2014-11-13T09:22:24-06:00 2013-12-31 221478099 COHNREZNICK LLP 1212 AVENUE OF THE AMERICAS NEW YORK NY 10036 990PF 2013-01-01 133759663 RCHN COMMUNITY HEALTH FOUNDATION INC RCHN 2122461122 55 BROADWAY SUITE 1502 NEW YORK NY 10006 FEYGELE JACOBS PRES & CEO 2122461122 2014-10-20 1 THOMAS LANNING P00851654 2122970400 2013 2015-12-30 17:16:21Z X X 30000081 X X 1290 1290 1746892 1746892 177848 7704894 177848 1926030 1926030 887978 386495 501483 348110 123236 248791 792588 109745 203434 113316 86710 26606 56700 42525 14175 370199 196655 173544 43555 16155 0 314188 314188 510959 209493 301466 68910 0 68910 2323 1161 1162 212022 56511 155511 3720848 1542874 1695082 1403674 1482468 5124522 1542874 3177550 -3198492 383156 2948459 1586718 1586718 108428 332679 332679 8494433 10757328 10757328 2498314 1469284 1469284 15761966 14993180 14993180 3085591 2235210 1159182 850381 850381 5218 10511 10511 30976000 30000081 30000081 1439318 1958878 68382 48577 1507700 2007455 X 29468300 27992626 29468300 27992626 30976000 30000081 29468300 -3198492 1722818 27992626 0 27992626 COMMUNITY HEALTH VENTURES P 53684 -53684 -53684 PUBLICLY TRADED SECURITIES 7698894 7473362 225532 225532 SALE OF FIXED ASSETS P 2002-05-15 6000 43150 43150 6000 6000 177848 0 4034403 29636227 0.136131 0.136131 0.136131 27970934 3807711 3832 3811543 3177550 7663 0 7663 0 7663 20120 9000 29120 21457 21457 0 0 0 0 0 0 0 0 0 0 0 1 1 NY 1 0 0 0 0 1 WWW.RCHNFOUNDATION.ORG IGOR GOLDENBERG 2122461122 55 BROADWAY SUITE 1502 NEW YORK NY 10006 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 FEYGELE JACOBS 55 BROADWAY SUITE 1502 NEW YORK NY 10006 PRESIDENT & CEO 35.00 265497 84833 0 IGOR GOLDENBERG 55 BROADWAY SUITE 1502 NEW YORK NY 10006 CFO 35.00 150964 5710 0 JULIO BELLBER 55 BROADWAY SUITE 1502 NEW YORK NY 10006 PRESIDENT THROUGH 9/2013 35.00 471517 51916 0 LONNY REISMAN MD 55 BROADWAY SUITE 1502 NEW YORK NY 10006 BOARD MEMBER 1.00 0 0 0 MARTIN ZUCKERMAN ESQ 55 BROADWAY SUITE 1502 NEW YORK NY 10006 TREASURER/SECRETARY 1.00 0 0 0 SAMUEL DANIEL MD 55 BROADWAY SUITE 1502 NEW YORK NY 10006 VICE CHAIRPERSON 1.00 0 0 0 SARA ROSENBAUM ESQ 55 BROADWAY SUITE 1502 NEW YORK NY 10006 CHAIRPERSON 1.00 0 0 0 THOMAS VAN COVERDEN 55 BROADWAY SUITE 1502 NEW YORK NY 10006 BOARD MEMBER 1.00 0 0 0 BARBARA ALLEN 55 BROADWAY SUITE 1502 NEW YORK NY 10006 FINANCE MANAGER 35.00 110496 30925 0 DAVID HARTZBAND 55 BROADWAY SUITE 1502 NEW YORK NY 10006 TECHNOLOGY RESERACH 20.00 105262 24089 0 MARJORIE BOMSON 55 BROADWAY SUITE 1502 NEW YORK NY 10006 HR MANAGER 25.00 80052 23681 0 0 HEALTH TECH STRATEGIES 6612 BRAWNER STREET MCLEAN VA 22101 HEALTH INFORMATION TECHNOLOGY CONSULTING 74737 MIRRAM GROUP LLC 895 BROADWAY 5TH FLOOR NEW YORK NY 10006 STRATEGIC CONSULTING 60000 COHNREZNICK LLP 1212 AVE OF THE AMERICAS NEW YORK NY 10036 AUDIT AND TAX PREPARATION 56700 MANATT PHELPS AND PHILLIPS 7 TIMES SQUARE NEW YORK NY 10036 LEGAL SERVICES 52777 FT SOLUTIONS LLC 1129 20TH STREET NW WASHINGTON DC 20036 STRATEGIC CONSULTING 51814 0 0 26690828 1706059 0 28396887 0 0 28396887 425953 27970934 1398547 1398547 7663 7663 1390884 0 1390884 0 1390884 3177550 0 3177550 0 3177550 1390884 0 0 2572674 2572674 3177550 0 0 0 1390884 1786666 0 0 4359340 0 0 0 0 0 0 0 4359340 2572674 1786666 X AARON E HENRY COMMUNITY HEALTH SERVICES CENTER INC 800 OHIO AVE CLARKSDALE MS 38614 PC GRANT TO FEDERALLY QUALIFIED COMMUNITY HEALTH CENTER UNDER ENTRY-LEVEL WORKFORCE INITIATIVE. 25000 ACU HEALTH 1420 SPRING HILL RD SUITE 600 TYSONS CORNER VA 22012 PC CONFERENCE SPONSORSHIP 5000 BRONX COMMUNITY HEALTH NETWORK INC 1 FORDHAM PLAZA SUITE 1108 BRONX NY 10458 PC SUPPORT OF CHARITABLE EVENT 1000 CARESOUTH CAROLINA INC 201 SOUTH FIFTH STREET HARTSVILLE SC 29550 PC GRANT TO FEDERALLY QUALIFIED COMMUNITY HEALTH CENTER UNDER ENTRY-LEVEL WORKFORCE INITIATIVE. 199308 CHINATOWN HEALTH CLINIC FOUNDATION 268 CANAL STREET 6TH FLOOR NEW YORK NY 10013 PC SUPPORT OF CHARITABLE EVENT 2100 COMMUNITY HEALTH CARE ASSOCIATION OF NEW YORK STATE 111 BROADWAY SUITE 1402 NEW YORK NY 10006 PC CONFERENCE SPONSORSHIP 3500 COMMUNITY HEALTH CARE ASSOCIATION OF NEW YORK STATE 111 BROADWAY SUITE 1402 NEW YORK NY 10006 PC SUPPORT OF CHARITABLE EVENT 5000 EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER INC 3480 E BRITTANIA DR BLDG B TUSCON AZ 85706 PC GRANT TO FEDERALLY QUALIFIED COMMUNITY HEALTH CENTER UNDER ENTRY-LEVEL WORKFORCE INITIATIVE. 198467 FINGER LAKES COMMUNITY HEALTH MIGRANT HEALTH CARE PROJECT INC 165 MAIN STREET PENN YAN NY 14527 PC GRANT TO FEDERALLY QUALIFIED COMMUNITY HEALTH CENTER UNDER ENTRY-LEVEL WORKFORCE INITIATIVE. 200000 FOOD BANK FOR NYC PO BOX 1125 NEW YORK NY 10277 PC SUPPORT OF CHARITABLE ORGANIZATION 500 GEORGE WASHINGTON UNIVERSITY 2121 I STREET WASHINGTON DC 20052 PC GIFT TO SUPPORT GEIGER GIBSON PROGRAM IN DEPARTMENT OF HEALTH POLICY, MILKEN INSTITUTE SPH 350000 HEALTHPROMED PO BOX 14457 SAN JUAN PR 00916 PC GRANT FOR DEVELOPMENT OF CONCEPT FOR SAN JUAN HEALTH DELIVERY 10000 HUDSON HEADWATERS HEALTH NETWORK PO BOX 357 GLEN FALLS NY 12801 PC SUPPORT OF CHARITABLE EVENT 1500 HUDSON RIVER HEALTH CARE FOUNDATION 1200 BROWN STREET 4TH FLOOR PEEKSVILLE NY 10566 PC SUPPORT OF CHARITABLE EVENT 3500 JEFFERY T LATMAN FOUNDATION PO BOX 237 DOBBS FERRY NY 10522 PC SUPPORT OF CHARITABLE EVENT 550 NATIONAL CENTER FOR FARMWORKER HEALTH 1770 FM 967 BUDA TX 78610 PC CONFERENCE SPONSORSHIP 6000 ONEWORLD COMMUNITY HEALTH CENTERS 4920 SOUTH 30TH STREET OMAHA NE 68107 PC GRANT TO FEDERALLY QUALIFIED COMMUNITY HEALTH CENTER UNDER ENTRY-LEVEL WORKFORCE INITIATIVE. 189343 PRIMARY CARE DEVELOPMENT CORP 22 CORTLANDT STREET NEW YORK NY 10007 PC SUPPORT OF CHARITABLE EVENT 5000 PRIMARY CARE DEVELOPMENT CORP 22 CORTLANDT STREET NEW YORK NY 10007 PC PRIMARY CARE CAPITAL MARKET ASSESSMENT 50000 PUBLIC HEALTH SOLUTIONS 40 WORTH STREET 5TH FLOOR NEW YORK NY 10013 PC SUPPORT OF CHARITABLE EVENT 700 SALUD FAMILY HEALTH CENTERS 203 S ROLLIE AVE FORT LUPTON CO 80621 PC GRANT TO FEDERALLY QUALIFIED COMMUNITY HEALTH CENTER UNDER ENTRY-LEVEL WORKFORCE INITIATIVE. 200000 SEATTLE INDIAN HEALTH BOARD 611 12TH AVENUE SEATTLE WA 98144 PC GRANT TO FEDERALLY QUALIFIED COMMUNITY HEALTH CENTER UNDER ENTRY-LEVEL WORKFORCE INITIATIVE. 25000 URBAN HEALTH PLAN INC 1065 SOUTHERN BLVD BRONX NY 10459 PC SUPPORT OF CHARITABLE EVENT 1000 1482468 ASIAN HEALTH SERVICES INC 818 WEBSTER STREET OAKLAND CA 94607 PC GRANT TO FEDERALLY QUALIFIED COMMUNITY HEALTH CENTER TO EXPAND ACA OUTREACH AND ENROLLMENT. 200000 COMMUNITY HEALTH OF SOUTH FLORIDA INC 10300 SW 216TH STREET MIAMI FL 33190 PC GRANT TO FEDERALLY QUALIFIED COMMUNITY HEALTH CENTER TO EXPAND ACA OUTREACH AND ENROLLMENT. 179840 MAINE PRIMARY CARE ASSOCIATION 73 WINTHROP ST AUGUSTA ME 04330 PC GRANT TO PRIMARY CARE ASSOCIATION TO EXPAND ACA OUTREACH AND ENROLLMENT. 200000 MISSOURI COUALITION FOR PRIMARY CARE DBA MISSOURI PRIMARY CARE ASSOCIATION 3325 EMERALD LANE JEFFERSON CITY MO 65109 PC GRANT TO PRIMARY CARE ASSOCIATION TO EXPAND ACA OUTREACH AND ENROLLMENT. 200000 MORRIS HEIGHTS HEALTH CENTER INC 85 WEST BURNSIDE AVENUE BRONX NY 10453 PC GRANT TO FEDERALLY QUALIFIED COMMUNITY HEALTH CENTER TO EXPAND ACA OUTREACH AND ENROLLMENT. 71834 WISCONSIN PRIMARY HEALTH CARE ASSOCIATION 5202 EASTPARK BLVD SUITE 109 MADISON WI 53718 PC GRANT TO PRIMARY CARE ASSOCIATION TO EXPAND ACA OUTREACH AND ENROLLMENT. 182000 1033674 14 1290 14 1746892 18 177848 0 1926030 0 1926030 0 0 0 0 0 0 0 0 0 0 COHNREZNICK LLP 56700 42525 14175 LEASEHOLD IMPROVEMENTS 2012-01-01 2329512 1494794 SL 10.000000000000 232956 0 VEHICLES 2012-01-01 86294 2877 SL 5.000000000000 17259 0 FURN & FIXTURES 2012-01-01 530576 340425 SL 10.000000000000 53052 0 EQUIPMENT 2012-01-01 139208 82926 SL 5.000000000000 10921 0 GMC DENALI 2012-01-01 43150 43150 SL 5.000000000000 0 0 DELL LAPTOP 2012-01-01 898 898 SL 5.000000000000 0 0 FORM 990-PF, PART VII-B, LINE 1A(4): OFFICERS FEYGELE JACOBS, IGOR GOLDENBERG, AND JULIO BELLBER RECEIVED COMPENSATION FOR THE YEAR ENDING DECEMBER 31, 2013. THIS AMOUNT REPRESENTS PAYMENT FOR THEIR SERVICES WITH REGARD TO THE FOUNDATION AND THE SERVICES IT PROVIDES. THIS MEETS THE EXCEPTION AND IS CONSIDERED REASONABLE, AND THEREFORE FORM 4720 IS NOT PREPARED. FORM 990-PF SUPPLEMENTAL INFORMATION: THE ORGANIZATION PROVIDED PAYMENTS AND CERTAIN BENEFITS TO THE ORGANIZATION'S FOUNDING PRESIDENT THAT QUALIFY AS "SEVERANCE PAYMENTS" DURING THE REPORTING PERIOD. SUBJECT TO THE FOUNDING PRESIDENT'S SATISFACTION OF HIS OBLIGATIONS TO THE ORGANIZATION, THIS CONTINUED PAY AND BENEFITS IS PROJECTED GENERALLY THROUGH REPORTING YEAR 2014, AND WILL BE REPORTED AS CURRENT COMPENSATION AND BENEFITS IN THE NATURE OF SEVERANCE FOR 2014. FIXED INCOME 1469284 1469284 EQUITIES 10757328 10757328 ALTERNATIVE INVESTMENTS FMV 2406541 2406541 INVESTMENT IN CHA/CHV FMV 500142 500142 MUTUAL FUNDS FMV 12086497 12086497 LEASEHOLD IMPROVEMENTS 2329512 1727750 601762 VEHICLES 86294 20136 66158 FURN & FIXTURES 530576 393477 137099 EQUIPMENT 139208 93847 45361 SMITH & DOWNEY 20457 20457 0 MINTZ AND GOLD 15000 15000 0 WHITEMAN OSTERMAN & HANNA LLP 218 0 218 HIRSHEN SINGER & EPSTEIN LLP 24864 24864 0 MANATT, PHELPS & PHILLIPS, LLP 52777 26389 26388 DUE FROM RELATED PARTIES 5218 10511 10511 INSURANCE 37761 15482 22279 INFORMATION TECHNOLOGY EXPENSES 58239 13317 44922 SPONSERSHIPS 35350 0 35350 DUES AND MEMBERSHIPS 11130 0 11130 TELEPHONE 17326 7104 10222 OTHER 52216 20608 31608 UNREALIZED GAIN 1722818 DEFERRED RENT 68382 48577 MERRILL LYNCH 153092 153092 0 PUBLIC INTEREST MEDIA GROUP 12900 0 12900 MIRRAM GROUP 60000 0 60000 HEALTH TECH STRATEGIES 74737 0 74737 FT SOLUTIONS LLC 51814 25907 25907 PRM CONSULTING 15156 15156 0 PGREF 2500 2500 0 FEDERAL EXCISE TAX 27400 0 0 FOREIGN TAXES 16155 16155 0