RHODE ISLAND PUBLIC HEALTH FOUNDATION INC: Form 990, tax year 2024
View the entire original 990 at ProPublica ↗
- Organization
- RHODE ISLAND PUBLIC HEALTH FOUNDATION INC (EIN 05-0474726)
- Tax period
- 2024-01-01 to 2024-12-31
- Filed
- 2025-11-17
- IRS object ID
- 202533219349307743
- Schema version
- 2024v5.2
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule J
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2025-11-17T11:19:47-06:00 | ReturnTs |
| Tax Period End | 2024-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 050409384 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KAHN LITWIN RENZA & CO LTD | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 951 NORTH MAIN STREET | AddressLine1Txt |
| City | PROVIDENCE | CityNm |
| State Abbreviation | RI | StateAbbreviationCd |
| ZIP | 02904 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2024-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 050474726 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE RHODE ISLAND PUBLIC HEALTH | BusinessNameLine1Txt |
| Business Name Line2 | FOUNDATION | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | RHOD | BusinessNameControlTxt |
| Phone | 4016484700 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 6088 | AddressLine1Txt |
| City | PROVIDENCE | CityNm |
| State Abbreviation | RI | StateAbbreviationCd |
| ZIP | 02904 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LYNNE MALONE | PersonNm |
| Person Title | CHIEF FINANCIAL OFFICER | PersonTitleTxt |
| Phone | 4016484700 | PhoneNum |
| Signature | 2025-11-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | PATRICK J MARTIN | PreparerPersonNm |
| PTIN | P00283486 | PTIN |
| Phone | 4012742001 | PhoneNum |
| Preparation | 2025-11-12 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2024 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RHODE ISLAND PUBLIC HEALTH INSTITUTE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | AMY NUNN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 6088 | AddressLine1Txt |
| City | PROVIDENCE | CityNm |
| State Abbreviation | RI | StateAbbreviationCd |
| ZIP | 02904 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $8,765,131 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | HTTP://RIPHI.ORG/ | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1993 | FormationYr |
| Legal Domicile State | RI | LegalDomicileStateCd |
| Activity Or Mission | RHODE ISLAND PUBLIC HEALTH INSTITUTE'S MISSION IS TO ELIMINATE HEALTH DISPARITIES IN RHODE ISLAND AND BEYOND. | ActivityOrMissionDesc |
| Voting Members Governing Body | 16 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 16 | VotingMembersIndependentCnt |
| Total Employee | 51 | TotalEmployeeCnt |
| Total Volunteers | 18 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $4,512,253 | PYContributionsGrantsAmt |
| CY Contributions Grants | $4,716,495 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $2,375,979 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $3,985,890 | CYProgramServiceRevenueAmt |
| PY Investment Income | $22,251 | PYInvestmentIncomeAmt |
| CY Investment Income | $56,874 | CYInvestmentIncomeAmt |
| PY Other Revenue | $273 | PYOtherRevenueAmt |
| CY Other Revenue | $5,872 | CYOtherRevenueAmt |
| PY Total Revenue | $6,910,756 | PYTotalRevenueAmt |
| CY Total Revenue | $8,765,131 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $2,573,850 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $3,488,211 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $40,989 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,738,857 | PYOtherExpensesAmt |
| CY Other Expenses | $4,414,695 | CYOtherExpensesAmt |
| PY Total Expenses | $5,312,707 | PYTotalExpensesAmt |
| CY Total Expenses | $7,902,906 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,598,049 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $862,225 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $3,870,007 | TotalAssetsBOYAmt |
| Total Assets EOY | $5,129,062 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $748,863 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,145,693 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $3,121,144 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $3,983,369 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE ORGANIZATION'S MISSION IS TO ELIMINATE HEALTH DISPARITIES IN RHODE ISLAND AND BEYOND. THE ORGANIZATION DEVELOPS INNOVATIVE PUBLIC HEALTH PROGRAMS, CONDUCTS TRANSLATIONAL AND POLICY RESEARCH, PROVIDES CLINICAL SERVICES, AND TRAINS STUDENTS AND PUBLIC HEALTH PRACTITIONERS. THE ORGANIZATION OVERSEES RESEARCH STUDIES ON A VARIETY OF HEALTH TOPICS FOCUSED ON ADVANCING COMMUNITY HEALTH, INCLUDING PUBLIC HEALTH PROGRAMS AND CLINICAL RESEARCH. THE ORGANIZATION PUBLISHES THESE ARTICLES IN SCIENTIFIC JOURNALS AND DISSEMINATES FINDINGS IN THE POPULAR MEDIA TO RAISE AWARENESS ABOUT HEALTH AND WELLBEING. THE ORGANIZATION AIMS TO TRANSLATE RESEARCH FINDINGS INTO EFFECTIVE POLICY CHANGE THAT ADVANCES PUBLIC HEALTH AND WELLBEING. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $120,014 | ExpenseAmt |
| Revenue | $21,963 | RevenueAmt |
| Desc | HEALTH PROMOTION AND PREVENTION PROGRAMS THE ORGANIZATION OVERSEES SEVERAL HEALTH PROMOTION AND PREVENTION PROGRAMS, FOR BOTH CHRONIC AND INFECTIOUS DISEASES AS WELL AS BEHAVIORAL HEALTH. THESE INCLUDE SEVERAL PROGRAMS RELATED TO PROMOTING ACCESS TO HEALTHY FRUITS AND VEGETABLES, ACTIVE LIVING, REDUCING CONSUMPTION OF SUGARY DRINKS AND UNHEALTHY FOODS, DIABETES PREVENTION, AND GEOGRAPHICALLY FOCUSED HEALTH PROMOTION PROGRAMS. RIPHI ALSO OVERSEES HEALTH LITERACY PROGRAMS.MANY OF THE ORGANIZATION'S PROGRAMS FOCUS ON SERVING LOW-INCOME RHODE ISLANDERS, LATINO POPULATIONS, OLDER ADULTS, PEOPLE OF COLOR, AND OTHER UNDERSERVED POPULATIONS. THE ORGANIZATION ALSO OVERSEES PUBLIC HEALTH PARTNERSHIPS WITH FAITH INSTITUTIONS AND AFRICAN AMERICAN CHURCHES IN THE SOUTHERN UNITED STATES. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $6,447,953 | ExpenseAmt |
| Revenue | $3,969,799 | RevenueAmt |
| Desc | CLINICAL SERVICES PROGRAMS THE ORGANIZATION OWNS AND OPERATES OPEN DOOR HEALTH, AN AMBULATORY MEDICAL CARE FACILITY THAT PROVIDES BOTH PRIMARY AND SEXUAL HEALTH CARE TO RHODE ISLAND'S ENTIRE COMMUNITY. OPEN DOOR HEALTH ALSO PROVIDES BEHAVIORAL HEALTH SERVICES AND HAS A LARGE HIV CARE AND PREVENTION PROGRAM. OPEN DOOR HEALTH ALSO OVERSEES A HEPATOLOGY PROGRAM AND OFFERS PSYCHIATRY SERVICES. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $552,882 | ExpenseAmt |
| Desc | ADVOCACY, POLICY AND WORKFORCE TRAINING PROGRAMS THE ORGANIZATION ALSO ENGAGES IN ADVOCACY FOCUSED ON ADVANCING PUBLIC HEALTH AND HAS LED SEVERAL STATEWIDE ADVOCACY AND HEALTH EDUCATION CAMPAIGNS THAT HAVE HAD LASTING IMPACTS ON LOCAL AND NATIONAL HEALTH POLICY. THE ORGANIZATION HOSTS SEVERAL PROGRAMS RELATED TO TRAINING THE PUBLIC HEALTH WORKFORCE, INCLUDING CLINICIANS, PUBLIC HEALTH PRACTITIONERS, AND OTHER STUDENTS IN THE HEALTH PROFESSIONS. THE ORGANIZATION ALSO EVALUATES AND PUBLISHES ABOUT MANY OF ITS INNOVATIVE PUBLIC HEALTH PROGRAMS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $7,120,849 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 26 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 51 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 16 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 16 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AMY NUNN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4018636568 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | SCH D PO BOX 6099 | AddressLine1Txt |
| City | PROVIDENCE | CityNm |
| State Abbreviation | RI | StateAbbreviationCd |
| ZIP | 02903 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| MARK TRACY | |||||||
| PRESIDENT | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| GUILLAUME BAGEL | |||||||
| VICE PRESIDENT (TO 12/24) | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| PETER COSTA | |||||||
| TREASURER | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| LISA CARCIERI | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| PETER CORIANDER | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| RICHARD DEFILIPPO | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| JOSEPH FLYNN | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| AMY GOLDFARB | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| LEONARD GREEN | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| SANDRA POWELL | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MELISSA SANZARO | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| CHRIS RAIA | |||||||
| DIRECTOR (AS OF 4/24) | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JENNIFER TOMASIK | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JASON PRECIPHS | |||||||
| DIRECTOR (AS OF 4/24) | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| TERRIE WETLE | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| LIZ ZIMA | |||||||
| DIRECTOR (TO 12/24) | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JEFFREY CABRAL | |||||||
| DIRECTOR (AS OF 4/24) | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JOHN KELLY | |||||||
| DIRECTOR (AS OF 11/24) | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| AMY NUNN SCD | |||||||
| EXECUTIVE DIRECTOR | 20.00 | Yes (X) | $300,000 | $0 | $0 | ||
| LYNNE MALONE | |||||||
| CHIEF FINANCIAL OFFICER | 40.00 | Yes (X) | $191,273 | $0 | $12,387 | ||
| PHILIP A CHAN MD | |||||||
| CLINICAL MEDICAL DIRECTOR | 32.00 | $159,135 | $0 | $0 | Yes (X) | ||
| MICHAELA MAYNARD | |||||||
| NURSE PRACTIONIER & CLINIC MANAGER | 40.00 | $148,792 | $0 | $4,489 | Yes (X) | ||
| WILLIAM DEWITT | |||||||
| MEDICAL DIRECTOR | 40.00 | $228,648 | $0 | $13,529 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,027,848 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $30,405 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 5 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $3,631,459 | GovernmentGrantsAmt |
| All Other Contributions | $1,085,036 | AllOtherContributionsAmt |
| Noncash Contributions | $253,509 | NoncashContributionsAmt |
| Total Contributions | $4,716,495 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| CLINIC 340B PROGRAM RE | 621498 | $3,026,492 | $3,026,492 |
| CLINIC SERVICE REVENUE | 621110 | $937,435 | $937,435 |
| FOOD ON THE MOVE MARKE | 445230 | $21,963 | $21,963 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $3,985,890 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $56,874 | TotalRevenueColumnAmt |
| Exclusion | $56,874 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $5,872 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $5,872 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $5,872 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,765,131 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,991,762 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $56,874 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $503,660 | TotalAmt |
| Program Services | $247,357 | ProgramServicesAmt |
| Management And General | $253,743 | ManagementAndGeneralAmt |
| Fundraising | $2,560 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,395,379 | TotalAmt |
| Program Services | $2,272,442 | ProgramServicesAmt |
| Management And General | $122,937 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $56,391 | TotalAmt |
| Program Services | $52,425 | ProgramServicesAmt |
| Management And General | $3,913 | ManagementAndGeneralAmt |
| Fundraising | $53 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $287,553 | TotalAmt |
| Program Services | $235,482 | ProgramServicesAmt |
| Management And General | $51,901 | ManagementAndGeneralAmt |
| Fundraising | $170 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $245,228 | TotalAmt |
| Program Services | $204,779 | ProgramServicesAmt |
| Management And General | $40,278 | ManagementAndGeneralAmt |
| Fundraising | $171 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,452 | TotalAmt |
| Program Services | $10,420 | ProgramServicesAmt |
| Management And General | $11,032 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,458 | TotalAmt |
| Management And General | $44,458 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $64,000 | TotalAmt |
| Program Services | $64,000 | ProgramServicesAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $780,470 | TotalAmt |
| Program Services | $734,402 | ProgramServicesAmt |
| Management And General | $18,130 | ManagementAndGeneralAmt |
| Fundraising | $27,938 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $72,489 | TotalAmt |
| Program Services | $21,059 | ProgramServicesAmt |
| Management And General | $46,168 | ManagementAndGeneralAmt |
| Fundraising | $5,262 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $53,322 | TotalAmt |
| Program Services | $38,957 | ProgramServicesAmt |
| Management And General | $12,715 | ManagementAndGeneralAmt |
| Fundraising | $1,650 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $174,729 | TotalAmt |
| Program Services | $122,597 | ProgramServicesAmt |
| Management And General | $49,432 | ManagementAndGeneralAmt |
| Fundraising | $2,700 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $99,358 | TotalAmt |
| Program Services | $99,358 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,777 | TotalAmt |
| Program Services | $16,188 | ProgramServicesAmt |
| Management And General | $589 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $62,421 | TotalAmt |
| Program Services | $46,090 | ProgramServicesAmt |
| Management And General | $15,881 | ManagementAndGeneralAmt |
| Fundraising | $450 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $236,754 | TotalAmt |
| Program Services | $233,595 | ProgramServicesAmt |
| Management And General | $3,159 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $95,029 | TotalAmt |
| Program Services | $82,824 | ProgramServicesAmt |
| Management And General | $12,205 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| CLINIC SUPPLIES & PHARM | $2,494,399 | $2,494,399 | |
| COMMUNITY OUTREACH | $96,359 | $72,097 | $24,262 |
| FOTM PRODUCE PURCHASES | $48,034 | $48,034 | |
| FOTM SUPPLIES AND OTHER | $20,145 | $20,145 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,499 | TotalAmt |
| Program Services | $4,199 | ProgramServicesAmt |
| Management And General | $30,265 | ManagementAndGeneralAmt |
| Fundraising | $35 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,902,906 | TotalAmt |
| Program Services | $7,120,849 | ProgramServicesAmt |
| Management And General | $741,068 | ManagementAndGeneralAmt |
| Fundraising | $40,989 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $59,134 | BOYAmt |
| EOY | $101,534 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,020,233 | BOYAmt |
| EOY | $1,409,107 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $394,550 | BOYAmt |
| EOY | $1,202,298 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $651,879 | BOYAmt |
| EOY | $88,494 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $61,140 | BOYAmt |
| EOY | $17,411 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,955 | BOYAmt |
| EOY | $26,523 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $3,098,383 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $979,979 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $537,546 | BOYAmt |
| EOY | $2,118,404 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $132,570 | BOYAmt |
| EOY | $165,291 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,870,007 | BOYAmt |
| EOY | $5,129,062 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $572,627 | BOYAmt |
| EOY | $967,010 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,345 | BOYAmt |
| EOY | $8,771 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $134,891 | BOYAmt |
| EOY | $169,912 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $748,863 | BOYAmt |
| EOY | $1,145,693 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,257,188 | BOYAmt |
| EOY | $3,275,562 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,863,956 | BOYAmt |
| EOY | $707,807 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,121,144 | BOYAmt |
| EOY | $3,983,369 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,870,007 | BOYAmt |
| EOY | $5,129,062 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $862,225 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $866,154 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,395,987 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,446,244 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,512,253 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,716,495 | CurrentTaxYearAmt |
| Total | $14,937,133 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $866,154 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,395,987 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,446,244 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,512,253 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,716,495 | CurrentTaxYearAmt |
| Total | $14,937,133 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $14,937,133 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $240 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $156 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $158 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $22,251 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $56,874 | CurrentTaxYearAmt |
| Total | $79,679 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $15,016,812 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $10,390,277 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.99470 | PublicSupportCY170Pct |
| Public Support PY170 | 0.99820 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
Total Grassroots Lobbying TotalGrassrootsLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $8,400 | FilingOrganizationsTotalAmt |
Total Direct Lobbying TotalDirectLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $55,600 | FilingOrganizationsTotalAmt |
Total Lobbying Expend TotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $64,000 | FilingOrganizationsTotalAmt |
Other Exempt Purpose Expend OtherExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $7,838,906 | FilingOrganizationsTotalAmt |
Total Exempt Purpose Expend TotalExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $7,902,906 | FilingOrganizationsTotalAmt |
Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $545,145 | FilingOrganizationsTotalAmt |
Grassroots Nontaxable GrassrootsNontaxableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $136,286 | FilingOrganizationsTotalAmt |
Tot Lbbyng Grassroot Mns Non Tx TotLbbyngGrassrootMnsNonTxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $0 | FilingOrganizationsTotalAmt |
Tot Lbby Expend Mns Lbbyng Non Tx TotLbbyExpendMnsLbbyngNonTxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $0 | FilingOrganizationsTotalAmt |
Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus2 | $370,314 | CurrentYearMinus2Amt |
| Current Year Minus1 | $415,635 | CurrentYearMinus1Amt |
| Current Year | $545,145 | CurrentYearAmt |
| Total | $1,331,094 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Lobbying Ceiling | $1,996,641 | LobbyingCeilingAmt |
Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus2 | $67,676 | CurrentYearMinus2Amt |
| Current Year Minus1 | $74,164 | CurrentYearMinus1Amt |
| Current Year | $64,000 | CurrentYearAmt |
| Total | $205,840 | TotalAmt |
Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus2 | $92,579 | CurrentYearMinus2Amt |
| Current Year Minus1 | $103,909 | CurrentYearMinus1Amt |
| Current Year | $136,286 | CurrentYearAmt |
| Total | $332,774 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grassroots Ceiling | $499,161 | GrassrootsCeilingAmt |
Avg Grassroots Lobbying Expend AvgGrassrootsLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus2 | $1,117 | CurrentYearMinus2Amt |
| Current Year Minus1 | $2,408 | CurrentYearMinus1Amt |
| Current Year | $8,400 | CurrentYearAmt |
| Total | $11,925 | TotalAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,572,262 | OtherCostOrOtherBasisAmt |
| Book Value | $1,572,262 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $782,266 | OtherCostOrOtherBasisAmt |
| Depreciation | $527,665 | DepreciationAmt |
| Book Value | $254,601 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $423,470 | OtherCostOrOtherBasisAmt |
| Depreciation | $261,718 | DepreciationAmt |
| Book Value | $161,752 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $320,385 | OtherCostOrOtherBasisAmt |
| Depreciation | $190,596 | DepreciationAmt |
| Book Value | $129,789 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $2,118,404 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | LEASE PAYABLE- CLINIC FACILITY | Desc |
| Amt | $169,912 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $169,912 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $8,825,694 | TotalRevEtcAuditedFinclStmtAmt |
| Donated Services And Use Fclts | $60,563 | DonatedServicesAndUseFcltsAmt |
| Revenue Not Reported | $60,563 | RevenueNotReportedAmt |
| Revenue Subtotal | $8,765,131 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $8,765,131 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $7,963,469 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $60,563 | DonatedServicesUseFcltsAmt |
| Expenses Not Reported | $60,563 | ExpensesNotReportedAmt |
| Expenses Subtotal | $7,902,906 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $7,902,906 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | THE INSTITUTE IS A NOT-FOR-PROFIT CHARITABLE ORGANIZATION EXEMPT FROM FEDERAL INCOME TAXES AS VA PUBLIC CHARITY UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. MANAGEMENT BELIEVES THAT THE INSTITUTE OPERATES IN A MANNER CONSISTENT WITH THEIR TAX-EXEMPT STATUS AT BOTH THE FEDERAL AND STATE LEVELS. THE INSTITUTE ANNUALLY FILE IRS FORM 990 - RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX, REPORTING VARIOUS INFORMATION THAT THE IRS USES TO MONITOR THE ACTIVITIES OF TAX-EXEMPT ENTITIES. THESE INFORMATIONAL TAX RETURNS ARE SUBJECT TO REVIEW BY THE TAXING AUTHORITIES, GENERALLY FOR THREE YEARS AFTER THEY WERE FILED. THE CORPORATION HAS ELECTED TO HAVE ITS INCOME TAXED UNDER PROVISIONS OF SUBCHAPTER C OF THE INTERNAL REVENUE CODE. SUBCHAPTER C PROVIDES THAT THE CORPORATION IS TAXED ON THE ENTITY'S TAXABLE INCOME. FOR THE YEAR ENDED DECEMBER 31, 2024, THE CORPORATION HAD NO TAXABLE ACTIVITY. THE ORGANIZATION CURRENTLY HAS NO TAX EXAMINATIONS IN PROGRESS. |
| PART X, LINE 2 | THE ORGANIZATION EVALUATES ALL SIGNIFICANT TAX POSITIONS AS REQUIRED BY ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES. AS OF YEAR-END, THE ORGANIZATION DOES NOT BELIEIVE IT HAS TAKEN ANY TAX POSITIONS THAT WOULD REQUIRE THE RECOGNITION OF A TAX LIABILITY OR ANY UNREALIZED TAX BENEFIT THAT WOULD EITHER INCREASE OR DECREASE WITH THE NEXT TWELVE MONTHS. TAX YEARS THAT ARE OPEN FOR EXAMINIATION BY TAXING AUTHORITIES ARE GENERALLY THE LAST THREE TAX YEAR-ENDS AFTER THE FILING OF THE RETURNS. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| AMY NUNN SCD | ||||||||||||||
| EXECUTIVE DIRECTOR | $250,000 | $0 | $50,000 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $300,000 | $0 | $0 | $0 |
| WILLIAM DEWITT | ||||||||||||||
| MEDICAL DIRECTOR | $228,648 | $0 | $0 | $0 | $0 | $0 | $6,923 | $0 | $6,606 | $0 | $242,177 | $0 | $0 | $0 |
| LYNNE MALONE | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $181,273 | $0 | $10,000 | $0 | $0 | $0 | $5,781 | $0 | $6,606 | $0 | $203,660 | $0 | $0 | $0 |
| PHILIP A CHAN MD | ||||||||||||||
| CLINICAL MEDICAL DIRECTOR | $149,135 | $0 | $10,000 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $159,135 | $0 | $0 | $0 |
| MICHAELA MAYNARD | ||||||||||||||
| NURSE PRACTIONIER & CLINIC MANAGER | $146,792 | $0 | $2,000 | $0 | $0 | $0 | $4,305 | $0 | $184 | $0 | $153,281 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 3 | FormAndLineReferenceDesc |
| Explanation | FORM 990 OR OTHER ORGANIZATIONS, APPROVAL BY EXECUTIVE COMMITTEE AND COMPENSATION STUDY/SURVEY WERE USED IN ESTABLISHING CEO COMPENSATION. | ExplanationTxt |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 2 | ContributionCnt |
| Noncash Contributions Rpt F990 | $253,509 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8283 Received | 0 | Form8283ReceivedCnt |
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS PROVIDED IN DRAFT FORM TO THE CHIEF FINANCIAL OFFICER AND THE EXECUTIVE DIRECTOR FOR DETAILED REVIEW AND APPROVAL, IT IS THEN PROVIDED TO THE FULL BOARD FOR REVIEW BEFORE FILING FINAL FORM. |
| FORM 990, PART VI, SECTION B, LINE 12C | OFFICERS, EMPLOYEES AND/OR AGENTS MUST DISCLOSE ANY RELATIONSHIPS OR CONFLICTS FOR ALL VENDOR SELECTION PROCESSES IN WHICH THEY ARE INVOLVED. IF A CONFLICT OF INTEREST IS PRESENT, ALL OFFICERS, EMPLOYEES AND/OR AGENTS WITH ANY INTEREST SHOULD REFRAIN FROM PARTICIPATING IN THE SELECTION, AWARD, AND/OR ADMINISTRATION OF THAT PARTICULAR CONTRACT TO PROCURE GOODS AND/OR SERVICES. ALL MEMBERS OF THE BOARD OF DIRECTORS ARE ASKED TO REVIEW THE CONFLICT OF INTEREST POLICY AND TO SIGN AND DATE IT. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE BOARD OF DIRECTORS APPROVES THE RIPHI BUDGET, INCLUDING SALARIES FOR ALL OFFICERS. SALARIES HAVE BEEN BENCHMARKED TO LOCAL AND NATIONAL AVERAGES FOR ORGANIZATIONS WITH COMPARABLE BUDGETS AND GROWTH PATTERNS. THESE DECISIONS ARE MADE BY THE RIHPHI EXECUTIVE COMMITTEE AND THEN VOTED ON BY THE FULL BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING DOCUMENTS, POLICIES AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC AT ITS OFFICER UPON REQUEST. TO OBTAIN COPIES, WRITTEN REQUESTS MUST BE APPROVED BY THE EXECUTIVE DIRECTOR. |
| FORM 990, PART XII, LINE 2C | THE ORGANIZATION DID NOT CHANGE EITHER ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RIPHI VENTURES CORP | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7 CENTRAL STREET | AddressLine1Txt |
| City | PROVIDENCE | CityNm |
| State Abbreviation | RI | StateAbbreviationCd |
| ZIP | 02907 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 991797003 | EIN |
| Primary Activities | PROPERTY HOLDING COMPANY | PrimaryActivitiesTxt |
| Legal Domicile State | RI | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RHODE ISLAND PUBLIC HEALTH FOUNDATION | BusinessNameLine1Txt |
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