Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2011
Open to Public Inspection
A For the calendar year, or tax year beginning 07-01-2011 and ending 06-30-2012
BCheck if applicable:
CName of organization
AmeriCares Foundation Inc
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
88 HAMILTON AVENUE
 
Room/suite
City or town, state or country, and ZIP + 4
STAMFORD, CT069023111
D Employer identification number

06-1008595
E Telephone number

G Gross receipts $ 532,423,353
F Name and address of principal officer:
curtis r welling pres CEO
88 HAMILTON AVENUE
STAMFORD,CT06902
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.AMERICARES.ORG
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1979
M State of legal domicile: CT
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: AMERICARES IS A NONPROFIT GLOBAL HEALTH AND DISASTER RELIEF ORGANIZATION THAT DELIVERS MEDICINES, MEDICAL SUPPLIES AND HUMANITARIAN AID TO PEOPLE IN NEED AROUND THE WORLD AND IN THE U.S.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a)..... 3 16
4 Number of independent voting members of the governing body (Part VI, line 1b) .... 4 15
5 Total number of individuals employed in calendar year 2011 (Part V, line 2a) ... 5 128
6 Total number of volunteers (estimate if necessary) .... 6 40
7a Total unrelated business revenue from Part VIII, column (C), line 12 .. 7a 0
b Net unrelated business taxable income from Form 990-T, line 34 .. 7b 0
Revenues; Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 662,889,899 524,509,518
9 Program service revenue (Part VIII, line 2g) ......... 381,585 469,490
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 446,407 984,913
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 75,960 105,118
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 663,793,851 526,069,039
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 623,554,661 457,549,326
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 10,126,290 11,438,004
16a Professional fundraising fees (Part IX, column (A), line 11e)..... 572,300 627,048
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet7,823,348    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f).... 31,078,371 50,486,805
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 665,331,622 520,101,183
19 Revenue less expenses. Subtract line 18 from line 12....... -1,537,771 5,967,856
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 156,947,989 162,225,980
21 Total liabilities (Part X, line 26)............. 7,270,194 8,890,342
22 Net assets or fund balances. Subtract line 21 from line 20..... 149,677,795 153,335,638
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title.
Paid preparer use only
Print/type preparer's name
 
Preparer's signature
Date
PTIN
Firm's name Right pointing arrowhead image

Firm's EIN Right pointing arrowhead image
Firm's address Right pointing arrowhead image



Phone no.
May the IRS discuss this return with the preparer shown above? See instructions .........bullet
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2011)
Form 990 (2011)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III .........
1
Briefly describe the organization’s mission: AMERICARES IS A NONPROFIT GLOBAL HEALTH AND DISASTER RELIEF ORGANIZATION THAT DELIVERS MEDICINES, MEDICAL SUPPLIES AND HUMANITARIAN AID TO PEOPLE IN NEED AROUND THE WORLD AND ACROSS THE UNITED STATES. IN TIMES OF EPIC DISASTER, DAILY STRUGGLE OR CIVIL CONFLICT, AMERICARES RESTORES HEALTH AND SAVES LIVES BY DELIVERING MEDICINES, MEDICAL SUPPLIES, AND HUMANITARIAN AID TO PEOPLE IN NEED.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ....................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ..........................
If “Yes,” describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 375,562,066 including grants of $ 328,538,714 ) (Revenue $   )
AmeriCares global medical assistance, emergency response and medical outreach programs restore health and save lives in the wake of natural disasters and civil conflicts and support long-term medical and humanitarian assistance programs. AmeriCares delivered $450 million in medicines and medical supplies to 476 healthcare partners in 94 countries in the year ended June 30, 2012. AmeriCares obtains donations of medicines, medical supplies and other aid from U.S. and international pharmaceutical companies and medical supply manufacturers, and delivers them quickly and efficiently to hospitals, clinics and community health facilities. Since it began operations in 1982, AmeriCares has delivered more than $10 billion in aid to over 164 countries. Partnerships allow AmeriCares to help more people live longer, healthier lives by providing critical medicines and medical supplies. In FY2012, AmeriCares provided global medical assistance throughout the United States, Latin America, Asia and Africa. In the United States, it donated medications and medical supplies to 355 charitable institutions within its affiliate network, encompassing the full spectrum of the U.S. health care safety net. Its office in Mumbai, India sponsored mobile medical clinics to provide comprehensive, on-going primary care services for residents of slum communities without access to health care. In Latin America, it provided extensive support for partner clinics and health facilities treating impoverished patients for conditions ranging from common infections to cancer and chronic diseases. In Asia, it provided support for programs addressing diarrheal diseases, respiratory disease, maternal health, breast cancer, nutrition, primary care and disaster preparedness. In Africa, its programs help patients in hospitals, children's homes and primary care clinics. In FY12, it successfully concluded a health worker safety program in Tanzania, vaccinating workers against tetanus and training several hundred in best practices. Emergency response is a large part of the AmeriCares portfolio. In the U.S. during FY2012, the organization responded to 9 disasters in 13 states, including hurricanes, tropical storms, tornadoes and wildfires. It was active in response to the famine in the Horn of Africa, where the worst drought in over a half-century impacted more than 13 million people in Djibouti, Ethiopia, Kenya and Somalia. AmeriCares provided nearly 180,000 course treatments of medicines for primary care, as well as supplemental meals for children and adults in need of nutritional stabilization and water purification products to provide 34,000 people with clean drinking water for two months. AmeriCares has a longstanding commitment to fiscal responsibility and has consistently received high rankings for its efficiency. These ratings reflect the fact that more than 98% of our total expenses directly support programs and relief for people in need and less than 2% represent administrative costs. For the year ending June 30, 2012, AmeriCares received $542,174 in Contributed Services; (this amount is not reflected in the Form 990 Income Statement or Functional Expense Schedule).
4b (Code:   ) (Expenses $ 131,875,197 including grants of $ 129,010,612 ) (Revenue $   )
AmeriCares operates a Patient Assistance Program through which it receives donated medicines. These donations are used to provide free prescription medications to patients in need throughout the United States that have met various eligibility criteria and who would not otherwise be able to afford them. Since its inception, this program has filled more than 3 million prescriptions, representing approximately $2 billion in donated products.
4c (Code:   ) (Expenses $ 1,116,091 including grants of $   ) (Revenue $ 935,752 )
AmeriCares opened a family health clinic, Clnica Integral de Atencin Familiar in October 2003, located in Santiago de Mara, El Salvador. A dedicated staff of doctors, registered nurses, a social worker and a dentist provide high-quality care at an affordable cost, working in a building equipped with laboratory, mammography, ultrasound and X-ray equipment. In FY12, the clinic treated close to 50,000 patients. Revenues associated with this program include patient service revenue, as reported in Part VIII, Line 2g, and sale of medicines, as reported in Part VIII, Line 10A.
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet$ 508,553,354
Form 990 (2011)
Form 990 (2011)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? Click to see attachment........
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part I..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities? If “Yes,” complete Schedule C,
Part II.........................
4
 
No
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C, Part III........................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete Schedule D, Part IClick to see attachment....................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas or historic structures? If “Yes,” complete Schedule D, Part IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,”
complete Schedule D, Part IVClick to see attachment...................
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If “Yes,” complete Schedule D, Part VClick to see attachment
10
Yes
 
11
If the organization’s answer to any of the following questions is ‘Yes,’ then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable:
a
Did the organization report an amount for land, buildings, and equipment in Part X, line10? If “Yes,” complete Schedule D, Part VI.Click to see attachment
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VII.Click to see attachment
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIII.Click to see attachment
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IX.Click to see attachment
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part X.Click to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part X.Click to see attachment
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If “Yes,” complete Schedule D, Parts XI, XII, and XIII Click to see attachment
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered ‘No’ to line 12a, then completing Schedule D, Parts XI, XII, and XIII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?....
14a
Yes
 
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States or aggregate foreign investments valued at $100,000 or more? If “Yes,” complete Schedule F, Part I......... Click to see attachment
14b
Yes
 
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the U.S.? If “Yes,” complete Schedule F, Part II.. Click to see attachment
15
Yes
 
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the U.S.? If “Yes,” complete Schedule F, Part III.. Click to see attachment
16
Yes
 
17
Did the organization report a total of more than $15,000, of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part IClick to see attachment
17
Yes
 
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II.......... Click to see attachment
18
Yes
 
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III................... Click to see attachment
19
 
No
20a
Did the organization operate one or more hospitals? If “Yes,” complete Schedule H.....
20a
 
No
b
If “Yes” to line 20a, did the organization attach a copy of its audited financial statement to this return? Note. All Form 990 filers that operated one or more hospitals must attach audited financial statements.
20b
 
 
Form 990 (2011)
Form 990 (2011)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants and other assistance to any government or organization in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.. Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III..... Click to see attachment
22
Yes
 
23
Did the organization answer “Yes” to Part VII, Section A, questions 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J................ Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer questions 24b–24d and complete Schedule K. If “No,” go to line 25................
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
 
 
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I......
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I................
25b
 
No
26
Was a loan to or by a current or former officer, director, trustee, key employee, highly compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II.........................
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If “Yes,” complete Schedule L, Part III.........
27
 
No
28
Was the organization a party to a business transaction with one of the following parties? (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV .........................
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV...................
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or owner? If “Yes,” complete Schedule L, Part IV..
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule MClick to see attachment
29
Yes
 
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M............ Click to see attachment
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II.......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........ Click to see attachment
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Parts II, III, IV, and V, line 1..................... Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2... Click to see attachment
35b
 
No
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2........... Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11 and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2011)
Form 990 (2011)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V .........
Yes
No
1a
Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable. .......
1a
65
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable.
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements filed for the calendar year ending with or within the year covered by this return .....................
2a
128
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?

Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?.............................
3a
 
No
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
 
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account or securities account)?.......................
4a
Yes
 
b
If "Yes," enter the name of the foreign country: MediumBulletES , CE , HA , IN
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes” to line 5a or 5b, did the organization file Form 8886-T? ........
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible?..........
6a
 
No
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
Yes
 
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
Yes
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?..........................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?...................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?...............
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?................
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?.........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them) ........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. All 501(c)(29) organizations must list in Schedule O each state in which they are licensed to issue qualified health plans, the amount of reserves required by each state, and the amount of reserves the organization allocated to each state.
13a
 
 
b
Enter the aggregate amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans.
13b
 
c
Enter the aggregate amount of reserves on hand.
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
 
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2011)
Form 990 (2011)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI .........
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year
If the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
1a
16
b
Enter the number of voting members included in line 1a, above, who are independent .................
1b
15
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed?
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
 
No
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? .................
7a
 
No
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ............
7b
 
No
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ..........
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O .....
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal
Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If “Yes,” did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes? ....
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form?
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review the Form 990. .....
12a
Did the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Were officers, directors or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this was done ....................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes," to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If “Yes,” did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
AL , AK , AZ , AR , CA , CO , CT , DC , FL , GA , HI , IL , KS , KY , LA , ME , MD , MA , MI , MN , MS , MO , NH , NJ , NM , NY , NC , ND , OH , OK , OR , PA , RI , SC , TN , UT , VA , WA , WV , WI
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization: MediumBullet
KATHERINE A SEARS SR VP CF
88 HAMILTON AVENUE
STAMFORD,CT06902
(203) 658-9500
Form 990 (2011)
Form 990 (2011)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII .........
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation, and current key employees. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organizations compensated any current or former officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(1) Elizabeth P Allen
Director
 1.0 X                
(2) Carol B Bauer
Director
 1.0 X                
(3) C Robert Henrikson
Director
 1.0 X                
(4) John L Kelly
Director
 1.0 X                
(5) Paul J Kuehner
Director
 1.0 X                
(6) Jerry P Leaman
Director
 1.0 X                
(7) Robert G Leary
Director
 1.0 X                
(8) Alma Jane Macauley
Vice Chairman
 1.0 X   X            
(9) C Dean Maglaris
Chairman
 1.0 X   X            
(10) Joseph W Merrill
Director
 1.0 X                
(11) Beverly L Schuch
Director
 1.0 X                
(12) Fred Weisman
Director
 1.0 X                
(13) James Wheat III
Director
 1.0 X                
(14) Stephen Winter MD
Director
 1.0 X                
(15) Joseph J Rucci Jr
Director and Secretary
 1.0 X   X            
(16) Curtis R Welling
Director, President & C.E.O.
 40.0 X   X       272,860 0 40,668
(17) Kevin Gilrain
Senior V.P., Human Resources
 40.0     X       163,890 0 27,017
Form 990 (2011)
Form 990 (2011)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(18) Christoph Gorder
Senior Vice Presedent
 40.0     X       176,804 0 35,983
(19) Rachel Granger
V.P. - Emergency Response
 40.0     X       118,506   15,718
(20) Jennifer Grey
V.P., Individual Philanthropy
 40.0     X       127,918   17,335
(21) Ella Gudwin
V.P. - Emergency Response
 40.0     X       100,704   33,537
(22) Geoff Kneisel
Vice President
 40.0     X       106,704   29,657
(23) Gary Leeds
Vice President/Controller
 40.0     X       139,296 0 8,955
(24) Diana Maguire
V.P. - Institutional Relations
 40.0     X       118,592   13,811
(25) Carolyn O'Brien
Senior V.P. - Develpoment
 40.0     X       142,174 0 25,543
(26) Dr Purvish Parikh
Vice President
 40.0     X           22,025
(27) William Post
Vice President - Treasurer
 30.0     X       80,084   7,990
(28) Katherine Sears
Senior V.P. Finance and Tech/C
 40.0     X       211,616 0 38,090
(29) Carol Shattuck
Senior V.P. - Communications
 40.0     X       173,671 0 28,636
(30) Lee Weiner
V.P. - Direct Response
 40.0     X       128,655 0 22,700
(31) Adam Zayan
V.P. - Global Partnerships
 40.0     X       141,970 0 32,842
(32) Frank Bia
Medical Director
 40.0         X   175,747 0 37,283
(33) Steve Bardos
IT Specialist
 40.0         X   118,440    
(34) Melissa Woolford
Director leadership gifts
 40.0         X   108,888   7,146
(35) Andrea Vakos
director major gifts
 40.0         X   101,513   36,066
(36) Martha Kennard
Director GIK Process MGMT
 40.0         X   105,515   6,946
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 2,813,547 0 487,948
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet20
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual .............
3
 
No
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person .....
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
Brickmill Marketing Inc
24 MILL BROOK ROAD
WILTON,NH03086 		FUNDRAISING 300,000
Donor Digital Inc
2550 NINTH STREET STE 103
BERKELY,CA94710 		Fundraising 184,171
Grant Thornton LLP
666 Third Avenue
NEW YORK,NY100174011 		Accounting 200,651
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet3
Form 990 (2011)
Form 990 (2011)
Page 9
Part VIII
Statement of Revenue
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, Gifts, Grants and Other Similar Amounts 1a Federated campaigns..1a 221,303
b Membership dues....1b 0
c Fundraising events....1c 1,166,219
d Related organizations...1d 0
e Government grants (contributions)1e 0
f All other contributions, gifts, grants, and
similar amounts not included above1f 		523,121,996
g Noncash contributions included in lines 1a-1f:$ 503,142,129
h Total. Add lines 1a-1f.......MediumBullet 524,509,518
Program Service Revenue Business Code
2a EL SALVADOR PATIENT VISIT REVENUE 621,400 427,134 427,134    
b EL SALVADOR CAFETERIA INCOME 900,099 35,529     35,529
c EL SALVADOR MISCELLANEOUS INCOME 900,099 6,827     6,827
d
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 469,490
Other Revenue 3 Investment income (including dividends, interest
and other similar amounts).....MediumBullet 1,061,594     1,061,594
4 Income from investment of tax-exempt bond proceeds..MediumBullet 0      
5 Royalties............MediumBullet 0      
(i) Real (ii) Personal
6a Gross rents    
b Less: rental expenses    
c Rental income or (loss)    
d Net rental income or (loss).......MediumBullet        
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 5,367,549  
b Less: cost or other basis and sales expenses 5,444,230  
c Gain or (loss) -76,681  
d Net gain or (loss)..........MediumBullet -76,681     -76,681
8a Gross income from fundraising events (not including
$ 1,166,219
of contributions reported on line 1c). See Part IV, line 18 ...
a 539,897
b Less: direct expenses ...b 539,897
c Net income or (loss) from fundraising events..MediumBullet 0    
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet 0      
10a Gross sales of inventory, less
returns and allowances .
a 466,262
b Less: cost of goods sold ..b 370,187
c Net income or (loss) from sales of inventory..MediumBullet 96,076     96,076
Miscellaneous Revenue Business Code
11a MISCELLANEOUS 900,099 9,042     9,042
b            
c            
d All other revenue ....        
e Total. Add lines 11a–11d ......MediumBullet 9,042
12 Total revenue. See Instructions....MediumBullet 526,069,039 427,134 0 1,132,387
Form 990 (2011)
Form 990 (2011)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A) but are not required to complete columns (B), (C), and (D).
Check if Schedule O contains a response to any question in this Part IX. .........
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the United States. See Part IV, line 21 24,057,323 24,057,323
2 Grants and other assistance to individuals in the United States. See Part IV, line 22 130,108,572 130,108,572
3 Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16 303,383,431 303,383,431
4 Benefits paid to or for members 0  
5 Compensation of current officers, directors, trustees, and key employees .... 2,203,442 878,263 764,280 560,899
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .... 0      
7 Other salaries and wages 6,783,688 3,555,233 1,106,049 2,122,406
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 231,103 132,700 32,561 65,842
9 Other employee benefits ....... 1,487,216 784,711 232,458 470,047
10 Payroll taxes ........... 732,555 374,328 118,537 239,690
11 Fees for services (non-employees):        
a Management ...... 933,091 660,551 133,778 138,762
b Legal ......... 58,527 21,553 36,974  
c Accounting ........... 169,459 13,195 156,264  
d Lobbying ........... 0      
e Professional fundraising. See Part IV, line 17.. 627,048 627,048
f Investment management fees ...... 55,583   55,583  
g Other .......... 838,090 135,621 187,160 515,309
12 Advertising and promotion .... 1,255,567 36,782 2,526 1,216,259
13 Office expenses ....... 90,656 71,137 3,939 15,580
14 Information technology ...... 446,817 61,520 192,443 192,854
15 Royalties .. 0      
16 Occupancy ........... 1,981,983 1,435,795 244,346 301,842
17 Travel ............ 723,987 546,544 37,756 139,687
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ...... 0      
19 Conferences, conventions, and meetings .... 19,166 16,491 1,440 1,235
20 Interest ........... 127   127  
21 Payments to affiliates ....... 0      
22 Depreciation, depletion, and amortization ..... 303,398 184,331 40,450 78,617
23 Insurance .............. 204,233 86,163 72,773 45,297
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24f. If line 24f amount exceeds 10% of line 25, column (A) amount, list line 24f expenses on Schedule O.)
a INVENTORY WRITE-OFF 37,453,443 37,453,443    
b POSTAGE AND FREIGHT 5,155,748 4,276,069 6,502 873,177
c MISCELLANEOUS 796,930 279,598 298,535 218,797
d
e
f All other expenses        
25 Total functional expenses. Add lines 1 through 24f 520,101,183 508,553,354 3,724,481 7,823,348
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2011)
Form 990 (2011)
Page 11
Part X Balance Sheet
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash—non-interest-bearing .......... 7,734 1 4,393
2 Savings and temporary cash investments ....... 11,491,502 2 5,260,248
3 Pledges and grants receivable, net ......... 3,056,308 3 1,760,575
4 Accounts receivable, net ......... 88,589 4 99,140
5 Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L .......... 0 5 0
6 Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
Schedule L .......... 0 6 0
7 Notes and loans receivable, net ............. 0 7 0
8 Inventories for sale or use .............. 104,295,312 8 120,659,106
9 Prepaid expenses and deferred charges ............ 518,871 9 492,977
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 4,605,800
b Less: accumulated depreciation. ..... 10b 2,077,728 2,363,252 10c 2,528,072
11 Investments—publicly traded securities .......... 29,699,714 11 27,737,218
12 Investments—other securities. See Part IV, line 11 ...... 0 12 0
13 Investments—program-related. See Part IV, line 11 .. 0 13 0
14 Intangible assets ......... 0 14 0
15 Other assets. See Part IV, line 11 ........... 5,426,707 15 3,684,251
16 Total assets. Add lines 1 through 15 (must equal line 34)... 156,947,989 16 162,225,980
Liabilities 17 Accounts payable and accrued expenses . 4,759,813 17 4,112,992
18 Grants payable .......... 1,259,593 18 2,889,723
19 Deferred revenue .......... 0 19 0
20 Tax-exempt bond liabilities .......... 0 20 0
21 Escrow or custodial account liability. Complete Part IV of Schedule D.. 0 21 0
22 Payables to current and former officers, directors, trustees, key
employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L.......... 0 22 0
23 Secured mortgages and notes payable to unrelated third parties .. 0 23 0
24 Unsecured notes and loans payable to unrelated third parties .... 0 24 0
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D..... 1,250,788 25 1,887,627
26 Total liabilities. Add lines 17 through 25..... 7,270,194 26 8,890,342
Net Assets or Fund Balance Organizations that follow SFAS 117, check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets ..... 101,114,379 27 105,495,463
28 Temporarily restricted net assets ..... 43,966,046 28 43,465,893
29 Permanently restricted net assets ..... 4,597,370 29 4,374,282
Organizations that do not follow SFAS 117, check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds .....   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ..... 149,677,795 33 153,335,638
34 Total liabilities and net assets/fund balances ..... 156,947,989 34 162,225,980
Form 990 (2011)
Form 990 (2011)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI .........
1
Total revenue (must equal Part VIII, column (A), line 12) ...
1
526,069,039
2
Total expenses (must equal Part IX, column (A), line 25) ....
2
520,101,183
3
Revenue less expenses. Subtract line 2 from line 1 ...
3
5,967,856
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
149,677,795
5
Other changes in net assets or fund balances (explain in Schedule O) ...
5
-2,310,013
6
Net assets or fund balances at end of year. Combine lines 3, 4, and 5 (must equal Part X, line 33, column (B)) ....
6
153,335,638
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII .........
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?....
2a
 
No
b
Were the organization’s financial statements audited by an independent accountant?........
2b
Yes
 
c
If “Yes,” to 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant? If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O. ...........................
2c
Yes
 
d
If “Yes” to line 2a or 2b, check a box below to indicate whether the financial statements for the year were issued on a separate basis, consolidated basis, or both:
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133? ................
3a
 
No
b
If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits. ..
3b
 
 
Form 990 (2011)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990 or 990EZ)

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.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2011
Open to Public
Inspection
Name of the organization
AmeriCares Foundation Inc
 
Employer identification number

06-1008595
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
f
g
(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 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
(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 support?
Yes No Yes No Yes No
Total                  

For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2011
Schedule A (Form 990 or 990-EZ) 2011
Page 2
Part II
Support Schedule for Organizations Described in IRC 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) 2007 (b) 2008 (c) 2009 (d) 2010 (e) 2011 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .... 1,011,003,360 1,194,350,712 794,563,561 662,889,899 524,509,518 4,187,317,050
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.. 1,011,003,360 1,194,350,712 794,563,561 662,889,899 524,509,518 4,187,317,050
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)..           1,594,611,060
6 Public Support. Subtract line 5 from line 4.           2,592,705,990
Section B. Total Support
Calendar year(or fiscal year beginning in) (a) 2007 (b) 2008 (c) 2009 (d) 2010 (e) 2011 (f) Total
7 Amounts from line 4.. 1,011,003,360 1,194,350,712 794,563,561 662,889,899 524,509,518 4,187,317,050
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. 2,185,501 1,370,027 707,762 1,089,351 1,061,594 6,414,235
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets.. 632,003 881,253 699,307 819,265 1,015,201 4,047,029
11 Total support (Add lines 7 through 10).           4,197,778,314
12
12
1,842,813
13
Section C. Computation of Public Support Percentage
14
14
61.764 %
15
15
60.784 %
16a
b
17a
b
18
Schedule A (Form 990 or 990-EZ) 2011
Schedule A (Form 990 or 990-EZ) 2011
Page 3
Part III
Support Schedule for Organizations Described in IRC 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) 2007 (b) 2008 (c) 2009 (d) 2010 (e) 2011 (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) 2007 (b) 2008 (c) 2009 (d) 2010 (e) 2011 (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
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2011
Schedule A (Form 990 or 990-EZ) 2011
Page 4
Part IV
Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or 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) 2011

Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
OMB No. 1545-0047
2011
Name of organization
AmeriCares Foundation Inc
 
Employer identification number

06-1008595
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......................... Arrow Bullet   $    
Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on Part I, line 2, of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2011)

Page 2
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)
Name of organization
AmeriCares Foundation Inc
  		Employer identification number

06-1008595
Part I
Contributors (see Instructions). Use duplicate copies of Part I if additional space is needed.
     
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
RESTRICTED
RESTRICTED
 

     
RESTRICTED
RESTRICTED  
RESTRICTED, RESTRICTED   RESTRICTED

$RESTRICTED




(Complete Part II if there is a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

Page 3
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)
Name of organization
AmeriCares Foundation Inc
  		Employer identification number

06-1008595
Part II
Noncash Property (see Instructions). Use duplicate copies of Part II if additional space is needed.
     
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions). 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions). 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions). 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions). 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions). 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions). 		(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

Page 4
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)
Name of organization
AmeriCares Foundation Inc
  		Employer identification number

06-1008595
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet $  
Use duplicate copies of Part III if additional space is needed
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

Additional Data


Software ID:  
Software Version:  
SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2011
Open to Public Inspection
Name of the organization
AmeriCares Foundation Inc
 
Employer identification number

06-1008595
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .......    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) ...    
4 Aggregate value at end of year .......    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register .................... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................
9
In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958), relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 52283D
Schedule D (Form 990) 2011

Schedule D (Form 990) 2011
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIV and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If “Yes,” explain the arrangement in Part XIV.
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current Year (b)Prior Year (c)Two Years Back (d)Three Years Back (e)Four Years Back
1a Beginning of year balance .... 1,340,176 1,177,237 1,028,266 1,196,255
b Contributions ........        
c Net investment earnings, gains, and losses ... -46,642 162,939 148,971 -167,989
d Grants or scholarships .....        
e Other expenditures for facilities
and programs ........ 		       
f Administrative expenses ....        
g End of year balance ...... 1,293,534 1,340,176 1,177,237 1,028,266
2
Provide the estimated percentage of the year end balance (line 1g) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet100.000 %
c
Temporarily restricted endowment SchDMd Bullet  
The percentages in lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
Yes
 
(ii) related organizations ........................
3a(ii)
 
No
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIV the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................      
b Buildings ................   808,271 265,047 543,224
c Leasehold improvements ............   2,118,187 703,255 1,414,932
d Equipment ................   1,679,342 1,109,426 569,916
e Other .................        
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 2,528,072
Schedule D (Form 990) 2011

Schedule D (Form 990) 2011
Page 3
Part VII
Investments—Other Securities. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. See Form 990, Part X, line 13.
(a) Description of investment type (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. See Form 990, Part X, line 15.
(a) Description (b) Book value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of Liability (b) Book value
Federal Income Taxes 0
SPLIT INTEREST AGREEMENTS 1,887,627








Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 1,887,627
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).
Schedule D (Form 990) 2011

Schedule D (Form 990) 2011
Page 4
Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1 Total revenue (Form 990, Part VIII, column (A), line 12) .................... 1 526,069,039
2 Total expenses (Form 990, Part IX, column (A), line 25) ..................... 2 520,101,183
3 Excess or (deficit) for the year. Subtract line 2 from line 1 ............. 3 5,967,856
4 Net unrealized gains (losses) on investments .......................... 4 -454,590
5 Donated services and use of facilities ............................. 5  
6 Investment expenses ................................... 6  
7 Prior period adjustments .................................. 7  
8 Other (Describe in Part XIV.) ................................. 8 -1,855,423
9 Total adjustments (net). Add lines 4 through 8 ......................... 9 -2,310,013
10 Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 ......... 10 3,657,843
Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1 Total revenue, gains, and other support per audited financial statements ....... 1 525,211,284
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a -454,590
b Donated services and use of facilities ......... 2b 542,174
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIV.) ............ 2d -945,339
e Add lines 2a through 2d ..................... 2e -857,755
3 Subtract line 2e from line 1..................... 3 526,069,039
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIV.) ........... 4b  
c Add lines 4a and 4b....................... 4c  
5 Total Revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5 526,069,039
Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1 Total expenses and losses per audited financial statements ............. 1 521,553,441
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a 542,174
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIV.) ............ 2d 910,084
e Add lines 2a through 2d...................... 2e 1,452,258
3 Subtract line 2e from line 1..................... 3 520,101,183
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIV.) ............ 4b  
c Add lines 4a and 4b....................... 4c  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5 520,101,183
Part XIV
Supplemental Information
Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.
Identifier Return Reference Explanation
ENDOWMENT FUNDS FORM 990, SCHEDULE D, PART V, LINE 4 The Americares Foundation endowment is intended to support the general charitable mission of the organization. The Foundation intends that the principal should remain untouched, while the earnings on the endowment's investments shall be used to support various charitable programs.
INCOME TAXES FORM 990, SCHEDULE D, PART X Americares recognize a tax position based on a "more likely than not" threshold. This applies to positions taken or expected to be taken in a tax return. During fiscal 2012 and 2011, Americares evaluated its tax positions and concluded that it does not have any uncertain tax positions that meet the criteria under this standard. The tax years ending 2009, 2010, 2011, and 2012 are still open to audit for both federal and state purposes.
RECONCILIATION OF NET ASSETS FORM 990, SCHEDULE D, PART XI, LINE 8 CHANGES IN SPLIT INTEREST AGREEMENTS ($1,855,423)
REVENUE ON BOOKS NOT ON RETURN FORM 990, SCHEDULE D, PART XII, LINE 2 CHANGES IN SPLIT INTEREST AGREEMENTS ($1,855,423) SPECIAL EVENTS EXPENSE $539,897 COST OF GOODS SOLD $370,187 -------- TOTAL ($945,339)
EXPENSES ON BOOKS NOT ON RETURN FORM 990, SCHEDULE D, PART XIII, LINE 2 SPECIAL EVENTS EXPENSE $539,897 COST OF GOODS SOLD $370,187 -------- TOTAL $910,084
Form 990, Schedule D, Part XI   The Americares Foundation, Inc. files a consolidated audited financial statement with its subsidiary, Americares Free Clinics, Inc. The reconciliation in part XI of Schedule D reconciles back to the Foundation's financial information as presented in the audited financial statements and not to the consolidated numbers (inclusive of clinics). Americares Foundation's change in net assets for the year is $3,657,843.
Schedule D (Form 990) 2011

Additional Data


Software ID:  
Software Version:  




SCHEDULE F(Form 990)
Department of the Treasury
Internal Revenue Service
Statement of Activities Outside the United States
Right pointing arrow large image Complete if the organization answered "Yes" to Form 990,Part IV, line 14b, 15, or 16.Right pointing arrow large image Attach to Form 990. Right pointing arrow large image See separate instructions.
OMB No. 1545-0047
2011
Open to Public Inspection
Name of the organization
AmeriCares Foundation Inc
 
Employer identification number

06-1008595
Part I
General Information on Activities Outside the United States. Complete if the organization answered
“Yes” to Form 990, Part IV, line 14b.
1
For grantmakers. Does the organization maintain records to substantiate the amount of its grants
and other assistance, the grantees' eligibility for the grants or assistance, and the selection criteria used
to award the grants or assistance? ..............................
2
For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other
assistance outside the United States.
3
Activites per Region. (Use Part V if additional space is needed.)
(a) Region (b) Number of offices in the region (c) Number of employees or agents in region or independent contractors (d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region) (e) If activity listed in (d) is a program service, describe specific type of
service(s) in region		 (f) Total
expenditures for region/investments
in region
Central America and the Caribbean 2 73 Program Services DISASTER RELIEF/DVLPMT 155,780,040
East Asia and the Pacific 1 2 Program Services DISASTER RELIEF/DVLPMT 27,593,884
Europe (Including Iceland and Greenland) 0 0 Program Services DISASTER RELIEF/DVLPMT 3,826,699
Middle East and North Africa 0 0 Program Services DISASTER RELIEF/DVLPMT 12,038,664
North America 0 0 Program Services DISASTER RELIEF/DVLPMT 711,279
Russia and the Newly Independent States 0 0 Program Services DISASTER RELIEF/DVLPMT 22,312,271
South America 0 0 Program Services DISASTER RELIEF/DVLPMT 40,445,233
South Asia 1 3 Program Services DISASTER RELIEF/DVLPMT 12,332,150
Sub-Saharan Africa 0 0 Program Services DISASTER RELIEF/DVLPMT 34,274,924
           
           
           
           
           
           
           
           
3a Sub-total ..... 4 78 309,315,144
b Total from continuation sheets to Part I ...      
c Totals (add lines 3a and 3b) 4 78 309,315,144
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2011
Schedule F (Form 990) 2011
Page 2
Part II
Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990,
Part IV, line 15, for any recipient who received more than $5,000. Check this box if no one recipient received more than $5,000 ........ MediumBullet
Use Part V if additional space is needed.
1 (a) Name of organization (b) IRS code section
and EIN (if applicable)		 (c) Region (d) Purpose of
grant 		(e) Amount of
cash grant 		(f) Manner of
cash
disbursement 		(g) Amount of
of non-cash
assistance 		(h) Description
of non-cash
assistance 		(i) Method of
valuation
(book, FMV,
appraisal, other)
Cent. America/Caribbean Prepositioning 10,088 Wire      
Cent. America/Caribbean ER Health Care 180,000 Wire      
Cent. America/Caribbean Health Worker Project 180,000 Wire      
Cent. America/Caribbean Cholera/Diarrheal Diseases 48,806 Wire      
Cent. America/Caribbean Nutrition for Children 42,528 Wire      
Cent. America/Caribbean Food & Hygiene 38,300 Wire      
Cent. America/Caribbean Vaccination Initiative 27,927 Wire      
Cent. America/Caribbean Diabetes Day 2011 16,083 Wire      
Cent. America/Caribbean Prepositioning 15,544 Wire      
Cent. America/Caribbean Prepositioning 10,003 Wire      
Cent. America/Caribbean Food Assistance 10,000 Wire      
Cent. America/Caribbean Cold Storage Unit 10,000 Wire      
Cent. America/Caribbean Food & Hygiene 10,000 Wire      
Cent. America/Caribbean Prepositioning 10,000 Wire      
Cent. America/Caribbean Prepositioning 9,688 Wire      
Cent. America/Caribbean Vaccination Initiative 9,436 Wire      
Cent. America/Caribbean Cholera Treatment/Hospital Espoir 7,750 Wire      
Cent. America/Caribbean Peer Mentor Workshop 7,500 Wire      
Cent. America/Caribbean Adolescent Girls Initiative 7,418 Wire      
Cent. America/Caribbean Empowering Women 7,000 Wire      
East Asia/Pacific Medical Equip. Procure. 20,450 Wire      
East Asia/Pacific Momiji/Group Home 527,592 Wire      
East Asia/Pacific Reconstruction - Dental Clinics 404,234 Wire      
East Asia/Pacific Temporary Office/Senshinkai 317,322 Wire      
East Asia/Pacific Psychosocial/Gardening 314,957 Wire      
East Asia/Pacific Psych/Gardening 282,394 Wire      
East Asia/Pacific Winter necessities 250,378 Wire      
East Asia/Pacific Ogatsu Dental Clinic 221,386 Wire      
East Asia/Pacific Mobile Dental Units 215,000 Wire      
East Asia/Pacific Psychosocial/Coping 142,992 Wire      
East Asia/Pacific Stress Prevention/Food 102,815 Wire      
East Asia/Pacific Psychosocial Support for Single Mothers 68,761 Wire      
East Asia/Pacific ER Training/Mental Health 66,777 Wire      
East Asia/Pacific Mental Health Care 56,211 Wire      
East Asia/Pacific Psych Support Aid Workers 50,000 Wire      
East Asia/Pacific Child Rearing 31,700 Wire      
East Asia/Pacific Hot meals/psychosocial 29,854 Wire      
East Asia/Pacific Disaster Clean Up 24,609 Wire      
East Asia/Pacific Disaster Clean up 20,000 Wire      
East Asia/Pacific Water 10,000 Wire      
East Asia/Pacific Psychosocial Support 6,000 Wire      
South America Equipment Procurement 25,642 Wire      
South America Mental Health Care 19,417 Wire      
South Asia Clinic Renovations 41,747 Wire      
South Asia Clinic Renovation 23,507 Wire      
South Asia Clinic Renovation 12,764 Wire      
South Asia Prepositioning 10,000 Wire      
South Asia Prepositioning 10,000 Wire      
South Asia Prepositioning 10,761 Wire      
South Asia Prepositioning 10,000 Wire      
South Asia Flood Assistance 10,000 Wire      
South Asia Prepositioning 10,000 Wire      
South Asia Prepositioning 9,869 Wire      
Sub-Saharan Africa Nutriction/children 73,103 Wire      
Sub-Saharan Africa Lab Equipment 30,000 Wire      
Sub-Saharan Africa Health Workers Safety 60,020 Wire      
Sub-Saharan Africa Inventory Mgmt 26,494 Wire      
Sub-Saharan Africa Obstetric Fistula 2011/12 22,092 Wire      
Sub-Saharan Africa Health Worker/Inventory Mgmt 22,013 Wire      
Cent. America/Caribbean EMERGENCY RESPONSE     2,934,740 Med. Suppl. Fair Mkt Val
Cent. America/Caribbean EMERGENCY RESPONSE     349,872 Med. Suppl. Fair Mkt Val
Cent. America/Caribbean EMERGENCY RESPONSE     277,060 Med. Suppl. Fair Mkt Val
Cent. America/Caribbean EMERGENCY RESPONSE     199,494 Med. Suppl. Fair Mkt Val
Cent. America/Caribbean EMERGENCY RESPONSE     187,656 Med. Suppl. Fair Mkt Val
Cent. America/Caribbean EMERGENCY RESPONSE     142,654 Med. Suppl. Fair Mkt Val
Cent. America/Caribbean EMERGENCY RESPONSE     50,402 Med. Suppl. Fair Mkt Val
Cent. America/Caribbean EMERGENCY RESPONSE     38,425 Med. Suppl. Fair Mkt Val
Cent. America/Caribbean EMERGENCY RESPONSE     29,132 Med. Suppl. Fair Mkt Val
Cent. America/Caribbean EMERGENCY RESPONSE     17,042 Med. Suppl. Fair Mkt Val
Cent. America/Caribbean EMERGENCY RESPONSE     16,754 Med. Suppl. Fair Mkt Val
Cent. America/Caribbean EMERGENCY RESPONSE     10,380 Med. Suppl. Fair Mkt Val
Cent. America/Caribbean EMERGENCY RESPONSE     9,947 Med. Suppl. Fair Mkt Val
Cent. America/Caribbean EMERGENCY RESPONSE     9,924 Med. Suppl. Fair Mkt Val
Cent. America/Caribbean EMERGENCY RESPONSE     6,434 Med. Suppl. Fair Mkt Val
Cent. America/Caribbean ON-GOING SUPPORT     36,493,006 Med. Suppl. Fair Mkt Val
Cent. America/Caribbean ON-GOING SUPPORT     22,991,196 Med. Suppl. Fair Mkt Val
CENTRAL AMERICA AND THE ON-GOING SUPPORT     17,111,987 Med. Suppl. Fair Mkt Val
Cent. America/Caribbean ON-GOING SUPPORT     14,446,814 Med. Suppl. Fair Mkt Val
Cent. America/Caribbean ON-GOING SUPPORT     14,413,993 Med. Suppl. Fair Mkt Val
Cent. America/Caribbean ON-GOING SUPPORT     6,457,751 Med. Suppl. Fair Mkt Val
Cent. America/Caribbean ON-GOING SUPPORT     4,444,857 Med. Suppl. Fair Mkt Val
Cent. America/Caribbean ON-GOING SUPPORT     4,344,756 Med. Suppl. Fair Mkt Val
Cent. America/Caribbean ON-GOING SUPPORT     4,080,022 Med. Suppl. Fair Mkt Val
Cent. America/Caribbean ON-GOING SUPPORT     3,128,238 Med. Suppl. Fair Mkt Val
Cent. America/Caribbean ON-GOING SUPPORT     54,802 Med. Suppl. Fair Mkt Val
Cent. America/Caribbean POST-EMERGENCY RESPONSE     358,995 Med. Suppl. Fair Mkt Val
Cent. America/Caribbean POST-EMERGENCY RESPONSE     169,438 Med. Suppl. Fair Mkt Val
Cent. America/Caribbean POST-EMERGENCY RESPONSE     134,051 Med. Suppl. Fair Mkt Val
Cent. America/Caribbean POST-EMERGENCY RESPONSE     80,678 Med. Suppl. Fair Mkt Val
Cent. America/Caribbean POST-EMERGENCY RESPONSE     63,645 Med. Suppl. Fair Mkt Val
Cent. America/Caribbean POST-EMERGENCY RESPONSE     57,925 Med. Suppl. Fair Mkt Val
Cent. America/Caribbean POST-EMERGENCY RESPONSE     48,044 Med. Suppl. Fair Mkt Val
Cent. America/Caribbean POST-EMERGENCY RESPONSE     35,670 Med. Suppl. Fair Mkt Val
Cent. America/Caribbean POST-EMERGENCY RESPONSE     25,712 Med. Suppl. Fair Mkt Val
Cent. America/Caribbean POST-EMERGENCY RESPONSE     22,061 Med. Suppl. Fair Mkt Val
Cent. America/Caribbean POST-EMERGENCY RESPONSE     17,566 Med. Suppl. Fair Mkt Val
Cent. America/Caribbean POST-EMERGENCY RESPONSE     16,360 Med. Suppl. Fair Mkt Val
Cent. America/Caribbean POST-EMERGENCY RESPONSE     16,097 Med. Suppl. Fair Mkt Val
Cent. America/Caribbean POST-EMERGENCY RESPONSE     11,585 Med. Suppl. Fair Mkt Val
Cent. America/Caribbean POST-EMERGENCY RESPONSE     10,125 Med. Suppl. Fair Mkt Val
Cent. America/Caribbean POST-EMERGENCY RESPONSE     9,003 Med. Suppl. Fair Mkt Val
Cent. America/Caribbean POST-EMERGENCY RESPONSE     8,392 Med. Suppl. Fair Mkt Val
Cent. America/Caribbean POST-EMERGENCY RESPONSE     6,261 Med. Suppl. Fair Mkt Val
East Asia/Pacific EMERGENCY RESPONSE     607,923 Med. Suppl. Fair Mkt Val
East Asia/Pacific EMERGENCY RESPONSE     201,338 Med. Suppl. Fair Mkt Val
East Asia/Pacific ON-GOING SUPPORT     9,852,665 Med. Suppl. Fair Mkt Val
East Asia/Pacific ON-GOING SUPPORT     6,845,724 Med. Suppl. Fair Mkt Val
East Asia/Pacific ON-GOING SUPPORT     1,423,619 Med. Suppl. Fair Mkt Val
EAST ASIA AND THE PACIFI ON-GOING SUPPORT     262,374 Med. Suppl. Fair Mkt Val
East Asia/Pacific ON-GOING SUPPORT     21,417 Med. Suppl. Fair Mkt Val
East Asia/Pacific ON-GOING SUPPORT     19,566 Med. Suppl. Fair Mkt Val
East Asia/Pacific POST-EMERGENCY RESPONSE     49,731 Med. Suppl. Fair Mkt Val
East Asia/Pacific POST-EMERGENCY RESPONSE     21,402 Med. Suppl. Fair Mkt Val
Europe/Iceland/Greenland ON-GOING SUPPORT     2,203,638 Med. Suppl. Fair Mkt Val
Europe/Iceland/Greenland ON-GOING SUPPORT     350,917 Med. Suppl. Fair Mkt Val
Europe/Iceland/Greenland ON-GOING SUPPORT     219,291 Med. Suppl. Fair Mkt Val
Europe/Iceland/Greenland ON-GOING SUPPORT     206,738 Med. Suppl. Fair Mkt Val
Europe/Iceland/Greenland ON-GOING SUPPORT     96,279 Med. Suppl. Fair Mkt Val
Europe/Iceland/Greenland ON-GOING SUPPORT     39,555 Med. Suppl. Fair Mkt Val
Middle East/North Africa EMERGENCY RESPONSE     227,339 Med. Suppl. Fair Mkt Val
Middle East/North Africa ON-GOING SUPPORT     3,781,118 Med. Suppl. Fair Mkt Val
Middle East/North Africa ON-GOING SUPPORT     3,650,686 Med. Suppl. Fair Mkt Val
Middle East/North Africa ON-GOING SUPPORT     2,808,552 Med. Suppl. Fair Mkt Val
Middle East/North Africa ON-GOING SUPPORT     597,733 Med. Suppl. Fair Mkt Val
Middle East/North Africa ON-GOING SUPPORT     131,287 Med. Suppl. Fair Mkt Val
Middle East/North Africa ON-GOING SUPPORT     73,764 Med. Suppl. Fair Mkt Val
Russia ON-GOING SUPPORT     16,669,478 Med. Suppl. Fair Mkt Val
Russia ON-GOING SUPPORT     5,158,968 Med. Suppl. Fair Mkt Val
Russia ON-GOING SUPPORT     298,161 Med. Suppl. Fair Mkt Val
South America EMERGENCY RESPONSE     11,823 Med. Suppl. Fair Mkt Val
South America ON-GOING SUPPORT     20,925,092 Med. Suppl. Fair Mkt Val
South America ON-GOING SUPPORT     8,704,705 Med. Suppl. Fair Mkt Val
South America ON-GOING SUPPORT     2,504,418 Med. Suppl. Fair Mkt Val
South America ON-GOING SUPPORT     289,792 Med. Suppl. Fair Mkt Val
South America POST-EMERGENCY RESPONSE     3,102,879 Med. Suppl. Fair Mkt Val
South America POST-EMERGENCY RESPONSE     889,490 Med. Suppl. Fair Mkt Val
South Asia EMERGENCY RESPONSE     24,723 Med. Suppl. Fair Mkt Val
South Asia EMERGENCY RESPONSE     14,933 Med. Suppl. Fair Mkt Val
South Asia ON-GOING SUPPORT     3,185,921 Med. Suppl. Fair Mkt Val
South Asia ON-GOING SUPPORT     1,895,340 Med. Suppl. Fair Mkt Val
South Asia ON-GOING SUPPORT     1,511,570 Med. Suppl. Fair Mkt Val
South Asia ON-GOING SUPPORT     952,428 Med. Suppl. Fair Mkt Val
South Asia ON-GOING SUPPORT     781,099 Med. Suppl. Fair Mkt Val
South Asia ON-GOING SUPPORT     185,640 Med. Suppl. Fair Mkt Val
South Asia ON-GOING SUPPORT     145,047 Med. Suppl. Fair Mkt Val
South Asia ON-GOING SUPPORT     120,198 Med. Suppl. Fair Mkt Val
South Asia ON-GOING SUPPORT     113,892 Med. Suppl. Fair Mkt Val
South Asia ON-GOING SUPPORT     101,389 Med. Suppl. Fair Mkt Val
South Asia ON-GOING SUPPORT     42,495 Med. Suppl. Fair Mkt Val
South Asia ON-GOING SUPPORT     42,463 Med. Suppl. Fair Mkt Val
South Asia ON-GOING SUPPORT     33,930 Med. Suppl. Fair Mkt Val
South Asia ON-GOING SUPPORT     32,347 Med. Suppl. Fair Mkt Val
South Asia ON-GOING SUPPORT     31,784 Med. Suppl. Fair Mkt Val
South Asia ON-GOING SUPPORT     28,416 Med. Suppl. Fair Mkt Val
South Asia ON-GOING SUPPORT     27,302 Med. Suppl. Fair Mkt Val
South Asia ON-GOING SUPPORT     26,354 Med. Suppl. Fair Mkt Val
South Asia ON-GOING SUPPORT     25,788 Med. Suppl. Fair Mkt Val
South Asia ON-GOING SUPPORT     23,239 Med. Suppl. Fair Mkt Val
South Asia ON-GOING SUPPORT     22,201 Med. Suppl. Fair Mkt Val
South Asia ON-GOING SUPPORT     22,151 Med. Suppl. Fair Mkt Val
South Asia ON-GOING SUPPORT     16,466 Med. Suppl. Fair Mkt Val
South Asia ON-GOING SUPPORT     14,329 Med. Suppl. Fair Mkt Val
South America ON-GOING SUPPORT     14,135 Med. Suppl. Fair Mkt Val
South Asia ON-GOING SUPPORT     12,910 Med. Suppl. Fair Mkt Val
South Asia ON-GOING SUPPORT     12,216 Med. Suppl. Fair Mkt Val
South Asia ON-GOING SUPPORT     12,133 Med. Suppl. Fair Mkt Val
South Asia ON-GOING SUPPORT     10,099 Med. Suppl. Fair Mkt Val
South Asia ON-GOING SUPPORT     9,811 Med. Suppl. Fair Mkt Val
South Asia ON-GOING SUPPORT     8,803 Med. Suppl. Fair Mkt Val
South Asia ON-GOING SUPPORT     8,265 Med. Suppl. Fair Mkt Val
South Asia ON-GOING SUPPORT     7,315 Med. Suppl. Fair Mkt Val
South Asia ON-GOING SUPPORT     6,968 Med. Suppl. Fair Mkt Val
South Asia ON-GOING SUPPORT     6,919 Med. Suppl. Fair Mkt Val
South Asia POST-EMERGENCY RESPONSE     32,000 Med. Suppl. Fair Mkt Val
South Asia POST-EMERGENCY RESPONSE     7,566 Med. Suppl. Fair Mkt Val
Sub-Saharan Africa EMERGENCY RESPONSE     1,374,161 Med. Suppl. Fair Mkt Val
Sub-Saharan Africa EMERGENCY RESPONSE     339,531 Med. Suppl. Fair Mkt Val
Sub-Saharan Africa EMERGENCY RESPONSE     222,775 Med. Suppl. Fair Mkt Val
Sub-Saharan Africa EMERGENCY RESPONSE     75,241 Med. Suppl. Fair Mkt Val
Sub-Saharan Africa EMERGENCY RESPONSE     42,060 Med. Suppl. Fair Mkt Val
Sub-Saharan Africa EMERGENCY RESPONSE     13,024 Med. Suppl. Fair Mkt Val
Sub-Saharan Africa ON-GOING SUPPORT     7,690,770 Med. Suppl. Fair Mkt Val
Sub-Saharan Africa ON-GOING SUPPORT     4,602,968 Med. Suppl. Fair Mkt Val
Sub-Saharan Africa ON-GOING SUPPORT     2,682,111 Med. Suppl. Fair Mkt Val
Sub-Saharan Africa ON-GOING SUPPORT     2,557,067 Med. Suppl. Fair Mkt Val
Sub-Saharan Africa ON-GOING SUPPORT     2,308,282 Med. Suppl. Fair Mkt Val
Sub-Saharan Africa ON-GOING SUPPORT     604,738 Med. Suppl. Fair Mkt Val
Sub-Saharan Africa ON-GOING SUPPORT     497,651 Med. Suppl. Fair Mkt Val
Sub-Saharan Africa ON-GOING SUPPORT     385,909 Med. Suppl. Fair Mkt Val
Sub-Saharan Africa ON-GOING SUPPORT     194,377 Med. Suppl. Fair Mkt Val
Sub-Saharan Africa ON-GOING SUPPORT     62,751 Med. Suppl. Fair Mkt Val
Sub-Saharan Africa ON-GOING SUPPORT     42,907 Med. Suppl. Fair Mkt Val
2
Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .....MediumBullet
192
3
Enter total number of other organizations or entities ........................MediumBullet
 
Schedule F (Form 990) 2011
Schedule F (Form 990) 2011Page 3
Part III
Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.
Use Part V if additional space is needed.
(a) Type of grant or assistance (b) Region (c) Number of recipients (d) Amount of
cash grant 		(e) Manner of cash
disbursement 		(f) Amount of
non-cash
assistance 		(g) Description
of non-cash
assistance 		(h) Method of
valuation
(book, FMV,
appraisal, other)
Medical Outreach Cent. America/Caribbean 322 10,686,230     MEDICINE FAIR MKT VAL
MEDICAL OUTREACH East Asia/Pacific 109 4,645,716     MEDICINE FAIR MKT VAL
MEDICAL OUTREACH Europe/Iceland/Greenland 8 683,261     MEDICINE FAIR MKT VAL
MEDICAL OUTREACH Middle East/North Africa 7 121,601     MEDICINE FAIR MKT VAL
MEDICAL OUTREACH North America 21 671,760     MEDICINE FAIR MKT VAL
MEDICAL OUTREACH Russia 2 30,925     MEDICINE FAIR MKT VAL
MEDICAL OUTREACH South America 101 4,078,945     MEDICINE FAIR MKT VAL
MEDICAL OUTREACH South Asia 30 1,175,218     MEDICINE FAIR MKT VAL
MEDICAL OUTREACH Sub-Saharan Africa 214 9,065,818     MEDICINE FAIR MKT VAL
EMERGENCY RESPONSE Cent. America/Caribbean 148 8,210,372     MEDICINE FAIR MKT VAL
EMERGENCY RESPONSE Europe/Iceland/Greenland 2 558,921     MEDICINE FAIR MKT VAL
EMERGENCY RESPONSE Sub-Saharan Africa 1 131,003     MEDICINE FAIR MKT VAL
               
               
               
               
               
               
Schedule F (Form 990) 2011
Schedule F (Form 990) 2011
Page 4
Part IV
Foreign Forms
1 Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 926 (see instructions for Form 926).................
2 Did the organization have an interest in a foreign trust during the tax year? If " Yes," the organization may be required to file Form 3520 and/or Form 3520-A. (see instructions for Forms 3520 and 3520-A)..........
3 Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with respect to Certain Foreign Corporations. (see instructions for Form 5471)..............................
4 Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If "Yes," the organization may be required to file Form 8621, Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see instructions for Form 8621)
5 Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with respect to Certain Foreign Partnerships. (see instructions for Form 8865)....................................
6 Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to file Form 5713, International Boycott Report (see instructions for Form 5713)................................................
Schedule F (Form 990) 2011
Schedule F (Form 990) 2011
Page 5
Part V
Supplemental Information
Complete this part to provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).
Identifier ReturnReference Explanation
ACTIVITIES CONDUCTED OUTSIDE THE UNITED STATES FORM 990, SCHEDULE F, PART I, LINE 2 AmeriCares' monitoring activities focus specifically on the activities within the scope of the project being funded. Monitoring activities include a regular schedule of narrative reporting on grant related activities as well as regular financial reports on spending against the proposed budget. In addition, AmeriCares may conduct site visits to the project site as required or deemed necessary.
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
Schedule F (Form 990) 2011
Additional Data


Software ID:  
Software Version:  



SCHEDULE G (Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Supplemental Information Regarding
Fundraising or Gaming Activities
Complete if the organization answered "Yes" to Form 990, Part IV, lines 17, 18, or 19,or if the organization entered more than $15,000 on Form 990-EZ, line 6a.right arrowAttach to Form 990 or Form 990-EZ. right arrowSee separate instructions.
OMB No. 1545-0047
2011
Open to Public Inspection
Name of the organization
AmeriCares Foundation Inc
 
Employer identification number

06-1008595
Part I
Fundraising Activities. Complete if the organization answered "Yes" to Form 990, Part IV, line 17.
1
Indicate whether the organization raised funds through any of the following activities. Check all that apply.
a e
b f
c g
d
2a
Did the organization have a written or oral agreement with any individual (including officers, directors, trustees
or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?
b
If “Yes,” list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization. Form 990-EZ filers are not required to complete this table.
(i) Name and address of individual
or entity (fundraiser) 		(ii) Activity (iii) Did fundraiser have custody or control of contributions? (iv) Gross receipts
from activity 		(v) Amount paid to
(or retained by)
fundraiser listed in
col. (i) 		(vi) Amount paid to
(or retained by)
organization
Yes No
BRICKMILL MARKETING INC DIRECT MAIL   No 2,493,519 150,000 2,343,519
DONOR DIGITAL INC INTERNET   No 1,901,639 191,500 1,710,139
DONOR SERVICES INC TELEPHONE   No 1,938,303 82,995 1,855,308
Mal Warwick Direct mail   No 2,493,519 76,500 2,417,019
Total .................right arrow 8,826,980 500,995 8,325,985
3
List all states in which the organization is registered or licensed to solicit funds or has been notified it is exempt from registration or licensing.
AL, AK, AZ, AR, CA, CO, CT, DE, DC, 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, PR, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50083H
Schedule G (Form 990 or 990-EZ) 2011
Schedule G (Form 990 or 990-EZ) 2011
Page 2
Part II
Fundraising Events. Complete if the organization answered "Yes" to Form 990, Part IV, line 18, or reported more than $15,000 on Form 990-EZ, line 6a. List events with gross receipts greater than $5,000.
(a) Event #1

Airlift benefit
(event type) 		(b) Event #2

30th Anniversar
(event type) 		(c) Other Events

1
(total number) 		(d) Total Events
(Add col. (a) through col. (c))
VerticalRevenue 1 Gross receipts . . . 1,380,816 309,950 15,350 1,706,116
2 Less: Charitable
contributions . . . 		1,010,262 144,673 11,284 1,166,219
3 Gross income (line 1
minus line 2) . . . 		370,554 165,277 4,066 539,897
VerticalDirectExpenses 4 Cash prizes . . .        
5 Non-cash prizes . .        
6 Rent/facility costs . . 212,439 39,400 3,950 255,789
7 Food and beverages . . 95,925 105,428   201,353
8 Entertainment . . . 8,945 13,850   22,795
9 Other direct expenses . 53,245 6,599 116 59,960
10 Direct expense summary. Add lines 4 through 9 in column (d) ........... right arrow 539,897
11 Net income summary. Combine lines 3 and 10 in column (d)............ right arrow  
Part III
Gaming. Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.
VerticalRevenue (a) Bingo (b) Pull tabs/Instant
bingo/progressive bingo 		(c) Other gaming (d) Total gaming (Add col. (a) through col. (c))
1 Gross revenue . . . .        
VerticalDirectExpenses 2 Cash prizes . . . .        
3 Non-cash prizes . . .        
4 Rent/facility costs . . .        
5 Other direct expenses . .        
6 Volunteer labor . . .
 
 
 
7 Direct expense summary. Add lines 2 through 5 in column (d) ........... right arrow  
8 Net gaming income summary. Combine lines 1 and 7 in column (d) .......... right arrow  
9
Enter the state(s) in which the organization operates gaming activities:
a
Is the organization licensed to operate gaming activities in each of these states? ............
b
If "No," Explain:
 
10a
Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? .....
b
If "Yes," Explain:
 
11
Does the organization operate gaming activities with nonmembers? .................
12
Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity
formed to administer charitable gaming? ..........................
Schedule G (Form 990 or 990-EZ) 2011
Schedule G (Form 990 or 990-EZ) 2011
Page 3
13
Indicate the percentage of gaming activity operated in:
a
The organization's facility ......................
13a
 
b
An outside facility ........................
13b
 
14
Provide the name and address of the person who prepares the organization's gaming/special events books and records:
Name right arrow
Address right arrow
15a
Does the organization have a contract with a third party from whom the organization receives gaming
revenue? ......................................
b
If "Yes," enter the amount of gaming revenue received by the organization right arrow $   and the
amount of gaming revenue retained by the third party right arrow $   .
c
If "Yes," enter name and address:
Name right arrow
Address right arrow
 
 
16
Gaming manager information:
Name right arrow
Gaming manager compensation right arrow $  
Description of services provided right arrow
 
17
Mandatory distributions:
a
Is the organization required under state law to make charitable distributions from the gaming proceeds to
retain the state gaming license? ............................
b
Enter the amount of distributions required under state law distributed to other exempt organizations or spent
in the organization's own exempt activities during the tax year right arrow$  
Part IV
Complete this part to provide additional information for responses to quuestion on Schedule G (see instructions.)
Identifier ReturnReference Explanation
Schedule G, Part I - Fundraising Consultants   The amounts paid by Americares to the fundraising consultants listed in Schedule G are reported (as required by the Form 990) on a fiscal year basis. These consultants may be represented in Part VII, Section B as top highly paid independent contractors. The amounts reported in Part VII are reported on a calendar-year basis, therefore they may differ from amounts reported on schedule G. per all contracts, expenses are budgeted and approved separately from consulting fees. Expenses in FY 2012 were: Brickmill Marketing $39,750 - Professional Fundraising Expenses Brickmill Marketing $313,386 - Non-professional Fundraising Expenses Donor Services $201,591 - Professional fundraising Expenses Donordigital $84,647 - Professional Fundraising Expenses Mal Warwick $65,625 - Professional Fundraising Expenses
Schedule G (Form 990 or 990-EZ) 2011
Additional Data


Software ID:  
Software Version:  
Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990
OMB No. 1545-0047
2011
Open to Public
Inspection
Name of the organization
AmeriCares Foundation Inc
 
Employer identification number
06-1008595
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21 for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Use
Part IV and Schedule I-1 (Form 990) if additional space is needed ......................... lBullet
(a) Name and address of organization
or government		 (b) EIN (c) IRC Code section
if applicable		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
non-cash assistance		 (h) Purpose of grant
or assistance
(1) International Planned Parenthood Fed125 Maiden Lane 9th Floor
New York,NY10038 		13-1845455 501 (c)(3) 240,110       HAGN
(2) Giao DiemPO Box 2188
Garden Grove,CA92842 		33-0495124 501 (c)(3) 201,321       Pediatric Nutrition
(3) The Haitian Health Foundation97 Sherman Street
Norwich,CT06360 		06-1135999 501 (c)(3) 100,000       Maternal Health
(4) BCFS Health & Human Services1506 Bexar Crossing
San Antonio,TX08232 		74-1260710 501 (c)(3) 98,000       Preparedness/Medical Shelter
(5) Cobleskill Middleburgh & Schoharie CSD155 Washington Avenue
Cobleskill,NY12043 		15-0624299 501 (c)(3) 90,790       PsychoSocial - 3 Schools
(6) Northwest Alabama Mental Health Center1100 7th Avenue
Jasper,AL35501 		63-0524073 501 (c)(3) 81,188       Case Mgmt/Affected Persons
(7) Love a Child Inc12411 Commerce Lakes Drive
Fort Myers,FL33913 		59-2672303 501 (c)(3) 67,200       Medical Outreach
(8) Friends of the Free Clinic Social Welfare904 S 10th Suite A
St Joseph,MO64503 		44-6000455 501 (c)(3) 60,000       Medical Services/Uninsured
(9) GlasswingFDR Station P O Box 445
New York,NY10150 		26-1456470 501 (c)(3) 54,000       Capacity Building
(10) Birmingham Baptist Association750 Montclair Road
Birmingham,AL35222 		63-1052457 501 (c)(3) 50,000       Case Management Program
(11) ACCESS Family Care530 Maiden Lane
Joplin,MO34801 		43-1752799 501 (c)(3) 44,474       Dental Service/Children
(12) Economic Security Corp-SW Area302 Joplin Street
Joplin,MO64801 		43-0834199 501 (c)(3) 40,810       Enhancement-Health Services NOT BE ABLE TO AFFORD THEM
(13) Christian Appalachian Project Inc2610 Palumbo Drive
Lexington,KY60509 		61-0661137 501 (c)(3) 37,400       Counseling Initiative
(14) Memphis Health Center Inc (HC)360 EH Crump Blvd
Memphis,TX38126 		62-0818892 501 (c)(3) 37,231       Generator
(15) March2Recovery334 E Broadway
LOUISVILLE,KY40202 		61-0444680 501 (c)(3) 33,333       Case Mgmt
(16) Wake Health Services Inc2620 New Bern Avenue
Raleigh,NC27610 		56-1004791 501 (c)(3) 32,440       Generator
(17) Christian Appalachian Project Inc2610 Palumbo Drive
Lexington,KY60509 		61-0661137 501 (c)(3) 29,154       Shelter Capacity
(18) Lutheran Social Services of S Dakota705 E 41st St
Sioux Falls,SD57105 		46-0224731 501 (c)(3) 29,000       Case Mgmt
(19) Capstone Rural Health Center5947 Highway 269
Parrish,AL35580 		63-1276483 501 (c)(3) 20,656       Generator
(20) Cap Haitian Health NetHaiti Help Med3145 Cecekua Dr
Apopka,FL32703 		20-0263595 501 (c)(3) 10,000       Capacity Building
(21) Giao DiemPO Box 2188
Garden Grove,CA92842 		33-0495124 501 (c)(3) 10,000       Quan Tri Nutrition
(22) Global Disaster Immediate Response Team42 Vineyard Drive
Stratham,NH03885 		27-2365534 501 (c)(3) 10,000       EMS Capacity-Les Cayes, Haiti
(23) Hope for Haiti1021 5th Avenue North
Naples,FL34102 		95-1644609 501 (c)(3) 10,000       Increase Access to Health Care
(24) Asia America Initiative1523 16th Street NW
Washington,DC20036 		20-1879258 501 (c)(3) 9,000       Flood Relief/Mindanao
(25) ACCESS Family Care530 Maiden Lane
Joplin,MO64801 		43-1752799 501 (c)(3) 8,942       Power Supply
(26) University of California500 Parnassus Ave
San Francisco,CA94143 		94-6002123 501 (c)(3) 7,386       Availability Survey/Medicine Prices
(27) St Boniface Haiti Foundation400 North Main St
Randolph,MA02368 		04-3067595 501 (c)(3) 7,169       Equipment
(28) North Alabama Medical Reserve Corps3330 L and N Drive Suite I
Huntsville,AL35801 		26-2908932 501 (c)(3) 7,000       Preparedness Training/Autism
(29) PUBLIC HEALTH SEATTLE KING COUNTYCentral Pharmacy
Seattle,WA98121 		91-6001327 501 (c)(3)   186,565 Fair Mkt Val Med. Suppl. EMERGENCY RESPONSE
(30) ACS Community LIFT Medical Services5045 West 1st Ave
Denver,CO80219 		52-0643036 501 (c)(3)   94,077 Fair Mkt Val Med. Suppl. EMERGENCY RESPONSE
(31) COLLEGE HEIGHTS CHRISTIAN CHURCH4311 East Newman Rd
Joplin,MO64801 		43-1276651 501 (c)(3)   81,759 Fair Mkt Val Med. Suppl. EMERGENCY RESPONSE
(32) WOODBURN MISSIONARY CHURCH1004 McDonald Chapel Rd
Birmingham,AL35224 		23-7429639 501 (c)(3)   74,499 Fair Mkt Val Med. Suppl. EMERGENCY RESPONSE
(33) CHRISTIAN APPALACHIAN PROJECT6550 US 321 South
Hagerhill,KY41222 		61-0661137 501 (c)(3)   48,853 Fair Mkt Val Med. Suppl. EMERGENCY RESPONSE
(34) TACOMA-PIERCE COUNTY HEALTH DEPARTMENT3629 South D Street
Tacoma,WA98418 		91-1488160 501 (c)(3)   44,776 Fair Mkt Val Med. Suppl. EMERGENCY RESPONSE
(35) FEEDING AMERICA35 East Wacker Drive
Chicago,IL60601 		36-3673599 501 (c)(3)   40,554 Fair Mkt Val Med. Suppl. EMERGENCY RESPONSE
(36) SNOHOMISH HEALTH DISTRICT3020 Rucker Avenue
Everett,WA98201 		91-1866899 501 (c)(3)   29,850 Fair Mkt Val Med. Suppl. EMERGENCY RESPONSE
(37) CHILDFUND INTERNATIONALOaks Volunteer Fire Department
Oaks,OK74359 		54-0536100 501 (c)(3)   26,609 Fair Mkt Val Med. Suppl. EMERGENCY RESPONSE
(38) KY EMERGENCY MANAGEMENT AND NATIONAL GUARD2500 Flemingsburg Road
Morehead,KY40351 		35-9990000 501 (c)(3)   24,642 Fair Mkt Val Med. Suppl. EMERGENCY RESPONSE
(39) SALVATION ARMY615 Slaters Lane
Alexandria,VA22313 		13-2923701 501 (c)(3)   17,982 Fair Mkt Val Med. Suppl. EMERGENCY RESPONSE
(40) CHELAN DOUGLAS HEALTH DISTRICT200 Valley Mall Parkway
East Wenatchee,WA98802 		91-1590156 501 (c)(3)   14,925 Fair Mkt Val Med. Suppl. EMERGENCY RESPONSE
(41) Mattawa Community Medical Clinic210 Government Road
Mattawa,WA99349 		91-1499763 501 (c)(3)   14,904 Fair Mkt Val Med. Suppl. EMERGENCY RESPONSE
(42) SALVATION ARMY615 Slaters Lane
Alexandria,VA22313 		13-2923701 501 (c)(3)   14,319 Fair Mkt Val Med. Suppl. EMERGENCY RESPONSE
(43) San Juan County Health & COmmunity ServicesP O Box 607
Friday Harbor,WA98250 		91-6001360 501 (c)(3)   13,041 Fair Mkt Val Med. Suppl. EMERGENCY RESPONSE
(44) WOMENS HEALTH CONNECTIONS404 N Magnolia
Palestine,TX75801 		20-0776090 501 (c)(3)   11,456 Fair Mkt Val Med. Suppl. EMERGENCY RESPONSE
(45) GRAYS HARBOR COUNTY PUBLIC HEALTH2109 Sumner Avenue
Aberdeen,WA98520 		91-3001320 501 (c)(3)   11,194 Fair Mkt Val Med. Suppl. EMERGENCY RESPONSE
(46) NASH COUNTY HEALTH DEPARTMENT214 South Barnes Street
Nashville,NC27856 		56-6000323 501 (c)(3)   8,874 Fair Mkt Val Med. Suppl. EMERGENCY RESPONSE
(47) Thurston County Public Health and Social Serivces412 Lilly Road NE
Olympia,WA98501 		91-6001375 501 (c)(3)   7,463 Fair Mkt Val Med. Suppl. EMERGENCY RESPONSE
(48) Cowlitz Family Health Center1057 12th Avenue
Longview,WA98632 		91-0896241 501 (c)(3)   7,452 Fair Mkt Val Med. Suppl. EMERGENCY RESPONSE
(49) Asotin County Health District431 Elm Street
Clarkston,WA99403 		26-4483600 501 (c)(3)   5,597 Fair Mkt Val Med. Suppl. EMERGENCY RESPONSE
(50) FEEDING AMERICA35 East Wacker Drive
Chicago,IL60601 		36-3673599 501 (c)(3)   6,025,599 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(51) CHRISTIAN APPALACHIAN PROJECT6550 US 321 South
Hagerhill,KY41222 		61-0661137 501 (c)(3)   2,056,284 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(52) AmeriCares Free Clinics Inc88 Hamilton Avenue
Stamford,CT06902 		06-1422741 501 (c)(3)   656,498 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(53) Faith Family Clinic700 South Zarzamora
San Antonio,TX78207 		26-3791828 501 (c)(3)   390,795 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(54) M-POWER Ministries Health Center4022 4th Ave South
Birmingham,AL35222 		31-1639601 501 (c)(3)   310,721 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(55) COMMUNITY CLINIC OF SHELBYVILLE BEDFORD CO200 Dover St Suite 203
Shelbyville,TN37160 		34-1974609 501 (c)(3)   292,597 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(56) Johnstown Free Medical Clinic340 MAIN STREET 3RD WALNUT
Johnstown,PA15901 		23-2922409 501 (c)(3)   248,040 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(57) FAMILY RESOURCE CENTEROn Your Feet Inc
San Diego,CA92105 		35-2329448 501 (c)(3)   247,844 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(58) Open Door Health Center1350 SW 4 St
Homestead,FL33030 		83-0375996 501 (c)(3)   245,284 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(59) DR GARY BURNSTEIN COMMUNITY HEALTH CLINIC90 W UNIVERSITY
Pontiac,MI48342 		32-0015321 501 (c)(3)   223,660 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(60) Mission Arlington Medical Clinic210 W South
Arlington,TX76010 		75-2724385 501 (c)(3)   217,510 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(61) Raphael Community Free Clinic Inc1807 Water Street
Kerrville,TX78028 		74-2819628 501 (c)(3)   197,930 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(62) Conway Interfaith Clinic830 North Creek
Conway,AR72032 		41-2058756 501 (c)(3)   194,483 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(63) University Medical Center at Brackenridge601 E 15th Street
Austin,TX78701 		74-1109643 501 (c)(3)   194,427 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(64) Wasatch Homeless Health Care Inc404 South 400 West
Salt Lake City,UT84101 		87-0569356 501 (c)(3)   184,352 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(65) Safe Harbor Free Clinic9631 269th St NW
Stanwood,WA98292 		26-3825107 501 (c)(3)   181,360 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(66) Ellensburg Community Health Clinic110 W 6th Ave
Ellensburg,WA98926 		65-1185178 501 (c)(3)   181,349 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(67) Union Gospel Mission Clinic1300 N 1st street
Yakima,WA98901 		23-7050061 501 (c)(3)   177,131 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(68) Leflore County Health Center706 Hwy 82 West
Greenwood,MS38930 		20-0069223 501 (c)(3)   174,494 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(69) A PROMISE TO HELP1332 Winola Lane
Birmingham,AL35235 		26-4401185 501 (c)(3)   174,334 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(70) Traverse Health Clinic3147 Logan Valley Rd
Traverse City,MI49684 		30-0224028 501 (c)(3)   158,980 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(71) Etowah Free Community Clinic423 S 3rd Street
Gadsden,AL35901 		82-0562064 501 (c)(3)   157,317 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(72) Health and Hope Clinic Inc9999 Chemstrand Rd
Pensacola,FL32514 		26-4336638 501 (c)(3)   156,527 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(73) Chippewa Valley Free Clinic836 Richard Dr
Eau Claire,WI54701 		39-1840231 501 (c)(3)   145,868 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(74) Rock Springs Clinic219 Rock Springs Road
Milner,GA30257 		26-4485460 501 (c)(3)   145,195 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(75) IBN SINA FOUNDATION11226 S WILCREST DR
HOUSTON,TX77099 		76-0698464 501 (c)(3)   144,220 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(76) LA CLINICA CRISTIANA3200 Woodward Av
Muscle Shoals,AL35661 		20-1624284 501 (c)(3)   142,441 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(77) Delta Health AlliancePO Box 277
Stoneville,MS38776 		47-0915576 501 (c)(3)   141,666 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(78) Caring Hands Health Clinic34-C Courthouse Square
Cleveland,GA30528 		64-0950194 501 (c)(3)   140,575 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(79) Bread of Healing Clinic1821 N 16th St
Milwaukee,WI53205 		81-0669867 501 (c)(3)   136,592 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(80) Virginia B Andes Volunteer Communtiy21450 Gibralter Drive
Port Charlotte,FL33952 		65-0958642 501 (c)(3)   128,293 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(81) Coordinated Health Services Inc2110 Broad Street
Augusta,GA30904 		58-2060572 501 (c)(3)   121,983 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(82) Grand Prairie Wellness Center1710 Small Street
Grand Prairie,TX75050 		75-2877107 501 (c)(3)   119,503 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(83) The Clinic143 Church St
Phoenixville,PA19460 		23-3072363 501 (c)(3)   117,538 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(84) PEOPLES HEALTH WELLNESS CLINIC553 North Main Street
Barre,VT05641 		03-0343290 501 (c)(3)   116,924 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(85) Georgia Farmworker Health Program920 South West ST
Bainbridge,GA39819 		58-6000359 501 (c)(3)   115,989 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(86) Medical Outreach Ministries1401 E SOUTH BLVD
Montgomery,AL36116 		63-1204645 501 (c)(3)   115,692 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(87) San Jose Clinic2615 Fannin St
Houston,TX77002 		76-0373703 501 (c)(3)   113,854 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(88) HEAL Inc2600 Martin Luther King Jr Blv
Atlanta,GA30314 		26-3990559 501 (c)(3)   113,451 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(89) NASSAU UNIVERSITY MEDICAL CENTER2201 Hempstead Turnpike
East Meadow,NY11554 		11-3465609 501 (c)(3)   111,939 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(90) WHATCOM COUNTY HEALTH DEPARTMENT1500 N State Street
Bellingham,WA98225 		91-6001383 501 (c)(3)   111,860 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(91) WOMENS HEALTH CONNECTIONS404 N Magnolia
Palestine,TX75801 		20-0776090 501 (c)(3)   111,091 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(92) New Orleans Dream Center1137 Saint Charles Avenue
New Orleans,LA70130 		30-0591534 501 (c)(3)   110,283 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(93) Lee County Volunteers in Medicine1154 Lee Boulevard
Lehigh Acres,FL33936 		01-0941498 501 (c)(3)   106,152 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(94) Grace Medical Clinic211 S 8th St
Mayfield,KY42066 		61-1351519 501 (c)(3)   104,671 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(95) first baptist church medicaldental clinic1607 cherry street
vicksburg,MS39180 		64-0356253 501 (c)(3)   102,216 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(96) Hope Clinic of Garland808 W Ave A
Garland,TX75040 		75-2960314 501 (c)(3)   101,915 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(97) HEART TO HEART1021 Pacific Avenue
Kansas City,KS66102 		48-1108359 501 (c)(3)   96,692 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(98) Ministries of Jesus1100 E I-35 Frontage Road
Edmond,OK73034 		73-1622804 501 (c)(3)   95,341 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(99) Snake River Community Clinic215 10th Street
Lewiston,ID83501 		31-1726460 501 (c)(3)   94,777 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(100) ST MARYS HEALTH CENTER1302 DRAYTON ST
SAVANNAH,GA31401 		58-2282758 501 (c)(3)   92,671 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(101) Community Care Center for Forsyth Co Inc2135 New Walkertown Rd
Winston Salem,NC27101 		58-1403699 501 (c)(3)   87,868 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(102) Agape Clinic at Grace United Methodist Church4105 Junius Street
Dallas,TX75246 		14-1847977 501 (c)(3)   83,849 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(103) New Life Pentecostal Medical Clinic for the Uninsu183 N Schuyler Ave
Kankakee,IL60901 		45-4183388 501 (c)(3)   81,852 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(104) Goodwin Community Health Center Inc dba CMAP2605 Parkwood Dr
Brunswick,GA31520 		01-0576945 501 (c)(3)   81,360 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(105) Smith Medical Clinic Inc116 Baskervill Drive
Pawleys Island,SC29585 		57-0786699 501 (c)(3)   80,591 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(106) A Community Clinic Inc335 Market Street
Sunbury,PA17801 		20-4051982 501 (c)(3)   78,878 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(107) Community Care Clinic of Highlands-Cashiers Inc52 Aunt Dora Drive
Highlands,NC28741 		65-1251915 501 (c)(3)   76,821 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(108) Children and Community Health Center120 S Central Expressway
McKinney,TX75070 		20-0637782 501 (c)(3)   75,495 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(109) YAKIMA HEALTH DISTRICT1210 Ahtanum Ridge Drive
Yakima,WA98903 		91-6001391 501 (c)(3)   74,626 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(110) SALT LAKE VALLEY HEALTH DEPARTMENT2001 South State Street
Salt Lake City,UT84190 		87-6000316 501 (c)(3)   74,522 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(111) ACS Community LIFT5045 West 1st Ave
Denver,CO80219 		52-0643036 501 (c)(3)   72,732 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(112) Church Hill Free Clinic401 Richmond Street
Church Hill,TN37642 		62-1391365 501 (c)(3)   72,026 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(113) Sacred Heart Community Clinic620 Round Rock West 8
Round Rock,TX78681 		27-2901548 501 (c)(3)   71,053 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(114) Compassionate Care of Shelby County Inc124 N Ohio Ave
Sidney,OH45365 		20-8479583 501 (c)(3)   70,047 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(115) Good Samaritan House Free Community Health Center213 N Main St
Dearing,GA30808 		32-0126528 501 (c)(3)   68,640 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(116) Volunteers In Medicine Clinic2260 Marcola Road
Springfield,OR97477 		93-1276816 501 (c)(3)   66,464 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(117) HealthQuest of Union County415 E Franklin Street
Monroe,NC28112 		56-2117596 501 (c)(3)   65,807 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(118) CATHERINES HEALTH CENTER1211 Lafayette Ave NE
Grand Rapids,MI49505 		20-3572418 501 (c)(3)   65,597 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(119) Greater Texoma Health Clinic900 N Armstrong Ave
Denison,TX75020 		81-0584983 501 (c)(3)   65,402 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(120) YAVAPAI COUNTY COMMUNITY HEALTH CENTER1090 Commerce Drive
Prescott,AZ86301 		86-6000561 501 (c)(3)   65,348 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(121) Christian Community Clinic of Jackson County1420A McLain Street
Newport,AR72112 		27-1913982 501 (c)(3)   64,148 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(122) The Way Free Medical Clinic Inc479 Houston St
Green Cove Springs,FL32043 		76-0828154 501 (c)(3)   64,067 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(123) Harmony Health Clinic201 E Roosevelt
Little Rock,AR72206 		20-5691313 501 (c)(3)   63,991 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(124) BECKLEY HEALTH RIGHT INC111 Randolph Street
Beckley,WV25801 		55-0774466 501 (c)(3)   63,223 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(125) HEALING HANDS MINISTRIES INC7475 Skillman
Dallas,TX75231 		65-1259379 501 (c)(3)   62,026 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(126) NORTH BROWARD HOSPITAL DISTRICT1600 S Andrews Avenue
Fort Lauderdale,FL33316 		59-6012065 501 (c)(3)   58,981 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(127) GOOD HEALTH CLINIC INC91555 OSEAS HWY 2
Tavernier,FL33070 		04-3745805 501 (c)(3)   58,822 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(128) Detroit Health Care for the Homeless15400 W McNichols
Detroit,MI48235 		38-2724796 501 (c)(3)   57,619 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(129) Etowah Baptist Charity Pharmacy18901 E Etowah Rd
Noble,OK73068 		73-1637087 501 (c)(3)   56,204 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(130) GEORGIA HIGHLANDS MEDICAL SERVICES260 Elm Street
Cumming,GA30040 		53-1338038 501 (c)(3)   55,968 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(131) GOOD SAMARITAN HEALTH CLINIC MARIETTA1605 Roberta Drive SW
Marietta,GA30008 		32-0045238 501 (c)(3)   55,968 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(132) Pima County Health Department3950 S Country Club
Tucson,AZ85714 		86-6000543 501 (c)(3)   55,943 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(133) Magis ClinicSiena/Francis House
Omaha,NE68102 		47-0376583 501 (c)(3)   55,632 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(134) RotaCare Inc875 Jerusalem Ave
Uniondale,NY11530 		11-3135331 501 (c)(3)   55,540 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(135) City Square2835 Grand Ave
Dallas,TX75215 		79-2332948 501 (c)(3)   53,084 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(136) The Open Door Clinic130 W Central
Chippewa Falls,WI54729 		20-3673759 501 (c)(3)   51,948 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(137) FernCare Free Clinic Inc459 E Nine Mile Road
Ferndale,MI48220 		32-0246843 501 (c)(3)   51,903 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(138) MetroWest Free Medical Program105 HUDSON RD
Sudbury,MA01776 		04-3822273 501 (c)(3)   49,292 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(139) TACOMA-PIERCE COUNTY HEALTH DEPARTMENT3629 South D Street
Tacoma,WA98418 		91-1488160 501 (c)(3)   44,776 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(140) The Kitchen Clinic1630 N Jefferson Ave
Springfield,MO65803 		43-1384531 501 (c)(3)   44,404 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(141) THE PEOPLES CITY MISSION FREE MEDICAL CLINIC110 Q Street
Lincoln,NE68512 		26-3819766 501 (c)(3)   44,330 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(142) La State University in Eunice2048 Johnson Highway
Eunice,LA70535 		72-6000848 501 (c)(3)   44,016 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(143) HeartBright Foundation Inc2923 South Tryon
Charlotte,NC28203 		45-0496759 501 (c)(3)   43,541 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(144) Lake Area Free Clinic856B Armour Rd
Oconomowoc,WI53066 		39-2006388 501 (c)(3)   41,970 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(145) The Bridge ClinicPO Box 16024
Loves Park,IL61132 		27-3097955 501 (c)(3)   41,644 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(146) Free Medical Clinic of Darlington County203 Grove Street
Darlington,SC29532 		58-2445265 501 (c)(3)   41,284 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(147) SNOHOMISH HEALTH DISTRICT3020 Rucker Avenue
Everett,WA98201 		91-1866899 501 (c)(3)   40,734 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(148) The Olympia Free Clinic108 State Ave NW
Olympia,WA98501 		27-1606329 501 (c)(3)   39,088 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(149) Bethesda Health Clinic409 West Ferguson
Tyler,TX75702 		26-0036674 501 (c)(3)   38,034 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(150) Lafayette Community Healthcare Clinic1317 Jefferson Street
Lafayette,LA70501 		72-1221982 501 (c)(3)   37,731 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(151) BENTON FRANKLIN HEALTH DISTRICT7102 Okanogan Place
Kennewick,WA99336 		91-1018182 501 (c)(3)   37,313 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(152) BUNCOMBE COUNTY HEALTH DEPARTMENT35 Woodfin Street
Asheville,NC28801 		56-6000279 501 (c)(3)   37,313 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(153) BROWARD HEALTH SEVENTH AVENUE FAMILY HEALTH200 NW 7th Avenue
Fort Lauderdale,FL33311 		60-5912065 501 (c)(3)   37,313 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(154) Unity Health Care - Minnesota Avenue Health Center3924 Minnesota Avenue NE
Washington,DC20019 		52-1572431 501 (c)(3)   37,313 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(155) CAPE GIRARDEAU COUNTY PUBLIC HEALTH CENTER1121 Linden Street
Cape Girardeau,MO63702 		43-1426014 501 (c)(3)   37,313 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(156) UTAH COUNTY HEALTH DEPARTMENT151 South University Avenue
Provo,UT84601 		87-6000312 501 (c)(3)   37,312 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(157) OCEAN COUNTY HEALTH DEPARTMENT175 Sunset Avenue
Toms River,NJ08754 		22-3061367 501 (c)(3)   37,261 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(158) Health Ministry of the Southern Tier300 Nasser Civic Senter
Corning,NY14830 		51-0432450 501 (c)(3)   37,121 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(159) Edward R Leahy Jr Center Clinic for the Uninsure800 Linden Street
Scranton,PA18510 		24-0795495 501 (c)(3)   35,133 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(160) Lake County Free Clinic54 South State St Suite 302
Painesville,OH44077 		34-1081191 501 (c)(3)   35,118 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(161) Commonwealth Clinic10930 Hull Street Road
Midlothian,VA23112 		03-0450006 501 (c)(3)   34,618 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(162) Trinity Clinic507 4th Street
Calvin,OK74531 		73-1325401 501 (c)(3)   33,581 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(163) BEAR RIVER HEALTH DEPARTMENT655 East 1300 North
Logan,UT84341 		87-0109001 501 (c)(3)   33,255 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(164) Capstone Rural Health Center5947 Hwy 269
Parrish,AL35580 		63-1276483 501 (c)(3)   32,743 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(165) Caring Place Clinic901 W Broad St
Mansfield,TX76063 		27-0537258 501 (c)(3)   32,407 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(166) Malta House of Care Inc19 Woodland Street
Hartford,CT06105 		20-3562424 501 (c)(3)   31,958 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(167) SUFFOLK COUNTY DEPARTMENT OF HEALTH225 Rabro Drive East
Hauppauge,NY11788 		11-1704595 501 (c)(3)   31,612 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(168) Manna Ministries Inc120 Street A
Picayune,MS39466 		20-1788094 501 (c)(3)   30,991 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(169) World Reach inc DBA Bethesda Health Center133 Stetson dr
Charlotte,NC28262 		56-2015959 501 (c)(3)   30,378 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(170) The Community Free Clinic528 A Lake Concord Rd
Concord,NC28025 		58-2131301 501 (c)(3)   29,931 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(171) ST LUKES CLINIC132 Seymour Ave
Jackson,MI49202 		32-0038675 501 (c)(3)   27,960 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(172) FREE MEDICAL CLINIC47 W LONG AVENUE
DUBOIS,PA15801 		25-1804763 501 (c)(3)   27,601 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(173) Mamou Health Resources Inc300 South Street
Mamou,LA70554 		72-0949444 501 (c)(3)   27,260 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(174) Ubi Caritas4450 Highland Avenue
Beaumont,TX77705 		76-0558225 501 (c)(3)   27,120 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(175) North Shore Community Health dba Gloucester Family302 Washington St
Gloucester,MA01930 		04-2610447 501 (c)(3)   26,228 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(176) South Central Public Health District1020 Washington St N
Twin Falls,ID83301 		82-0335043 501 (c)(3)   25,338 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(177) Union Gospel MissionCLINIC Union Gospel Mission
dallas,TX75232 		75-6003612 501 (c)(3)   25,172 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(178) Shelby Community Health Center1640 E State Rd 44
Shelbyville,IN46176 		30-0174146 501 (c)(3)   23,464 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(179) Brockton Neighborhood Health center63 Main Street
Brockton,MA02301 		04-3165044 501 (c)(3)   22,964 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(180) Good Samaritan Health Clinic of Pasco INC5334 Aspen St
New Port Richey,FL34652 		59-3072334 501 (c)(3)   22,633 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(181) LINN COUNTY PUBLIC HEALTH501 13th Street NW
Cedar Rapids,IA52405 		42-6004338 501 (c)(3)   22,388 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(182) Dispensary of Hope566 Mainstream Drive
Nashville,TN37228 		20-8973035 501 (c)(3)   22,387 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(183) CENTRAL UTAH PUBLIC HEALTH70 Westview Dr
Richfield,UT84701 		87-0629869 501 (c)(3)   22,372 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(184) Health Access Inc489 Washington Avenue
Clarksburg,WV26301 		55-0715066 501 (c)(3)   22,334 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(185) Richmond Area High Blood Pressure Center1200 West Cary Street
Richmond,VA23220 		52-1303481 501 (c)(3)   21,927 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(186) Cabrini Clinic1234 Porter Street
Detroit,MI48226 		38-3129349 501 (c)(3)   20,931 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(187) Catherine McAuley Clinic5514 Hohman Ave
Hammond,IN46320 		35-1835133 501 (c)(3)   20,504 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(188) FORSYTH COUNTY DEPT OF PUBLIC HEALTH799 N Highland Avenue
WinstonSalem,NC27101 		56-6000450 501 (c)(3)   20,315 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(189) Family Health Centers Inc2215 Portland Avenue
Louisville,KY40212 		61-0716483 501 (c)(3)   20,115 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(190) Greenville Free Medical Clinic600 Arlington Avenue
Greenville,SC29601 		57-0855205 501 (c)(3)   19,635 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(191) SET Family Medical Clinics825 east Pkikes Peak Ave
Colorado Springs,CO80903 		84-1183335 501 (c)(3)   19,423 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(192) Partnering for Health501 Howard Ave Suite 204B
Altoona,PA16601 		25-1842308 501 (c)(3)   19,404 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(193) ROCK ISLAND COUNTY HEALTH DEPARTMENT2112 25th Avenue
Rock Island,IL61201 		36-6006649 501 (c)(3)   18,657 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(194) Polk County Health Department1907 Carpenter Ave
Des Moines,IA50314 		42-6004519 501 (c)(3)   18,657 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(195) DAVIS COUNTY HEALTH DEPARTMENT22 South State Street
Clearfield,UT84015 		87-6000297 501 (c)(3)   18,657 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(196) MCHENRY COUNTY DEPARTMENT OF HEALTH2200 N Seminary Avenue
Woodstock,IL60098 		36-6006623 501 (c)(3)   18,656 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(197) JEFFERSON COUNTY HEALTH DEPARTMENT405 Main Street
Hillsboro,MO63050 		43-1390883 501 (c)(3)   18,656 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(198) The Neighborhood Christian Clinic1929 W Fillmore
Phoenix,AZ85009 		86-0839580 501 (c)(3)   18,367 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(199) Western Stark Free Clinic820 Amherst Road NE
Massillon,OH44646 		34-1887206 501 (c)(3)   18,323 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(200) Harrisonburg Rockingham Free Clinic25 West Water Street
Harrisonburg,VA22801 		54-1568909 501 (c)(3)   18,286 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(201) GRAHAM COUNTY HEALTH DEPARTMENT826 W Main Street
Safford,AZ85546 		86-6000458 501 (c)(3)   18,138 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(202) POLK COUNTY HEALTH DEPARTMENT1907 Carpenter Ave
Des Moines,IA50314 		42-6004519 501 (c)(3)   18,138 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(203) Eunice Community Health Center450 Moosa Blvd Ste E
Eunice,LA70535 		27-0213992 501 (c)(3)   18,080 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(204) The Floating Hospital4140 27th St
Long Island City,NY11101 		13-1624169 501 (c)(3)   17,687 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(205) ACCESS FAMILY HEALTH SERVICES63450 Hwy 25 North
Smithville,MS38870 		64-0612902 501 (c)(3)   17,181 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(206) Shepherds Care Medical Clinic304 B Pony Road
Zebulon,NC27597 		26-2757593 501 (c)(3)   17,132 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(207) WV HEALTH RIGHT INC1520 Washington St
CHARLESTON,WV25311 		31-1066881 501 (c)(3)   17,076 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(208) OCEAN HEALTH INITIATIVES INC101 2nd Street
Lakewood,NJ08701 		06-1691342 501 (c)(3)   16,791 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(209) Access Community Health Centers2901 W Beltline Highway
Madison,WI53713 		39-1391134 501 (c)(3)   16,791 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(210) Healthcare for the Homeless - Houston2505 Fannin Street
Houston,TX77002 		76-0647934 501 (c)(3)   16,081 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(211) CommunityHealth2611 W Chicago Ave
Chicago,IL60622 		36-3931793 501 (c)(3)   15,991 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(212) St Josephs Westside Family Health Center216 Seymour Street
Syracuse,NY13204 		15-0532254 501 (c)(3)   15,737 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(213) Health Partners Inc3070 Crain Highway
Waldorf,MD20601 		52-1767044 501 (c)(3)   15,646 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(214) Commonwealth Clinic dba Love of Jesus Health Clini10930 Hull Street Road
Midlothian,VA23112 		03-0450006 501 (c)(3)   15,004 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(215) SUFFOLK DOH AMITYVILLE1080 Sunrise Hwy
Amityville,NY11701 		11-6000464 501 (c)(3)   14,925 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(216) KITTITAS COUNTY PUBLIC HEALTH DEPARTMENT507 N Nanum Street
Ellensburg,WA98926 		91-6001349 501 (c)(3)   14,925 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(217) Winton Hills Medical and Health Center5275 Winneste Avenue
Cincinnati,OH45232 		23-7241323 501 (c)(3)   14,925 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(218) The Medina Health Ministry970 E Washington Street
Medina,OH44256 		30-0092944 501 (c)(3)   14,823 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(219) Joy-Southfield Community Health Center18917 Joy Road
Detroit,MI48154 		38-3622930 501 (c)(3)   14,373 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(220) Heart Ministry Center2222 Binney Street
Omaha,NE68110 		81-0614816 501 (c)(3)   14,205 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(221) Oasis of Hope Center522 Leonard St NW
Grand Rapids,MI49504 		20-2781312 501 (c)(3)   14,190 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(222) Peoples Clinic3110 Goulden
Port Huron,MI48060 		38-3274342 501 (c)(3)   14,045 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(223) ACS Community LIFT Medical Services5045 West 1st Ave
Denver,CO80219 		52-0643036 501 (c)(3)   13,628 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(224) The Free Medical Clinic of Greater Cleveland12201 Euclid Ave
Cleveland,OH44146 		23-7078501 501 (c)(3)   13,540 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(225) LINN COMMUNITY CARE1201 3rd Avenue SE
Cedar Rapids,IA52403 		20-2405575 501 (c)(3)   13,060 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(226) Regional Community Health Care Center Foundation249 Mill Street
Hagerstown,MD21740 		52-1772594 501 (c)(3)   12,500 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(227) River Valley Christian Clinic1714 State Hwy 22
Dardanelle,AR72834 		20-5193973 501 (c)(3)   12,412 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(228) Orangeburg-Calhoun Free Medical Clinic860 Holly Street
Orangeburg,SC29115 		26-3762573 501 (c)(3)   12,402 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(229) I Care San Antonio1 Haven for Hope Way
San Antonio,TX78207 		74-2690192 501 (c)(3)   11,720 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(230) La Clinica de la Esperanza2679 Maury Street
Des Moines,IA50317 		42-0680452 501 (c)(3)   11,420 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(231) WEBER MORGAN HEALTH DEPARTMENT477 23rd St
Ogden,UT84401 		87-6000308 501 (c)(3)   11,194 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(232) BRENTWOOD FAMILY HEALTH CENTER1869 Brentwood Road
Brentwood,NY11717 		11-1704595 501 (c)(3)   11,194 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(233) Allegany County Department of Health7 Court Street
Belmont,NY14813 		16-6002554 501 (c)(3)   11,194 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(234) TIPPECANOE COUNTY HEALTH DEPARTMENT629 North 6th Street
Lafayette,IN47901 		35-6000202 501 (c)(3)   11,194 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(235) HOMETOWN HEALTH CENTER1044 State Street
Schenectady,NY12307 		14-1636222 501 (c)(3)   11,194 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(236) Lowell Health Department341 Pine Street
Lowell,MA01851 		04-6001396 501 (c)(3)   11,178 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(237) Linn County Health Department635 S Main Street
Brookfield,MO64628 		43-1268666 501 (c)(3)   11,178 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(238) NIAGARA COUNTY HEALTH DEPARTMENT1001 11th Street
Niagara Falls,NY14301 		16-6002564 501 (c)(3)   11,090 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(239) YORK COUNTY COMMUNITY HEALTH CAREPO Box 72
Sanford,ME04073 		01-6020406 501 (c)(3)   11,090 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(240) Mercy Health Center Inc767 Oglethorpe Ave
Athens,GA30606 		58-2603523 501 (c)(3)   10,304 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(241) The Dr Albert B Cleage Sr Memorial Health Cent700 Seward Street
Detroit,MI48202 		11-3754940 501 (c)(3)   9,909 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(242) SCOTT COUNTY HEALTH DEPARTMENT1461 N Gardner Street
Scottsburg,IN47170 		35-6000195 501 (c)(3)   9,802 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(243) Dade County Health Department413 w water street
greenfield,MO65661 		43-1266535 501 (c)(3)   9,690 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(244) FRAMINGHAM BOARD OF HEALTH150 Concord Street
Framingham,MA01702 		04-6001151 501 (c)(3)   9,328 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(245) LINCOLN-LANCASTER COUNTY HEALTH DEPARTMENT3140 N Street
Lincoln,NE68510 		47-6006256 501 (c)(3)   9,328 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(246) Greater Greenwood United Ministry Free Medical Cli1404 Edgefield Street
Greenwood,SC29384 		57-1012393 501 (c)(3)   8,985 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(247) Wheeling Health Right Inc61-29th St
Wheeling,WV26003 		31-1149085 501 (c)(3)   8,922 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(248) The Good Samaritan Clinic of Jackson County538 Scotts Creek Road
Sylva,NC28779 		56-2266536 501 (c)(3)   8,816 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(249) PARTNERS FOR HEALING INC109 West Blackwell
Tullahoma,TN37388 		62-1834800 501 (c)(3)   7,734 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(250) Volunteers In Medicine Inc2140 North 4th Street
St Charles,MO63301 		43-1791543 501 (c)(3)   7,704 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(251) BETHESDA FREE HEALTH CLINIC OF DIBERVILLE10701 Boney Ave
DIBERVILLE,MS39540 		27-3534168 501 (c)(3)   7,619 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(252) COLUMBIA BASIN HEALTH ASSOCIATION140 E Main Street
Othello,WA99344 		91-0896701 501 (c)(3)   7,463 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(253) Webster County Health Department330 1st Ave N
Fort Dodge,IA50501 		42-6004677 501 (c)(3)   7,463 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(254) EAST CENTRAL DISTRICT HEALTH DEPARTMENT2282 East 32nd Avenue
Columbus,NE68601 		47-0835183 501 (c)(3)   7,463 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(255) ONE WORLD COMMUNITY HEALTH CENTERS INC4920 S 30th Street
Omaha,NE68107 		47-0548990 501 (c)(3)   7,463 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(256) Ralls County Health Department405 W 1st
New London,MO63459 		43-0980364 501 (c)(3)   7,463 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(257) BELMONT COUNTY HEALTH DEPARTMENT68501 Bannock Road
St Clairsville,OH43950 		34-6000234 501 (c)(3)   7,462 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(258) CLEVELAND COUNTY HEALTH DEPARTMENT315 E Grover Street
Shelby,NC28150 		56-6000288 501 (c)(3)   7,462 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(259) Arlington Free Clinic2921 South 11th Street
Arlington,VA22204 		54-1671883 501 (c)(3)   7,462 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(260) Waimanalo Health Center41-1347 Kalanianaole Hwy
Waimanalo,HI96795 		99-0273205 501 (c)(3)   7,462 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(261) SOUTH BROOKHAVEN HEALTH CENTER-WEST365 E Main Street
Patchogue,NY11772 		11-6000464 501 (c)(3)   7,462 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(262) SUMMIT COUNTY HEALTH DEPARTMENT85 North 50 East
Coalville,UT84017 		87-6000295 501 (c)(3)   7,452 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(263) CAMP AMERIKIDS88 Hamilton Ave
Stamford,CT06902 		06-1431690 501 (c)(3)   7,433 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(264) Good Samaritan Clinic418 Grand Park Drive
Parkersburg,WV26105 		55-0708491 501 (c)(3)   7,401 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(265) ARLINGTON FREE CLINIC2921 South 11th Street
Arlington,VA22204 		54-1671883 501 (c)(3)   7,255 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(266) CORTLAND COUNTY HEALTH DEPARTMENT60 Central Avenue
Cortland,NY13045 		15-6000452 501 (c)(3)   7,255 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(267) ERIE COUNTY HEALTH DEPARTMENT503 Kensington Avenue
Buffalo,NY14202 		16-6002558 501 (c)(3)   7,255 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(268) NAVAJO COUNTY PUBLIC HEALTH600 N 9th Place
Show Low,AZ85901 		86-6000541 501 (c)(3)   7,255 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(269) DUBUQUE VISITING NURSE ASSOCIATION1454 Iowa Street
Dubuque,IA52001 		42-0680410 501 (c)(3)   7,255 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(270) SPRINGFIELD-GREENE COUNTY HEALTH DEPARTMENT660 South Scenic
Springfield,MO65802 		44-6000268 501 (c)(3)   7,255 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(271) Conejo Free Clinic80 East Hillcrest Drive
Thousand Oaks,CA91360 		95-3177953 501 (c)(3)   7,098 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(272) St Thomas Clinic600 Paul Hand Boulevard
Franklin,IN46131 		35-1449379 501 (c)(3)   7,071 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(273) Social Welfare Board904 S 10th
St Joseph,MO64503 		44-6000455 501 (c)(3)   6,650 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(274) GOOD HEALTH CLINIC INC91555 OSEAS HWY 2
Tavernier,FL33070 		04-3745805 501 (c)(3)   6,299 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(275) KUUMBA COMMUNITY HEALTH INC4910 Valley View Blvd
Roanoke,VA24012 		54-1937835 501 (c)(3)   5,966 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(276) NEIGHBORHOOD INVOLVEMENT CLINIC2431 Hennepin Ave S
Minneapolis,MN55405 		41-0956858 501 (c)(3)   5,804 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(277) ST LUKES FREE MEDICAL CLINIC162 N Dean St
Spartanburg,SC29302 		57-0943232 501 (c)(3)   5,783 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(278) COMMUNITY HEALTH CLINIC OF JOPLIN701 S Joplin Ave
Joplin,MO64801 		43-1643962 501 (c)(3)   5,744 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(279) NORTH CAROLINA ASSOCIATION OF FREE CLINIC240 Tucker Avenue
Winston Salem,NC27104 		56-2062170 501 (c)(3)   5,650 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(280) Rice Lake Area Free Clinic - VIM1035 N Mail Street
Rice Lake,WI54868 		27-0453241 501 (c)(3)   5,626 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(281) Live Oak Clinic of Brazosport796 S Brazosport Blvd
Clute,TX77531 		30-0395491 501 (c)(3)   5,247 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
(282) HAYWOOD COUNTY COUNTY HEALTH DEPARTMENT2177 Asheville Road
Waynesville,NC28786 		56-6001524 501 (c)(3)   5,224 Fair Mkt Val Med. Suppl. ON-GOING SUPPORT
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
282
3
Enter total number of other organizations listed in the line 1 table ......................... . Bullet Image
 
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2011

Schedule I (Form 990) 2011
Page 2
Part III
Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Use Schedule I-1 (Form 990) if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients		 (c)Amount of
cash grant		 (d)Amount of
non-cash assistance		 (e)Method of valuation (book,
FMV, appraisal, other)		 (f)Description of non-cash assistance
(1) Free medicines to patients 96000   129,010,612 fmv prescription meds
(2) Medical outreach in the united states 64   1,097,960 fmv medical supplies











Part IV
Supplemental Information. Complete this part to provide the information required in Part I, line 2, and any other additional information.
Identifier Return Reference Explanation
GRANTS AND ASSISTANCE FORM 990, SCHEDULE I, PART I LINE 2- AmeriCares' monitoring activities focus specifically on the activities within the scope of the project being funded. Monitoring activities include a regular schedule of narrative reporting on grant related activities as well as regular financial reports on spending against the proposed budget. In addition, AmeriCares may conduct site visits to the project site as required or deemed necessary.
Schedule I (Form 990) 2011


Additional Data


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Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
OMB No. 1545-0047
2011
Open to Public Inspection
Name of the organization
AmeriCares Foundation Inc
 
Employer identification number

06-1008595
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all the expenses described above? If "No," complete Part III to explain....
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....
2
 
 
3
Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ...............
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........
4b
 
No
c
Participate in, or receive payment from, an equity-based compensation arrangement? ........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 50053T
Schedule J (Form 990) 2011

Schedule J (Form 990) 2011
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and column (E) for that individual.
(A) Name (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation
reported as deferred
in prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1) Curtis R Welling (i)
(ii)		 272,860
0 		0
0 		0
0 		16,500
0 		24,168
0 		313,528
0 		 
 
(2) Kevin Gilrain (i)
(ii)		 163,890
0 		0
0 		0
0 		9,888
0 		17,129
0 		190,907
0 		 
 
(3) Christoph Gorder (i)
(ii)		 176,804
0 		0
0 		0
0 		10,815
0 		25,168
0 		212,787
0 		 
 
(4) Carolyn O'Brien (i)
(ii)		 142,174
0 		0
0 		0
0 		8,568
0 		16,975
0 		167,717
0 		 
 
(5) Katherine Sears (i)
(ii)		 211,616
0 		0
0 		0
0 		12,900
0 		25,190
0 		249,706
0 		 
 
(6) Carol Shattuck (i)
(ii)		 173,671
0 		0
0 		0
0 		10,506
0 		18,130
0 		202,307
0 		 
 
(7) Lee Weiner (i)
(ii)		 128,655
0 		0
0 		0
0 		0
0 		22,700
0 		151,355
0 		 
 
(8) Adam Zayan (i)
(ii)		 141,970
0 		0
0 		0
0 		8,652
0 		24,190
0 		174,812
0 		 
 
(9) Frank Bia (i)
(ii)		 175,747
0 		0
0 		0
0 		10,815
0 		26,468
0 		213,030
0 		 
 







Schedule J (Form 990) 2011

Schedule J (Form 990) 2011
Page 3
Part III
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.
Identifier Return Reference Explanation
Schedule J (Form 990) 2011

Additional Data


Software ID:  
Software Version:  
SCHEDULE M
(Form 990)

Department of the Treasury
Internal Revenue Service
NonCash Contributions
Right pointing arrow large imageComplete if the organization answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image Attach to Form 990.
OMB No. 1545-0047
2011
Open to Public Inspection
Name of the organization
AmeriCares Foundation Inc
 
Employer identification number

06-1008595
Part I
Types of Property
(a)
Check if applicable 		(b)
Number of Contributions or items contributed 		(c)
Noncash contribution amounts reported on
Form 990, Part VIII, line 1g 		(d)
Method of determining
noncash contribution amounts
1 Art—Works of art ....        
2 Art—Historical treasures .        
3 Art—Fractional interests ..        
4 Books and publications ..      
5 Clothing and household
goods ....... 		X 1,626,924 MARKET PRICE
6 Cars and other vehicles ..        
7 Boats and planes ....        
8 Intellectual property ...        
9 Securities—Publicly traded . X 61 814,419 MARKET PRICE
10 Securities—Closely held stock .        
11 Securities—Partnership, LLC,
or trust interests .... 		       
12 Securities—Miscellaneous ..        
13 Qualified conservation
contribution—Historic
structures ..... 		       
14 Qualified conservation
contribution—Other ... 		       
15 Real estate—Residential .        
16 Real estate—Commercial ..        
17 Real estate—Other ...        
18 Collectibles .....        
19 Food inventory ... X 35,481 9,568,426 COST/WHOLESALE PRICE
20 Drugs and medical supplies . X 497,236 487,411,301 COST/WHOLESALE PRICE
21 Taxidermy ......        
22 Historical artifacts ....        
23 Scientific specimens ..        
24 Archeological artifacts ...        
25 Other Right pointing arrow large image ( HYGIENE ITEMS ) X 318,948 3,721,059 COST/WHOLESALE PRICE
26 Other Right pointing arrow large image( )
27 Other Right pointing arrow large image( )
28 Other Right pointing arrow large image ( )
29
Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement ...
29
67
Yes
No
30a
During the year, did the organization receive by contribution any property reported in Part I, lines 1-28 that it
must hold for at least three years from the date of the initial contribution, and which is not required to be used
for exempt purposes for the entire holding period? ..................
30a
 
No
b
If "Yes," describe the arrangement in Part II.
31
Does the organization have a gift acceptance policy that requires the review of any non-standard contributions?
31
Yes
 
32a
Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash
contributions? ............................
32a
Yes
 
b
If "Yes," describe in Part II.
33
If the organization did not report revenues in column (c) for a type of property for which column (a) is checked,
describe in Part II.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 51227J
Schedule M (Form 990) 2011
Schedule M (Form 990) 2011
Page 2
Part II
Supplemental Information. Complete this part to provide the information required by Part I, lines 30b,
32b, and 33 and whether the organization is reporting in Part I, column (b) the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.
Identifier Return Reference Explanation
Form 990, Schedule M, Line 32b   To the extent that Americares receives non-cash contributions in the form of donated securities, Americares will use its own investment broker to sell those donated securities.
Schedule M (Form 990) 2011
Additional Data


Software ID:  
Software Version:  
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.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2011
Open to Public
Inspection
Name of the organization
AmeriCares Foundation Inc
 
Employer identification number

06-1008595
Identifier Return Reference Explanation
990 Review Process Form 990, Part VI, Line 11 The Form 990 was prepared by a nationally renowned accounting firm in conjunction with the organization's financial department. Before filing, the Form 990 is reviewed by management and distributed to the Audit Committee of the Board of Directors for review and comment. Comments are addressed and the form is distributed to the entire Board of Directors.
Conflict of Interest Policy Form 990, Part VI, Line 12 If a Director or Executive Officer believes that he or she may have a conflict of interest with respect to any particular transaction, he or she shall promptly and fully disclose the potential conflict to the Chief Executive Officer ("CEO") and the Chair of the Governance Committee and the latter shall then promptly notify all members of the Governance Committee. A. If the Governance Committee determines that there is in fact a conflict with respect of a Director, the conflict shall be reported to the full Board, and the affected Director shall agree to answer any questions about the matter that other Board members may have. If the particular transaction requires a vote of the Board, or of one of its committees, the affected Director shall not be counted for purposes of a quorum nor shall he or she vote on the matter. The minutes shall report the quorum determination and the voting. B. If the Governance Committee determines that there is in fact a conflict concerning a particular transaction with respect to an Executive Officer, they shall exercise their best judgment about the appropriate course to follow, which may include: 1. approval of the transaction despite the conflict if they are reasonably certain that the best interests of AmeriCares will be served thereby, or 2. referral of the issue to legal counsel for advice, or 3. referral of the issue to the appropriate committee of the Board of Directors, or to the full Board, for decision. Except that in all cases wherein the Governance Committee determines that there is in fact a conflict of interest concerning a particular transaction involving an Officer of AmeriCares, the full Board shall be notified of the resolution of the issue and the affected Officer shall agree to answer any questions about the matter that Board members may have. C. If the Governance Committee determines that there is no conflict of interest with respect to a particular transaction involving a Director or Officer, they need not notify the Board of Directors, but the Secretary of the Board shall keep a record of the decision which shall be available to Board members upon request. D. In any case in which the potential conflict with respect to a particular transaction involves either the CEO or the Chairman of the Board of Directors, the affected party shall notify the Chair of the Governance Committee, and the conflict shall then be reported to the full Board, and the CEO or Chairman of the Board shall agree to answer any questions about the matter that other Board members may have. If the particular transaction requires a vote of the Board, or one of its committees, the CEO or Chairman shall not be counted for purposes of a quorum nor shall he or she vote on the matter. The minutes shall report the quorum determination and the voting.
Process for determining compensation Form 990, Part VI, Line 15 The Board of Directors determines compensation of the CEO, who receives the same compensation as when he started with AmeriCares in 2002. He has not accepted any annual increases or adjustments to his compensation, although in November 2008, and again in April 2009, he did accept a reduction in compensation as part of an organization-wide action. The Organization's Chief Executive determines the compensation of other senior staff and may utilize available market data, salary survey results and other available tools to substantiate decisions.
Public disclosure of documents Form 990, Part VI, Line 19 The taxpayer makes its Form 990 available to the public by retaining a copy at its place of business and on its website. The Form 990 is likewise published on the internet at www.guidestar.org. The organization's financial statements are summarized in its annual report, which is available on its website and by request; full financial statements are available upon request. The governing documents and conflict of interest policy are not ordinarily made available to the public, but, if requested, will be provided at management's discretion.
Other changes in net assets Form 990, Part XII, Line 5 Split interest agreement ($1,855,423) Unrealized loss on investments ($454,590) ----------- Total ($2,310,013)
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2011

Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.

OMB No. 1545-0047
2011
Open to Public Inspection
Name of the organization
AmeriCares Foundation Inc
 
Employer identification number

06-1008595
Part I
Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)
(a)
Name, address, and EIN of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income
(e)
End-of-year assets


 		(f)
Direct controlling
entity

















Part II
Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section
(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled organization
Yes No
(1) AmeriCares Free Clinics Inc

88 Hamilton Avenue

Stamford,CT06902
06-1422741 		Health care CT 501(c)(3) 7 na
 
Yes
 












For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2011
Schedule R (Form 990) 2011
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V—UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)
(a)
Name, address, and EIN of related organization



 		(b)
Primary activity



 		(c)
Legal domicile
(state or
foreign
country)
 		(d)
Direct controlling
entity


 		(e)
Type of entity
(C corp, S corp,
or trust)

 		(f)
Share of total income



 		(g)
Share of
end-of-year
assets

 		(h)
Percentage
ownership












Schedule R (Form 990) 2011
Schedule R (Form 990) 2011
Page 3
Part V
Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)
Note. Complete line 1 if any entity is listed in Parts II, III or IV.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
Yes
 
c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
 
No
d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
 
No
k Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .
1k
 
No
l Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .
1l
 
No
m Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .
1m
 
No
n Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1n
 
No
o Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
 
No
p Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
 
No
r Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of other organization 		(b)
Transaction
type(a-r) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) AMERICARES FREE CLINICS INC

 B 693,159 FMV
(2) AMERICARES FREE CLINICS INC

 B 156,980 CASH
(3) AMERICARES FREE CLINICS INC

 P 65,439 FMV
(4)
(5)
(6)
Schedule R (Form 990) 2011
Schedule R (Form 990) 2011
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(e)
Are all
partners
section
501(c)(3)
organizations? 		(f)
Share of total income




 		(g)
Share of
end-of-year
assets 		(h)
Disproprtionate allocations? 		(i)
Code V—UBI
amount in box
20 of Schedule K-1
(Form 1065) 		(j)
General or
managing
partner? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























Schedule R (Form 990) 2011
Schedule R (Form 990) 2011
Page 5
Part VII
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions).
Identifier Return Reference Explanation
Additional Data


Software ID:  
Software Version: