Department of the Treasury Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
Attach to Form 990 or Form 990-EZ. See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
INTERNATIONAL MEDICAL CORPS
Employer identification number
95-3949646
Part I
Reason for Public Charity Status
(All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).
f
If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supporting organization, check this box
..................................................
g
Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons?
(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the supported organization?
................
11g(i)
(ii)
A family member of a person described in (i) above?
......................
11g(ii)
(iii)
A 35% controlled entity of a person described in (i) or (ii) above?
................
11g(iii)
h
Provide the following information about the supported organization(s).
(i) Name of supported organization
(ii) EIN
(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions))
(iv) Is the organization in col. (i) listed in your governing document?
(v) Did you notify the organization in col. (i) of your support?
(vi) Is the organization in col. (i) organized in the U.S.?
(vii) Amount of monetary support
Yes
No
Yes
No
Yes
No
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the
organization failed to qualify under Part III. If the organization fails to
qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in)
(a) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
115,083,099
130,690,478
133,707,880
106,137,634
118,499,476
604,118,567
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
0
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
0
4
Total. Add lines 1 through 3
115,083,099
130,690,478
133,707,880
106,137,634
118,499,476
604,118,567
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)..
0
6
Public support. Subtract line 5 from line 4.
604,118,567
Section B. Total Support
Calendar year
(or fiscal year beginning in)
(a) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f) Total
7
Amounts from line 4..
115,083,099
130,690,478
133,707,880
106,137,634
118,499,476
604,118,567
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
12,697
5,990
8,828
12,081
16,237
55,833
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
0
10
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
343,347
195,197
579,235
107,477
1,225,256
11
Total support (Add lines 7 through 10).
605,399,656
12
Gross receipts from related activities, etc. (see instructions)
..................
12
12,136
13
First five years.
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here........................................
Section C. Computation of Public Support Percentage
14
Public support percentage for 2012 (line 6, column (f) divided by line 11, column (f))
.........
14
99.788 %
15
Public support percentage for 2011 Schedule A, Part II, line 14
...............
15
99.762 %
16a
33 1/3% support test—2012.
If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization
.......................
b
33 1/3% support test—2011.
If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization
.....................
17a
10%-facts-and-circumstances test—2012.
If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization
.....................................................
b
10%-facts-and-circumstances test—2011.
If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization
................................................
18
Private foundation.
If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions
.....................................................
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization
failed to qualify under Part II. If the organization fails to qualify under
the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in)
(a) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5
The value of services or facilities furnished by a governmental unit to the organization without charge..
6
Total. Add lines 1 through 5.
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
b
Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c
Add lines 7a and 7b..
8
Public support (Subtract line 7c from line 6.)
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f) Total
9
Amounts from line 6...
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
..
13
Total support. (Add lines 9, 10c, 11, and 12.)..
14
First five years.
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.............................................
Section C. Computation of Public Support Percentage
15
Public support percentage for 2012 (line 8, column (f) divided by line 13, column (f))
.........
15
16
Public support percentage from 2011 Schedule A, Part III, line 15
...............
16
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2012 (line 10c, column (f) divided by line 13, column (f))
......
17
18
Investment income percentage from 2011 Schedule A, Part III, line 17
.............
18
19a
33 1/3% support tests—2012.
If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
........
b
33 1/3% support tests—2011.
If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
.....
20
Private foundation.
If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions
.....
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 4
Part IV
Supplemental Information.
Complete this part to provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
Explanation
Schedule A (Form 990 or 990-EZ) 2012
Additional Data
Software ID:
Software Version:
-
TIN:
SCHEDULE O (Form 990 or 990-EZ)
Department of the Treasury Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ
Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
INTERNATIONAL MEDICAL CORPS
Employer identification number
95-3949646
Identifier
Return Reference
Explanation
PART III, LINE 4A:
SUB-SAHARAN AFRICA:
DELIVERED SERVICES FOR PEOPLE AND HEALTH SYSTEMS, MAINLY BUT NOT EXCLUSIVELY AROUND HIV/AIDS PREVENTION AND TREATMENT, WATER, SANITATION AND HYGIENE (WASH), GENDER BASED VIOLENCE (GBV), TRAINING AND HEALTH SYSTEM STRENGTHENING, NUTRITION AND FOOD SECURITY AND MATERNAL HEALTH. OUR WORK STRENGTHENS THE CAPACITY OF LOCAL HEALTH WORKERS AND PRIMARY HEALTH CARE PROVIDERS TO PROVIDE QUALITY HIV/AIDS CARE AND TREATMENT SERVICES, INCLUDING PREVENTION OF MOTHER-TO-CHILD TRANSMISSION (PMTCT) OF HIV. OUR WASH SERVICES WORKED TO ENSURE ACCESS TO EQUITABLE, RELIABLE AND CLEAN WATER, PROVISION AND IMPROVEMENT OF SANITATION FACILITIES AND PROMOTION OF SAFE HYGIENE PRACTICES. WE ADDRESSED GBV IN SUB-SAHARAN AFRICA WITHIN EXISTING PROGRAMS RANGING FROM PRIMARY HEALTH CARE SCREENING AND COUNSELING FOR SURVIVORS TO INCOME-CREATION INITIATIVES THAT BOOST THE SOCIAL STATUS - AND PROTECTION - OF SURVIVORS. INTERNATIONAL MEDICAL CORPS HAS IMPLEMENTED VARIOUS TRAINING PROGRAMS TO INCREASE LOCAL HEALTH CAPACITY LONG-TERM AND TRAIN THE MEDICAL PROFESSIONALS OF THE FUTURE IN SUB-SAHARAN AFRICA. WE HAVE PROVIDED COMMUNITY-BASED MANAGEMENT OF ACUTE MALNUTRITION (CMAM) TO TREAT MALNUTRITION, TO REDUCE STRESS ON HEALTH SYSTEMS, TO INCREASE PROGRAM COVERAGE TO REACH A GREATER NUMBER OF BENEFICIARIES AND TO STRENGTHEN OVERALL PROGRAM IMPACT. WE HAVE PLACED MATERNAL HEALTH AT THE CENTER OF OUR EMERGENCY RESPONSES AS WELL AS ITS DEVELOPMENT PROGRAMS, RESPONDING TO THE HUGE IMPACT OF EMERGENCIES ON WOMEN AND CHILDREN.
PART III, LINE 4B:
MIDDLE EAST AND NORTH AFRICA:
WORKED TO ENSURE THE PROVISION OF HEALTH CARE AND SUPPORT PEOPLE AND HEALTH SYSTEMS THROUGH A RANGE OF HEALTH RELATED PROBLEMS, SPECIFICALLY AROUND WATER, SANITATION AND HYGIENE (WASH), GENDER BASED VIOLENCE (GBV), TRAINING AND HEALTH SYSTEM STRENGTHENING, MENTAL HEALTH AND DISABILITY SUPPORT, OFTEN IN A POST-CONFLICT SETTING. WORKED TO IMPLEMENT SUSTAINABLE WASH INTERVENTIONS, BUILD CAPACITY WITHIN FACILITIES SUCH AS HEALTH CLINICS AND SCHOOLS, AND ACTIVELY ENGAGE COMMUNITIES AND RELEVANT AUTHORITIES. ENSURED DELIVERY OF THE ORGANIZATIONAL PRIORITY TO STRENGTHEN THE ABILITY OF LOCAL HEALTH CARE WORKERS TO IDENTIFY AND TREAT SURVIVORS AND WORK WITH LOCAL LEADERS TO RAISE COMMUNITY AWARENESS OF THE PROBLEM AND MODIFY BELIEFS AND PRACTICES THAT PERPETUATE GBV. INTERNATIONAL MEDICAL CORPS WORK WITH HEALTH SYSTEMS HAS ENABLED MOVES FROM EMERGENCY TO RECOVERY AND DEVELOPMENT INVOLVING BOTH THE CAPACITY TO STRENGTHEN PHYSICAL INFRASTRUCTURE AND THE ABILITY TO BUILD CAPACITY OF HEALTH CARE PROVIDERS. PROVIDED RESPONSES TO MENTAL HEALTH AND PSYCHOSOCIAL NEEDS IN THE CONTEXT OF HUMANITARIAN CRISES, STRENGTHENED MENTAL HEALTH SYSTEMS AND INFORMED NATIONAL POLICIES IN THE LONGER-TERM DEVELOPMENT CONTEXT. DELIVERED SERVICES TO PEOPLE WITH DISABILITIES WHICH SUPPORTED PRE-EXISTING AND RECENT DISABILITY SUPPORT, WORKING TOWARD AN INCLUSIVE SOCIETY AND POSITIVE HEALTH OUTCOMES FOR INDIVIDUALS.
PART III, LINE 4C:
EUROPE:
PROVIDED HEALTH SERVICES AS PART OF A REFUGEE RESPONSE, FOCUSING ON WATER, SANITATION AND HYGIENE (WASH), GENDER BASED VIOLENCE (GBV), MENTAL HEALTH AND DISABILITY SUPPORT. WASH SERVICES WORKED TO ENSURE ACCESS TO EQUITABLE, RELIABLE AND CLEAN WATER, PROVISION AND IMPROVEMENT OF SANITATION FACILITIES AND PROMOTION OF SAFE HYGIENE PRACTICES. DEMONSTRATIVE OF INTERNATIONAL MEDICAL CORPS' COMMITMENT TO ADDRESSING GBV WITHIN EXISTING PROGRAMS, OUR WORK IN EUROPE CONDUCTED SUCCESSFUL PROGRAMS TO PREVENT AND RESPOND TO GBV. AS A CORNERSTONE OF OUR WORK, MENTAL HEALTH AND PSYCHOSOCIAL ACTIVITIES CONTINUED, IN EUROPE, TO ESTABLISH COMMUNITY BASED MENTAL HEALTH AND PSYCHOSOCIAL SERVICES, WHICH IS AN ACCESSIBLE, NON-STIGMATIZING WAY TO PROVIDE ASSISTANCE FOR MENTAL DISORDERS WITHOUT OVERTLY SINGLING OUT THOSE WHO REQUIRE SUBSEQUENT TREATMENT. INTERNATIONAL MEDICAL CORPS ALSO WORKED WITH PEOPLE WITH DISABILITIES, WORKING TO ENSURE THEY WERE PROVIDED FOR AND ASSISTING THOSE WITH NEW DISABILITIES SUFFERED IN CONFLICTS.
PART III, LINE 4D:
OTHER:
IN OTHER REGIONS AROUND THE WORLD INTERNATIONAL MEDICAL CORPS HAS PROVIDED SERVICES AROUND WATER, SANITATION AND HYGIENE (WASH), GENDER BASED VIOLENCE (GBV), TRAINING AND HEALTH SYSTEM STRENGTHENING, MATERNAL HEALTH PROTECTION, EMERGENCY MEDICINE AND MENTAL HEALTH SUPPORT. WASH SERVICES WORKED IN A VARIETY OF SETTINGS TO ENSURE ACCESS TO EQUITABLE, RELIABLE AND CLEAN WATER, PROVISION AND IMPROVEMENT OF SANITATION FACILITIES AND PROMOTION OF SAFE HYGIENE PRACTICES. GBV PROVISION WITHIN EXISTING PROGRAMS WAS DELIVERED WITH SUCCESSFUL PROGRAMS TO PREVENT AND RESPOND TO GBV. INTERNATIONAL MEDICAL CORPS EMPOWERED COMMUNITIES TO SUPPORT THEMSELVES IN A SUSTAINABLE WAY. INTERNATIONAL MEDICAL CORPS ENGAGED LOCAL HEALTH CARE WORKERS, COMMUNITY OUTREACH WORKERS, AND EMERGING LEADERS AND TRAINS THEM THROUGH A COMBINATION OF CLASSES, SEMINARS, INDIVIDUAL MENTORING, AND HANDS-ON EXPERIENCE. PROGRAMS PLACED MATERNAL NEWBORN HEALTH AT THE CENTER OF EMERGENCY RESPONSES AS WELL AS ITS DEVELOPMENT PROGRAMS. EMERGENCY MEDICINE WAS AN IMPORTANT PART OF INTERNATIONAL MEDICAL CORPS WORK: ASSISTING COMMUNITIES AND HEALTH PROFESSIONALS TO BE BETTER PREPARED TO RESPOND AND SAVE LIVES IN THE EVENT OF A MAJOR DISASTER. AS A CORNERSTONE OF OUR WORK, MENTAL HEALTH AND PSYCHOSOCIAL ACTIVITIES CONTINUED, IN OTHER AREAS OF THE WORLD, TO ESTABLISH COMMUNITY BASED MENTAL HEALTH AND PSYCHOSOCIAL SERVICES.
PART V, LINE 4B:
COUNTRIES WITH BANK ACCOUNTS:
AFGHANISTAN, BURUNDI, CAMEROON, CENTRAL AFRICAN REPUBLIC, CHAD, CROATIA, DR CONGO, ETHIOPIA, HAITI, INDONESIA, IRAQ, JAPAN, JORDAN, KENYA, LEBANON, LIBYA, MALI, PAKISTAN, PALESTINIAN TERRITORIES, RUSSIA, SIERRA LEONE, SOMALIA, SOUTH SUDAN, SUDAN, SYRIA, TUNISIA, TURKEY, YEMEN, ZIMBABWE
PART VI, LINE 11B:
THE FORM IS PREPARED BY INTERNATIONAL MEDICAL CORPS ACCOUNTING-FINANCE STAFF, AND THE FOLLOWING FOUR CONDUCT REVIEWS BEFORE FILING: INDEPENDENT CPA CONSULTANT, SENIOR MANAGEMENT (VP OF FINANCE, DIR OF FINANCE, VP OF INTERNATIONAL OPERATIONS AND VP FOR PROGRAM POLICY AND PLANNING), PRESIDENT AND CEO, BOARD OF DIRECTORS, AND PAID TAX PREPARER.
PART VI, LINE 12C:
INTERNATIONAL MEDICAL CORPS EMPLOYEES' DEALINGS WITH SUPPLIERS, CONSULTANTS AND CONTRACTING PARTIES ARE CONDUCTED ACCORDING TO THE MORAL AND ETHICAL VALUES AND PRACTICES COMMON TO RESPONSIBLE CORPORATIONS AND NON-GOVERNMENTAL ORGANIZATIONS AND IN THE SPIRIT OF PUBLIC ACCOUNTABILITY AND TRANSPARENCY, IN CONFORMITY WITH APPLICABLE LAWS, RULES AND REGULATIONS. EMPLOYEES ARE REQUIRED TO REPORT ANY VIOLATIONS OF THE ABOVE. EVERY INTERNATIONAL MEDICAL CORPS EMPLOYEE WITH A RESPONSIBILITY OF ENGAGING, PAYING OR SUPERVISING ANY SUPPLIER, CONSULTANT OR CONTRACTING PARTNER IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE FORM. IN ADDITION EACH BOARD MEMBER IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE FORM. DETERMINATIONS AS TO WHETHER A CONFLICT OF INTEREST EXISTS ARE MADE BY REPRESENTATIVES OF HR AND FINANCE DEPARTMENTS IN CONJUNCTION WITH THE RELEVANT SUPERVISOR.
PART VI, LINE 15A AND B:
COMPENSATION FOR CEO AND CFO IS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS AND IS DETERMINED BASED ON VARIOUS COMPENSATION SURVEYS. THIS IS DONE ANNUALLY, USUALLY AT THE SPRING BOARD MEETING. COMPENSATION FOR OTHER OFFICERS AND KEY EMPLOYEES IS DETERMINED IN CONSULTATION BETWEEN THE IMMEDIATE SUPERVISOR, HR GENERALIST, AND VP OR DIRECTOR OF FINANCE. VARIOUS COMPENSATION SURVEY DATA IS USED TO DETERMINE APPROPRIATE COMPENSATION LEVELS.
PART VI, LINE 19:
INTERNATIONAL MEDICAL CORPS FINANCIAL STATEMENTS ARE AVAILABLE ON OUR WEBSITE. FINANCIAL STATEMENTS ARE ALSO AVAILABLE UPON REQUEST. INTERNATIONAL MEDICAL CORPS GOVERNING DOCUMENTS CAN BE REQUESTED FROM CALIFORNIA'S SECRETARY OF STATE. THE CONFLICT OF INTEREST POLICY IS NOT AVAILABLE TO THE PUBLIC.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.