PHS COMMISSIONED OFFICERS FDN FOR THE ADVANCEMENT OF PUBLIC HEALTH: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- PHS COMMISSIONED OFFICERS FDN FOR THE ADVANCEMENT OF PUBLIC HEALTH (EIN 52-2258463)
- Tax period
- 2021-07-01 to 2022-06-30
- Filed
- 2023-02-13
- IRS object ID
- 202330449349300703
- Schema version
- 2021v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-02-13T08:29:17-05:00 | ReturnTs |
| Tax Period End | 2022-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 474306215 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Mullins PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7625 Wisconsin Avenue | AddressLine1Txt |
| City | Bethesda | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 20814 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 522258463 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PHS Commissioned Officers Foundation for the | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PHSC | BusinessNameControlTxt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8201 Corporate Drive STE 615 | AddressLine1Txt |
| City | Hyattsville | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 207852243 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Jacqueline Rychnovsky | PersonNm |
| Person Title | Executive Direc | PersonTitleTxt |
| Phone | 3017319080 | PhoneNum |
| Signature | 2023-02-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | Jacqueline | PersonFirstNm |
| Person Last | Rychnovsky | PersonLastNm |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | John Mullins | PreparerPersonNm |
| PTIN | P01429307 | PTIN |
| Phone | 2027706371 | PhoneNum |
| Preparation | 2023-02-13 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 0 | TrustedCustomerCd |
| OOB Security Verification | 00 | OOBSecurityVerificationCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-03-07 01:45:13Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Advancement of Public Health I | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Jacqueline Rychnovsky | PrincipalOfficerNm |
| Gross Receipts | $932,592 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.phscof.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2000 | FormationYr |
| Legal Domicile State | MD | LegalDomicileStateCd |
| Activity Or Mission | Building leadership in public health through advocacy, education, research partnership and program support. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 25 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $55,669 | PYContributionsGrantsAmt |
| CY Contributions Grants | $215,130 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $32,150 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $538,278 | CYProgramServiceRevenueAmt |
| PY Investment Income | $113,781 | PYInvestmentIncomeAmt |
| CY Investment Income | $129,314 | CYInvestmentIncomeAmt |
| PY Other Revenue | $12,235 | PYOtherRevenueAmt |
| CY Other Revenue | $49,870 | CYOtherRevenueAmt |
| PY Total Revenue | $213,835 | PYTotalRevenueAmt |
| CY Total Revenue | $932,592 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $127,761 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $274,660 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| CY Salaries Comp Emp Bnft Paid | $0 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $32,139 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $528,646 | PYOtherExpensesAmt |
| CY Other Expenses | $1,426,645 | CYOtherExpensesAmt |
| PY Total Expenses | $656,407 | PYTotalExpensesAmt |
| CY Total Expenses | $1,701,305 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$442,572 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$768,713 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $8,063,508 | TotalAssetsBOYAmt |
| Total Assets EOY | $6,068,550 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $112,763 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $304,196 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $7,950,745 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $5,764,354 | NetAssetsOrFundBalancesEOYAmt |
| Mission | Building leadership in public health through advocacy, education, research partnership and program support. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $1,346,436 | ExpenseAmt |
| Grant | $274,660 | GrantAmt |
| Desc | Receive, administer and expend funds for education and training for health professionals and conduct studies and research. | Desc |
| Total Program Service Expenses | $1,346,436 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (true) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (true) | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 4 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | The Organization | PersonNm |
| Phone | 3017319080 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8201 Corporate Drive | AddressLine1Txt |
| City | Hyattsville | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 207852243 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|
| Jacqueline Rychnovsky | |||||||
| Executive Director | 20.00 | 0.00 | Yes (X) | $0 | $185,400 | $16,672 | |
| Daniel Beck | |||||||
| Member | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| Pamela M Schweitzer | |||||||
| Member | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| Kerry Paige Nesseler | |||||||
| Member | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| Lisa Tonrey | |||||||
| Member | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| Paul Seligman | |||||||
| Member | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| Robert J Tosatto | |||||||
| Member | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| Dushanka Kleinman | |||||||
| Member | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| Alan S Echt | |||||||
| Member | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| Michelle Dunwoody | |||||||
| Member | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| Boris Lushniak | |||||||
| Member | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| Karen Watkins | |||||||
| Member | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| Steven Solomon | |||||||
| President | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| John DiMaggio | |||||||
| Treasurer | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| Randall Gardner | |||||||
| President-Elect | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $185,400 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $16,672 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| All Other Contributions | $215,130 | AllOtherContributionsAmt |
| Total Contributions | $215,130 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Annual Meeting Income | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $538,278 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $538,278 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $538,278 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $129,314 | TotalRevenueColumnAmt |
| Exclusion | $129,314 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Other Program Revenue | 900099 | $17,631 | $17,631 |
| Miscellaneous - PBS DOC | 900099 | $31,426 | $31,426 |
| Miscellaneous | 900099 | $813 | $813 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $49,870 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $932,592 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $588,148 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $129,314 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $260,067 | TotalAmt |
| Program Services | $260,067 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,593 | TotalAmt |
| Program Services | $14,593 | ProgramServicesAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $304,052 | TotalAmt |
| Program Services | $252,363 | ProgramServicesAmt |
| Management And General | $42,567 | ManagementAndGeneralAmt |
| Fundraising | $9,122 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,250 | TotalAmt |
| Management And General | $1,111 | ManagementAndGeneralAmt |
| Fundraising | $139 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,673 | TotalAmt |
| Management And General | $11,269 | ManagementAndGeneralAmt |
| Fundraising | $1,404 | FundraisingAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $91,362 | TotalAmt |
| Management And General | $91,362 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $132,737 | TotalAmt |
| Management And General | $118,027 | ManagementAndGeneralAmt |
| Fundraising | $14,710 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $54,688 | TotalAmt |
| Program Services | $45,391 | ProgramServicesAmt |
| Management And General | $7,656 | ManagementAndGeneralAmt |
| Fundraising | $1,641 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,611 | TotalAmt |
| Management And General | $9,435 | ManagementAndGeneralAmt |
| Fundraising | $1,176 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,125 | TotalAmt |
| Program Services | $7,574 | ProgramServicesAmt |
| Management And General | $1,278 | ManagementAndGeneralAmt |
| Fundraising | $273 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $687,694 | TotalAmt |
| Program Services | $664,812 | ProgramServicesAmt |
| Management And General | $22,882 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Communications | $16,514 | $13,707 | $2,312 | $495 |
| Other | $105,939 | $87,929 | $14,831 | $3,179 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,701,305 | TotalAmt |
| Program Services | $1,346,436 | ProgramServicesAmt |
| Management And General | $322,730 | ManagementAndGeneralAmt |
| Fundraising | $32,139 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,883 | BOYAmt |
| EOY | $154,134 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,732 | BOYAmt |
| EOY | $28,100 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $105,465 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $95,465 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $10,000 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,956,146 | BOYAmt |
| EOY | $5,876,316 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $79,747 | BOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,063,508 | BOYAmt |
| EOY | $6,068,550 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $49,338 | BOYAmt |
| EOY | $272,964 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $63,425 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $31,232 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $112,763 | BOYAmt |
| EOY | $304,196 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,568,548 | BOYAmt |
| EOY | $5,493,023 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $382,197 | BOYAmt |
| EOY | $271,331 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,950,745 | BOYAmt |
| EOY | $5,764,354 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,063,508 | BOYAmt |
| EOY | $6,068,550 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$768,713 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$1,417,678 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,739,528 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $85,373 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $151,333 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $55,669 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $215,130 | CurrentTaxYearAmt |
| Total | $5,247,033 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $720,068 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $687,897 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $27,415 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $32,150 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $538,278 | CurrentTaxYearAmt |
| Total | $2,005,808 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,459,596 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $773,270 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $178,748 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $87,819 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $753,408 | CurrentTaxYearAmt |
| Total | $7,252,841 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $7,252,841 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $27,524 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $130,264 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $128,325 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $113,781 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $129,314 | CurrentTaxYearAmt |
| Total | $529,208 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $27,524 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $130,264 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $128,325 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $113,781 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $129,314 | CurrentTaxYearAmt |
| Total | $529,208 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,487,120 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $903,534 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $307,073 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $201,600 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $882,722 | CurrentTaxYearAmt |
| Total | $7,782,049 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.93200 | PublicSupportCY509Pct |
| Public Support PY509 | 0.92950 | PublicSupportPY509Pct |
| Investment Income CY | 0.07000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.07000 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $382,197 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$78,674 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $303,523 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $415,927 | BeginningYearBalanceAmt |
| Contributions | $12,306 | ContributionsAmt |
| Other Expenditures | $46,036 | OtherExpendituresAmt |
| End Year Balance | $382,197 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $421,237 | BeginningYearBalanceAmt |
| Contributions | $62,236 | ContributionsAmt |
| Other Expenditures | $67,546 | OtherExpendituresAmt |
| End Year Balance | $415,927 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $403,480 | BeginningYearBalanceAmt |
| Contributions | $45,414 | ContributionsAmt |
| Other Expenditures | $27,657 | OtherExpendituresAmt |
| End Year Balance | $421,237 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $371,042 | BeginningYearBalanceAmt |
| Contributions | $56,375 | ContributionsAmt |
| Other Expenditures | $23,937 | OtherExpendituresAmt |
| End Year Balance | $403,480 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $103,921 | OtherCostOrOtherBasisAmt |
| Depreciation | $93,921 | DepreciationAmt |
| Book Value | $10,000 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,544 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,544 | DepreciationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $10,000 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Due to COA | Desc |
| Amt | $31,232 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $31,232 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | -$576,448 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$1,417,678 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | -$1,417,678 | RevenueNotReportedAmt |
| Revenue Subtotal | $841,230 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $91,362 | InvestmentExpensesNotIncldAmt |
| Revenue Not Reported Fincl Stmt | $91,362 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $932,592 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $1,609,943 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $1,609,943 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $91,362 | InvestmentExpensesNotIncld2Amt |
| Expenses Not Rpt Fincl Stmt | $91,362 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $1,701,305 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Footnote for uncertain tax position under FIN 48 (Part X) | FormAndLineReferenceDesc |
| Explanation | The accounting standard on accounting for uncertainty in income taxes addresses the determination of whether tax benefits claimed or expected to be claimed on a tax return should be recorded in the financial statements. Under that guidance, the Foundation may recognize the tax benefit from an uncertain tax position only if it is more likely than not that the tax position will be sustained on examination by taxing authorities based on the technical merits of the position. Examples of tax positions include the tax-exempt status of the Foundation and various positions related to the potential sources of unrelated business taxable income (UBIT). The tax benefits recognized in the financial statements from such a position are measured based on the largest benefit that has a greater than 50% likelihood of being realized upon ultimate settlement. There were no unrecognized tax benefits identified or recorded as liabilities for at year end. The Foundations policy would be to recognize interest and penalties, if any, on tax positions related to its unrecognized tax benefits in income tax expense in the financial statements. No interest and penalties were assessed or recorded during the year. | ExplanationTxt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (26 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt |
|---|---|---|---|---|---|---|
| Chatham County Safety Net Planning | ||||||
| 400 Mall Blvd | Savannah | GA | 31406 | 261119132 | 501c3 | $10,000 |
| KinderSmile Foundation | ||||||
| 10 Broad Street | Bloomfield | NJ | 07003 | 562635166 | 501c3 | $10,000 |
| Michael Glynn Memorial Coalition | ||||||
| PO Box 11 | White River | SD | 57579 | 263152733 | 501c3 | $10,000 |
| Patient Assistance Foundation | ||||||
| 2100 Webster Street | San Francisco | CA | 94115 | 942944137 | 501c3 | $10,000 |
| African Family Health Organization | ||||||
| 5400 Grays Avenue 2nd Floor | Philadelphia | PA | 19142 | 731670436 | 501c3 | $10,000 |
| San Mateo County Health Foundation | ||||||
| 222 W 39th Avenue | San Mateo | CA | 94403 | 943116070 | 501c3 | $10,000 |
| Tuggle Elementary School | ||||||
| 412 12th Court North | Birmingham | AL | 35204 | 636000767 | 501c3 | $10,000 |
| Refugee Dream Center | ||||||
| 747 Broad Street | Providence | RI | 02907 | 473515841 | 501c3 | $10,000 |
| Cahaba Medical Care Fdn | ||||||
| 405 Belcher Street | Centreville | AL | 35042 | 273605364 | 501c3 | $10,000 |
| Siouxland Community Health Center | ||||||
| 1021 Nebraska Street | Sioux City | IA | 51105 | 421374894 | 501c3 | $9,861 |
| Seven Valleys Health Coalition Inc | ||||||
| 10 Kennedy Parkway | Cortland | NY | 13045 | 161600893 | 501c3 | $10,000 |
| Rosa es Rojo Inc | ||||||
| PO Box 250435 | Plano | TX | 75025 | 813557997 | 501c3 | $10,000 |
| The Northampton Recovery Center | ||||||
| 25 Armory Street | Northampton | MA | 01060 | 237450656 | 501c3 | $10,000 |
| Oklahoma City Indian Clinic | ||||||
| 4913 W Reno Ave | Oklahoma City | OK | 73107 | 730955756 | 501c3 | $9,898 |
| Health Outreach Prevention Educatio | ||||||
| 3540 E 31st St Ste 3 | Tulsa | OK | 74135 | 731537952 | 501c3 | $9,400 |
| Klamath County Public Health | ||||||
| 3314 Vandenberg Rd | Klamath Falls | OR | 97603 | 931230223 | 501c3 | $10,000 |
| Maryland Primary Care Program | ||||||
| 4201 Patterson Avenue | Baltimore | MD | 21215 | 526002033 | 501c3 | $10,000 |
| Not 1 More Project | ||||||
| 1389 W 86th Street Suite 205 | Indianapolis | IN | 46268 | 872080128 | 501c3 | $10,000 |
| PA Coalition for Oral Health | ||||||
| PO Box 242 | Delmont | PA | 15626 | 813594885 | 501c3 | $10,000 |
| ABLE-NH | ||||||
| 2 12 Beacon St | Concord | NH | 03301 | 300508754 | 501c3 | $10,000 |
| Boost Oregon | ||||||
| PO Box 8635 | Portland | OR | 97207 | 474538646 | 501c3 | $10,000 |
| Chaldean Community Foundation | ||||||
| 3601 15 Mile Rd | Sterling Heights | MI | 48310 | 203963417 | 501c3 | $10,000 |
| Cherokee County Health Services Cou | ||||||
| 135 N Muskogee Ave | Tahlequah | OK | 74464 | 731574782 | 501c3 | $10,000 |
| Coalition Rx | ||||||
| 6400 University Drive S N CEC 219 | Omaha | NE | 68182 | 842855854 | 501c3 | $9,977 |
| Community Health Worker Coalition | ||||||
| 24315 89TH PL W | Edmonds | WA | 98026 | 832266657 | 501c3 | $10,000 |
| The Keya Foundation | ||||||
| PO BOX 1824 | Eagle Butte | SD | 57625 | 460879346 | 501c3 | $10,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 26 | Total501c3OrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | Scholarships | GrantTypeTxt |
| Valuation Method Used | Cost | ValuationMethodUsedDesc |
| Non Cash Assistance | NA | NonCashAssistanceDesc |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Jacqueline Rychnovsky | PersonNm |
| Title | Executive Director | TitleTxt |
| Compensation Based On Rltd Orgs | $185,400 | CompensationBasedOnRltdOrgsAmt |
| Deferred Comp Rltd Orgs | $14,832 | DeferredCompRltdOrgsAmt |
| Nontaxable Benefits Rltd Orgs | $1,840 | NontaxableBenefitsRltdOrgsAmt |
| Total Compensation Rltd Orgs | $202,072 | TotalCompensationRltdOrgsAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Committee meeting documentation Part VI line 8b | The Organization does not have any committees with authority to act on the behalf of the governing body. |
| Form 990 governing body review Part VI line 11 | The form 990 is presented to the Organizations audit committee for review after the 990 is finalized. It is the Organizations intention to meet with the audit committee before filing but sometimes that may not be possible. |
| Conflict of interest policy compliance Part VI line 12c | All officers and employees are required to sign a conflict of interest agreement annually. |
| CEO executive director top management comp Part VI line 15a | An annual review of the Executive Directors performance is completed by the executive committee and recommendations are made to the full board of directors for approval. |
| Form 990 availability to public Part VI line 18 | The Organization makes these documents available to the public upon request. |
| Governing documents etc available to public Part VI line 19 | The Organization makes these documents available to the public upon request. |
| Audited by an independent accountant Part XII line 2b | The audit committee of the board assumes responsibility for oversight of the audit and selection of an independent accountant. This process has not changed from prior year. |
Schedule R IRS990ScheduleR
Transactions Related Org TransactionsRelatedOrgGrp (3 entries)
| Transaction TypeTransactionTypeTxt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|
| Commissioned Officers Association | |
| n | Allocation |
| Commissioned Officers Association | |
| o | Allocation |
| Commissioned Officers Association | |
| p | Allocation |