ONE WORLD SURGERY: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- ONE WORLD SURGERY (EIN 47-5128573)
- Tax period
- 2020-01-01 to 2020-12-31
- Filed
- 2022-06-28
- IRS object ID
- 202201799349301300
- Schema version
- 2020v4.2
- 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 G
- Schedule I
- Schedule J
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-06-28T10:24:36-05:00 | ReturnTs |
| Tax Period End | 2020-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 410746749 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1301 WEST 22ND STREET SUITE 1100 | AddressLine1Txt |
| City | OAK BROOK | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60523 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 475128573 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ONE WORLD SURGERY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ONEW | BusinessNameControlTxt |
| Phone | 8472673539 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 510 LAKE COOK ROAD NO 400 | AddressLine1Txt |
| City | DEERFIELD | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60015 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CLAIRE CUNNINGHAM | PersonNm |
| Person Title | CHIEF EXECUTIVE OFFICER | PersonTitleTxt |
| Phone | 8472673539 | PhoneNum |
| Signature | 2022-06-20 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | CLAIRE | PersonFirstNm |
| Person Last | CUNNINGHAM | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | THOMAS G ANDREWS | PreparerPersonNm |
| PTIN | P00095596 | PTIN |
| Phone | 6305738600 | PhoneNum |
| Preparation | 2022-06-20 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amended Return | Yes (X) | AmendedReturnInd |
| Principal Officer | CLAIRE CUNNINGHAM | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 510 LAKE COOK ROAD NO 400 | AddressLine1Txt |
| City | DEERFIELD | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60015 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $8,176,635 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | ONEWORLDSURGERY.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2015 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | ONE WORLD SURGERY'S MISSION IS TO IGNITE THE SPIRIT OF SERVICE AND TRANSFORM LIVES BY PROVIDING ACCESS TO HIGH-QUALITY SURGICAL CARE GLOBALLY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 6 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 11 | TotalEmployeeCnt |
| Total Volunteers | 238 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $6,664,680 | PYContributionsGrantsAmt |
| CY Contributions Grants | $7,907,722 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,103 | PYInvestmentIncomeAmt |
| CY Investment Income | $129 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$99,062 | PYOtherRevenueAmt |
| CY Other Revenue | -$69,884 | CYOtherRevenueAmt |
| PY Total Revenue | $6,567,721 | PYTotalRevenueAmt |
| CY Total Revenue | $7,837,967 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $103,968 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $140,000 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $1,265,471 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,411,614 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $39,500 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $7,500 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $360,679 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,037,758 | PYOtherExpensesAmt |
| CY Other Expenses | $2,377,851 | CYOtherExpensesAmt |
| PY Total Expenses | $4,446,697 | PYTotalExpensesAmt |
| CY Total Expenses | $3,936,965 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $2,121,024 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $3,901,002 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $8,029,556 | TotalAssetsBOYAmt |
| Total Assets EOY | $11,824,802 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $789,506 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $556,224 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $7,240,050 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $11,268,578 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | ONE WORLD SURGERY'S MISSION IS TO IGNITE THE SPIRIT OF SERVICE AND TRANSFORM LIVES BY PROVIDING ACCESS TO HIGH-QUALITY SURGICAL CARE GLOBALLY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $3,200,683 | ExpenseAmt |
| Grant | $140,000 | GrantAmt |
| Desc | FIVE BILLION PEOPLE LACK ACCESS TO SURGICAL CARE. ONE WORLD SURGERY IS A NONPROFIT ORGANIZATION CONFRONTING THIS GLOBAL HEALTH CRISIS BY PROVIDING IN-COUNTRY, ON-THE-GROUND MEDICAL CARE TO UNDERSERVED COMMUNITIES IN HONDURAS AND THE DOMINICAN REPUBLIC. ONE WORLD SURGERY FUNDS AND OPERATES THE HOLY FAMILY SURGERY CENTER IN HONDURAS, WHICH HAS THREE OPERATING ROOMS, SEVEN OVERNIGHT RECOVERY BAYS, A DENTAL CLINIC, AND AN EYE CLINIC. IN 2020, DESPITE THE GLOBAL COVID-19 PANDEMIC ONE WORLD SURGERY MOBILIZED 244 VOLUNTEERS IN PARTNERSHIP WITH OUR HONDURAN AND DOMINICAN STAFF TO PROVIDE 419 FREE, TRANSFORMATIVE SURGERIES AND 5,739 FREE CONSULTS. ONE WORLD SURGERY'S SITE IN THE DOMINICAN REPUBLIC, WHICH WILL INCLUDE A SURGERY CENTER WITH THREE OPERATING ROOMS, A PRIMARY CARE CLINIC, AND A VISITOR CENTER TO ACCOMMODATE SEVENTY VOLUNTEERS AS WELL AS TO HOST TRAININGS AND EDUCATIONAL CONFERENCES IS PLANNED TO OPEN IN EARLY 2022. BY PARTNERING WITH COMMUNITIES, HEALTHCARE PROVIDERS, AND LEADERS IN HEALTHCARE TO DELIVER HIGH-QUALITY HEALTH SERVICES INCLUDING SURGERY AND PRIMARY CARE, ONE WORLD SURGERY IS TRANSFORMING LIVES AND STRIVING TOWARDS A WORLD WITH SAFE, TIMELY, AN ACCESSIBLE SURGICAL CARE FOR ALL. WE ARE DEDICATED TO PROVIDING WORLD-CLASS SURGICAL CARE TO COMMUNITIES IN NEED AND EMPOWERING VOLUNTEERS TO MAKE A POSITIVE IMPACT ON GLOBAL HEALTH. WE ARE COMMITTED TO SUSTAINABILITY, EDUCATION, AND COLLABORATION WITH OUR COMMUNITY PARTNERS. WE BELIEVE IN THETRANSFORMATIVE POWER OF COMPASSIONATE, HIGH-QUALITY HEALTH CARE. ONEWORLD SURGERY FOCUSES HEAVILY ON FORMING LOCAL PARTNERSHIPS ANDCAPACITY-BUILDING, WITH THE SURGICAL MEDICAL MISSIONS SERVING ASCATALYSTS. WHILE EXPERIENCED HONDURAN STAFF MANAGE THE FACILITY AND SERVE PATIENTS ON A DAILY BASIS, VOLUNTEERS PROVIDE ADDITIONAL PERSONNEL SUPPORT, EDUCATION, AND AN EXTENSION INTO SPECIALTY SERVICES. THIS ASSURES THAT PATIENTS ARE OFFERED A CONTINUUM OF CARE THAT IS ESSENTIAL TO SUCCESSFUL OUTCOMES. ONE WORLD SURGERY PROVIDES HEALTH CARE IN THE FIELDS OF GENERAL SURGERY, ORTHOPEDICS, ONCOLOGY, GYNECOLOGY, OTOLARYNGOLOGY, SPINE, OPHTHALMOLOGY, UROLOGY, AND DENTISTRY. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $135,031 | ExpenseAmt |
| Desc | THROUGH THE HOSTING OF WEEK-LONG MEDICAL MISSIONS, ONE WORLD SURGERY STRIVES TO DELIVER THE BEST POSSIBLE CARE TO THOSE IN NEED IN HONDURAS AND THE DOMINICAN REPUBLIC IN PARTNERSHIP WITH ITS LOCAL STAFF. VOLUNTEER HEALTH CARE PROVIDERS STRICTLY FOLLOW BEST CLINICAL PRACTICES AND PARTNER WITH LOCAL COMMUNITIES TO PROVIDE INNOVATIVE, SUSTAINABLE, AND DIGNIFIED HEALTHCARE. ONE WORLD SURGERY ORGANIZES SURGICAL MISSIONS TO THE HOLY FAMILY SURGERY CENTER IN HONDURAS. DURING WEEKLONG MEDICAL MISSIONS, PHYSICIANS, OTHER CLINICIANS, AND GENERAL VOLUNTEERS COME TOGETHER TO PERFORM LIFE-CHANGING SURGERIES. ONE WORLD SURGERY NORMALLY HOSTS 1 TO 3 MISSIONS PER MONTH WITH UP TO 60 VOLUNTEERS PER TEAM. DUE TO COVID-19, IN 2020 WE REDUCED THE NUMBER OF VOLUNTEERS PER TEAM TO APPROXIMATELY 35 VOLUNTEERS PER TRIP. IN 2020, ONE WORLD SURGERY MOBILIZED 244 VOLUNTEERS IN PARTNERSHIP WITH OUR HONDURAN AND DOMINICAN STAFF TO PROVIDE 419 FREE, TRANSFORMATIVE SURGERIES AND 5,739 FREE SURGICAL CONSULTS. ONE WORLD SURGERY'S PRIMARY CARE PROGRAM, FIRST LAUNCHED IN 2019, CONTINUES TO GROW. IN THE DOMINICAN REPUBLIC, ONE WORLD SURGERY'S PRIMARY CARE MEDICAL MISSION PROGRAM HOSTED 37 OF THE VOLUNTEERS AND SERVED 2,336 OF PATIENTS MENTIONED ABOVE. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $3,335,714 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | Yes (1) | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 11 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 6 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 6 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | IL | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CLAIRE CUNNINGHAM | PersonNm |
| Phone | 8472673539 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 510 LAKE COOK ROAD NO 400 | AddressLine1Txt |
| City | DEERFIELD | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60015 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (8 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| DR PETER DALY | |||||||
| CHIEF MEDICAL OFFICER AND | 10.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| ANDREW HAYEK | |||||||
| CHAIRMAN | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| CORY ROBERTS | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| REINHART KOEHLER | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| CAITLIN ZULLA | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DR HUGH WEST | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| CLAIRE CUNNINGHAM | |||||||
| CHIEF EXECUTIVE OFFICER | 40.00 | Yes (X) | $175,551 | $0 | $25,056 | ||
| DENISE OVERSTAKE | |||||||
| DIR. OF DONOR RELATIONS | 40.00 | $112,936 | $0 | $9,450 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $288,487 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $34,506 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 2 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ARQA | BusinessNameLine1Txt |
Contractor Address ContractorAddress
Foreign Address ForeignAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | CALLE CAMINO CHIQUITO 54 PLAZA SPR | AddressLine1Txt |
| City | SANTO DOMINGO | CityNm |
| Country | DR | CountryCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | BUILDING CONSTRUCTION | ServicesDesc |
| Compensation | $510,341 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $1,600,848 | FundraisingAmt |
| All Other Contributions | $6,306,874 | AllOtherContributionsAmt |
| Noncash Contributions | $1,691,305 | NoncashContributionsAmt |
| Total Contributions | $7,907,722 | TotalContributionsAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $245,913 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $245,784 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $129 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $129 | TotalRevenueColumnAmt |
| Exclusion | $129 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $23,000 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $1,600,848 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $92,884 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$69,884 | TotalRevenueColumnAmt |
| Exclusion | -$69,884 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,837,967 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$69,755 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $140,000 | TotalAmt |
| Program Services | $140,000 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $200,607 | TotalAmt |
| Program Services | $80,243 | ProgramServicesAmt |
| Management And General | $40,121 | ManagementAndGeneralAmt |
| Fundraising | $80,243 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,063,171 | TotalAmt |
| Program Services | $769,935 | ProgramServicesAmt |
| Management And General | $121,945 | ManagementAndGeneralAmt |
| Fundraising | $171,291 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,616 | TotalAmt |
| Program Services | $7,165 | ProgramServicesAmt |
| Management And General | $4,198 | ManagementAndGeneralAmt |
| Fundraising | $8,253 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $71,352 | TotalAmt |
| Program Services | $38,944 | ProgramServicesAmt |
| Management And General | $10,941 | ManagementAndGeneralAmt |
| Fundraising | $21,467 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $56,868 | TotalAmt |
| Program Services | $21,230 | ProgramServicesAmt |
| Management And General | $11,985 | ManagementAndGeneralAmt |
| Fundraising | $23,653 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $246 | TotalAmt |
| Fundraising | $246 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,908 | TotalAmt |
| Management And General | $22,908 | ManagementAndGeneralAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,500 | TotalAmt |
| Fundraising | $7,500 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,163 | TotalAmt |
| Program Services | $39,283 | ProgramServicesAmt |
| Management And General | $15,880 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,274 | TotalAmt |
| Program Services | $28,387 | ProgramServicesAmt |
| Fundraising | $20,887 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $136,818 | TotalAmt |
| Program Services | $115,088 | ProgramServicesAmt |
| Management And General | $7,620 | ManagementAndGeneralAmt |
| Fundraising | $14,110 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,358 | TotalAmt |
| Program Services | $7,183 | ProgramServicesAmt |
| Management And General | $1,175 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $109,860 | TotalAmt |
| Program Services | $109,860 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,227 | TotalAmt |
| Program Services | $1,198 | ProgramServicesAmt |
| Fundraising | $13,029 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $45,636 | TotalAmt |
| Program Services | $45,636 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,135 | TotalAmt |
| Program Services | $9,135 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| MEDICAL SUPPLIES | $1,595,146 | $1,595,146 | $0 | $0 |
| BRIGADE AND CONFERENCE | $135,031 | $135,031 | $0 | $0 |
| MINOR EQUIPMENT | $64,365 | $64,365 | $0 | $0 |
| RECRUITMENT AND RELOCAT | $1,378 | $0 | $1,378 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $130,306 | TotalAmt |
| Program Services | $127,885 | ProgramServicesAmt |
| Management And General | $2,421 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,936,965 | TotalAmt |
| Program Services | $3,335,714 | ProgramServicesAmt |
| Management And General | $240,572 | ManagementAndGeneralAmt |
| Fundraising | $360,679 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,409,801 | BOYAmt |
| EOY | $9,416,546 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $687,267 | BOYAmt |
| EOY | $629,418 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,228,243 | BOYAmt |
| EOY | $422,743 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,499,691 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $143,596 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $704,245 | BOYAmt |
| EOY | $1,356,095 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,029,556 | BOYAmt |
| EOY | $11,824,802 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $273,442 | BOYAmt |
| EOY | $247,274 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $516,064 | BOYAmt |
| EOY | $308,950 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $789,506 | BOYAmt |
| EOY | $556,224 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,796,912 | BOYAmt |
| EOY | $7,346,828 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,443,138 | BOYAmt |
| EOY | $3,921,750 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,240,050 | BOYAmt |
| EOY | $11,268,578 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,029,556 | BOYAmt |
| EOY | $11,824,802 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $3,901,002 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | $127,526 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,092,021 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,283,643 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,606,050 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,664,680 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,907,722 | CurrentTaxYearAmt |
| Total | $25,554,116 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,092,021 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,283,643 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,606,050 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,664,680 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,907,722 | CurrentTaxYearAmt |
| Total | $25,554,116 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $2,514,092 | SubstantialContributorsTotAmt |
| Public Support Total170 | $23,040,024 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $4,075 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $33 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $457 | CurrentTaxYearMinus1YearAmt |
| Total | $4,565 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $29,735 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $69,165 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $92,600 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $23,000 | CurrentTaxYearAmt |
| Total | $214,500 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $25,773,181 | TotalSupportAmt |
| Public Support CY170 | 0.89400 | PublicSupportCY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| 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) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $233,252 | OtherCostOrOtherBasisAmt |
| Depreciation | $143,596 | DepreciationAmt |
| Book Value | $89,656 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,266,439 | OtherCostOrOtherBasisAmt |
| Book Value | $1,266,439 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,356,095 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE TO SURGICAL CARE AFFILIATES | Desc |
| Amt | $308,950 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $308,950 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $8,496,601 | TotalRevEtcAuditedFinclStmtAmt |
| Donated Services And Use Fclts | $565,750 | DonatedServicesAndUseFcltsAmt |
| Revenue Not Reported | $565,750 | RevenueNotReportedAmt |
| Revenue Subtotal | $7,930,851 | RevenueSubtotalAmt |
| Other Revenues Not Included | -$92,884 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$92,884 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $7,837,967 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $4,595,599 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $565,750 | DonatedServicesUseFcltsAmt |
| Other Expenses Included | $92,884 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $658,634 | ExpensesNotReportedAmt |
| Expenses Subtotal | $3,936,965 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $3,936,965 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | THE ORGANIZATION EVALUATES ITS EXPOSURE FOR UNCERTAIN TAX POSITIONS ON AN ANNUAL BASIS. AS OF DECEMBER 31, 2020 AND 2019, THERE WERE NO LIABILITIES FOR UNCERTAIN TAX POSITIONS. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | FUNDRAISING EVENT EXPENSES REPORTED ON PAGE 9, FORM 990, LINE 8 -92,884. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | FUNDRAISING EVENT EXPENSES REPORTED ON PAGE 9, FORM 990, LINE 8 92,884. |
Schedule F IRS990ScheduleF
Account Activities Outside US AccountActivitiesOutsideUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | CENTRAL AMERICA AND THE CARIBBEAN | RegionTxt |
| Offices | 2 | OfficesCnt |
| Employee | 38 | EmployeeCnt |
| Type Of Activities Conducted | CONSTRUCTION OF MEDICAL FACILITY AND GENERAL OPERATIONS | TypeOfActivitiesConductedTxt |
| Specific Services Provided | MEDICAL SERVICES | SpecificServicesProvidedTxt |
| Region Total Expenditures | $3,276,589 | RegionTotalExpendituresAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Offices | 2 | SubtotalOfficesCnt |
| Subtotal Employees | 38 | SubtotalEmployeesCnt |
| Continuation Total Office | 0 | ContinuationTotalOfficeCnt |
| Continuation Total Employee | 0 | ContinuationTotalEmployeeCnt |
| Total Office | 2 | TotalOfficeCnt |
| Total Employee | 38 | TotalEmployeeCnt |
| Subtotal Spent | $3,276,589 | SubtotalSpentAmt |
| Continuation Spent | $0 | ContinuationSpentAmt |
| Total Spent | $3,276,589 | TotalSpentAmt |
| Transfer To Foreign Corp | 0 | TransferToForeignCorpInd |
| Interest In Foreign Trust | 0 | InterestInForeignTrustInd |
| Foreign Corp Ownership | 0 | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | 0 | PassiveForeignInvestmestCoInd |
| Foreign Partnership | 0 | ForeignPartnershipInd |
| Boycott Countries | 0 | BoycottCountriesInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3: | CONSTRUCTION EXPENDITURES ARE ACCOUNTED FOR BASED UPON SERVICES PERFORMED AND BILLED BY THE FOREIGN CONTRACTOR. |
| PART III ACCOUNTING METHOD: |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Mail Solicitations | Yes (X) | MailSolicitationsInd |
| Email Solicitations | Yes (X) | EmailSolicitationsInd |
| In Person Solicitations | Yes (X) | InPersonSolicitationsInd |
| Special Fundraising Events | Yes (X) | SpecialFundraisingEventsInd |
| Agrmt Prof Fundraising Acty | Yes (1) | AgrmtProfFundraisingActyInd |
Fundraiser Activity Info FundraiserActivityInfoGrp
Organization Business Name OrganizationBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FALK CONSULTING | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2120 N CLIFTON AVE | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60614 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activity | CAPITAL CAMPAIGN CONSULTANT | ActivityTxt |
| Fundraiser Control Of Funds | 0 | FundraiserControlOfFundsInd |
| Gross Receipts | $0 | GrossReceiptsAmt |
| Retained By Contractor | $7,500 | RetainedByContractorAmt |
| Net To Organization | -$7,500 | NetToOrganizationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Retained By Contractors | $7,500 | TotalRetainedByContractorsAmt |
| Total Net To Organization | -$7,500 | TotalNetToOrganizationAmt |
| Licensed States | IL | LicensedStatesCd |
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | ANNUAL LEADERSHIP MEETING | Event1Nm |
| Gross Receipts Event1 | $403,950 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $403,950 | CharitableContriEvent1Amt |
| Other Direct Expenses Event1 | $51,923 | OtherDirectExpensesEvent1Amt |
| Event2 | GALA | Event2Nm |
| Gross Receipts Event2 | $675,533 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $675,533 | CharitableContriEvent2Amt |
| Other Direct Expenses Event2 | $17,955 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 5 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $544,365 | GrossReceiptsOtherEventsAmt |
| Charitable Contri Other Events | $521,365 | CharitableContriOtherEventsAmt |
| Gross Revenue Other Events | $23,000 | GrossRevenueOtherEventsAmt |
| Oth Direct Expnss Other Events | $23,006 | OthDirectExpnssOtherEventsAmt |
| Gross Receipts Total | $1,623,848 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $1,600,848 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $23,000 | GrossRevenueTotalEventsAmt |
| Oth Direct Expnss Total Events | $92,884 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $92,884 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$69,884 | NetIncomeSummaryAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE G, PART I, LINE 2B, COLUMN (V) | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION CONTRACTED WITH THE FUNDRAISING CONSULTANT, FALK CONSULTING, LLC, FOR FUNDRAISING STRATEGY CONSULTING RELATED TO OUR EXPANSION TO THE DOMINICAN REPUBLIC. THE INITIAL CONTRACT FOR THE CAMPAIGN PLANNING STUDY IN 2018 REQUIRED PAYMENT OF $32,500 PLUS EXPENSES. THE CONTRACT FOR MONTHLY SUPPORT AND GUIDANCE AS NEEDED AFTER COMPLETION OF THE PLANNING STUDY REQUIRES PAYMENTS OF $4,500 PER MONTH PLUS EXPENSES. IN 2020, $7,500 WAS PAID TO THE FUNDRAISER FOR STRATEGY CONSULTING AND $0 WAS PAID FOR EXPENSES. | ExplanationTxt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NPH USA | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 134 NORTH LASALLE STREET STE 500 | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60602 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 651229309 | RecipientEIN |
| IRC Section | 501(C)(3) | IRCSectionDesc |
| Cash Grant | $140,000 | CashGrantAmt |
| Purpose Of Grant | CONSTRUCTION COSTS OF CONFERENCE CENTER PROJECT FOR NPH HONDURAS. | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | DURING 2020, ONE WORLD SURGERY CONTRIBUTED $140,000 TO NPH USA FOR THE FOLLOWING PURPOSES: CAPITAL PROJECTS AT NPH HONDURAS ON BEHALF OF ONE WORLD SURGERY AND GENERAL OPERATIONS OF NPH USA IN SUPPORT OF NPH HOMES. CAPITAL PROJECT COSTS TOTALED $55,000 AND THESE FUNDS WERE USED TO COMPLETE ONE WORLD SURGERY CONSTRUCTION PROJECTS INCLUDING THE LODGING FACILITIES FOR ONE WORLD SURGERY MEDICAL MISSION VOLUNTEERS. THESE FUNDS ARE PAID TO NPH USA AND TRANSFERRED TO NPH HONDURAS WHERE ONE WORLD SURGERY LEADERSHIP MANAGED THE CONSTRUCTION PROJECTS USING THESE FUNDS. AN ADDITIONAL $85,000 WAS CONTRIBUTED TO NPH USA FOR GENERAL OPERATIONS OF ITS NPH HOMES UNDER A PARTNERSHIP AGREEMENT TO SUPPORT ITS COMPLEMENTARY MISSION. THE ONE WORLD SURGERY BOARD OF DIRECTORS RECEIVES REGULAR OPERATIONS AND STRATEGIC UPDATES FROM NPH LEADER REINHART KOEHLER WHO IS ALSO A BOARD MEMBER FOR ONE WORLD SURGERY. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CLAIRE CUNNINGHAM | PersonNm |
| Title | CHIEF EXECUTIVE OFFICER | TitleTxt |
| Base Compensation Filing Org | $146,951 | BaseCompensationFilingOrgAmt |
| Compensation Based On Rltd Orgs | $0 | CompensationBasedOnRltdOrgsAmt |
| Bonus Filing Organization | $28,600 | BonusFilingOrganizationAmount |
| Bonus Related Organizations | $0 | BonusRelatedOrganizationsAmt |
| Other Compensation Filing Org | $0 | OtherCompensationFilingOrgAmt |
| Other Compensation Rltd Orgs | $0 | OtherCompensationRltdOrgsAmt |
| Deferred Compensation Flng Org | $5,909 | DeferredCompensationFlngOrgAmt |
| Deferred Comp Rltd Orgs | $0 | DeferredCompRltdOrgsAmt |
| Nontaxable Benefits Filing Org | $19,147 | NontaxableBenefitsFilingOrgAmt |
| Nontaxable Benefits Rltd Orgs | $0 | NontaxableBenefitsRltdOrgsAmt |
| Total Compensation Filing Org | $200,607 | TotalCompensationFilingOrgAmt |
| Total Compensation Rltd Orgs | $0 | TotalCompensationRltdOrgsAmt |
| Comp Report Prior990 Filing Org | $0 | CompReportPrior990FilingOrgAmt |
| Comp Report Prior990 Rltd Orgs | $0 | CompReportPrior990RltdOrgsAmt |
Schedule M IRS990ScheduleM
Securities Publicly Traded SecuritiesPubliclyTradedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 12 | ContributionCnt |
| Noncash Contributions Rpt F990 | $245,784 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FAIR MARKET VALUE | MethodOfDeterminingRevenuesTxt |
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 190 | ContributionCnt |
| Noncash Contributions Rpt F990 | $1,445,521 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FAIR MARKET VALUE | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8283 Received | 0 | Form8283ReceivedCnt |
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE M, PART I, COLUMN (B): | FormAndLineReferenceDesc |
| Explanation | CONTRIBUTIONS OF PUBLICALLY TRADED SECURITIES REPRESENTS THE NUMBER OF CONTRIBUTIONS. CONTRIBUTIONS OF MEDICAL AND SURGICAL SUPPLIES REPRESENTS THE NUMBER OF CONTRIBUTIONS. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | A COMPLETE COPY OF FORM 990 WILL BE PROVIDED TO THE GOVERNING BODY PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | OFFICERS, DIRECTORS, AND KEY EMPLOYEES ARE REQUIRED TO SIGN THE CODE OF CONDUCT WHICH IS REGULARLY REVIEWED DURING MEETINGS OF THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION B, LINE 15 | COMPENSATION FOR THE EXECUTIVE DIRECTOR AND OTHER KEY EMPLOYEES IS REVIEWED AND APPROVED BY MEMBERS OF THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION C, LINE 19 | DURING 2018, THE ORGANIZATION ADOPTED POLICIES FOR CONFLICT OF INTERESTS, DOCUMENT RETENTION, AND WHISTLEBLOWER. THESE POLICIES ALONG WITH OTHER GOVERNING DOCUMENTS WILL BE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART XII, LINE 2C: | THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
| FORM 990, PAGE 1, SECTION B - AMENDED RETURN | THE ORGANIZATION IS FILING AN AMENDED RETURN FOR 2020 DUE TO CHANGES MADE TO THE ORGANIZATION'S FINANCIAL INFORMATION AS A RESULT OF THE COMPLETION OF ITS ANNUAL FINANCIAL STATEMENT AUDIT. THE ORGANIZATION'S TOTAL ASSETS INCREASED $126,556; TOTAL LIABILITIES INCREASED $8,458; AND TOTAL NET ASSETS INCREASED BY $118,098. THESE CHANGES TO THE ORGANIZATION'S BALANCE SHEET RESULTED FROM A DECREASE IN CONTRIBUTION REVENUE OF $27,526; A DECREASE IN EXPENSES OF $18,098: AND A PRIOR PERIOD ADJUSTMENT OF $127,526 THAT INCREASED BEGINNING OF THE YEAR NET ASSETS. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOLY FAMILY SURGERY CENTER FOUNDATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 510 LAKE COOK ROAD STE 400 | AddressLine1Txt |
| City | DEERFIELD | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60015 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 474546833 | EIN |
| Primary Activities | MEDICAL MISSIONS TO PROVIDE SURGERY SOLUTIONS TO HONDURAN CITIZENS | PrimaryActivitiesTxt |
| Legal Domicile State | MN | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | LINE 7 | PublicCharityStatusTxt |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |