Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and 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) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | 364,247 | 425,865 | 379,017 | 260,825 | 401,336 | 1,831,290 |
| 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 | 364,247 | 425,865 | 379,017 | 260,825 | 401,336 | 1,831,290 |
| 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).. | 1,184,192 | |||||
| 6 | Public support. Subtract line 5 from line 4. | 647,098 | |||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 364,247 | 425,865 | 379,017 | 260,825 | 401,336 | 1,831,290 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 1,145 | 563 | 869 | 1,210 | 813 | 4,600 |
| 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 | 1,835,890 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (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) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (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) |
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| 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 2019 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-2019 |
(iii) Distributable Amount for 2019 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2019 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions. |
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| 3 Excess distributions carryover, if any, to 2019: | ||||
| a From 2014....... | ||||
| b From 2015....... | ||||
| c From 2016....... | ||||
| d From 2017....... | ||||
| e From 2018....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2019 distributable amount | ||||
|
i
Carryover from 2014 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2019 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2019 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2019, 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 2019. 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 2020. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2015..... | ||||
| b Excess from 2016..... | ||||
| c Excess from 2017..... | ||||
| d Excess from 2018..... | ||||
| e Excess from 2019..... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| 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 - ORGANIZATION'S MISSION | THE VOLUNTEER HEALTH PROGRAM, LTD. (VHP) IS A NONPROFIT HEALTH CARE PROGRAM, WHICH FOCUSES ON PRIMARY MEDICAL AND SURGICAL EYE CARE TO UNDER-SERVED RURAL AREAS IN CENTRAL AMERICA AND THE DOMINICAN REPUBLIC. IT IS AN INTEGRATED PROGRAM OFFERING HIGH QUALITY AND ACCESSIBLE EYE CARE TO OUR LATIN AMNERICAN NEIGHBORS. AN ESSENTIAL PART OF OUR EFFORT IS TO WORK IN A CLOSE PARTNERSHIP WITH THOSE WHO LIVE AND WORK IN THE REGION WE ARE SERVING. VHP IS COMMITTED TO OFFERING EDUCATIONAL SUPPORT TO HEALTH CARE PROVIDERS IN AREAS THAT WE SERVE. OUR MISSION GROUP PROVIDES COMPREHENSIVE ON SITE DIAGNOSIS, SURGICAL AND MEDICAL TREATMENT OF EYE DISEASE. THE DISTRIBUTION OF CORRECTIVE GLASSES FOR THOSE IN NEED IS ALSO AN ESSENTIAL PART OF THE PROGRAM. PHYSICIANS, NURSES AND TRAINED EYE SCREENING VOLUNTEERS ARE OUR MOST VALUED RESOURCES. THE SUPERIOR KNOWLEDGE AND SKILLS OF THIS BROAD-BASED TEAM AND THEIR COMPASSIONATE CONCERN FOR EACH PATIENT'S WELFARE IS THE BASIS FOR THE VOLUNTEER HEALTH PROGRAM. WE REMAIN COMMITTED TO DELIVERING EYE CARE TO THE UNDERSERVED AND CONSIDER IT A PRIVILEGE TO DO SO. BACKGROUND: HONDURAS 1994 AND 1995 THE VOLUNTEER HEALTH PROGRAM'S FIRST TWO EYE CARE MISSIONS WERE IN GRACIOUS, HONDURAS. AT THE INVITATION OF AND IN COORDINATION WITH THE EFFORTS OF A WELL-ORGANIZED LOCAL NONPROFIT AGENCY FEDECOH, WE SAW OVER 2000 PATIENTS EACH VISIT. THERE WAS A GREAT NEED AT THIS SITE; HOWEVER, NEEDED FOLLOW UP CARE FOR OUR PATIENTS WAS DIFFICULT. DOMINICAN REPUBLIC 1995,1996,1998,1999,2000,2001,2003,2004,2005,2006,2007,2008,2009,2010,2011, 2012, 2013, 2014, 2015, 2016, 2017, 2018, 2019, 2020 AND PLANNING 2021 IF POSSIBLE. THE SECOND PROJECT SITE WAS STARTED IN 1995 WITH ILAC (INSTITUTE OF LATIN AMERICAN CONCERN) IN SANTIAGO DE LOS CABALLEROS, DOMINICAN REPUBLIC. WE ARE PLEASED THAT THE OPTHALMOLOGY PROGRAM HAS LED THE WAY, AS MONTHLY MEDICAL PROVIDERS IN DIFFERENT MEDICAL FIELDS NOW WORK IN A FIRST RATE MEDICAL AND SURGICAL FACILITY AT ILAC. FOR THE PAST 48 YEARS, ILAC'S HEALTH CARE SERVICES HAVE BEEN BASED ON A TRUE AND INTEGRAL COMMITMENT TO THE STRUGGLING CAMPESINOS (FARMERS)OF THE REMOTE AREAS IN THE DOMINICAN REPUBLIC. THEY SERVICE 220 COMMUNITIES AND HAVE TRAINED OVER 265 LOCAL HEALTH CARE VOLUNTEERS (COOPERADORES) FROM THESE COMMUNITIES TO ASSIST IN THE PRIMARY HEALTH CARE AND SCREENING. THE COOPERADORES ARE TRAINED BY ILAC, WITH EDUCATIONAL AIDS FROM VHP TO SELECT PATIENTS IN NEED OF EYE CARE. THEY ACCOMPANY PATIENTS TO THE ILAC MISSION HEADQUARTES, STAY AT THEIR SIDE DURING TREATMENT AND/OR SURGERY AND MONITOR THEIR PROGRESS IN THE VILLAGES. AS THE PATIENTS FROM THE RURAL COMMUNITIES COME IN TO THE MISSION SITE FOR EYE CARE THEY REGISTERED, GIVEN AN EYE EXAMINATION AND CORRECTIVE LENSES AS NEEDED. MEDICAL AND SURGICAL PROBLEMS ADDRESSED AND TREATED AS NEEDED. THIS YEAR OUR TEAM OF 82 VOLUNTEERS SAW 1,001 PRESCREENED PATIENTS. OUR OPTHALMOLOGY SURGEONS COMPLETED 237 SURGERIES, 32 LASER PROCEDURES, 33 DERMATOLOGY SURGICAL PROCEDURES, AND 100 CONSULTATIONS. THERE WERE 8 PATIENTS FITTED WITH EYE PROSTHETIC. ADULT BLINDNESS SECONDARY TO MATURE CATARACT FORMATION CAN BE TREATED SUCCESSFULLY, RESTORING USEFUL VISION TO THESE PATIENTS. MANY OF THE SURGICAL CASES ARE CHILDREN WITH STRABISMUS (CROSSING OF THE EYES). OUR OCULAR PLASTIC AND RECONSTRUCTION SURGICAL TEAM HELP WITH TUMORS, LID POSITIONS, LACRIMAL DISORDERS, CONGENITAL AND TRAUMATIC DEFORMITIES. MOST OF THE LASER TREATMENTS ARE TO TREAT GLAUCOMA AND RETINAL DISEASE. THROUGH ILAC, WE HAVE WORKED IN CONJUNCTION WITH A LOCAL OPTHALMOLOGISTS THAT HAS HELPED WITH FOLLOW UP CARE FOR THE SURGICAL PATIENTS. EARLY IN 2004 ILAC FINISHED CONSTRUCTION ON THEIR CLINIC/HOSPITAL AT THE MISSION SITE. WE WERE THE FIRST TO USE THIS WONDERFUL FACILITY ON OUR MARCH/APRIL '04 MISSION. THIS MAKES IT MUCH EASIER FOR OUR GROUP AND SEVERAL OTHERS, IN DIFFERENT DISCIPLINES, TO OFFER THEIR VOLUNTEER SERVICES TO THE PEOPLE. OTHER AREAS THAT WE HAVE HELPED OPTHALMOLOGISTS WORK ARE: JERUSALEM, IN 2002, '03, '04,'05,'06, 2012, 2013 WORKING WITH ST. JOHNS EYE HOSPITAL FOR 10 DAYS. WE SUPPORTED THE PHILIPPINE MISSION EYE MISSION, DIRECT BY NELSON CO, CRNA, THEY WORKED FOR ONE WEEK, 2003 - 2019. THIS IS A SINCERE THANK YOU NOTE AS WELL. WE ARE MOST GRATEFUL FOR THE SUPPORT THAT WE HAVE RECEIVED FROM ALL; DONATING AND SURGICAL SUPPLIES, PHARMACEUTICALS, USED EYEGLASSES, USED MEDICAL EQUIPMENT AND THE MONETARY SUPPORT. OUR NEED IS TO PURCHASE ITEMS THAT ARE NOT RECEIVED IN DONATION AND PAY FOR THE SHIPPING SUPPLIES TO THE SITE. WE FEEL THAT THOSE WHO HELP WITH THE MISSION HERE, IN THEIR MAY DIFFERENT WAYS, ARE AS MUCH A PART OF THE TEAM AS THE VOLUNTEERS THAT TRAVEL TO THE HOST COUNTRY SITES. THOSE OF US THAT HAVE WORKED WITH THESE SPECIAL PATIENTS CAN ATTEST TO THEIR DEEP GRATITUDE. MANY PAIENTS HAVE EXPRESSED WISHES OF "GODS BLESSINGS AND THANKS- OR "I CANNOT PAY YOU BUT GOD WILL REPAY YOU". IT IS IMPORTANT TO HEAR FROM YOU. WE CONTINUE TO NEED SUPPORT. WE REMAIN COMMITTED TO DELIVERING EYE CARE TO THE UNDER-SERVED AND CONSIDER IT A PRIVILEGE TO DO SO. DARLENE DELLA ROCCA, R.N., CO-FOUNDER, CHAIR, PROJECT MANAGER ROBERT C. DELLA ROCCA, M.D., CO-FOUNDER/COORDINATOR NELSON CO, CRNA, DIRECTOR OF PHILIPPIANS MISSION JULE SILVI, R.N., VICE CHAIR AND PROJECT COORDINATOR ALEXANDER HATSIS,M.D., MEDICAL ADVISOR/COORDINATOR |
| FORM 990, PAGE 6, PART VI, LINE 11B | REPORT IS REVIEWED BY MANAGEMENT PRIOR TO ISSUANCE. THE 990 IS PREPARED BY AN INDEPENDENT CPA AND SENT TO MANAGEMENT FOR REVIEW AND THE ENTIRE GOVERNING BODY PRIOR TO FILING. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE ORGANIZATION MAKES ITS FORM 990 AVAILABLE FOR PUBLIC INSPECTION AS REQUIRED UNDER SECTION 6104 OF THE INTERNAL REVENUE CODE BY POSTING IT ON GUIDESTAR.ORG AND OTHER SIMILAR TYPES OF WEBSITES. IN ADDITION, THE FINANCIAL STATEMENTS, ARTICLES OF INCORPORATION AND BY-LAWS ARE ALSO AVAILABLE UPON WRITTEN REQUEST OR BY CALLING THE ORGANIZATION DIRECLTY. |
| Software ID: | |
| Software Version: |