HEALTHFIRST FOUNDATION INC: Form 990PF, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- HEALTHFIRST FOUNDATION INC (EIN 84-3437139)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-03
- IRS object ID
- 202233079349101803
- 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
- Form 990-PF
- Schedule B
- Depreciation Schedule
- Liquidation Explanation Stmt
- Other Expenses Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-11-03T20:57:15-05:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FOUNDATION SOURCE | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE HOLLOW LN STE 212 | AddressLine1Txt |
| City | LAKE SUCCESS | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11042 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 843437139 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | The Healthfirst Foundation Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % THE HEALTHFIRST FOUNDATION I | InCareOfNm |
| Business Name Control | HEAL | BusinessNameControlTxt |
| Phone | 2128011500 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 CHURCH ST FL 18 | AddressLine1Txt |
| City | New York | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10007 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LINDA TIANO | PersonNm |
| Person Title | SECRETARY | PersonTitleTxt |
| Phone | 2128011500 | PhoneNum |
| Signature | 2022-10-27 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | LINDA | PersonFirstNm |
| Person Last | TIANO | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Jeffrey D Haskell | PreparerPersonNm |
| PTIN | P01345770 | PTIN |
| Phone | 8008391754 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | TrustedCustomerGrp |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $2,918,488 | FMVAssetsEOYAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rcvd Rev And Expnss | $2,000,000 | ContriRcvdRevAndExpnssAmt |
| Interest On Sav Rev And Expnss | $773 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $773 | InterestOnSavNetInvstIncmAmt |
| Cap Gain Net Incm Net Invst Incm | $0 | CapGainNetIncmNetInvstIncmAmt |
| Total Rev And Expnss | $2,000,773 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $773 | TotalNetInvstIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $0 | CompOfcrDirTrstRevAndExpnssAmt |
| Other Expenses Rev And Expnss | $35,319 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Dsbrs Chrtbl | $35,319 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $35,319 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $0 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $35,319 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $721,966 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $721,966 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $757,285 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $0 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $757,285 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | $1,243,488 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $773 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sav And Temp Cash Invst BOY | $1,675,000 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $2,918,488 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $2,918,488 | SavAndTempCashInvstEOYFMVAmt |
| Total Assets BOY | $1,675,000 | TotalAssetsBOYAmt |
| Total Assets EOY | $2,918,488 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $2,918,488 | TotalAssetsEOYFMVAmt |
| Total Liabilities BOY | $0 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| No Donor Rstr Net Assests BOY | $1,675,000 | NoDonorRstrNetAssestsBOYAmt |
| Org Does Not Follow FASB117 | Yes (X) | OrgDoesNotFollowFASB117Ind |
| Retained Earning EOY | $2,918,488 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $1,675,000 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $2,918,488 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $1,675,000 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $2,918,488 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $1,675,000 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | $1,243,488 | ExcessRevenueOverExpensesAmt |
| Subtotal | $2,918,488 | SubtotalAmt |
| Tot Net Ast Or Fund Balances EOY | $2,918,488 | TotNetAstOrFundBalancesEOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cap Gains Loss Tx Invst Incm Detail | CapGainsLossTxInvstIncmDetail |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $11 | InvestmentIncomeExciseTaxAmt |
| Subtotal | $11 | SubtotalAmt |
| Tax Based On Investment Income | $11 | TaxBasedOnInvestmentIncomeAmt |
| Exempt Frgn Org Tax Wthld At Srce | $0 | ExemptFrgnOrgTaxWthldAtSrceAmt |
| Extsn Request Income Tax Paid | $100 | ExtsnRequestIncomeTaxPaidAmt |
| Total Payments And Credits | $100 | TotalPaymentsAndCreditsAmt |
| Overpayment | $89 | OverpaymentAmt |
| Applied To ES Tax | $89 | AppliedToESTaxAmt |
Statements Regarding Acty StatementsRegardingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Acty | false | LegislativePoliticalActyInd |
| More Than100 Spent | false | MoreThan100SpentInd |
| Form1120 POL Filed | false | Form1120POLFiledInd |
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRptInd |
| Changes To Articles Or Bylaws | false | ChangesToArticlesOrBylawsInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Organization Dissolved Etc | Yes (true) | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | Yes (true) | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (true) | AtLeast5000InAssetsInd |
| Org Report Or Register State | NY | OrgReportOrRegisterStateCd |
| Form990 PF Filed With Atty Gen | Yes (true) | Form990PFFiledWithAttyGenInd |
| Private Operating Foundation | false | PrivateOperatingFoundationInd |
| New Substantial Contributors | false | NewSubstantialContributorsInd |
| Own Controlled Entity | false | OwnControlledEntityInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Comply With Public Insp Rqr | Yes (true) | ComplyWithPublicInspRqrInd |
Persons With Books Name PersonsWithBooksName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE HEALTHFIRST FOUNDATION INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2128011500 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 Church Street 18th floor | AddressLine1Txt |
| City | New York | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10007 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Accounts Question | false | ForeignAccountsQuestionInd |
Statements Regarding Acty4720 StatementsRegardingActy4720Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exch Disqualified Prsn | false | SaleOrExchDisqualifiedPrsnInd |
| Brrw Or Lend Disqualified Prsn | false | BrrwOrLendDisqualifiedPrsnInd |
| Furn Goods Disqualified Prsn | Yes (true) | FurnGoodsDisqualifiedPrsnInd |
| Pay Comp Disqualified Prsn | false | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | false | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | false | PaymentToGovernmentOfficialInd |
| Acts Fail To Qlfy As Exceptions | false | ActsFailToQlfyAsExceptionsInd |
| Uncorrected Prior Acts | false | UncorrectedPriorActsInd |
| Undistributed Income PY | false | UndistributedIncomePYInd |
| Business Holdings | false | BusinessHoldingsInd |
| Jeopardy Investments | false | JeopardyInvestmentsInd |
| Uncorrected PY Jeopardy Invst | false | UncorrectedPYJeopardyInvstInd |
| Influence Legislation | false | InfluenceLegislationInd |
| Influence Election | false | InfluenceElectionInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Noncharitable Purpose | false | NoncharitablePurposeInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp
Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|---|---|---|---|
| Rob Blanchard | ||||||||
| 100 CHURCH ST FL 18 | New York | NY | 10007 | Treas | 1.0 | $0 | $0 | $0 |
| Dr Christina Jenkins | ||||||||
| 100 CHURCH ST FL 18 | New York | NY | 10007 | Dir | 1.0 | $0 | $0 | $0 |
| Errol Pierre | ||||||||
| 100 CHURCH ST FL 18 | New York | NY | 10007 | Dir | 1.0 | $0 | $0 | $0 |
| Linda Tiano | ||||||||
| 100 CHURCH ST FL 18 | New York | NY | 10007 | Dir, Sec | 1.0 | $0 | $0 | $0 |
| Patricia Wang | ||||||||
| 100 CHURCH ST FL 18 | New York | NY | 10007 | Dir, Pres | 1.0 | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Summary Of Direct Chrtbl Acty | SummaryOfDirectChrtblActyGrp | |
| Sum Of Program Related Invst | SumOfProgramRelatedInvstGrp |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $0 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $1,516,419 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $1,516,419 | TotalFMVOfUnusedAssetsAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $1,516,419 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $22,746 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $1,493,673 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $74,684 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $74,684 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $11 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $11 | TotalTaxAmt |
| Distributable Before Adj | $74,673 | DistributableBeforeAdjAmt |
| Distributable Before Ded | $74,673 | DistributableBeforeDedAmt |
| Distributable As Adjusted | $74,673 | DistributableAsAdjustedAmt |
PF Qualifying Distributions PFQualifyingDistributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $757,285 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Charitable Assets Acquis Paid | $0 | CharitableAssetsAcquisPaidAmt |
| Set Aside Suitability Test | $0 | SetAsideSuitabilityTestAmt |
| Set Aside Cash Distri Test | $0 | SetAsideCashDistriTestAmt |
| Qualifying Distributions | $757,285 | QualifyingDistributionsAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $74,673 | DistributableAsAdjustedAmt |
| Prior Year1 | 2019 | PriorYear1Yr |
| Prior Year2 | 2018 | PriorYear2Yr |
| Prior Year3 | 2017 | PriorYear3Yr |
| Excess Distribution Cyov Yr1 | $321,050 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $321,050 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $757,285 | QualifyingDistributionsAmt |
| Applied To Current Year | $74,673 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $682,612 | RemainingDistriFromCorpusAmt |
| Total Corpus | $1,003,662 | TotalCorpusAmt |
| Undistributed Income CY | $0 | UndistributedIncomeCYAmt |
| Excess Distri Cyov To Next Yr | $1,003,662 | ExcessDistriCyovToNextYrAmt |
| Excess From Year1 | $321,050 | ExcessFromYear1Amt |
| Excess From Current Year | $682,612 | ExcessFromCurrentYearAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Private Operating Foundations | PrivateOperatingFoundationsGrp |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributing Manager | NONE | ContributingManagerNm |
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (29 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|---|
| 1199 SEIU EMPLOYER CHILD CARE CORPORATION | |||||||
| PO BOX 840 | NEW YORK | NY | 10108 | N/A | PC | Charitable Event | $1,500 |
| ARTHUR ASHE INSTITUTE FOR URBAN HEALTH INC | |||||||
| 450 CLARKSON AVE | BROOKLYN | NY | 11203 | N/A | PC | General & Unrestricted | $10,000 |
| ASIAN AMERICAN FEDERATION INC | |||||||
| 120 WALL ST 9TH FLOOR | NEW YORK | NY | 10005 | N/A | PC | General & Unrestricted | $25,000 |
| BROOKLYN HOSPITAL FOUNDATION INC | |||||||
| 121 DEKALB AVE | BROOKLYN | NY | 11201 | N/A | SO I | General & Unrestricted | $7,000 |
| BUDDHIST TZU CHI FOUNDATION | |||||||
| 1100 S VALLEY CENTER AVE | SAN DIMAS | CA | 91773 | N/A | PC | General & Unrestricted | $70,000 |
| CAIPA FOUNDATION INC | |||||||
| 202 CANAL ST SUITE 500 | NEW YORK | NY | 10013 | N/A | PC | General & Unrestricted | $75,000 |
| CAIPA FOUNDATION INC | |||||||
| 202 CANAL ST SUITE 500 | NEW YORK | NY | 10013 | N/A | PC | Lunar Year Celebration Fund | $16,966 |
| CHINATOWN HEALTH CLINIC FOUNDATION INC | |||||||
| 268 CANAL ST | NEW YORK | NY | 10013 | N/A | PC | General & Unrestricted | $6,000 |
| CITY HARVEST INC | |||||||
| 6 E 32ND ST 5TH FL | NEW YORK | NY | 10016 | N/A | PC | General & Unrestricted | $10,000 |
| COMMUNITY HEALTH CARE ASSOCIATION OF NEW YORK STAT | |||||||
| 111 BROADWAY RM 1402 | NEW YORK | NY | 10006 | N/A | PC | General & Unrestricted | $15,000 |
| DOMINICAN MEDICAL DENTAL COMMUNITY OUTREACH SOCIET | |||||||
| 435 FORT WASHINGTON AVE APT 1C | NEW YORK | NY | 10033 | N/A | PC | Annual Symposium 2021 Dominican Republic SOMOS CME Conference Fund | $150,000 |
| DOMINICAN WOMENS DEVEL CENTER | |||||||
| 519 WEST 189TH ST | NEW YORK | NY | 10040 | N/A | PC | 33rd Anniversary Gala | $15,000 |
| FEEDING WESTCHESTER INC | |||||||
| 200 CLEARBROOK RD | ELMSFORD | NY | 10523 | N/A | PC | Hurricane Ida Relief Fund | $5,000 |
| FUND FOR THE AGED INC | |||||||
| 120 W 106TH ST | NEW YORK | NY | 10025 | N/A | PC | 2021 Stay at Home Gala | $2,500 |
| HAITIAN GLOBAL HEALTH ALLIANCE INC | |||||||
| 68 JAY ST STE 201 | BROOKLYN | NY | 11201 | N/A | PC | General & Unrestricted | $10,000 |
| HEALTH AND WELFARE COUNCIL OF LONG ISLAND INC | |||||||
| 110 WALT WHITMAN RD STE 101 | HUNTINGTN STA | NY | 11746 | N/A | PC | General & Unrestricted | $10,000 |
| HISPANIC FEDERATION INC | |||||||
| 55 EXCHANGE PL 5TH FLOOR | NEW YORK | NY | 10005 | N/A | PC | General & Unrestricted | $50,000 |
| ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI | |||||||
| ONE GUSTAVE L LEVY PL BOX 1049 | NEW YORK | NY | 10029 | N/A | PC | General & Unrestricted | $50,000 |
| ISLAND HARVEST LTD | |||||||
| 126 SPAGNOLI RD | MELVILLE | NY | 11747 | N/A | PC | food donation program | $5,000 |
| MAKE THE GRADE FOUNDATION INC | |||||||
| 244 MADISON AVE | NEW YORK | NY | 10016 | N/A | PC | Virtual Make the Grade Foundation sponsorship fund | $5,000 |
| MEDICARE RIGHTS CENTER INC | |||||||
| 266 WEST 37TH ST 3RD FL | NEW YORK | NY | 10018 | N/A | PC | General & Unrestricted | $6,000 |
| MONTEFIORE MEDICAL CENTER | |||||||
| 111 E 210TH ST | BRONX | NY | 10467 | N/A | PC | Montefiore & Einstein Virtual Gala | $25,000 |
| MOUNT SINAI MEDICAL LEGAL PARTNERSHIP INC | |||||||
| 150 E 42ND ST 2ND FLOOR RO | NEW YORK | NY | 10017 | N/A | PC | General & Unrestricted | $100,000 |
| NEW YORK EHEALTH COLLABORATIVE INC | |||||||
| 99 WASHINGTON AVE | ALBANY | NY | 12210 | N/A | PC | 2021 Gala | $5,000 |
| NOAH NEW YORK INCORPORATED | |||||||
| 86 E 49TH ST | BROOKLYN | NY | 11232 | N/A | PC | to purchase medication and supplies | $10,000 |
| ST LUKES CORNWALL HEALTH SYSTEM FOUNDATION INC | |||||||
| 70 DUBOIS ST | NEWBURGH | NY | 12550 | N/A | PC | 2021 Liberty Ball Silver Sponsorship fund | $5,500 |
| THE INSTITUTE FOR FAMILY HEALTH | |||||||
| 2006 MADISON AVE 5 | NEW YORK | NY | 10035 | N/A | PC | Holiday Journal Staff fund | $5,000 |
| UNITED HOSPITAL FUND OF NEW YORK | |||||||
| 1411 BROADWAY | NEW YORK | NY | 10018 | N/A | PC | United Hospital Virtual Gala | $1,500 |
| WILLIAM F RYAN COMMUNITY HEALTH CENTER INC | |||||||
| 110 W 97TH ST | NEW YORK | NY | 10025 | N/A | PC | Annual Fundraising Gala | $25,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $721,966 | TotalGrantOrContriPdDurYrAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fees Contracts From Govt Ag | FeesContractsFromGovtAgGrp | |
| Membership Dues And Assmnt | MembershipDuesAndAssmntGrp |
Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $773 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Dividends And Interest From Sec Dtl | DividendsAndInterestFromSecDtl | |
| Net Rntl Incm Re Debt Fincd Prop | NetRntlIncmReDebtFincdPropGrp | |
| Net Rntl Incm Re Not Debt Fincd Prop | NetRntlIncmReNotDebtFincdProp | |
| Net Rental Income Personal Prop | NetRentalIncomePersonalPropGrp | |
| Other Investment Income | OtherInvestmentIncomeGrp | |
| Gain Sales Ast Oth Than Invntry | GainSalesAstOthThanInvntryGrp | |
| Net Income Loss From Special Evt | NetIncomeLossFromSpecialEvtGrp | |
| Gross Profit Loss Sls Of Invntry | GrossProfitLossSlsOfInvntryGrp |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | $773 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $773 | TotalIncomeProducingActyAmt |
Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Nonchrtbl EO | false | TrnsfrOfCashToNonchrtblEOInd |
| Trnsfr Other Asset Nonchrtbl EO | false | TrnsfrOtherAssetNonchrtblEOInd |
| Sales Or Exchanges Of Assets | false | SalesOrExchangesOfAssetsInd |
| Purchase Of Assets Nonchrtbl EO | false | PurchaseOfAssetsNonchrtblEOInd |
| Rental Of Facilities Oth Assets | false | RentalOfFacilitiesOthAssetsInd |
| Reimbursement Arrangements | false | ReimbursementArrangementsInd |
| Loans Or Loan Guarantees | false | LoansOrLoanGuaranteesInd |
| Performance Of Services Etc | false | PerformanceOfServicesEtcInd |
| Sharing Of Facilities Etc | false | SharingOfFacilitiesEtcInd |
| Relationships Nonchrtbl EO | Yes (true) | RelationshipsNonchrtblEOInd |
Relationship Schedule Detail RelationshipScheduleDetail
Organization Business Name OrganizationBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HF HEALTH PLAN INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Type | 501 (C)4 | OrganizationTypeDesc |
| Relationship Description | SAME PARENT COMPANY | RelationshipDescriptionTxt |
Schedule B IRS990ScheduleB
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| General Rule | Yes (X) | GeneralRuleInd |
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | 1 | ContributorNum |
| Contributor Person | HF Management Services LLC | ContributorPersonNm |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | c/o Craig Barattin 100 Church St | AddressLine1Txt |
| City | New York | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10007 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | $2,000,000 | TotalContributionsAmt |
| Person Contribution | Yes (X) | PersonContributionInd |
Depreciation Schedule DepreciationSchedule
Liquidation Explanation Stmt LiquidationExplanationStmt
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | As explained below, the Foundation has no plans for dissolution. This statement is submitted to report the distribution of certain assets during the year. The distributions resulted in a substantial contraction of assets. The following information is submitted in accordance with Treasury Regulation Section 1.6043-3(a)(1) and the Form 990-PF instructions: During the taxable year ending December 31, 2021, the Foundation made distributions from assets from sources other than current income. Collectively, the distributions in excess of current income totaled $721,966. This amount represents 25% or more of the Foundation's net assets of $1,675,000 (as measured by fair market value) at the beginning of the Foundation's taxable year ending December 31, 2021. Although the Foundation technically experienced a substantial contraction, it will continue in existence and has no plans for dissolution. The Foundation made distributions of cash to the grantees listed in the attachment to Part XIV, Line 3a; each such grant was made solely for the charitable purpose specified therein. | ExplanationTxt |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (3 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|
| Administrative Fees | $25,044 | $25,044 |
| Administrative Set-Up Fee | $10,000 | $10,000 |
| State or Local Filing Fees | $275 | $275 |