GRADIAN HEALTH SYSTEMS INC: Form 990PF, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- GRADIAN HEALTH SYSTEMS INC (EIN 27-2092828)
- Tax period
- 2019-01-01 to 2019-12-31
- Filed
- 2020-11-02
- IRS object ID
- 202013079349100866
- Schema version
- 2019v5.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990-PF
- Schedule B
- Accounting Fees Schedule
- Depreciation Schedule
- Expenditure Responsibility Stmt
- Land Etc Schedule2
- Legal Fees Schedule
- Other Assets Schedule
- Other Expenses Schedule
- Other Income Schedule2
- Other Liabilities Schedule
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-11-02T16:45:39-06:00 | ReturnTs |
| Tax Period End | 2019-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 271728945 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PKF O'CONNOR DAVIES LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 MAMARONECK AVENUE | AddressLine1Txt |
| City | HARRISON | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 105281633 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2019-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 272092828 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GRADIAN HEALTH SYSTEMS INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | GRAD | BusinessNameControlTxt |
| Phone | 7187707265 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 40 WEST 25TH STREET 6TH FLOOR | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10010 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LINA SAYED | PersonNm |
| Person Title | CEO/DIRECTOR | PersonTitleTxt |
| Phone | 7187707265 | PhoneNum |
| Signature | 2020-11-02 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | GARRETT M HIGGINS | PreparerPersonNm |
| PTIN | P00543209 | PTIN |
| Phone | 9143818900 | PhoneNum |
| Preparation | 2020-11-02 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 24.190.81.120 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-11-02 | IPDt |
| IP Tm | 16:45:34 | IPTm |
| IP Timezone | ES | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 9616F4B14A694591D1E716C270910E6FA5556DA3 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2021-04-22 16:20:28Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | Yes (X) | AddressChangeInd |
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $13,583,203 | FMVAssetsEOYAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rcvd Rev And Expnss | $5,021,190 | ContriRcvdRevAndExpnssAmt |
| Interest On Sav Rev And Expnss | $811 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $811 | InterestOnSavNetInvstIncmAmt |
| Interest On Savings Adj Net Incm | $811 | InterestOnSavingsAdjNetIncmAmt |
| Cap Gain Net Incm Net Invst Incm | $0 | CapGainNetIncmNetInvstIncmAmt |
| Net ST Capital Gain Adj Net Incm | $0 | NetSTCapitalGainAdjNetIncmAmt |
| Gross Sales Less Ret And Allwnc | $1,743,872 | GrossSalesLessRetAndAllwncAmt |
| Cost Of Goods Sold | $1,586,707 | CostOfGoodsSoldAmt |
| Gross Profit Rev And Expnss | $157,165 | GrossProfitRevAndExpnssAmt |
| Gross Profit Adj Net Incm | $157,165 | GrossProfitAdjNetIncmAmt |
| Other Income Rev And Expnss | $12,860 | OtherIncomeRevAndExpnssAmt |
| Other Income Net Invst Incm | $0 | OtherIncomeNetInvstIncmAmt |
| Other Income Adj Net Incm | $12,860 | OtherIncomeAdjNetIncmAmt |
| Total Rev And Expnss | $5,192,026 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $811 | TotalNetInvstIncmAmt |
| Total Adj Net Incm | $170,836 | TotalAdjNetIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $640,805 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Net Invst Incm | $0 | CompOfcrDirTrstNetInvstIncmAmt |
| Comp Ofcr Dir Trst Adj Net Incm | $0 | CompOfcrDirTrstAdjNetIncmAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $640,805 | CompOfcrDirTrstDsbrsChrtblAmt |
| Oth Empl Slrs Wgs Rev And Expnss | $1,032,852 | OthEmplSlrsWgsRevAndExpnssAmt |
| Oth Empl Slrs Wgs Net Invst Incm | $0 | OthEmplSlrsWgsNetInvstIncmAmt |
| Oth Empl Slrs Wgs Adj Net Incm | $170,836 | OthEmplSlrsWgsAdjNetIncmAmt |
| Oth Empl Slrs Wgs Dsbrs Chrtbl | $1,011,044 | OthEmplSlrsWgsDsbrsChrtblAmt |
| Pension Empl Bnft Rev And Expnss | $500,450 | PensionEmplBnftRevAndExpnssAmt |
| Pension Empl Bnft Net Invst Incm | $0 | PensionEmplBnftNetInvstIncmAmt |
| Pension Empl Bnft Adj Net Incm | $0 | PensionEmplBnftAdjNetIncmAmt |
| Pension Empl Bnft Dsbrs Chrtbl | $473,523 | PensionEmplBnftDsbrsChrtblAmt |
| Legal Fees Rev And Expnss | $62,421 | LegalFeesRevAndExpnssAmt |
| Legal Fees Net Invst Incm | $0 | LegalFeesNetInvstIncmAmt |
| Legal Fees Adj Net Incm | $0 | LegalFeesAdjNetIncmAmt |
| Legal Fees Dsbrs Chrtbl | $68,623 | LegalFeesDsbrsChrtblAmt |
| Accounting Fees Rev And Expnss | $183,049 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $0 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Adj Net Incm | $0 | AccountingFeesAdjNetIncmAmt |
| Accounting Fees Chrtbl Prps | $182,966 | AccountingFeesChrtblPrpsAmt |
| Other Prof Fees Rev And Expnss | $869,058 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $0 | OtherProfFeesNetInvstIncmAmt |
| Other Prof Fees Adj Net Incm | $0 | OtherProfFeesAdjNetIncmAmt |
| Other Prof Fees Dsbrs Chrtbl | $772,507 | OtherProfFeesDsbrsChrtblAmt |
| Taxes Rev And Expnss | $7,326 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $0 | TaxesNetInvstIncmAmt |
| Taxes Adj Net Incm | $0 | TaxesAdjNetIncmAmt |
| Taxes Dsbrs Chrtbl | $7,326 | TaxesDsbrsChrtblAmt |
| Deprec And Dpltn Rev And Expnss | $58,097 | DeprecAndDpltnRevAndExpnssAmt |
| Deprec And Dpltn Net Invst Incm | $0 | DeprecAndDpltnNetInvstIncmAmt |
| Deprec And Dpltn Adj Net Incm | $0 | DeprecAndDpltnAdjNetIncmAmt |
| Occupancy Rev And Expnss | $636,076 | OccupancyRevAndExpnssAmt |
| Occupancy Net Invst Incm | $0 | OccupancyNetInvstIncmAmt |
| Occupancy Adj Net Incm | $0 | OccupancyAdjNetIncmAmt |
| Occupancy Dsbrs Chrtbl | $705,086 | OccupancyDsbrsChrtblAmt |
| Trav Conf Meeting Rev And Expnss | $1,288,878 | TravConfMeetingRevAndExpnssAmt |
| Trav Conf Meeting Net Invst Incm | $0 | TravConfMeetingNetInvstIncmAmt |
| Trav Conf Meeting Adj Net Incm | $0 | TravConfMeetingAdjNetIncmAmt |
| Trav Conf Meeting Dsbrs Chrtbl | $1,309,637 | TravConfMeetingDsbrsChrtblAmt |
| Printing And Pub Rev And Expnss | $47,206 | PrintingAndPubRevAndExpnssAmt |
| Printing And Pub Net Invst Incm | $0 | PrintingAndPubNetInvstIncmAmt |
| Printing And Pub Adj Net Incm | $0 | PrintingAndPubAdjNetIncmAmt |
| Printing And Pub Dsbrs Chrtbl | $50,293 | PrintingAndPubDsbrsChrtblAmt |
| Other Expenses Rev And Expnss | $1,018,751 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $0 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Adj Net Incm | $0 | OtherExpensesAdjNetIncmAmt |
| Other Expenses Dsbrs Chrtbl | $835,005 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $6,344,969 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $0 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Adj Net Incm | $170,836 | TotOprExpensesAdjNetIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $6,056,815 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $323,470 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $323,470 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $6,668,439 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $0 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Adj Net Incm | $170,836 | TotalExpensesAdjNetIncmAmt |
| Total Expenses Dsbrs Chrtbl | $6,380,285 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | -$1,476,413 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $811 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $0 | AdjustedNetIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | $1,808,452 | CashBOYAmt |
| Cash EOY | $1,017,131 | CashEOYAmt |
| Cash EOYFMV | $1,017,131 | CashEOYFMVAmt |
| Sav And Temp Cash Invst BOY | $391,205 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $340,589 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $340,589 | SavAndTempCashInvstEOYFMVAmt |
| Acct Rcvbl | $775,573 | AcctRcvblAmt |
| Acct Rcvbl BOY | $970,303 | AcctRcvblBOYAmt |
| Acct Rcvbl EOY | $775,573 | AcctRcvblEOYAmt |
| Acct Rcvbl EOYFMV | $775,573 | AcctRcvblEOYFMVAmt |
| Pledges Rcvbl | $8,574,327 | PledgesRcvblAmt |
| Pledges Rcvbl BOY | $9,694,366 | PledgesRcvblBOYAmt |
| Pledges Rcvbl EOY | $8,574,327 | PledgesRcvblEOYAmt |
| Pledges Rcvbl EOYFMV | $8,574,327 | PledgesRcvblEOYFMVAmt |
| Inventories BOY | $670,656 | InventoriesBOYAmt |
| Inventories EOY | $1,595,075 | InventoriesEOYAmt |
| Inventories EOYFMV | $1,595,075 | InventoriesEOYFMVAmt |
| Prepaid Expenses BOY | $388,233 | PrepaidExpensesBOYAmt |
| Prepaid Expenses EOY | $562,825 | PrepaidExpensesEOYAmt |
| Prepaid Expenses EOYFMV | $562,825 | PrepaidExpensesEOYFMVAmt |
| Land Bldg Equip Cost Or Other Bss | $397,482 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $196,700 | LandBldgEquipAccumDeprecAmt |
| Land BOY | $94,156 | LandBOYAmt |
| Land EOY | $200,782 | LandEOYAmt |
| Land EOYFMV | $200,782 | LandEOYFMVAmt |
| Other Assets BOY | $1,043,717 | OtherAssetsBOYAmt |
| Other Assets EOY | $516,901 | OtherAssetsEOYAmt |
| Other Assets EOYFMV | $516,901 | OtherAssetsEOYFMVAmt |
| Total Assets BOY | $15,061,088 | TotalAssetsBOYAmt |
| Total Assets EOY | $13,583,203 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $13,583,203 | TotalAssetsEOYFMVAmt |
| Accounts Payable BOY | $326,707 | AccountsPayableBOYAmt |
| Accounts Payable EOY | $393,545 | AccountsPayableEOYAmt |
| Deferred Revenue BOY | $149,928 | DeferredRevenueBOYAmt |
| Deferred Revenue EOY | $21,191 | DeferredRevenueEOYAmt |
| Other Liabilities BOY | $418,308 | OtherLiabilitiesBOYAmt |
| Other Liabilities EOY | $478,735 | OtherLiabilitiesEOYAmt |
| Total Liabilities BOY | $894,943 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $893,471 | TotalLiabilitiesEOYAmt |
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
| No Donor Rstr Net Assests BOY | $3,346,779 | NoDonorRstrNetAssestsBOYAmt |
| No Donor Rstr Net Assests EOY | $4,129,176 | NoDonorRstrNetAssestsEOYAmt |
| Donor Rstr Net Assets BOY | $10,819,366 | DonorRstrNetAssetsBOYAmt |
| Donor Rstr Net Assets EOY | $8,560,556 | DonorRstrNetAssetsEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $14,166,145 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $12,689,732 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $15,061,088 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $13,583,203 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $14,166,145 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | -$1,476,413 | ExcessRevenueOverExpensesAmt |
| Other Increases | $0 | OtherIncreasesAmt |
| Subtotal | $12,689,732 | SubtotalAmt |
| Other Decreases | $0 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $12,689,732 | TotNetAstOrFundBalancesEOYAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | 0 | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $4,937,182 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $1,968,868 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 2.507625 | DistributionYr1Rt |
| Adjusted Qlfy Distri Yr2 | $3,191,122 | AdjustedQlfyDistriYr2Amt |
| Net Vl Noncharitable Assets Yr2 | $1,278,459 | NetVlNoncharitableAssetsYr2Amt |
| Distribution Yr2 | 2.496069 | DistributionYr2Rt |
| Adjusted Qlfy Distri Yr3 | $1,781,051 | AdjustedQlfyDistriYr3Amt |
| Net Vl Noncharitable Assets Yr3 | $1,666,411 | NetVlNoncharitableAssetsYr3Amt |
| Distribution Yr3 | 1.068795 | DistributionYr3Rt |
| Adjusted Qlfy Distri Yr4 | $3,562,704 | AdjustedQlfyDistriYr4Amt |
| Net Vl Noncharitable Assets Yr4 | $1,404,178 | NetVlNoncharitableAssetsYr4Amt |
| Distribution Yr4 | 2.537217 | DistributionYr4Rt |
| Adjusted Qlfy Distri Yr5 | $768,687 | AdjustedQlfyDistriYr5Amt |
| Net Vl Noncharitable Assets Yr5 | $2,428,309 | NetVlNoncharitableAssetsYr5Amt |
| Distribution Yr5 | 0.316552 | DistributionYr5Rt |
| Total Distribution | 8.926258 | TotalDistributionRt |
| Average Distribution | 1.785252 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $1,883,934 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $3,363,297 | AdjNetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $8 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $3,363,305 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $6,545,008 | QualifyingDistributionsAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Domestic Org Meeting Sect4940e | Yes (X) | DomesticOrgMeetingSect4940eInd |
| Investment Income Excise Tax | $8 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $8 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $8 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $66 | EstimatedPlusOvpmtIncmTxAmt |
| Extsn Request Income Tax Paid | $0 | ExtsnRequestIncomeTaxPaidAmt |
| Backup Withholding Withheld | $0 | BackupWithholdingWithheldAmt |
| Total Payments And Credits | $66 | TotalPaymentsAndCreditsAmt |
| Es Penalty | $0 | EsPenaltyAmt |
| Overpayment | $58 | OverpaymentAmt |
| Applied To ES Tax | $58 | AppliedToESTaxAmt |
| Refund | $0 | RefundAmt |
Statements Regarding Acty StatementsRegardingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Acty | 0 | LegislativePoliticalActyInd |
| More Than100 Spent | 0 | MoreThan100SpentInd |
| Form1120 POL Filed | 0 | Form1120POLFiledInd |
| Section4955 Organization Tax | $0 | Section4955OrganizationTaxAmt |
| Section4955 Managers Tax | $0 | Section4955ManagersTaxAmt |
| Tax Reimbursed | $0 | TaxReimbursedAmt |
| Activities Not Previously Rpt | 0 | ActivitiesNotPreviouslyRptInd |
| Changes To Articles Or Bylaws | 0 | ChangesToArticlesOrBylawsInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Organization Dissolved Etc | 0 | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | Yes (1) | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (1) | AtLeast5000InAssetsInd |
| Org Report Or Register State | NY | OrgReportOrRegisterStateCd |
| Org Report Or Register State | DE | OrgReportOrRegisterStateCd |
| Form990 PF Filed With Atty Gen | Yes (1) | Form990PFFiledWithAttyGenInd |
| Private Operating Foundation | Yes (1) | PrivateOperatingFoundationInd |
| New Substantial Contributors | 0 | NewSubstantialContributorsInd |
| Own Controlled Entity | 0 | OwnControlledEntityInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Comply With Public Insp Rqr | Yes (1) | ComplyWithPublicInspRqrInd |
| Website Address | N/A | WebsiteAddressTxt |
| Individual With Books | LINA SAYED | IndividualWithBooksNm |
| Phone | 7187707265 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 40 WEST 25TH STREET 6TH FLOOR | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10010 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Accounts Question | Yes (1) | ForeignAccountsQuestionInd |
| Foreign Country | KE | ForeignCountryCd |
Statements Regarding Acty4720 StatementsRegardingActy4720Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exch Disqualified Prsn | 0 | SaleOrExchDisqualifiedPrsnInd |
| Brrw Or Lend Disqualified Prsn | 0 | BrrwOrLendDisqualifiedPrsnInd |
| Furn Goods Disqualified Prsn | 0 | FurnGoodsDisqualifiedPrsnInd |
| Pay Comp Disqualified Prsn | Yes (1) | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | 0 | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | 0 | PaymentToGovernmentOfficialInd |
| Acts Fail To Qlfy As Exceptions | 0 | ActsFailToQlfyAsExceptionsInd |
| Uncorrected Prior Acts | 0 | UncorrectedPriorActsInd |
| Undistributed Income PY | 0 | UndistributedIncomePYInd |
| Business Holdings | 0 | BusinessHoldingsInd |
| Jeopardy Investments | 0 | JeopardyInvestmentsInd |
| Uncorrected PY Jeopardy Invst | 0 | UncorrectedPYJeopardyInvstInd |
| Influence Legislation | 0 | InfluenceLegislationInd |
| Influence Election | 0 | InfluenceElectionInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Noncharitable Purpose | 0 | NoncharitablePurposeInd |
| Transactions Fail To Qlfy As Exc | 0 | TransactionsFailToQlfyAsExcInd |
| Maintained Expenditure Rspns | Yes (1) | MaintainedExpenditureRspnsInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp
Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (8 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|---|---|---|---|
| JAMES H SIMONS | ||||||||
| 40 WEST 25TH STREET 6TH FLOOR | NEW YORK | NY | 10010 | CHAIRPERSON | 1.00 | $0 | $0 | $0 |
| MARILYN H SIMONS | ||||||||
| 40 WEST 25TH STREET 6TH FLOOR | NEW YORK | NY | 10010 | DIRECTOR | 1.00 | $0 | $0 | $0 |
| ANDREW GYENES | ||||||||
| 40 WEST 25TH STREET 6TH FLOOR | NEW YORK | NY | 10010 | TREASURER | 1.00 | $0 | $0 | $0 |
| DAVID ACKER | ||||||||
| 40 WEST 25TH STREET 6TH FLOOR | NEW YORK | NY | 10010 | DIRECTOR | 1.00 | $0 | $0 | $0 |
| DR NILS DAULAIRE | ||||||||
| 40 WEST 25TH STREET 6TH FLOOR | NEW YORK | NY | 10010 | DIRECTOR | 1.00 | $0 | $0 | $0 |
| STEPHEN RUDY | ||||||||
| 40 WEST 25TH STREET 6TH FLOOR | NEW YORK | NY | 10010 | CEO/DIRECTOR | 40.00 | $325,000 | $66,635 | $0 |
| LINA SAYED | ||||||||
| 40 WEST 25TH STREET 6TH FLOOR | NEW YORK | NY | 10010 | COO | 40.00 | $210,000 | $33,129 | $0 |
| ERICA FRENKEL | ||||||||
| 40 WEST 25TH STREET 6TH FLOOR | NEW YORK | NY | 10010 | COO, THRU MAY 2019 | 40.00 | $105,805 | $23,640 | $0 |
Compensation Highest Paid Empl CompensationHighestPaidEmplGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee BenefitsEmployeeBenefitsAmt | Expense AccountExpenseAccountAmt |
|---|---|---|---|---|---|---|---|---|
| DAVID ETTL | ||||||||
| 40 WEST 25TH STREET 6TH FLOOR | NEW YORK | NY | 10010 | VP, OPERATIONS | 40.00 | $155,000 | $44,257 | $0 |
| ADAM LEWIS | ||||||||
| 40 WEST 25TH STREET 6TH FLOOR | NEW YORK | NY | 10010 | VP, BUSINESS DEVELOP | 40.00 | $132,292 | $26,884 | $0 |
| RITI KARNARD | ||||||||
| 40 WEST 25TH STREET 6TH FLOOR | NEW YORK | NY | 10010 | DIRECTOR, STRATEGY | 40.00 | $130,000 | $19,222 | $0 |
| HANNAH NELSON | ||||||||
| 40 WEST 25TH STREET 6TH FLOOR | NEW YORK | NY | 10010 | MONITORING & EVAL. M | 40.00 | $85,750 | $22,607 | $0 |
| CULLEN ROSS | ||||||||
| 40 WEST 25TH STREET 6TH FLOOR | NEW YORK | NY | 10010 | PRODUCT MANAGER | 40.00 | $72,642 | $21,963 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Employee Paid Over50k | 1 | OtherEmployeePaidOver50kCnt |
Compensation Of Hghst Pd Cntrct CompensationOfHghstPdCntrctGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Service TypeServiceTypeTxt | CompensationCompensationAmt |
|---|---|---|---|---|---|
| ROBERT HALF INTERNATIONAL INC | |||||
| 125 PARK AVENUE | NEW YORK | NY | 10017 | ACCOUNTING | $129,871 |
| STORYTELLIOT INC | |||||
| 125 DOLORES STREET | SAN FRANCISCO | CA | 94103 | IT CONSULTING | $116,728 |
| VELOCITY GLOBAL LLC | |||||
| 3858 WALNUT STREET SUITE 107 | DENVER | CO | 80205 | EMPLOYMENT CONSULTING | $77,101 |
| MYHR PARTNER INC | |||||
| 7540 WINDSOR DR 310 | ALLENTOWN | PA | 18195 | HUMAN RESOURCES CONSULTING | $52,355 |
| NICOLE LUND | |||||
| 1420 HEATHCLIFF ROAD | HIGH POINT | NC | 27262 | LOGISTICS CONSULTING | $51,308 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contractor Paid Over50k | 0 | ContractorPaidOver50kCnt |
Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description1 | GRADIAN HEALTH SYSTEMS, INC. ("GRADIAN") IS A PRIVATE OPERATING FOUNDATION WHOSE MISSION IS TO IMPROVE AND STRENGTHEN SAFE EMERGENCY SURGERY IN LOW INCOME COUNTRIES BY DEVELOPING AND MARKETING APPROPRIATE TECHNOLOGIES AND PROVIDING TRAINING AND SUPPORT. GRADIAN EQUIPS HOSPITALS WITH THEIR UNIVERSAL ANESTHESIA MACHINE ("UAM"), WHICH IS DESIGNED TO DELIVER SAFE ANESTHESIA TO ANY HOSPITAL, PARTICULARLY HOSPITALS WHOSE PHYSICAL INFRASTRUCTURE AND INCONSISTENT SUPPLY OF COMPRESSED OXYGEN PRECLUDE THE ABILITY TO USE CONVENTIONAL ANESTHESIA MACHINES. | Description1Txt |
| Expenses1 | $8,009,676 | Expenses1Amt |
Sum Of Program Related Invst SumOfProgramRelatedInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $0 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $1,327,032 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $585,591 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $1,912,623 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $1,912,623 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $28,689 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $1,883,934 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $94,197 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sect4942j3j5 Fndtn And Frgn Org | Yes (X) | Sect4942j3j5FndtnAndFrgnOrgInd |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $6,380,285 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Charitable Assets Acquis Paid | $164,723 | CharitableAssetsAcquisPaidAmt |
| Qualifying Distributions | $6,545,008 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $8 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $6,545,000 | AdjustedQualifyingDistriAmt |
Private Operating Foundations PrivateOperatingFoundationsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Private Operating Fndtn Ruling | 2015-03-13 | PrivateOperatingFndtnRulingDt |
| Section4942j3 | Yes (X) | Section4942j3Ind |
Lessor Adj Net Incm Min Invst Ret LessorAdjNetIncmMinInvstRetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | $0 | CurrentYearAmt |
| Year1 | $0 | Year1Amt |
| Year2 | $0 | Year2Amt |
| Year3 | $0 | Year3Amt |
| Total | $0 | TotalAmt |
Pct85 Lessor Adj Incm Or Min Ret Pct85LessorAdjIncmOrMinRetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | $0 | CurrentYearAmt |
| Year1 | $0 | Year1Amt |
| Year2 | $0 | Year2Amt |
| Year3 | $0 | Year3Amt |
| Total | $0 | TotalAmt |
Qualifying Distributions QualifyingDistributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | $6,545,008 | CurrentYearAmt |
| Year1 | $4,937,220 | Year1Amt |
| Year2 | $3,191,172 | Year2Amt |
| Year3 | $1,781,051 | Year3Amt |
| Total | $16,454,451 | TotalAmt |
Qualifying Distri Not Used Drt QualifyingDistriNotUsedDrtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | $0 | CurrentYearAmt |
| Year1 | $6,236 | Year1Amt |
| Year2 | $9,300 | Year2Amt |
| Year3 | $0 | Year3Amt |
| Total | $15,536 | TotalAmt |
Qualifying Distri Made Drt QualifyingDistriMadeDrtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | $6,545,008 | CurrentYearAmt |
| Year1 | $4,930,984 | Year1Amt |
| Year2 | $3,181,872 | Year2Amt |
| Year3 | $1,781,051 | Year3Amt |
| Total | $16,438,915 | TotalAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Assets Sect4942j3 Bi TotalAssetsSect4942j3BiGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Two Thirds Minimum Invst Ret TwoThirdsMinimumInvstRetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | $62,798 | CurrentYearAmt |
| Year1 | $65,629 | Year1Amt |
| Year2 | $42,615 | Year2Amt |
| Year3 | $28,001 | Year3Amt |
| Total | $199,043 | TotalAmt |
Total Support TotalSupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Public Support Type PublicSupportType
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Largest Support From EO LargestSupportFromEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Gross Investment Income GrossInvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (19 entries)
| Address Line1RecipientForeignAddress/AddressLine1Txt | CityRecipientForeignAddress/CityNm | CountryRecipientForeignAddress/CountryCd | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|
| AMERICAN MEDICAL CENTER | ||||||
| ADDIS ABABA | MERI LOKIE | ET | NONE | NC | TO FACILITATE THE DEVELOPMENT OF A CLINICAL TRAINING PROGRAM TO IMPROVE SURGICAL OUTCOMES IN LOW RESOURCE SETTINGS. | $15,573 |
| AMINU KANO TEACHING HOSPITAL | ||||||
| PMB 3451 | KANO | NI | NONE | NC | TO FACILITATE THE DEVELOPMENT OF A CLINICAL TRAINING PROGRAM TO IMPROVE SURGICAL OUTCOMES IN LOW RESOURCE SETTINGS. | $1,450 |
| EMERGENCY PLUS MEDICAL SERVICES (E-PLUS) | ||||||
| RED CROSS ROAD OFF POPO ROAD | NAIROBI | KE | NONE | NC | TO FACILITATE THE DEVELOPMENT OF A CLINICAL TRAINING PROGRAM TO IMPROVE SURGICAL OUTCOMES IN LOW RESOURCE SETTINGS. | $27,179 |
| GLOBAL SURGERY INITIATIVE | ||||||
| KYABIIRWA | JINJA | UG | NONE | NC | TO FACILITATE THE DEVELOPMENT OF A CLINICAL TRAINING PROGRAM TO IMPROVE SURGICAL OUTCOMES IN LOW RESOURCE SETTINGS. | $16,907 |
| JMS - TRAINING | ||||||
| 828 GOGONYA ROAD - NSAMBYA | KAMPALA | UG | NONE | NC | TO FACILITATE THE DEVELOPMENT OF A CLINICAL TRAINING PROGRAM TO IMPROVE SURGICAL OUTCOMES IN LOW RESOURCE SETTINGS. | $1,875 |
| KAS MEDICS LIMITED | ||||||
| JULIUS K NYERERE RD | DAR ES SALAAM | TZ | NONE | NC | TO FACILITATE THE DEVELOPMENT OF A CLINICAL TRAINING PROGRAM TO IMPROVE SURGICAL OUTCOMES IN LOW RESOURCE SETTINGS. | $1,110 |
| KORLE-BU HOSPITAL | ||||||
| KORLEBU STREET | ACCRA | GH | NONE | NC | TO FACILITATE THE DEVELOPMENT OF A CLINICAL TRAINING PROGRAM TO IMPROVE SURGICAL OUTCOMES IN LOW RESOURCE SETTINGS. | $4,870 |
| LAGOS STATE UNIVERSITY TEACHING HOSPITAL (LASUTH) | ||||||
| 1 - 5 OBA AKINJOBI ROAD | LAGOS | NI | NONE | NC | TO FACILITATE THE DEVELOPMENT OF A CLINICAL TRAINING PROGRAM TO IMPROVE SURGICAL OUTCOMES IN LOW RESOURCE SETTINGS. | $12,947 |
| LEKMA HOSPITAL | ||||||
| AGBLEZAA - MANET ROAD | ACCRA | GH | NONE | NC | TO FACILITATE THE DEVELOPMENT OF A CLINICAL TRAINING PROGRAM TO IMPROVE SURGICAL OUTCOMES IN LOW RESOURCE SETTINGS. | $10,411 |
| MBALE REGIONAL REFERRAL HOSPITAL | ||||||
| PO BOX 921 PALLISA ROAD | MBALE | UG | NONE | NC | TO FACILITATE THE DEVELOPMENT OF A CLINICAL TRAINING PROGRAM TO IMPROVE SURGICAL OUTCOMES IN LOW RESOURCE SETTINGS. | $12,994 |
| MBARARA REGIONAL REFERRAL HOSPITAL | ||||||
| KABALE-MBARARA ROAD | MBARARA | UG | NONE | NC | TO FACILITATE THE DEVELOPMENT OF A CLINICAL TRAINING PROGRAM TO IMPROVE SURGICAL OUTCOMES IN LOW RESOURCE SETTINGS. | $27,089 |
| MSSI (MEDICAL & SURGICAL SKILLS INSTITUTE) | ||||||
| SLATER AVENUE | ACCRA | GH | NONE | NC | TO FACILITATE THE DEVELOPMENT OF A CLINICAL TRAINING PROGRAM TO IMPROVE SURGICAL OUTCOMES IN LOW RESOURCE SETTINGS. | $3,925 |
| MUHIMBILI UNIVERSITY OF HEALTH AND ALLIED SCIENCES | ||||||
| PO BOX 65001 | DAR ES SALAAM | TZ | NONE | NC | TO FACILITATE THE DEVELOPMENT OF A CLINICAL TRAINING PROGRAM TO IMPROVE SURGICAL OUTCOMES IN LOW RESOURCE SETTINGS. | $104,132 |
| OLABISI ONABANJO UNIVERSITY TEACHING HOSPITAL (OOUTH) | ||||||
| HOSPITAL ROAD | SAGAMU | NI | NONE | NC | TO FACILITATE THE DEVELOPMENT OF A CLINICAL TRAINING PROGRAM TO IMPROVE SURGICAL OUTCOMES IN LOW RESOURCE SETTINGS. | $8,337 |
| RIFT VALLEY PROVINCIAL GENERAL HOSPITAL | ||||||
| NAKURU-SIGOR ROAD | NAKURU | KE | NONE | NC | TO FACILITATE THE DEVELOPMENT OF A CLINICAL TRAINING PROGRAM TO IMPROVE SURGICAL OUTCOMES IN LOW RESOURCE SETTINGS. | $230 |
| ST FRANCIS' MISSION HOSPITAL | ||||||
| PRIVATE BAG 11 | KATETE | ZA | NONE | NC | TO FACILITATE THE DEVELOPMENT OF A CLINICAL TRAINING PROGRAM TO IMPROVE SURGICAL OUTCOMES IN LOW RESOURCE SETTINGS. | $11,582 |
| ST MARY'S LACOR HOSPITAL | ||||||
| PO BOX 180 | GULU | UG | NONE | NC | TO FACILITATE THE DEVELOPMENT OF A CLINICAL TRAINING PROGRAM TO IMPROVE SURGICAL OUTCOMES IN LOW RESOURCE SETTINGS. | $28,712 |
| UNIVERSITY OF GLOBAL HEALTH EQUITY | ||||||
| KG 7 AVE 5TH FLOOR | KIGALI | RW | NONE | NC | TO FACILITATE THE DEVELOPMENT OF A CLINICAL TRAINING PROGRAM TO IMPROVE SURGICAL OUTCOMES IN LOW RESOURCE SETTINGS. | $27,390 |
| UNIVERSITY TEACHING HOSPITAL | ||||||
| NATIONALIST ROAD | LUSAKA | ZA | NONE | NC | TO FACILITATE THE DEVELOPMENT OF A CLINICAL TRAINING PROGRAM TO IMPROVE SURGICAL OUTCOMES IN LOW RESOURCE SETTINGS. | $6,757 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $323,470 | TotalGrantOrContriPdDurYrAmt |
| Total Grant Or Contri Apprv Fut | $0 | TotalGrantOrContriApprvFutAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $811 | ExclusionAmt |
Gross Profit Loss Sls Of Invntry GrossProfitLossSlsOfInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Related Or Exempt Function Incm | $157,165 | RelatedOrExemptFunctionIncmAmt |
Other Revenue Described OtherRevenueDescribedGrp (2 entries)
| DescDesc | ExclusionExclusionCd | ExclusionExclusionAmt |
|---|---|---|
| MISC. REVENUE | 01 | $7,348 |
| TAX REFUNDS | 01 | $5,512 |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $13,671 | ExclusionAmt |
| Related Or Exempt Function Incm | $157,165 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $170,836 | TotalIncomeProducingActyAmt |
Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp
Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Line Number | 10 | LineNumberTxt |
| Relationship Statement | SUBSIDIZED SALES OF UNIVERSAL ANESTHESIA MACHINES TO CHARITABLE OR NON-PROFIT ORGANIZATIONS AS PART OF THE FOUNDATION'S MISSION TO IMPROVE HEALTHCARE IN DEVELOPING COUNTRIES | RelationshipStatementTxt |
Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Nonchrtbl EO | 0 | TrnsfrOfCashToNonchrtblEOInd |
| Trnsfr Other Asset Nonchrtbl EO | 0 | TrnsfrOtherAssetNonchrtblEOInd |
| Sales Or Exchanges Of Assets | 0 | SalesOrExchangesOfAssetsInd |
| Purchase Of Assets Nonchrtbl EO | 0 | PurchaseOfAssetsNonchrtblEOInd |
| Rental Of Facilities Oth Assets | 0 | RentalOfFacilitiesOthAssetsInd |
| Reimbursement Arrangements | 0 | ReimbursementArrangementsInd |
| Loans Or Loan Guarantees | 0 | LoansOrLoanGuaranteesInd |
| Performance Of Services Etc | 0 | PerformanceOfServicesEtcInd |
| Sharing Of Facilities Etc | 0 | SharingOfFacilitiesEtcInd |
| Relationships Nonchrtbl EO | 0 | RelationshipsNonchrtblEOInd |
Schedule B IRS990ScheduleB
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| General Rule | Yes (X) | GeneralRuleInd |
Contributor Information ContributorInformationGrp (3 entries)
| ContributorContributorNum | Address Line1ContributorUSAddress/AddressLine1Txt | CityContributorUSAddress/CityNm | State AbbreviationContributorUSAddress/StateAbbreviationCd | ZIPContributorUSAddress/ZIPCd | Total ContributionsTotalContributionsAmt | Person ContributionPersonContributionInd | Address Line1ContributorForeignAddress/AddressLine1Txt | CityContributorForeignAddress/CityNm | Province Or StateContributorForeignAddress/ProvinceOrStateNm | CountryContributorForeignAddress/CountryCd | Foreign PostalContributorForeignAddress/ForeignPostalCd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| THE NICK SIMONS FOUNDATION | |||||||||||
| 1 | 25 EAST 22ND STREET | NEW YORK | NY | 10010 | $4,791,190 | Yes (X) | |||||
| SAVING LIVES AT BIRTH GRAND CHALLENGE FOR DEVELOPMENT | |||||||||||
| 2 | $155,000 | Yes (X) | 1720-661 UNIVERSITY AVENUE | TORONTO | ONTARIO | CA | M5G 1M1 | ||||
| ISLAMIC DEVELOPMENT BANK | |||||||||||
| 3 | $75,000 | Yes (X) | 8111 KING KHALID STREET AL NULA AL | JEDDAH | SA | 22332-2444 | |||||
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail (5 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Adjusted Net IncomeAdjustedNetIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|---|
| ROBERT HALF INTERNATIONAL, INC. - ACCOUNTING | $126,053 | $0 | $0 | $129,871 |
| FISCAL MANAGEMENT ASSOCIATES, LLC - BOOKKEEPING | $2,229 | $0 | $0 | $2,472 |
| FOUNDATION FOR A JUST SOCIETY - ACCOUNTING | $13,942 | $0 | $0 | $12,848 |
| PKF O'CONNOR DAVIES, LLP - AUDIT & TAX | $37,900 | $0 | $0 | $35,200 |
| BRUCE HINTERMISH - BOOKKEEPING | $2,925 | $0 | $0 | $2,575 |
Depreciation Schedule DepreciationSchedule
Depreciation Property DepreciationPropertyGrp (32 entries)
| PropertyPropertyDesc | AcquiredAcquiredDt | Cost Or Other BasisCostOrOtherBasisAmt | Prior Year DepreciationPriorYearDepreciationAmt | Computation MethodComputationMethodTxt | LifeLifeRt | Current Year ExpenseCurrentYearExpenseAmt | Net Investment IncomeNetInvestmentIncomeAmt | Adjusted Net IncomeAdjustedNetIncomeAmt |
|---|---|---|---|---|---|---|---|---|
| IT EQUIPMENT | 2014-03-28 | $29,147 | $29,147 | SL | 3.000000000000 | $0 | $0 | $0 |
| ADDITIONAL ROUTER FOR OFFICE | 2015-02-01 | $1,424 | $1,424 | SL | 3.000000000000 | $0 | $0 | $0 |
| SMART FURNITURE INC. OFFICE CHAIRS | 2014-05-31 | $8,360 | $8,360 | SL | 5.000000000000 | $0 | $0 | $0 |
| VARIOUS OFFICE FURNITURE | 2014-07-01 | $65,424 | $52,339 | SL | 5.000000000000 | $13,085 | $0 | $13,085 |
| CUSTOM MADE CREDENZA FOR FLEX ROOM | 2015-04-15 | $2,628 | $2,103 | SL | 5.000000000000 | $526 | $0 | $525 |
| BEN KRONE - ARCHITECT FOR 915 BROADWAY SPACE | 2014-04-16 | $3,960 | $3,168 | SL | 5.000000000000 | $792 | $0 | $792 |
| BEN KRONE - ARCHITECT FOR 915 BROADWAY SPACE | 2014-06-15 | $12,500 | $10,000 | SL | 5.000000000000 | $2,500 | $0 | $2,500 |
| BEN KRONE - ARCHITECT FOR 915 BROADWAY SPACE | 2014-06-30 | $14,535 | $11,628 | SL | 5.000000000000 | $2,907 | $0 | $2,907 |
| ARCHITECT AND PROJECT MANAGEMENT WORK FOR 10TH FLOOR OFFICE | 2014-10-01 | $5,211 | $4,169 | SL | 5.000000000000 | $1,042 | $0 | $1,042 |
| FINAL INVOICE FOR CONTRACTORS WORK FOR NEW OFFICE | 2014-11-17 | $8,250 | $6,600 | SL | 5.000000000000 | $1,650 | $0 | $1,650 |
| CONSTRUCTION ADMIN WORK | 2014-12-17 | $1,127 | $902 | SL | 5.000000000000 | $225 | $0 | $225 |
| SERVER AND STORAGE REPLACEMENT | 2018-11-01 | $11,163 | $1,860 | SL | 6.000000000000 | $3,721 | $0 | $3,721 |
| HPYHEN AND CO - FURNITURE | 2018-11-16 | $52,310 | $5,231 | SL | 10.000000000000 | $10,462 | $0 | $10,462 |
| QSWO DESK UNIT ADDITIONAL OFFICE BAY FABRICATION AND INSTALLATION | 2018-05-02 | $6,050 | $605 | SL | 10.000000000000 | $1,210 | $0 | $1,210 |
| 8 NEW CAT-6 HOMERUNS TO THE EXISTING FURNITURE | 2018-06-06 | $5,729 | $573 | SL | 10.000000000000 | $1,146 | $0 | $1,146 |
| QSWO DESK JOB INSTALLATION OF WORK STATIONS | 2018-07-05 | $4,942 | $494 | SL | 5.000000000000 | $988 | $0 | $988 |
| AV EQUIPMENT FOR GRADIAN OFFICE 10TH FLOOR | 2019-01-10 | $22,045 | SL | 3.000000000000 | $3,674 | $0 | $3,674 | |
| MATERIALS, ENGINEERING/DESIGN SERVICES, REMOTE CONTROL/PROGRAMMING | 2019-01-25 | $17,263 | SL | 3.000000000000 | $2,877 | $0 | $2,877 | |
| 1 HPE PROLIANT MLX350 GEN10 TOWER INTEL XEON-S 4110 8-CORE | 2019-02-11 | $6,119 | SL | 3.000000000000 | $1,020 | $0 | $1,020 | |
| ADDITIONAL NETWORK AND SERVER EQUIPMENT AND SOFTWARD (FIREWALL) | 2019-02-25 | $14,409 | SL | 3.000000000000 | $2,402 | $0 | $2,402 | |
| RESPITRAINER ADVANCE SYSTEM, INTUBATION TUBES , QUICKLUNG BREATHER SYS | 2019-09-06 | $10,660 | SL | 3.000000000000 | $1,777 | $0 | $1,777 | |
| 2-RESPITRAINER ADVANCE SYSTEM,2-RT ADVANCED INTUBATION TUBES & 2-QUICK | 2019-10-11 | $20,570 | SL | 3.000000000000 | $3,428 | $0 | $3,428 | |
| OFFICE RENOVATION 60% 1ST DOWN PAYMENT-LEASEHOLD IMPROVEMENT. | 2019-08-09 | $15,908 | SL | 5.000000000000 | $1,591 | $0 | $1,591 | |
| OFFICE RENOVATION 35% HALFWAY THROUGH PROJECT-LEASEHOLD IMPROVEMENT | 2019-09-04 | $9,213 | SL | 5.000000000000 | $921 | $0 | $921 | |
| OFFICE RENOVATION BALANCE THROUGH PROJECT-LEASEHOLD IMPROVEMENT | 2019-12-31 | $1,531 | SL | 5.000000000000 | $153 | $0 | $153 | |
| DEPOSIT FOR ARCHITECT FOR NEW OFFICE SPACE | 2019-10-23 | $7,200 | SL | 6.000000000000 | $0 | $0 | $0 | |
| 25% PERMITTING PHASE AND PROFESSIONAL SELF-CERTIFICATION REQUESTED | 2019-11-01 | $12,212 | SL | 6.000000000000 | $0 | $0 | $0 | |
| RETAINER/MOBILIZATION-30% RETAINER FEE FOR TRIGGERING FEE OPTION B. O | 2019-11-04 | $4,664 | SL | 6.000000000000 | $0 | $0 | $0 | |
| NEW OFFICE SPACE- SECURITY SYSTEM | 2019-11-23 | $1,350 | SL | 6.000000000000 | $0 | $0 | $0 | |
| 25% START OF CONSTRUCTION, ADDITIONAL SERVICE, SUB-CONSULTANT AND PRO | 2019-12-06 | $19,197 | SL | 6.000000000000 | $0 | $0 | $0 | |
| JUNK REMOVAL AT 40 W 25TH ST | 2019-12-23 | $906 | SL | 6.000000000000 | $0 | $0 | $0 | |
| SECURITY SYSTEM INSTALLATION AND KEY CARDS | 2019-12-23 | $1,475 | SL | 6.000000000000 | $0 | $0 | $0 |
Expenditure Responsibility Stmt ExpenditureResponsibilityStmt
Expenditure Responsibility ExpenditureResponsibilityGrp (19 entries)
| Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | GrantGrantDt | GrantGrantAmt | Purpose Of GrantPurposeOfGrantTxt | Expended By GranteeExpendedByGranteeAmt | Any Diversion By GranteeAnyDiversionByGranteeTxt |
|---|---|---|---|---|---|---|---|
| AMERICAN MEDICAL CENTER | |||||||
| ADDIS ABABA | MERI LOKIE | ET | 2019-04-18 | $15,573 | TO FACILITATE THE DEVELOPMENT OF A CLINICAL TRAINING PROGRAM TO IMPROVE SURGICAL OUTCOMES IN LOW RESOURCE SETTINGS. | $15,573 | NONE |
| AMINU KANO TEACHING HOSPITAL | |||||||
| PMB 3451 | KANO | NI | 2019-01-10 | $1,450 | TO FACILITATE THE DEVELOPMENT OF A CLINICAL TRAINING PROGRAM TO IMPROVE SURGICAL OUTCOMES IN LOW RESOURCE SETTINGS. | $1,450 | NONE |
| EMERGENCY PLUS MEDICAL SERVICES (E-PLUS) | |||||||
| RED CROSS ROAD OFF POPO ROAD | NAIROBI | KE | 2019-10-31 | $27,179 | TO FACILITATE THE DEVELOPMENT OF A CLINICAL TRAINING PROGRAM TO IMPROVE SURGICAL OUTCOMES IN LOW RESOURCE SETTINGS. | $27,179 | NONE |
| GLOBAL SURGERY INITIATIVE | |||||||
| KYABIIRWA | JINJA | UG | 2019-09-30 | $16,907 | TO FACILITATE THE DEVELOPMENT OF A CLINICAL TRAINING PROGRAM TO IMPROVE SURGICAL OUTCOMES IN LOW RESOURCE SETTINGS. | $16,907 | NONE |
| JMS - TRAINING | |||||||
| 828 GOGONYA ROAD - NSAMBYA | KAMPALA | UG | 2019-04-12 | $1,875 | TO FACILITATE THE DEVELOPMENT OF A CLINICAL TRAINING PROGRAM TO IMPROVE SURGICAL OUTCOMES IN LOW RESOURCE SETTINGS. | $1,875 | NONE |
| KAS MEDICS LIMITED | |||||||
| JULIUS K NYERERE RD | DAR ES SALAAM | TZ | 2019-02-28 | $1,110 | TO FACILITATE THE DEVELOPMENT OF A CLINICAL TRAINING PROGRAM TO IMPROVE SURGICAL OUTCOMES IN LOW RESOURCE SETTINGS. | $1,110 | NONE |
| LAGOS STATE UNIVERSITY TEACHING HOSPITAL (LASUTH) | |||||||
| 1 - 5 OBA AKINJOBI ROAD | LAGOS | NI | 2019-10-31 | $12,947 | TO FACILITATE THE DEVELOPMENT OF A CLINICAL TRAINING PROGRAM TO IMPROVE SURGICAL OUTCOMES IN LOW RESOURCE SETTINGS. | $12,947 | NONE |
| LEKMA HOSPITAL | |||||||
| AGBLEZAA - MANET ROAD | ACCRA | GH | 2019-10-31 | $10,411 | TO FACILITATE THE DEVELOPMENT OF A CLINICAL TRAINING PROGRAM TO IMPROVE SURGICAL OUTCOMES IN LOW RESOURCE SETTINGS. | $10,411 | NONE |
| MBALE REGIONAL REFERRAL HOSPITAL | |||||||
| PO BOX 921 PALLISA ROAD | MBALE | UG | 2019-10-31 | $12,994 | TO FACILITATE THE DEVELOPMENT OF A CLINICAL TRAINING PROGRAM TO IMPROVE SURGICAL OUTCOMES IN LOW RESOURCE SETTINGS. | $12,994 | NONE |
| MBARARA REGIONAL REFERRAL HOSPITAL | |||||||
| KABALE-MBARARA ROAD | MBARARA | UG | 2019-10-31 | $27,089 | TO FACILITATE THE DEVELOPMENT OF A CLINICAL TRAINING PROGRAM TO IMPROVE SURGICAL OUTCOMES IN LOW RESOURCE SETTINGS. | $27,089 | NONE |
| MUHIMBILI UNIVERSITY OF HEALTH AND ALLIED SCIENCES | |||||||
| PO BOX 65001 | DAR ES SALAAM | TZ | 2019-12-31 | $104,132 | TO FACILITATE THE DEVELOPMENT OF A CLINICAL TRAINING PROGRAM TO IMPROVE SURGICAL OUTCOMES IN LOW RESOURCE SETTINGS. | $104,132 | NONE |
| OLABISI ONABANJO UNIVERSITY TEACHING HOSPITAL (OOUTH) | |||||||
| HOSPITAL ROAD | SAGAMU | NI | 2019-10-31 | $8,337 | TO FACILITATE THE DEVELOPMENT OF A CLINICAL TRAINING PROGRAM TO IMPROVE SURGICAL OUTCOMES IN LOW RESOURCE SETTINGS. | $8,337 | NONE |
| RIFT VALLEY PROVINCIAL GENERAL HOSPITAL | |||||||
| NAKURU-SIGOR ROAD | NAKURU | KE | 2019-04-08 | $230 | TO FACILITATE THE DEVELOPMENT OF A CLINICAL TRAINING PROGRAM TO IMPROVE SURGICAL OUTCOMES IN LOW RESOURCE SETTINGS. | $230 | NONE |
| ST FRANCIS' MISSION HOSPITAL | |||||||
| PRIVATE BAG 11 | KATETE | ZA | 2019-10-31 | $11,582 | TO FACILITATE THE DEVELOPMENT OF A CLINICAL TRAINING PROGRAM TO IMPROVE SURGICAL OUTCOMES IN LOW RESOURCE SETTINGS. | $11,582 | NONE |
| ST MARY'S LACOR HOSPITAL | |||||||
| PO BOX 180 | GULU | UG | 2019-10-31 | $28,712 | TO FACILITATE THE DEVELOPMENT OF A CLINICAL TRAINING PROGRAM TO IMPROVE SURGICAL OUTCOMES IN LOW RESOURCE SETTINGS. | $28,712 | NONE |
| UNIVERSITY OF GLOBAL HEALTH EQUITY | |||||||
| KG 7 AVE 5TH FLOOR | KIGALI | RW | 2019-10-31 | $27,390 | TO FACILITATE THE DEVELOPMENT OF A CLINICAL TRAINING PROGRAM TO IMPROVE SURGICAL OUTCOMES IN LOW RESOURCE SETTINGS. | $27,390 | NONE |
| UNIVERSITY TEACHING HOSPITAL | |||||||
| NATIONALIST ROAD | LUSAKA | ZA | 2019-11-29 | $6,757 | TO FACILITATE THE DEVELOPMENT OF A CLINICAL TRAINING PROGRAM TO IMPROVE SURGICAL OUTCOMES IN LOW RESOURCE SETTINGS. | $6,757 | NONE |
| KORLE-BU HOSPITAL | |||||||
| KORLEBU STREET | ACCRA | GH | 2019-09-27 | $4,870 | TO FACILITATE THE DEVELOPMENT OF A CLINICAL TRAINING PROGRAM TO IMPROVE SURGICAL OUTCOMES IN LOW RESOURCE SETTINGS. | $4,870 | NONE |
| MSSI (MEDICAL & SURGICAL SKILLS INSTITUTE) | |||||||
| SLATER AVENUE | ACCRA | GH | 2019-04-08 | $3,925 | TO FACILITATE THE DEVELOPMENT OF A CLINICAL TRAINING PROGRAM TO IMPROVE SURGICAL OUTCOMES IN LOW RESOURCE SETTINGS. | $3,925 | NONE |
Land Etc Schedule2 LandEtcSchedule2
Land Etc LandEtcGrp (3 entries)
| Category Or ItemCategoryOrItemTxt | Cost Or Other BasisCostOrOtherBasisAmt | Accumulated DepreciationAccumulatedDepreciationAmt | Book ValueBookValueAmt |
|---|---|---|---|
| FURNITURE & FIXTURES | $128,722 | $92,106 | $36,616 |
| MACHINERY & OTHER EQUIPMENT | $132,800 | $51,330 | $81,470 |
| OTHER | $135,960 | $53,264 | $82,696 |
Legal Fees Schedule LegalFeesSchedule
Legal Fees LegalFeesGrp (7 entries)
| CategoryCategoryTxt | Legal FeesLegalFeesAmt | Net Investment IncomeNetInvestmentIncomeAmt | Adjusted Net IncomeAdjustedNetIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|---|
| BRODY & BROWNE, LLP | $0 | $0 | $0 | $2,432 |
| CULHANE MEADOWS PLLC | $23,000 | $0 | $0 | $17,750 |
| GOULSON & STORRS, PC | $29,914 | $0 | $0 | $34,589 |
| CORPORATE SERVICE COMPANY | $82 | $0 | $0 | $82 |
| ASHITIVA ADVOCATES, LLP | $8,830 | $0 | $0 | $7,830 |
| OUTTEN & GOLDEN, LLP | $0 | $0 | $0 | $5,000 |
| PERLMAN & PERLMAN | $595 | $0 | $0 | $940 |
Other Assets Schedule OtherAssetsSchedule
Other Assets Schedule OtherAssetsScheduleGrp (3 entries)
| DescDesc | BOY Book ValueBOYBookValueAmt | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|---|
| SECURITY DEPOSITS | $101,145 | $103,085 | $103,085 |
| INVENTORY DEPOSITS | $935,225 | $405,269 | $405,269 |
| OTHER RECEIVABLES | $7,347 | $8,547 | $8,547 |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (11 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt | Adjusted Net IncomeAdjustedNetIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|---|
| INFORMATION TECHNOLOGY | $2,508 | $0 | $0 | $2,508 |
| EQUIPMENT | $243,931 | $0 | $0 | $240,761 |
| INSURANCE | $60,588 | $0 | $0 | $58,329 |
| PROFESSIONAL DEVELOPMENT | $19,459 | $0 | $0 | $19,459 |
| OFFICE EXPENSE | $197,756 | $0 | $0 | $211,813 |
| WARRANTY EXPENSE | $340,258 | $0 | $0 | $138,226 |
| COMMISSIONS | $61,727 | $0 | $0 | $72,426 |
| REGULATORY EXPENSES | $991 | $0 | $0 | $991 |
| WRITE-OFF | $1,136 | $0 | $0 | $0 |
| RECRUITMENT EXPENSES | $90,310 | $0 | $0 | $90,310 |
| PRODUCT DEVELOPMENT | $87 | $0 | $0 | $182 |
Other Income Schedule2 OtherIncomeSchedule2
Other Income Detail OtherIncomeDetail (2 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Adjusted Net IncomeAdjustedNetIncomeAmt |
|---|---|---|
| MISC. REVENUE | $7,348 | $7,348 |
| TAX REFUNDS | $5,512 | $5,512 |
Other Liabilities Schedule OtherLiabilitiesSchedule
Other Liabilities Detail OtherLiabilitiesDetail (2 entries)
| DescDesc | BOY Book ValueBOYBookValueAmt | EOY Book ValueEOYBookValueAmt |
|---|---|---|
| DEFERRED RENT | $44,591 | $7,806 |
| ACCRUED WARRANTY | $373,717 | $470,929 |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail (10 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Adjusted Net IncomeAdjustedNetIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|---|
| PAYROLL SERVICE FEES | $139,797 | $0 | $0 | $146,309 |
| IT CONSULTANTS | $178,824 | $0 | $0 | $181,080 |
| TRAINING CONSULTANTS | $237,079 | $0 | $0 | $181,787 |
| MARKETING AND BUSINESS DEVELOPMENT CONSULTANTS | $77,571 | $0 | $0 | $63,625 |
| MANUFACTURING CONSULTANTS | $35,079 | $0 | $0 | $35,079 |
| OTHER PROFESSIONAL SERVICES | $69,656 | $0 | $0 | $51,045 |
| TRANSLATION SERVICES | $13,572 | $0 | $0 | $12,102 |
| LOGISTICS CONSULTANTS | $40,828 | $0 | $0 | $55,828 |
| DATA AND EVALUATION SERVICES | $18,850 | $0 | $0 | $18,850 |
| SERVICE CONSULTANTS | $57,802 | $0 | $0 | $26,802 |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (4 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Adjusted Net IncomeAdjustedNetIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|---|
| FEDERAL EXCISE TAX | $2,752 | $0 | $0 | $2,752 |
| VAT TAXES | $4,290 | $0 | $0 | $4,290 |
| DELAWARE TAXES | $272 | $0 | $0 | $272 |
| EXCISE DUTY TAXES | $12 | $0 | $0 | $12 |