FURP.ORG / PUBLIC DATA EXPLORER

AFIA FOUNDATION INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
AFIA FOUNDATION INC (EIN 20-3957960)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-11-08
IRS object ID
202203129349304355
Schema version
2021v4.2
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)
Return2022-11-08T15:19:27-06:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN271728945PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PKF O'CONNOR DAVIES LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1500 MAMARONECK AVENUE SUITE 301AddressLine1Txt
CityHARRISONCityNm
State AbbreviationNYStateAbbreviationCd
ZIP105281633ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN203957960EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1AFIA FOUNDATION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlAFIABusinessNameControlTxt
Phone2127491820PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PARKWEST FIN STATION PO BOX 20997AddressLine1Txt
CityNEW YORKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10025ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCARLOS CUEVASPersonNm
Person TitleCHAIRPersonTitleTxt
Phone2127491820PhoneNum
Signature2022-11-08SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstCARLOSPersonFirstNm
Person LastCUEVASPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonGARRETT M HIGGINSPreparerPersonNm
PTINP00543209PTIN
Phone9143818900PhoneNum
Preparation2022-11-07PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerCARLOS CUEVASPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PARKWEST FIN STATION PO BOX 20997AddressLine1Txt
CityNEW YORKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10025ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$4,091,439GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2005FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionTO PROMOTE AND SUPPORT INITIATIVES AND PROJECTS THAT FOCUS ON ACTIVITIES, PROGRAMS AND UNDERTAKINGS THAT ASSIST INDIVIDUALS WITH LOW-INCOME OR WHO ARE MEDICALLY UNSERVED OR UNDERSERVED.ActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers7TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$129,461PYProgramServiceRevenueAmt
CY Program Service Revenue$88,564CYProgramServiceRevenueAmt
PY Investment Income$1,561,731PYInvestmentIncomeAmt
CY Investment Income$2,183,797CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$1,691,192PYTotalRevenueAmt
CY Total Revenue$2,272,361CYTotalRevenueAmt
PY Grants And Similar Paid$3,388,553PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$273,113CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$288,610PYOtherExpensesAmt
CY Other Expenses$328,342CYOtherExpensesAmt
PY Total Expenses$3,677,163PYTotalExpensesAmt
CY Total Expenses$601,455CYTotalExpensesAmt
PY Revenues Less Expenses-$1,985,971PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,670,906CYRevenuesLessExpensesAmt
Total Assets BOY$30,212,194TotalAssetsBOYAmt
Total Assets EOY$33,406,360TotalAssetsEOYAmt
Total Liabilities BOY$223,513TotalLiabilitiesBOYAmt
Total Liabilities EOY$106,139TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$29,988,681NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$33,300,221NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO PRIMARILY BENEFIT, PROMOTE AND SUPPORT, BY GIFT OR OTHERWISE, THE WILLIAM F. RYAN COMMUNITY HEALTH CENTER, INC., AND THE RYAN/CHELSEA - CLINTON COMMUNITY HEALTH CENTER, INC. (THE "SUPPORTED ORGANIZATIONS") AND TO PROMOTE AND SUPPORT INITIATIVES AND PROJECTS THAT FOCUS ON ACTIVITIES, PROGRAMS AND UNDERTAKINGS THAT ASSIST INDIVIDUALS WITH LOW-INCOME OR WHO ARE MEDICALLY UNSERVED OR UNDERSERVED.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$273,113ExpenseAmt
Grant$273,113GrantAmt
Revenue$88,564RevenueAmt
DescAFIA FOUNDATION, INC. PROVIDED $273,113 TO SUPPORT RYAN/CHELSEA-CLINTON COMMUNITY HEALTH CENTER, INC.'S PURPOSE OF PROVIDING HIGH QUALITY HEALTH CARE SERVICES TO UNDERSERVED POPULATIONS.Desc
Total Program Service Expenses$273,113TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related InvstYes (1)ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document2IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members7GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of Committees0MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SCOTT D MORGANBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2123167923PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1110 WEST 97TH STREETAddressLine1Txt
CityNEW YORKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10025ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (8 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
BRIAN MCINDOE SECRETARY
PAID BY WFR - SEE SCH. O1.0040.00Yes (X)Yes (X)$0$411,231$60,400
CARLOS CUEVAS
CHAIR1.000.00Yes (X)Yes (X)$0$0$0
BARBRA E MINCH
VICE-CHAIR1.000.00Yes (X)Yes (X)$0$0$0
ERIKA DILDAY
TREASURER1.000.00Yes (X)Yes (X)$0$0$0
WALTER S DELACRUZ
DIRECTOR1.002.00Yes (X)$0$0$0
E RONALD GUY
DIRECTOR1.004.00Yes (X)$0$0$0
KALIRIS SALAS-RAMIREZ PHD
DIRECTOR1.000.00Yes (X)$0$0$0
SCOTT MORGAN CFO
PAID BY WFR - SEE SCH. O5.0036.00Yes (X)$0$285,547$79,501
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$696,778TotReportableCompRltdOrgAmt
Total Other Compensation$139,901TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
MERRILL LYNCH
225 LIBERTY STREET 40TH FLOORNEW YORKNY10281INVESTMENT MANAGEMENT SERVICES$179,958
WILLIAM F RYAN COMMUNITY HEALTH CENTER
110 WEST 97TH STREETNEW YORKNY10025MANAGEMENT SERVICES$120,000
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPROGRAM RELATED LOAN INTERESTDesc
Business525990BusinessCd
Total Revenue Column$88,564TotalRevenueColumnAmt
Related Or Exempt Func Income$88,564RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$88,564TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$461,011TotalRevenueColumnAmt
Exclusion$461,011ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$3,541,864SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$1,819,078SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$1,722,786SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,722,786TotalRevenueColumnAmt
Exclusion$1,722,786ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,272,361TotalRevenueColumnAmt
Related Or Exempt Func Income$88,564RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$2,183,797ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$273,113TotalAmt
Program Services$273,113ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$120,000TotalAmt
Management And General$120,000ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$7,654TotalAmt
Management And General$7,654ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$12,700TotalAmt
Management And General$12,700ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$179,958TotalAmt
Management And General$179,958ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,456TotalAmt
Management And General$1,456ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$6,574TotalAmt
Management And General$6,574ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$601,455TotalAmt
Program Services$273,113ProgramServicesAmt
Management And General$328,342ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$79,617BOYAmt
EOY$56,830EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,884,288BOYAmt
EOY$798,576EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,644BOYAmt
EOY$1,644EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$26,039,899BOYAmt
EOY$30,524,411EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$2,164,590BOYAmt
EOY$1,987,072EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$42,156BOYAmt
EOY$37,827EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$30,212,194BOYAmt
EOY$33,406,360EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$10,936BOYAmt
EOY$17,357EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$183,186BOYAmt
EOY$87,804EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$29,391BOYAmt
EOY$978EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$223,513BOYAmt
EOY$106,139EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$29,988,681BOYAmt
EOY$33,300,221EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$29,988,681BOYAmt
EOY$33,300,221EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$30,212,194BOYAmt
EOY$33,406,360EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$1,670,906ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$1,640,634NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit Committee0AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type1Yes (X)SupportingOrgType1Ind
IRS Written DeterminationYes (X)IRSWrittenDeterminationInd
Supported Organizations2SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (2 entries)

EINEINOrganization TypeOrganizationTypeCdGoverning Document ListedGoverningDocumentListedIndSupportSupportAmtOther SupportOtherSupportAmt
RYANCHELSEA-CLINTON COMMUNITY HEALTH CENTER INC
13391182710Yes (1)$273,113$0
WILLIAM F RYAN COMMUNITY HEALTH CENTER INC
13288497610Yes (1)$0$0
FieldValueIRS element (for citing)
Supported Organizations Total2SupportedOrganizationsTotalCnt
Support Sum$273,113SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (1)ListedByNameGoverningDocInd
Suprt Org No IRS Determination0SuprtOrgNoIRSDeterminationInd
Supported Org Section C4560SupportedOrgSectionC456Ind
Supported Org Not Organized US0SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org0OrganizationChangeSuprtOrgInd
Support Non Supported Org0SupportNonSupportedOrgInd
Payment Substantial Contribtr0PaymentSubstantialContribtrInd
Loan Disqualified Person0LoanDisqualifiedPersonInd
Controlled Disqualified Prsn0ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int0DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int0DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules0ExcessBusinessHoldingsRulesInd
Contribution Controller0ContributionControllerInd
Contribution Family0ContributionFamilyInd
Contribution35 Controlled0Contribution35ControlledInd

Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp

FieldValueIRS element (for citing)
Power Appoint Majority Dir TrstYes (1)PowerAppointMajorityDirTrstInd
Operate Benefit Non Suprt Org0OperateBenefitNonSuprtOrgInd

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (2 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
LOAN RECEIVABLE-WILLIAM F. RYAN COMMUNITY HEALTH CENTER, INC.$1,389,192F
LOAN RECEIVABLE-RYAN/CHELSEA-CLINTON COMMUNITY HEALTH CENTER, INC.$597,880F
FieldValueIRS element (for citing)
Total Book Value Program Rltd$1,987,072TotalBookValueProgramRltdAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDUE TO RELATED PARTYDesc
Amt$978Amt
FieldValueIRS element (for citing)
Total Liability$978TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$3,733,037TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$1,640,634NetUnrealizedGainsInvstAmt
Revenue Not Reported$1,640,634RevenueNotReportedAmt
Revenue Subtotal$2,092,403RevenueSubtotalAmt
Investment Expenses Not Incld$179,958InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$179,958RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$2,272,361TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$421,497TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$421,497ExpensesSubtotalAmt
Investment Expenses Not Incld2$179,958InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$179,958ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$601,455TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE FOUNDATION RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT TO BE SUSTAINED. MANAGEMENT HAS DETERMINED THAT THE FOUNDATION HAD NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION OR DISCLOSURE. THE FOUNDATION IS NO LONGER SUBJECT TO EXAMINATIONS BY THE APPLICABLE TAXING JURISDICTIONS FOR PERIODS PRIOR TO DECEMBER 31, 2018.ExplanationTxt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1RYANCHELSEA-CLINTON COMMUNITY HEALTH CENTER INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1645 10TH AVENUEAddressLine1Txt
CityNEW YORKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10036ZIPCd
FieldValueIRS element (for citing)
Recipient EIN133911827RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$273,113CashGrantAmt
Non Cash Assistance$0NonCashAssistanceAmt
Purpose Of GrantTO SUPPORT THE AMERICORPS PROGRAM AND TO HELP FUND THE EXPANSION OF THE MAIN FACILITY.PurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationIN THE AWARD LETTER, THE FOUNDATION NOTES THAT THE FUNDS ARE IN SUPPORT OF THE SPECIFIC PROJECT/PROGRAM DESCRIBED IN THE PROPOSAL. THE FOUNDATION RECEIVES FINANCIAL REPORTS AND INVOICES ON A MONTHLY BASIS FROM THE GRANTEE ORGANIZATION WHICH DICTATE HOW THE FUNDS WERE EXPENDED.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
BRIAN MCINDOE SECRETARY
PAID BY WFR - SEE SCH. O$0$406,875$0$0$0$4,356$0$25,300$0$35,100$0$471,631$0$0
SCOTT MORGAN CFO
PAID BY WFR - SEE SCH. O$0$282,709$0$0$0$2,838$0$25,300$0$54,201$0$365,048$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 4BFormAndLineReferenceDesc
ExplanationBRIAN MCINDOE IS A PARTICIPANT IN A SPLIT-DOLLAR LIFE INSURANCE ARRANGEMENT ESTABLISHED BY WILLIAM F. RYAN COMMUNITY HEALTH CENTER ("RYAN HEALTH"), A RELATED TAX-EXEMPT ENTITY. BRIAN MCINDOE IS THE OWNER OF THE POLICY UTILIZED IN THE ARRANGEMENT, AND RYAN HEALTH SHALL RECEIVE REPAYMENT OF ALL PREMIUM LOANS, INCLUDING INTEREST, IN ACCORDANCE WITH THE PLAN DOCUMENTS. FOR TAX PURPOSES, THE PREMIUMS ARE TREATED AS NONRECOURSE SPLIT-DOLLAR LOANS UNDER 26 CFR 1.7872-15. THE OBLIGATION OF BRIAN MCINDOE TO REPAY RYAN HEALTH IS A NON-RECOURSE OBLIGATION. RYAN HEALTH MAY ONLY RECOVER AMOUNTS DUE FROM THE POLICIES.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3WILLIAM F. RYAN COMMUNITY HEALTH CENTER, INC., A RELATED TAX-EXEMPT ORGANIZATION, PROVIDES GENERAL OVERSIGHT AND FINANCIAL MANAGEMENT SERVICES TO THE FOUNDATION. DURING THE 2021 TAX YEAR, THE FOUNDATION PAID WILLIAM F. RYAN COMMUNITY HEALTH CENTER, INC. $120,000 FOR THESE SERVICES. BRIAN MCINDOE AND SCOTT MORGAN WERE COMPENSATED BY WILLIAM F. RYAN COMMUNITY HEALTH CENTER, INC. THEIR COMPENSATION FOR THE 2021 CALENDAR YEAR IS REPORTED IN PART VII, SECTION A AND SCHEDULE J, PART II.
FORM 990, PART VI, SECTION A, LINE 6AFIA FOUNDATION IS A MEMBERSHIP ORGANIZATION. WILLIAM F. RYAN COMMUNITY HEALTH CENTER, INC., AND RYAN/CHELSEA-CLINTON COMMUNITY HEALTH CENTER, INC., ACTING THROUGH THEIR INDIVIDUAL BOARDS OF DIRECTORS, ARE THE CORPORATE MEMBERS ("MEMBERS") OF THE FOUNDATION.
FORM 990, PART VI, SECTION A, LINE 7AWILLIAM F. RYAN COMMUNITY HEALTH CENTER, INC. AND RYAN/CHELSEA-CLINTON COMMUNITY HEALTH CENTER, INC., ACTING THROUGH THEIR INDIVIDUAL BOARD OF DIRECTORS, ARE THE CORPORATE MEMBERS OF THE FOUNDATION. AT EACH ANNUAL MEETING OF MEMBERS, DIRECTORS SHALL BE ELECTED TO HOLD OFFICE UNTIL THE NEXT ANNUAL MEETING AND UNTIL THEIR SUCCESSORS HAVE BEEN ELECTED AND QUALIFIED.
FORM 990, PART VI, SECTION A, LINE 7BANY OR ALL OF THE DIRECTORS MAY BE REMOVED FOR CAUSE BY VOTE OF THE MEMBERS, OR BY A VOTE OF THE DIRECTORS, PROVIDED THERE IS A QUORUM OF NOT LESS THAN A MAJORITY OF THE ENTIRE BOARD OF DIRECTORS, PRESENT AT THE MEETING OF DIRECTORS AT WHICH SUCH ACTION IS TAKEN. ANY OR ALL OF THE DIRECTORS MAY BE REMOVED WITHOUT CAUSE BY A VOTE OF THE MEMBERS. THE FOLLOWING ITEMS MUST BE APPROVED FIRST BY MAJORITY VOTE OF THE BOARD OF DIRECTORS AT A MEETING AT WHICH A QUORUM IS PRESENT AND THEN SUBMITTED TO THE MEMBERS FOR APPROVAL: -APPROVAL OF A MERGER OR CONSOLIDATION -APPROVAL OF DISSOLUTION OF THE CORPORATION; AND -APPROVAL OF THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE CORPORATION'S ASSETS; PROVIDED THAT, THE SALE, LEASE MORTGAGE, EXCHANGE OR OTHER DISPOSITION OF REAL PROPERTY THAT CONSTITUTES ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION REQUIRES A VOTE BY TWO-THIRDS (2/3) VOTE OF THE ENTIRE BOARD OF DIRECTORS BEFORE SUBMISSION TO THE MEMBERS.
FORM 990, PART VI, SECTION A, LINE 8BTHE FOUNDATION DID NOT HAVE ANY COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 WAS REVIEWED BY THE CHIEF FINANCIAL OFFICER OF WILLIAM F. RYAN COMMUNITY HEALTH CENTER, INC., A RELATED TAX-EXEMPT ORGANIZATION. THE CHAIR THEN PRESENTS THE FORM 990 TO THE FULL BOARD OF DIRECTORS FOR THEIR REVIEW AT THE BOARD OF DIRECTORS MEETING, BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12CEACH BOARD MEMBER, OFFICER OR KEY EMPLOYEE COMPLETES A CONFLICT OF INTEREST QUESTIONNAIRE PRIOR TO BECOMING A BOARD MEMBER, OFFICER OR KEY EMPLOYEE AND ANNUALLY THEREAFTER. THE QUESTIONNAIRE FORMAT IS APPROVED BY THE BOARD OF DIRECTORS. EACH BOARD MEMBER, OFFICER OR KEY EMPLOYEE WILL PROMPTLY ADVISE THE SECRETARY OF THE BOARD OF ANY CHANGES TO THE INFORMATION PROVIDED IN THAT INDIVIDUAL'S LAST COMPLETED CONFLICT OF INTEREST QUESTIONNAIRE. IF DURING THE COURSE OF A BOARD MEETING, DISCUSSION, OR DELIBERATION ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST BECOMES APPARENT TO A BOARD MEMBER, THE BOARD MEMBER MUST DISCLOSE SUCH ACTUAL OR POTENTIAL CONFLICT TO THE BOARD OF DIRECTORS. IF ANOTHER BOARD MEMBER BECOMES AWARE OF ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST, HE OR SHE WILL DISCLOSE SUCH CONFLICT IF THE CONFLICTED BOARD MEMBER IS ABSENT. IN BOTH CASES, SUCH DISCLOSURE IS MADE A MATTER OF RECORD. THE SECRETARY ENSURES THAT ALL INDIVIDUALS REQUIRED TO COMPLETE AN ANNUAL DISCLOSURE STATEMENT DO SO IN ACCORDANCE WITH THIS POLICY. IF ANY INDIVIDUAL FAILS TO COMPLY WITH THE POLICY'S DISCLOSURE REQUIREMENTS, THE SECRETARY REPORTS SUCH FAILURE TO THE BOARD OF DIRECTORS, WHO RECOMMEND APPROPRIATE CORRECTIVE ACTION. ALL DISCLOSURES OF INTERESTS IN COMPLETED QUESTIONNAIRES OR SUBSEQUENT ADVICE ARE COMPILED AND REPORTED BY MANAGEMENT TO THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION C, LINE 19THE FOUNDATION'S FORM 990 AND FORM 1023 ARE AVAILABLE FOR PUBLIC INSPECTION AS REQUIRED UNDER SECTION 6104 OF THE INTERNAL REVENUE CODE. THE RETURN IS POSTED ON GUIDESTAR.ORG AND OTHER SIMILAR WEBSITE. IN ADDITION, THE FINANCIAL STATEMENTS, ARTICLES OF INCORPORATION, AND BY-LAWS ARE AVAILABLE UPON REQUEST.
FORM 990, PART VII, SECTION A:BRIAN MCINDOE AND SCOTT MORGAN RECEIVE COMPENSATION IN THEIR RESPECTIVE ROLES AS PRESIDENT/CEO AND CHIEF FINANCIAL OFFICER OF WILLIAM F. RYAN COMMUNITY HEALTH CENTER, INC., A RELATED TAX-EXEMPT ENTITY. THEIR COMPENSATION IS REPORTED IN PART VII, SECTION A, AND SCHEDULE J, PART II AS REQUIRED. THESE INDIVIDUALS ARE NOT COMPENSATED BY THE FOUNDATION NOR THE RELATED ORGANIZATION FOR THEIR ROLES WITH THE FOUNDATION.
FORM 990, PART XII, LINE 2C:THE FOUNDATION'S BOARD OF DIRECTORS ARE RESPONSIBLE FOR OVERSEEING THE ACCOUNTING AND FINANCIAL REPORTING PROCESSES OF THE FOUNDATION AND THE AUDIT OF THE FOUNDATION'S FINANCIAL STATEMENTS. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationInd
RYANCHELSEA-CLINTON COMMUNITY HEALTH CENTER INC
645 10TH AVENUENEW YORKNY10036133911827PROVIDES HIGH QUALITY HEALTH CARE SERVICES TO UNDERSERVED POPULATIONSNY501(C)(3)LINE 10N/A0
WILLIAM F RYAN COMMUNITY HEALTH CENTER INC
110 WEST 97TH STREETNEW YORKNY10025132884976PROVIDES HIGH QUALITY HEALTH CARE SERVICES TO UNDERSERVED POPULATIONSNY501(C)(3)LINE 10N/A0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd