BETA

CONTRA COSTA REGIONAL HEALTH FOUNDATION: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
CONTRA COSTA REGIONAL HEALTH FOUNDATION (EIN 20-0555977)
Tax period
2018-01-01 to 2018-12-31
Filed
2019-11-12
IRS object ID
201903169349304685
Schema version
2018v3.1
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)
Return2019-11-12T15:44:30-06:00ReturnTs
Tax Period End2018-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN810742089PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1RGP LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line13478 BUSKIRK AVE STE 308AddressLine1Txt
CityPLEASANT HILLCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94523ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN200555977EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CONTRA COSTA REGIONAL HEALTHBusinessNameLine1Txt
Business Name Line2FOUNDATIONBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlCONTBusinessNameControlTxt
Phone9259575424PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line150 DOUGLAS DRIVE NO 310AAddressLine1Txt
CityMARTINEZCityNm
State AbbreviationCAStateAbbreviationCd
ZIP945532681ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBETTE FELTONPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone9259575424PhoneNum
Signature2019-11-06SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonWARD PYNNPreparerPersonNm
PTINP00184378PTIN
Phone9259540100PhoneNum
Preparation2019-11-01PreparationDt
Self EmployedYes (X)SelfEmployedInd

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address64.88.174.3IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-11-06IPDt
IP Tm14:12:44IPTm
IP TimezonePSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdE6DCF464C42D1D0994F4B8A445C1A778899F80F9AtSubmissionCreationDeviceId
At Submission Filing Device IdB6096F87B46A25099D8C8C359DCC82C8EFC4DA85AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-03-31 21:24:44ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerBETTE FELTONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line150 DOUGLAS DRIVE NO 310AAddressLine1Txt
CityMARTINEZCityNm
State AbbreviationCAStateAbbreviationCd
ZIP945532681ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$676,837GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CCRHF.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2003FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionWE SUPPORT THE COUNTY HOSPITAL AND THE PUBLIC HEALTH SYSTEM IN CONTRA COSTA COUNTY, CALIFORNIA.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers30TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$430,988PYContributionsGrantsAmt
CY Contributions Grants$614,736CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$1,080PYInvestmentIncomeAmt
CY Investment Income-$2,399CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$1,594CYOtherRevenueAmt
PY Total Revenue$432,068PYTotalRevenueAmt
CY Total Revenue$613,931CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
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$10,550CYTotalFundraisingExpenseAmt
PY Other Expenses$455,408PYOtherExpensesAmt
CY Other Expenses$297,568CYOtherExpensesAmt
PY Total Expenses$455,408PYTotalExpensesAmt
CY Total Expenses$297,568CYTotalExpensesAmt
PY Revenues Less Expenses-$23,340PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$316,363CYRevenuesLessExpensesAmt
Total Assets BOY$747,536TotalAssetsBOYAmt
Total Assets EOY$1,063,899TotalAssetsEOYAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$747,536NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,063,899NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionWE SUPPORT THE COUNTY HOSPITAL AND THE PUBLIC HEALTH SYSTEM IN CONTRA COSTA COUNTY, CALIFORNIA.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$66,411ExpenseAmt
DescPROGRAM: GLOBAL HEALTHTHE GLOBAL HEALTH FELLOWSHIP PROGRAM PROVIDES ADDITIONAL TRAINING TO ITS FAMILY PHYSICIANS TO EQUIP THEM WITH THE TOOLS TO BECOME LEADERS IN GLOBAL HEALTH BY PARTNERING OVERSEAS WITH LOCAL INSTITUTIONS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$47,397ExpenseAmt
Grant$50,397GrantAmt
DescPROGRAM: CALIFORNIA ENDOWMENTPUBLIC HEALTH SOLUTION: EXPOSE HIGH SCHOOL TEENS IN DISADVANTAGED AREAS TO POTENTIAL CAREER CHOICES IN PUBLIC HEALTH/STIPENDS FOR 45 STUDENTS WHO UNDERTAKE THE 30 HOUR PHS CURRICULUM AND COMPLETE A 6 TO 8 WEEK INTERNSHIP.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$12,290ExpenseAmt
DescINTEGRATED HEALTH SERVICESMEDICAL GROUP VISITS FOR INDIVIDUALS AND FAMILIES WITH HEALTH ISSUES: OBESITY, DIABETES, CHRONIC PAIN, ETC.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$129,130ExpenseAmt
DescALL OTHER EXPENDITURES TO CARRY OUT THE MISSION OF SUPPORTING THE COUNTY HOSPITAL AND THE PUBLIC HEALTH SYSTEM IN CONTRA COSTA COUNTY, CALIFORNIA.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$129,130TotalOtherProgSrvcExpenseAmt
Total Program Service Expenses$255,228TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
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 Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
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 With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document28IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
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 Members11GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
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 CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE ORGANIZATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9259575454PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line150 DOUGLAS DR SUITE 310AAddressLine1Txt
CityMARTINEZCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94553ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
RHONDA SMITH
BOARD MEMBER2.00Yes (X)$0$0$0
BETTE FELTON
CHAIR, BOARD MEMBER4.00Yes (X)$0$0$0Yes (X)
SERGIO URCUYO
BOARD MEMBER2.00Yes (X)$0$0$0
WILLIAM WALKER MD
TREASURER, BOARD MEMBER2.00Yes (X)$0$0$0Yes (X)
ANNA ROTH
BOARD MEMBER2.00Yes (X)$0$0$0
PATRICIA GANGWER
SECRETARY BOARD MEMBER2.00Yes (X)$0$0$0Yes (X)
JASPREET BENEPAL
BOARD MEMBER2.00Yes (X)$0$0$0
KENT SACK
BOARD MEMBER2.00Yes (X)$0$0$0
LINDA WAXMAN
BOARD MEMBER2.00Yes (X)$0$0$0
MARY LOU LUCAS
BOARD MEMBER2.00Yes (X)$0$0$0
GEORGE AQUINO
BOARD MEMBER2.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Government Grants$175,401GovernmentGrantsAmt
All Other Contributions$439,335AllOtherContributionsAmt
Total Contributions$614,736TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,917TotalRevenueColumnAmt
Exclusion$1,917ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$54,934SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$59,250SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$4,316SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$4,316TotalRevenueColumnAmt
Exclusion-$4,316ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$5,250FundraisingGrossIncomeAmt
Fundraising Direct Expenses$3,656FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,594TotalRevenueColumnAmt
Exclusion$1,594ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$613,931TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion-$805ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$52,751TotalAmt
Program Services$20,045ProgramServicesAmt
Management And General$22,156ManagementAndGeneralAmt
Fundraising$10,550FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$2,000TotalAmt
Program Services$667ProgramServicesAmt
Management And General$1,333ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$424TotalAmt
Management And General$424ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$20,743TotalAmt
Program Services$20,743ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$265TotalAmt
Program Services$265ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,188TotalAmt
Management And General$2,188ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
TRAINING$36,339$36,339
BOARD APPROVED - REPROD$25,511$25,511
PROGRAMS - BOARD DESIGN$22,528$22,528
INTERN STIPENDS$22,500$22,500

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$112,319TotalAmt
Program Services$106,630ProgramServicesAmt
Management And General$5,689ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$297,568TotalAmt
Program Services$255,228ProgramServicesAmt
Management And General$31,790ManagementAndGeneralAmt
Fundraising$10,550FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$93,153BOYAmt
EOY$148,599EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$631,891BOYAmt
EOY$637,057EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
EOY$10,417EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$21,742BOYAmt
EOY$267,826EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$750BOYAmt
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$747,536BOYAmt
EOY$1,063,899EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$597,429BOYAmt
EOY$815,582EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$150,107BOYAmt
EOY$248,317EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$747,536BOYAmt
EOY$1,063,899EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$747,536BOYAmt
EOY$1,063,899EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$316,363ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$1OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$570,282CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$500,686CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$516,056CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$313,287CurrentTaxYearMinus1YearAmt
Current Tax Year$614,736CurrentTaxYearAmt
Total$2,515,047TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,000CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,000CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,000CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,000CurrentTaxYearMinus1YearAmt
Current Tax Year$6,000CurrentTaxYearAmt
Total$30,000TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$576,282CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$506,686CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$522,056CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$319,287CurrentTaxYearMinus1YearAmt
Current Tax Year$620,736CurrentTaxYearAmt
Total$2,545,047TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$827,608SubstantialContributorsTotAmt
Public Support Total170$1,717,439PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$743CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$964CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,074CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,080CurrentTaxYearMinus1YearAmt
Current Tax Year$1,917CurrentTaxYearAmt
Total$5,778TotalAmt
FieldValueIRS element (for citing)
Total Support$2,550,825TotalSupportAmt
Public Support CY1700.67330PublicSupportCY170Pct
Public Support PY1700.69060PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE PRESIDENT AND THE TREASURER REVIEW THE 990 PRIOR TO FILING. A COMPLETE COPY OF FORM 990 IS PROVIDED TO ALL MEMBERS OF ITS GOVERNING BODY FOR REVIEW.
FORM 990, PART VI, SECTION B, LINE 12CALL PERSONNEL AND BOARD MEMBERS ARE REQUIRED TO SUBMIT IN WRITING ANY POTENTIAL CONFLICTS OF INTEREST AND ANY RELATED PARTY AFFILIATIONS. ALL POTENTIAL CONFLICTS OF INTEREST AND ANY RELATED PARTY AFFILIATIONS ARE REVIEWED BY THE EXECUTIVE COMMITTEE WHEN RECEIVED.
FORM 990, PART VI, SECTION B, LINE 15THE BOARD CHAIR REVIEWS THE COMPENSATION OF ALL PERSONNEL AT LEAST ANNUALLY AND THE COMPENSATION IS SUBSEQUENTLY REVIEWED AND APPROVED BY THE EXECUTIVE COMMITTEE AND BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 24EEDUCATION AND WORKSHOPS: PROGRAM SERVICE EXPENSES 18,884. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 18,884. PROGRAM FUNDING: PROGRAM SERVICE EXPENSES 18,318. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 18,318. SUPPLIES: PROGRAM SERVICE EXPENSES 16,495. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,495. COMMUNITY OUTREACH: PROGRAM SERVICE EXPENSES 10,485. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,485. BOARD APPROVED - AHH: PROGRAM SERVICE EXPENSES 10,284. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,284. BOARD APPROVED - GLOBAL HEALTH: PROGRAM SERVICE EXPENSES 10,097. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,097. CERTIFICATION/LICENSES/INS: PROGRAM SERVICE EXPENSES 7,741. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,741. BOARD APPROVED - RESIDENCY: PROGRAM SERVICE EXPENSES 7,500. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,500. ADMINISTRATION EXPENSES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 5,689. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,689. BOARD APPROVED - PHN LITERACY: PROGRAM SERVICE EXPENSES 3,158. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,158. GRANT WRITING/FUND DEVELOPMENT: PROGRAM SERVICE EXPENSES 2,250. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,250. BANK FEES: PROGRAM SERVICE EXPENSES 1,282. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,282. FILING FEES AND LICENSES: PROGRAM SERVICE EXPENSES 95. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 95. PAYPAL FEES - PROCESSING CHARGES: PROGRAM SERVICE EXPENSES 41. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 41.
FORM 990, PART XI, LINE 9:ROUNDING ADJUSTMENT -1.

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