RCHN COMMUNITY HEALTH FOUNDATION INC: Form 990PF, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- RCHN COMMUNITY HEALTH FOUNDATION INC (EIN 13-3759663)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-08
- IRS object ID
- 201333129349100118
- 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
- Form 990-PF
- Accounting Fees Schedule
- Depreciation Schedule
- Investments Corp Bonds Schedule
- Investments Corp Stock Schedule
- Investments Other Schedule2
- Land Etc Schedule2
- Legal Fees Schedule
- Other Assets Schedule
- Other Decreases Schedule
- Other Expenses Schedule
- Other Increases Schedule
- Other Liabilities Schedule
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-11-08T13:27:26-06:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 221478099 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COHNREZNICK LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1212 6TH AVENUE | AddressLine1 |
| City | NEW YORK | City |
| State | NY | State |
| ZIP Code | 10036 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 133759663 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RCHN COMMUNITY HEALTH FOUNDATION INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | RCHN | NameControl |
| Phone | 2122461122 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1633 BROADWAY 18TH FLOOR | AddressLine1 |
| City | NEW YORK | City |
| State | NY | State |
| ZIP Code | 10019 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | FEYGELE JACOBS | Name |
| Title | PRES & CEO | Title |
| Phone | 2122461122 | Phone |
| Date Signed | 2013-11-07 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | THOMAS LANNING | Name |
| PTIN | P00851654 | PTIN |
| Phone | 2122970400 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Initial Return Former Public Chrty | X | InitialReturnFormerPublicChrty |
| Exempt PF | X | ExemptPF |
| FMV Assets EOY | 30976000 | FMVAssetsEOY |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Not Required To Attach Schedule B | X | NotRequiredToAttachScheduleB |
| Interest On Savings Rev And Expnss | 1854 | InterestOnSavingsRevAndExpnss |
| Interest On Savings Net Invst Incm | 1854 | InterestOnSavingsNetInvstIncm |
| Dividends Rev And Expnss | 1115850 | DividendsRevAndExpnss |
| Dividends Net Invst Incm | 1115850 | DividendsNetInvstIncm |
| Net Gain Sale Assets Rev And Expnss | 372189 | NetGainSaleAssetsRevAndExpnss |
| Gross Sales Price | 11556720 | GrossSalesPrice |
| Capital Gain Net Incm Net Invst Incm | 372189 | CapitalGainNetIncmNetInvstIncm |
| Total Revenue And Expenses | 1489893 | TotalRevenueAndExpenses |
| Total Net Investment Income | 1489893 | TotalNetInvestmentIncome |
| Comp Ofcr Dir Trst Rev And Expnss | 876204 | CompOfcrDirTrstRevAndExpnss |
| Comp Ofcr Dir Trst Net Invst Incm | 0 | CompOfcrDirTrstNetInvstIncm |
| Comp Ofcr Dir Trst Dsbrs Chrtbl Prps | 876204 | CompOfcrDirTrstDsbrsChrtblPrps |
| Oth Empl Slrs Wgs Rev And Expnss | 321730 | OthEmplSlrsWgsRevAndExpnss |
| Oth Empl Slrs Wgs Net Invst Incm | 0 | OthEmplSlrsWgsNetInvstIncm |
| Oth Empl Slrs Wgs Dsbrs Chrtbl Prps | 321730 | OthEmplSlrsWgsDsbrsChrtblPrps |
| Pension Empl Bnft Rev And Expnss | 343539 | PensionEmplBnftRevAndExpnss |
| Pension Empl Bnft Net Invst Incm | 0 | PensionEmplBnftNetInvstIncm |
| Pension Empl Bnft Dsbrs Chrtbl Prps | 343539 | PensionEmplBnftDsbrsChrtblPrps |
| Legal Fees Rev And Expnss | 16516 | LegalFeesRevAndExpnss |
| Legal Fees Net Invst Incm | 0 | LegalFeesNetInvstIncm |
| Legal Fees Dsbrs Chrtbl Prps | 16516 | LegalFeesDsbrsChrtblPrps |
| Accounting Fees Rev And Expnss | 62162 | AccountingFeesRevAndExpnss |
| Accounting Fees Net Invst Incm | 0 | AccountingFeesNetInvstIncm |
| Accounting Fees Dsbrs Chrtbl Prps | 62162 | AccountingFeesDsbrsChrtblPrps |
| Other Prof Fees Rev And Expnss | 314954 | OtherProfFeesRevAndExpnss |
| Other Prof Fees Net Invst Incm | 154170 | OtherProfFeesNetInvstIncm |
| Other Prof Fees Dsbrs Chrtbl Prps | 160784 | OtherProfFeesDsbrsChrtblPrps |
| Taxes Rev And Expnss | 33520 | TaxesRevAndExpnss |
| Taxes Net Invst Incm | 13367 | TaxesNetInvstIncm |
| Taxes Dsbrs Chrtbl Prps | 0 | TaxesDsbrsChrtblPrps |
| Deprec And Depletion Rev And Expnss | 318272 | DeprecAndDepletionRevAndExpnss |
| Deprec And Depletion Net Invst Incm | 318272 | DeprecAndDepletionNetInvstIncm |
| Occupancy Rev And Expnss | 504594 | OccupancyRevAndExpnss |
| Occupancy Net Invst Incm | 0 | OccupancyNetInvstIncm |
| Occupancy Dsbrs Chrtbl Prps | 504594 | OccupancyDsbrsChrtblPrps |
| Trav Conf Meeting Rev And Expnss | 69482 | TravConfMeetingRevAndExpnss |
| Trav Conf Meeting Net Invst Incm | 0 | TravConfMeetingNetInvstIncm |
| Trav Conf Meeting Dsbrs Chrtbl Prps | 69482 | TravConfMeetingDsbrsChrtblPrps |
| Printing And Pub Rev And Expnss | 4530 | PrintingAndPubRevAndExpnss |
| Printing And Pub Net Invst Incm | 0 | PrintingAndPubNetInvstIncm |
| Printing And Pub Dsbrs Chrtbl Prps | 4530 | PrintingAndPubDsbrsChrtblPrps |
| Other Expenses Rev And Expnss | 216308 | OtherExpensesRevAndExpnss |
| Other Expenses Net Invst Incm | 0 | OtherExpensesNetInvstIncm |
| Other Expenses Dsbrs Chrtbl Prps | 196308 | OtherExpensesDsbrsChrtblPrps |
| Tot Opr Expenses Rev And Expnss | 3081811 | TotOprExpensesRevAndExpnss |
| Tot Opr Expenses Net Invst Incm | 485809 | TotOprExpensesNetInvstIncm |
| Tot Opr Expenses Dsbrs Chrtbl Prps | 2555849 | TotOprExpensesDsbrsChrtblPrps |
| Contri Gifts Paid Rev And Expnss | 1620568 | ContriGiftsPaidRevAndExpnss |
| Contri Gifts Paid Dsbrs Chrtbl Prps | 1478554 | ContriGiftsPaidDsbrsChrtblPrps |
| Total Expenses Rev And Expnss | 4702379 | TotalExpensesRevAndExpnss |
| Total Expenses Net Invst Incm | 485809 | TotalExpensesNetInvstIncm |
| Total Expenses Dsbrs Chrtbl Prps | 4034403 | TotalExpensesDsbrsChrtblPrps |
| Excess Of Revenue Over Expenses | -3212486 | ExcessOfRevenueOverExpenses |
| Net Investment Income | 1004084 | NetInvestmentIncome |
Balance Sheets BalanceSheets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Savings And Temp Cash Invst BOY | 2842441 | SavingsAndTempCashInvstBOY |
| Savings And Temp Cash Invst EOY | 2948459 | SavingsAndTempCashInvstEOY |
| Savings And Temp Cash Invst EOYFMV | 2948459 | SavingsAndTempCashInvstEOYFMV |
| Prepaid Expenses BOY | 124990 | PrepaidExpensesBOY |
| Prepaid Expenses EOY | 108428 | PrepaidExpensesEOY |
| Prepaid Expenses EOYFMV | 108428 | PrepaidExpensesEOYFMV |
| Investments Corp Stock BOY | 10942452 | InvestmentsCorpStockBOY |
| Investments Corp Stock EOY | 8494433 | InvestmentsCorpStockEOY |
| Investments Corp Stock EOYFMV | 8494433 | InvestmentsCorpStockEOYFMV |
| Investments Corp Bonds BOY | 2815086 | InvestmentsCorpBondsBOY |
| Investments Corp Bonds EOY | 2498314 | InvestmentsCorpBondsEOY |
| Investments Corp Bonds EOYFMV | 2498314 | InvestmentsCorpBondsEOYFMV |
| Investments Other BOY | 14541134 | InvestmentsOtherBOY |
| Investments Other EOY | 15761966 | InvestmentsOtherEOY |
| Investments Other EOYFMV | 15761966 | InvestmentsOtherEOYFMV |
| Land Building And Equipment Basis | 3124251 | LandBuildingAndEquipmentBasis |
| Accum Deprec Land Bldg And Equip | 1965069 | AccumDeprecLandBldgAndEquip |
| Land Building And Equipment BOY | 1410122 | LandBuildingAndEquipmentBOY |
| Land Building And Equipment EOY | 1159182 | LandBuildingAndEquipmentEOY |
| Land Building And Equipment EOYFMV | 1159182 | LandBuildingAndEquipmentEOYFMV |
| Other Assets BOY | 0 | OtherAssetsBOY |
| Other Assets EOY | 5218 | OtherAssetsEOY |
| Other Assets EOYFMV | 5218 | OtherAssetsEOYFMV |
| Total Assets BOY | 32676225 | TotalAssetsBOY |
| Total Assets EOY | 30976000 | TotalAssetsEOY |
| Total Assets EOYFMV | 30976000 | TotalAssetsEOYFMV |
| Accounts Payable BOY | 1283314 | AccountsPayableBOY |
| Accounts Payable EOY | 1439318 | AccountsPayableEOY |
| Other Liabilities BOY | 88187 | OtherLiabilitiesBOY |
| Other Liabilities EOY | 68382 | OtherLiabilitiesEOY |
| Total Liabilities BOY | 1371501 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 1507700 | TotalLiabilitiesEOY |
| Org That Follow SFAS117 | X | OrgThatFollowSFAS117 |
| Unrestricted BOY | 31304724 | UnrestrictedBOY |
| Unrestricted EOY | 29468300 | UnrestrictedEOY |
| Total Net Assets BOY | 31304724 | TotalNetAssetsBOY |
| Total Net Assets EOY | 29468300 | TotalNetAssetsEOY |
| Total Liabilities Net Assets BOY | 32676225 | TotalLiabilitiesNetAssetsBOY |
| Total Liabilities Net Assets EOY | 30976000 | TotalLiabilitiesNetAssetsEOY |
Changes In Net Assets Fund Balances ChangesInNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Net Assets Fund Balances BOY | 31304724 | TotalNetAssetsFundBalancesBOY |
| Excess Of Revenue Over Expenses | -3212486 | ExcessOfRevenueOverExpenses |
| Other Increases | 1379929 | OtherIncreases |
| Subtotal | 29472167 | Subtotal |
| Other Decreases | 3867 | OtherDecreases |
| Total Net Assets Fund Balances EOY | 29468300 | TotalNetAssetsFundBalancesEOY |
Capital Gains And Losses CapitalGainsAndLosses
Capital Gains And Losses Info CapitalGainsAndLossesInfo (3 entries)
| Description Of AssetDescriptionOfAsset | Gross Sales PriceGrossSalesPrice | Cost Or Other BasisCostOrOtherBasis | Gain Or LossGainOrLoss | Gains Minus Excess Or LossesGainsMinusExcessOrLosses | How AcquiredHowAcquired |
|---|---|---|---|---|---|
| PUBLICALLY TRADED SECURITIES | 11525720 | 11141979 | 383741 | 383741 | |
| COMMUNITY HEALTH VENTURES | 7986 | -7986 | -7986 | P | |
| SALE OF FIXED ASSETS | 31000 | 34566 | -3566 | -3566 | P |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | 372189 | CapitalGainNetIncome |
Qlfy Und Sect4940e For Reduced Tax QlfyUndSect4940eForReducedTax
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable For4942 Tax | 0 | LiableFor4942Tax |
Excise Tax Based On Investment Incm ExciseTaxBasedOnInvestmentIncm
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | 20082 | InvestmentIncomeExciseTax |
| Tax Under Section511 | 0 | TaxUnderSection511 |
| Subtotal | 20082 | Subtotal |
| Subtitle A Tax | 0 | SubtitleATax |
| Tax Based On Investment Income | 20082 | TaxBasedOnInvestmentIncome |
| Tax Paid With Extension | 31000 | TaxPaidWithExtension |
| Total Credits And Payments | 31000 | TotalCreditsAndPayments |
| Penalty For Underpayment | 450 | PenaltyForUnderpayment |
| Overpayment | 10468 | Overpayment |
| Amount Credited To Next Year | 10468 | AmountCreditedToNextYear |
| Amount To Be Refunded | 0 | AmountToBeRefunded |
Statements Regarding Activities StatementsRegardingActivities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Activities | 0 | LegislativePoliticalActivities |
| More Than100 Spent | 0 | MoreThan100Spent |
| Form1120 POL Filed | 0 | Form1120POLFiled |
| Sect4955 Tax On Organization | 0 | Sect4955TaxOnOrganization |
| Sect4955 Tax On Managers | 0 | Sect4955TaxOnManagers |
| Reimbursement Of Tax | 0 | ReimbursementOfTax |
| Activities Not Prev Reported | 0 | ActivitiesNotPrevReported |
| Changes To Articles Or Bylaws | 0 | ChangesToArticlesOrBylaws |
| Unrelated Bus Income Over1000 | 0 | UnrelatedBusIncomeOver1000 |
| Termination Etc | 0 | TerminationEtc |
| Requirements Of Sect508e | 1 | RequirementsOfSect508e |
| At Least5000 In Assets | 1 | AtLeast5000InAssets |
| States Filed With | NY | StatesFiledWith |
| Form990 PF Filed With AG | 0 | Form990PFFiledWithAG |
| Private Operating Foundation | 0 | PrivateOperatingFoundation |
| New Substantial Contributors | 0 | NewSubstantialContributors |
| Interest In Controlled Entity | 0 | InterestInControlledEntity |
| Applicable Insurance Contract | 0 | ApplicableInsuranceContract |
| Comply With Public Inspection Rqr | 1 | ComplyWithPublicInspectionRqr |
| Website Address | WWW.RCHNFOUNDATION.ORG | WebsiteAddress |
| Books In Care Of Person Name | IGOR GOLDENBERG | BooksInCareOfPersonName |
| Books In Care Of Phone Number | 2122461122 | BooksInCareOfPhoneNumber |
Books In Care Of US Address BooksInCareOfUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1633 BROADWAY 18TH FLOOR | AddressLine1 |
| City | NEW YORK | City |
| State | NY | State |
| ZIP Code | 10019 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Bank | 0 | ForeignBank |
Statements Regarding Acty4720 StatementsRegardingActy4720
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exchange With Dsqfly Person | 0 | SaleOrExchangeWithDsqflyPerson |
| Borrow Or Lend With Dsqfly Person | 0 | BorrowOrLendWithDsqflyPerson |
| Furnished Goods With Dsqfly Person | 0 | FurnishedGoodsWithDsqflyPerson |
| Pay Compensation To Dsqfly Person | 0 | PayCompensationToDsqflyPerson |
| Transfer Assets To Dsqfly Person | 0 | TransferAssetsToDsqflyPerson |
| Payment To Government Offical | 0 | PaymentToGovernmentOffical |
| Uncorrected Prior Acts | 0 | UncorrectedPriorActs |
| Undistributed Income Prior Years | 0 | UndistributedIncomePriorYears |
| Business Holdings | 0 | BusinessHoldings |
| Jeopardy Investments | 0 | JeopardyInvestments |
| Uncorrected Jeopardy Investments | 0 | UncorrectedJeopardyInvestments |
| Influence Legislation | 0 | InfluenceLegislation |
| Influence Election | 0 | InfluenceElection |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Noncharitable Purpose | 0 | NoncharitablePurpose |
| Rcv Funds To Pay Prsnl Bnft Contract | 0 | RcvFundsToPayPrsnlBnftContract |
| Pay Premiums Prsnl Bnft Contract | 0 | PayPremiumsPrsnlBnftContract |
| Prohibited Tax Shelter Transactn | 0 | ProhibitedTaxShelterTransactn |
Ofcr Dir Trustees Key Employee Info OfcrDirTrusteesKeyEmployeeInfo
Ofcr Dir Trustees Or Key Employee OfcrDirTrusteesOrKeyEmployee (9 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | TitleTitle | Avg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPosition | CompensationCompensation | Contri To Empl Benefit Plans EtcContriToEmplBenefitPlansEtc | Expense Account Other AllowancesExpenseAccountOtherAllowances |
|---|---|---|---|---|---|---|---|---|
| DANIEL GOLLMAN | ||||||||
| 1633 BROADWAY 18TH FLOOR | NEW YORK | NY | 10019 | FORMER CFO | 35.00 | 150208 | 45477 | 0 |
| FEYGELE JACOBS | ||||||||
| 1633 BROADWAY 18TH FLOOR | NEW YORK | NY | 10019 | COO/EXEC VP | 35.00 | 272662 | 78823 | 0 |
| JOHN OHLWEILER ESQ | ||||||||
| 1633 BROADWAY 18TH FLOOR | NEW YORK | NY | 10019 | BOARD MEMBER | 1.00 | 0 | 0 | 0 |
| JULIO BELLBER | ||||||||
| 1633 BROADWAY 18TH FLOOR | NEW YORK | NY | 10019 | PRESIDENT & CEO | 35.00 | 453334 | 79315 | 0 |
| LONNY REISMAN MD | ||||||||
| 1633 BROADWAY 18TH FLOOR | NEW YORK | NY | 10019 | BOARD MEMBER | 1.00 | 0 | 0 | 0 |
| MARTIN ZUCKERMAN ESQ | ||||||||
| 1633 BROADWAY 18TH FLOOR | NEW YORK | NY | 10019 | TREASURER/SECRETARY | 1.00 | 0 | 0 | 0 |
| SAMUEL DANIEL MD | ||||||||
| 1633 BROADWAY 18TH FLOOR | NEW YORK | NY | 10019 | VICE CHAIRPERSON | 1.00 | 0 | 0 | 0 |
| SARA ROSENBAUM ESQ | ||||||||
| 1633 BROADWAY 18TH FLOOR | NEW YORK | NY | 10019 | CHAIRPERSON | 1.00 | 0 | 0 | 0 |
| TOM VAN COVERDEN | ||||||||
| 1633 BROADWAY 18TH FLOOR | NEW YORK | NY | 10019 | BOARD MEMBER | 1.00 | 0 | 0 | 0 |
Compensation Of Highest Paid Empl CompensationOfHighestPaidEmpl (3 entries)
| NameName | Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | TitleTitle | Average Hours Per WeekAverageHoursPerWeek | CompensationCompensation | Employee BenefitsEmployeeBenefits | Expense AccountExpenseAccount |
|---|---|---|---|---|---|---|---|---|---|
| BARBARA ALLEN | 1633 BROADWAY 18TH FLOOR | NEW YORK | NY | 10019 | FINANCE MANAGER | 35.00 | 100528 | 30940 | 0 |
| DAVID HARTZBAND | 1633 BROADWAY 18TH FLOOR | NEW YORK | NY | 10019 | TECHNOLOGY RESERACH | 35.00 | 105262 | 23837 | 0 |
| MARJORIE BOMSON | 1633 BROADWAY 18TH FLOOR | NEW YORK | NY | 10019 | HR MANAGER | 25.00 | 80132 | 23648 | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Number Of Oth Empl Paid Over50k | 0 | TotNumberOfOthEmplPaidOver50k |
Compensation Of Hghst Paid Cntrct CompensationOfHghstPaidCntrct (3 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Type Of ServiceTypeOfService | CompensationCompensation |
|---|---|---|---|---|---|
| HEALTH TECH STRATEGIES | |||||
| 6612 BRAWNER STREET | MCLEAN | VA | 22101 | CONSULTING ON HEALTH CARE TECHNOLOGIES | 64487 |
| COHNREZNICK LLP | |||||
| 1212 AVENUE OF THE AMERICAS | NEW YORK | NY | 10016 | AUDIT AND TAX PREPARATIONS | 62162 |
| MIRRAM GROUP LLC | |||||
| 895 BROADWAY 5TH FLOOR | NEW YORK | NY | 10006 | STRATEGIC CONSULTING | 60000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Number Of Cntrct Paid Over50k | 0 | TotNumberOfCntrctPaidOver50k |
Summary Of Direct Charitable Acty SummaryOfDirectCharitableActy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses1 | 0 | Expenses1 |
| Expenses2 | 0 | Expenses2 |
| Expenses3 | 0 | Expenses3 |
| Expenses4 | 0 | Expenses4 |
Sum Of Program Related Investments SumOfProgramRelatedInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Minimum Investment Return MinimumInvestmentReturn
| Field | Value | IRS element (for citing) |
|---|---|---|
| Avg Monthly FMV Of Securities | 27914973 | AvgMonthlyFMVOfSecurities |
| Avg Monthly Cash Balances | 2172567 | AvgMonthlyCashBalances |
| FMV All Other Noncharitable Assets | 0 | FMVAllOtherNoncharitableAssets |
| Total FMV Of Unused Assets | 30087540 | TotalFMVOfUnusedAssets |
| Reduction Claimed | 0 | ReductionClaimed |
| Acquisition Indebtedness | 0 | AcquisitionIndebtedness |
| Adj Total FMV Of Unused Assets | 30087540 | AdjTotalFMVOfUnusedAssets |
| Cash Deemed Charitable | 451313 | CashDeemedCharitable |
| Net Noncharitable Assets | 29636227 | NetNoncharitableAssets |
| Minimum Investment Return | 1481811 | MinimumInvestmentReturn |
Distributable DistributableAmount
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | 1481811 | MinimumInvestmentReturn |
| Tax Based On Investment Income | 20082 | TaxBasedOnInvestmentIncome |
| Total Tax | 20082 | TotalTax |
| Distributable Amount Before Adj | 1461729 | DistributableAmountBeforeAdj |
| Recoveries Qlfy Distributions | 0 | RecoveriesQlfyDistributions |
| Distributable Amount Before Ded | 1461729 | DistributableAmountBeforeDed |
| Deduction Fr Distributable | $0 | DeductionFrDistributableAmount |
| Distributable Amount As Adjusted | 1461729 | DistributableAmountAsAdjusted |
Qualifying Distributions QualifyingDistributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | 4034403 | ExpensesAndContributions |
| Program Related Investments Total | 0 | ProgramRelatedInvestmentsTotal |
| Qualifying Distributions | 4034403 | QualifyingDistributions |
| One Pct Sect4940e Org Net Invst Incm | 0 | OnePctSect4940eOrgNetInvstIncm |
| Adj Qualifying Distributions | 4034403 | AdjQualifyingDistributions |
Undistributed Income UndistributedIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable Amount As Adjusted | 1461729 | DistributableAmountAsAdjusted |
| Undistributed Income Prior Year | 0 | UndistributedIncomePriorYear |
| Total For Prior Years | 0 | TotalForPriorYears |
| Total Excess Distri Carryover | 0 | TotalExcessDistriCarryover |
| Qualifying Distributions | 4034403 | QualifyingDistributions |
| Applied To Year1 | 0 | AppliedToYear1 |
| Applied To Prior Years | 0 | AppliedToPriorYears |
| Treated As Distri From Corpus | 0 | TreatedAsDistriFromCorpus |
| Applied To Current Year | 1461729 | AppliedToCurrentYear |
| Remaining Distri From Corpus | 2572674 | RemainingDistriFromCorpus |
| Excess Distri Cyov App CY Corpus | 0 | ExcessDistriCyovAppCYCorpus |
| Excess Distri Cyov Applied CY | 0 | ExcessDistriCyovAppliedCY |
| Total Corpus | 2572674 | TotalCorpus |
| Prior Year Undistributed Income | 0 | PriorYearUndistributedIncome |
| Prior Year Deficiency Or Tax | 0 | PriorYearDeficiencyOrTax |
| Taxable Amount1 | 0 | TaxableAmount1 |
| Taxable Amount2 | 0 | TaxableAmount2 |
| Undistributed Income CY | 0 | UndistributedIncomeCY |
| Distri From Corpus170b1 E Or4942g3 | 0 | DistriFromCorpus170b1EOr4942g3 |
| Excess Distri Cyov From Year5 | 0 | ExcessDistriCyovFromYear5 |
| Excess Distri Cyov To Next Year | 2572674 | ExcessDistriCyovToNextYear |
| Excess From Current Year | 2572674 | ExcessFromCurrentYear |
Supplementary Information SupplementaryInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Only Contributes To Preselected | X | OnlyContributesToPreselected |
Grant Or Contri Paid During Year GrantOrContriPaidDuringYear (23 entries)
| Address Line1RecipientUSAddress/AddressLine1 | CityRecipientUSAddress/City | StateRecipientUSAddress/State | ZIP CodeRecipientUSAddress/ZIPCode | Recipient Foundation StatusRecipientFoundationStatus | Purpose Of Grant Or ContributionPurposeOfGrantOrContribution | AmountAmount |
|---|---|---|---|---|---|---|
| AARON E HENRY COMMUNITY HEALTH SERVICES INC | ||||||
| 800 OHIO AVE | CLARKSDALE | MS | 38614 | 501(C)(3) | GRANT TO FEDERALLY QUALIFIED COMMUNITY HEALTH CENTER UNDER ENTRY-LEVEL WORKFORCE INITIATIVE. | $199,948 |
| CARE FOR THE HOMELESS | ||||||
| 30 E 33RD ST 5TH FLOOR | NEW YORK | NY | 10010 | 501(C)(3) | SUPPORT OF CHARITABLE EVENT | $5,000 |
| CHARLES B WANG COMMUNITY HEALTH CENTER | ||||||
| 268 CANAL STREET | NEW YORK | NY | 10013 | 501(C)(3) | GRANT TO FEDERALLY QUALIFIED COMMUNITY HEALTH CENTER UNDER ENTRY-LEVEL WORKFORCE INITIATIVE. | $200,000 |
| CHINATOWN HEALTH CLINIC FOUNDATION | ||||||
| 268 CANAL ST 6TH FL | NEW YORK | NY | 10013 | 501(C)(3) | SUPPORT OF CHARITABLE EVENT | $2,500 |
| CLINICAL DIRECTORS NETWORK | ||||||
| 5 WEST 37TH STREET FLOOR 10 NY | NEW YORK | NY | 10018 | 501(C)(3) | TO PRODUCE WEBCASTS FEATURING RCHN CHF RESEARCH AND PROMOTE DISSEMINATION OF RCHN CHF GEIGER GIBSON RESEARCH COLLABORATIVE REPORTS. | $20,000 |
| COMMUNITY HEALTH CARE ASSOCIATION OF NEW YORK STATE | ||||||
| 111 BROADWAY SUITE 1402 | NEW YORK | NY | 10006 | 501(C)(3) | EMERGENCY GRANT-HURRICANE SANDY | $10,000 |
| GEORGE WASHINGTON UNIVERSITY | ||||||
| 2121 I STREET | WASHINGTON | DC | 20052 | 501(C)(3) | GIFT TO SUPPORT GEIGER GIBSON PROGRAM IN DEPARTMENT OF HEALTH POLICY, SCHOOL OF PUBLIC HEALTH AND HEALTH SERVICES. | $380,000 |
| HIMSS FOUNDATION | ||||||
| 230 EAST OHIO ST SUITE 500 | CHICAGO | IL | 60611 | 501(C)(3) | CAPITAL HILL STEERING COMMITTEE ON TELEHEALTH AND HEALTHCARE INFORMATICS EDUCATION SESSIONS. | $5,000 |
| HRHCARE FOUNDATION | ||||||
| 1200 BROWN STREET 4TH FL | PEEKSKILL | NY | 10566 | 501(C)(3) | SUPPORT OF CHARITABLE EVENT | $3,500 |
| HUDSON HEADWATERS HEALTH NETWORK | ||||||
| PO BOX 357 | GLEN FALLS | NY | 12801 | 501(C)(3) | SUPPORT OF CHARITABLE EVENT | $1,500 |
| JEFFREY T LATMAN FOUNDATION | ||||||
| PO BOX 237 | DOBBS FERRY | NY | 10522 | 501(C)(3) | SUPPORT OF CHARITABLE EVENT | $1,500 |
| MAYOR'S FUND TO ADVANCE NEW YORK CITY | ||||||
| 253 BROADWAY 8TH FL | NEW YORK | NY | 10007 | 501(C)(3) | DONATION TO MAYOR'S FUND TO ADVANCE NYC FOR HURRICANE SANDY RELIEF EFFORTS IN NY. | $750 |
| NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS INC | ||||||
| 7501 WISCONSIN AVE SUITE 1100W | BETHESDA | MD | 20814 | 501(C)(3) | NATIONAL FARMWORKER CONFERENCE - EDUCATIONAL MEETING | $10,000 |
| NATIONAL CENTER FOR FARMWORKER HEALTH | ||||||
| 1770 FM 967 | BUDA | TX | 78610 | 501(C)(3) | SUPPORT FOR MIGRANT PROFILE STUDY | $25,000 |
| NJ PRIMARY CARE ASSOCIATION | ||||||
| 3836 QUAKERBRIDGE ROAD SUITE 201 | QUAKERBRIDGE | NJ | 10007 | 501(C)(3) | EMERGENCY GRANT-HURRICANE SANDY | $10,000 |
| OPEN DOOR FAMILY MEDICAL CENTER | ||||||
| 165 MAIN STREET | OSSINING | NY | 10562 | 501(C)(3) | SUPPORT OF CHARITABLE EVENT | $1,000 |
| PENOBSCOT COMMUNITY HEALTH CARE | ||||||
| 103 MAINE AVENUE | BANGOR | ME | 04402 | 501(C)(3) | GRANT TO FEDERALLY QUALIFIED COMMUNITY HEALTH CENTER UNDER ENTRY-LEVEL WORKFORCE INITIATIVE. | $199,952 |
| PRIMARY CARE DEVELOPMENT CORP | ||||||
| 22 CORTLANDT STR | NEW YORK | NY | 10007 | 501(C)(3) | PRIMARY CARE CAPITAL MARKET ASSESSMENT | $50,000 |
| PRIMARY CARE DEVELOPMENT CORP | ||||||
| 22 CORTLANDT STR | NEW YORK | NY | 10007 | 501(C)(3) | SUPPORT OF CHARITABLE EVENT | $3,000 |
| PUBLIC HEALTH SOLUTIONS | ||||||
| 40 WORTH STREET 5TH FL | NEW YORK | NY | 10013 | 501(C)(3) | SUPPORT OF CHARITABLE EVENT | $700 |
| SEA GIRT LIGHTHOUSE CITIZENS COMMITTEE | ||||||
| PO BOX 83 | SEA GIRT | NJ | 08750 | 501(C)(3) | DONATION FOR OPERATING SUPPORT | $500 |
| SEATTLE INDIAN HEALTH BOARD | ||||||
| 611 12TH AVE SO | SEATTLE | WA | 98114 | 501(C)(3) | GRANT TO FEDERALLY QUALIFIED COMMUNITY HEALTH CENTER UNDER ENTRY-LEVEL WORKFORCE INITIATIVE. | $148,749 |
| WAIANAE COAST COMPREHENSIVE HEALTH CENTER | ||||||
| 86-260 FARRINGTON HWY | WAIANAE | HI | 96792 | 501(C)(3) | GRANT TO FEDERALLY QUALIFIED COMMUNITY HEALTH CENTER UNDER ENTRY-LEVEL WORKFORCE INITIATIVE. | $199,955 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Grant Or Contri Paid During Year | 1478554 | TotGrantOrContriPaidDuringYear |
Grant Or Contri Approved For Future GrantOrContriApprovedForFuture (8 entries)
| Address Line1RecipientUSAddress/AddressLine1 | CityRecipientUSAddress/City | StateRecipientUSAddress/State | ZIP CodeRecipientUSAddress/ZIPCode | Recipient Foundation StatusRecipientFoundationStatus | Purpose Of Grant Or ContributionPurposeOfGrantOrContribution | AmountAmount |
|---|---|---|---|---|---|---|
| AARON E HENRY COMMUNITY HEALTH SERVICES CENTER INC | ||||||
| 800 OHIO AVE | CLARKSDALE | MS | 38614 | 501(C)(3) | GRANT TO FEDERALLY QUALIFIED COMMUNITY HEALTH CENTER UNDER ENTRY-LEVEL WORKFORCE INITIATIVE. | $25,000 |
| CARESOUTH CAROLINA INC | ||||||
| 201 SOUTH FIFTH STREET | HARTSVILLE | SC | 29550 | 501(C)(3) | GRANT TO FEDERALLY QUALIFIED COMMUNITY HEALTH CENTER UNDER ENTRY-LEVEL WORKFORCE INITIATIVE. | $199,308 |
| EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER INC | ||||||
| 3480 E BRITANNIA DR BLDG B | TUSCON | AZ | 85706 | 501(C)(3) | GRANT TO FEDERALLY QUALIFIED COMMUNITY HEALTH CENTER UNDER ENTRY-LEVEL WORKFORCE INITIATIVE. | $198,467 |
| FINGER LAKES COMMUNITY HEALTH MIGRANT HEALTH CARE PROJECT INC | ||||||
| 165 MAIN STREET | PENN YAN | NY | 14527 | 501(C)(3) | GRANT TO FEDERALLY QUALIFIED COMMUNITY HEALTH CENTER UNDER ENTRY-LEVEL WORKFORCE INITIATIVE. | $200,000 |
| ONEWORLD COMMUNITY HEALTH CENTERS INC | ||||||
| 4920 SOUTH 30TH STREET | OMAHA | NE | 68107 | 501(C)(3) | GRANT TO FEDERALLY QUALIFIED COMMUNITY HEALTH CENTER UNDER ENTRY-LEVEL WORKFORCE INITIATIVE. | $189,343 |
| PRIMARY CARE DEVELOPMENT CORP | ||||||
| 22 CORTLANDT STR | NEW YORK | NY | 10007 | 501(C)(3) | PRIMARY CARE CAPITAL MARKET ASSESSMENT | $50,000 |
| SALUD FAMILY HEALTH CENTERS | ||||||
| 203 S ROLLIE AVE | FORT LUPTON | CO | 80621 | 501(C)(3) | GRANT TO FEDERALLY QUALIFIED COMMUNITY HEALTH CENTER UNDER ENTRY-LEVEL WORKFORCE INITIATIVE. | $200,000 |
| SEATTLE INDIAN HEALTH BOARD | ||||||
| 611 12TH AVE S | SEATTLE | WA | 98144 | 501(C)(3) | GRANT TO FEDERALLY QUALIFIED COMMUNITY HEALTH CENTER UNDER ENTRY-LEVEL WORKFORCE INITIATIVE. | $25,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Grant Or Contri Approved Future | 1087118 | TotGrantOrContriApprovedFuture |
Analysis Income Producing Acty AnalysisIncomeProducingActy
Int On Savings And Temp Cash Invst IntOnSavingsAndTempCashInvst
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion Code | 14 | ExclusionCode |
| Exclusion | $1,854 | ExclusionAmount |
Dividends And Int From Sec Part VII DividendsAndIntFromSecPartVII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion Code | 14 | ExclusionCode |
| Exclusion | $1,115,850 | ExclusionAmount |
Gain Sales Assets Oth Than Invntry GainSalesAssetsOthThanInvntry
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion Code | 18 | ExclusionCode |
| Exclusion | $372,189 | ExclusionAmount |
Subtotals Part XVIA SubtotalsPartXVIA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Income | $0 | UnrelatedBusinessIncomeAmount |
| Exclusion | $1,489,893 | ExclusionAmount |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Part XVIA | 1489893 | TotalPartXVIA |
Trnsfr Tr Rln With Noncharitable EO TrnsfrTrRlnWithNoncharitableEO
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Noncharitable EO | 0 | TrnsfrOfCashToNoncharitableEO |
| Trnsfr Oth Assets Noncharitable EO | 0 | TrnsfrOthAssetsNoncharitableEO |
| Sales Or Exchanges Of Assets | 0 | SalesOrExchangesOfAssets |
| Purchase Assets Noncharitable EO | 0 | PurchaseAssetsNoncharitableEO |
| Rental Of Facilities Etc | 0 | RentalOfFacilitiesEtc |
| Reimbursement Arrangements | 0 | ReimbursementArrangements |
| Loans Or Loan Guarantees | 0 | LoansOrLoanGuarantees |
| Performance Of Services Etc | 0 | PerformanceOfServicesEtc |
| Sharing Of Facilities Etc | 0 | SharingOfFacilitiesEtc |
| Relationships Noncharitable E Os | 0 | RelationshipsNoncharitableEOs |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees AccountingFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | COHNREZNICK LLP | Category |
| Amount | $62,162 | Amount |
| Net Investment Income | 0 | NetInvestmentIncome |
| Disbursements Charitable Prps | 62162 | DisbursementsCharitablePrps |
Depreciation Schedule DepreciationSchedule
Depreciation Depreciation (5 entries)
| Description Of PropertyDescriptionOfProperty | Date AcquiredDateAcquired | Cost Or Other BasisCostOrOtherBasis | Prior Years DepreciationPriorYearsDepreciation | Computation MethodComputationMethod | LifeLife | Current Year ExpenseCurrentYearExpense | Net Investment IncomeNetInvestmentIncome |
|---|---|---|---|---|---|---|---|
| LEASEHOLD IMPROVEMENTS | 2012-01-01 | 2329512 | 1261838 | SL | 10.000000000000 | 232956 | 0 |
| VEHICLES | 2012-01-01 | 129444 | 36064 | SL | 5.000000000000 | 9963 | 0 |
| FURN & FIXTURES | 2012-01-01 | 530576 | 287373 | SL | 10.000000000000 | 53052 | 0 |
| EQUIPMENT | 2012-01-01 | 134719 | 61521 | SL | 5.000000000000 | 22301 | 0 |
| SALE OF FIXED ASSETS | 2009-01-01 | 185565 | 150104 | SL | 5.000000000000 | 0 | 0 |
Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule
Investments Corp Bonds InvestmentsCorpBonds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Bond | FIXED INCOME | NameOfBond |
| EOY Book Value | 2498314 | EOYBookValue |
| EOYFMV | 2498314 | EOYFMV |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corp Stock InvestmentsCorpStock
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Stock | EQUITIES | NameOfStock |
| EOY Book Value | 8494433 | EOYBookValue |
| EOYFMV | 8494433 | EOYFMV |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOther (3 entries)
| Category Or ItemCategoryOrItem | Listed At Cost Or FMVListedAtCostOrFMV | Book ValueBookValue | EOYFMVEOYFMV |
|---|---|---|---|
| ALTERNATIVE INVESTMENTS | AT COST | 4364771 | 4364771 |
| INVESTMENT IN RCHN CHF | AT COST | 553826 | 553826 |
| MUTUAL FUNDS | AT COST | 10843369 | 10843369 |
Land Etc Schedule2 LandEtcSchedule2
Land Etc LandEtc (4 entries)
| Category Or ItemCategoryOrItem | Cost Or Other BasisCostOrOtherBasis | Accumulated DepreciationAccumulatedDepreciation | Book ValueBookValue |
|---|---|---|---|
| LEASEHOLD IMPROVEMENTS | 2329512 | 1494794 | 834718 |
| VEHICLES | 129444 | 46027 | 83417 |
| FURN & FIXTURES | 530576 | 340425 | 190151 |
| EQUIPMENT | 134719 | 83822 | 50897 |
Legal Fees Schedule LegalFeesSchedule
Legal Fees LegalFees (4 entries)
| CategoryCategory | AmountAmount | Net Investment IncomeNetInvestmentIncome | Disbursements Charitable PrpsDisbursementsCharitablePrps |
|---|---|---|---|
| SMITH & DOWNEY | $3,258 | 0 | 3258 |
| MANATT, PHELPS & PHILLIPS, LLP | $10,664 | 0 | 10664 |
| WHITEMAN OSTERMAN & HANNA LLP | $1,414 | 0 | 1414 |
| HIRSHEN SINGER & EPSTEIN LLP | $1,180 | 0 | 1180 |
Other Assets Schedule OtherAssetsSchedule
Other Assets OtherAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | DUE FROM RELATED PARTIES | Description |
| EOY Book Value | 5218 | EOYBookValue |
| EOYFMV | 5218 | EOYFMV |
Other Decreases Schedule OtherDecreasesSchedule
Other Decreases OtherDecreases
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PRIOR PERIOD ADJUSTMENT | Description |
| Amount | $3,867 | Amount |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses OtherExpenses (6 entries)
| DescriptionDescription | Revenue And Expenses Per BooksRevenueAndExpensesPerBooks | Net Investment IncomeNetInvestmentIncome | Disbursements Charitable PrpsDisbursementsCharitablePrps |
|---|---|---|---|
| DUES AND SUBSCRIPTIONS | 14149 | 0 | 14149 |
| EQUIPMENT EXPENSES | 30065 | 0 | 30065 |
| INFORMATION TECHNOLOGY EXPENSES | 76491 | 0 | 56491 |
| INSURANCE | 35167 | 0 | 35167 |
| OFFICE EXPESNES | 44968 | 0 | 44968 |
| OTHER | 15468 | 0 | 15468 |
Other Increases Schedule OtherIncreasesSchedule
Other Increases OtherIncreases
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | UNREALIZED GAIN | Description |
| Amount | $1,379,929 | Amount |
Other Liabilities Schedule OtherLiabilitiesSchedule
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | DEFERRED RENT | Description |
| BOY Book Value | 88187 | BOYBookValue |
| EOY Book Value | 68382 | EOYBookValue |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees OtherProfessionalFees (6 entries)
| CategoryCategory | AmountAmount | Net Investment IncomeNetInvestmentIncome | Disbursements Charitable PrpsDisbursementsCharitablePrps |
|---|---|---|---|
| MERRILL LYNCH | $154,170 | 154170 | 0 |
| STUART SCHEAR COMMUNICATIONS | $4,900 | 0 | 4900 |
| MIRRAM GROUP | $60,000 | 0 | 60000 |
| HEALTH TECH STRATEGIES | $64,487 | 0 | 64487 |
| FT SOLUTIONS LLC | $26,397 | 0 | 26397 |
| STEVEN KATZ & ASSOCIATES INC. | $5,000 | 0 | 5000 |
Taxes Schedule TaxesSchedule
Taxes Taxes (2 entries)
| CategoryCategory | AmountAmount | Net Investment IncomeNetInvestmentIncome | Disbursements Charitable PrpsDisbursementsCharitablePrps |
|---|---|---|---|
| FEDERAL EXCISE TAX | $20,153 | 0 | 0 |
| FOREIGN TAXES | $13,367 | 13367 | 0 |
Comments