CRUDEM FOUNDATION: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- CRUDEM FOUNDATION (EIN 43-1660199)
- Tax period
- 2013-01-01 to 2013-12-31
- Filed
- 2014-09-30
- IRS object ID
- 201402739349300815
- Schema version
- 2013v3.1
- 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
- Schedule A
- Schedule B
- Schedule D
- Schedule F
- Schedule G
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2014-09-30T09:12:48-07:00 | ReturnTs |
| Tax Period End | 2013-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Socha & Grzelak PC | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 924 Main Street | AddressLine1 |
| City | Springfield | City |
| State | MA | State |
| ZIP Code | 01103 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 431660199 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE CRUDEM FOUNDATION INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CRUD | BusinessNameControlTxt |
| Phone | 3147547471 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 362 SEWALL STREET PO BOX 804 | AddressLine1 |
| City | LUDLOW | City |
| State | MA | State |
| ZIP Code | 01056 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MICHAEL MARON | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 3147547471 | PhoneNum |
| Signature | 2014-05-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | EDWARD J GRZELAK | PreparerPersonNm |
| Phone | 4137335129 | PhoneNum |
| Preparation | 2014-09-30 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MICHAEL MARON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 362 SEWALL ST | AddressLine1 |
| City | LUDLOW | City |
| State | MA | State |
| ZIP Code | 01056 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $2,419,780 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.crudem.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1993 | FormationYr |
| Legal Domicile State | MA | LegalDomicileStateCd |
| Activity Or Mission | THE ORGANIZATIONS MISSION IS TO improve ACCESS TO HEALTH CARE SERVICES FOR THE POOR AND MEDICALLY UNDERSERVED INDIVIDUALS THROUGHRAISING FUNDS, MANAGEMENT AND DISTIBUTION OF CONTRIBUTIONS OF FUNDS OR OTHER PROPERTY(REAL AND PERSONAL)TO HOSPITALS SERVING THE HEATH CARE NEEDS OF SUCH INDIVIDUALS WORLDWIDE, INCLUDING WITHOUT LIMITATION, HOSPITAL SACRE COEUR, LOCATED IN NILOT, HAITI. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 15 | VotingMembersIndependentCnt |
| Total Employee | 1 | TotalEmployeeCnt |
| Total Volunteers | 3 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $1,707,521 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,357,611 | CYContributionsGrantsAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $34,157 | PYInvestmentIncomeAmt |
| CY Investment Income | -$492 | CYInvestmentIncomeAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $1,741,678 | PYTotalRevenueAmt |
| CY Total Revenue | $2,357,119 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $3,050,951 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $3,696,580 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $169,414 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $414,973 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $109,016 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $307,344 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $566,515 | PYOtherExpensesAmt |
| CY Other Expenses | $814,314 | CYOtherExpensesAmt |
| PY Total Expenses | $3,895,896 | PYTotalExpensesAmt |
| CY Total Expenses | $4,925,867 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$2,154,218 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$2,568,748 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,065,276 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,200,908 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,127,291 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $69,294 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$62,015 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,131,614 | NetAssetsOrFundBalancesEOYAmt |
| Mission | THE ORGANIZATIONS MISSION IS TO IMPROVE | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $4,506,179 | ExpenseAmt |
| Grant | $3,696,580 | GrantAmt |
| Desc | HOSPITAL GIVINGS: FUNDING OF PRINCIPAL HOSPITAL OPERATING COSTS. INCLUDES ITEMS SUCH AS UTILITIES, GENERAL SUPPLIES, PERSONNEL EXPENSES, FACILITY AND EQUIPMENT MAINTENANCE, ETC. | Desc |
| Total Program Service Expenses | $4,506,179 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | false | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | Yes (true) | ForeignOfficeInd |
| Foreign Activities | Yes (true) | ForeignActivitiesInd |
| More Than5000 K To Org | Yes (true) | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | false | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (true) | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 1 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 1 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 15 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Own Website | Yes (X) | OwnWebsiteInd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JONI PATERSON | PersonNm |
| Phone | 4137547471 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 362 SEWALL STREET | AddressLine1 |
| City | LULOW | City |
| State | MA | State |
| ZIP Code | 01056 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| DAVID G BUTLER MD | ||||||||
| CHAIRMAN | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| MICHAEL MARON | ||||||||
| PRESIDENT | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| WILLIAM B GUYOL JR MD | ||||||||
| VICE PRESIDENT | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| STEPHEN M REESE | ||||||||
| TREASURER | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JULIE H CONDON | ||||||||
| SECRETARY | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| PETER J KELLY MD | ||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| CHRISTOPHER T ADDIS MD | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| THOMAS SCHLAFLY ESQ | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| THOMAS BOLDT | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ALBERT F FLEURY JR MD | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| LOUISE GALLAHUE DC | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JONI M PATERSON PHD | ||||||||
| DIRECTOR OF DEVELOPEMENT AND ADMINISTRATION | 40.00 | $68,834 | $0 | $34,885 | Yes (X) | Yes (X) | ||
| JOSEPH GIERE MD | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| STEWART SIMONSON | ||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| DEB O'HARA-RUSCKOWSKI | ||||||||
| DIRECTOR | 1 | Yes (X) | ||||||
| SUSAN REESE | ||||||||
| DIRECTOR | 1 | Yes (X) | ||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $68,834 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $34,885 | TotalOtherCompensationAmt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Tim Traynor | |||||
| 579 Whimbrel Road | Kalwah Island | SC | 29344 | General Contractor | $170,004 |
| Andrews and Associates | |||||
| 6 Pearson Way | Enfield | CT | 06082 | Printing & Mailing | $168,194 |
| Veerhouse Voda | |||||
| 14 Rector St FLR 4 | New York | NY | 10006 | Construction | $292,751 |
| Cannon Design | |||||
| 360 Madisom Ave 11th Fl | New York | NY | 10017 | Architects | $105,395 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $66,560 | FundraisingAmt |
| All Other Contributions | $2,291,051 | AllOtherContributionsAmt |
| Noncash Contributions | $31,451 | NoncashContributionsAmt |
| Total Contributions | $2,357,611 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $78 | TotalRevenueColumnAmt |
| Exclusion | $78 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $41,597 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $42,167 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$570 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$570 | TotalRevenueColumnAmt |
| Exclusion | -$570 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $20,494 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $66,560 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $20,494 | FundraisingDirectExpensesAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,357,119 | TotalRevenueColumnAmt |
| Exclusion | -$492 | ExclusionAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,696,580 | TotalAmt |
| Program Services | $3,696,580 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $414,973 | TotalAmt |
| Program Services | $311,256 | ProgramServicesAmt |
| Management And General | $20,743 | ManagementAndGeneralAmt |
| Fundraising | $82,974 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,624 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $19,624 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $416,221 | TotalAmt |
| Program Services | $218,115 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $198,106 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $136,164 | TotalAmt |
| Program Services | $54,421 | ProgramServicesAmt |
| Management And General | $57,359 | ManagementAndGeneralAmt |
| Fundraising | $24,384 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $199,807 | TotalAmt |
| Program Services | $199,807 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,678 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $13,678 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Printing | $2,820 | $0 | $940 | $1,880 |
| Repairs & Maintenance | $26,000 | $26,000 | $0 | $0 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,925,867 | TotalAmt |
| Program Services | $4,506,179 | ProgramServicesAmt |
| Management And General | $112,344 | ManagementAndGeneralAmt |
| Fundraising | $307,344 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $463,911 | BOYAmt |
| EOY | $949,689 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,887 | BOYAmt |
| EOY | $179,834 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $199,057 | BOYAmt |
| EOY | $5,000 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $52,056 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $14,329 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $362,421 | BOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,065,276 | BOYAmt |
| EOY | $1,200,908 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,055 | BOYAmt |
| EOY | $69,294 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,125,236 | BOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,127,291 | BOYAmt |
| EOY | $69,294 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$486,141 | BOYAmt |
| EOY | $450,480 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $414,126 | BOYAmt |
| EOY | $671,134 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,000 | BOYAmt |
| EOY | $10,000 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$62,015 | BOYAmt |
| EOY | $1,131,614 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,065,276 | BOYAmt |
| EOY | $1,200,908 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$2,568,748 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $440 | NetUnrlzdGainsLossesInvstAmt |
| Prior Period Adjustments | $72,433 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $3,689,504 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | 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 | $1,147,334 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,068,483 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,067,953 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,707,521 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,357,611 | CurrentTaxYearAmt |
| Total | $13,348,902 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,147,334 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,068,483 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,067,953 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,707,521 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,357,611 | CurrentTaxYearAmt |
| Total | $13,348,902 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $13,348,902 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,862 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,195 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $19,494 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,211 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $78 | CurrentTaxYearAmt |
| Total | $32,840 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $13,381,742 | TotalSupportAmt |
| Public Support CY170 | 0.99750 | PublicSupportCY170Pct |
| Public Support PY170 | 0.99640 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
| Public Support Total509 | $0 | PublicSupportTotal509Amt |
| Public Support CY509 | 0 | PublicSupportCY509Pct |
| Investment Income CY | 0 | InvestmentIncomeCYPct |
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
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $10,000 | BeginningYearBalanceAmt |
| End Year Balance | $10,000 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $10,000 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $625 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $625 | OtherExpendituresAmt |
| End Year Balance | $10,000 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $10,000 | BeginningYearBalanceAmt |
| Contributions | $584 | ContributionsAmt |
| Investment Earnings Or Losses | -$584 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $10,000 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $10,000 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $279 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $279 | OtherExpendituresAmt |
| End Year Balance | $10,000 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $10,000 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $313 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $313 | OtherExpendituresAmt |
| End Year Balance | $10,000 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Corporate Member Equity | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Rev Etc Audited Fincl Stmt | $2,357,559 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $440 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $440 | RevenueNotReportedAmt |
| Revenue Subtotal | $2,357,119 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $2,357,119 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $4,925,867 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $4,925,867 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $4,925,867 | TotalExpensesPerForm990Amt |
Schedule F IRS990ScheduleF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Account Activities Outside US AccountActivitiesOutsideUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | CARIBBEAN | RegionTxt |
| Offices | 0 | OfficesCnt |
| Employee | 0 | EmployeeCnt |
| Type Of Activities Conducted | GRANTS | TypeOfActivitiesConductedTxt |
| Region Total Expenditures | $3,696,580 | RegionTotalExpendituresAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Offices | 0 | SubtotalOfficesCnt |
| Subtotal Employees | 0 | SubtotalEmployeesCnt |
| Total Office | 0 | TotalOfficeCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Subtotal Spent | $3,696,580 | SubtotalSpentAmt |
| Total Spent | $3,696,580 | TotalSpentAmt |
Grants To Org Outside US GrantsToOrgOutsideUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | Central America | RegionTxt |
| Purpose Of Grant | AID | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Transfer To Foreign Corp | false | TransferToForeignCorpInd |
| Interest In Foreign Trust | false | InterestInForeignTrustInd |
| Foreign Corp Ownership | false | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | false | PassiveForeignInvestmestCoInd |
| Foreign Partnership | false | ForeignPartnershipInd |
| Boycott Countries | false | BoycottCountriesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Pt I Line 2 | FormAndLineReferenceDesc |
| Explanation | THE OFFICERS AND MANY BOARD MEMBERS VISIT THE HAITIAN HOSPITAL AT LEAST ANNUALLY TO DONATE THIER SERVICES, AND AN ACCOUNTING OF THE CASH IS PERIODICALLY REVIEWED BY THE BOARD OF DIRECTORS. NOTE THAT THE MAJORITY OF THE FUNDS ARE USED TO MAKE THE HOSPITALS PAYROLL. | ExplanationTxt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | Taste of Haiti | NameOfEvent1Amt |
| Gross Receipts Event1 | $51,957 | GrossReceiptsEvent1Amt |
| Gross Revenue Event1 | $51,957 | GrossRevenueEvent1Amt |
| Food And Beverage Event1 | $14,994 | FoodAndBeverageEvent1Amt |
| Other Direct Expenses Event1 | $500 | OtherDirectExpensesEvent1Amt |
| Name Of Event2 | Have a Heart - Haiti | NameOfEvent2Amt |
| Gross Receipts Event2 | $35,097 | GrossReceiptsEvent2Amt |
| Gross Revenue Event2 | $35,097 | GrossRevenueEvent2Amt |
| Rent Facility Costs Event2 | $5,000 | RentFacilityCostsEvent2Amt |
| Gross Receipts Total | $87,054 | GrossReceiptsTotalAmt |
| Gross Revenue Total Events | $87,054 | GrossRevenueTotalEventsAmt |
| Rent Fclty Costs Total Events | $5,000 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $14,994 | FoodAndBeverageTotalEventsAmt |
| Oth Direct Expnss Total Events | $500 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $20,494 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $66,560 | NetIncomeSummaryAmt |
Schedule M IRS990ScheduleM
Securities Publicly Traded SecuritiesPubliclyTradedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 5 | ContributionCnt |
| Noncash Contributions Rpt F990 | $31,451 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | Fair Market Value | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (true) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (20 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Pt VI, Line 2 | STEPHEN M. REESE, TREASURER IS THE SON OF SUSAN REESE, ONE OF THE DIRECTORS |
| Pt VI, Line 11b | THE ORGANIZATION DISTRIBUTES A DRAFT COPY OF THE FORM 990 |
| Pt VI, Line 11b | AND SCHEDULES TO THE GOVERNING BOARD VIA E-MAIL AND ASKS |
| Pt VI, Line 11b | FOR ANY CORRECTIONS, CONCERNS, OR COMMENTS THAT ARE ADDRESSED |
| Pt VI, Line 11b | BY OTHER MEMBERS, THE EMPLOYEE, OR THE PREPARER, AND IF |
| Pt VI, Line 11b | THERE ARE ANY CHANGES THAT NEED TO BE MADE, THEY ARE MADE |
| Pt VI, Line 11b | AND THE RETURN IS FILED. |
| Pt VI, Line 12c | THE ORGANIZATION ANNUALLY ASKS ALL DIRECTORS AND THE EMPLOYEES |
| Pt VI, Line 12c | SIGN A CONFLICT OF INTEREST STATEMENT AND TO BRING TO THE ATTENTION |
| Pt VI, Line 12c | TO THE BOARD OF DIRECTORS ANY POTENTIAL CONFLICTS OF INTEREST |
| Pt VI, Line 15a | POSITIONS ARE ADVERTISED, AND A SELECTION FROM THE RESUMES |
| Pt VI, Line 15b | ARE MADE AND INTERVIEWED AND WHEN A PERSON IS SELECTED THE SALARY |
| Pt VI, Line 15b | IS NEGOTIATED. |
| Pt VI, Line 19 | GOVERNING DOCUMENTS ARE AVAILABLE BY REQUEST |
| Pt XI | ITEN #5, UNREALIZED GAINS/LOSSES ON MARKETABLE SECURITIES |
| Pt VI, Line 4 | SEE ATTACHED DOCUMENTS |
| Pt VI, Line 6 | HOLY NAME MEDICAL CENTER FOUNDATION, INC. IS THE SOLE CORPORATE MEMBER |
| Pt VI, Line 7a | THE SOLE CORPORATE MEMBER HAS POWERS AS OUTLINED IN THE BY-LAWS |
| Pt VI, Line 7b | THE SOLE CORPORATE MEMBER HAS POWERS AS OUTLINED IN THE BY-LAWS |
| Pt XI, Line 9 | The corporate member advance funds |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOLY NAME MEDICAL CENTER FOUNDATION INC | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 718 TEANECK ROAD | AddressLine1 |
| City | TEANECK | City |
| State | NJ | State |
| ZIP Code | 076664245 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 222737143 | EIN |
| Primary Activities | SOLE MEMBER Fund Raising | PrimaryActivitiesTxt |
| Legal Domicile State | NJ | LegalDomicileStateCd |
| Exempt Code Section | 501(c)(3) | ExemptCodeSectionTxt |
| Controlled Organization | false | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (true) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOLY NAME MEDICAL CENTER FOUNDATION INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | e | TransactionTypeTxt |
| Method Of Amount Determination | Cash | MethodOfAmountDeterminationTxt |