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RCHN COMMUNITY HEALTH FOUNDATION INC: Form 990PF, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
RCHN COMMUNITY HEALTH FOUNDATION INC (EIN 13-3759663)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-11-14
IRS object ID
201813189349100986
Schema version
2017v2.3
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)
Return2018-11-14T10:17:22-06:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN221478099PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1COHNREZNICK LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11301 AVENUE OF THE AMERICASAddressLine1Txt
CityNEW YORKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10019ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN133759663EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1RCHN COMMUNITY HEALTH FOUNDATION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlRCHNBusinessNameControlTxt
Phone2122461122PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line155 BROADWAY SUITE 1502AddressLine1Txt
CityNEW YORKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10006ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonFEYGELE JACOBSPersonNm
Person TitlePRES & CEOPersonTitleTxt
Phone2122461122PhoneNum
Signature2018-11-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTHOMAS LANNINGPreparerPersonNm
PTINP00851654PTIN
Phone2122970400PhoneNum
Preparation2018-11-13PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address209.3.217.20IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-11-14IPDt
IP Tm08:13:32IPTm
IP TimezoneESIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device Id76369ED6AA69758ED31A87E47CAE96FECFB4229CAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$18,639,850FMVAssetsEOYAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$560ContriRcvdRevAndExpnssAmt
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Interest On Sav Rev And Expnss$2,915InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$2,915InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$605,142DividendsRevAndExpnssAmt
Dividends Net Invst Incm$605,142DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$961,888NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$6,109,768GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$961,888CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$1,570,505TotalRevAndExpnssAmt
Total Net Invst Incm$1,569,945TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$456,821CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$216,067CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$240,754CompOfcrDirTrstDsbrsChrtblAmt
Oth Empl Slrs Wgs Rev And Expnss$568,461OthEmplSlrsWgsRevAndExpnssAmt
Oth Empl Slrs Wgs Net Invst Incm$175,211OthEmplSlrsWgsNetInvstIncmAmt
Oth Empl Slrs Wgs Dsbrs Chrtbl$393,251OthEmplSlrsWgsDsbrsChrtblAmt
Pension Empl Bnft Rev And Expnss$325,524PensionEmplBnftRevAndExpnssAmt
Pension Empl Bnft Net Invst Incm$114,020PensionEmplBnftNetInvstIncmAmt
Pension Empl Bnft Dsbrs Chrtbl$207,969PensionEmplBnftDsbrsChrtblAmt
Legal Fees Rev And Expnss$64,551LegalFeesRevAndExpnssAmt
Legal Fees Net Invst Incm$42,203LegalFeesNetInvstIncmAmt
Legal Fees Dsbrs Chrtbl$18,657LegalFeesDsbrsChrtblAmt
Accounting Fees Rev And Expnss$55,022AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$41,267AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$14,858AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$366,928OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$113,671OtherProfFeesNetInvstIncmAmt
Other Prof Fees Dsbrs Chrtbl$215,398OtherProfFeesDsbrsChrtblAmt
Taxes Rev And Expnss$14,909TaxesRevAndExpnssAmt
Taxes Net Invst Incm$643TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Deprec And Dpltn Rev And Expnss$31,846DeprecAndDpltnRevAndExpnssAmt
Deprec And Dpltn Net Invst Incm$31,846DeprecAndDpltnNetInvstIncmAmt
Occupancy Rev And Expnss$213,430OccupancyRevAndExpnssAmt
Occupancy Net Invst Incm$81,103OccupancyNetInvstIncmAmt
Occupancy Dsbrs Chrtbl$133,042OccupancyDsbrsChrtblAmt
Trav Conf Meeting Rev And Expnss$52,310TravConfMeetingRevAndExpnssAmt
Trav Conf Meeting Net Invst Incm$0TravConfMeetingNetInvstIncmAmt
Trav Conf Meeting Dsbrs Chrtbl$52,310TravConfMeetingDsbrsChrtblAmt
Printing And Pub Rev And Expnss$3,206PrintingAndPubRevAndExpnssAmt
Printing And Pub Net Invst Incm$0PrintingAndPubNetInvstIncmAmt
Printing And Pub Dsbrs Chrtbl$3,206PrintingAndPubDsbrsChrtblAmt
Other Expenses Rev And Expnss$111,923OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$40,620OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$70,939OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$2,264,931TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$856,651TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$1,350,384TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$1,081,375ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$948,042ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$3,346,306TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$856,651TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$2,298,426TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$1,775,801ExcessRevenueOverExpensesAmt
Net Investment Income$713,294NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$2,176,484SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$961,901SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$961,901SavAndTempCashInvstEOYFMVAmt
Prepaid Expenses BOY$82,410PrepaidExpensesBOYAmt
Prepaid Expenses EOY$72,191PrepaidExpensesEOYAmt
Prepaid Expenses EOYFMV$72,191PrepaidExpensesEOYFMVAmt
Corporate Stock BOY$4,489,255CorporateStockBOYAmt
Corporate Stock EOY$3,052,221CorporateStockEOYAmt
Corporate Stock EOYFMV$3,052,221CorporateStockEOYFMVAmt
Corporate Bonds BOY$1,644,248CorporateBondsBOYAmt
Corporate Bonds EOY$1,948,662CorporateBondsEOYAmt
Corporate Bonds EOYFMV$1,948,662CorporateBondsEOYFMVAmt
Other Investments BOY$10,554,117OtherInvestmentsBOYAmt
Other Investments EOY$12,486,397OtherInvestmentsEOYAmt
Other Investments EOYFMV$12,486,397OtherInvestmentsEOYFMVAmt
Land Bldg Equip Cost Or Other Bss$324,382LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$205,904LandBldgEquipAccumDeprecAmt
Land BOY$148,974LandBOYAmt
Land EOY$118,478LandEOYAmt
Land EOYFMV$118,478LandEOYFMVAmt
Total Assets BOY$19,095,488TotalAssetsBOYAmt
Total Assets EOY$18,639,850TotalAssetsEOYAmt
Total Assets EOYFMV$18,639,850TotalAssetsEOYFMVAmt
Accounts Payable BOY$582,529AccountsPayableBOYAmt
Accounts Payable EOY$767,652AccountsPayableEOYAmt
Other Liabilities BOY$65,392OtherLiabilitiesBOYAmt
Other Liabilities EOY$65,688OtherLiabilitiesEOYAmt
Total Liabilities BOY$647,921TotalLiabilitiesBOYAmt
Total Liabilities EOY$833,340TotalLiabilitiesEOYAmt
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind
Unrestricted BOY$18,447,567UnrestrictedBOYAmt
Unrestricted EOY$17,806,510UnrestrictedEOYAmt
Tot Net Ast Or Fund Balances BOY$18,447,567TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$17,806,510TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$19,095,488TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$18,639,850TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$18,447,567TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$1,775,801ExcessRevenueOverExpensesAmt
Other Increases$1,134,744OtherIncreasesAmt
Subtotal$17,806,510SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$17,806,510TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp

FieldValueIRS element (for citing)
Gross Sales Price$6,109,768GrossSalesPriceAmt
Cost Or Other Basis$5,147,880CostOrOtherBasisAmt
Gain Or Loss$961,888GainOrLossAmt
Gains Minus Excess Or Losses$961,888GainsMinusExcessOrLossesAmt
FieldValueIRS element (for citing)
Capital Gain Net Income$961,888CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 Tax0LiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$2,523,184AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$19,375,586NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.130225DistributionYr1Rt
Adjusted Qlfy Distri Yr2$2,643,586AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$23,138,058NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.114253DistributionYr2Rt
Adjusted Qlfy Distri Yr3$3,385,050AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$26,898,197NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.125847DistributionYr3Rt
Adjusted Qlfy Distri Yr4$3,177,550AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$27,970,934NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.113602DistributionYr4Rt
Adjusted Qlfy Distri Yr5$4,034,403AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$29,636,227NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.136131DistributionYr5Rt
Total Distribution0.620058TotalDistributionRt
Average Distribution0.124012AverageDistributionRt
Net Vl Noncharitable Assets$18,506,364NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$2,295,011AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$7,133NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$2,302,144AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$2,298,426QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$14,266InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$14,266SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$14,266TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$8,440EstimatedPlusOvpmtIncmTxAmt
Extsn Request Income Tax Paid$4,000ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$12,440TotalPaymentsAndCreditsAmt
Es Penalty$0EsPenaltyAmt
Tax Due$1,826TaxDueAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political Acty0LegislativePoliticalActyInd
More Than100 Spent0MoreThan100SpentInd
Form1120 POL Filed0Form1120POLFiledInd
Section4955 Organization Tax$0Section4955OrganizationTaxAmt
Section4955 Managers Tax$0Section4955ManagersTaxAmt
Tax Reimbursed$0TaxReimbursedAmt
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Changes To Articles Or Bylaws0ChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (1)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (1)AtLeast5000InAssetsInd
Org Report Or Register StateNYOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (1)Form990PFFiledWithAttyGenInd
Private Operating Foundation0PrivateOperatingFoundationInd
New Substantial Contributors0NewSubstantialContributorsInd
Own Controlled Entity0OwnControlledEntityInd
Donor Advised Fund0DonorAdvisedFundInd
Comply With Public Insp RqrYes (1)ComplyWithPublicInspRqrInd
Website AddressWWW.RCHNFOUNDATION.ORGWebsiteAddressTxt
Individual With BooksIGOR GOLDENBERGIndividualWithBooksNm
Phone2122461122PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line155 BROADWAY SUITE 1502AddressLine1Txt
CityNEW YORKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10006ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts Question0ForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified Prsn0SaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified Prsn0BrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified Prsn0FurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified PrsnYes (1)PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified Prsn0TransferAstDisqualifiedPrsnInd
Payment To Government Official0PaymentToGovernmentOfficialInd
Acts Fail To Qlfy As Exceptions0ActsFailToQlfyAsExceptionsInd
Uncorrected Prior Acts0UncorrectedPriorActsInd
Undistributed Income PY0UndistributedIncomePYInd
Business Holdings0BusinessHoldingsInd
Jeopardy Investments0JeopardyInvestmentsInd
Uncorrected PY Jeopardy Invst0UncorrectedPYJeopardyInvstInd
Influence Legislation0InfluenceLegislationInd
Influence Election0InfluenceElectionInd
Grants To Individuals0GrantsToIndividualsInd
Grants To Organizations0GrantsToOrganizationsInd
Noncharitable Purpose0NoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (10 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
DAVID REYNOLDS
55 BROADWAY SUITE 1502NEW YORKNY10006CHAIRPERSON1.00$0$0$0
DOUG WIRTH
55 BROADWAY SUITE 1502NEW YORKNY10006BOARD MEMBER1.00$0$0$0
FEYGELE JACOBS
55 BROADWAY SUITE 1502NEW YORKNY10006PRESIDENT & CEO35.00$300,110$71,141$0
IGOR GOLDENBERG
55 BROADWAY SUITE 1502NEW YORKNY10006CFO35.00$156,711$23,809$0
JOHN OHLWEILER
55 BROADWAY SUITE 1502NEW YORKNY10006BOARD MEMBER1.00$0$0$0
LONNY REISMAN MD
55 BROADWAY SUITE 1502NEW YORKNY10006BOARD MEMBER1.00$0$0$0
M MONICA SWEENEY MD
55 BROADWAY SUITE 1502NEW YORKNY10006BOARD MEMBER1.00$0$0$0
MARTHA WOLFGANG
55 BROADWAY SUITE 1502NEW YORKNY10006BOARD MEMBER1.00$0$0$0
SARA ROSENBAUM JD
55 BROADWAY SUITE 1502NEW YORKNY10006OUTGOING BOARD MEMBER1.00$0$0$0
THOMAS VAN COVERDEN
55 BROADWAY SUITE 1502NEW YORKNY10006OUTGOING BOARD MEMBER1.00$0$0$0

Compensation Highest Paid Empl CompensationHighestPaidEmplGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee BenefitsEmployeeBenefitsAmtExpense AccountExpenseAccountAmt
DAVID HARTZBAND
55 BROADWAY SUITE 1502NEW YORKNY10006DIRECTOR, TECHNOLOGY30.00$164,558$33,257$0
MARK BOGOSIAN
55 BROADWAY SUITE 1502NEW YORKNY10006ASSOC. DIR-GRANTS &35.00$121,441$54,777$0
MARJORIE BOMSON
55 BROADWAY SUITE 1502NEW YORKNY10006MANAGER-ADMINISTRATI35.00$107,533$28,543$0
BARBARA ALLEN
55 BROADWAY SUITE 1502NEW YORKNY10006FINANCE MANAGER35.00$104,575$30,145$0
FieldValueIRS element (for citing)
Other Employee Paid Over50k0OtherEmployeePaidOver50kCnt

Compensation Of Hghst Pd Cntrct CompensationOfHghstPdCntrctGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdService TypeServiceTypeTxtCompensationCompensationAmt
HEALTH POLICY ASSOCIATES
847 25TH AVENUESAN FRANCISCOCA94121STRATEGIC PLANNING$80,276
MIRRAM GROUP LLC
5030 BROADWAY SUITE 807NEW YORKNY10034PROJECT AND MEDIA CONSULTING$60,000
COHNREZNICK LLP
1301 AVENUE OF THE AMERICASNEW YORKNY10019AUDIT AND TAX SERVICES$55,022
FieldValueIRS element (for citing)
Contractor Paid Over50k0ContractorPaidOver50kCnt

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$17,264,266AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$1,523,921AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$18,788,187TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$18,788,187AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$281,823CashDeemedCharitableAmt
Net Vl Noncharitable Assets$18,506,364NetVlNoncharitableAssetsAmt
Minimum Investment Return$925,318MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$925,318MinimumInvestmentReturnAmt
Tax Based On Investment Income$14,266TaxBasedOnInvestmentIncomeAmt
Total Tax$14,266TotalTaxAmt
Distributable Before Adj$911,052DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$911,052DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$911,052DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$2,298,426ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$2,298,426QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$0PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$2,298,426AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$911,052DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr5$2,572,674ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$1,786,666ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$2,064,564ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$1,489,340ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$1,564,691ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$9,477,935TotalExcessDistributionCyovAmt
Qualifying Distributions$2,298,426QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$911,052AppliedToCurrentYearAmt
Remaining Distri From Corpus$1,387,374RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$10,865,309TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Prior Year Deficiency Or Tax$0PriorYearDeficiencyOrTaxAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$0UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$2,572,674ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$8,292,635ExcessDistriCyovToNextYrAmt
Excess From Year4$1,786,666ExcessFromYear4Amt
Excess From Year3$2,064,564ExcessFromYear3Amt
Excess From Year2$1,489,340ExcessFromYear2Amt
Excess From Year1$1,564,691ExcessFromYear1Amt
Excess From Current Year$1,387,374ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (27 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
COMMUNITY HEALTH CARE ASSOC OF NYS
111 BROADWAY SUITE 1402NEW YORKNY10006PCCONFERENCE SPONSORSHIP$2,000
ASSOCIATION OF CLINICIANS FOR THE UNDERSERVED
1420 SPRING HILL ROAD SUITE 600TYSONS CORNERVA22102PCCONFERENCE SPONSORSHIP$2,000
SANTA ROSA COMMUNITY HEALTH CENTERS
3569 ROUND BARN CIRCLESANTA ROSACA95403PCDISASTER RELIEF$10,000
COMMUNITY FUNDS INC
909 THIRD AVENUENEW YORKNY10022PCFUND FOR NEW CITIZENS$50,000
GEORGE WASHINGTON UNIVERSITY
2121 I STREET NW SUITE 601WASHINGTONDC20052PCGIFT TO SUPPORT GEIGER GIBSON PROGRAM IN DEPARTMENT OF HEALTH POLICY, MILKEN INSTITUTE SPH$350,000
ERIE COUNTY HEALTH DEPARTMENT
420 SUPERIOR STREETSANDUSKYOH44870PCPOPULATION HEALTH MANAGEMENT GRANT$25,000
HUDSON HEADWATERS HEALTH NETWORK
9 CAREY ROADQUEENSBURYNY12804PCPOPULATION HEALTH MANAGEMENT GRANT$66,667
ADELANTE HEALTHCARE
9520 WEST PALM LANEPHOENIXAZ85037PCPOPULATION HEALTH MANAGEMENT GRANT$66,667
ACCESS FAMILY CARE
47 NELSON AVENUENEOSHOMO64850PCPOPULATION HEALTH MANAGEMENT GRANT$66,667
COLORADO COMMUNITY HEALTH NETWORK
600 GRANT STREET SUITE 800DENVERCO80203PCPOPULATION HEALTH MANAGEMENT GRANT$66,667
MARIPOSA COMMUNITY HEALTH CENTER INC
1852 NORTH MASTICK WAYNOGALESAZ85621PCPOPULATION HEALTH MANAGEMENT GRANT$40,000
ST JOHN'S WELL CHILD & FAMILY CENTER
808 WEST 58TH STREETLOS ANGELESCA90037PCPOPULATION HEALTH MANAGEMENT GRANT$40,000
SANTA ROSA COMMUNITY HEALTH CENTERS
3569 ROUND BARN CIRCLESANTA ROSACA95403PCPOPULATION HEALTH MANAGEMENT GRANT$25,000
ACCESS COMMUNITY HEALTH NETWORK
600 WEST FULTON STREET SUITE 200CHICAGOIL60661PCPOPULATION HEALTH MANAGEMENT GRANT$40,000
FENWAY COMMUNITY HEALTH CENTER INC
1340 BOYLSTON STREETBOSTONMA02215PCPOPULATION HEALTH MANAGEMENT GRANT$40,000
IDAHO PRIMARY CARE ASSOCIATION
1087 WEST RIVER STREET SUITE 160BOISEID83702PCPOPULATION HEALTH MANAGEMENT GRANT$40,000
GWUMILKEN INSTITUTE SCHOOL OF PUBLIC HEALTH
2175 K STREET NW 514PWASHINGTONDC20036PCSUPPORT MEDICAL-LEGAL PARTNERSHIP SUMMIT$2,500
MASSACHUSETTS LEAGUE OF COMMUNITY HEALTH CENTERS
40 COURT STREET 10TH FLBOSTONMA02108PCSUPPORT OF CHARITABLE ORGANIZATION$1,000
PENOBSCOT COMMUNITY HEALTH CARE
103 MAINE AVENUEBANGORME04401PCSUPPORT OF CHARITABLE ORGANIZATION$1,000
PRIMARY CARE DEVELOPMENT CORP
45 BROADWAY SUITE 530NEW YORKNY10006PCSUPPORT OF CHARITABLE ORGANIZATION$500
HRHCARE FOUNDATION
55 SOUTH BROADWAYTARRYTOWNNY10591PCSUPPORT OF CHARITABLE ORGANIZATION$3,500
HABITAT FOR HUMANITY NYC
111 JOHN STREETNEW YORKNY10038PCSUPPORT OF CHARITABLE ORGANIZATION$750
URBAN HEALTH PLAN INC
960 SOUTHERN BOULEVARDBRONXNY10459PCSUPPORT OF CHARITABLE ORGANIZATION$1,000
WILLIAM F RYAN COMMUNITY HEALTH CENTER
110 WEST 97TH STREETNEW YORKNY10025PCSUPPORT OF CHARITABLE ORGANIZATION$2,750
CHINATOWN HEALTH CLINIC FOUNDATION
268 CANAL ST 6TH FLOORNEW YORKNY10013PCSUPPORT OF CHARITABLE ORGANIZATION$1,375
CHCANYS
111 BROADWAY SUITE 1402NEW YORKNY10006PCSUPPORT OF CHARITABLE ORGANIZATION$2,000
HUDSON HEADWATERS HEALTH FOUNDATION
9 CAREY ROADQUEENSBURYNY12804PCSUPPORT OF CHARITABLE ORGANIZATION$1,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$948,043TotalGrantOrContriPdDurYrAmt

Grant Or Contri Apprv For Fut GrantOrContriApprvForFutGrp (5 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
FENWAY COMMUNITY HEALTH CENTER INC
1340 BOYLSTON STREETBOSTONMA02215PCPOPULATION HEALTH MANAGEMENT GRANT$85,000
IDAHO PRIMARY CARE ASSOCIATION
1087 WEST RIVER STREET SUITE 160BOISEID83702PCPOPULATION HEALTH MANAGEMENT GRANT$85,000
ACCESS COMMUNITY HEALTH NETWORK
600 WEST FULTON STREET SUITE 200CHICAGOIL60661PCPOPULATION HEALTH MANAGEMENT GRANT$85,000
ST JOHN'S WELL CHILD & FAMILY CENTER
808 WEST 58TH STREETLOS ANGELESCA90037PCPOPULATION HEALTH MANAGEMENT GRANT$85,000
MARIPOSA COMMUNITY HEALTH CENTER INC
1852 NORTH MASTICK WAYNOGALESAZ85621PCPOPULATION HEALTH MANAGEMENT GRANT$85,000
FieldValueIRS element (for citing)
Total Grant Or Contri Apprv Fut$425,000TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$2,915ExclusionAmt

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$605,142ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$961,888ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$1,569,945ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$1,569,945TotalIncomeProducingActyAmt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EO0TrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EO0TrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of Assets0SalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EO0PurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth Assets0RentalOfFacilitiesOthAssetsInd
Reimbursement Arrangements0ReimbursementArrangementsInd
Loans Or Loan Guarantees0LoansOrLoanGuaranteesInd
Performance Of Services Etc0PerformanceOfServicesEtcInd
Sharing Of Facilities Etc0SharingOfFacilitiesEtcInd
Relationships Nonchrtbl EOYes (1)RelationshipsNonchrtblEOInd

Relationship Schedule Detail RelationshipScheduleDetail

Organization Business Name OrganizationBusinessName

FieldValueIRS element (for citing)
Business Name Line1RCHN COMMUNITY HEALTH FOUNDATION SUPPORT CORP INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Organization Type501(C)(4)OrganizationTypeDesc
Relationship DescriptionTHE ORGANIZATION IS THE SOLE MEMBER OF RCHN COMMUNITY HEALTH FOUNDATION SUPPORT CORP, INC.RelationshipDescriptionTxt

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryCOHNREZNICK LLPCategoryTxt
Amt$55,022Amt
Net Investment Income$41,267NetInvestmentIncomeAmt
Disbursements Charitable Prps$14,858DisbursementsCharitablePrpsAmt

General Explanation Attachment GeneralExplanationAttachment

General Explanation GeneralExplanationGrp

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990-PF, PART VII-B, LINE 1A(4):FormAndLineReferenceDesc
Medium ExplanationOFFICERS FEYGELE JACOBS AND IGOR GOLDENBERG RECEIVED COMPENSATION FOR THE YEAR ENDING DECEMBER 31, 2017. THIS AMOUNT REPRESENTS PAYMENT FOR THEIR SERVICES WITH REGARD TO THE FOUNDATION AND THE SERVICES IT PROVIDES. THIS MEETS THE EXCEPTION AND IS CONSIDERED REASONABLE, AND THEREFORE, FORM 4720 IS NOT PREPARED.MediumExplanationTxt

Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corporate Bonds InvestmentsCorporateBondsGrp

FieldValueIRS element (for citing)
BondFIXED INCOMEBondNm
EOY Book Value$1,948,662EOYBookValueAmt
EOYFMV$1,948,662EOYFMVAmt

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp

FieldValueIRS element (for citing)
StockEQUITIESStockNm
EOY Book Value$3,052,221EOYBookValueAmt
EOYFMV$3,052,221EOYFMVAmt

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (3 entries)

Category Or ItemCategoryOrItemTxtListed At Cost Or FMVListedAtCostOrFMVCdBook ValueBookValueAmtEOYFMVEOYFMVAmt
ALTERNATIVE INVESTMENTSFMV$77,376$77,376
INVESTMENT IN CHA/CHVFMV$531,474$531,474
MUTUAL FUNDSFMV$11,877,547$11,877,547

Legal Fees Schedule LegalFeesSchedule

Legal Fees LegalFeesGrp (3 entries)

CategoryCategoryTxtLegal FeesLegalFeesAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
SMITH & DOWNEY$16,817$16,817$0
DECHERT$47,550$25,202$18,657
FELDESMAN TUCKER LEIFER$184$184$0

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (12 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
INSURANCE$24,718$9,393$15,026
INFORMATION TECHNOLOGY EXPENSES$33,308$12,657$20,651
DUES AND MEMBERSHIPS$5,053$0$5,053
TELEPHONE$20,036$7,614$12,422
EQUIPMENT RENTAL/MAINTENANCE$8,328$3,165$5,163
FOOD$4,903$1,863$3,040
PAYROLL PROCESSING$3,030$1,152$1,873
BANK CHARGES$17$17$0
OFFICE SUPPLIES$3,220$1,224$1,997
OFFSITE STORAGE$3,426$1,302$2,124
POSTAGE/EXPRESS DELIVERY$1,076$409$667
MISCELLANEOUS$4,808$1,824$2,923

Other Increases Schedule OtherIncreasesSchedule

Other Increases Detail OtherIncreasesDetail

FieldValueIRS element (for citing)
DescUNREALIZED GAINDesc
Amt$1,134,744Amt

Other Liabilities Schedule OtherLiabilitiesSchedule

Other Liabilities Detail OtherLiabilitiesDetail

FieldValueIRS element (for citing)
DescDEFERRED RENTDesc
BOY Book Value$65,392BOYBookValueAmt
EOY Book Value$65,688EOYBookValueAmt

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail (10 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
PUBLIC INTEREST MEDIA GROUP$21,290$0$22,790
MIRRAM GROUP LLC$60,000$0$60,000
HEALTH TECH STRATEGIES$80,276$0$42,500
MERRILL LYNCH$103,171$103,171$0
VSHIFT$30,000$0$30,000
COMMUNITY COUNSELLING SERVICES$10,500$10,500$0
ZOE BECKERMAN CONSULTING$5,100$0$0
DR. DAVID STEVENS$46,336$0$50,170
IAN O'BRIEN$3,105$0$3,188
DR. PAUL MELINKOVICH$7,150$0$6,750

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
FEDERAL EXCISE TAX$14,266$0$0
FOREIGN TAXES$643$643$0