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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-11-08T13:27:26-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN221478099EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1COHNREZNICK LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11212 6TH AVENUEAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10036ZIPCode
FieldValueIRS element (for citing)
Return Type990PFReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN133759663EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1RCHN COMMUNITY HEALTH FOUNDATION INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlRCHNNameControl
Phone2122461122Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11633 BROADWAY 18TH FLOORAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10019ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameFEYGELE JACOBSName
TitlePRES & CEOTitle
Phone2122461122Phone
Date Signed2013-11-07DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameTHOMAS LANNINGName
PTINP00851654PTIN
Phone2122970400Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Initial Return Former Public ChrtyXInitialReturnFormerPublicChrty
Exempt PFXExemptPF
FMV Assets EOY30976000FMVAssetsEOY
Method Of Accounting AccrualXMethodOfAccountingAccrual

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Not Required To Attach Schedule BXNotRequiredToAttachScheduleB
Interest On Savings Rev And Expnss1854InterestOnSavingsRevAndExpnss
Interest On Savings Net Invst Incm1854InterestOnSavingsNetInvstIncm
Dividends Rev And Expnss1115850DividendsRevAndExpnss
Dividends Net Invst Incm1115850DividendsNetInvstIncm
Net Gain Sale Assets Rev And Expnss372189NetGainSaleAssetsRevAndExpnss
Gross Sales Price11556720GrossSalesPrice
Capital Gain Net Incm Net Invst Incm372189CapitalGainNetIncmNetInvstIncm
Total Revenue And Expenses1489893TotalRevenueAndExpenses
Total Net Investment Income1489893TotalNetInvestmentIncome
Comp Ofcr Dir Trst Rev And Expnss876204CompOfcrDirTrstRevAndExpnss
Comp Ofcr Dir Trst Net Invst Incm0CompOfcrDirTrstNetInvstIncm
Comp Ofcr Dir Trst Dsbrs Chrtbl Prps876204CompOfcrDirTrstDsbrsChrtblPrps
Oth Empl Slrs Wgs Rev And Expnss321730OthEmplSlrsWgsRevAndExpnss
Oth Empl Slrs Wgs Net Invst Incm0OthEmplSlrsWgsNetInvstIncm
Oth Empl Slrs Wgs Dsbrs Chrtbl Prps321730OthEmplSlrsWgsDsbrsChrtblPrps
Pension Empl Bnft Rev And Expnss343539PensionEmplBnftRevAndExpnss
Pension Empl Bnft Net Invst Incm0PensionEmplBnftNetInvstIncm
Pension Empl Bnft Dsbrs Chrtbl Prps343539PensionEmplBnftDsbrsChrtblPrps
Legal Fees Rev And Expnss16516LegalFeesRevAndExpnss
Legal Fees Net Invst Incm0LegalFeesNetInvstIncm
Legal Fees Dsbrs Chrtbl Prps16516LegalFeesDsbrsChrtblPrps
Accounting Fees Rev And Expnss62162AccountingFeesRevAndExpnss
Accounting Fees Net Invst Incm0AccountingFeesNetInvstIncm
Accounting Fees Dsbrs Chrtbl Prps62162AccountingFeesDsbrsChrtblPrps
Other Prof Fees Rev And Expnss314954OtherProfFeesRevAndExpnss
Other Prof Fees Net Invst Incm154170OtherProfFeesNetInvstIncm
Other Prof Fees Dsbrs Chrtbl Prps160784OtherProfFeesDsbrsChrtblPrps
Taxes Rev And Expnss33520TaxesRevAndExpnss
Taxes Net Invst Incm13367TaxesNetInvstIncm
Taxes Dsbrs Chrtbl Prps0TaxesDsbrsChrtblPrps
Deprec And Depletion Rev And Expnss318272DeprecAndDepletionRevAndExpnss
Deprec And Depletion Net Invst Incm318272DeprecAndDepletionNetInvstIncm
Occupancy Rev And Expnss504594OccupancyRevAndExpnss
Occupancy Net Invst Incm0OccupancyNetInvstIncm
Occupancy Dsbrs Chrtbl Prps504594OccupancyDsbrsChrtblPrps
Trav Conf Meeting Rev And Expnss69482TravConfMeetingRevAndExpnss
Trav Conf Meeting Net Invst Incm0TravConfMeetingNetInvstIncm
Trav Conf Meeting Dsbrs Chrtbl Prps69482TravConfMeetingDsbrsChrtblPrps
Printing And Pub Rev And Expnss4530PrintingAndPubRevAndExpnss
Printing And Pub Net Invst Incm0PrintingAndPubNetInvstIncm
Printing And Pub Dsbrs Chrtbl Prps4530PrintingAndPubDsbrsChrtblPrps
Other Expenses Rev And Expnss216308OtherExpensesRevAndExpnss
Other Expenses Net Invst Incm0OtherExpensesNetInvstIncm
Other Expenses Dsbrs Chrtbl Prps196308OtherExpensesDsbrsChrtblPrps
Tot Opr Expenses Rev And Expnss3081811TotOprExpensesRevAndExpnss
Tot Opr Expenses Net Invst Incm485809TotOprExpensesNetInvstIncm
Tot Opr Expenses Dsbrs Chrtbl Prps2555849TotOprExpensesDsbrsChrtblPrps
Contri Gifts Paid Rev And Expnss1620568ContriGiftsPaidRevAndExpnss
Contri Gifts Paid Dsbrs Chrtbl Prps1478554ContriGiftsPaidDsbrsChrtblPrps
Total Expenses Rev And Expnss4702379TotalExpensesRevAndExpnss
Total Expenses Net Invst Incm485809TotalExpensesNetInvstIncm
Total Expenses Dsbrs Chrtbl Prps4034403TotalExpensesDsbrsChrtblPrps
Excess Of Revenue Over Expenses-3212486ExcessOfRevenueOverExpenses
Net Investment Income1004084NetInvestmentIncome

Balance Sheets BalanceSheets

FieldValueIRS element (for citing)
Savings And Temp Cash Invst BOY2842441SavingsAndTempCashInvstBOY
Savings And Temp Cash Invst EOY2948459SavingsAndTempCashInvstEOY
Savings And Temp Cash Invst EOYFMV2948459SavingsAndTempCashInvstEOYFMV
Prepaid Expenses BOY124990PrepaidExpensesBOY
Prepaid Expenses EOY108428PrepaidExpensesEOY
Prepaid Expenses EOYFMV108428PrepaidExpensesEOYFMV
Investments Corp Stock BOY10942452InvestmentsCorpStockBOY
Investments Corp Stock EOY8494433InvestmentsCorpStockEOY
Investments Corp Stock EOYFMV8494433InvestmentsCorpStockEOYFMV
Investments Corp Bonds BOY2815086InvestmentsCorpBondsBOY
Investments Corp Bonds EOY2498314InvestmentsCorpBondsEOY
Investments Corp Bonds EOYFMV2498314InvestmentsCorpBondsEOYFMV
Investments Other BOY14541134InvestmentsOtherBOY
Investments Other EOY15761966InvestmentsOtherEOY
Investments Other EOYFMV15761966InvestmentsOtherEOYFMV
Land Building And Equipment Basis3124251LandBuildingAndEquipmentBasis
Accum Deprec Land Bldg And Equip1965069AccumDeprecLandBldgAndEquip
Land Building And Equipment BOY1410122LandBuildingAndEquipmentBOY
Land Building And Equipment EOY1159182LandBuildingAndEquipmentEOY
Land Building And Equipment EOYFMV1159182LandBuildingAndEquipmentEOYFMV
Other Assets BOY0OtherAssetsBOY
Other Assets EOY5218OtherAssetsEOY
Other Assets EOYFMV5218OtherAssetsEOYFMV
Total Assets BOY32676225TotalAssetsBOY
Total Assets EOY30976000TotalAssetsEOY
Total Assets EOYFMV30976000TotalAssetsEOYFMV
Accounts Payable BOY1283314AccountsPayableBOY
Accounts Payable EOY1439318AccountsPayableEOY
Other Liabilities BOY88187OtherLiabilitiesBOY
Other Liabilities EOY68382OtherLiabilitiesEOY
Total Liabilities BOY1371501TotalLiabilitiesBOY
Total Liabilities EOY1507700TotalLiabilitiesEOY
Org That Follow SFAS117XOrgThatFollowSFAS117
Unrestricted BOY31304724UnrestrictedBOY
Unrestricted EOY29468300UnrestrictedEOY
Total Net Assets BOY31304724TotalNetAssetsBOY
Total Net Assets EOY29468300TotalNetAssetsEOY
Total Liabilities Net Assets BOY32676225TotalLiabilitiesNetAssetsBOY
Total Liabilities Net Assets EOY30976000TotalLiabilitiesNetAssetsEOY

Changes In Net Assets Fund Balances ChangesInNetAssetsFundBalances

FieldValueIRS element (for citing)
Total Net Assets Fund Balances BOY31304724TotalNetAssetsFundBalancesBOY
Excess Of Revenue Over Expenses-3212486ExcessOfRevenueOverExpenses
Other Increases1379929OtherIncreases
Subtotal29472167Subtotal
Other Decreases3867OtherDecreases
Total Net Assets Fund Balances EOY29468300TotalNetAssetsFundBalancesEOY

Capital Gains And Losses CapitalGainsAndLosses

Capital Gains And Losses Info CapitalGainsAndLossesInfo (3 entries)

Description Of AssetDescriptionOfAssetGross Sales PriceGrossSalesPriceCost Or Other BasisCostOrOtherBasisGain Or LossGainOrLossGains Minus Excess Or LossesGainsMinusExcessOrLossesHow AcquiredHowAcquired
PUBLICALLY TRADED SECURITIES1152572011141979383741383741
COMMUNITY HEALTH VENTURES7986-7986-7986P
SALE OF FIXED ASSETS3100034566-3566-3566P
FieldValueIRS element (for citing)
Capital Gain Net Income372189CapitalGainNetIncome

Qlfy Und Sect4940e For Reduced Tax QlfyUndSect4940eForReducedTax

FieldValueIRS element (for citing)
Liable For4942 Tax0LiableFor4942Tax

Excise Tax Based On Investment Incm ExciseTaxBasedOnInvestmentIncm

FieldValueIRS element (for citing)
Investment Income Excise Tax20082InvestmentIncomeExciseTax
Tax Under Section5110TaxUnderSection511
Subtotal20082Subtotal
Subtitle A Tax0SubtitleATax
Tax Based On Investment Income20082TaxBasedOnInvestmentIncome
Tax Paid With Extension31000TaxPaidWithExtension
Total Credits And Payments31000TotalCreditsAndPayments
Penalty For Underpayment450PenaltyForUnderpayment
Overpayment10468Overpayment
Amount Credited To Next Year10468AmountCreditedToNextYear
Amount To Be Refunded0AmountToBeRefunded

Statements Regarding Activities StatementsRegardingActivities

FieldValueIRS element (for citing)
Legislative Political Activities0LegislativePoliticalActivities
More Than100 Spent0MoreThan100Spent
Form1120 POL Filed0Form1120POLFiled
Sect4955 Tax On Organization0Sect4955TaxOnOrganization
Sect4955 Tax On Managers0Sect4955TaxOnManagers
Reimbursement Of Tax0ReimbursementOfTax
Activities Not Prev Reported0ActivitiesNotPrevReported
Changes To Articles Or Bylaws0ChangesToArticlesOrBylaws
Unrelated Bus Income Over10000UnrelatedBusIncomeOver1000
Termination Etc0TerminationEtc
Requirements Of Sect508e1RequirementsOfSect508e
At Least5000 In Assets1AtLeast5000InAssets
States Filed WithNYStatesFiledWith
Form990 PF Filed With AG0Form990PFFiledWithAG
Private Operating Foundation0PrivateOperatingFoundation
New Substantial Contributors0NewSubstantialContributors
Interest In Controlled Entity0InterestInControlledEntity
Applicable Insurance Contract0ApplicableInsuranceContract
Comply With Public Inspection Rqr1ComplyWithPublicInspectionRqr
Website AddressWWW.RCHNFOUNDATION.ORGWebsiteAddress
Books In Care Of Person NameIGOR GOLDENBERGBooksInCareOfPersonName
Books In Care Of Phone Number2122461122BooksInCareOfPhoneNumber

Books In Care Of US Address BooksInCareOfUSAddress

FieldValueIRS element (for citing)
Address Line11633 BROADWAY 18TH FLOORAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10019ZIPCode
FieldValueIRS element (for citing)
Foreign Bank0ForeignBank

Statements Regarding Acty4720 StatementsRegardingActy4720

FieldValueIRS element (for citing)
Sale Or Exchange With Dsqfly Person0SaleOrExchangeWithDsqflyPerson
Borrow Or Lend With Dsqfly Person0BorrowOrLendWithDsqflyPerson
Furnished Goods With Dsqfly Person0FurnishedGoodsWithDsqflyPerson
Pay Compensation To Dsqfly Person0PayCompensationToDsqflyPerson
Transfer Assets To Dsqfly Person0TransferAssetsToDsqflyPerson
Payment To Government Offical0PaymentToGovernmentOffical
Uncorrected Prior Acts0UncorrectedPriorActs
Undistributed Income Prior Years0UndistributedIncomePriorYears
Business Holdings0BusinessHoldings
Jeopardy Investments0JeopardyInvestments
Uncorrected Jeopardy Investments0UncorrectedJeopardyInvestments
Influence Legislation0InfluenceLegislation
Influence Election0InfluenceElection
Grants To Individuals0GrantsToIndividuals
Grants To Organizations0GrantsToOrganizations
Noncharitable Purpose0NoncharitablePurpose
Rcv Funds To Pay Prsnl Bnft Contract0RcvFundsToPayPrsnlBnftContract
Pay Premiums Prsnl Bnft Contract0PayPremiumsPrsnlBnftContract
Prohibited Tax Shelter Transactn0ProhibitedTaxShelterTransactn

Ofcr Dir Trustees Key Employee Info OfcrDirTrusteesKeyEmployeeInfo

Ofcr Dir Trustees Or Key Employee OfcrDirTrusteesOrKeyEmployee (9 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeTitleTitleAvg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPositionCompensationCompensationContri To Empl Benefit Plans EtcContriToEmplBenefitPlansEtcExpense Account Other AllowancesExpenseAccountOtherAllowances
DANIEL GOLLMAN
1633 BROADWAY 18TH FLOORNEW YORKNY10019FORMER CFO35.00150208454770
FEYGELE JACOBS
1633 BROADWAY 18TH FLOORNEW YORKNY10019COO/EXEC VP35.00272662788230
JOHN OHLWEILER ESQ
1633 BROADWAY 18TH FLOORNEW YORKNY10019BOARD MEMBER1.00000
JULIO BELLBER
1633 BROADWAY 18TH FLOORNEW YORKNY10019PRESIDENT & CEO35.00453334793150
LONNY REISMAN MD
1633 BROADWAY 18TH FLOORNEW YORKNY10019BOARD MEMBER1.00000
MARTIN ZUCKERMAN ESQ
1633 BROADWAY 18TH FLOORNEW YORKNY10019TREASURER/SECRETARY1.00000
SAMUEL DANIEL MD
1633 BROADWAY 18TH FLOORNEW YORKNY10019VICE CHAIRPERSON1.00000
SARA ROSENBAUM ESQ
1633 BROADWAY 18TH FLOORNEW YORKNY10019CHAIRPERSON1.00000
TOM VAN COVERDEN
1633 BROADWAY 18TH FLOORNEW YORKNY10019BOARD MEMBER1.00000

Compensation Of Highest Paid Empl CompensationOfHighestPaidEmpl (3 entries)

NameNameAddress Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeTitleTitleAverage Hours Per WeekAverageHoursPerWeekCompensationCompensationEmployee BenefitsEmployeeBenefitsExpense AccountExpenseAccount
BARBARA ALLEN1633 BROADWAY 18TH FLOORNEW YORKNY10019FINANCE MANAGER35.00100528309400
DAVID HARTZBAND1633 BROADWAY 18TH FLOORNEW YORKNY10019TECHNOLOGY RESERACH35.00105262238370
MARJORIE BOMSON1633 BROADWAY 18TH FLOORNEW YORKNY10019HR MANAGER25.0080132236480
FieldValueIRS element (for citing)
Tot Number Of Oth Empl Paid Over50k0TotNumberOfOthEmplPaidOver50k

Compensation Of Hghst Paid Cntrct CompensationOfHghstPaidCntrct (3 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeType Of ServiceTypeOfServiceCompensationCompensation
HEALTH TECH STRATEGIES
6612 BRAWNER STREETMCLEANVA22101CONSULTING ON HEALTH CARE TECHNOLOGIES64487
COHNREZNICK LLP
1212 AVENUE OF THE AMERICASNEW YORKNY10016AUDIT AND TAX PREPARATIONS62162
MIRRAM GROUP LLC
895 BROADWAY 5TH FLOORNEW YORKNY10006STRATEGIC CONSULTING60000
FieldValueIRS element (for citing)
Tot Number Of Cntrct Paid Over50k0TotNumberOfCntrctPaidOver50k

Summary Of Direct Charitable Acty SummaryOfDirectCharitableActy

FieldValueIRS element (for citing)
Expenses10Expenses1
Expenses20Expenses2
Expenses30Expenses3
Expenses40Expenses4

Sum Of Program Related Investments SumOfProgramRelatedInvestments

FieldValueIRS element (for citing)
Total0Total

Minimum Investment Return MinimumInvestmentReturn

FieldValueIRS element (for citing)
Avg Monthly FMV Of Securities27914973AvgMonthlyFMVOfSecurities
Avg Monthly Cash Balances2172567AvgMonthlyCashBalances
FMV All Other Noncharitable Assets0FMVAllOtherNoncharitableAssets
Total FMV Of Unused Assets30087540TotalFMVOfUnusedAssets
Reduction Claimed0ReductionClaimed
Acquisition Indebtedness0AcquisitionIndebtedness
Adj Total FMV Of Unused Assets30087540AdjTotalFMVOfUnusedAssets
Cash Deemed Charitable451313CashDeemedCharitable
Net Noncharitable Assets29636227NetNoncharitableAssets
Minimum Investment Return1481811MinimumInvestmentReturn

Distributable DistributableAmount

FieldValueIRS element (for citing)
Minimum Investment Return1481811MinimumInvestmentReturn
Tax Based On Investment Income20082TaxBasedOnInvestmentIncome
Total Tax20082TotalTax
Distributable Amount Before Adj1461729DistributableAmountBeforeAdj
Recoveries Qlfy Distributions0RecoveriesQlfyDistributions
Distributable Amount Before Ded1461729DistributableAmountBeforeDed
Deduction Fr Distributable$0DeductionFrDistributableAmount
Distributable Amount As Adjusted1461729DistributableAmountAsAdjusted

Qualifying Distributions QualifyingDistributions

FieldValueIRS element (for citing)
Expenses And Contributions4034403ExpensesAndContributions
Program Related Investments Total0ProgramRelatedInvestmentsTotal
Qualifying Distributions4034403QualifyingDistributions
One Pct Sect4940e Org Net Invst Incm0OnePctSect4940eOrgNetInvstIncm
Adj Qualifying Distributions4034403AdjQualifyingDistributions

Undistributed Income UndistributedIncome

FieldValueIRS element (for citing)
Distributable Amount As Adjusted1461729DistributableAmountAsAdjusted
Undistributed Income Prior Year0UndistributedIncomePriorYear
Total For Prior Years0TotalForPriorYears
Total Excess Distri Carryover0TotalExcessDistriCarryover
Qualifying Distributions4034403QualifyingDistributions
Applied To Year10AppliedToYear1
Applied To Prior Years0AppliedToPriorYears
Treated As Distri From Corpus0TreatedAsDistriFromCorpus
Applied To Current Year1461729AppliedToCurrentYear
Remaining Distri From Corpus2572674RemainingDistriFromCorpus
Excess Distri Cyov App CY Corpus0ExcessDistriCyovAppCYCorpus
Excess Distri Cyov Applied CY0ExcessDistriCyovAppliedCY
Total Corpus2572674TotalCorpus
Prior Year Undistributed Income0PriorYearUndistributedIncome
Prior Year Deficiency Or Tax0PriorYearDeficiencyOrTax
Taxable Amount10TaxableAmount1
Taxable Amount20TaxableAmount2
Undistributed Income CY0UndistributedIncomeCY
Distri From Corpus170b1 E Or4942g30DistriFromCorpus170b1EOr4942g3
Excess Distri Cyov From Year50ExcessDistriCyovFromYear5
Excess Distri Cyov To Next Year2572674ExcessDistriCyovToNextYear
Excess From Current Year2572674ExcessFromCurrentYear

Supplementary Information SupplementaryInformation

FieldValueIRS element (for citing)
Only Contributes To PreselectedXOnlyContributesToPreselected

Grant Or Contri Paid During Year GrantOrContriPaidDuringYear (23 entries)

Address Line1RecipientUSAddress/AddressLine1CityRecipientUSAddress/CityStateRecipientUSAddress/StateZIP CodeRecipientUSAddress/ZIPCodeRecipient Foundation StatusRecipientFoundationStatusPurpose Of Grant Or ContributionPurposeOfGrantOrContributionAmountAmount
AARON E HENRY COMMUNITY HEALTH SERVICES INC
800 OHIO AVECLARKSDALEMS38614501(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 FLOORNEW YORKNY10010501(C)(3)SUPPORT OF CHARITABLE EVENT$5,000
CHARLES B WANG COMMUNITY HEALTH CENTER
268 CANAL STREETNEW YORKNY10013501(C)(3)GRANT TO FEDERALLY QUALIFIED COMMUNITY HEALTH CENTER UNDER ENTRY-LEVEL WORKFORCE INITIATIVE.$200,000
CHINATOWN HEALTH CLINIC FOUNDATION
268 CANAL ST 6TH FLNEW YORKNY10013501(C)(3)SUPPORT OF CHARITABLE EVENT$2,500
CLINICAL DIRECTORS NETWORK
5 WEST 37TH STREET FLOOR 10 NYNEW YORKNY10018501(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 1402NEW YORKNY10006501(C)(3)EMERGENCY GRANT-HURRICANE SANDY$10,000
GEORGE WASHINGTON UNIVERSITY
2121 I STREETWASHINGTONDC20052501(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 500CHICAGOIL60611501(C)(3)CAPITAL HILL STEERING COMMITTEE ON TELEHEALTH AND HEALTHCARE INFORMATICS EDUCATION SESSIONS.$5,000
HRHCARE FOUNDATION
1200 BROWN STREET 4TH FLPEEKSKILLNY10566501(C)(3)SUPPORT OF CHARITABLE EVENT$3,500
HUDSON HEADWATERS HEALTH NETWORK
PO BOX 357GLEN FALLSNY12801501(C)(3)SUPPORT OF CHARITABLE EVENT$1,500
JEFFREY T LATMAN FOUNDATION
PO BOX 237DOBBS FERRYNY10522501(C)(3)SUPPORT OF CHARITABLE EVENT$1,500
MAYOR'S FUND TO ADVANCE NEW YORK CITY
253 BROADWAY 8TH FLNEW YORKNY10007501(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 1100WBETHESDAMD20814501(C)(3)NATIONAL FARMWORKER CONFERENCE - EDUCATIONAL MEETING$10,000
NATIONAL CENTER FOR FARMWORKER HEALTH
1770 FM 967BUDATX78610501(C)(3)SUPPORT FOR MIGRANT PROFILE STUDY$25,000
NJ PRIMARY CARE ASSOCIATION
3836 QUAKERBRIDGE ROAD SUITE 201QUAKERBRIDGENJ10007501(C)(3)EMERGENCY GRANT-HURRICANE SANDY$10,000
OPEN DOOR FAMILY MEDICAL CENTER
165 MAIN STREETOSSININGNY10562501(C)(3)SUPPORT OF CHARITABLE EVENT$1,000
PENOBSCOT COMMUNITY HEALTH CARE
103 MAINE AVENUEBANGORME04402501(C)(3)GRANT TO FEDERALLY QUALIFIED COMMUNITY HEALTH CENTER UNDER ENTRY-LEVEL WORKFORCE INITIATIVE.$199,952
PRIMARY CARE DEVELOPMENT CORP
22 CORTLANDT STRNEW YORKNY10007501(C)(3)PRIMARY CARE CAPITAL MARKET ASSESSMENT$50,000
PRIMARY CARE DEVELOPMENT CORP
22 CORTLANDT STRNEW YORKNY10007501(C)(3)SUPPORT OF CHARITABLE EVENT$3,000
PUBLIC HEALTH SOLUTIONS
40 WORTH STREET 5TH FLNEW YORKNY10013501(C)(3)SUPPORT OF CHARITABLE EVENT$700
SEA GIRT LIGHTHOUSE CITIZENS COMMITTEE
PO BOX 83SEA GIRTNJ08750501(C)(3)DONATION FOR OPERATING SUPPORT$500
SEATTLE INDIAN HEALTH BOARD
611 12TH AVE SOSEATTLEWA98114501(C)(3)GRANT TO FEDERALLY QUALIFIED COMMUNITY HEALTH CENTER UNDER ENTRY-LEVEL WORKFORCE INITIATIVE.$148,749
WAIANAE COAST COMPREHENSIVE HEALTH CENTER
86-260 FARRINGTON HWYWAIANAEHI96792501(C)(3)GRANT TO FEDERALLY QUALIFIED COMMUNITY HEALTH CENTER UNDER ENTRY-LEVEL WORKFORCE INITIATIVE.$199,955
FieldValueIRS element (for citing)
Tot Grant Or Contri Paid During Year1478554TotGrantOrContriPaidDuringYear

Grant Or Contri Approved For Future GrantOrContriApprovedForFuture (8 entries)

Address Line1RecipientUSAddress/AddressLine1CityRecipientUSAddress/CityStateRecipientUSAddress/StateZIP CodeRecipientUSAddress/ZIPCodeRecipient Foundation StatusRecipientFoundationStatusPurpose Of Grant Or ContributionPurposeOfGrantOrContributionAmountAmount
AARON E HENRY COMMUNITY HEALTH SERVICES CENTER INC
800 OHIO AVECLARKSDALEMS38614501(C)(3)GRANT TO FEDERALLY QUALIFIED COMMUNITY HEALTH CENTER UNDER ENTRY-LEVEL WORKFORCE INITIATIVE.$25,000
CARESOUTH CAROLINA INC
201 SOUTH FIFTH STREETHARTSVILLESC29550501(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 BTUSCONAZ85706501(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 STREETPENN YANNY14527501(C)(3)GRANT TO FEDERALLY QUALIFIED COMMUNITY HEALTH CENTER UNDER ENTRY-LEVEL WORKFORCE INITIATIVE.$200,000
ONEWORLD COMMUNITY HEALTH CENTERS INC
4920 SOUTH 30TH STREETOMAHANE68107501(C)(3)GRANT TO FEDERALLY QUALIFIED COMMUNITY HEALTH CENTER UNDER ENTRY-LEVEL WORKFORCE INITIATIVE.$189,343
PRIMARY CARE DEVELOPMENT CORP
22 CORTLANDT STRNEW YORKNY10007501(C)(3)PRIMARY CARE CAPITAL MARKET ASSESSMENT$50,000
SALUD FAMILY HEALTH CENTERS
203 S ROLLIE AVEFORT LUPTONCO80621501(C)(3)GRANT TO FEDERALLY QUALIFIED COMMUNITY HEALTH CENTER UNDER ENTRY-LEVEL WORKFORCE INITIATIVE.$200,000
SEATTLE INDIAN HEALTH BOARD
611 12TH AVE SSEATTLEWA98144501(C)(3)GRANT TO FEDERALLY QUALIFIED COMMUNITY HEALTH CENTER UNDER ENTRY-LEVEL WORKFORCE INITIATIVE.$25,000
FieldValueIRS element (for citing)
Tot Grant Or Contri Approved Future1087118TotGrantOrContriApprovedFuture

Analysis Income Producing Acty AnalysisIncomeProducingActy

Int On Savings And Temp Cash Invst IntOnSavingsAndTempCashInvst

FieldValueIRS element (for citing)
Exclusion Code14ExclusionCode
Exclusion$1,854ExclusionAmount

Dividends And Int From Sec Part VII DividendsAndIntFromSecPartVII

FieldValueIRS element (for citing)
Exclusion Code14ExclusionCode
Exclusion$1,115,850ExclusionAmount

Gain Sales Assets Oth Than Invntry GainSalesAssetsOthThanInvntry

FieldValueIRS element (for citing)
Exclusion Code18ExclusionCode
Exclusion$372,189ExclusionAmount

Subtotals Part XVIA SubtotalsPartXVIA

FieldValueIRS element (for citing)
Unrelated Business Income$0UnrelatedBusinessIncomeAmount
Exclusion$1,489,893ExclusionAmount
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Part XVIA1489893TotalPartXVIA

Trnsfr Tr Rln With Noncharitable EO TrnsfrTrRlnWithNoncharitableEO

FieldValueIRS element (for citing)
Trnsfr Of Cash To Noncharitable EO0TrnsfrOfCashToNoncharitableEO
Trnsfr Oth Assets Noncharitable EO0TrnsfrOthAssetsNoncharitableEO
Sales Or Exchanges Of Assets0SalesOrExchangesOfAssets
Purchase Assets Noncharitable EO0PurchaseAssetsNoncharitableEO
Rental Of Facilities Etc0RentalOfFacilitiesEtc
Reimbursement Arrangements0ReimbursementArrangements
Loans Or Loan Guarantees0LoansOrLoanGuarantees
Performance Of Services Etc0PerformanceOfServicesEtc
Sharing Of Facilities Etc0SharingOfFacilitiesEtc
Relationships Noncharitable E Os0RelationshipsNoncharitableEOs

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees AccountingFees

FieldValueIRS element (for citing)
CategoryCOHNREZNICK LLPCategory
Amount$62,162Amount
Net Investment Income0NetInvestmentIncome
Disbursements Charitable Prps62162DisbursementsCharitablePrps

Depreciation Schedule DepreciationSchedule

Depreciation Depreciation (5 entries)

Description Of PropertyDescriptionOfPropertyDate AcquiredDateAcquiredCost Or Other BasisCostOrOtherBasisPrior Years DepreciationPriorYearsDepreciationComputation MethodComputationMethodLifeLifeCurrent Year ExpenseCurrentYearExpenseNet Investment IncomeNetInvestmentIncome
LEASEHOLD IMPROVEMENTS2012-01-0123295121261838SL10.0000000000002329560
VEHICLES2012-01-0112944436064SL5.00000000000099630
FURN & FIXTURES2012-01-01530576287373SL10.000000000000530520
EQUIPMENT2012-01-0113471961521SL5.000000000000223010
SALE OF FIXED ASSETS2009-01-01185565150104SL5.00000000000000

Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corp Bonds InvestmentsCorpBonds

FieldValueIRS element (for citing)
Name Of BondFIXED INCOMENameOfBond
EOY Book Value2498314EOYBookValue
EOYFMV2498314EOYFMV

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corp Stock InvestmentsCorpStock

FieldValueIRS element (for citing)
Name Of StockEQUITIESNameOfStock
EOY Book Value8494433EOYBookValue
EOYFMV8494433EOYFMV

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOther (3 entries)

Category Or ItemCategoryOrItemListed At Cost Or FMVListedAtCostOrFMVBook ValueBookValueEOYFMVEOYFMV
ALTERNATIVE INVESTMENTSAT COST43647714364771
INVESTMENT IN RCHN CHFAT COST553826553826
MUTUAL FUNDSAT COST1084336910843369

Land Etc Schedule2 LandEtcSchedule2

Land Etc LandEtc (4 entries)

Category Or ItemCategoryOrItemCost Or Other BasisCostOrOtherBasisAccumulated DepreciationAccumulatedDepreciationBook ValueBookValue
LEASEHOLD IMPROVEMENTS23295121494794834718
VEHICLES1294444602783417
FURN & FIXTURES530576340425190151
EQUIPMENT1347198382250897

Legal Fees Schedule LegalFeesSchedule

Legal Fees LegalFees (4 entries)

CategoryCategoryAmountAmountNet Investment IncomeNetInvestmentIncomeDisbursements Charitable PrpsDisbursementsCharitablePrps
SMITH & DOWNEY$3,25803258
MANATT, PHELPS & PHILLIPS, LLP$10,664010664
WHITEMAN OSTERMAN & HANNA LLP$1,41401414
HIRSHEN SINGER & EPSTEIN LLP$1,18001180

Other Assets Schedule OtherAssetsSchedule

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionDUE FROM RELATED PARTIESDescription
EOY Book Value5218EOYBookValue
EOYFMV5218EOYFMV

Other Decreases Schedule OtherDecreasesSchedule

Other Decreases OtherDecreases

FieldValueIRS element (for citing)
DescriptionPRIOR PERIOD ADJUSTMENTDescription
Amount$3,867Amount

Other Expenses Schedule OtherExpensesSchedule

Other Expenses OtherExpenses (6 entries)

DescriptionDescriptionRevenue And Expenses Per BooksRevenueAndExpensesPerBooksNet Investment IncomeNetInvestmentIncomeDisbursements Charitable PrpsDisbursementsCharitablePrps
DUES AND SUBSCRIPTIONS14149014149
EQUIPMENT EXPENSES30065030065
INFORMATION TECHNOLOGY EXPENSES76491056491
INSURANCE35167035167
OFFICE EXPESNES44968044968
OTHER15468015468

Other Increases Schedule OtherIncreasesSchedule

Other Increases OtherIncreases

FieldValueIRS element (for citing)
DescriptionUNREALIZED GAINDescription
Amount$1,379,929Amount

Other Liabilities Schedule OtherLiabilitiesSchedule

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDEFERRED RENTDescription
BOY Book Value88187BOYBookValue
EOY Book Value68382EOYBookValue

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees OtherProfessionalFees (6 entries)

CategoryCategoryAmountAmountNet Investment IncomeNetInvestmentIncomeDisbursements Charitable PrpsDisbursementsCharitablePrps
MERRILL LYNCH$154,1701541700
STUART SCHEAR COMMUNICATIONS$4,90004900
MIRRAM GROUP$60,000060000
HEALTH TECH STRATEGIES$64,487064487
FT SOLUTIONS LLC$26,397026397
STEVEN KATZ & ASSOCIATES INC.$5,00005000

Taxes Schedule TaxesSchedule

Taxes Taxes (2 entries)

CategoryCategoryAmountAmountNet Investment IncomeNetInvestmentIncomeDisbursements Charitable PrpsDisbursementsCharitablePrps
FEDERAL EXCISE TAX$20,15300
FOREIGN TAXES$13,367133670

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