2017-11-15T09:24:57-06:00 2016-12-31 410746749 CLIFTONLARSONALLEN LLP 1301 W 22ND ST STE 1100 OAK BROOK IL 60523 990 2016-01-01 475128573 SCA MEDICAL MISSIONS SCAM 8472673539 569 BROOKWOOD VILLAGE NO 901 BIRMINGHAM AL 35209 CLAIRE CUNNINGHAM EXECUTIVE DIRECTOR 8472673539 2017-11-14 1 GREGORY S ADAMS P00095597 6305738600 2017-11-14 67.137.57.251 2017-11-14 11:50:57 CS P A37B929B3C4A007685C3DE6C1AE4373EFC622F4E 07CFC8338AB533BF649A2BED41BB2CAEB54A9D32 2016 2021-01-29 14:40:06Z CLAIRE CUNNINGHAM 569 BROOKWOOD VILLAGE NO 901 BIRMINGHAM AL 35209 1092021 0 X SCASURGERY.COM/SCAMEDICALMISSIONS/ X 2015 IL TO MAKE MEDICAL MISSIONS OPPORTUNITIES MORE AVAILABLE TO OUR TEAMMATES AND PHYSICIANS. 3 3 2 7 0 0 218475 1092021 0 0 0 0 0 0 218475 1092021 46500 486154 0 0 5966 142058 24085 46515 72298 40837 96545 117388 771272 101087 320749 166975 457248 65888 35412 101087 421836 TO MAKE MEDICAL MISSIONS OPPORTUNITIES MORE AVAILABLE TO OUR TEAMMATES AND PHYSICIANS. 0 0 633276 486154 SCA MEDICAL MISSIONS WAS FORMED IN 2015 TO SUPPORT THE COORDINATION AND FUNDRAISING FOR MISSION TRIPS TO HOLY FAMILY SURGERY CENTER IN HONDURAS. WE COORDINATED 11 TRIPS OF MEDICAL PROFESSIONALS TO HONDURAS IN 2016. 633276 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 2 1 0 0 0 0 0 0 0 0 0 0 X 3 3 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 IL X KEVIN ELLIOTT 8472673539 569 BROOKWOOD VILLAGE SUITE 901 BIRMINGHAM AL 35209 DR PETER DALY SECRETARY 3.00 10.00 X X 0 0 0 ANDREW HAYEK PRESIDENT 1.00 2.00 X X 0 0 0 CORY ROBERTS TREASURER 2.00 X X 0 0 0 CLAIRE CUNNINGHAM EXECUTIVE DIRECTOR 20.00 20.00 X 57231 0 1768 57231 0 1768 0 0 0 0 0 168710 923311 1092021 0 168710 0 0 1092021 0 0 0 486154 486154 58999 41300 8850 8849 65915 44936 10489 10490 1658 1134 262 262 6107 4211 948 948 9379 6475 1452 1452 4020 4020 2000 2000 46515 46515 9921 -2438 24833 -12474 18236 9118 9118 25472 24906 283 283 9726 9726 20566 6856 6855 6855 493 493 MISCELLANEOUS EXPENSES 6111 6111 0 771272 633276 65698 72298 166975 457048 200 166975 457248 65888 35412 65888 35412 X 101087 421836 101087 421836 166975 457248 320749 0 X X 0 1 X 1 0 X 218475 1092021 1310496 218475 1092021 1310496 231370 1079126 1310496 X PART II, SHORT YEAR EXPLANATION: THE ORGANIZATION WAS INITIALLY FORMED AND INCORPORATED ON SEPTEMBER 17, 2015 AND THEREFORE, 2015 WAS A SHORT-PERIOD TAX YEAR. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 X 1141021 49000 49000 1092021 0 1092021 820272 49000 49000 771272 0 771272 PART X, LINE 2: THE ORGANIZATION EVALUATES ITS EXPOSURE FOR UNCERTAIN TAX POSITIONS ON AN ANNUAL BASIS. AS OF DECEMBER 31, 2016, THERE WERE NO LIABILITIES FOR UNCERTAIN TAX POSITIONS. X X X X 1 GIVING TREE ASSOCIATES 655 DEERFIELD RD SUITE 100-145 DEERFIELD IL 60015 FUNDRAISING STRATEGY CONSULTING 0 0 46515 -46515 46515 -46515 AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY ANNUAL LEADERSHIP MEETING 168710 168710 168710 168710 SCHEDULE G, PART I, LINE 2B, COLUMN (V) THE ORGANIZATION CONTRACTED WITH THE FUNDRAISER, GIVING TREE ASSOCIATES, FOR FUNDRAISING STRATEGY CONSULTING AND TO PROVIDE OTHER NONPROFIT GUIDANCE. THE CONTRACT REQUIRES BASE FEE PAYMENTS OF $8,500 PER MONTH PLUS EXPENSES. IN 2016, $46,500 WAS PAID TO THE FUNDRAISER FOR FUNDRAISING STRATEGY CONSULTING AND $15 FOR EXPENSE REIMBURSEMENT. 1 HOLY FAMILY SURGERY CENTER FOUNDATION 195 STONEBRIDGE ROAD LILYDALE MN 55118 474546833 501(C)(3) 237809 MEDICAL MISSION TRIPS TO HONDURAS. NPH USA 134 NORTH LASALLE STREET STE 500 CHICAGO IL 60602 651229309 501(C)(3) 248345 CONSTRUCTION COSTS OF CONFERENCE CENTER PROJECT FOR NPH HONDURAS. 2 0 PART I, LINE 2: THE PRIMARY FUNCTION OF SCA MEDICAL MISSIONS IS TO COORDINATE THE MISSION TRIPS TO HOLY FAMILY SURGERY CENTER (HFSC) IN HONDURAS. THIS INCLUDES COLLECTING BRIGADE PROGRAM FEES FROM VOLUNTEERS WHICH ARE THEN PASSED ALONG TO HFSC. DURING 2016, SCA MEDICAL MISSIONS COLLECTED $237,809 IN BRIGADE PROGRAM FEES ON BEHALF OF HFSC AND THESE FUNDS WERE TRANSFERRED TO HFSC DURING 2016. THE OPERATIONS OF THESE TWO ENTITIES ARE MANAGED BY THE SAME MANAGEMENT COMPANY, SO THE LEADERSHIP TEAM CAN SEE EXACTLY HOW THE FUNDS ARE USED BY THE RECIPIENT ORGANIZATION. AS OF THE DATE OF THIS FILING, HFSC HAS NOT SPENT ANY DONATED FUNDS FOR ANY PURPOSE OTHER THAN ITS MEDICAL MISSION ACTIVITIES. DURING 2016, SCA MEDICAL MISSIONS PAID $248,345 TO NPH USA FOR CONSTRUCTION COSTS AT THE NPH HOME IN HONDURAS. THESE FUNDS WERE USED FOR CONSTRUCTION OF LODGING FACILITIES FOR MEDICAL MISSION VOLUNTEERS DURING VISITS TO HFSC IN HONDURAS. 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 C, LINE 19 SCA MEDICAL MISSIONS WAS NEWLY ORGANIZED IN 2015 AND HAS NOT YET ADOPTED CERTAIN POLICIES. ONCE ADOPTED, THESE ALONG WITH OTHER GOVERNING DOCUMENTS WILL BE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 1: THE ORGANIZATION CHANGED ITS METHOD USED TO PREPARE THE FORM 990 FROM CASH TO ACCRUAL FOR CONSISTENCY WITH THE METHOD USED FOR PREPARING ITS AUDITED FINANCIAL STATEMENTS. LOCAL STATE REGULATIONS REQUIRE REPORTING UNDER GENERALLY ACCEPTED ACCOUNTING PRINCIPLES. FORM 990, PART XII, LINE 2C: THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTANT. 2016 WAS THE INITIAL YEAR AN AUDIT WAS REQUIRED. HOLY FAMILY SURGERY CENTER FOUNDATION 195 STONEBRIDGE ROAD LILYDALE MN 55118 474546833 MEDICAL MISSIONS TO PROVIDE SURGERY SOLUTIONS TO HONDURAN CITIZENS MN 501(C)(3) LINE 7 N/A 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0