AFRICA | PURCHASE OF NEW HYGIENIC MATTRESSES FOR MATERNITY WARD | 5701 | WIRE TRANSFER |
| SUB-SAHARAN AFRICA | BACK-UP POWER SUPPLY FOR LARGE GENERAL HOSPITAL | 60802 | WIRE TRANSFER |
| SUB-SAHARAN AFRICA | RENOVATION OF OPERATING THEATER IN RURAL UGANDA | 83412 | WIRE TRANSFER |
| SUB-SAHARAN AFRICA | BACK-UP POWER PROJECT FOR LARGE GENERAL HOSPITAL | 39531 | WIRE TRANSFER |
| SUB-SAHARAN AFRICA | PURCHASE OF X-RAY MACHINE FOR LARGE RURAL HOSPITAL | 57333 | WIRE TRANSFER |
| SUB-SAHARAN AFRICA | X-RAY MACHINE | 87000 | WIRE TRANSFER |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of501c3 Orgs | 15 | TotalNumberOf501c3Orgs |
| Total Number Of Other Orgs | 9 | TotalNumberOfOtherOrgs |
| Transfer To Foreign Corp | 0 | TransferToForeignCorp |
| Interest In Foreign Trust | 0 | InterestInForeignTrust |
| Own Foreign Corp | 0 | OwnForeignCorp |
| Passive Foreign Invest Co | 0 | PassiveForeignInvestCo |
| Foreign Partnership | 0 | ForeignPartnership |
| Boycott Countries | 0 | BoycottCountries |
Form990 Schedule F Part V Form990ScheduleFPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS OUTSIDE THE U.S.: | Identifier |
| Explanation | SCHEDULE F, PART I, LINE 2: GRANT APPLICATIONS ARE BY INVITATION ONLY FOLLOWING INVESTIGATION OF THE PROPOSED PARTNER BY AMHF STAFF, INCLUDING SITE VISITS AND CHARACTER REFERENCE. A FULL APPLICATION, INCLUDING DESCRIPTION OF ACTIVITIES, GOALS AND BUDGET MUST BE COMPLETED. THE AUDIT IS REVIEWED. ADDITIONAL FUNDS ARE ONLY RELEASED UPON SBUMISSION OF REPORTS, EXPENSE JUSTIFICATION , AND MILESTONE ACHIEVEMENT. | Explanation |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (6 entries)
| Address Line1AddressUS/AddressLine1 | Address Line2AddressUS/AddressLine2 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|---|
| PAN-AFRICAN ACADEMY OF CHRISTIAN SURGEONS | ||||||||
| C/O CHRISTIAN MEDICAL AND DENTAL | ASSOCIATIONS PO BOX 7500 | BRISTOL | TN | 37621 | 362284267 | 501(C)3 | 28350 | SUPPORT OF SURGICAL TRAINING THROUGH THE PAN-AFRICAN ACADEMY OF CHRISTIAN SURGEONS. |
| ST LUKE HEALTH CARE FOUNDATION | ||||||||
| PO BOX 4465 | WHEATON | IL | 60189 | 364532820 | 501(C)3 | 82000 | SURGICAL RESIDENT HOUSING FOR SODDO CHRISTIAN HOSPITAL IN ETHIOPIA | |
| IN DEED AND TRUTH MINISTRIES | ||||||||
| 813 MEGAN CT | COSTA MESA | CA | 92626 | 260343662 | 501(C)3 | 50000 | CLINIC CONSTRUCTION FOR IN DEED AND TRUTH CLINIC IN SOUTH SUDAN. | |
| SIM USA INCORPORATED | ||||||||
| 14830 CHOATE CIRCLE | CHARLOTTE | NC | 28273 | 221936391 | 501(C)3 | 156388 | DENTAL TECHNICIAN TRAINING & CLINIC CONSTRUCTION & OPERATIONS IN SIERRA LEONE & SOUTH SUDAN. | |
| CATHOLIC MEDICAL MISSION BOARD INC | ||||||||
| 10 WEST 17TH ST | NEW YORK | NY | 10011 | 135602319 | 501(C)3 | 150000 | SAFE MOTHERHOOD PROJECT FOR CATHOLIC MEDICAL MISSION BOARD IN SOUTH SUDAN. | |
| PARTNERS IN COMPASSIONATE CARE INC | ||||||||
| 8283 WALLINWOOD SPRINGS DRIVE | JENISON | MI | 49428 | 201224185 | 501(C)3 | 24000 | STAFF SALARIES & COMPOUND FENCE IN SOUTH SUDAN. | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 6 | TotalNbrOf501C3AndGovtGrants |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE I, PART I, LINE 2: THE ORGANIZATION ONLY MAKES GRANTS FOR USE OUTSIDE THE UNITED STATES. FUNDS GRANTED TO US-BASED ORGANIZATIONS ARE MEANT FOR USE BY A RECIPIENT ORGANIZATION OUTSIDE THE US. AMHF RECEIVES REPORTS AT LEAST ANNUALLY FROM GRANTEES. AMHF STAFF VISIT SELECT FOREIGN PROJECTS. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (4 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | THE 990 IS PREPARED BY AN INDEPENDENT CONTRACTOR. THE FORM IS SENT TO THE CEO WHO FORWARDS THE FORM TO THE ENTIRE BOARD FOR REVIEW. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION MAINTAINS A CONFLICT OF INTEREST POLICY AND REVIEWS IT ON A REGULAR BASIS. ALL BOARD MEMBERS HAVE READ AND ARE AWARE OF THE POLICY. EACH POSSIBLE SITUATION IS TAKEN UNDER REVIEW AND COMPARED TO THE POLICY TO DETERMINE IF A CONFLICT EXISTS. THE BOARD MEMBERS MAKE CAREFUL CONSIDERATION TO AVOID ALL CONFLICTS OF INTEREST AND KEEP THE HIGHEST LEVEL OF INTEGRITY. |
| FORM 990, PART VI, SECTION B, LINE 15A | ANNUALLY, THE SALARY IS REVIEWED BY THE CEO AND ANY PROPOSED ADJUSTMENT IS SENT TO THE CHAIRMAN OF THE BOARD AND THE TREASURER FOR REVIEW. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS RECORDS AVAILABLE TO THE PUBLIC VIA REQUEST AS WELL AS THROUGH A REGULAR NEWSLETTER. |
Comments