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Nonprofiteer
← AMERICARES FREE CLINIC INC

Form 990 for tax year 2022

Filed by AMERICARES FREE CLINIC INC.

Totals

Total revenue
$6,141,808
Total expenses
$6,575,877
Contributions and grants received
$6,124,509
Grants paid
$1,776,142
Program service revenue
$0
Investment income
$16,005
Other revenue
$1,294
Total assets, end of year
$3,989,509
Total liabilities, end of year
$2,306,125
Net assets or fund balances, end of year
$1,683,384
Program services expenses (Part IX)
$6,025,394
Management and general expenses
$284,176
Fundraising expenses
$266,307
Program service expenses (Part III)
$6,025,394

Program services were 91.6% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • CHRISTINE SQUIRES

    PRESIDENT & CEO

    Total calculated
    $611,776
    From this org
    $0
    From related orgs
    $550,579
    Other
    $61,197
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $500,579 related
    Bonus
    $0 + $50,000 related
    Other
    $0
    Deferred
    $0 + $20,665 related
    Nontaxable benefits
    $0 + $40,532 related
    Filer's total
    $0 + $611,776 related

  • M RASHAD MASSOUD MD MPH FACP

    DIRECTOR (THRU 8/2022)

    Total calculated
    $307,473
    From this org
    $0
    From related orgs
    $292,820
    Other
    $14,653
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $239,775 related
    Bonus
    $0
    Other
    $0 + $53,045 related
    Deferred
    $0 + $14,653 related
    Nontaxable benefits
    $0
    Filer's total
    $0 + $307,473 related

  • KAREN GOTTLIEB

    EXECUTIVE DIRECTOR

    Total calculated
    $236,043
    From this org
    $210,091
    From related orgs
    $0
    Other
    $25,952
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $210,091
    Bonus
    $0
    Other
    $0
    Deferred
    $12,988
    Nontaxable benefits
    $12,964
    Filer's total
    $236,043

  • JEFFREY T BECKER

    CHAIRMAN (AS OF 7/2022)

    Total calculated
    $0
    Hours/week
    1

  • JAY H SANDAK

    SECRETARY

    Total calculated
    $0
    Hours/week
    1

  • ELIZABETH P ALLEN

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • CAROL B BAUER

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • RONALD E COURSEY

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • CATALINA HORAK

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • PAUL J KUEHNER

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • JANE MUSKY

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • STEPHEN M WINTER MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • RICHARD K TROWBRIDGE JR

    CFO, TREASURER & SVP OF GIK OPERAT.

    Total calculated
    $352,399
    From this org
    $0
    From related orgs
    $293,317
    Other
    $59,082
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $293,317 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $18,550 related
    Nontaxable benefits
    $0 + $40,532 related
    Filer's total
    $0 + $352,399 related

  • JENNIFER M NAUMANN

    ASSISTANT SECRETARY

    Total calculated
    $111,627
    From this org
    $0
    From related orgs
    $86,088
    Other
    $25,539
    Hours/week
    1 + 40 related

  • NICOLAS E PALACIOS MEZA

    PHYS., STAMFORD CLINIC (THRU 6/2023)

    Total calculated
    $198,961
    From this org
    $186,700
    From related orgs
    $0
    Other
    $12,261
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $185,700
    Bonus
    $1,000
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $12,261
    Filer's total
    $198,961

  • DINA VALENTI

    DIRECTOR, DANBURY CLINIC

    Total calculated
    $184,322
    From this org
    $146,235
    From related orgs
    $0
    Other
    $38,087
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $145,235
    Bonus
    $1,000
    Other
    $0
    Deferred
    $9,016
    Nontaxable benefits
    $29,071
    Filer's total
    $184,322

  • JANET YON

    DIR. CLINIC OPERATIONS (THRU 4/2023)

    Total calculated
    $147,617
    From this org
    $138,697
    From related orgs
    $0
    Other
    $8,920
    Hours/week
    40

  • MUGUETTE MAIGNAN

    DIRECTOR, STAMFORD CLINIC

    Total calculated
    $130,499
    From this org
    $130,499
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

  • VERONICA SULLIVAN

    DIR., NORWALK CLINIC (THRU 4/2023)

    Total calculated
    $151,981
    From this org
    $118,891
    From related orgs
    $0
    Other
    $33,090
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $117,891
    Bonus
    $1,000
    Other
    $0
    Deferred
    $7,363
    Nontaxable benefits
    $25,727
    Filer's total
    $151,981

  • MEGIN WOLFMAN

    FORMER ASSISTANT SECRETARY

    Total calculated
    $302,558
    From this org
    $0
    From related orgs
    $247,070
    Other
    $55,488
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $247,070 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $14,955 related
    Nontaxable benefits
    $0 + $40,533 related
    Filer's total
    $0 + $302,558 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 3 · Compensation committee
  • 3 · Approval by the board or compensation committee
  • 4a · Severance or change-of-control payment
  • 7 · Other non-fixed payments

Answered no

  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 4A
SEVERANCE OR CHANGE-OF-CONTROL PAYMENTS DIRECTOR, RASHAD MASSOUD, M.D. RECEIVED A SEVERANCE PAYMENT OF $53,045 IN CALENDAR YEAR 2022 FROM THE AMERICARES FOUNDATION, INC. THIS AMOUNT IS REPORTED IN FORM 990, SCHEDULE J, PART II, COLUMN B(III) AS COMPENSATION PAID FROM A RELATED ORGANIZATION. NICOLAS E. PALACIOS MEZA, DINA VALENTI AND VERONICA SILLIVAN RECEIVED A DISCRETIONARY BONUS IN CALENDAR YEAR 2022 FOR EXCEEDING CERTAIN PERFORMANCE-BASED OBJECTIVES ESTABLISHED BY THE COMPENSATION COMMITTEE. THE DETERMINATION TO ISSUE A BONUS IS BASED ON A RECOMMENDATION BY THE COMPENSATION COMMITTEE TO THE FULL BOARD, FOR BOARD APPROVAL. THESE INDIVIDUALS DID NOT PARTICIPATE IN THE DECISION-MAKING PROCESS TO AWARD THE BONUS.
PART I, LINE 7
THE PRESIDENT AND CEO IS ENTITLED TO AN ANNUAL BONUS PURSUANT TO HER EMPLOYMENT CONTRACT AT THE DISCRETION OF THE COMPENSATION COMMITTEE OF THE FOUNDATION'S BOARD OF DIRECTORS. THE COMPENSATION COMMITTEE CONVENES EACH YEAR TO DETERMINE IF THE PRESIDENT HAS EXCEEDED CERTAIN PERFORMANCE-BASED CRITERIA, AND IF SHE HAS, THEY WILL AUTHORIZE A BONUS. IN CALENDAR YEAR 2022, THE PRESIDENT RECEIVED A $50,000 DISCRETIONARY BONUS. THE FOUNDATION HAS A BONUS POLICY IN PLACE THAT PERMITS BONUSES TO OTHER EMPLOYEES BASED ON CERTAIN FACTORS: RELOCATION BONUSES, SIGN-ON BONUSES, RETENTION BONUSES AND PERFORMANCE BONUSES. IN CALENDAR YEAR 2022, THE FOUNDATION ISSUED A FEW SMALL BONUSES TO THREE INDIVIDUALS REPORTED ON THE FORM 990, SCHEDULE J. THE AMERICARES STAFF ARE THE MAIN DRIVER OF ALL OF OUR WORK IN THE WORLD AND, AS SUCH, WE STRIVE TO RECOGNIZE THEIR CONTRIBUTIONS CONSISTENTLY IN WAYS THAT ARE COMPETITIVE, EQUITABLE AND TRANSPARENT, AS LAID OUT IN OUR COMPENSATION PHILOSOPHY. THERE ARE A SMALL NUMBER OF CIRCUMSTANCES IN WHICH WE MAY NEED TO GO ABOVE AND BEYOND THIS BASE COMPENSATION IN ORDER TO RECOGNIZE THE NEEDS AND EFFORTS OF OUR STAFF. THIS POLICY OUTLINES THE CIRCUMSTANCES IN WHICH BONUS PAY WILL BE CONSIDERED. HOWEVER, IT IS IMPORTANT TO NOTE THAT, AS A NON-PROFIT ORGANIZATION, AMERICARES ALSO TAKES OUR RESPONSIBILITY TO DONORS AND FUNDERS VERY SERIOUSLY. AS SUCH, WE CONSIDER BONUS PAY TO BE A VERY RARE OCCURRENCE, ONLY EMPLOYED WHEN THERE IS CLEAR NEED.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

  • AMERICARES FOUNDATION INC

    501(C)(3) · INTL RELIEF · CT

  • AMERICARES FOUNDATION TANZANIA

    501(C)(3) · RELIEF/AID · TZ

    Directly controlled by AMERICARES

  • AMERICARES LIMITED

    501(C)(3) · RELIEF/AID · MI

    Directly controlled by AMERICARES

Provenance

Return type
form_990
Tax year
2022
Filed
29 April 2024
IRS schema version
2022v5.0
Source object
202411209349301411

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