RCHN COMMUNITY HEALTH FOUNDATION INC: Form 990PF, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
RCHN COMMUNITY HEALTH FOUNDATION INC (EIN 13-3759663)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-10-09
IRS object ID
202012839349100311
Schema version
2019v5.1
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)
Return2020-10-09T10:58:33-05:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

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 Begin2019-01-01TaxPeriodBeginDt

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
Phone2122461122PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line155 BROADWAY SUITE 1502AddressLine1Txt
CityNEW YORKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10006ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonFEYGELE JACOBSPersonNm
Person TitlePRESIDENT & CEOPersonTitleTxt
Phone2122461122PhoneNum
Signature2020-10-09SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBRIDGET HARTNETTPreparerPersonNm
PTINP01429163PTIN
Phone9739949494PhoneNum
Preparation2020-09-23PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address96.225.92.15IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-10-09IPDt
IP Tm09:59:42IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdC65AE0C2B7F9D5A546AE030D52249E0DF753EE37AtSubmissionCreationDeviceId
At Submission Filing Device Id4C84F2E4754EDABD1601D80A9BA97309DA3F6D80AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-04-22 16:20:28ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$12,929,496FMVAssetsEOYAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$52ContriRcvdRevAndExpnssAmt
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Interest On Sav Rev And Expnss$2,812InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$2,812InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$326,524DividendsRevAndExpnssAmt
Dividends Net Invst Incm$326,524DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$1,515,707NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$14,445,786GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$1,515,707CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$1,845,095TotalRevAndExpnssAmt
Total Net Invst Incm$1,845,043TotalNetInvstIncmAmt
Total Adj Net Incm$0TotalAdjNetIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$627,432CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$327,144CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Adj Net Incm$0CompOfcrDirTrstAdjNetIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$300,288CompOfcrDirTrstDsbrsChrtblAmt
Oth Empl Slrs Wgs Rev And Expnss$556,354OthEmplSlrsWgsRevAndExpnssAmt
Oth Empl Slrs Wgs Net Invst Incm$178,614OthEmplSlrsWgsNetInvstIncmAmt
Oth Empl Slrs Wgs Adj Net Incm$0OthEmplSlrsWgsAdjNetIncmAmt
Oth Empl Slrs Wgs Dsbrs Chrtbl$377,740OthEmplSlrsWgsDsbrsChrtblAmt
Pension Empl Bnft Rev And Expnss$855,153PensionEmplBnftRevAndExpnssAmt
Pension Empl Bnft Net Invst Incm$291,588PensionEmplBnftNetInvstIncmAmt
Pension Empl Bnft Adj Net Incm$0PensionEmplBnftAdjNetIncmAmt
Pension Empl Bnft Dsbrs Chrtbl$196,482PensionEmplBnftDsbrsChrtblAmt
Legal Fees Rev And Expnss$152,570LegalFeesRevAndExpnssAmt
Legal Fees Net Invst Incm$116,772LegalFeesNetInvstIncmAmt
Legal Fees Adj Net Incm$0LegalFeesAdjNetIncmAmt
Legal Fees Dsbrs Chrtbl$38,948LegalFeesDsbrsChrtblAmt
Accounting Fees Rev And Expnss$41,325AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$30,994AccountingFeesNetInvstIncmAmt
Accounting Fees Adj Net Incm$0AccountingFeesAdjNetIncmAmt
Accounting Fees Chrtbl Prps$15,321AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$248,595OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$74,787OtherProfFeesNetInvstIncmAmt
Other Prof Fees Adj Net Incm$0OtherProfFeesAdjNetIncmAmt
Other Prof Fees Dsbrs Chrtbl$179,849OtherProfFeesDsbrsChrtblAmt
Taxes Rev And Expnss$14,064TaxesRevAndExpnssAmt
Taxes Net Invst Incm$64TaxesNetInvstIncmAmt
Taxes Adj Net Incm$0TaxesAdjNetIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Deprec And Dpltn Rev And Expnss$24,811DeprecAndDpltnRevAndExpnssAmt
Deprec And Dpltn Net Invst Incm$24,811DeprecAndDpltnNetInvstIncmAmt
Deprec And Dpltn Adj Net Incm$0DeprecAndDpltnAdjNetIncmAmt
Occupancy Rev And Expnss$203,555OccupancyRevAndExpnssAmt
Occupancy Net Invst Incm$77,351OccupancyNetInvstIncmAmt
Occupancy Adj Net Incm$0OccupancyAdjNetIncmAmt
Occupancy Dsbrs Chrtbl$140,568OccupancyDsbrsChrtblAmt
Trav Conf Meeting Rev And Expnss$72,888TravConfMeetingRevAndExpnssAmt
Trav Conf Meeting Net Invst Incm$0TravConfMeetingNetInvstIncmAmt
Trav Conf Meeting Adj Net Incm$0TravConfMeetingAdjNetIncmAmt
Trav Conf Meeting Dsbrs Chrtbl$72,888TravConfMeetingDsbrsChrtblAmt
Printing And Pub Rev And Expnss$4,767PrintingAndPubRevAndExpnssAmt
Printing And Pub Net Invst Incm$0PrintingAndPubNetInvstIncmAmt
Printing And Pub Adj Net Incm$0PrintingAndPubAdjNetIncmAmt
Printing And Pub Dsbrs Chrtbl$4,767PrintingAndPubDsbrsChrtblAmt
Other Expenses Rev And Expnss$121,872OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$40,866OtherExpensesNetInvstIncmAmt
Other Expenses Adj Net Incm$0OtherExpensesAdjNetIncmAmt
Other Expenses Dsbrs Chrtbl$81,874OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$2,923,386TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$1,162,991TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Adj Net Incm$0TotOprExpensesAdjNetIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$1,408,725TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$1,123,500ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$1,087,500ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$4,046,886TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$1,162,991TotalExpensesNetInvstIncmAmt
Total Expenses Adj Net Incm$0TotalExpensesAdjNetIncmAmt
Total Expenses Dsbrs Chrtbl$2,496,225TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$2,201,791ExcessRevenueOverExpensesAmt
Net Investment Income$682,052NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$970,613SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$759,480SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$759,480SavAndTempCashInvstEOYFMVAmt
Prepaid Expenses BOY$71,261PrepaidExpensesBOYAmt
Prepaid Expenses EOY$81,232PrepaidExpensesEOYAmt
Prepaid Expenses EOYFMV$81,232PrepaidExpensesEOYFMVAmt
Corporate Stock BOY$2,126,992CorporateStockBOYAmt
Corporate Stock EOY$35CorporateStockEOYAmt
Corporate Stock EOYFMV$35CorporateStockEOYFMVAmt
Corporate Bonds BOY$1,383,401CorporateBondsBOYAmt
Corporate Bonds EOY$2,656,831CorporateBondsEOYAmt
Corporate Bonds EOYFMV$2,656,831CorporateBondsEOYFMVAmt
Other Investments BOY$9,768,590OtherInvestmentsBOYAmt
Other Investments EOY$9,364,449OtherInvestmentsEOYAmt
Other Investments EOYFMV$9,364,449OtherInvestmentsEOYFMVAmt
Land Bldg Equip Cost Or Other Bss$330,163LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$262,693LandBldgEquipAccumDeprecAmt
Land BOY$91,034LandBOYAmt
Land EOY$67,470LandEOYAmt
Land EOYFMV$67,469LandEOYFMVAmt
Total Assets BOY$14,411,891TotalAssetsBOYAmt
Total Assets EOY$12,929,497TotalAssetsEOYAmt
Total Assets EOYFMV$12,929,496TotalAssetsEOYFMVAmt
Accounts Payable BOY$937,769AccountsPayableBOYAmt
Accounts Payable EOY$1,478,615AccountsPayableEOYAmt
Other Liabilities BOY$61,700OtherLiabilitiesBOYAmt
Other Liabilities EOY$45,594OtherLiabilitiesEOYAmt
Total Liabilities BOY$999,469TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,524,209TotalLiabilitiesEOYAmt
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind
No Donor Rstr Net Assests BOY$13,412,422NoDonorRstrNetAssestsBOYAmt
No Donor Rstr Net Assests EOY$11,405,288NoDonorRstrNetAssestsEOYAmt
Tot Net Ast Or Fund Balances BOY$13,412,422TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$11,405,288TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$14,411,891TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$12,929,497TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$13,412,422TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$2,201,791ExcessRevenueOverExpensesAmt
Other Increases$194,657OtherIncreasesAmt
Subtotal$11,405,288SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$11,405,288TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (2 entries)

PropertyPropertyDescGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmt
MERRILL LYNCH SECURITIES$14,312,949$12,930,079$1,382,870$1,382,870
RX STRATEGIES$132,837$132,837$132,837
FieldValueIRS element (for citing)
Capital Gain Net Income$1,515,707CapitalGainNetIncomeAmt
Net Short Term Capital Gain Loss$0NetShortTermCapitalGainLossAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 Tax0LiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$1,009,703AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$16,141,030NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.062555DistributionYr1Rt
Adjusted Qlfy Distri Yr2$2,298,426AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$18,506,364NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.124197DistributionYr2Rt
Adjusted Qlfy Distri Yr3$2,523,184AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$19,375,586NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.130225DistributionYr3Rt
Adjusted Qlfy Distri Yr4$2,643,586AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$23,138,058NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.114253DistributionYr4Rt
Adjusted Qlfy Distri Yr5$3,385,050AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$26,898,197NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.125847DistributionYr5Rt
Total Distribution0.557077TotalDistributionRt
Average Distribution0.111415AverageDistributionRt
Net Vl Noncharitable Assets$12,530,384NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$1,396,073AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$6,821NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$1,402,894AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$2,496,225QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Domestic Org Meeting Sect4940eYes (X)DomesticOrgMeetingSect4940eInd
Investment Income Excise Tax$6,821InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$6,821SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$6,821TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$6,655EstimatedPlusOvpmtIncmTxAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$6,655TotalPaymentsAndCreditsAmt
Es Penalty$3EsPenaltyAmt
Tax Due$169TaxDueAmt

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)
Phone2122461122PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line155 BROADWAY SUITE 1502AddressLine1Txt
CityNEW YORKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10006ZIPCd
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 (6 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$365,455$531,783$0
IGOR GOLDENBERG
55 BROADWAY SUITE 1502NEW YORKNY10006CFO (11/19)35.00$261,978$6,851$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 (4 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$108,749$95,086$0
MARJORIE BOMSON
55 BROADWAY STE 1502NEW YORKNY10006MANAGER- ADMINISTRAT35.00$107,836$87,758$0
DAVID HARTZBAND
55 BROADWAY STE 1502NEW YORKNY10006DIRECTOR, TECH. RESE35.00$175,658$4,184$0
CHAD HANSEN
55 BROADWAY STE 1502NEW YORKNY10006MANAGER- GRANTS & PR35.00$78,705$47,539$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$115,478
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$12,537,423AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$183,779AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$12,721,202TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$12,721,202AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$190,818CashDeemedCharitableAmt
Net Vl Noncharitable Assets$12,530,384NetVlNoncharitableAssetsAmt
Minimum Investment Return$626,519MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$626,519MinimumInvestmentReturnAmt
Tax Based On Investment Income$6,821TaxBasedOnInvestmentIncomeAmt
Total Tax$6,821TotalTaxAmt
Distributable Before Adj$619,698DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$619,698DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$619,698DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$2,496,225ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$2,496,225QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$6,821PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$2,489,404AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$619,698DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr5$2,064,564ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$1,489,340ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$1,564,691ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$1,387,374ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$1,518,214ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$8,024,183TotalExcessDistributionCyovAmt
Qualifying Distributions$2,496,225QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$619,698AppliedToCurrentYearAmt
Remaining Distri From Corpus$1,876,527RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$9,900,710TotalCorpusAmt
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$2,064,564ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$7,836,146ExcessDistriCyovToNextYrAmt
Excess From Year4$1,489,340ExcessFromYear4Amt
Excess From Year3$1,564,691ExcessFromYear3Amt
Excess From Year2$1,387,374ExcessFromYear2Amt
Excess From Year1$1,518,214ExcessFromYear1Amt
Excess From Current Year$1,876,527ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

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

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (29 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
AARON HENRY COMMUNITY HEALTH SERVICES CENTER INC
510 HIGHWAY 322CLARKSDALEMS38614NONEPCSUPPORT OF COMMUNITY HEALTH CENTER ORGANIZATION$500
ACCESS COMMUNITY HEALTH NETWORK
600 WEST FULTON STREET STE 200CHICAGOIL60661NONEPCPOPULATION HEALTH MANAGEMENT GRANT$125,000
APICHA COMMUNITY HEALTH CENTER
400 BROADWAYNEW YORKNY10013NONEPCSUPPORT OF COMMUNITY HEALTH CENTER ORGANIZATION$500
ASSOCIATION OF CLINICIANS FOR THE UNDERDESERVED
1420 SPRING HULL ROAD STE 600TYSONS CORNERVA22102NONEPCCONFERENCE SPONSORSHIP$1,200
CALLEN-LORDE COMMUNITY HEALTH CENTER
356 WEST 18TH STREETNEW YORKNY10011NONEPCSUPPORT OF COMMUNITY HEALTH CENTER ORGANIZATION$500
CHINATOWN HEALTH CLINIC FOUNDATION
268 CANAL STREET 6TH FLOORNEW YORKNY10013NONEPCSUPPORT OF COMMUNITY HEALTH CENTER ORGANIZATION$1,800
COLLEGE BOUND DORCHESTER
275 E COTTAGE STREETDORCHESTERMA02125NONEPCSUPPORT OF CHARITABLE ORGANIZATION$1,000
COMMUNITY HEALTH CARE ASSOCIATION OF NYS
111 BROADWAY STE 1402NEW YORKNY10006NONEPCCONFERENCE SPONSORSHIP-STATE PRIMARY CARE ASSOCIATION$2,000
FENWAY COMMUNITY HEALTH CENTER INC
1340 BOYLSTON STREETBOSTONMA02215NONEPCPOPULATION HEALTH MANAGEMENT GRANT$125,000
GEORGE WASHINGTON UNIVERSITY
2121 I STREET NW STE 601WASHINGTONDC20052NONEPCGIFT TO SUPPORT GEIGER GIBSON PROGRAM IN DEPARTMENT OF HEALTH POLICY, MILKEN INSTITUTE SPH$350,000
GEORGIA ASSOCIATION FOR PRIMARY HEALTHCARE INC
315 W PONCE DE LEON AVE STE 1000DECATURGA30030NONEPCPOPULATION HEALTH MANAGEMENT GRANT$67,500
HRHCARE FOUNDATION
55 SOUTH BROADWAYTARRYTOWNNY10591NONEPCSUPPORT OF COMMUNITY HEALTH CENTER ORGANIZATION$2,500
HUDSON HEADWATERS HEALTH FOUNDATION
9 CAREY ROADQUEENSBURYNY12804NONEPCSUPPORT OF COMMUNITY HEALTH CENTER ORGANIZATION$1,000
IDAHO PRIMARY CARE ASSOCIATION
1087 WEST RIVER STREET STE 160BOISEID83702NONEPCPOPULATION HEALTH MANAGEMENT GRANT$82,500
LORAIN COUNTY HEALTH & DENTISTRY
1205 BROADWAYLORAINOH44052NONEPCSUPPORT OF COMMUNITY HEALTH CENTER ORGANIZATION$500
MARIPOSA COMMUNITY HEALTH CENTER INC
1852 NORTH MASTICK WAYNOGALESAZ85621NONEPCPOPULATION HEALTH MANAGEMENT GRANT$125,000
MARY'S CENTER
2333 ONTARIO ROAD NWWASHINGTONDC20009NONEPCCOMMUNITY HEALTH CENTER SYMPOSIUM: SOCIAL DETERMINANTS OF HEALTH$1,500
MASSACHUSETTS LEAGUE OF COMMUNITY HEALTH CENTERS
40 COURT STREET 10TH FLBOSTONMA02108NONEPCSUPPORT OF PRIMARY CARE ASSOCIATION ACTIVITY$1,000
NATIONAL HEALTH IT COLLABORATIVE FOR THE UNDERDESERVED INC
1629 K STREET NW STE 300WASHINGTONDC20006NONEPCCONFERENCE SPONSORSHIP$2,000
NEW YORK COMMON PANTRY
8 EAST 109TH STREETNEW YORKNY10029NONEPCSUPPORT OF CHARITABLE ORGANIZATION$600
NORTHWEST REGIONAL PRIMARY CARE ASSOCIATION
200 W THOMAS STREET STE 330SEATTLEWA98119NONEPCPOPULATION HEALTH MANAGEMENT GRANT$50,000
OAK ORCHARD HEALTH
300 WEST AVENUEBROCKPORTNY14420NONEPCSUPPORT OF COMMUNITY HEALTH CENTER ORGANIZATION$500
OPEN DOOR FAMILY MEDICAL CENTERS
165 MAIN STREETOSSININGNY10562NONEPCSUPPORT OF COMMUNITY HEALTH CENTER ORGANIZATION$500
RYAN HEALTH
110 WEST 97TH STREETNEW YORKNY10025NONEPCSUPPORT OF COMMUNITY HEALTH CENTER ORGANIZATION$1,900
ST JOHN'S WELL CHILD & FAMILY CENTER
808 WEST 58TH STREETLOS ANGELESCA90037NONEPCPOPULATION HEALTH MANAGEMENT GRANT$125,000
THE GEORGE WASHINGTON UNIVERSITY
1922 F STREET NW 4TH FLOORWASHINGTONDC20052NONEPCGRANT TO FUNDERS FORUM ON ACCOUNTABLE HEALTH FOR CHC-FOCUSED RESEARCH STUDY$12,500
THE GEORGE WASHINGTON UNIVERSITYDHPM
2175 K STREET NW STE 500WASHINGTONDC20037NONEPCCONFERENCE SPONSORSHIP-NATIONAL CENTER FOR MEDICAL LEGAL PARTNERSHIP$2,000
URBAN HEALTH PLAN INC
960 SOUTHERN BLVDBRONXNY10459NONEPCSUPPORT OF COMMUNITY HEALTH CENTER ORGANIZATION$3,000
ZUFALL HEALTH
18 WEST BLACKWELL STREETDOVERNJ07801NONEPCSUPPORT OF COMMUNITY HEALTH CENTER ORGANIZATION$500
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$1,087,500TotalGrantOrContriPdDurYrAmt

Grant Or Contri Apprv For Fut GrantOrContriApprvForFutGrp (4 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
COLLEGE FOR HEALTHY COMMUNITIES & THE UNDERSERVED
1604 N PALMCROFT WAY SEPHOENIXAZ85007NONEPCSTART-UP FUNDING FOR NEEDS BASED LEARNING D/B/A COLLEGE FOR HEALTH COMMUNITIES$500,000
GEORGIA ASSOCIATION FOR PRIMARY HEALTHCARE INC
315 W PONCE DE LEON AVE STE 1000DECATURGA30030NONEPCPOPULATION HEALTH MANAGEMENT GRANT$32,500
IDAHO PRIMARY CARE ASSOCIATION
1087 WEST RIVER STREET STE 160BOISEID83702NONEPCPOPULATION HEALTH MANAGEMENT GRANT$42,500
THE GEORGE WASHINGTON UNIVERSITY
1922 F STREET NW 4TH FLOORWASHINGTONDC20052NONEPCGRANT TO FUNDERS FORUM ON ACCOUNTABLE HEALTH FOR CHC-FOCUSED RESEARCH STUDY$12,500
FieldValueIRS element (for citing)
Total Grant Or Contri Apprv Fut$587,500TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$2,812ExclusionAmt

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$326,524ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$1,515,707ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$1,845,043ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$1,845,043TotalIncomeProducingActyAmt

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)
CategoryCOHN REZNICK LLPCategoryTxt
Amt$41,325Amt
Net Investment Income$30,994NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt
Disbursements Charitable Prps$15,321DisbursementsCharitablePrpsAmt

Depreciation Schedule DepreciationSchedule

Depreciation Property DepreciationPropertyGrp (4 entries)

PropertyPropertyDescAcquiredAcquiredDtCost Or Other BasisCostOrOtherBasisAmtPrior Year DepreciationPriorYearDepreciationAmtComputation MethodComputationMethodTxtLifeLifeRtCurrent Year ExpenseCurrentYearExpenseAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmtRtRt
LEASEHOLD IMPROVEMENTS2012-01-01$38,542$30,529SL7.000000000000$0$0$0
FURNITURE & FIXTURES2012-01-01$101,080$79,666SL7.000000000000$0$0$0
EQUIPMENT2012-01-01$157,501$152,498SL5.000000000000$0$0$0
ART INVESTMENT2012-01-01$33,040NC$0$0$00.000000000000

Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corporate Bonds InvestmentsCorporateBondsGrp

FieldValueIRS element (for citing)
BondFIXED INCOMEBondNm
EOY Book Value$2,656,831EOYBookValueAmt
EOYFMV$2,656,831EOYFMVAmt

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp

FieldValueIRS element (for citing)
StockEQUITYStockNm
EOY Book Value$35EOYBookValueAmt
EOYFMV$35EOYFMVAmt

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (3 entries)

Category Or ItemCategoryOrItemTxtListed At Cost Or FMVListedAtCostOrFMVCdBook ValueBookValueAmtEOYFMVEOYFMVAmt
ALTERNATIVE INVESTMENTSFMV$75,297$75,297
MUTUAL FUNDSFMV$8,524,573$8,524,573
INVESTMENT IN CHA/CHVFMV$764,579$764,579

Land Etc Schedule2 LandEtcSchedule2

Land Etc LandEtcGrp (4 entries)

Category Or ItemCategoryOrItemTxtCost Or Other BasisCostOrOtherBasisAmtAccumulated DepreciationAccumulatedDepreciationAmtBook ValueBookValueAmt
LEASEHOLD IMPROVEMENTS$38,542$30,529$8,013
FURNITURE & FIXTURES$101,080$79,666$21,414
EQUIPMENT$157,501$152,498$5,003
ART INVESTMENT$33,040$0$33,040

Legal Fees Schedule LegalFeesSchedule

Legal Fees LegalFeesGrp (4 entries)

CategoryCategoryTxtLegal FeesLegalFeesAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
SMITH & DOWNEY$25,462$25,462$0$0
HODES LAW FIRM$10,120$10,120$0$0
DECHERT$115,478$79,680$0$38,948
GOLDMAN & GOLDMAN, P.C.$1,510$1,510$0$0

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (13 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
BANK SERVICE CHARGES$992$992$0$0
DUES & SUBSCRIPTIONS$5,089$0$0$5,089
EQUIPMENT RENTAL/MAINTENANCE$7,342$2,790$0$4,552
FOOD$15,463$5,876$0$9,587
INFORMATION TECHNOLOGY EXPENSES$34,472$13,099$0$22,117
INSURANCE$22,418$8,519$0$14,016
OFFICE SUPPLIES$5,782$2,197$0$3,592
OFFSITE STORAGE$1,280$486$0$793
POSTAGE/EXPRESS DELIVERY$1,951$741$0$1,210
PAYROLL PROCESSING FEES$3,386$1,287$0$2,099
TELEPHONE$21,975$8,351$0$13,625
MISCELLANEOUS$8,377$3,183$0$5,194
ADJUSTMENT FOR PRIOR YEAR EXCISE TAX-$6,655-$6,655$0$0

Other Increases Schedule OtherIncreasesSchedule

Other Increases Detail OtherIncreasesDetail

FieldValueIRS element (for citing)
DescUNREALIZED GAINDesc
Amt$194,657Amt

Other Liabilities Schedule OtherLiabilitiesSchedule

Other Liabilities Detail OtherLiabilitiesDetail (2 entries)

DescDescBOY Book ValueBOYBookValueAmtEOY Book ValueEOYBookValueAmt
DEFERRED RENT$61,700$41,949
EXCISE TAX LIABILITY$0$3,645

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail (13 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
MIRRAM GROUP, LLC$60,000$0$0$60,000
PUBLIC INTEREST MEDIA GROUP$9,493$0$0$8,180
DATYCS, INC$10,000$0$0$10,000
DENVER HEALTH E-COURSE PROVIDER$1,000$0$0$1,000
MERRILL LYNCH$73,347$73,347$0$0
VSHIFT$30,000$0$0$30,000
ROBERT NOCON$1,000$0$0$1,000
KAREN WHITE$1,600$1,440$0$160
DR. PAUL MELINKOVICH$18,400$0$0$22,563
DR. DAVID STEVENS$37,134$0$0$40,250
FENWAY HEALTH - D. LONGOBARDI$750$0$0$750
AUDIA INC.$5,121$0$0$5,196
GEORGIA PCA-L.SAMUELS$750$0$0$750

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
FOREIGN TAXES$64$64$0$0
TAXES$14,000$0$0$0

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