2023-11-06T08:53:22-06:00 2023-06-30 030327374 McSoley McCoy & Co 118 Tilley Drive Ste 202 South Burlington VT 05403 990 2022-07-01 463360682 Haiti Cardiac Alliance HAIT 6174477288 47 Maple Street 213 Burlington VT 05401 Owen Robinson Executive Dir. 6174477288 2023-11-03 1 Owen Robinson XXX-XX-XXXX 0 Colleen Montgomery P00038392 8026581808 2023-11-03 3 AAL1 IAL1 2022 2023-04-26 12:10:37Z Owen Robinson 47 Maple Street 213 Burlington VT 05401 774698 0 X www.haiticardiac.org X 2013 VT To scale up the availability of life-saving cardiac surgery to Haitian children and young adults. 7 7 1 8 0 0 769879 774657 0 0 15 41 0 -4367 769894 770331 216840 195317 0 0 175679 196470 0 0 17746 369017 602063 761536 993850 8358 -223519 435251 219001 15142 22411 420109 196590 Haiti Cardiac Alliance works with partners to scale up the availability of life-saving cardiac surgery to all Haitian children and young adults who need it. 0 0 491717 195317 Patient care expenses. In certain cases, HCA goes beyond a logistical role and takes direct responsibility for certain aspects of patients' medical care. This may include directly financing their surgeries; procuring medicines and blood products; arrangement of medical testing; and nutritional support. 363522 Direct surgical matching and travel accompaniment of children and young adults with heart disease. During FY22, Haiti Cardiac Alliance directly facilitated surgery for 42 patients, all of whom traveled to other countries for life-saving open heart surgeries and/or catheter interventions. 60133 Diagnosis, screening, and follow-up. HCA performs outpatient cardiology clinics at multiple sites throughout Haiti for patients who need initial diagnosis, check-up, and/or post-operative follow-up. In addition, HCA currently employs Haiti's only full-time cardiac echocardiographer, who sees patients on a daily basis. During the fiscal year, HCA facilitated the diagnosis and/or outpatient follow-up of nearly 1000 patients. 915372 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 HA 0 0 0 0 0 0 0 0 0 0 X 7 7 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 1 1 0 X Owen Robinson 6174477288 47 Maple Street 213 Burlington VT 05401 Dr James Wilentz Chairman 3.00 X X 0 0 0 Richard Hubbard Director 2.00 X 0 0 0 Roy South Treasurer 2.00 X X 0 0 0 Danielle Laraque-Arena Director 2.00 X 0 0 0 Robin Maxwell Secretary 1.00 X X 0 0 0 William Van Pelt Director 1.00 X 0 0 0 Alison Curry Director 2.00 X 0 0 0 Owen Robinson Executive Dir. 50.00 X 100000 0 10794 100000 0 10794 0 0 0 0 0 57500 717157 774657 41 41 0 57500 4367 -4367 -4367 770331 0 0 -4326 195317 195317 113863 79704 22773 11386 74723 64092 7086 3545 7884 5519 1577 788 1030 1030 8084 8084 5224 724 3765 735 2255 1877 234 144 10097 3887 5309 901 17125 9944 7181 43513 42297 969 247 7899 7163 736 Patient lab & Medicine 291096 291096 Patient Expenses 100926 99956 970 Patient Transportation 72110 72084 26 Patient passports & vis 21766 21751 15 20938 19961 977 993850 915372 60732 17746 309855 101493 100008 100020 56472 39234 25138 17238 250 250 435251 219001 15141 22411 15142 22411 X 217817 118339 202292 78251 420109 196590 435251 219001 -223519 0 X X 1 X 0 1 0 X 375907 592054 496712 747879 774657 2987209 375907 592054 496712 747879 774657 2987209 834336 2152873 463 290 69 15 41 878 2988087 0.72050 0.78950 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 56472 39234 17238 17238 1 Central America and the Caribbean 1 6 Program Services/Cardiac Surgery Screening, Diagnosis, care 916251 1 6 0 0 1 6 916251 0 916251 Central America and the Caribbean Patient Care 195317 Wire Transfer 0 0 0 0 0 0 0 Part I, Line 2: We corroborate the use of the funds by written confirmation from the organization that all funds were used directly for the medical care of the patient in question; we are also directly involved in the patient care. Part I, line 3: Accrual basis using QuickBooks Online program. Part III Accounting Method: Part I, Line 3f Expenditures are for program services including direct patient care, screening, diagnosis and follow up with cardiac patients in Haiti. NYC Annual Fundraiser 57500 57500 4367 57500 57500 4367 4367 -4367 Form 990, Part VI, Section A, line 2 James Wilentz and Robin Maxwell are married to each other. Form 990, Part VI, Section B, line 11b Board Treasurer reviews entire submission for accuracy and approval; treasurer-approved version then goes before full Board of Directors for review and approval. Form 990, Part VI, Section B, line 12c The disclosure is obtained in writing and archived. Form 990, Part VI, Section B, line 15 Compensation for any director,officer, manager or other person who has substantial authority for implementing the decisions of the Board or for supervising the management, administration or operations of the corporation must be reviewed by independent Board members, and documented as to terms, date approved, comparability including an explanation of how the comparability data was obtained, actions taken during the review process by any director with a conflict and other factors regarding reasonable compensation taken into account. Form 990, Part VI, Section C, line 19 No other documents available to the public. Form 990, Part XII, Line 2c: HCA has an Executive Committee that consists of the Board Chair, Treasurer, and Executive Director and that has been empowered by the full Board to oversee the financial review process each year as well as the selection of an independent accountant.