Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
|
Total |
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Calendar year (or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | ||||||
| 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 | ||||||
| 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. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | ||||||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10 | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (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.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (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 VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
|||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2018 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2018 |
(iii) Distributable Amount for 2018 |
|
|---|---|---|---|---|
|
1
Distributable amount for 2018 from Section C, line 6 |
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|
2
Underdistributions, if any, for years prior to 2018 (reasonable cause required-- explain in Part VI). See instructions. |
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| 3 Excess distributions carryover, if any, to 2018: | ||||
| a From 2013....... | ||||
| b From 2014....... | ||||
| c From 2015....... | ||||
| d From 2016....... | ||||
| e From 2017....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2018 distributable amount | ||||
|
i
Carryover from 2013 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2018 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2018 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2018, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
6
Remaining underdistributions for 2018. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
7 Excess distributions carryover to 2019. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2014...... | ||||
| b Excess from 2015..... | ||||
| c Excess from 2016..... | ||||
| d Excess from 2017..... | ||||
| e Excess from 2018..... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
|---|
| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS EMAILED OR HANDED OUT AT THE BOARD MEETING DEPENDING ON TIMING AND REVIEWED PRIOR TO FILING THE RETURN. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION DOES REGULARLY AND CONSISTENTLY MONITOR AND ENFORCE COMPLIANCE WITH THE CONFLICTS OF INTEREST POLICY BY ANNUALLY UPDATING EACH MEMBER'S CONFLICT OF INTEREST STATEMENT |
| FORM 990, PART VI, SECTION B, LINE 15 | SALARIES ARE APPROVED UPON REVIEW BY THE CEO AND COO; THE CHAIRMAN OF THE BOARD IS CONSULTED WHEN DETERMINING CEO AND COO COMPENSATION. BENCHMARKS SUCH AS AAMC AND MGMA'S SALARY REPORTS ARE CONSULTED AS WELL AS EXTERNAL RECRUITMENT FIRMS ETC. |
| FORM 990, PART VI, SECTION C, LINE 19 | A 990 INFORMATION REQUEST POLICY WAS ESTABLISHED WHICH OUTLINES THE PROCESS. RECORDS MAY BE REQUESTED TO BE REVIEWED ON SITE OR COPIED FOR A NOMINAL CHARGE. THE 990 IS ALSO AVAILABLE ONLINE FROM SOURCES SUCH AS GUIDESTAR. |
| FORM 990, PART IX, LINE 24E | EMPLOYEE DONOR PATIENT RELATIONS: PROGRAM SERVICE EXPENSES 128,107. MANAGEMENT AND GENERAL EXPENSES 1,091,209. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,219,316. OPTICAL SUPPLIES: PROGRAM SERVICE EXPENSES 1,070,968. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,070,968. CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 387,108. MANAGEMENT AND GENERAL EXPENSES 544,283. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 931,391. UTILITIES EXPENSE: PROGRAM SERVICE EXPENSES 27,317. MANAGEMENT AND GENERAL EXPENSES 762,424. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 789,741. INTRAOCULAR LENSES: PROGRAM SERVICE EXPENSES 534,849. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 534,849. LICENSES AND FEES: PROGRAM SERVICE EXPENSES 157,386. MANAGEMENT AND GENERAL EXPENSES 322,402. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 479,788. TELEPHONE EXPENSES: PROGRAM SERVICE EXPENSES 251,008. MANAGEMENT AND GENERAL EXPENSES 84,020. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 335,028. OFFICE SUPPLIES: PROGRAM SERVICE EXPENSES 184,903. MANAGEMENT AND GENERAL EXPENSES 148,660. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 333,563. POSTAGE AND FREIGHT: PROGRAM SERVICE EXPENSES 55,005. MANAGEMENT AND GENERAL EXPENSES 276,378. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 331,383. INTRAOCULAR RESTOR LENSES: PROGRAM SERVICE EXPENSES 265,326. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 265,326. BANK AND CREDIT CARD CHARGES: PROGRAM SERVICE EXPENSES 271. MANAGEMENT AND GENERAL EXPENSES 204,002. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 204,273. OTHER EXPENSES: PROGRAM SERVICE EXPENSES 39,703. MANAGEMENT AND GENERAL EXPENSES 154,562. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 194,265. OFFICE EQUIPMENT LEASES: PROGRAM SERVICE EXPENSES 83,195. MANAGEMENT AND GENERAL EXPENSES 67,953. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 151,148. ELECTRONIC CLAIMS FILING EXPENSE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 142,844. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 142,844. LENSX INTERFACE FEE: PROGRAM SERVICE EXPENSES 140,394. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 140,394. OUTSIDE PAYROLL AND DATA PROCESSING SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 100,628. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 100,628. PRINTING AND PUBLICATIONS: PROGRAM SERVICE EXPENSES 24,449. MANAGEMENT AND GENERAL EXPENSES 73,661. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 98,110. SURGICAL INSTRUMENTS: PROGRAM SERVICE EXPENSES 87,235. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 87,235. SUTURES: PROGRAM SERVICE EXPENSES 83,093. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 83,093. UNIFORM AND LAUNDRY EXPENSE: PROGRAM SERVICE EXPENSES 57,311. MANAGEMENT AND GENERAL EXPENSES 882. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 58,193. EQUIPMENT LEASES: PROGRAM SERVICE EXPENSES 37,015. MANAGEMENT AND GENERAL EXPENSES 9,600. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 46,615. ORA CLICK FEES: PROGRAM SERVICE EXPENSES 25,860. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 25,860. OXYGEN AND OTHER GASES: PROGRAM SERVICE EXPENSES 17,428. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 17,428. BOOKS AND SUBSCRIPTIONS: PROGRAM SERVICE EXPENSES 4,418. MANAGEMENT AND GENERAL EXPENSES 11,780. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,198. NEW HIRE COSTS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 13,146. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,146. DISBURSEMENT TO CORRESPONDENT ORGANIZATION: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 11,900. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,900. ELECTRONIC ELIGIBILITY: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 11,491. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,491. COLLECTION AGENCY FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 9,982. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,982. MISCELLANEOUS A/P DISCOUNTS: PROGRAM SERVICE EXPENSES -117. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES -117. |
| FORM 990, PART XI, LINE 9: | FUNDRAISING EXP. ALLOCATED TO MCGEE EYE INST. ENDOW. FUND -496,436. |
| Software ID: | |
| Software Version: |