RHODE ISLAND PUBLIC HEALTH FOUNDATION INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
RHODE ISLAND PUBLIC HEALTH FOUNDATION INC (EIN 05-0474726)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-05-11
IRS object ID
201321319349300512
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-05-11T13:47:29-04:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN043023857EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CYGNET TAXBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1251 PAWTUXET AVEAddressLine1
CityWarwickCity
StateRIState
ZIP Code02888ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN050474726EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Rhode Island Public Health FoundationBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlRHODNameControl

US Address USAddress

FieldValueIRS element (for citing)
Address Line11500 FLEET CENTERAddressLine1
CityProvidenceCity
StateRIState
ZIP Code02903ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameGERARD R GOULETName
TitlePRESIDENTTitle
Phone4018636416Phone
Date Signed2013-05-10DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameSteven P Bigos EAName
PTINP00199641PTIN
Phone4019421040Phone
Date Prepared2013-05-11DatePrepared
Self EmployedXSelfEmployed
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts54545GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Type Of Organization OtherXTypeOfOrganizationOther
Type Of Org Other DescriptionNON PROFITTypeOfOrgOtherDescription
Year Formation1993YearFormation
State Legal DomicileRIStateLegalDomicile
Activity Or Mission DescriptionTO OBTAIN AND EXPEDITE COMPETITIVE PUBLIC HEALTH RESEARCH TRAINING AND INTERVENTION PROJECTS AND PROGRAMS PROMOTING COMMUNITY HEALTHActivityOrMissionDescription
Nbr Voting Members Governing Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Current Year54545ContributionsGrantsCurrentYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Current Year54545TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Current Year51333SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expenses Current Year11871OtherExpensesCurrentYear
Total Expenses Current Year63204TotalExpensesCurrentYear
Revenues Less Expenses CY-8659RevenuesLessExpensesCY
Total Assets BOY93979TotalAssetsBOY
Total Assets EOY64587TotalAssetsEOY
Total Liabilities BOY22553TotalLiabilitiesBOY
Total Liabilities EOY1820TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY71426NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY62767NetAssetsOrFundBalancesEOY
Mission DescriptionTO OBTAIN AND EXPEDITE COMPETITIVE PUBLIC HEALTH RESEARCH TRAINING AND INTERVENTION PROJECTS AND PROGRAMS PROMOTING COMMUNITY HEALTHMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense30176Expense
Grants32202Grants
DescriptionCT-RI PHTC Brown University yr1 and yr2 RIPHI contracted with Brown University to manage parts of this public health training center program. RIPHI responsibilities include soliciting qualified projects for public health trainees to work with community based organizations or community research projects through RI colleges and universities, recruiting student assistants for qualified projects, and recruiting faculty to design and present public health training programs, managing the payment of students and faculty, and overseeing the work. Workforce needs assessment is a separate line of work related to the Public Health Training Center, conducting surveys to determine the training needs of public health workers. The assessments are used to design and market training programsDescription

Activity2 Activity2

FieldValueIRS element (for citing)
Expense4350Expense
Grants4800Grants
Description2012 County Health Rankings This work is dissemination of public health data and promotion of community responses to adverse health conditionsDescription

Activity3 Activity3

FieldValueIRS element (for citing)
Expense10071Expense
Grants9543Grants
DescriptionASTHO Climate Change Project This work consisted of managing a grant to the City of Providence to complete a sustainability plan for the City and assisting in disseminating the plan priorities and strategies.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense9642Expense
Grants8000Grants
DescriptionNNPHI 05 Community Guide and other programs This work consisted of writing and managing a grant for the RI Department of Health for the purpose of employing evidence-based strategies to improve health and prevent disease.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp9642TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt8000TotalOfOtherProgramServiceGrnt
Total Program Service Expense54239TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquipfalseReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109614NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members13NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicyfalseConflictOfInterestPolicy
Whistleblower PolicyfalseWhistleblowerPolicy
Document Retention PolicyfalseDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledRIStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonPARTICIA A NOLAN MD MPHNamePerson
Telephone Number4018636416TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11500 FLEET CENTERAddressLine1
CityProvidenceCity
StateRIState
ZIP Code02903ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (14 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
ANDREW M ERICKSON
BOARD MEMBER1.00X000
DEBORAH A SMITH
BOARD MEMBER1.00X000
HARVEY ZIMMERMAN
BOARD MEMBER1.00X000
KATHLEEN A SWANN PHD
BOARD MEMBER1.00X000
LARRY CULPEPPER MD PMH PAST P
BOARD MEMBER1.00X000
MICHAEL FINE MD MPH
BOARD MEMBER1.00X000
PARTICIA A NOLAN MD MPH
EX OFFICIO20.00X000
ROSEMARY C REILLY CHAMMAT EDD
BOARD MEMBER1.00X000
TERRIE T FOX WETLE PHD
BOARD MEMBER1.00X000
TOMAS E RAMIREZ
BOARD MEMBER1.00X000
WILLIAM WATERS PHD
BOARD MEMBER5.00X000
GERARD R GOULET
PRESIDENT5.00000X
JAMES M HAGERTY
TREASURER5.00000X
ROSA R BAIER
SECRETARY2.00000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Government Grants46545GovernmentGrants
All Other Contributions8000AllOtherContributions
Total Contributions54545TotalContributions

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column54545TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total51333Total
Program Services51333ProgramServices

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total1627Total
Management And General1627ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total1925Total
Management And General1925ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total500Total
Management And General500ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total3768Total
Program Services2502ProgramServices
Management And General1266ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total155Total
Management And General155ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total2010Total
Program Services404ProgramServices
Management And General1606ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total1748Total
Management And General1748ManagementAndGeneral

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneral
REGISTRATION FEES2020
PARKING118118

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total63204Total
Program Services54239ProgramServices
Management And General8965ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY92402BOY
EOY59264EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1577BOY
EOY139EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
EOY5184EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY93979BOY
EOY64587EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY22553BOY
EOY1820EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY22553BOY
EOY1820EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY71426BOY
EOY62767EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY71426BOY
EOY62767EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY93979BOY
EOY64587EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-8659ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting CashXMethodOfAccountingCash
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedfalseFSAudited
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years83163CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years91103CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years240368CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year313812CurrentTaxYearMinus1Year
Current Tax Year54545CurrentTaxYear
Total782991Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years83163CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years91103CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years240368CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year313812CurrentTaxYearMinus1Year
Current Tax Year54545CurrentTaxYear
Total782991Total
FieldValueIRS element (for citing)
Public Support Total170782991PublicSupportTotal170
Total Support782991TotalSupport
Public Support Pertcentage1701.00000PublicSupportPertcentage170
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
O01Form 990 governing body review Part VI line 11THE RETURN IS PRESENTED TO THE BOARD PRESIDENT FOR REVIEW AND SIGNAUTURE PRIOR TO FILING. BOARD MEMBERS RECEIVE COPIES FOR REVIEW UPON REQUEST
O02Governing documents etc available to public Part VI line 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC AT ITS OFFICE UPON REQUEST. A WRITTEN REQUEST IS REQUIRED FOR ACCESS TO FINANCIAL STATEMENTS PRIOR TO 2007. TO OBTAIN COPIES, A WRITTEN REQUEST MUST BE APPROVED BY THE REGISTERED AGENT OR THE EXECUTIVE DIRECTOR. THERE IS A CHARGE FOR COPIES

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