Department of the Treasury Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
Attach to Form 990 or Form 990-EZ. See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
TIMMY GLOBAL HEALTH INC F/K/A THE TIMMY FOUNDATION
Employer identification number
35-2012757
Part I
Reason for Public Charity Status
(All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).
f
If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supporting organization, check this box
..................................................
g
Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons?
(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the supported organization?
................
11g(i)
(ii)
A family member of a person described in (i) above?
......................
11g(ii)
(iii)
A 35% controlled entity of a person described in (i) or (ii) above?
................
11g(iii)
h
Provide the following information about the supported organization(s).
(i) Name of supported organization
(ii) EIN
(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions))
(iv) Is the organization in col. (i) listed in your governing document?
(v) Did you notify the organization in col. (i) of your support?
(vi) Is the organization in col. (i) organized in the U.S.?
(vii) Amount of monetary support
Yes
No
Yes
No
Yes
No
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the
organization failed to qualify under Part III. If the organization fails to
qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in)
(a) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
1,600,945
1,510,014
2,067,315
2,964,458
4,547,323
12,690,055
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
4
Total. Add lines 1 through 3
1,600,945
1,510,014
2,067,315
2,964,458
4,547,323
12,690,055
5
The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included
on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6
Public support. Subtract line 5 from line 4.
12,690,055
Section B. Total Support
Calendar year
(or fiscal year beginning in)
(a) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f) Total
7
Amounts from line 4..
1,600,945
1,510,014
2,067,315
2,964,458
4,547,323
12,690,055
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
964
127
336
809
1,557
3,793
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
10
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
2,167
2,167
11
Total support (Add lines 7 through 10).
12,696,015
12
Gross receipts from related activities, etc. (see instructions)
..................
12
983,139
13
First five years.
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here........................................
Section C. Computation of Public Support Percentage
14
Public support percentage for 2012 (line 6, column (f) divided by line 11, column (f))
.........
14
99.950 %
15
Public support percentage for 2011 Schedule A, Part II, line 14
...............
15
99.950 %
16a
33 1/3% support test—2012.
If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization
.......................
b
33 1/3% support test—2011.
If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization
.....................
17a
10%-facts-and-circumstances test—2012.
If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization
.....................................................
b
10%-facts-and-circumstances test—2011.
If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization
................................................
18
Private foundation.
If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions
.....................................................
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization
failed to qualify under Part II. If the organization fails to qualify under
the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in)
(a) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5
The value of services or facilities furnished by a governmental unit to the organization without charge..
6
Total. Add lines 1 through 5.
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
b
Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c
Add lines 7a and 7b..
8
Public support (Subtract line 7c from line 6.)
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f) Total
9
Amounts from line 6...
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
..
13
Total support. (Add lines 9, 10c, 11, and 12.)..
14
First five years.
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.............................................
Section C. Computation of Public Support Percentage
15
Public support percentage for 2012 (line 8, column (f) divided by line 13, column (f))
.........
15
16
Public support percentage from 2011 Schedule A, Part III, line 15
...............
16
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2012 (line 10c, column (f) divided by line 13, column (f))
......
17
18
Investment income percentage from 2011 Schedule A, Part III, line 17
.............
18
19a
33 1/3% support tests—2012.
If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
........
b
33 1/3% support tests—2011.
If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
.....
20
Private foundation.
If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions
.....
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 4
Part IV
Supplemental Information.
Complete this part to provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
Explanation
Schedule A (Form 990 or 990-EZ) 2012
Additional Data
Software ID:
Software Version:
-
TIN:
SCHEDULE O (Form 990 or 990-EZ)
Department of the Treasury Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ
Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
TIMMY GLOBAL HEALTH INC F/K/A THE TIMMY FOUNDATION
Employer identification number
35-2012757
Identifier
Return Reference
Explanation
ORGANIZATION'S MISSION
FORM 990 - ORGANIZATION'S MISSION
TIMMY GLOBAL HEALTH WAS FOUNDED IN 1997 TO EXPAND ACCESS TO HEALTHCARE WHILE EMPOWERING STUDENTS AND VOLUNTEERS TO ADDRESS TODAY'S MOST PRESSING GLOBAL HEALTH CHALLENGES. TO ACHIEVE THESE GOALS, THE ORGANIZATION COORDINATES MEDICAL SERVICE TEAMS TO SUPPORT THE WORK OF INTERNATIONAL PARTNER ORGANIZATIONS, COLLECTS AND DISTRIBUTES IN-KIND MEDICINE AND MEDICAL SUPPLIES, FINANCES PUBLIC HEALTH PROGRAMS, PROVIDES FUNDS TO GROW THE OUTREACH AND CAPACITY OF OUR INTERNATIONAL PARTNERS, AND WORKS TO EMPOWER US UNIVERSITY AND HIGH SCHOOL STUDENTS TO ACTIVELY ELIMINATE HEALTH DISPARITIES AND PROMOTE HEALTH EQUITY. THROUGHOUT FY 12-13, TIMMY SENT HUNDREDS OF STUDENT AND MEDICAL PROFESSIONAL VOLUNTEERS ABROAD TO SERVE IN TIMMY'S INTERNATIONAL MEDICAL CLINICS, SUPPORT ITS PARTNER ORGANIZATIONS, AND PROVIDE DIRECT, QUALITY MEDICAL CARE TO LOW-INCOME COMMUNITIES. THROUGH 30 CONSISTENT PRIMARY CARE, SURGICAL, AND PUBLIC HEALTH MEDICAL AND HEALTH SERVICE TEAMS, TIMMY WAS ABLE TO TREAT OVER 13500 PATIENTS, MONITOR 3110 PATIENTS WITH CHRONIC ILLNESSES, AND REFER OVER 1000 PATIENTS TO A LOCAL SPECIALIST FOR FOLLOW-UP CARE. IN ADDITION TO DIRECT SERVICES, MUCH NEEDED MEDICINES AND MEDICAL SUPPLIES WERE DONATED TO TIMMY GLOBAL HEALTH INTERNATIONAL PARTNERS, PATIENTS, AND HEALTHCARE NON-PROFITS IN THE LOCAL INDIANAPOLIS COMMUNITY. THESE DONATIONS HAD AN ESTIMATED VALUE EXCEEDING 3.85 MILLION DOLLARS, GREATLY ENHANCING TIMMY'S OVERALL IMPACT ON HEALTH DISPARITIES. BEYOND MEDICAL SERVICE TEAMS, TIMMY ALSO WORKED TO IMPROVE THE OUTREACH OF OUR INTERNATIONAL PARTNER ORGANIZATIONS THROUGH 140K OF DIRECT FINANCIAL SUPPORT FOR PUBLIC HEALTH PROGRAMS, TRAININGS OF LOCAL MEDICAL PROFESSIONALS AND COMMUNITY HEALTH WORKERS, AND OTHER CAPACITY BUILDING ACTIVITIES. TIMMY ALSO SUPPORTED OUR 45 NATIONAL STUDENT CHAPTERS TO ENGAGE IN GLOBAL HEALTH ADVOCACY AND SERVICE ACTIVITIES IN THE US AND ABROAD.
SECOND ACCOMPLISHMENT DESCRIPTION
FORM 990, PAGE 2, PART III, LINE 4B
DISPARITIES BY PARTICIPATING IN TIMMY PROGRAMMATIC ACTIVITIES. THESE PROJECT BASED VOLUNTEERS SUPPORTED TIMMY'S PROGRAMMING IN ECUADOR FOR A PERIOD OF BETWEEN 1 AND 12 MONTHS.
ALL OTHER ACCOMPLISHMENT DESCRIPTION
FORM 990, PAGE 2, PART III, LINE 4D
THROUGHOUT FY 12-13, TIMMY EVALUATED A VARIETY OF OPTIONS FOR PROGRAMMATIC GROWTH, AND DECIDED TO IMPLEMENT A NUMBER OF NEW PROGRAMS DESIGNED TO ENHANCE ORGANIZATIONAL IMPACT. WHILE TIMMY CONTINUES TO GROW OUR US STUDENT CHAPTERS, THE QUANTITY OF INTERNATIONAL MEDICAL TEAMS, AND THE FINANCIAL SUPPORT PROVIDED TO OUR INTERNATIONAL PARTNERS, THE SCOPE OF THE ORGANIZATION'S HEALTH PROGRAMMING TOOK SIGNIFICANT STEPS FORWARD DURING FY 12-13. SPECIFICALLY, TIMMY LAUNCHED A NEW SURGICAL PROGRAM WITH OUTREACH IN BOTH ECUADOR AND EL SALVADOR; WE INCORPORATED PUBLIC HEALTH TEAMS INTO OUR EXISTING PROGRAMMING TO PROVIDE A MORE HOLISTIC APPROACH SUPPORTING OUR PARTNER ORGANIZATIONS AND LOCAL COMMUNITIES; WE TRACKED THE EFFICIENCY AND EFFECTIVENESS OF OUR PROGRAMMING MORE CLOSELY THROUGH THE IMPLEMENTATION OF AN ADVANCED MONITORING & EVALUATION AND THE CREATION OF SPECIFIC PROGRAMMATIC INDICATORS; AND DEVELOPED OUR OWN ELECTRONIC MEDICAL RECORD SYSTEM (EMR) TO IMPROVE OUR CLINICAL OUTREACH AND PATIENT TRACKING AT EACH INTERNATIONAL SITE. THESE PROGRAMMATIC ENHANCEMENTS, COUPLED WITH NATIONAL RECOGNITION AND GRANT FUNDING THROUGH THE AMERICAN GIVING AWARDS (A SHOWCASE OF AMERICA'S TOP 25 NONPROFITS SUPPORTED BY CHASE BANK AND BROADCAST ON NBC), RESULTED IN A YEAR OF INCREDIBLE GROWTH AND EXCITEMENT FOR THE ORGANIZATION.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990
FORM 990, PAGE 6, PART VI, LINE 11B
ORGANIZATION IS PROVIDED WITH A COPY OF THE 990 PRIOR TO FILING. THIS COPY IS SUBMITTED TO THE BOARD OF DIRECTORS FOR REVIEW AND APPROVAL BEFORE BEING MAILED FOR FILING.
ENFORCEMENT OF CONFLICTS POLICY
FORM 990, PAGE 6, PART VI, LINE 12C
IT SHALL BE THE RESPONSIBILITY OF ALL KEY LEADERS TO SCRUTINIZE THEIR TRANSACTIONS WITH OUTSIDE BUSINESS INTERESTS AND RELATIONSHIPS FOR POTENTIAL CONFLICTS AND TO IMMEDIATELY MAKE SUCH DISCLOSURES TO THE CHAIRPERSON OF KEY LEADER'S CORRESPONDING BOARD WHO SHALL CAUSE SAID BOARD TO REVIEW AND DETERMINE WHETHER A CONFLICT EXISTS AND IS MATERIAL, AND IN THE PRESENCE OF AN EXISTING MATERIAL CONFLICT, WHETHER THE CONTEMPLATED TRANSACTION MAY BE AUTHORIZED AS JUST, FAIR, AND REASONABLE AS TO THE WELFARE OF THE ORGANIZATION AND THE ADVANCEMENT OF ITS PURPOSES. ALL MEMBERS OF THE BOARD, KEY LEADERS, THE FINANCE COMMITTEE AND ALL EMPLOYEES AND PERSONS MAKING FINANCIAL DECISIONS FOR THE ORGANIZATION SHALL COMPLETE AT THE BEGINNING OF EACH FISCAL YEAR A CONFLICT OF INTEREST AND RELATED-PARTY QUESTIONNAIRE
COMPENSATION PROCESS FOR TOP OFFICIAL
FORM 990, PAGE 6, PART VI, LINE 15A
COMPENSATION FOR THE EXECUTIVE DIRECTOR IS REVIEWED AND APPROVED BY THE TIMMY BOARD OF DIRECTORS, GIVEN THAT HE OR SHE IS NOT DIRECTLY INVOLVED WITH THE REVIEW AND APPROVAL OF THEIR COMPENSATION. THE EXECUTIVE DIRECTOR'S SEMIANNUAL PERFORMANCE EVALUATION (WITH THE CHAIRMAN OF THE BOARD) IS ALSO TAKEN INTO CONSIDERATION. IN ADDITION, THE FINANCIAL SITUATION OF THE ORGANIZATION (I.E. CONTRIBUTION PROJECTIONS AND CASH FLOW) ARE TAKEN INTO ACCOUNT AS WELL AS A COMPARISON OF OTHER EXECUTIVES AT SIMILARLY-SIZED ORGANIZATIONS.
COMPENSATION PROCESS FOR OFFICERS
FORM 990, PAGE 6, PART VI, LINE 15B
COMPENSATION FOR A TIMMY EMPLOYEE IS REVIEWED BY THE EXECUTIVE DIRECTOR AND THEN RECOMMENDED TO THE CHAIRMAN OF THE BOARD. COMPENSATION FOR ALL EMPLOYEES ARE APPROVED BY THE TIMMY BOARD OF DIRECTORS, GIVEN THAT HE OR SHE IS NOT DIRECTLY INVOLVED WITH THE REVIEW AND APPROVAL OF THEIR COMPENSATION. PERFORMANCE EVALUATIONS (WITH THE EXECUTIVE DIRECTOR) ARE ALSO TAKEN INTO CONSIDERATION PRIOR TO CHANGES IN COMPENSATION. IN ADDITION, THE FINANCIAL SITUATION OF THE ORGANIZATION (I.E. CONTRIBUTION PROJECTIONS AND CASH FLOW) ARE TAKEN INTO ACCOUNT.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION
FORM 990, PAGE 6, PART VI, LINE 19
AVAILABLE TO PUBLIC UPON REQUEST.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.