POTOMAC HEALTH FOUNDATION: Form 990PF, tax year 2024

View the entire original 990 at ProPublica ↗

Organization
POTOMAC HEALTH FOUNDATION (EIN 52-1340920)
Tax period
2024-01-01 to 2024-12-31
Filed
2025-11-14
IRS object ID
202513189349105416
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 ReturnHeader

FieldValueIRS element (for citing)
Return2025-11-14T18:44:41-06:00ReturnTs
Tax Period End2024-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410746749PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1950 NORTH GLEBE ROAD SUITE 1200AddressLine1Txt
CityARLINGTONCityNm
State AbbreviationVAStateAbbreviationCd
ZIP22203ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2024-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN521340920EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1POTOMAC HEALTH FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlPOTOBusinessNameControlTxt
Phone7035230620PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12296 OPITZ BLVD 200AddressLine1Txt
CityWOODBRIDGECityNm
State AbbreviationVAStateAbbreviationCd
ZIP22191ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonGAYLE WHITLOCKPersonNm
Person TitleTREASURERPersonTitleTxt
Phone7035230620PhoneNum
Signature2025-11-12SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonROBERT WILLIAMSPreparerPersonNm
PTINP01345960PTIN
Phone5712279500PhoneNum
Preparation2025-11-12PreparationDt
FieldValueIRS element (for citing)
Tax2024TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$109,573,060FMVAssetsEOYAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Interest On Sav Rev And Expnss$1,609InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$1,609InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$2,660,063DividendsRevAndExpnssAmt
Dividends Net Invst Incm$3,001,093DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$7,066,739NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$55,245,148GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$7,667,471CapGainNetIncmNetInvstIncmAmt
Other Income Rev And Expnss$0OtherIncomeRevAndExpnssAmt
Other Income Net Invst Incm$81,810OtherIncomeNetInvstIncmAmt
Total Rev And Expnss$9,728,411TotalRevAndExpnssAmt
Total Net Invst Incm$10,751,983TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$141,601CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$21,240CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$124,055CompOfcrDirTrstDsbrsChrtblAmt
Oth Empl Slrs Wgs Rev And Expnss$117,053OthEmplSlrsWgsRevAndExpnssAmt
Oth Empl Slrs Wgs Net Invst Incm$0OthEmplSlrsWgsNetInvstIncmAmt
Oth Empl Slrs Wgs Dsbrs Chrtbl$96,197OthEmplSlrsWgsDsbrsChrtblAmt
Pension Empl Bnft Rev And Expnss$59,790PensionEmplBnftRevAndExpnssAmt
Pension Empl Bnft Net Invst Incm$4,885PensionEmplBnftNetInvstIncmAmt
Pension Empl Bnft Dsbrs Chrtbl$50,957PensionEmplBnftDsbrsChrtblAmt
Legal Fees Rev And Expnss$1,883LegalFeesRevAndExpnssAmt
Legal Fees Net Invst Incm$0LegalFeesNetInvstIncmAmt
Legal Fees Dsbrs Chrtbl$100LegalFeesDsbrsChrtblAmt
Accounting Fees Rev And Expnss$48,927AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$0AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$40,422AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$760,769OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$609,094OtherProfFeesNetInvstIncmAmt
Other Prof Fees Dsbrs Chrtbl$151,675OtherProfFeesDsbrsChrtblAmt
Taxes Rev And Expnss$163,261TaxesRevAndExpnssAmt
Taxes Net Invst Incm$1,340TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Deprec And Dpltn Rev And Expnss$3,709DeprecAndDpltnRevAndExpnssAmt
Deprec And Dpltn Net Invst Incm$0DeprecAndDpltnNetInvstIncmAmt
Occupancy Rev And Expnss$38,837OccupancyRevAndExpnssAmt
Occupancy Net Invst Incm$0OccupancyNetInvstIncmAmt
Occupancy Dsbrs Chrtbl$0OccupancyDsbrsChrtblAmt
Trav Conf Meeting Rev And Expnss$24,342TravConfMeetingRevAndExpnssAmt
Trav Conf Meeting Net Invst Incm$0TravConfMeetingNetInvstIncmAmt
Trav Conf Meeting Dsbrs Chrtbl$30,531TravConfMeetingDsbrsChrtblAmt
Other Expenses Rev And Expnss$85,618OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$204,685OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$59,982OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$1,445,790TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$841,244TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$553,919TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$8,655,647ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$5,865,522ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$10,101,437TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$841,244TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$6,419,441TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$373,026ExcessRevenueOverExpensesAmt
Net Investment Income$9,910,739NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$211,095SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$76,923SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$76,923SavAndTempCashInvstEOYFMVAmt
Acct Rcvbl$148,896AcctRcvblAmt
Acct Rcvbl BOY$103,441AcctRcvblBOYAmt
Acct Rcvbl EOY$148,896AcctRcvblEOYAmt
Acct Rcvbl EOYFMV$148,896AcctRcvblEOYFMVAmt
Pledges Rcvbl$70,343PledgesRcvblAmt
Pledges Rcvbl BOY$138,967PledgesRcvblBOYAmt
Pledges Rcvbl EOY$70,343PledgesRcvblEOYAmt
Pledges Rcvbl EOYFMV$70,343PledgesRcvblEOYFMVAmt
Prepaid Expenses BOY$122,098PrepaidExpensesBOYAmt
Prepaid Expenses EOY$14,767PrepaidExpensesEOYAmt
Prepaid Expenses EOYFMV$14,767PrepaidExpensesEOYFMVAmt
US Government Obligations BOY$340,132USGovernmentObligationsBOYAmt
US Government Obligations EOY$571,657USGovernmentObligationsEOYAmt
US Govt Obligations EOYFMV$571,657USGovtObligationsEOYFMVAmt
Corporate Stock BOY$48,437,334CorporateStockBOYAmt
Corporate Stock EOY$40,587,930CorporateStockEOYAmt
Corporate Stock EOYFMV$40,587,930CorporateStockEOYFMVAmt
Corporate Bonds BOY$31,618,874CorporateBondsBOYAmt
Corporate Bonds EOY$42,737,508CorporateBondsEOYAmt
Corporate Bonds EOYFMV$42,737,508CorporateBondsEOYFMVAmt
Other Investments BOY$26,833,850OtherInvestmentsBOYAmt
Other Investments EOY$25,356,689OtherInvestmentsEOYAmt
Other Investments EOYFMV$25,356,689OtherInvestmentsEOYFMVAmt
Land Bldg Equip Cost Or Other Bss$66,185LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$57,838LandBldgEquipAccumDeprecAmt
Land BOY$7,114LandBOYAmt
Land EOY$8,347LandEOYAmt
Land EOYFMV$8,347LandEOYFMVAmt
Total Assets BOY$107,812,905TotalAssetsBOYAmt
Total Assets EOY$109,573,060TotalAssetsEOYAmt
Total Assets EOYFMV$109,573,060TotalAssetsEOYFMVAmt
Accounts Payable BOY$375,173AccountsPayableBOYAmt
Accounts Payable EOY$345,109AccountsPayableEOYAmt
Grants Payable BOY$4,809,861GrantsPayableBOYAmt
Grants Payable EOY$7,599,986GrantsPayableEOYAmt
Other Liabilities BOY$180,145OtherLiabilitiesBOYAmt
Other Liabilities EOY$167,630OtherLiabilitiesEOYAmt
Total Liabilities BOY$5,365,179TotalLiabilitiesBOYAmt
Total Liabilities EOY$8,112,725TotalLiabilitiesEOYAmt
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind
No Donor Rstr Net Assests BOY$102,447,726NoDonorRstrNetAssestsBOYAmt
No Donor Rstr Net Assests EOY$101,460,335NoDonorRstrNetAssestsEOYAmt
Tot Net Ast Or Fund Balances BOY$102,447,726TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$101,460,335TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$107,812,905TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$109,573,060TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$102,447,726TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$373,026ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$102,074,700SubtotalAmt
Other Decreases$614,365OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$101,460,335TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (10 entries)

PropertyPropertyDescGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmtHow AcquiredHowAcquiredCdAcquiredAcquiredDtSoldSoldDt
PUBLICLY TRADED SECURITIES$49,333,647$47,009,353$2,324,294$2,324,294
SEI CORE PROPERTY FUND LP$584,499$212,839$371,660$371,660P2016-01-012024-02-08
SEI CORE PROPERTY FUND LP$807,202$298,403$508,799$508,799P2016-01-012024-05-07
SEI CORE PROPERTY FUND LP$384,590$142,835$241,755$241,755P2016-01-012024-08-06
SEI CORE PROPERTY FUND LP$1,386,443$514,979$871,464$871,464P2016-01-012024-11-06
SEI GLOBAL PRIVATE ASSETS V, LP$39,933$39,933P
SEI GLOBAL PRIVATE ASSETS IV, LP$201,305$201,305P
SEI CORE PROPERTY FUND LP$375,117$375,117P
REMOVE UBI-$15,623-$15,623P
CAPITAL GAINS DIVIDENDS$2,748,767$2,748,767$2,748,767P
FieldValueIRS element (for citing)
Capital Gain Net Income$7,667,471CapitalGainNetIncomeAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$137,759InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$137,759SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$137,759TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$162,125EstimatedPlusOvpmtIncmTxAmt
Exempt Frgn Org Tax Wthld At Srce$0ExemptFrgnOrgTaxWthldAtSrceAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$162,125TotalPaymentsAndCreditsAmt
Es Penalty$0EsPenaltyAmt
Overpayment$24,366OverpaymentAmt
Applied To ES Tax$24,366AppliedToESTaxAmt
Refund$0RefundAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political Acty0LegislativePoliticalActyInd
More Than100 Spent0MoreThan100SpentInd
Form1120 POL Filed0Form1120POLFiledInd
Section4955 Organization Tax$0Section4955OrganizationTaxAmt
Section4955 Managers Tax$0Section4955ManagersTaxAmt
Tax Reimbursed$0TaxReimbursedAmt
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Changes To Articles Or Bylaws0ChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (1)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (1)AtLeast5000InAssetsInd
Org Report Or Register StateVAOrgReportOrRegisterStateCd
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.POTOMACHEALTHFOUNDATION.ORGWebsiteAddressTxt

Persons With Books Name PersonsWithBooksName

FieldValueIRS element (for citing)
Business Name Line1ERIN MATTHEWS THOMASBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7035230620PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line12296 OPITZ BOULEVARD SUITE 200AddressLine1Txt
CityWOODBRIDGECityNm
State AbbreviationVAStateAbbreviationCd
ZIP22191ZIPCd
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 (16 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
ERIN THOMAS-MATTHEWS
2296 OPITZ BOULEVARD SUITE 200WOODBRIDGEVA22191EXECUTIVE DIRECTOR40.00$141,601$32,568$600
MARION M WALL
2296 OPITZ BOULEVARD SUITE 200WOODBRIDGEVA22191CHAIR4.00$0$0$0
CAROL S SHAPIRO MD MBA
2296 OPITZ BOULEVARD SUITE 200WOODBRIDGEVA22191VICE-CHAIR4.00$0$0$0
GAYLE WHITLOCK
2296 OPITZ BOULEVARD SUITE 200WOODBRIDGEVA22191TREASURER3.00$0$0$0
WAYNE MALLARD
2296 OPITZ BOULEVARD SUITE 200WOODBRIDGEVA22191SECRETARY2.00$0$0$0
CARLOS CASTRO
2296 OPITZ BOULEVARD SUITE 200WOODBRIDGEVA22191DIRECTOR1.00$0$0$0
PAUL GADEN
2296 OPITZ BOULEVARD SUITE 200WOODBRIDGEVA22191DIRECTOR1.00$0$0$0
SAM HILL EDD
2296 OPITZ BOULEVARD SUITE 200WOODBRIDGEVA22191DIRECTOR1.00$0$0$0
DEBRA LEE MD
2296 OPITZ BOULEVARD SUITE 200WOODBRIDGEVA22191DIRECTOR AS OF MARCH 20241.00$0$0$0
PHYLLIS MORGAN PHD
2296 OPITZ BOULEVARD SUITE 200WOODBRIDGEVA22191DIRECTOR1.00$0$0$0
WILLIAM M MOSS
2296 OPITZ BOULEVARD SUITE 200WOODBRIDGEVA22191DIRECTOR1.00$0$0$0
SARAH PITKIN PHD
2296 OPITZ BOULEVARD SUITE 200WOODBRIDGEVA22191DIRECTOR1.00$0$0$0
WILIAM C REHA MD MBA
2296 OPITZ BOULEVARD SUITE 200WOODBRIDGEVA22191DIRECTOR1.00$0$0$0
R MICHAEL SORENSEN
2296 OPITZ BOULEVARD SUITE 200WOODBRIDGEVA22191DIRECTOR1.00$0$0$0
ALICE TANG DO MBA
2296 OPITZ BOULEVARD SUITE 200WOODBRIDGEVA22191DIRECTOR TO JANUARY 20241.00$0$0$0
CLARICE TORIAN MED
2296 OPITZ BOULEVARD SUITE 200WOODBRIDGEVA22191DIRECTOR1.00$0$0$0

Compensation Highest Paid Empl CompensationHighestPaidEmplGrp

FieldValueIRS element (for citing)
PersonIMANI AMPONSAHPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12296 OPITZ BLVD SUITE 200AddressLine1Txt
CityWOODBRIDGECityNm
State AbbreviationVAStateAbbreviationCd
ZIP22191ZIPCd
FieldValueIRS element (for citing)
TitleSENIOR GRANT OFFICERTitleTxt
Average Hrs Per Wk Devoted To Pos40.00AverageHrsPerWkDevotedToPosRt
Compensation$95,938CompensationAmt
Employee Benefits$22,066EmployeeBenefitsAmt
Expense Account$600ExpenseAccountAmt
FieldValueIRS element (for citing)
Other Employee Paid Over50k0OtherEmployeePaidOver50kCnt

Compensation Of Hghst Pd Cntrct CompensationOfHghstPdCntrctGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdService TypeServiceTypeTxtCompensationCompensationAmt
SEI GLOBAL INSTITUTIONAL GROUP
1 FREEDOM VALLEY DRIVEOAKSPA19456INVESTMENT MANAGEMENT$609,094
CATHCAFIRE
31 EAST 32ND STREET SUITE 1001NEW YORKNY10016SUPPORT TO GRANTEES$82,500
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$108,543,037AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$166,328AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$108,709,365TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$108,709,365AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$1,630,640CashDeemedCharitableAmt
Net Vl Noncharitable Assets$107,078,725NetVlNoncharitableAssetsAmt
Minimum Investment Return$5,353,936MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$5,353,936MinimumInvestmentReturnAmt
Tax Based On Investment Income$137,759TaxBasedOnInvestmentIncomeAmt
Income Tax$982IncomeTaxAmt
Total Tax$138,741TotalTaxAmt
Distributable Before Adj$5,215,195DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$5,215,195DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$5,215,195DistributableAsAdjustedAmt

PF Qualifying Distributions PFQualifyingDistributionsGrp

FieldValueIRS element (for citing)
Expenses And Contributions$6,419,441ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$6,419,441QualifyingDistributionsAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$5,215,195DistributableAsAdjustedAmt
Undistributed Income PY$192,951UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Total Excess Distribution Cyov$0TotalExcessDistributionCyovAmt
Qualifying Distributions$6,419,441QualifyingDistributionsAmt
Applied To Year1$192,951AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$5,215,195AppliedToCurrentYearAmt
Remaining Distri From Corpus$1,011,295RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$1,011,295TotalCorpusAmt
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$0ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$1,011,295ExcessDistriCyovToNextYrAmt
Excess From Current Year$1,011,295ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

Application Submission Info ApplicationSubmissionInfoGrp (2 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient PhoneRecipientPhoneNumRecipient Email AddressRecipientEmailAddressTxtForm And Info And MaterialsFormAndInfoAndMaterialsTxtSubmission DeadlinesSubmissionDeadlinesTxtRestrictions On AwardsRestrictionsOnAwardsTxt
IMANI AMPONSAH CO POTOMAC HEALTH FO
2296 OPITZ BLVD SUITE 200WOODBRIDGEVA221917035230624IMANI@POTOMACHEALTHFOUNDATION.ORGALL APPLICATIONS ARE SUBMITTED ONLINE AT THE FOUNDATION'S WEBSITE.ANNOUNCEMENTS ARE SENT OUT IN DECEMBER, AND APPLICATIONS ARE SUBMITTED IN THE SPRING.THE FOUNDATION GRANTS GENERAL OPERATING SUPPORT AWARDS BY INVITATION ONLY TO AGENCIES MAKING UP THE HEALTH SAFETY NET FOR THE MEDICALLY UNDERSERVED. THIS INCLUDES SUPPORT FOR THOSE AGENCIES THAT PROVIDE DIRECT CLINICAL SERVICES TO PATIENTS, INCLUDING PRIMARY, DENTAL, MEDICATION, MENTAL HEALTH, VISION OR OTHER HEALTH SERVICES. THESE GRANTS ARE MADE ON AN ANNUAL BASIS AND THERE IS NO LIMIT TO NUMBER OF YEARS FUNDED. GRANTS ARE AWARDED TO SECTION 501(C)(3) PUBLIC CHARITIES, INCLUDING SECTION 509(A)(1), SECTION 509(A)(2), SECTION 509(A)(3), DOMESTIC UNITS OF GOVERNMENT, AND EXEMPT OPERATING FOUNDATIONS. ALL OTHER AGENCIES WOULD ONLY BE ELIGIBLE IF APPLYING WITH A TAX-EXEMPT FISCAL SPONSOR. THE FOUNDATION PROVIDES GRANT SUPPORT TO ORGANIZATIONS THAT SERVE THE PEOPLE OF EASTERN PRINCE WILLIAM COUNTY, VIRGINIA, AND THE IMMEDIATELY ADJACENT COMMUNITIES IN EASTERN FAIRFAX AND STAFFORD COUNTIES.
IMANI AMPONSAH CO POTOMAC HEALTH FO
2296 OPITZ BLVD SUITE 200WOODBRIDGEVA221917035230624IMANI@POTOMACHEALTHFOUNDATION.ORGALL APPLICATIONS ARE SUBMITTED ONLINE AT THE FOUNDATION'S WEBSITE.ANNOUNCEMENTS ARE SENT OUT IN DECEMBER, AND APPLICATIONS ARE SUBMITTED IN THE SPRING.THIS PROGRAM MAKES PROJECT-BASED GRANTS, RENEWABLE ON AN ANNUAL BASIS, THROUGH AN OPEN REQUEST FOR PROPOSALS (RFP) PROCESS. THE MAXIMUM GRANT AMOUNT IS $250,000 ANNUALLY. GRANTS ARE AWARDED TO SECTION 501(C)(3) PUBLIC CHARITIES, INCLUDING SECTION 509(A)(1), SECTION 509(A)(2), SECTION 509(A)(3), DOMESTIC UNITS OF GOVERNMENT, AND EXEMPT OPERATING FOUNDATIONS. ALL OTHER AGENCIES WOULD ONLY BE ELIGIBLE IF APPLYING WITH A TAX-EXEMPT FISCAL SPONSOR. THE FOUNDATION PROVIDES GRANT SUPPORT TO ORGANIZATIONS THAT SERVE THE PEOPLE OF EASTERN PRINCE WILLIAM COUNTY, VIRGINIA, AND THE IMMEDIATELY ADJACENT COMMUNITIES IN EASTERN FAIRFAX AND STAFFORD COUNTIES.

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (55 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmtAddress Line2RecipientUSAddress/AddressLine2Txt
ACTION IN COMMUNITY THROUGH SERVICE INC
PO BOX 74DUMFRIESVA22026PCOPERATING SUPPORT$250,000
BOYS & GIRLS CLUB OF GREATER WASHINGTON
4103 BENNING RD NEWASHINGTONDC20019PCPROMOTING HEALTHY LIFESTYLES FOR YOUTH AT HYLTON & HEISER BOYS & GIRLS CLUB$146,762
BRINGING RESOURCES TO AID WOMEN'S SHELTERS (BRAWS)
133 PARK STREET NE SUITE 3BVIENNAVA22180PCSUPPLY MENSTRUAL PRODUCTS AND UNDERGARMENTS TO RESIDENTS OF PRINCE WILLIAM COUNTY ($16,200); SUPPLY MENSTRUAL PRODUCTS AND UNDERGARMENTS TO EASTERN PRINCE WILLIAM COUNTY AND SOUTHERN FAIRFAX COUNTY ($41,580)$57,780
CAPITAL AREA FOOD BANK
4900 PUERTO RICO AVENUE NEWASHINGTONDC20017PCSHORT-TERM EMERGENCY FOOD IN PFH SERVICE AREA ($22,500); SHORT-TERM EMERGENCY FOOD, WITH A FOCUS ON WELLNESS ($52,500)$75,000
CAPITAL CARING HEALTH
3180 FAIRVIEW PARK DRIVE SUITE 600FALLS CHURCHVA22042PCCOMMUNITY GRIEF AND COUNSELING PROGRAM ($11,370); COMMUNITY GRIEF AND BEREAVEMENT ($30,937)$42,307
CATHOLIC CHARITIES ARLINGTON DIOCESE MOTHER OF MERCY FREE MEDICAL CLINIC
9380 FORESTWOOD LANE UNIT BMANASSASVA20110PCOPERATING SUPPORT$100,000
CFH INC
702 DONEGAN DRMANASSASVA20109PCCREATING FOUNDATIONS FOR HEALTHY LIVING THROUGH ACCESS TO HEALTHY FOOD$35,000
FOODS & FRIENDS INC
219 RIGGS ROAD NEWASHINGTONDC20011PCSPECIALIZED NUTRITION SERVICES FOR SERIOUSLY ILL VIRGINIANS$40,000
GEORGE MASON UNIVERSITY OFFICE OF SPONSORED PROGRAMS
4400 UNIVERSITY DRIVE MSN 4C6FAIRFAXVA220304422PCOPERATING SUPPORT$150,000
GREATER DC DIAPER BANK
5614 CONNECTICUT AVENUE NW 285WASHINGTONDC20015PCPROVIDING AND EMPOWERING FAMILIES IN GREATER DC WITH ESSENTIALS TO THRIVE$31,084
GREATER PRINCE WILLIAM COMMUNITY HEALTH CENTER
4379 RIDGEWOOD CENTER DRIVE SUITEWOODBRIDGEVA22192PCOPERATING SUPPORT$100,000102
HAMKAE CENTER
11350 RANDOM HILLS RD SUITE 230FAIRFAXVA22030PCASIAN AMERICAN COMMUNITY HEALTH ACCESS PROGRAM$90,715
HEPATITIS B INITIATIVE OF DC
1725 I ST NW SUITE 300WASHINGTONDC20006PCCOMPREHENSIVE HEALTH AND WELLNESS PROGRAM$35,000
INSTITUTE OF PUBLIC HEALTH INNOVATION
1301 CONNECTICUT AVENUE NW SUITEWASHINGTONDC20036PCCAPACITY BUILDING$178,574200
JUST NEIGHBORS
7630 LITTLE RIVER TURNPIKE SUITEANNANDALEVA22003PCIMMIGRANT-FOCUSED MEDICAL-LEGAL PARTNERSHIP$75,000900
LEGAL AID JUSTICE CENTER
1000 PRESTON AVENUECHARLOTTESVILLEVA22903PCLEGAL AID JUSTICE CENTER ($45,000); PROTECTING THE LIVES AND LIVELIHOOD OF LOW-INCOME IMMIGRANTS ($105,000)$150,000
LITERACY VOLUNTEERS OF AMERICA PRINCE WILLIAM
4326 DALE BLVD SUITE 2WOODBRIDGEVA22193PCB4 HEALTH LITERACY PROGRAM$60,000
LLOYD F MOSS FREE CLINIC
1301 SAM PERRY BOULEVARDFREDERICKSBURGVA22401PCOPERATING SUPPORT$93,000
LORTON COMMUNITY ACTION CENTER
9518 RICHMOND HWYLORTONVA22079PCALL CAN BE HEALTHY INITIATIVE$110,000
NAMI PRINCE WILLIAM
PO BOX 1423WOODBRIDGEVA22195PCCOMMUNITY MENTAL HEALTH AWARENESS: FOCUS ON YOUTH AND FAMILY IN UNDER-SERVED POPULATIONS$20,972
NATIONAL CAPITAL TREATMENT & RECOVERY
200 N GLEBE ROAD SUITE 104ARLINGTONVA22203PCPATIENT ASSISTANCE FUND - PHF SERVICE AREA$25,000
NATIONAL COALITION OF 100 BLACK WOMEN INC PRINCE WILLIAM COUNTY CHAPTER
PO BOX 1166DUMFRIESVA22026PCHEALTH EQUITY: PROMOTING ORAL HEALTH ($24,600); ORAL HEALTH FOCUSING ON IMPROVING KNOWLEDGE, PREVENTION, SCREENING AND TREATMENT OF ORAL DISEASE ($59,500)$84,100
NORTHERN VIRGINIA FAMILY SERVICE
10455 WHITE GRANITE DRIVE SUITE 100OAKTONVA22124PCPUBLIC HEALTH BENEFITS & INSURANCE NAVIGATION ($25,343); OPERATING SUPPORT ($227,500)$252,843
NORTHERN VIRGINIA FOOD RESCUE
PO BOX 74DUMFRIESVA22026PCFOOD RESCUE EXPANSION$52,500
NOVA FOOD RESCUE
PO BOX 74DUMFRIESVA22026PCFOOD RESCUE PROGRAM$119,350
NOVA SCRIPTSCENTRAL INC
6400 ARLINGTON BOUOLEVARD SUITE 120FALLS CHURCHVA22042PCOPERATING SUPPORT$115,000
NUEVA VIDA INC
206 N WASHINGTON STREET SUITE 300ALEXANDRIAVA22314PCOPERATING SUPPORT$105,000
PATHWAY HOMES
10201 FAIRFAX BOULEVARDFAIRFAXVA22030PCOPERATING SUPPORT$250,000
POSTPARTUM SUPPORT VA
PO BOX 5742FREDERICKSBURGVA22403PCHEALTHY MOMS, HEALTHY BABIES PROGRAM$42,003
PRINCE WILLIAM COUNTY COMMUNITY FOUNDATION INC
PO BOX 5148WOODBRIDGEVA22194PCCOMBATING HUNGER ON WHEELS (C.H.O.W.) WAGON INITIATIVES$73,230
PRINCE WILLIAM COUNTY COMMUNITY SERVICES
7969 ASHTON AVENUEMANASSASVA20109GOVCRISIS RECEIVING AND STABILIZATION CENTER$500,000
PRINCE WILLIAM DROP-IN CENTER
13184 CENTERPOINTE WAYWOODBRIDGEVA22192PCOPERATING SUPPORT$51,500
PROJECT MEND-A-HOUSE INC
9500 TECHNOLOGY DRIVE SUITE 101MANASSASVA20110PCOPERATING SUPPORT$42,000
PW LIBRARY FOUNDATION
13083 CHINN PARK DRIVEWOODBRIDGEVA22192PCACCESS TO HEALTH SCREENINGS AND EDUCATION FOR ALL$17,500
RX PARTNERSHIP
2924 EMERYWOOD PARKWAY SUITE 300RICHMONDVA23294PCOPERATING SUPPORT$30,000
SCAN OF NORTHERN VIRGINIA
205 S WHITING STREET SUITE 205ALEXANDRIAVA22304PCOPERATING SUPPORT$133,333
SENTARA NORTHERN VIRGINIA MEDICAL CENTER
2300 OPITZ BOULEVARDWOODBRIDGEVA22191PCNURSING SCHOLARSHIP PROGRAM ($9,000); WORKFORCE DEVELOPMENT ($21,000); OPERATING SUPPORT ($87,500)$117,500
STREETLIGHT COMMUNITY OUTREACH MINISTRIES
14806 BLACKBURN ROADWOODBRIDGEVA22191PCRN POSITION FOR MEDICALLY FRAGILE HOUSING AND SUPPORTIVE SHELTER CLIENTS$76,938
TAHIRIH JUSTICE CENTER
6400 ARLINGTON BLVD 400FALLS CHURCHVA22042PCADDRESSING SOCIAL DETERMINANTS OF HEALTH OF IMMIGRANT SURVIVORS OF GENDER-BASED VIOLENCE$15,000
THE ARC OF GREATER PRINCE WILLIAM
13505 HILLENDALE DRIVEDALE CITYVA22193PCOPERATING SUPPORT$250,000
THE CHRIS ATWOOD FOUNDATION
PO BOX 9282RESTONVA20195PCIMPROVING INDIVIDUAL HEALTH ($32,565); REVIVE TO THRIVE PROGRAM ($88,863)$121,428
THE FENWICK FOUNDATION
23 N FENWICK STREETARLINGTONVA22201PCPROJECT ADAPT - ORAL CARE FOR LOW-RESOURCE ADULTS$167,500
THE HOUSE STUDENT LEADERSHIP CENTER
1400 CROWN COURT SUITE 105WOODBRIDGEVA22193PCOPERATING SUPPORT$250,000
THE SALVATION ARMY OF PRINCE WILLIAM
1483 OLD BRIDGE ROAD UNIT 102WOODBRIDGEVA22192PCEMERGENCY RENT AND UTILITIES ASSISTANCE EXPANSION$105,000
THE VOLUNTARY ACTION CENTER OF PRINCE WILLIAM AREA INC
9248 CENTER STREETMANASSASVA20110PCVETS -VETERANS ENHANCED TRANSPORTATION SERVICE$35,000
THE WOMEN'S CENTER
133 PARK STREET NEVIENNAVA22180PCENHANCED ACCESS TO MENTAL HEALTH PROGRAM$15,000
VIRGINIA COMMUNITY FOOD CONNECTIONS
406 PRINCESS ANNE STREETFREDERICKSBURGVA22401PCOPERATING SUPPORT$75,000
VIRGINIA FOUNDATION FOR COMMUNITY COLLEGE EDUCATION
300 ARBORETUM PLACE SUITE 200RICHMONDVA23219PCPHF FELLOWS PROGRAM$127,355
VIRGINIA POVERTY LAW CENTER
919 E MAIN STREET SUITE 610RICHMONDVA23219PCENROLL VA POTOMAC PROGRAM$192,135
VIRGINIANS ORGANIZED FOR INTERFAITH COMMUNITY ENGAGEMENT (VOICE)
4444 ARLINGTON BLVDARLINGTONVA22204PCPRINCE WILLIAM COUNTY CRISIS RECEIVING CENTER$65,000
VOICES FOR VIRGINIA'S CHILDREN
701 E FRANKLIN STREET SUITE 807RICHMONDVA23219PCOPERATING SUPPORT$52,500
VOLUNTEER PRINCE WILIAM
9283 CORPORATE CIRMANASSASVA20110PCVETERANS ENHANCED TRANSPORTATION SERVICE$15,000
WORKHOUSE ARTS FOUNDATION INC
9518 WORKHOUSE WAY BUILDING 16LORTONVA22079PCWORKHOUSE MILITARY IN THE ARTS INITIATIVES (WMAI)$70,000
YOUNG INVINCIBLES
1411 K STREET NW SUITE 400WASHINGTONDC20005PCHEALTHY YOUNG AMERICA - NOVA$133,333
YOUTH FOR TOMORROW
11835 HAZEL CIRCLE DRIVEBRISTOWVA20136PCBEHAVIORAL HEALTHCARE AND SUBSTANCE ABUSE TREATMENT SERVICES ($175,000); OPERATING SUPPORT ($72,280)$247,280
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$5,865,522TotalGrantOrContriPdDurYrAmt

Grant Or Contri Apprv For Fut GrantOrContriApprvForFutGrp (43 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmtAddress Line2RecipientUSAddress/AddressLine2Txt
ACTION IN COMMUNITY THROUGH SERVICE INC
PO BOX 74DUMFRIESVA22026PCOPERATING SUPPORT$500,000
BOYS & GIRLS CLUB OF GREATER WASHINGTON
4103 BENNING RD NEWASHINGTONDC20019PCPROMOTING HEALTHY LIFESTYLES FOR YOUTH AT HYLTON & HEISER BOYS & GIRLS CLUB$62,898
BRINGING RESOURCES TO AID WOMEN'S SHELTERS (BRAWS)
133 PARK STREET NE SUITE 3BVIENNAVA22180PCSUPPLY MENSTRUAL PRODUCTS AND UNDERGARMENTS TO EASTERN PRINCE WILLIAM COUNTY AND SOUTHERN FAIRFAX COUNTY$17,820
CAPITAL AREA FOOD BANK
4900 PUERTO RICO AVENUE NEWASHINGTONDC20017PCSHORT-TERM EMERGENCY FOOD, WITH A FOCUS ON WELLNESS$22,500
CAPITAL CARING HEALTH
3180 FAIRVIEW PARK DRIVE SUITE 600FALLS CHURCHVA22042PCCOMMUNITY GRIEF AND BEREAVEMENT$13,259
CFH INC
702 DONEGAN DRMANASSASVA20109PCCREATING FOUNDATIONS FOR HEALTHY LIVING THROUGH ACCESS TO HEALTHY FOOD$15,000
FOODS & FRIENDS INC
219 RIGGS ROAD NEWASHINGTONDC20011PCSPECIALIZED NUTRITION SERVICES FOR SERIOUSLY ILL VIRGINIANS$12,000
GREATER DC DIAPER BANK
5614 CONNECTICUT AVENUE NW 285WASHINGTONDC20015PCEMPOWERING FAMILIES IN GREATER DC WITH ESSENTIALS TO THRIVE$10,107
HAMKAE CENTER
11350 RANDOM HILLS RD SUITE 230FAIRFAXVA22030PCASIAN AMERICAN COMMUNITY HEALTH ACCESS PROGRAM$38,878
HEPATITIS B INITIATIVE OF DC
1301 CONNECTICUT AVENUE NW SUITEWASHINGTONDC20036PCCOMPREHENSIVE HEALTH AND WELLNESS PROGRAM$15,000200
JUST NEIGHBORS
7630 LITTLE RIVER TURNPIKE SUITEANNANDALEVA22003PCIMMIGRANT-FOCUSED MEDICAL-LEGAL PARTNERSHIP$22,500900
LEGAL AID JUSTICE CENTER
1000 PRESTON AVENUECHARLOTTESVILLEVA22903PCPROTECTING THE LIVES AND LIVELIHOOD OF LOW-INCOME IMMIGRANTS$45,000
LITERACY VOLUNTEERS OF AMERICA PRINCE WILLIAM
4326 DALE BLVD SUITE 2WOODBRIDGEVA22193PCB4HEALTHLITERACY PROGRAM$18,000
LORTON COMMUNITY ACTION CENTER
9518 RICHMOND HWYLORTONVA22079PCALL CAN BE HEALTHY INITIATIVE$37,500
NAMI PRINCE WILLIAM
POBOX 1423WOODBRIDGEVA22195PCCOMMUNITY MENTAL HEALTH AWARENESS: FOCUS ON YOUTH AND FAMILY IN UNDER-SERVED POPULATIONS$8,988
NATIONAL CAPITAL TREATMENT & RECOVERY
200 N GLEBE ROAD SUITE 104ARLINGTONVA22203PCPATIENT ASSISTANCE FUND$7,500
NATIONAL COALITION OF 100 BLACK WOMEN INC PRINCE WILLIAM COUNTY CHAPTER
PO BOX 1166DUMFRIESVA22026PCORAL HEALTH FOCUSING ON IMPROVING KNOWLEDGE, PREVENTION, SCREENING AND TREATMENT OF ORAL DISEASE$25,500
NORTHERN VIRGINIA FAMILY SERVICE
10455 WHITE GRANITE DRIVE SUITE 100OAKTONVA22124PCOPERATING SUPPORT$60,000
NOVA FOOD RESCUE
PO BOX 74DUMFRIESVA22026PCFOOD RESCUE PROGRAM$51,150
NUEVA VIDA INC
206 N WASHINGTON STREET SUITE 300ALEXANDRIAVA22314PCOPERATING SUPPORT$210,000
PATHWAY HOMES
10201 FAIRFAX BOULEVARDFAIRFAXVA22030PCOPERATING SUPPORT$500,000
POSTPARTUM SUPPORT VA
PO BOX 5742FREDERICKSBURGVA22403PCHEALTY MOMS, HEALTHY BABIES PROGRAM$18,001
PRINCE WILLIAM COUNTY COMMUNITY FOUNDATION INC
PO BOX 5148WOODBRIDGEVA22194PCCOMBATING HUNGER ON WHEELS (C.H.O.W.) WAGON INITIATIVES$22,942
PRINCE WILLIAM DROP-IN CENTER
13184 CENTERPOINTE WAYWOODBRIDGEVA22192PCOPERATING SUPPORT$103,000
PROJECT MEND-A-HOUSE INC
9500 TECHNOLOGY DRIVE SUITE 101MANASSASVA20110PCOPERATING SUPPORT$18,000
PW LIBRARY FOUNDATION
13083 CHINN PARK DRIVEWOODBRIDGEVA22192PCACCESS TO HEALTH SCREENINGS AND EDUCATION FOR ALL$7,500
SCAN OF NORTHERN VIRGINIA
205 S WHITING STREET SUITE 205ALEXANDRIAVA22304PCOPERATING SUPPORT$266,667
SENTARA NORTHERN VIRGINIA MEDICAL CENTER
2300 OPITZ BOULEVARDWOODBRIDGEVA22191PCWORKFORCE DEVELOPMENT$9,000
STREETLIGHT COMMUNITY OUTREACH MINISTRIES
14806 BLACKBURN ROADWOODBRIDGEVA22191PCRN POSITION FOR MEDICALLY FRAGILE HOUSING AND SUPPORTIVE SHELTER CLIENTS$23,285
THE ARC OF GREATER PRINCE WILLIAM
13505 HILLENDALE DRIVEDALE CITYVA22193PCOPERATING SUPPORT$500,000
THE CHRIS ATWOOD FOUNDATION
PO BOX 9282RESTONVA20195PCREVIVE TO THRIVE PROGRAM$38,084
THE FENWICK FOUNDATION
23 N FENWICK STREETARLINGTONVA22201PCPROJECT ADAPT - ORAL CARE FOR LOW-RESOURCE ADULTS$52,500
THE HOUSE STUDENT LEADERSHIP CENTER
1400 CROWN COURT SUITE 105WOODBRIDGEVA22193PCOPERATING SUPPORT$500,000
THE SALVATION ARMY OF PRINCE WILLIAM
1483 OLD BRIDGE ROAD UNIT 102WOODBRIDGEVA22192PCEMERGENCY RENT AND UTILITIES ASSISTANCE EXPANSION$36,000
THE VOLUNTARY ACTION CENTER OF PRINCE WILLIAM AREA INC
9248 CENTER STREETMANASSASVA20110PCVETS -VETERANS ENHANCED TRANSPORTATION SERVICE$15,000
VIRGINIA COMMUNITY FOOD CONNECTIONS
406 PRINCESS ANNE STREETFREDERICKSBURGVA22401PCOPERATING SUPPORT$150,000
VIRGINIA FOUNDATION FOR COMMUNITY COLLEGE EDUCATION
300 ARBORETUM PLACE SUITE 200RICHMONDVA23219PCPHF FELLOWS PROGRAM$254,710
VIRGINIA POVERTY LAW CENTER
919 E MAIN STREET SUITE 610RICHMONDVA23219PCENROLL VA POTOMAC PROGRAM$384,270
VIRGINIANS ORGANIZED FOR INTERFAITH COMMUNITY ENGAGEMENT (VOICE)
4444 ARLINGTON BLVDARLINGTONVA22204PCPRINCE WILLIAM COUNTY CRISIS RECEIVING CENTER$15,000
VOICES FOR VIRGINIA'S CHILDREN
701 E FRANKLIN STREET SUITE 807RICHMONDVA23219PCOPERATING SUPPORT$22,500
WORKHOUSE ARTS FOUNDATION INC
9518 WORKHOUSE WAY BUILDING 16LORTONVA22079PCWORKHOUSE MILITARY IN THE ARTS INITIATIVES (WMAI)$140,000
YOUNG INVINCIBLES
1411 K STREET NW SUITE 400WASHINGTONDC20005PCHEALTHY YOUNG AMERICA - NOVA$266,667
YOUTH FOR TOMORROW
11835 HAZEL CIRCLE DRIVEBRISTOWVA20136PCBEHAVIORAL HEALTHCARE AND SUBSTANCE ABUSE TREATMENT SERVICES$75,000
FieldValueIRS element (for citing)
Total Grant Or Contri Apprv Fut$4,611,726TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$1,609ExclusionAmt

Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl

FieldValueIRS element (for citing)
Business525990BusinessCd
Unrelated Business Taxbl Incm$15,623UnrelatedBusinessTaxblIncmAmt
Exclusion14ExclusionCd
Exclusion$2,644,440ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Business525990BusinessCd
Unrelated Business Taxbl Incm-$5,594UnrelatedBusinessTaxblIncmAmt
Exclusion18ExclusionCd
Exclusion$7,072,333ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$10,029UnrelatedBusinessTaxblIncmAmt
Exclusion$9,718,382ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$9,728,411TotalIncomeProducingActyAmt

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 EO0RelationshipsNonchrtblEOInd

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryACCOUNTINGCategoryTxt
Amt$48,927Amt
Net Investment Income$0NetInvestmentIncomeAmt
Disbursements Charitable Prps$40,422DisbursementsCharitablePrpsAmt

Applied To Prior Year Election AppliedToPriorYearElection

FieldValueIRS element (for citing)
ElectionSECTION 4942(H)(2) ELECTION A TO THE TREATMENT OF QUALIFYING DISTRIBUTIONSPURSUANT TO IRS SEC. 4942(H)(2) AND REG. 53.4942(A)-3(D)(2), THE POTOMAC HEALTH FOUNDATION HEREBY ELECTS TO TREAT CURRENT YEAR QUALIFYING DISTRIBUTIONS IN EXCESS OF THE IMMEDIATELY PRECEDING TAX YEAR'S UNDISTRIBUTED INCOME AS BEING MADE OUT OF UNDISTRIBUTED INCOME FROM THE TAX YEAR 2022.SIGNED: GAYLE WHITLOCK, TREASURERDATE: 11/8/2024THIS RETURN IS BEING ELECTRONICALLY FILED. THE FORM 8879-TE IS BEING SIGNED BY AN INDIVIDUAL WHO IS ALSO AUTHORIZED TO SIGN THIS ELECTION, GAYLE WHITLOCK, TREASURER. THE SIGNATURE ON THE FORM 8879-TE IS DEEMED A SIGNATURE BY AN AUTHORIZED INDIVIDUAL FOR THIS ELECTION.ElectionDesc

Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corporate Bonds InvestmentsCorporateBondsGrp (5 entries)

BondBondNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
SEI SIIT REAL RETURN A FUND$2,127,591$2,127,591
SIIT EMERGING MARKETS DEBT FUND$4,145,579$4,145,579
SEI HIGH YIELD BOND FUND$4,283,914$4,283,914
SIIT ULTRA SHORT DURATION BOND FUND$5,609,288$5,609,288
SEI CORE FIXED INCOME FUND #285$26,571,136$26,571,136

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (5 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
SEI SMALL CAP FUND$3,127,710$3,127,710
STATE STREET GIB ALL CAP EQ EX US FUND$5,045,611$5,045,611
SEI US EQUITY FCTR ALLOC FUND$5,178,518$5,178,518
SEI WORLD EQUITY EX-US FUND$9,134,372$9,134,372
SEI LARGE CAP INDEX FUND$18,101,719$18,101,719

Investments Govt Obligations Sch InvestmentsGovtObligationsSch

FieldValueIRS element (for citing)
US Govt Obligations Book Vl EOY$571,657USGovtObligationsBookVlEOYAmt
US Govt Obligations EOYFMV$571,657USGovtObligationsEOYFMVAmt
State Local Sec Book Vl EOY$0StateLocalSecBookVlEOYAmt
State Local Sec EOYFMV$0StateLocalSecEOYFMVAmt

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (5 entries)

Category Or ItemCategoryOrItemTxtListed At Cost Or FMVListedAtCostOrFMVCdBook ValueBookValueAmtEOYFMVEOYFMVAmt
SEI GLOBAL PRIVATE ASSETS VII LPFMV$907,188$907,188
SEI GLOBAL PRIVATE ASSETS V LPFMV$2,183,393$2,183,393
SEI SPECIAL SITUATIONS FUND LTDFMV$4,017,951$4,017,951
SEI GPA IV PRIVATE EQUITY FUNDFMV$7,429,033$7,429,033
SEI CORE PROPERTY FUND LPFMV$10,819,124$10,819,124

Land Etc Schedule2 LandEtcSchedule2

Land Etc LandEtcGrp

FieldValueIRS element (for citing)
Category Or ItemFURNITURE, EQUIPMENT AND TECHNOLOGYCategoryOrItemTxt
Cost Or Other Basis$66,185CostOrOtherBasisAmt
Accumulated Depreciation$57,838AccumulatedDepreciationAmt
Book Value$8,347BookValueAmt
EOYFMV$8,347EOYFMVAmt

Legal Fees Schedule LegalFeesSchedule

Legal Fees LegalFeesGrp

FieldValueIRS element (for citing)
CategoryLEGALCategoryTxt
Legal Fees$1,883LegalFeesAmt
Net Investment Income$0NetInvestmentIncomeAmt
Disbursements Charitable Prps$100DisbursementsCharitablePrpsAmt

Other Decreases Schedule OtherDecreasesSchedule

Other Decreases Detail OtherDecreasesDetail

FieldValueIRS element (for citing)
DescUNREALIZED LOSS ON INVESTMENTSDesc
Amt$614,365Amt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (12 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
PROFESSIONAL DEVELOPMENT$39,006$0$39,006
TECHNOLOGY EXPENSE$21,282$0$16,134
INSURANCE$2,234$0$2,234
BANK FEES$68$68$0
OTHER EXPENSES$3,028$0$2,608
SPONSORSHIPS$20,000$0$0
SEI GLOBAL PRIVATE ASSETS V, LP - OTHER DEDUCTIONS$0$62,310$0
SEI GLOBAL PRIVATE ASSETS IV, LP - OTHER DEDUCTIONS$0$109,191$0
SEI CORE PROPERTY FUND LP - OTHER DEDUCTIONS$0$56,284$0
SEI GLOBAL PRIVATE ASSETS VII, LP - OTHER DEDUCTIONS$0$14,277$0
SEI GLOBAL PRIVATE ASSETS V, LP - OTHER DEDUCTIONS, REMOVE UBI$0-$3,700$0
SEI GLOBAL PRIVATE ASSETS IV, LP - OTHER DEDUCTIONS, REMOVE UBI$0-$33,745$0

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail (11 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmt
SEI GLOBAL PRIVATE ASSETS V, LP - ORDINARY LOSS$0-$9,053$0
SEI GLOBAL PRIVATE ASSETS IV, LP - ORDINARY INCOME$0$16,074$0
SEI GLOBAL PRIVATE ASSETS V, LP - RENTAL LOSS$0-$6,294$0
SEI GLOBAL PRIVATE ASSETS IV, LP - RENTAL LOSS$0-$4,417$0
SEI GLOBAL PRIVATE ASSETS V, LP - ROYALTIES$0$7$0
SEI GLOBAL PRIVATE ASSETS IV, LP - ROYALTIES$0$4,629$0
SEI GLOBAL PRIVATE ASSETS V, LP - OTHER INCOME$0$8,785$0
SEI GLOBAL PRIVATE ASSETS IV, LP - OTHER INCOME$0$65,260$0
SEI CORE PROPERTY FUND LP - OTHER INCOME$0$30,294$0
SEI GLOBAL PRIVATE ASSETS V, LP - REMOVE UBI LOSS$0$4,538$0
SEI GLOBAL PRIVATE ASSETS IV, LP - REMOVE UBI$0-$28,013$0

Other Liabilities Schedule OtherLiabilitiesSchedule

Other Liabilities Detail OtherLiabilitiesDetail (2 entries)

DescDescBOY Book ValueBOYBookValueAmtEOY Book ValueEOYBookValueAmt
DUE TO RELATED PARTY$31,507$0
DEFERRED TAX LIABILITY$148,638$167,630

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
CONSULTANT FEES$151,675$0$151,675
INVESTMENT MANAGEMENT FEES$609,094$609,094$0

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (6 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
EXCISE TAX$150,000$0$0
UNRELATED BUSINESS INCOME TAX$13,261$0$0
SEI GLOBAL PRIVATE ASSETS IV, LP$0$534$0
SEI GLOBAL PRIVATE ASSETS V, LP$0$943$0
SEI GLOBAL PRIVATE ASSETS IV, LP REMOVE UBI$0-$119$0
SEI GLOBAL PRIVATE ASSETS V, LP REMOVE UBI$0-$18$0

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