STRATEGY STUDIO / PUBLIC DATA EXPLORER

ROCK HEALTH FOUNDATION: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
ROCK HEALTH FOUNDATION (EIN 45-1204321)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-11-13
IRS object ID
201733179349304033
Schema version
2016v3.0
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)
Return2017-11-13T13:51:47-06:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN910189318PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Moss Adams LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1101 Second Street Suite 900AddressLine1Txt
CitySan FranciscoCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94105ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN451204321EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Rock Health IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlROCKBusinessNameControlTxt
Phone4158698585PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1455 Mission Bay Blvd S Suite 124AddressLine1Txt
CitySan FranciscoCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94158ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonWilliam EvansPersonNm
Person TitleCEOPersonTitleTxt
Phone4158698585PhoneNum
Signature2017-11-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRichard CroghanPreparerPersonNm
PTINP00089862PTIN
Phone4159561500PhoneNum
Preparation2017-10-19PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address12.129.7.100IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-11-13IPDt
IP Tm12:20:56IPTm
IP TimezonePSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device Id41F3D51277C721D7E64869098416E4BAA04E310DAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerWilliam EvansPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1455 Mission Bay Blvd S Suite 124AddressLine1Txt
CitySan FranciscoCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94158ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,571,349GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.rockhealth.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2011FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionROCK HEALTH'S SOLE PURPOSE IS EDUCATING, TEACHING, INSTRUCTING, TRAINING AND COACHING HEALTHCARE INNOVATORS AND ENTREPRENEURS.ActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent4VotingMembersIndependentCnt
Total Employee10TotalEmployeeCnt
Total Volunteers10TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,573,406PYContributionsGrantsAmt
CY Contributions Grants$1,287,550CYContributionsGrantsAmt
PY Program Service Revenue$728,848PYProgramServiceRevenueAmt
CY Program Service Revenue$238,564CYProgramServiceRevenueAmt
PY Investment Income$163PYInvestmentIncomeAmt
CY Investment Income$190CYInvestmentIncomeAmt
PY Other Revenue-$12,023PYOtherRevenueAmt
CY Other Revenue$10,217CYOtherRevenueAmt
PY Total Revenue$2,290,394PYTotalRevenueAmt
CY Total Revenue$1,536,521CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$989,310PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$781,325CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$661CYTotalFundraisingExpenseAmt
PY Other Expenses$716,171PYOtherExpensesAmt
CY Other Expenses$850,386CYOtherExpensesAmt
PY Total Expenses$1,705,481PYTotalExpensesAmt
CY Total Expenses$1,631,711CYTotalExpensesAmt
PY Revenues Less Expenses$584,913PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$95,190CYRevenuesLessExpensesAmt
Total Assets BOY$2,403,390TotalAssetsBOYAmt
Total Assets EOY$2,386,250TotalAssetsEOYAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,403,390NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,386,250NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionROCK HEALTH'S SOLE PURPOSE IS EDUCATING, TEACHING, INSTRUCTING, TRAINING AND COACHING HEALTHCARE ENTREPRENEURS FOR THE PURPOSE OF IMPROVING AND DEVELOPING THE ENTREPRENEURS' CAPABILITIES, SKILLS AND KNOWLEDGE BASE. TO MEET THIS EDUCATIONAL PURPOSE, ROCK HEALTH IS ENGAGED IN A NUMBER OF EDUCATIONAL ACTIVITIES THAT ARE AVAILABLE TO THE GENERAL PUBLIC, THE PRIMARY ACTIVITY OF WHICH IS HOSTING THE BUSINESS INCUBATOR PROGRAM.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$760,898ExpenseAmt
Revenue$238,564RevenueAmt
DescBUSINESS INCUBATOR: PROGRAMMING AND GRANTS FOR HEALTHCARE: IN KEEPINGWITH ITS MISSION TO SUPPORT INNOVATION AT THE INTERSECTION OFHEALTHCARE AND TECHNOLOGY, ROCK HEALTH SUPPORTED OVER 40 COMPANIESIN 2016, LOGGING AN AVERAGE OF 10 HOURS OF STRATEGIC SUPPORT PERCOMPANY AND HUNDREDS OF INTRODUCTIONS TO OUR EXPERT NETWORK OFINDUSTRY PROFESSIONALS AND HEALTHCARE THOUGHT LEADERS. AMONGSTOUR ENTIRE PORTFOLIO, OVER $230M IN GROWTH FUNDING WAS RAISED IN2016, CREATING HUNDREDS OF NEW JOBS. OUR LOYAL AND GROWINGCOMMUNITY OF EXPERTS AND ALUMNI CONTINUE TO GENEROUSLY OFFERSTRATEGIC GUIDANCE AND EXPERTISE TO ROCK HEALTH STARTUPS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
DescPUBLIC EDUCATIONAL EVENTS: ROCK HEALTH HOSTED MULTIPLE EVENTS IN 2016,SERVING 1,190 PEOPLE. WE HOSTED OVER 100 DIVERSE THOUGHT LEADERS ASTEACHERS, SPEAKERS, AND DISCUSSION LEADERS. THE MAIN THEMES COVEREDINCLUDED: HEALTHCARE INNOVATION, HEALTH DATA, BUSINESS, HEALTHCAREREFORM, AND ENTREPRENEURSHIP. THE EVENTS RANGED FROM SMALLINTIMATE CLASSES WITH 20-30 ATTENDEES TO A 200+ HEALTHCARE DIVERSITYSUMMIT.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
DescRESEARCH ROCK HEALTH OFFERS AN EXTENSIVE ARRAY OF DIVERSE ONLINEEDUCATIONAL RESOURCES. THE CORE OF THESE RESOURCES IS OUR ROCKREPORTS, WHICH ARE BASED ON PRIMARY AND SECONDARY RESEARCHAND PROVIDE AN IN-DEPTH LOOK AT TRENDS IN HEALTH TECHNOLOGY.FOUR ROCK REPORTS PUBLISHED IN 2016 RECEIVED OVER 35,595 VIEWSOVER THAT YEAR, ON TOPICS INCLUDING DIGITAL BIOMARKERS, GENOMICS,CONSUMER ADOPTION OF DIGITAL HEALTH, AND FUNDING IN DIGITALHEALTH. OUR VIDEO SERIES ON YOUTUBE HIGHLIGHTS THE BEST DIGITALHEALTH CURRICULUM IN A VIDEO LECTURE SERIES, AND WAS VIEWED47,000 TIMES IN2016. WE ALSO CAREFULLY CURATE A JOBS PAGE, BLOG(WITH OVER 26 POSTS IN 2016), AND OTHER RESOURCES WHICH AREFREE TO THE PUBLIC ON OUR WEBSITE.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$760,898TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document14IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee10EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members6GoverningBodyVotingMembersCnt
Independent Voting Member4IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of Committees0MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonWilliam EvansPersonNm
Phone4158698585PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1455 MISSION BAY BLVD S SUITE 124AddressLine1Txt
CitySan FranciscoCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94158ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (7 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Nate gross
DIrector1.00Yes (X)$0$0$0
Linda Avey
Director1.00Yes (X)$0$0$0
Bridget Duffy
Director1.00Yes (X)$0$0$0
Janet Widmann
CEO (thru 5/25/16)40.00Yes (X)$130,294$0$0Yes (X)
William Evans
CEO40.00Yes (X)$52,310$0$390Yes (X)
Todd Pierce
Director1.00Yes (X)$0$0$0
Keith Muth
VP Portfolio & Operations40.00$117,864$0$3,510Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$300,468TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$3,900TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K2IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
All Other Contributions$1,287,550AllOtherContributionsAmt
Total Contributions$1,287,550TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Product Sales900099$148,870$148,870
Public Event Income900099$55,694$55,694
Consulting Services900099$25,000$25,000
Office Visits900099$9,000$9,000
FieldValueIRS element (for citing)
Total Program Service Revenue$238,564TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$190TotalRevenueColumnAmt
Exclusion$190ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$45,045RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$34,828RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$10,217RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,217TotalRevenueColumnAmt
Exclusion$10,217ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,536,521TotalRevenueColumnAmt
Related Or Exempt Func Income$238,564RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$10,407ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$182,994TotalAmt
Management And General$182,994ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$517,310TotalAmt
Program Services$313,671ProgramServicesAmt
Management And General$203,639ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$26,743TotalAmt
Management And General$26,743ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$54,278TotalAmt
Program Services$54,278ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$47,136TotalAmt
Management And General$47,136ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$77,902TotalAmt
Management And General$77,902ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$371,462TotalAmt
Program Services$131,057ProgramServicesAmt
Management And General$240,405ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$3,473TotalAmt
Program Services$3,473ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$8,153TotalAmt
Management And General$8,153ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$45,271TotalAmt
Management And General$45,271ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$63,957TotalAmt
Program Services$57,276ProgramServicesAmt
Management And General$6,681ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$27,148TotalAmt
Program Services$27,148ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$4,151TotalAmt
Management And General$4,151ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,656TotalAmt
Management And General$1,656ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$15,583TotalAmt
Management And General$15,583ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Educational Programming$150,314$150,314
Start-Up Support Costs$21,400$21,400
Taxes & Licenses$6,282$6,282
Intern Program Expenses$1,955$298$1,657

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$4,543TotalAmt
Program Services$1,983ProgramServicesAmt
Management And General$1,899ManagementAndGeneralAmt
Fundraising$661FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,631,711TotalAmt
Program Services$760,898ProgramServicesAmt
Management And General$870,152ManagementAndGeneralAmt
Fundraising$661FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,126,310BOYAmt
EOY$2,372,988EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$250,035BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$13,102LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,340LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$2,045BOYAmt
EOY$10,762EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$25,000BOYAmt
EOY$2,500EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,403,390BOYAmt
EOY$2,386,250EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

FieldValueIRS element (for citing)
BOY$2,403,390BOYAmt
EOY$2,386,250EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,403,390BOYAmt
EOY$2,386,250EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,403,390BOYAmt
EOY$2,386,250EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$95,190ReconcilationRevenueExpnssAmt
Prior Period Adjustments$78,050PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,052,404CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$906,000CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,213,408CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,573,406CurrentTaxYearMinus1YearAmt
Current Tax Year$1,287,550CurrentTaxYearAmt
Total$6,032,768TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,052,404CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$906,000CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,213,408CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,573,406CurrentTaxYearMinus1YearAmt
Current Tax Year$1,287,550CurrentTaxYearAmt
Total$6,032,768TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$2,408,382SubstantialContributorsTotAmt
Public Support Total170$3,624,386PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$11,588CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$22,465CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$47,995CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$25,296CurrentTaxYearMinus1YearAmt
Current Tax Year$45,234CurrentTaxYearAmt
Total$152,578TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,371CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,547CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$599CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5CurrentTaxYearMinus1YearAmt
Total$9,522TotalAmt
FieldValueIRS element (for citing)
Total Support$6,194,868TotalSupportAmt
Gross Receipts Rltd Activities$2,381,057GrossReceiptsRltdActivitiesAmt
Public Support CY1700.58510PublicSupportCY170Pct
Public Support PY1700.64570PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$13,102OtherCostOrOtherBasisAmt
Depreciation$2,340DepreciationAmt
Book Value$10,762BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$10,762TotalBookValueLandBuildingsAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 8bThere are no committees with authority to act on behalf of the governing body.
Form 990, Part VI, Section B, line 11bForm 990 is prepared by an independent accounting firm. The CEO will review the tax returns for accuracy. An electronic copy of the Form 990 will be emailed to the entire board for comments prior to filing with the IRS.
Form 990, Part VI, Section B, line 12cIn connection with any actual or possible conflict of interest, an interested person must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors, who are considering the proposed transaction or arrangement. After disclosure of the financial interest and all material facts, and after any discussion with the interested person, the interested person shall leave the Board meeting while the determination of a conflict of interest is discussed and voted upon. The remaining Board members shall decide if a conflict of interest exists. In the event that the Board determines that a proposed transaction or arrangement presents a conflict of interest, the Board shall appoint a disinterested person to investigate alternatives, if appropriate, and exclude the interested person from the discussion of, and vote on, the transaction. If the Board has reasonable cause to believe an interested person has failed to disclose actual or possible conflicts of interest, it shall inform the interested person of the basis for such belief and afford the interested person an opportunity to explain the alleged failure to disclose. If the Board determines the interested person has failed to disclose an actual or possible conflict of interest, it shall take appropriate disciplinary and corrective action.
Form 990, Part VI, Section B, line 15Compensation of officers and key employees, including the top management official, is determined by the disinterested directors. The content of the discussion, including the information used to determine the reasonableness of the compensation, and a record of any votes taken in connection with the proceedings shall be maintained in the minutes of the Corporation. The determination of reasonableness shall be based upon information about compensation paid by similarly situated organizations for similar services, current compensation surveys compiled by independent firms or actual written offers from similarly situated organizations.
Form 990, Part VI, Section C, line 19THE FINANCIAL STATEMENTS, governing documents AND CONFLICT OF INTEREST POLICY ARE AVAiLABLE UPON REQUEST.
Form 990, Part IX, line 11gContractor Wages: Program service expenses 131,057. Management and general expenses 0. Fundraising expenses 0. Total expenses 131,057. Consulting: Program service expenses 0. Management and general expenses 233,277. Fundraising expenses 0. Total expenses 233,277. Graphic Design: Program service expenses 0. Management and general expenses 7,071. Fundraising expenses 0. Total expenses 7,071. Other: Program service expenses 0. Management and general expenses 57. Fundraising expenses 0. Total expenses 57.

Schedule R IRS990ScheduleR

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1ROCK HEALTH SEED FUND II LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1455 Mission Bay Blvd Suite 124AddressLine1Txt
CitySan FranciscoCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94158ZIPCd
FieldValueIRS element (for citing)
EIN472585488EIN
Primary ActivitiesInvestment PartnershipPrimaryActivitiesTxt
Legal Domicile StateCALegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1Rock Health IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Disproportionate Allocations0DisproportionateAllocationsInd
General Or Managing Partner0GeneralOrManagingPartnerInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Rock Health Seed Fund II LLCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeLTransactionTypeTxt
Involved$7,800InvolvedAmt
Method Of Amount DeterminationBook ValueMethodOfAmountDeterminationTxt