RIVERSIDE HEALTH FOUNDATION: Form 990PF, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
RIVERSIDE HEALTH FOUNDATION (EIN 48-1142989)
Tax period
2020-10-01 to 2021-09-30
Filed
2022-01-24
IRS object ID
202230249349100313
Schema version
2020v4.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-01-24T13:44:21-06:00ReturnTs
Tax Period End2021-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11551 N WATERFRONT PKWY STE 300AddressLine1Txt
CityWICHITACityNm
State AbbreviationKSStateAbbreviationCd
ZIP672066601ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2020-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN481142989EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1RIVERSIDE HEALTH FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% RONNIE TROYInCareOfNm
Business Name ControlRIVEBusinessNameControlTxt
Phone3169428430PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 9527AddressLine1Txt
CityWICHITACityNm
State AbbreviationKSStateAbbreviationCd
ZIP672770527ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRONNIE TROYPersonNm
Person TitleTREASURERPersonTitleTxt
Phone3169428430PhoneNum
Signature2022-01-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstRONNIEPersonFirstNm
Person LastTROYPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSHAWNELL LINOTPreparerPersonNm
PTINP01663908PTIN
Phone3162652811PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$2,691,514FMVAssetsEOYAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$0ContriRcvdRevAndExpnssAmt
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Dividends Rev And Expnss$35,922DividendsRevAndExpnssAmt
Dividends Net Invst Incm$35,922DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$772,733NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$35,176,814GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$772,733CapGainNetIncmNetInvstIncmAmt
Other Income Rev And Expnss$1,423OtherIncomeRevAndExpnssAmt
Other Income Net Invst Incm$1,423OtherIncomeNetInvstIncmAmt
Total Rev And Expnss$810,078TotalRevAndExpnssAmt
Total Net Invst Incm$810,078TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Legal Fees Rev And Expnss$289LegalFeesRevAndExpnssAmt
Legal Fees Net Invst Incm$0LegalFeesNetInvstIncmAmt
Legal Fees Adj Net Incm$0LegalFeesAdjNetIncmAmt
Legal Fees Dsbrs Chrtbl$289LegalFeesDsbrsChrtblAmt
Accounting Fees Rev And Expnss$7,004AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$700AccountingFeesNetInvstIncmAmt
Accounting Fees Adj Net Incm$0AccountingFeesAdjNetIncmAmt
Accounting Fees Chrtbl Prps$6,304AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$28,047OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$28,047OtherProfFeesNetInvstIncmAmt
Taxes Rev And Expnss$22,000TaxesRevAndExpnssAmt
Occupancy Rev And Expnss$284OccupancyRevAndExpnssAmt
Occupancy Dsbrs Chrtbl$284OccupancyDsbrsChrtblAmt
Trav Conf Meeting Rev And Expnss$218TravConfMeetingRevAndExpnssAmt
Trav Conf Meeting Dsbrs Chrtbl$218TravConfMeetingDsbrsChrtblAmt
Other Expenses Rev And Expnss$15,865OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$495OtherExpensesNetInvstIncmAmt
Other Expenses Adj Net Incm$0OtherExpensesAdjNetIncmAmt
Other Expenses Dsbrs Chrtbl$15,370OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$73,707TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$29,242TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Adj Net Incm$0TotOprExpensesAdjNetIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$22,465TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$15,102,500ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$15,102,500ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$15,176,207TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$29,242TotalExpensesNetInvstIncmAmt
Total Expenses Adj Net Incm$0TotalExpensesAdjNetIncmAmt
Total Expenses Dsbrs Chrtbl$15,124,965TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$14,366,129ExcessRevenueOverExpensesAmt
Net Investment Income$780,836NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$19,983SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$19,447SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$19,447SavAndTempCashInvstEOYFMVAmt
US Government Obligations BOY$647,677USGovernmentObligationsBOYAmt
US Government Obligations EOY$0USGovernmentObligationsEOYAmt
US Govt Obligations EOYFMV$0USGovtObligationsEOYFMVAmt
Corporate Stock BOY$11,097,348CorporateStockBOYAmt
Corporate Stock EOY$0CorporateStockEOYAmt
Corporate Stock EOYFMV$0CorporateStockEOYFMVAmt
Corporate Bonds BOY$5,929,393CorporateBondsBOYAmt
Corporate Bonds EOY$2,672,067CorporateBondsEOYAmt
Corporate Bonds EOYFMV$2,672,067CorporateBondsEOYFMVAmt
Total Assets BOY$17,694,401TotalAssetsBOYAmt
Total Assets EOY$2,691,514TotalAssetsEOYAmt
Total Assets EOYFMV$2,691,514TotalAssetsEOYFMVAmt
Accounts Payable BOY$11,233AccountsPayableBOYAmt
Accounts Payable EOY$8,841AccountsPayableEOYAmt
Total Liabilities BOY$11,233TotalLiabilitiesBOYAmt
Total Liabilities EOY$8,841TotalLiabilitiesEOYAmt
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind
No Donor Rstr Net Assests BOY$17,683,168NoDonorRstrNetAssestsBOYAmt
No Donor Rstr Net Assests EOY$2,682,673NoDonorRstrNetAssestsEOYAmt
Tot Net Ast Or Fund Balances BOY$17,683,168TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$2,682,673TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$17,694,401TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$2,691,514TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$17,683,168TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$14,366,129ExcessRevenueOverExpensesAmt
Subtotal$3,317,039SubtotalAmt
Other Decreases$634,366OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$2,682,673TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (4 entries)

PropertyPropertyDescGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmt
COMMERCE 69-4$21,380,600$21,249,856$130,744$130,744
COMMERCE 69-2$3,029,489$2,966,472$63,017$63,017
COMMERCE 69-3$9,625,170$9,060,778$564,392$564,392
COMMERCE 69-8$1,141,555$1,126,975$14,580$14,580
FieldValueIRS element (for citing)
Capital Gain Net Income$772,733CapitalGainNetIncomeAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$10,854InvestmentIncomeExciseTaxAmt
Subtotal$10,854SubtotalAmt
Tax Based On Investment Income$10,854TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$24,290EstimatedPlusOvpmtIncmTxAmt
Exempt Frgn Org Tax Wthld At Srce$0ExemptFrgnOrgTaxWthldAtSrceAmt
Total Payments And Credits$24,290TotalPaymentsAndCreditsAmt
Overpayment$13,436OverpaymentAmt
Applied To ES Tax$13,436AppliedToESTaxAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political ActyfalseLegislativePoliticalActyInd
More Than100 SpentfalseMoreThan100SpentInd
Form1120 POL FiledfalseForm1120POLFiledInd
Section4955 Organization Tax$0Section4955OrganizationTaxAmt
Section4955 Managers Tax$0Section4955ManagersTaxAmt
Tax Reimbursed$0TaxReimbursedAmt
Activities Not Previously RptfalseActivitiesNotPreviouslyRptInd
Changes To Articles Or BylawsfalseChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Organization Dissolved EtcfalseOrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (true)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (true)AtLeast5000InAssetsInd
Org Report Or Register StateKSOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (true)Form990PFFiledWithAttyGenInd
Private Operating FoundationfalsePrivateOperatingFoundationInd
New Substantial ContributorsfalseNewSubstantialContributorsInd
Own Controlled EntityfalseOwnControlledEntityInd
Donor Advised FundfalseDonorAdvisedFundInd
Comply With Public Insp RqrYes (true)ComplyWithPublicInspRqrInd
Website AddressN/AWebsiteAddressTxt

Persons With Books Name PersonsWithBooksName

FieldValueIRS element (for citing)
Business Name Line1RONNIE TROYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3169428430PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 9527AddressLine1Txt
CityWICHITACityNm
State AbbreviationKSStateAbbreviationCd
ZIP672770527ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts QuestionfalseForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified PrsnfalseSaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified PrsnfalseBrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified PrsnfalseFurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified PrsnfalsePayCompDisqualifiedPrsnInd
Transfer Ast Disqualified PrsnfalseTransferAstDisqualifiedPrsnInd
Payment To Government OfficialfalsePaymentToGovernmentOfficialInd
Uncorrected Prior ActsfalseUncorrectedPriorActsInd
Undistributed Income PYfalseUndistributedIncomePYInd
Undistr Incm Sect4942a2 Not AppfalseUndistrIncmSect4942a2NotAppInd
Business HoldingsfalseBusinessHoldingsInd
Jeopardy InvestmentsfalseJeopardyInvestmentsInd
Uncorrected PY Jeopardy InvstfalseUncorrectedPYJeopardyInvstInd
Influence LegislationfalseInfluenceLegislationInd
Influence ElectionfalseInfluenceElectionInd
Grants To IndividualsfalseGrantsToIndividualsInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Noncharitable PurposefalseNoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
RANDY COONROD
PO BOX 9527WICHITAKS672770527CHAIRMAN/DIRECTOR1.0$0$0$0
DR JERRY GASTON
PO BOX 9527WICHITAKS672770527VICE CHAIRMAN/DIRECTOR0.5$0$0$0
RONNIE TROY
PO BOX 9527WICHITAKS672770527SECRETARY/TREASURER/DIRECTOR1.0$0$0$0
TERRY FRY
PO BOX 9527WICHITAKS672770527DIRECTOR0.5$0$0$0
DR CAROLINE SORIA
PO BOX 9527WICHITAKS672770527DIRECTOR0.5$0$0$0
SENATOR LES DONOVAN
PO BOX 9527WICHITAKS672770527DIRECTOR0.5$0$0$0
DR DAN MCCARTY
PO BOX 9527WICHITAKS672770527DIRECTOR0.5$0$0$0
DR JON KIRKPATRICK
PO BOX 9527WICHITAKS672770527DIRECTOR0.5$0$0$0
JAMES ERNSTMANN
PO BOX 9527WICHITAKS672770527DIRECTOR0.5$0$0$0

Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp

FieldValueIRS element (for citing)
Description1N/ADescription1Txt

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Description1NONEDescription1Txt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$5,257,424AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$16,913AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$5,274,337TotalFMVOfUnusedAssetsAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$5,274,337AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$79,115CashDeemedCharitableAmt
Net Vl Noncharitable Assets$5,195,222NetVlNoncharitableAssetsAmt
Minimum Investment Return$259,761MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$259,761MinimumInvestmentReturnAmt
Tax Based On Investment Income$10,854TaxBasedOnInvestmentIncomeAmt
Total Tax$10,854TotalTaxAmt
Distributable Before Adj$248,907DistributableBeforeAdjAmt
Distributable Before Ded$248,907DistributableBeforeDedAmt
Distributable As Adjusted$248,907DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$15,124,965ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Charitable Assets Acquis Paid$0CharitableAssetsAcquisPaidAmt
Set Aside Suitability Test$0SetAsideSuitabilityTestAmt
Set Aside Cash Distri Test$0SetAsideCashDistriTestAmt
Qualifying Distributions$15,124,965QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$0PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$15,124,965AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$248,907DistributableAsAdjustedAmt
Undistributed Income PY$839,068UndistributedIncomePYAmt
Prior Year12018PriorYear1Yr
Prior Year22017PriorYear2Yr
Prior Year32016PriorYear3Yr
Excess Distribution Cyov Yr1$0ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$0TotalExcessDistributionCyovAmt
Qualifying Distributions$15,124,965QualifyingDistributionsAmt
Applied To Year1$839,068AppliedToYear1Amt
Applied To Current Year$248,907AppliedToCurrentYearAmt
Remaining Distri From Corpus$14,036,990RemainingDistriFromCorpusAmt
Total Corpus$14,036,990TotalCorpusAmt
Undistributed Income CY$0UndistributedIncomeCYAmt
Excess Distri Cyov To Next Yr$14,036,990ExcessDistriCyovToNextYrAmt
Excess From Year1$0ExcessFromYear1Amt
Excess From Current Year$14,036,990ExcessFromCurrentYearAmt
FieldValueIRS element (for citing)
Private Operating FoundationsPrivateOperatingFoundationsGrp

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (5 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
MENTAL HEALTH ASSOCIATION OF SOUTH CENTRAL KANSAS
555 N WOODLAWN SUITE 3105WICHITAKS67208NONEPCSERVICES FOR SENIORS$50,000
GUADALUPE CLINIC INC
940 S FRANCISWICHITAKS67211NONESO IGENERAL HEALTH AND WELFARE$30,000
GRACEMED HEALTH CLINIC
1122 N TOPEKAWICHITAKS67214NONEPCGENERAL HEALTH AND WELFARE$20,000
WICHITA STATE UNIVERSITY
1845 FAIRMOUNT BOX 13WICHITAKS672600013NONEGOVSHOCKER NEW VENTURE COMPETITION$2,500
KANSAS HEALTH SCIENCE CENTER
221 S TOPEKA STWICHITAKS67202NONEPCGENERAL HEALTH AND WELFARE$15,000,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$15,102,500TotalGrantOrContriPdDurYrAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

FieldValueIRS element (for citing)
Fees Contracts From Govt AgFeesContractsFromGovtAgGrp
Membership Dues And AssmntMembershipDuesAndAssmntGrp
Int On Sav And Temp Cash InvstIntOnSavAndTempCashInvstGrp

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$35,922ExclusionAmt
FieldValueIRS element (for citing)
Net Rntl Incm Re Debt Fincd PropNetRntlIncmReDebtFincdPropGrp
Net Rntl Incm Re Not Debt Fincd PropNetRntlIncmReNotDebtFincdProp
Net Rental Income Personal PropNetRentalIncomePersonalPropGrp
Other Investment Incm Part VIIOtherInvestmentIncmPartVIIGrp

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$772,733ExclusionAmt
FieldValueIRS element (for citing)
Net Income Loss From Special EvtNetIncomeLossFromSpecialEvtGrp
Gross Profit Loss Sls Of InvntryGrossProfitLossSlsOfInvntryGrp

Other Revenue Described OtherRevenueDescribedGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS INCOMEDesc
Exclusion01ExclusionCd
Exclusion$1,423ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Exclusion$810,078ExclusionAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$810,078TotalIncomeProducingActyAmt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EOfalseTrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EOfalseTrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of AssetsfalseSalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EOfalsePurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth AssetsfalseRentalOfFacilitiesOthAssetsInd
Reimbursement ArrangementsfalseReimbursementArrangementsInd
Loans Or Loan GuaranteesfalseLoansOrLoanGuaranteesInd
Performance Of Services EtcfalsePerformanceOfServicesEtcInd
Sharing Of Facilities EtcfalseSharingOfFacilitiesEtcInd
Relationships Nonchrtbl EOfalseRelationshipsNonchrtblEOInd

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryACCOUNTING/TAX PREP FEESCategoryTxt
Amt$7,004Amt
Net Investment Income$700NetInvestmentIncomeAmt
Disbursements Charitable Prps$6,304DisbursementsCharitablePrpsAmt

All Oth Prog Rltd Investments Sch AllOthProgRltdInvestmentsSch

All Other Program Related Invst AllOtherProgramRelatedInvstGrp

FieldValueIRS element (for citing)
DescNONEDesc

Depreciation Schedule DepreciationSchedule

Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corporate Bonds InvestmentsCorporateBondsGrp

FieldValueIRS element (for citing)
BondCOMMERCE 69-4 - SEE STMT 1BondNm
EOY Book Value$2,672,067EOYBookValueAmt
EOYFMV$2,672,067EOYFMVAmt

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (3 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
COMMERCE 69-2 - SEE STMT 2$0$0
COMMERCE 69-3 - SEE STMT 3$0$0
COMMERCE 69-8 - SEE STMT 4$0$0

Investments Govt Obligations Sch InvestmentsGovtObligationsSch

FieldValueIRS element (for citing)
US Govt Obligations Book Vl EOY$0USGovtObligationsBookVlEOYAmt
US Govt Obligations EOYFMV$0USGovtObligationsEOYFMVAmt

Legal Fees Schedule LegalFeesSchedule

Legal Fees LegalFeesGrp

FieldValueIRS element (for citing)
CategoryLEGAL FEESCategoryTxt
Legal Fees$289LegalFeesAmt
Disbursements Charitable Prps$289DisbursementsCharitablePrpsAmt

Other Decreases Schedule OtherDecreasesSchedule

Other Decreases Detail OtherDecreasesDetail

FieldValueIRS element (for citing)
DescUNREALIZED LOSSESDesc
Amt$634,366Amt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (5 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmt
PHYSICIAN AWARENESS$12,645$12,645
LICENSES & PERMITS$40$40
MARKETING$418$418
BANK SERVICE CHARGES$495$495$0
INSURANCE$2,267$2,267

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail

FieldValueIRS element (for citing)
DescMISCELLANEOUS INCOMEDesc
Revenue And Expenses Per Books$1,423RevenueAndExpensesPerBooksAmt
Net Investment Income$1,423NetInvestmentIncomeAmt

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail

FieldValueIRS element (for citing)
CategoryINVESTMENT EXPENSECategoryTxt
Amt$28,047Amt
Net Investment Income$28,047NetInvestmentIncomeAmt

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