RCHN COMMUNITY HEALTH FOUNDATION INC: Form 990PF, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
RCHN COMMUNITY HEALTH FOUNDATION INC (EIN 13-3759663)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-10-05
IRS object ID
202142789349100614
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)
Return2021-10-05T13:31:25-05:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN221430039PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1SOBEL & CO LLC CPA'SBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1293 EISENHOWER PARKWAYAddressLine1Txt
CityLIVINGSTONCityNm
State AbbreviationNJStateAbbreviationCd
ZIP070391711ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN133759663EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1RCHN COMMUNITY HEALTH FOUNDATION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlRCHNBusinessNameControlTxt
Phone9176120066PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line19 EAST 8TH STREET BOX 261AddressLine1Txt
CityNEW YORKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10003ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonFEYGELE JACOBSPersonNm
Person TitlePRESIDENT & CEOPersonTitleTxt
Phone9176120066PhoneNum
Signature2021-10-05SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstFEYGELEPersonFirstNm
Person LastJACOBSPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBRIDGET HARTNETTPreparerPersonNm
PTINP01429163PTIN
Phone9739949494PhoneNum
Preparation2021-10-05PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Address ChangeYes (X)AddressChangeInd
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$10,492,946FMVAssetsEOYAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$100,020ContriRcvdRevAndExpnssAmt
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Interest On Sav Rev And Expnss$865InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$865InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$223,542DividendsRevAndExpnssAmt
Dividends Net Invst Incm$223,542DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$14,435NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$3,392,284GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$14,435CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$338,862TotalRevAndExpnssAmt
Total Net Invst Incm$238,842TotalNetInvstIncmAmt
Total Adj Net Incm$0TotalAdjNetIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$354,829CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$88,707CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Adj Net Incm$0CompOfcrDirTrstAdjNetIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$266,122CompOfcrDirTrstDsbrsChrtblAmt
Oth Empl Slrs Wgs Rev And Expnss$400,452OthEmplSlrsWgsRevAndExpnssAmt
Oth Empl Slrs Wgs Net Invst Incm$188,005OthEmplSlrsWgsNetInvstIncmAmt
Oth Empl Slrs Wgs Adj Net Incm$0OthEmplSlrsWgsAdjNetIncmAmt
Oth Empl Slrs Wgs Dsbrs Chrtbl$212,447OthEmplSlrsWgsDsbrsChrtblAmt
Pension Empl Bnft Rev And Expnss$749,845PensionEmplBnftRevAndExpnssAmt
Pension Empl Bnft Net Invst Incm$249,793PensionEmplBnftNetInvstIncmAmt
Pension Empl Bnft Adj Net Incm$0PensionEmplBnftAdjNetIncmAmt
Pension Empl Bnft Dsbrs Chrtbl$159,628PensionEmplBnftDsbrsChrtblAmt
Legal Fees Rev And Expnss$137,466LegalFeesRevAndExpnssAmt
Legal Fees Net Invst Incm$101,232LegalFeesNetInvstIncmAmt
Legal Fees Adj Net Incm$0LegalFeesAdjNetIncmAmt
Legal Fees Dsbrs Chrtbl$36,223LegalFeesDsbrsChrtblAmt
Accounting Fees Rev And Expnss$39,375AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$29,531AccountingFeesNetInvstIncmAmt
Accounting Fees Adj Net Incm$0AccountingFeesAdjNetIncmAmt
Accounting Fees Chrtbl Prps$11,000AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$360,232OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$92,978OtherProfFeesNetInvstIncmAmt
Other Prof Fees Adj Net Incm$0OtherProfFeesAdjNetIncmAmt
Other Prof Fees Dsbrs Chrtbl$171,125OtherProfFeesDsbrsChrtblAmt
Taxes Rev And Expnss$6,798TaxesRevAndExpnssAmt
Taxes Net Invst Incm$6,798TaxesNetInvstIncmAmt
Taxes Adj Net Incm$0TaxesAdjNetIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Deprec And Dpltn Rev And Expnss$24,004DeprecAndDpltnRevAndExpnssAmt
Deprec And Dpltn Net Invst Incm$24,004DeprecAndDpltnNetInvstIncmAmt
Deprec And Dpltn Adj Net Incm$0DeprecAndDpltnAdjNetIncmAmt
Occupancy Rev And Expnss$202,527OccupancyRevAndExpnssAmt
Occupancy Net Invst Incm$64,809OccupancyNetInvstIncmAmt
Occupancy Adj Net Incm$0OccupancyAdjNetIncmAmt
Occupancy Dsbrs Chrtbl$156,760OccupancyDsbrsChrtblAmt
Trav Conf Meeting Rev And Expnss$5,759TravConfMeetingRevAndExpnssAmt
Trav Conf Meeting Net Invst Incm$0TravConfMeetingNetInvstIncmAmt
Trav Conf Meeting Adj Net Incm$0TravConfMeetingAdjNetIncmAmt
Trav Conf Meeting Dsbrs Chrtbl$5,759TravConfMeetingDsbrsChrtblAmt
Printing And Pub Rev And Expnss$687PrintingAndPubRevAndExpnssAmt
Printing And Pub Net Invst Incm$0PrintingAndPubNetInvstIncmAmt
Printing And Pub Adj Net Incm$0PrintingAndPubAdjNetIncmAmt
Printing And Pub Dsbrs Chrtbl$687PrintingAndPubDsbrsChrtblAmt
Other Expenses Rev And Expnss$147,677OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$43,600OtherExpensesNetInvstIncmAmt
Other Expenses Adj Net Incm$0OtherExpensesAdjNetIncmAmt
Other Expenses Dsbrs Chrtbl$75,962OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$2,429,651TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$889,457TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Adj Net Incm$0TotOprExpensesAdjNetIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$1,095,713TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$1,211,185ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$1,367,975ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$3,640,836TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$889,457TotalExpensesNetInvstIncmAmt
Total Expenses Adj Net Incm$0TotalExpensesAdjNetIncmAmt
Total Expenses Dsbrs Chrtbl$2,463,688TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$3,301,974ExcessRevenueOverExpensesAmt
Net Investment Income$0NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$759,480SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$265,740SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$265,740SavAndTempCashInvstEOYFMVAmt
Prepaid Expenses BOY$81,232PrepaidExpensesBOYAmt
Prepaid Expenses EOY$65,511PrepaidExpensesEOYAmt
Prepaid Expenses EOYFMV$65,511PrepaidExpensesEOYFMVAmt
Corporate Stock BOY$35CorporateStockBOYAmt
Corporate Stock EOY$31CorporateStockEOYAmt
Corporate Stock EOYFMV$31CorporateStockEOYFMVAmt
Corporate Bonds BOY$2,656,831CorporateBondsBOYAmt
Corporate Bonds EOY$582,386CorporateBondsEOYAmt
Corporate Bonds EOYFMV$582,386CorporateBondsEOYFMVAmt
Other Investments BOY$9,364,449OtherInvestmentsBOYAmt
Other Investments EOY$9,218,853OtherInvestmentsEOYAmt
Other Investments EOYFMV$9,218,853OtherInvestmentsEOYFMVAmt
Land Bldg Equip Cost Or Other Bss$214,488LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$204,063LandBldgEquipAccumDeprecAmt
Land BOY$67,470LandBOYAmt
Land EOY$10,425LandEOYAmt
Land EOYFMV$10,425LandEOYFMVAmt
Other Assets BOY$0OtherAssetsBOYAmt
Other Assets EOY$350,000OtherAssetsEOYAmt
Other Assets EOYFMV$350,000OtherAssetsEOYFMVAmt
Total Assets BOY$12,929,497TotalAssetsBOYAmt
Total Assets EOY$10,492,946TotalAssetsEOYAmt
Total Assets EOYFMV$10,492,946TotalAssetsEOYFMVAmt
Accounts Payable BOY$1,478,615AccountsPayableBOYAmt
Accounts Payable EOY$1,946,739AccountsPayableEOYAmt
Other Liabilities BOY$45,594OtherLiabilitiesBOYAmt
Other Liabilities EOY$15,138OtherLiabilitiesEOYAmt
Total Liabilities BOY$1,524,209TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,961,877TotalLiabilitiesEOYAmt
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind
No Donor Rstr Net Assests BOY$11,405,288NoDonorRstrNetAssestsBOYAmt
No Donor Rstr Net Assests EOY$8,531,069NoDonorRstrNetAssestsEOYAmt
Tot Net Ast Or Fund Balances BOY$11,405,288TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$8,531,069TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$12,929,497TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$10,492,946TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$11,405,288TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$3,301,974ExcessRevenueOverExpensesAmt
Other Increases$427,755OtherIncreasesAmt
Subtotal$8,531,069SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$8,531,069TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp

FieldValueIRS element (for citing)
PropertyMERRILL LYNCH SECURITITESPropertyDesc
Gross Sales Price$3,392,284GrossSalesPriceAmt
Cost Or Other Basis$3,377,849CostOrOtherBasisAmt
Gain Or Loss$14,435GainOrLossAmt
Gains Minus Excess Or Losses$14,435GainsMinusExcessOrLossesAmt
FieldValueIRS element (for citing)
Capital Gain Net Income$14,435CapitalGainNetIncomeAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$0InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$0SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$0TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$6,824EstimatedPlusOvpmtIncmTxAmt
Exempt Frgn Org Tax Wthld At Srce$0ExemptFrgnOrgTaxWthldAtSrceAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$6,824TotalPaymentsAndCreditsAmt
Es Penalty$0EsPenaltyAmt
Overpayment$6,824OverpaymentAmt
Applied To ES Tax$6,824AppliedToESTaxAmt
Refund$0RefundAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political Acty0LegislativePoliticalActyInd
More Than100 Spent0MoreThan100SpentInd
Form1120 POL Filed0Form1120POLFiledInd
Section4955 Organization Tax$0Section4955OrganizationTaxAmt
Section4955 Managers Tax$0Section4955ManagersTaxAmt
Tax Reimbursed$0TaxReimbursedAmt
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Changes To Articles Or Bylaws0ChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (1)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (1)AtLeast5000InAssetsInd
Org Report Or Register StateNYOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (1)Form990PFFiledWithAttyGenInd
Private Operating Foundation0PrivateOperatingFoundationInd
New Substantial Contributors0NewSubstantialContributorsInd
Own Controlled Entity0OwnControlledEntityInd
Donor Advised Fund0DonorAdvisedFundInd
Comply With Public Insp RqrYes (1)ComplyWithPublicInspRqrInd
Website AddressWWW.RCHNFOUNDATION.ORGWebsiteAddressTxt

Persons With Books Name PersonsWithBooksName

FieldValueIRS element (for citing)
Business Name Line1THE ORGANIZATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9176120066PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line19 EAST 8TH STREET BOX 261AddressLine1Txt
CityNEW YORKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10003ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts Question0ForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified Prsn0SaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified Prsn0BrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified Prsn0FurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified PrsnYes (1)PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified Prsn0TransferAstDisqualifiedPrsnInd
Payment To Government Official0PaymentToGovernmentOfficialInd
Acts Fail To Qlfy As Exceptions0ActsFailToQlfyAsExceptionsInd
Uncorrected Prior Acts0UncorrectedPriorActsInd
Undistributed Income PY0UndistributedIncomePYInd
Business Holdings0BusinessHoldingsInd
Jeopardy Investments0JeopardyInvestmentsInd
Uncorrected PY Jeopardy Invst0UncorrectedPYJeopardyInvstInd
Influence Legislation0InfluenceLegislationInd
Influence Election0InfluenceElectionInd
Grants To Individuals0GrantsToIndividualsInd
Grants To Organizations0GrantsToOrganizationsInd
Noncharitable Purpose0NoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
DOUG WIRTH
55 BROADWAY SUITE 1502NEW YORKNY10006BOARD MEMBER1.00$0$0$0
FEYGELE JACOBS
55 BROADWAY SUITE 1502NEW YORKNY10006PRESIDENT & CEO35.00$354,830$426,779$0
JOHN OHLWEILER
55 BROADWAY SUITE 1502NEW YORKNY10006BOARD MEMBER1.00$0$0$0
M MONICA SWEENEY MD
55 BROADWAY SUITE 1502NEW YORKNY10006CHAIRPERSON1.00$0$0$0
G ROBERT WATTS
55 BROADWAY SUITE 1502NEW YORKNY10006BOARD MEMBER1.00$0$0$0

Compensation Highest Paid Empl CompensationHighestPaidEmplGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee BenefitsEmployeeBenefitsAmtExpense AccountExpenseAccountAmt
BARBARA ALLEN
55 BROADWAY STE 1502NEW YORKNY10006DIRECTOR OF ACCOUNTI35.00$119,463$85,436$0
MARJORIE BOMSON
55 BROADWAY STE 1502NEW YORKNY10006MANAGER- ADMINISTRAT35.00$109,342$68,577$0
CHAD HANSEN
55 BROADWAY STE 1502NEW YORKNY10006MANAGER- GRANTS & PR35.00$78,971$47,665$0
NELA ABEY
55 BROADWAY STE 1502NEW YORKNY10006MANAGER- POLICY AND35.00$48,846$35,736$0
IRENE BRUCE
55 BROADWAY STE 1502NEW YORKNY10006MANAGER- CHRONICLES35.00$43,830$30,962$0
FieldValueIRS element (for citing)
Other Employee Paid Over50k0OtherEmployeePaidOver50kCnt

Compensation Of Hghst Pd Cntrct CompensationOfHghstPdCntrctGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdService TypeServiceTypeTxtCompensationCompensationAmt
DECHERT LLP
1095 AVENUE OF THE AMERICASNEW YORKNY10036LEGAL SERVICES$92,879
MIRRAM GROUP LLC
5030 BROADWAY STE 801NEW YORKNY10034PROJECT & MEDIA CONSULTING$60,000
FieldValueIRS element (for citing)
Contractor Paid Over50k0ContractorPaidOver50kCnt

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$9,850,035AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$108,956AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$9,958,991TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$9,958,991AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$149,385CashDeemedCharitableAmt
Net Vl Noncharitable Assets$9,809,606NetVlNoncharitableAssetsAmt
Minimum Investment Return$490,480MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$490,480MinimumInvestmentReturnAmt
Total Tax$0TotalTaxAmt
Distributable Before Adj$490,480DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$490,480DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$490,480DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$2,463,688ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$2,463,688QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$0PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$2,463,688AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$490,480DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr5$1,489,340ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$1,564,691ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$1,387,374ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$1,518,214ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$1,876,527ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$7,836,146TotalExcessDistributionCyovAmt
Qualifying Distributions$2,463,688QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$490,480AppliedToCurrentYearAmt
Remaining Distri From Corpus$1,973,208RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$9,809,354TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Prior Year Deficiency Or Tax$0PriorYearDeficiencyOrTaxAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$0UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$1,489,340ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$8,320,014ExcessDistriCyovToNextYrAmt
Excess From Year4$1,564,691ExcessFromYear4Amt
Excess From Year3$1,387,374ExcessFromYear3Amt
Excess From Year2$1,518,214ExcessFromYear2Amt
Excess From Year1$1,876,527ExcessFromYear1Amt
Excess From Current Year$1,973,208ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

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

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (24 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
ASSOCIATION OF CLINICIANS FOR THE UNDERSERVED
1420 SPRING HILL ROAD SUITE 600TYSONS CORNERVA22102NONEPCCONFERENCE SPONSORSHIP$1,500
BETANCES HEALTH CENTER
280 HENRY STREETNEW YORKNY10002NONEPCCOVID-19 RESPONSE SUPPORT$2,500
CHINATOWN HEALTH CLINIC FOUNDATION
268 CANAL ST 6TH FLOORNEW YORKNY10013NONEPCSUPPORT OF COMMUNITY HEALTH CENTER ORGANIZATION$1,000
COLLEGE FOR HEALTHY COMMUNITIES AND THE UNDERSERVED
1604 N PALMCROFT WAY SEPHOENIXAZ85007NONEPCSTART-UP FUNDING FOR NEEDS BASED LEARNING D/B/A COLLEGE FOR HEALTH COMMUNITIES$250,000
DIRECT RELIEF
6100 WALLACE BECKNELL ROADSANTA BARBARACA93117NONEPCSUPPORT COVID-19 FUND FOR COMMUNITY HEALTH$45,000
FUND FOR PUBLIC HEALTH IN NEW YORK
22 CORTLANDT STREETNEW YORKNY10007NONEPCSUPPORT OF CHARITABLE ORGANIZATION$500
GEORGE WASHINGTON UNIVERSITY CO OFFICE OF THE VICE PRESIDENT FOR RESEARCH
1922 F STREET NW 4TH FLOORWASHINGTONDC20052NONEPCGRANT TO FUNDERS FORUM ON ACCOUNTABLE HEALTH FOR CHC-FOCUSED RESEARCH STUDY$12,500
GEORGE WASHINGTON UNIVERSITY
2121 I STREET NW SUITE 601WASHINGTONDC20052NONEPCGIFT TO SUPPORT GEIGER GIBSON PROGRAM IN DEPARTMENT OF HEALTH POLICY, MILKEN INSTITUTE SPH$350,000
GEORGE WASHINGTON UNIVERSITY
2175 K STREET NW SUITE 257WASHINGTONDC20037NONEPCSPONSER BEYOND FLEXNER CONFERENCE$2,500
GEORGIA ASSOC FOR PRIMARY HEALTH CARE INC
315 W PONCE DE LEON AVE SUITE 1000DECATURGA30030NONEPCPOPULATION HEALTH MANAGEMENT GRANT$32,500
GOD'S LOVE WE DELIVER
166 6TH AVENUENEW YORKNY10013NONEPCSUPPORT OF CHARITABLE ORGANIZATION$500
HRHCARE FOUNDATION
55 SOUTH BROADWAYTARRYTOWNNY10591NONEPCSUPPORT OF COMMUNITY HEALTH CENTER ORGANIZATION$2,500
IDAHO PRIMARY CARE ASSOCIATION
1087 WEST RIVER STREET SUITE 160BOISEID83702NONEPCPOPULATION HEALTH MANAGEMENT GRANT$42,500
LEASHES OF VALOR
24114 SPARTA ROADMILFORDVA22514NONEPCSUPPORT OF CHARITABLE ORGANIZATION$50
MARY'S CENTER
2333 ONTARIO ROAD NWWASHINGTONDC20009NONEPCSUPPORT OF COMMUNITY HEALTH CENTER ORGANIZATION$325
NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS
7501 WISCONSIN AVENUE SUITE 1100WBETHESDAMD20814NONEPCGRANT - CENTER FOR COMMUNITY HEALTH INNOVATION$450,000
NATIONAL HEALTH IT COLLABORATIVE FOR THE UNDERSERVED INC
1629 K STREET NW SUITE 300WASHINGTONDC20006NONEPCSPONSOR NHIT SUMMIT - HIMSS20$2,000
NATIONAL HEALTH IT COLLABORATIVE FOR THE UNDERSERVED INC
1629 K STREET NW SUITE 300WASHINGTONDC20006NONEPCSPONSOR COMMUNITY TRANSFORMATION FORUM$1,000
NEW YORK COMMUNITY TRUST
909 THIRD AVENUE 22ND FLOORNEW YORKNY10022NONEPCGRANT - FUND FOR NEW CITIZENS$45,000
NEW YORK COMMUNITY TRUST
909 THIRD AVENUE 22ND FLOORNEW YORKNY10022NONEPCGRANT - COVID19 EMERGENCY FUND$25,000
NORTHWEST REGIONAL PRIMARY CARE ASSOCIATION
200 W THOMAS STREET SUITE 330SEATTLEWA98119NONEPCGRANT - COMMUNITY HEALTH WORKER INSTITUTE$100,000
OPEN DOOR FAMILY MEDICAL CENTERS
165 MAIN STREETOSSININGNY10562NONEPCSUPPORT OF COMMUNITY HEALTH CENTER ORGANIZATION$500
TENNESSEE PRIMARY CARE ASSOCIATION
710 SPENCE LANENASHVILLETN37217NONEPCSUPPORT STATE PRIMARY CARE ASSOCIATION ACTIVITY$100
ZUFALL HEALTH
18 WEST BLACKWELL STREETDOVERNJ07801NONEPCSUPPORT OF COMMUNITY HEALTH CENTER ORGANIZATION$500
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$1,367,975TotalGrantOrContriPdDurYrAmt

Grant Or Contri Apprv For Fut GrantOrContriApprvForFutGrp

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1NORTHWEST REGIONAL PRIMARY CARE ASSOCIATIONBusinessNameLine1Txt

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line1200 W THOMAS STREET SUITE 330AddressLine1Txt
CitySEATTLECityNm
State AbbreviationWAStateAbbreviationCd
ZIP98119ZIPCd
FieldValueIRS element (for citing)
Recipient RelationshipNONERecipientRelationshipTxt
Recipient Foundation StatusPCRecipientFoundationStatusTxt
Grant Or Contribution PurposeGRANT - COMMUNITY HEALTH WORKER INSTITUTEGrantOrContributionPurposeTxt
Amt$150,000Amt
FieldValueIRS element (for citing)
Total Grant Or Contri Apprv Fut$150,000TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$865ExclusionAmt

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$223,542ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$14,435ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$238,842ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$238,842TotalIncomeProducingActyAmt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EO0TrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EO0TrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of Assets0SalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EO0PurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth Assets0RentalOfFacilitiesOthAssetsInd
Reimbursement Arrangements0ReimbursementArrangementsInd
Loans Or Loan Guarantees0LoansOrLoanGuaranteesInd
Performance Of Services Etc0PerformanceOfServicesEtcInd
Sharing Of Facilities Etc0SharingOfFacilitiesEtcInd
Relationships Nonchrtbl EOYes (1)RelationshipsNonchrtblEOInd

Relationship Schedule Detail RelationshipScheduleDetail

Organization Business Name OrganizationBusinessName

FieldValueIRS element (for citing)
Business Name Line1RCHN COMMUNITY HEALTH FOUNDATION SUPPORT CORP INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Organization Type501 (C) (4)OrganizationTypeDesc
Relationship DescriptionTHE ORGANIZATION IS THE SOLE MEMBER OF RCHN COMMUNITY HEALTH FOUNDATION SUPPORT CORP, INC.RelationshipDescriptionTxt

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategorySOBEL & CO., LLCCategoryTxt
Amt$39,375Amt
Net Investment Income$29,531NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt
Disbursements Charitable Prps$11,000DisbursementsCharitablePrpsAmt

Depreciation Schedule DepreciationSchedule

Depreciation Property DepreciationPropertyGrp (3 entries)

PropertyPropertyDescAcquiredAcquiredDtCost Or Other BasisCostOrOtherBasisAmtPrior Year DepreciationPriorYearDepreciationAmtComputation MethodComputationMethodTxtLifeLifeRtCurrent Year ExpenseCurrentYearExpenseAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmt
LEASEHOLD IMPROVEMENTS2012-01-01$38,542$35,871SL7.000000000000$0$0$0
FURNITURE AND FIXTURES2012-01-01$101,080$94,218SL7.000000000000$0$0$0
EQUIPMENT2012-01-01$74,866$73,974SL7.000000000000$0$0$0

Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corporate Bonds InvestmentsCorporateBondsGrp

FieldValueIRS element (for citing)
BondFIXED INCOMEBondNm
EOY Book Value$582,386EOYBookValueAmt
EOYFMV$582,386EOYFMVAmt

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp

FieldValueIRS element (for citing)
StockEQUITYStockNm
EOY Book Value$31EOYBookValueAmt
EOYFMV$31EOYFMVAmt

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (3 entries)

Category Or ItemCategoryOrItemTxtListed At Cost Or FMVListedAtCostOrFMVCdBook ValueBookValueAmtEOYFMVEOYFMVAmt
ALTERNATIVE INVESTMENTSFMV$71,121$71,121
MUTUAL FUNDSFMV$8,136,737$8,136,737
INVESTMENT IN CHA/CHVFMV$1,010,995$1,010,995

Land Etc Schedule2 LandEtcSchedule2

Land Etc LandEtcGrp (3 entries)

Category Or ItemCategoryOrItemTxtCost Or Other BasisCostOrOtherBasisAmtAccumulated DepreciationAccumulatedDepreciationAmtBook ValueBookValueAmt
LEASEHOLD IMPROVEMENTS$38,542$35,871$2,671
FURNITURE AND FIXTURES$101,080$94,218$6,862
EQUIPMENT$74,866$73,974$892

Legal Fees Schedule LegalFeesSchedule

Legal Fees LegalFeesGrp (3 entries)

CategoryCategoryTxtLegal FeesLegalFeesAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
SMITH & DOWNEY$37,524$37,524$0$0
WHITEMAN OSTERMAN & HANNA LLP$7,034$7,034$0$0
DECHERT$92,908$56,674$0$36,223

Other Assets Schedule OtherAssetsSchedule

Other Assets Schedule OtherAssetsScheduleGrp

FieldValueIRS element (for citing)
DescRESTRICTED CHARITABLE FUNDDesc
BOY Book Value$0BOYBookValueAmt
EOY Book Value$350,000EOYBookValueAmt
EOYFMV$350,000EOYFMVAmt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (13 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
INSURANCE$22,667$7,253$0$15,542
INFORMATION TECHNOLOGY EXPENSES$70,352$22,513$0$24,603
DUES AND MEMBERSHIPS$5,454$0$0$5,454
TELEPHONE$22,799$7,296$0$15,503
EQUIPMENT RENTAL/MAINTENANCE$7,549$2,416$0$4,276
FOOD$912$292$0$620
PAYROLL PROCESSING$3,226$1,032$0$2,194
BANK CHARGES$664$664$0$0
OFFICE SUPPLIES$3,277$1,049$0$2,228
OFFSITE STORAGE$6,085$1,947$0$1,165
POSTAGE/EXPRESS DELIVERY$1,431$458$0$973
MISCELLANNEOUS$6,737$2,156$0$3,404
ADJUSTMENT FOR PRIOR YEAR TAXES-$3,476-$3,476$0$0

Other Increases Schedule OtherIncreasesSchedule

Other Increases Detail OtherIncreasesDetail

FieldValueIRS element (for citing)
DescUNREALIZED GAINDesc
Amt$427,755Amt

Other Liabilities Schedule OtherLiabilitiesSchedule

Other Liabilities Detail OtherLiabilitiesDetail (2 entries)

DescDescBOY Book ValueBOYBookValueAmtEOY Book ValueEOYBookValueAmt
DEFERRED RENT$41,949$15,138
EXCISE TAX LIABILITY$3,645$0

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail (9 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
MIRRAM GROUP, LLC$60,000$0$0$60,000
PUBLIC INTEREST MEDIA GROUP$12,088$0$0$12,641
DATYCS, INC$35,000$0$0$25,000
MERRILL LYNCH$59,218$59,218$0$0
VSHIFT$114,000$0$0$30,000
KAREN WHITE$37,510$33,760$0$3,476
DR. PAUL MELINKOVICH$7,300$0$0$8,400
DR. DAVID STEVENS$28,816$0$0$25,308
AUDIA INC.$6,300$0$0$6,300

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail

FieldValueIRS element (for citing)
CategoryTAXESCategoryTxt
Amt$6,798Amt
Net Investment Income$6,798NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

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