RCHN COMMUNITY HEALTH FOUNDATION INC: Form 990PF, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- RCHN COMMUNITY HEALTH FOUNDATION INC (EIN 13-3759663)
- Tax period
- 2015-01-01 to 2015-12-31
- Filed
- 2016-11-09
- IRS object ID
- 201613149349100216
- Schema version
- 2015v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990-PF
- Accounting Fees Schedule
- Depreciation Schedule
- Expenditure Responsibility Stmt
- General Explanation Attachment
- Investments Corp Bonds Schedule
- Investments Corp Stock Schedule
- Investments Other Schedule2
- Land Etc Schedule2
- Legal Fees Schedule
- Other Assets Schedule
- Other Decreases Schedule
- Other Expenses Schedule
- Other Income Schedule2
- Other Liabilities Schedule
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-11-09T11:28:41-06:00 | ReturnTs |
| Tax Period End | 2015-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 221478099 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COHNREZNICK LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1212 Avenue of the Americas | AddressLine1Txt |
| City | New York | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10036 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2015-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 133759663 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RCHN COMMUNITY HEALTH FOUNDATION INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | RCHN | BusinessNameControlTxt |
| Phone | 2122461122 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 55 BROADWAY SUITE 1502 | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10006 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | feygele jacobs | PersonNm |
| Person Title | pres & CEO | PersonTitleTxt |
| Phone | 2122461122 | PhoneNum |
| Signature | 2016-11-08 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | THOMAS LANNING | PreparerPersonNm |
| PTIN | P00851654 | PTIN |
| Phone | 2122970400 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $21,289,114 | FMVAssetsEOYAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rcvd Rev And Expnss | $1,000 | ContriRcvdRevAndExpnssAmt |
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Interest On Sav Rev And Expnss | $629 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $629 | InterestOnSavNetInvstIncmAmt |
| Dividends Rev And Expnss | $602,461 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $602,461 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $621,200 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $8,014,522 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $621,200 | CapGainNetIncmNetInvstIncmAmt |
| Other Income Rev And Expnss | $31,215 | OtherIncomeRevAndExpnssAmt |
| Other Income Net Invst Incm | $0 | OtherIncomeNetInvstIncmAmt |
| Total Rev And Expnss | $1,256,505 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $1,224,290 | TotalNetInvstIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $412,353 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Net Invst Incm | $168,363 | CompOfcrDirTrstNetInvstIncmAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $243,990 | CompOfcrDirTrstDsbrsChrtblAmt |
| Oth Empl Slrs Wgs Rev And Expnss | $570,788 | OthEmplSlrsWgsRevAndExpnssAmt |
| Oth Empl Slrs Wgs Net Invst Incm | $161,614 | OthEmplSlrsWgsNetInvstIncmAmt |
| Oth Empl Slrs Wgs Dsbrs Chrtbl | $409,174 | OthEmplSlrsWgsDsbrsChrtblAmt |
| Pension Empl Bnft Rev And Expnss | $279,189 | PensionEmplBnftRevAndExpnssAmt |
| Pension Empl Bnft Net Invst Incm | $83,301 | PensionEmplBnftNetInvstIncmAmt |
| Pension Empl Bnft Dsbrs Chrtbl | $213,227 | PensionEmplBnftDsbrsChrtblAmt |
| Legal Fees Rev And Expnss | $34,843 | LegalFeesRevAndExpnssAmt |
| Legal Fees Net Invst Incm | $20,867 | LegalFeesNetInvstIncmAmt |
| Legal Fees Dsbrs Chrtbl | $12,772 | LegalFeesDsbrsChrtblAmt |
| Accounting Fees Rev And Expnss | $51,906 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $38,930 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Chrtbl Prps | $15,983 | AccountingFeesChrtblPrpsAmt |
| Other Prof Fees Rev And Expnss | $593,126 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $124,312 | OtherProfFeesNetInvstIncmAmt |
| Other Prof Fees Dsbrs Chrtbl | $476,340 | OtherProfFeesDsbrsChrtblAmt |
| Taxes Rev And Expnss | $21,920 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $9,680 | TaxesNetInvstIncmAmt |
| Taxes Dsbrs Chrtbl | $0 | TaxesDsbrsChrtblAmt |
| Deprec And Dpltn Rev And Expnss | $342,206 | DeprecAndDpltnRevAndExpnssAmt |
| Deprec And Dpltn Net Invst Incm | $342,206 | DeprecAndDpltnNetInvstIncmAmt |
| Occupancy Rev And Expnss | $274,050 | OccupancyRevAndExpnssAmt |
| Occupancy Net Invst Incm | $93,177 | OccupancyNetInvstIncmAmt |
| Occupancy Dsbrs Chrtbl | $243,036 | OccupancyDsbrsChrtblAmt |
| Trav Conf Meeting Rev And Expnss | $54,230 | TravConfMeetingRevAndExpnssAmt |
| Trav Conf Meeting Net Invst Incm | $0 | TravConfMeetingNetInvstIncmAmt |
| Trav Conf Meeting Dsbrs Chrtbl | $54,230 | TravConfMeetingDsbrsChrtblAmt |
| Printing And Pub Rev And Expnss | $3,582 | PrintingAndPubRevAndExpnssAmt |
| Printing And Pub Net Invst Incm | $0 | PrintingAndPubNetInvstIncmAmt |
| Printing And Pub Dsbrs Chrtbl | $3,582 | PrintingAndPubDsbrsChrtblAmt |
| Other Expenses Rev And Expnss | $144,073 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $48,982 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Dsbrs Chrtbl | $92,851 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $2,782,266 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $1,091,432 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $1,765,185 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $1,344,166 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $878,401 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $4,126,432 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $1,091,432 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $2,643,586 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | -$2,869,927 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $132,858 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sav And Temp Cash Invst BOY | $1,224,470 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $996,666 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $996,666 | SavAndTempCashInvstEOYFMVAmt |
| Prepaid Expenses BOY | $353,834 | PrepaidExpensesBOYAmt |
| Prepaid Expenses EOY | $302,648 | PrepaidExpensesEOYAmt |
| Prepaid Expenses EOYFMV | $302,648 | PrepaidExpensesEOYFMVAmt |
| Corporate Stock BOY | $8,762,434 | CorporateStockBOYAmt |
| Corporate Stock EOY | $5,859,514 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $5,859,514 | CorporateStockEOYFMVAmt |
| Corporate Bonds BOY | $1,462,704 | CorporateBondsBOYAmt |
| Corporate Bonds EOY | $1,704,332 | CorporateBondsEOYAmt |
| Corporate Bonds EOYFMV | $1,704,332 | CorporateBondsEOYFMVAmt |
| Other Investments BOY | $13,713,109 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $12,074,123 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $12,074,123 | OtherInvestmentsEOYFMVAmt |
| Land Bldg Equip Cost Or Other Bss | $3,246,076 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $2,894,245 | LandBldgEquipAccumDeprecAmt |
| Land BOY | $691,853 | LandBOYAmt |
| Land EOY | $351,831 | LandEOYAmt |
| Land EOYFMV | $351,831 | LandEOYFMVAmt |
| Other Assets BOY | $15,954 | OtherAssetsBOYAmt |
| Other Assets EOY | $0 | OtherAssetsEOYAmt |
| Other Assets EOYFMV | $0 | OtherAssetsEOYFMVAmt |
| Total Assets BOY | $26,224,358 | TotalAssetsBOYAmt |
| Total Assets EOY | $21,289,114 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $21,289,114 | TotalAssetsEOYFMVAmt |
| Accounts Payable BOY | $608,777 | AccountsPayableBOYAmt |
| Accounts Payable EOY | $1,019,126 | AccountsPayableEOYAmt |
| Other Liabilities BOY | $81,468 | OtherLiabilitiesBOYAmt |
| Other Liabilities EOY | $69,883 | OtherLiabilitiesEOYAmt |
| Total Liabilities BOY | $690,245 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,089,009 | TotalLiabilitiesEOYAmt |
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
| Unrestricted BOY | $25,534,113 | UnrestrictedBOYAmt |
| Unrestricted EOY | $20,200,105 | UnrestrictedEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $25,534,113 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $20,200,105 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $26,224,358 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $21,289,114 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $25,534,113 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | -$2,869,927 | ExcessRevenueOverExpensesAmt |
| Other Increases | $0 | OtherIncreasesAmt |
| Subtotal | $22,664,186 | SubtotalAmt |
| Other Decreases | $2,464,081 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $20,200,105 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Property | publicly traded securities | PropertyDesc |
| Gross Sales Price | $8,014,522 | GrossSalesPriceAmt |
| Cost Or Other Basis | $7,393,322 | CostOrOtherBasisAmt |
| Gain Or Loss | $621,200 | GainOrLossAmt |
| Gains Minus Excess Or Losses | $621,200 | GainsMinusExcessOrLossesAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $621,200 | CapitalGainNetIncomeAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | 0 | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $3,385,050 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $26,898,197 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 0.125847 | DistributionYr1Rt |
| Adjusted Qlfy Distri Yr2 | $3,177,550 | AdjustedQlfyDistriYr2Amt |
| Net Vl Noncharitable Assets Yr2 | $27,970,934 | NetVlNoncharitableAssetsYr2Amt |
| Distribution Yr2 | 0.113602 | DistributionYr2Rt |
| Adjusted Qlfy Distri Yr3 | $4,034,403 | AdjustedQlfyDistriYr3Amt |
| Net Vl Noncharitable Assets Yr3 | $29,636,227 | NetVlNoncharitableAssetsYr3Amt |
| Distribution Yr3 | 0.136131 | DistributionYr3Rt |
| Total Distribution | 0.375580 | TotalDistributionRt |
| Average Distribution | 0.125193 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $23,138,058 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $2,896,723 | AdjNetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $1,329 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $2,898,052 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $2,643,586 | QualifyingDistributionsAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $2,657 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $2,657 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $2,657 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $12,240 | EstimatedPlusOvpmtIncmTxAmt |
| Total Payments And Credits | $12,240 | TotalPaymentsAndCreditsAmt |
| Overpayment | $9,583 | OverpaymentAmt |
| Applied To ES Tax | $9,583 | AppliedToESTaxAmt |
| Refund | $0 | RefundAmt |
Statements Regarding Acty StatementsRegardingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Acty | 0 | LegislativePoliticalActyInd |
| More Than100 Spent | 0 | MoreThan100SpentInd |
| Form1120 POL Filed | 0 | Form1120POLFiledInd |
| Section4955 Organization Tax | $0 | Section4955OrganizationTaxAmt |
| Section4955 Managers Tax | $0 | Section4955ManagersTaxAmt |
| Tax Reimbursed | $0 | TaxReimbursedAmt |
| Activities Not Previously Rpt | 0 | ActivitiesNotPreviouslyRptInd |
| Changes To Articles Or Bylaws | 0 | ChangesToArticlesOrBylawsInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Organization Dissolved Etc | 0 | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | Yes (1) | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (1) | AtLeast5000InAssetsInd |
| Org Report Or Register State | NY | OrgReportOrRegisterStateCd |
| Form990 PF Filed With Atty Gen | Yes (1) | Form990PFFiledWithAttyGenInd |
| Private Operating Foundation | 0 | PrivateOperatingFoundationInd |
| New Substantial Contributors | 0 | NewSubstantialContributorsInd |
| Own Controlled Entity | 0 | OwnControlledEntityInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Comply With Public Insp Rqr | Yes (1) | ComplyWithPublicInspRqrInd |
| Website Address | WWW.RCHNFOUNDATION.ORG | WebsiteAddressTxt |
| Individual With Books | Igor Goldenberg | IndividualWithBooksNm |
| Phone | 2122461122 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 55 Broadway Suite 1502 | AddressLine1Txt |
| City | New York | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10006 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Accounts Question | 0 | ForeignAccountsQuestionInd |
Statements Regarding Acty4720 StatementsRegardingActy4720Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exch Disqualified Prsn | 0 | SaleOrExchDisqualifiedPrsnInd |
| Brrw Or Lend Disqualified Prsn | 0 | BrrwOrLendDisqualifiedPrsnInd |
| Furn Goods Disqualified Prsn | 0 | FurnGoodsDisqualifiedPrsnInd |
| Pay Comp Disqualified Prsn | Yes (1) | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | 0 | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | 0 | PaymentToGovernmentOfficialInd |
| Acts Fail To Qlfy As Exceptions | 0 | ActsFailToQlfyAsExceptionsInd |
| Uncorrected Prior Acts | 0 | UncorrectedPriorActsInd |
| Undistributed Income PY | 0 | UndistributedIncomePYInd |
| Business Holdings | 0 | BusinessHoldingsInd |
| Jeopardy Investments | 0 | JeopardyInvestmentsInd |
| Uncorrected PY Jeopardy Invst | 0 | UncorrectedPYJeopardyInvstInd |
| Influence Legislation | 0 | InfluenceLegislationInd |
| Influence Election | 0 | InfluenceElectionInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Noncharitable Purpose | 0 | NoncharitablePurposeInd |
| Transactions Fail To Qlfy As Exc | 0 | TransactionsFailToQlfyAsExcInd |
| Maintained Expenditure Rspns | Yes (1) | MaintainedExpenditureRspnsInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp
Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (9 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 |
|---|---|---|---|---|---|---|---|---|
| DAVID REYNOLDS | ||||||||
| 55 broadway suite 1502 | New York | NY | 10006 | BOARD MEMBER | 1.00 | $0 | $0 | $0 |
| feygele jacobs | ||||||||
| 55 broadway suite 1502 | New York | NY | 10006 | president & CEO | 35.00 | $311,930 | $78,385 | $0 |
| igor goldenberg | ||||||||
| 55 broadway suite 1502 | New York | NY | 10006 | cfo | 35.00 | $100,423 | $17,785 | $0 |
| LONNY REISMAN MD | ||||||||
| 55 broadway suite 1502 | New York | NY | 10006 | BOARD MEMBER | 1.00 | $0 | $0 | $0 |
| M MONICA SWEENEY MD | ||||||||
| 55 broadway suite 1502 | New York | NY | 10006 | BOARD MEMBER | 1.00 | $0 | $0 | $0 |
| MARTHA WOLFGANG | ||||||||
| 55 broadway suite 1502 | New York | NY | 10006 | BOARD MEMBER | 1.00 | $0 | $0 | $0 |
| SAMUEL DANIEL MD | ||||||||
| 55 broadway suite 1502 | New York | NY | 10006 | FORMER VICE CHAIR/TREASURER | 1.00 | $0 | $0 | $0 |
| SARA ROSENBAUM ESQ | ||||||||
| 55 broadway suite 1502 | New York | NY | 10006 | CHAIRPERSON | 1.00 | $0 | $0 | $0 |
| THOMAS VAN COVERDEN | ||||||||
| 55 broadway suite 1502 | New York | NY | 10006 | SECRETARY | 1.00 | $0 | $0 | $0 |
Compensation Highest Paid Empl CompensationHighestPaidEmplGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee BenefitsEmployeeBenefitsAmt | Expense AccountExpenseAccountAmt |
|---|---|---|---|---|---|---|---|---|
| DAVID HARTZBAND | ||||||||
| 55 broadway suite 1502 | New York | NY | 10006 | Director, Technology | 30.00 | $170,911 | $35,850 | $0 |
| MARK BOGOSIAN | ||||||||
| 55 broadway suite 1502 | New York | NY | 10006 | Assoc. Dir-Grants & | 35.00 | $119,608 | $37,971 | $0 |
| BARBARA ALLEN | ||||||||
| 55 broadway suite 1502 | New York | NY | 10006 | finance manager | 35.00 | $118,603 | $28,371 | $0 |
| MARJORIE BOMSON | ||||||||
| 55 broadway suite 1502 | New York | NY | 10006 | MANAGER-ADMINISTRATI | 35.00 | $111,787 | $30,498 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Employee Paid Over50k | 0 | OtherEmployeePaidOver50kCnt |
Compensation Of Hghst Pd Cntrct CompensationOfHghstPdCntrctGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Service TypeServiceTypeTxt | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Community Counseling Service | |||||
| po box 824885 | philadelphia | PA | 19182 | Development | $210,000 |
| Vshift | |||||
| 99 madison ave 5th fl | new YORK | NY | 10016 | Website design/maintenance | $75,832 |
| COHNREZNICK LLP | |||||
| 1212 AVE OF THE AMERICAS | NEW YORK | NY | 10036 | AUDIT AND TAX PREPARATION | $63,931 |
| MIRRAM GROUP LLC | |||||
| 5030 broadway suite 807 | NEW YORK | NY | 10034 | Strategic consulting | $60,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contractor Paid Over50k | 0 | ContractorPaidOver50kCnt |
Sum Of Program Related Invst SumOfProgramRelatedInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $22,050,144 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $1,440,270 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $23,490,414 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $23,490,414 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $352,356 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $23,138,058 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $1,156,903 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $1,156,903 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $2,657 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $2,657 | TotalTaxAmt |
| Distributable Before Adj | $1,154,246 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $0 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $1,154,246 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $1,154,246 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $2,643,586 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Qualifying Distributions | $2,643,586 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $0 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $2,643,586 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $1,154,246 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $0 | UndistributedIncomePYAmt |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Excess Distribution Cyov Yr3 | $2,572,674 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr2 | $1,786,666 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $2,064,564 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $6,423,904 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $2,643,586 | QualifyingDistributionsAmt |
| Applied To Year1 | $0 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $1,154,246 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $1,489,340 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $0 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $0 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $7,913,244 | TotalCorpusAmt |
| Prior Year Undistributed Incm | $0 | PriorYearUndistributedIncmAmt |
| Prior Year Deficiency Or Tax | $0 | PriorYearDeficiencyOrTaxAmt |
| Taxable1 | $0 | Taxable1Amt |
| Taxable2 | $0 | Taxable2Amt |
| Undistributed Income CY | $0 | UndistributedIncomeCYAmt |
| Corpus Distri170b1 E Or4942g3 | $0 | CorpusDistri170b1EOr4942g3Amt |
| Excess Distri Cyov From Yr5 | $0 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $7,913,244 | ExcessDistriCyovToNextYrAmt |
| Excess From Year3 | $2,572,674 | ExcessFromYear3Amt |
| Excess From Year2 | $1,786,666 | ExcessFromYear2Amt |
| Excess From Year1 | $2,064,564 | ExcessFromYear1Amt |
| Excess From Current Year | $1,489,340 | ExcessFromCurrentYearAmt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (32 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt | Address Line1RecipientForeignAddress/AddressLine1Txt | CityRecipientForeignAddress/CityNm | Province Or StateRecipientForeignAddress/ProvinceOrStateNm | CountryRecipientForeignAddress/CountryCd |
|---|---|---|---|---|---|---|---|---|---|---|
| ACCESS FAMILY CARE | ||||||||||
| 47 NELSON AVENUE | Neosho | MO | 64850 | PC | POPULATION HEALTH MANAGEMENT GRANT | $50,000 | ||||
| ADELANTE HEALTHCARE | ||||||||||
| 9520 WEST PALM LANE | Phoenix | AZ | 85037 | PC | POPULATION HEALTH MANAGEMENT GRANT | $49,997 | ||||
| ASSOCIATION OF CLINICIANS FOR THE UNDERSERVED | ||||||||||
| 1420 SPRING HILL ROAD SUITE 600 | TYSONS CORNER | VA | 22102 | PC | CONFERENCE SPONSORSHIP | $5,000 | ||||
| CALLEN-LORDE COMMUNITY HEALTH CENTER | ||||||||||
| 356 WEST 18TH STREET | NEW YORK | NY | 10011 | PC | SUPPORT OF CHARITABLE ORGANIZATION | $500 | ||||
| CANADIAN ASSOCIATION OF COMMUNITY HEALTH CENTERS | ||||||||||
| PC | SUPPORT OF US PARTICIPATION IN INT'L CHC STUDY TOUR | $10,000 | 340 COLLEGE STREET SUITE 500 | toronto | ontario | CA | ||||
| CARE FOR THE HOMELESS | ||||||||||
| 30 EAST 33RD ST 5TH FLOOR | NEW YORK | NY | 10016 | PC | SUPPORT OF CHARITABLE ORGANIZATION | $2,500 | ||||
| CHARLES B WANG COMMUNITY HEALTH CENTER | ||||||||||
| 268 CANAL STREET | New York | NY | 10013 | PC | POPULATION HEALTH MANAGEMENT GRANT | $50,000 | ||||
| CHINATOWN HEALTH CLINIC FOUNDATION | ||||||||||
| 268 CANAL ST 6TH FLOOR | NEW YORK | NY | 10013 | PC | SUPPORT OF CHARITABLE ORGANIZATION | $2,100 | ||||
| COLORADO COMMUNITY HEALTH NETWORK | ||||||||||
| 600 GRANT STREET SUITE 800 | Denver | CO | 80203 | PC | POPULATION HEALTH MANAGEMENT GRANT | $50,000 | ||||
| COMMUNITY HEALTH CARE ASSOCIATION OF NEW YORK STATE | ||||||||||
| 111 BROADWAY SUITE 1402 | New York | NY | 10006 | PC | SUPPORT OF CHARITABLE ORGANIZATION | $550 | ||||
| COMMUNITY HEALTH CARE ASSOCIATION OF NEW YORK STATE | ||||||||||
| 111 BROADWAY SUITE 1402 | NEW YORK | NY | 10006 | PC | CONFERENCE SPONSORSHIP | $3,500 | ||||
| COMMUNITY HEALTH OF SOUTH FLORIDA INC | ||||||||||
| 10300 SW 216TH STREET | MIAMI | FL | 33190 | PC | OUTREACH AND ENROLLMENT GRANT | $56,587 | ||||
| ERIE COUNTY HEALTH DEPARTMENT | ||||||||||
| 420 SUPERIOR STREET | Sandusky | OH | 44870 | PC | POPULATION HEALTH MANAGEMENT GRANT | $10,000 | ||||
| GEIGER GIBSON COMMUNITY HEALTH CENTER | ||||||||||
| 250 MT VERNON STREET | Dorchester | MA | 02125 | PC | SUPPORT 50th ANNIVERSARY COMMEMORATION | $1,050 | ||||
| GEORGE WASHINGTON UNIVERSITY | ||||||||||
| 2121 I STREET NW SUITE 601 | WASHINGTON | DC | 20052 | PC | GIFT TO SUPPORT GEIGER GIBSON PROGRAM | $350,000 | ||||
| GEORGE WASHINGTON UNIVERSITY OFFICE OF THE VP RESEARCH | ||||||||||
| 2121 I STREET NW SUITE 601 | WASHINGTON | DC | 20052 | PC | STUDY IMPACT OF HEALTH CARE REFORM IN PUERTO RICO | $56,742 | ||||
| GEORGE WASHINGTON UNIVERSITY OFFICE OF THE VP RESEARCH | ||||||||||
| 2121 I STREET NW SUITE 601 | Washington | DC | 20052 | PC | white paper on population health | $25,500 | ||||
| GEORGE WASHINGTON UNIVERSITY OFFICE OF THE VP RESEARCH | ||||||||||
| 2121 I STREET NW SUITE 601 | WASHINGTON | DC | 20052 | PC | POPULATION HEALTH MANAGEMENT GRANT | $12,000 | ||||
| HIMSS FOUNDATION | ||||||||||
| 230 EAST OHIO ST SUITE 500 | CHICAGO | IL | 60611 | PC | SUPPORT OF CHARITABLE ORGANIZATION | $5,000 | ||||
| HRHCARE FOUNDATION | ||||||||||
| 55 SOUTH BROADWAY | TARRYTOWN | NY | 10591 | PC | SUPPORT OF CHARITABLE ORGANIZATION | $2,500 | ||||
| HUDSON HEADWATERS HEALTH FOUNDATION | ||||||||||
| 9 CAREY ROAD | QUEENSBURY | NY | 12804 | PC | SUPPORT OF CHARITABLE ORGANIZATION | $1,500 | ||||
| HUDSON HEADWATERS HEALTH NETWORK | ||||||||||
| 9 CAREY ROAD | Queensbury | NY | 12804 | PC | POPULATION HEALTH MANAGEMENT GRANT | $50,000 | ||||
| INTERNATIONAL RESCUE COMMITTEE | ||||||||||
| 122 EAST 42nd STREET | New York | NY | 10168 | PC | SUPPORT OF CHARITABLE ORGANIZATION | $750 | ||||
| MAINE PRIMARY CARE ASSOCIATION | ||||||||||
| 73 WINTHOP STREET | AUGUSTA | ME | 04330 | PC | OUTREACH & ENROLLMENT GRANT | $7,500 | ||||
| MASSACHUSETTS LEAGUE OF COMMUNITY HEALTH CENTERS | ||||||||||
| 40 COURT STREET 10th FL | Boston | MA | 02108 | PC | SUPPORT 50th ANNIVERSARY COMMEMORATION | $5,000 | ||||
| NEW YORK ASSOCIATION FOR AMBULATORY CARE | ||||||||||
| 150 VETERANS MEMORIAL HIGHWAY 406 | Commack | NY | 11725 | PC | SUPPORT OF CHARITABLE ORGANIZATION | $625 | ||||
| NORTHWEST REGIONAL PRIMARY CARE ASSOCIATION | ||||||||||
| 6512-23RD AVE NORTHWEST SUITE 305 | SEATTLE | WA | 98117 | PC | CHC LEADERSHIP TRAINING PROGRAM | $15,000 | ||||
| OPEN DOOR FAMILY MEDICAL CENTER | ||||||||||
| 165 MAIN STREET | Ossining | NY | 10562 | PC | SUPPORT OF CHARITABLE ORGANIZATION | $750 | ||||
| PRIMARY CARE DEVELOPMENT CORP | ||||||||||
| 45 BROADWAY SUITE 530 | NEW YORK | NY | 10006 | PC | SUPPORT OF CHARITABLE ORGANIZATION | $2,500 | ||||
| PUBLIC HEALTH SOLUTIONS | ||||||||||
| 40 WORTH ST 5TH FLOOR | NEW YORK | NY | 10013 | PC | SUPPORT OF CHARITABLE ORGANIZATION | $500 | ||||
| SANTA ROSA COMMUNITY HEALTH CENTERS | ||||||||||
| 3569 ROUND BARN CIRCLE | Santa Rosa | CA | 95403 | PC | POPULATION HEALTH MANAGEMENT GRANT | $50,000 | ||||
| URBAN HEALTH PLAN INC | ||||||||||
| 960 SOUTHERN BOULEVARD | BRONX | NY | 10459 | PC | SUPPORT OF CHARITABLE ORGANIZATION | $750 | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $878,401 | TotalGrantOrContriPdDurYrAmt |
Grant Or Contri Apprv For Fut GrantOrContriApprvForFutGrp (8 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|
| ACCESS FAMILY CARE | ||||||
| 47 NELSON AVENUE | Neosho | MO | 64850 | PC | POPULATION HEALTH MANAGEMENT GRANT | $100,000 |
| ADELANTE HEALTHCARE | ||||||
| 9520 WEST PALM LANE | Phoenix | AZ | 85037 | PC | POPULATION HEALTH MANAGEMENT GRANT | $99,994 |
| CHARLES B WANG COMMUNITY HEALTH CENTER | ||||||
| 268 CANAL STREET | New York | NY | 10013 | PC | POPULATION HEALTH MANAGEMENT GRANT | $100,000 |
| COLORADO COMMUNITY HEALTH NETWORK | ||||||
| 600 GRANT STREET SUITE 800 | Denver | CO | 80203 | PC | POPULATION HEALTH MANAGEMENT GRANT | $100,000 |
| ERIE COUNTY HEALTH DEPARTMENT | ||||||
| 420 SUPERIOR STREET | Sandusky | OH | 44870 | PC | POPULATION HEALTH MANAGEMENT GRANT | $10,000 |
| HUDSON HEADWATERS HEALTH NETWORK | ||||||
| 9 CAREY ROAD | Queensbury | NY | 12804 | PC | POPULATION HEALTH MANAGEMENT GRANT | $100,000 |
| MAINE PRIMARY CARE ASSOCIATION | ||||||
| 73 WINTHOP STREET | Augusta | ME | 04330 | PC | OUTREACH & ENROLLMENT GRANT | $7,500 |
| SANTA ROSA COMMUNITY HEALTH CENTERS | ||||||
| 3569 ROUND BARN CIRCLE | Santa Rosa | CA | 95403 | PC | POPULATION HEALTH MANAGEMENT GRANT | $100,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Apprv Fut | $617,494 | TotalGrantOrContriApprvFutAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $629 | ExclusionAmt |
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $602,461 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | $621,200 | ExclusionAmt |
Other Revenue Described OtherRevenueDescribedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | reversal of tax accrual | Desc |
| Related Or Exempt Function Incm | $31,215 | RelatedOrExemptFunctionIncmAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $1,224,290 | ExclusionAmt |
| Related Or Exempt Function Incm | $31,215 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $1,255,505 | TotalIncomeProducingActyAmt |
Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp
Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Line Number | 11a | LineNumberTxt |
| Relationship Statement | AMOUNT IS A REVERSAL OF PRIOR YEAR TAX accrual | RelationshipStatementTxt |
Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Nonchrtbl EO | 0 | TrnsfrOfCashToNonchrtblEOInd |
| Trnsfr Other Asset Nonchrtbl EO | Yes (1) | TrnsfrOtherAssetNonchrtblEOInd |
| Sales Or Exchanges Of Assets | 0 | SalesOrExchangesOfAssetsInd |
| Purchase Of Assets Nonchrtbl EO | 0 | PurchaseOfAssetsNonchrtblEOInd |
| Rental Of Facilities Oth Assets | 0 | RentalOfFacilitiesOthAssetsInd |
| Reimbursement Arrangements | 0 | ReimbursementArrangementsInd |
| Loans Or Loan Guarantees | 0 | LoansOrLoanGuaranteesInd |
| Performance Of Services Etc | 0 | PerformanceOfServicesEtcInd |
| Sharing Of Facilities Etc | 0 | SharingOfFacilitiesEtcInd |
Transfer Schedule Detail TransferScheduleDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Line Number | 1a(2) | LineNumberTxt |
| Involved | $15,954 | InvolvedAmt |
Noncharitable Exempt Org Name NoncharitableExemptOrgName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | rchn community health foundation support corp inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transfers Trans And Shr Arrngm | Change in due to due from between related organizations. | TransfersTransAndShrArrngmDesc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationships Nonchrtbl EO | Yes (1) | RelationshipsNonchrtblEOInd |
Relationship Schedule Detail RelationshipScheduleDetail
Organization Business Name OrganizationBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | rchn community health foundation support corp inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Type | 501(c)(4) | OrganizationTypeDesc |
| Relationship Description | The organization is the sole member of rchn community health foundation support corp, inc. | RelationshipDescriptionTxt |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | COHNREZNICK LLP | CategoryTxt |
| Amt | $51,906 | Amt |
| Net Investment Income | $38,930 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $15,983 | DisbursementsCharitablePrpsAmt |
Depreciation Schedule DepreciationSchedule
Depreciation Property DepreciationPropertyGrp (3 entries)
| PropertyPropertyDesc | AcquiredAcquiredDt | Cost Or Other BasisCostOrOtherBasisAmt | Prior Year DepreciationPriorYearDepreciationAmt | Computation MethodComputationMethodTxt | LifeLifeRt | Current Year ExpenseCurrentYearExpenseAmt | Net Investment IncomeNetInvestmentIncomeAmt |
|---|---|---|---|---|---|---|---|
| LEASEHOLD IMPROVEMENTS | 2012-01-01 | $2,368,053 | $1,964,527 | SL | 10.000000000000 | $238,298 | $238,298 |
| FURNiture & FIXTURES | 2012-01-01 | $630,412 | $457,165 | SL | 10.000000000000 | $66,775 | $66,775 |
| EQUIPMENT | 2012-01-01 | $247,611 | $130,347 | SL | 5.000000000000 | $37,133 | $37,133 |
Expenditure Responsibility Stmt ExpenditureResponsibilityStmt
Expenditure Responsibility ExpenditureResponsibilityGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CANADIAN ASSOCIATION OF COMMUNITY HEALTH CENTERS | BusinessNameLine1Txt |
Foreign Address ForeignAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 340 COLLEGE STREET SUITE 500 | AddressLine1Txt |
| City | toronto | CityNm |
| Province Or State | ontario | ProvinceOrStateNm |
| Country | CA | CountryCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant | 2015-02-19 | GrantDt |
| Grant | $10,000 | GrantAmt |
| Purpose Of Grant | SUPPORT OF THE INTERNATIONAL COMMUNITY HEALTH CENTER 2015 STUDY TOUR. | PurposeOfGrantTxt |
| Expended By Grantee | $10,000 | ExpendedByGranteeAmt |
| Verification | 2015-02-19 | VerificationDt |
| Results Of Verification | The foundation has no reason to doubt the accuracy or reliability of the reports from the grantee. | ResultsOfVerificationTxt |
General Explanation Attachment GeneralExplanationAttachment
General Explanation GeneralExplanationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | form 990-pf, part vii-B, line 1a(4): | FormAndLineReferenceDesc |
| Medium Explanation | OFFICERS FEYGELE JACOBS AND IGOR GOLDENBERG RECEIVED COMPENSATION FOR THE YEAR ENDING DECEMBER 31, 2015. 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond | FIXED INCOME | BondNm |
| EOY Book Value | $1,704,332 | EOYBookValueAmt |
| EOYFMV | $1,704,332 | EOYFMVAmt |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Stock | Equities | StockNm |
| EOY Book Value | $5,859,514 | EOYBookValueAmt |
| EOYFMV | $5,859,514 | EOYFMVAmt |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOtherGrp (3 entries)
| Category Or ItemCategoryOrItemTxt | Listed At Cost Or FMVListedAtCostOrFMVCd | Book ValueBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|---|
| ALTERNATIVE INVESTMENTS | FMV | $1,864,767 | $1,864,767 |
| Investment in CHA/CHV | FMV | $524,915 | $524,915 |
| Mutual Funds | FMV | $9,684,441 | $9,684,441 |
Land Etc Schedule2 LandEtcSchedule2
Land Etc LandEtcGrp (3 entries)
| Category Or ItemCategoryOrItemTxt | Cost Or Other BasisCostOrOtherBasisAmt | Accumulated DepreciationAccumulatedDepreciationAmt | Book ValueBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|---|---|
| LEASEHOLD IMPROVEMENTS | $2,368,053 | $2,202,825 | $165,228 | $165,228 |
| FURNiture & FIXTURES | $630,412 | $523,940 | $106,472 | $106,472 |
| EQUIPMENT | $247,611 | $167,480 | $80,131 | $80,131 |
Legal Fees Schedule LegalFeesSchedule
Legal Fees LegalFeesGrp (6 entries)
| CategoryCategoryTxt | Legal FeesLegalFeesAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| SMITH & DOWNEY | $6,610 | $6,610 | $0 |
| MANATT PHELPS & PHILLIPS LLP | $2,000 | $1,000 | $440 |
| WHITEMAN OSTERMAN & HANNA LLP | $814 | $0 | $517 |
| HIRSCHEN SINGER & EPSTEIN LLP | $700 | $700 | $0 |
| Dechert | $24,325 | $12,163 | $11,815 |
| Feldesman tucker leifer | $394 | $394 | $0 |
Other Assets Schedule OtherAssetsSchedule
Other Assets Schedule OtherAssetsScheduleGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Due From Related Parties | Desc |
| BOY Book Value | $15,954 | BOYBookValueAmt |
Other Decreases Schedule OtherDecreasesSchedule
Other Decreases Detail OtherDecreasesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Unrealized Loss | Desc |
| Amt | $2,464,081 | Amt |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (5 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| INSURANCE | $37,592 | $12,781 | $22,770 |
| INFORMATION TECHNOLOGY EXPENSES | $44,019 | $14,966 | $28,855 |
| DUES AND MEMBERSHIPS | $6,730 | $0 | $6,730 |
| TELEPHONE | $20,794 | $7,070 | $13,724 |
| Other Expenses | $34,938 | $14,165 | $20,772 |
Other Income Schedule2 OtherIncomeSchedule2
Other Income Detail OtherIncomeDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | reversal of tax accrual | Desc |
| Revenue And Expenses Per Books | $31,215 | RevenueAndExpensesPerBooksAmt |
| Adjusted Net Income | $31,215 | AdjustedNetIncomeAmt |
Other Liabilities Schedule OtherLiabilitiesSchedule
Other Liabilities Detail OtherLiabilitiesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | deferred Rent | Desc |
| BOY Book Value | $81,468 | BOYBookValueAmt |
| EOY Book Value | $69,883 | EOYBookValueAmt |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail (10 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| PUBLIC INTEREST MEDIA GROUP | $14,980 | $0 | $14,980 |
| MIRRAM GROUP LLC | $60,000 | $0 | $60,000 |
| HEALTH TECH STRATEGIES | $40,425 | $0 | $46,651 |
| FT SOLUTIONS LLC | $26,671 | $0 | $27,971 |
| HEALTH POLICY ASSOCIATES | $31,656 | $0 | $31,656 |
| MERRILL LYNCH | $124,312 | $124,312 | $0 |
| VSHIFT | $63,833 | $0 | $63,833 |
| COMMUNITY COUNSELLING SERVICES | $210,000 | $0 | $210,000 |
| Merle Cunningham | $21,206 | $0 | $21,206 |
| Dr. David Stevens | $43 | $0 | $43 |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (2 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| Federal Excise Tax | $12,240 | $0 | $0 |
| Foreign Taxes | $9,680 | $9,680 | $0 |