Attach to Form 990 or Form 990-EZ.
See separate instructions.| (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 | |||||||||
| 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.") .... | 660,351 | 454,720 | 514,977 | 485,224 | 559,350 | 2,674,622 |
| 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.. | 660,351 | 454,720 | 514,977 | 485,224 | 559,350 | 2,674,622 |
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f).. | ||||||
| 6 | Public Support. Subtract line 5 from line 4. | 2,674,622 | |||||
| Calendar year(or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 660,351 | 454,720 | 514,977 | 485,224 | 559,350 | 2,674,622 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 55,898 | 37,489 | 22,978 | 16,218 | 11,965 | 144,548 |
| 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.. | 60,336 | 157,303 | 96,249 | 55,763 | 44,472 | 414,123 |
| 11 | Total support (Add lines 7 through 10). | 3,233,293 | |||||






| 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.) | 0 | |||||
| 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.). | ||||||




| Facts And Circumstances Test |
|---|
| OTHER INCOME PART II, LINE 10; DESCRIPTION: SALE OF HEALTH PRODUCTS; 2007: 35796.; 2008: 39760.; 2009: 32208.; 2010: 19642.; 2011: 24064.; DESCRIPTION: OTHER REVENUE; 2007: 24540.; 2008: 36033.; 2009: 6707.; 2010: 4511.; 2011: 6016.; DESCRIPTION: HEALTHCARE WORKSHOPS; 2008: 55677.; 2009: 57334.; 2010: 17186.; 2011: 13042.; DESCRIPTION: HEALTH CAREERS MANUAL; 2008: 25833.; 2010: 14424.; 2011: 1350.; |
| Explanation |
|---|
| Software ID: | 11000175 |
| Software Version: |
Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| Pt VI, Line 11a | THE GOVERNING BODY DOES NOT REVIEW THE COMPLETED 990 PRIOR TO FILING; | |
| HOWEVER, ONE OR MORE OFFICERS PERFORMS A CURSORY REVIEW PRIOR TO | ||
| SIGNING THE FORM. IN ADDITION, ONE OR MORE MEMBERS OF THE | ||
| BOARD PERFORMS A COMPLIANCE REVIEW AFTER THE 990 IS FILED. | ||
| Pt VI, Line 19 | THE ORGANIZATION DOES NOT MAKE OUR GOVERNING DOCUMENTS, CONFLICT OF | |
| INTEREST POLICY, OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. | ||
| OUR FORMS 990'S ARE AVAILABLE FOR PUBLIC INSPECTION UPON | ||
| WRITTEN REQUEST. | ||
| Pt VI, Line 15 | THE ORGANIZATION'S EXECUTIVE COMMITTEE PERFORMS AN ANNUAL | |
| PERFORMANCE REVIEW OF THE EXECUTIVE DIRECTOR AND DETERMINES | ||
| THE COMPENSATION BASED ON COMPARABILITY DATA WITHIN THE | ||
| HEALTHCARE INDUSTRY. THE EXECUTIVE DIRECTOR DETERMINES | ||
| THE STAFF'S COMPENSATION WITHIN THE GUIDELINES RECOMMENDED | ||
| BY THE EXECUTIVE COMMITTEE. | ||
| Form 990, Part III, Line 4d | MIGRANT - YEARLY, SUPPORT AN INTENSE MULTIDISCIPLINE 60598. 0. 0. LEARNING RESOURCES-PROVIDE SUPPORT TO HEALTH PROFESSIONALS 17921. 0. 0. | |
| Form 990, Part IX, Line 24f | MIGRANT PROGRAMS 19498. 19498. 0. 0. OTHER 8751. 7200. 1551. 0. DATA MANAGEMENT SYSTEM 13489. 11240. 2249. 0. |
| Software ID: | 11000175 |
| Software Version: |