CRUDEM FOUNDATION: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- CRUDEM FOUNDATION (EIN 43-1660199)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-08-15
- IRS object ID
- 201312279349303636
- Schema version
- 2012v2.0
- 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) |
|---|---|---|
| Timestamp | 2013-08-15T13:40:27-07:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SOCHA & GRZELAK PC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| 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 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 431660199 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE CRUDEM FOUNDATION INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | CRUD | NameControl |
| Phone | 3147547471 | Phone |
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 |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MICHAEL MARON | Name |
| Title | PRESIDENT | Title |
| Phone | 3147547471 | Phone |
| Date Signed | 2013-04-30 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | EDWARD J GRZELAK | Name |
| Phone | 4137335129 | Phone |
| Date Prepared | 2013-08-15 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | MICHAEL MARON | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| 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 | 2481916 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.crudem.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1993 | YearFormation |
| State Legal Domicile | MO | StateLegalDomicile |
| Activity Or Mission Description | 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. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 17 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 17 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1 | TotalNbrEmployees |
| Total Nbr Volunteers | 3 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 3067953 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1707521 | ContributionsGrantsCurrentYear |
| Program Service Revenue CY | 0 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -9250 | InvestmentIncomePriorYear |
| Investment Income Current Year | 34157 | InvestmentIncomeCurrentYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 3058703 | TotalRevenuePriorYear |
| Total Revenue Current Year | 1741678 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 1943809 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 3050951 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 228742 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 169414 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 56370 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 109016 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 269686 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 652901 | OtherExpensePriorYear |
| Other Expenses Current Year | 566515 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 2881822 | TotalExpensesPriorYear |
| Total Expenses Current Year | 3895896 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 176881 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -2154218 | RevenuesLessExpensesCY |
| Total Assets BOY | 2138033 | TotalAssetsBOY |
| Total Assets EOY | 1065276 | TotalAssetsEOY |
| Total Liabilities BOY | 45830 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 1127291 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 2092203 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -62015 | NetAssetsOrFundBalancesEOY |
| Mission Description | THE ORGANIZATIONS MISSION IS TO improve | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 3373525 | Expense |
| Grants | 3050951 | Grants |
| Description | HOSPITAL GIVINGS: FUNDING OF PRINCIPAL HOSPITAL OPERATING COSTS. INCLUDES ITEMS SUCH AS UTILITIES, GENERAL SUPPLIES, PERSONNEL EXPENSES, FACILITY AND EQUIPMENT MAINTENANCE, ETC. | Description |
| Total Program Service Expense | 3373525 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Report Land Bldg Equip | false | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | true | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | true | ForeignOffice |
| Foreign Activities | true | ForeignActivities |
| More Than5000 K To Organizations | true | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | true | ProfessionalFundraising |
| Fundraising Activities | true | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | false | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | true | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 3 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 1 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 17 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 17 | NumberIndependentVotingMembers |
| Family Or Business Relationship | true | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | true | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Own Website | X | OwnWebsite |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | JONI PATERSON | NamePerson |
| Telephone Number | 4137547471 | TelephoneNumber |
Address US AddressUS
| 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 Form990PartVIISectionA (19 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| DAVID G BUTLER MD | ||||||||
| CHAIRMAN | 2.00 | X | X | 0 | 0 | 0 | ||
| MICHAEL MARON | ||||||||
| PRESIDENT | 2.00 | X | X | 0 | 0 | 0 | ||
| WILLIAM B GUYOL JR MD | ||||||||
| VICE PRESIDENT | 2.00 | X | X | 0 | 0 | 0 | ||
| STEPHEN M REESE | ||||||||
| TREASURER | 2.00 | X | X | 0 | 0 | 0 | ||
| JULIE H CONDON | ||||||||
| SECRETARY | 2.00 | X | X | 0 | 0 | 0 | ||
| PETER J KELLY MD | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| CHRISTOPHER T ADDIS MD | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| JENNIFER BAGGETT | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| THOMAS BOLDT | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| ALBERT F FLEURY JR MD | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| LOUISE GALLAHUE DC | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| STEVE GANNON | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| JOSEPH GIERE MD | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| CHARLOTTE KIESEL | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| DEB O'HARA-RUSCKOWSKI | ||||||||
| DIRECTOR | 1 | X | ||||||
| SUSAN REESE | ||||||||
| DIRECTOR | 1 | X | ||||||
| STEWART SIMONSON | ||||||||
| DIRECTOR | 1 | X | ||||||
| JONI M PATERSON PHD | ||||||||
| DIRECTOR OF DEVELOPEMENT AND ADMINISTRATION | 40 | 69315 | X | X | ||||
| DENISE KELLY | ||||||||
| EXECUTIVE DIRECTOR (Term 7/2012) | 40 | 55709 | X | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 125024 | TotalReportableCompFromOrg |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | false | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (2 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| TIM TRAYNOR | |||||
| 579 WHIMBREL ROAD | KALWAH ISLAND | SC | 29344 | General Contractor | 170004 |
| ANDREWS AND ASSOCIATES | |||||
| 6 PEARSON WAY | ENFIELD | CT | 06082 | Printing & Mailing | 162610 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 2 | NumberOfContractorsGT100K |
| Fundraising Events | 84164 | FundraisingEvents |
| All Other Contributions | 1623357 | AllOtherContributions |
| Noncash Contributions | 31765 | NoncashContributions |
| Total Contributions | 1707521 | TotalContributions |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 6210 | TotalRevenueColumn |
| Exclusion | $6,210 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 754115 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 726168 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 27947 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 27947 | TotalRevenueColumn |
| Exclusion | $27,947 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 14070 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 84164 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 14070 | FundraisingDirectExpenses |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1741678 | TotalRevenueColumn |
| Exclusion | $34,157 | ExclusionAmount |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3050951 | Total |
| Program Services | 3050951 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 169414 | Total |
| Program Services | 53246 | ProgramServices |
| Management And General | 74312 | ManagementAndGeneral |
| Fundraising | 41856 | Fundraising |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 109016 | Total |
| Fundraising | 109016 | Fundraising |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 202428 | Total |
| Program Services | 167502 | ProgramServices |
| Management And General | 34926 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 154716 | Total |
| Program Services | 44140 | ProgramServices |
| Management And General | 45790 | ManagementAndGeneral |
| Fundraising | 64786 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 69099 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 69099 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3412 | Total |
| Program Services | 3412 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| Printing | 108056 | 27014 | 27014 | 54028 |
| Repairs & Maintenance | 28668 | 27260 | 1408 | 0 |
| Other | 136 | 0 | 136 | 0 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3895896 | Total |
| Program Services | 3373525 | ProgramServices |
| Management And General | 252685 | ManagementAndGeneral |
| Fundraising | 269686 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 450043 | BOY |
| EOY | 463911 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 489692 | BOY |
| EOY | 39887 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 468521 | BOY |
| EOY | 199057 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 729777 | BOY |
| EOY | 362421 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2138033 | BOY |
| EOY | 1065276 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 45830 | BOY |
| EOY | 2055 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 1125236 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 45830 | BOY |
| EOY | 1127291 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 117159 | BOY |
| EOY | -486141 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1965044 | BOY |
| EOY | 414126 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10000 | BOY |
| EOY | 10000 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2092203 | BOY |
| EOY | -62015 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2138033 | BOY |
| EOY | 1065276 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -2154218 | ReconcilationRevenueExpenses |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Both | X | FinancialStatementBoth |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1200064 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1147334 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 5068483 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 3067953 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1707521 | CurrentTaxYear |
| Total | 12191355 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1200064 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1147334 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 5068483 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 3067953 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1707521 | CurrentTaxYear |
| Total | 12191355 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 12191355 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 11078 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 3862 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 3195 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 19494 | CurrentTaxYearMinus1Year |
| Current Tax Year | 6211 | CurrentTaxYear |
| Total | 43840 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 12235195 | TotalSupport |
| Public Support Pertcentage170 | 0.99640 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.99610 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
| Public Support Total509 | 0 | PublicSupportTotal509 |
| Public Support Percentage509 | 0 | PublicSupportPercentage509 |
| Investment Income Percentage | 0 | InvestmentIncomePercentage |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 10000 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 625 | InvestmentEarningsOrLosses |
| Other Expenditures | 625 | OtherExpenditures |
| End Of Year Balance | 10000 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 10000 | BeginningOfYearBalance |
| Contributions | 584 | Contributions |
| Investment Earnings Or Losses | -584 | InvestmentEarningsOrLosses |
| End Of Year Balance | 10000 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 10000 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 279 | InvestmentEarningsOrLosses |
| Other Expenditures | 279 | OtherExpenditures |
| End Of Year Balance | 10000 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 10000 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 313 | InvestmentEarningsOrLosses |
| Other Expenditures | 313 | OtherExpenditures |
| End Of Year Balance | 10000 | EndOfYearBalance |
Current Year Minus4 Years CurrentYearMinus4Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 10000 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 840 | InvestmentEarningsOrLosses |
| Other Expenditures | 840 | OtherExpenditures |
| End Of Year Balance | 10000 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.00000 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 1.00000 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.00000 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | DUE TO HOLY NAME FOUNDATION | Description |
| Amount | $1,125,236 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 1125236 | TotalOfAmounts |
| Tot Revenue Etc Audited Fincl Stmt | 1741678 | TotRevenueEtcAuditedFinclStmt |
| Revenue Subtotal | 1741678 | RevenueSubtotal |
| Total Revenue Per Form990 | 1741678 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 3895895 | TotExpensesEtcAuditedFinclStmt |
| Expenses Subtotal | 3895895 | ExpensesSubtotal |
| Total Expenses Per Form990 | 3895895 | TotalExpensesPerForm990 |
Schedule F IRS990ScheduleF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | true | GrantRecordsMaintained |
Accts Actvs Out US Table AcctsActvsOutUSTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | Central America | Region |
| Number Of Offices | 0 | NumberOfOffices |
| Number Of Employees | 0 | NumberOfEmployees |
| Type Of Activities Conducted | GRANTS | TypeOfActivitiesConducted |
| Total Expenditures | 3050951 | TotalExpenditures |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Number Of Offices | 0 | SubtotalNumberOfOffices |
| Subtotal Number Of Employees | 0 | SubtotalNumberOfEmployees |
| Total Number Of Offices | 0 | TotalNumberOfOffices |
| Total Number Of Employees | 0 | TotalNumberOfEmployees |
| Subtotal Amount Spent | 3050951 | SubtotalAmountSpent |
| Total Amount Spent | 3050951 | TotalAmountSpent |
Grants To Orgs Outside US GrantsToOrgsOutsideUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | Central America | Region |
| Purpose Of Grant | AID | PurposeOfGrant |
| Amount Of Cash Grant | 3050951 | AmountOfCashGrant |
| Manner Of Cash Disbursement | DIRECT | MannerOfCashDisbursement |
| Amount Of Non Cash Assistance | 10 | AmountOfNonCashAssistance |
| Description Of Non Cash Assistance | SHIPPING | DescriptionOfNonCashAssistance |
| Method Of Valuation | PURCHASED | MethodOfValuation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of501c3 Orgs | 1 | TotalNumberOf501c3Orgs |
| Transfer To Foreign Corp | false | TransferToForeignCorp |
| Interest In Foreign Trust | false | InterestInForeignTrust |
| Own Foreign Corp | false | OwnForeignCorp |
| Passive Foreign Invest Co | false | PassiveForeignInvestCo |
| Foreign Partnership | false | ForeignPartnership |
| Boycott Countries | false | BoycottCountries |
Form990 Schedule F Part V Form990ScheduleFPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Pt I Line 2 | Identifier |
| 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. | Explanation |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Mail Solicitations | X | MailSolicitations |
| Email Solicitations | X | EmailSolicitations |
| Phone Solicitations | X | PhoneSolicitations |
| In Person Solicitations | X | InPersonSolicitations |
| Solicitation Of Non Govt Grants | X | SolicitationOfNonGovtGrants |
| Special Fundraising Events | X | SpecialFundraisingEvents |
| Agreement Ref Fundraising | false | AgreementRefFundraising |
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | Auction/St. Louis | NameOfEvent1 |
| Gross Receipts Event1 | 42175 | GrossReceiptsEvent1 |
| Gross Revenue Event1 | 42175 | GrossRevenueEvent1 |
| Name Of Event2 | Auction/Washington | NameOfEvent2 |
| Gross Receipts Event2 | 22040 | GrossReceiptsEvent2 |
| Gross Revenue Event2 | 22040 | GrossRevenueEvent2 |
| Other Direct Expenses Event2 | 10333 | OtherDirectExpensesEvent2 |
| Gross Receipts Other Events | 34019 | GrossReceiptsOtherEvents |
| Gross Revenue Other Events | 34019 | GrossRevenueOtherEvents |
| Other Direct Expenses Other Events | 3737 | OtherDirectExpensesOtherEvents |
| Gross Receipts Total | 98234 | GrossReceiptsTotal |
| Gross Revenue Total Events | 98234 | GrossRevenueTotalEvents |
| Other Direct Expenses Total Events | 14070 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 14070 | DirectExpenseSummaryEvents |
| Net Income Summary | 84164 | NetIncomeSummary |
Schedule M IRS990ScheduleM
Securities Publicly Traded SecuritiesPubliclyTraded
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 5 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 31765 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | MARKET VALUE | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | false | ReviewProcessUnusualNCGifts |
| Third Parties Used | false | ThirdPartiesUsed |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (19 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| 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 |
| AND SCHEDULES TO THE GOVERNING BOARD VIA E-MAIL AND ASKS | |
| FOR ANY CORRECTIONS, CONCERNS, OR COMMENTS THAT ARE ADDRESSED | |
| BY OTHER MEMBERS, THE EMPLOYEE, OR THE PREPARER, AND IF | |
| THERE ARE ANY CHANGES THAT NEED TO BE MADE, THEY ARE MADE | |
| AND THE RETURN IS FILED. | |
| Pt VI, Line 12c | THE ORGANIZATION ANNUALLY ASKS ALL DIRECTORS AND THE EMPLOYEES |
| SIGN A CONFLICT OF INTEREST STATEMENT AND TO BRING TO THE ATTENTION | |
| 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 |
| 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 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOLY NAME MEDICAL CENTER FOUNDATION INC | BusinessNameLine1 |
Address US AddressUS
| 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 | PrimaryActivities |
| Legal Domicile State | NJ | LegalDomicileState |
| Exempt Code Section | 501(c)(3) | ExemptCodeSection |
| Controlled Org | false | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | true | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | false | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable
Name Of Other Organization NameOfOtherOrganization
| 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 | TransactionType |
| Amount Involved | 1125236 | AmountInvolved |
| Method Of Amt Determination | Cash | MethodOfAmtDetermination |