STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

RCHN COMMUNITY HEALTH FOUNDATION INC: Form 990PF, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
RCHN COMMUNITY HEALTH FOUNDATION INC (EIN 13-3759663)
Tax period
2014-01-01 to 2014-12-31
Filed
2015-11-09
IRS object ID
201513139349100736
Schema version
2014v5.0
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)
Return2015-11-09T13:50:55-06:00ReturnTs
Tax Period End2014-12-31TaxPeriodEndDt

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 Line11212 AVENUE OF THE AMERICASAddressLine1Txt
CityNEW YORKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10036ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2014-01-01TaxPeriodBeginDt

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
Signature2015-11-09SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTHOMAS LANNINGPreparerPersonNm
PTINP00851654PTIN
Phone2122970400PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$26,224,358FMVAssetsEOYAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Interest On Sav Rev And Expnss$1,224InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$1,224InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$1,064,093DividendsRevAndExpnssAmt
Dividends Net Invst Incm$1,064,093DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$1,416,329NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$7,763,667GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$1,426,667CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$2,481,646TotalRevAndExpnssAmt
Total Net Invst Incm$2,491,984TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$456,144CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$216,785CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$239,359CompOfcrDirTrstDsbrsChrtblAmt
Oth Empl Slrs Wgs Rev And Expnss$469,090OthEmplSlrsWgsRevAndExpnssAmt
Oth Empl Slrs Wgs Net Invst Incm$142,924OthEmplSlrsWgsNetInvstIncmAmt
Oth Empl Slrs Wgs Dsbrs Chrtbl$326,166OthEmplSlrsWgsDsbrsChrtblAmt
Pension Empl Bnft Rev And Expnss$338,836PensionEmplBnftRevAndExpnssAmt
Pension Empl Bnft Net Invst Incm$119,222PensionEmplBnftNetInvstIncmAmt
Pension Empl Bnft Dsbrs Chrtbl$528,337PensionEmplBnftDsbrsChrtblAmt
Legal Fees Rev And Expnss$42,562LegalFeesRevAndExpnssAmt
Legal Fees Net Invst Incm$31,295LegalFeesNetInvstIncmAmt
Legal Fees Dsbrs Chrtbl$11,777LegalFeesDsbrsChrtblAmt
Accounting Fees Rev And Expnss$58,775AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$44,081AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$15,575AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$492,938OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$148,099OtherProfFeesNetInvstIncmAmt
Other Prof Fees Dsbrs Chrtbl$359,727OtherProfFeesDsbrsChrtblAmt
Taxes Rev And Expnss$37,707TaxesRevAndExpnssAmt
Taxes Net Invst Incm$13,781TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Deprec And Dpltn Rev And Expnss$352,784DeprecAndDpltnRevAndExpnssAmt
Deprec And Dpltn Net Invst Incm$352,784DeprecAndDpltnNetInvstIncmAmt
Occupancy Rev And Expnss$346,336OccupancyRevAndExpnssAmt
Occupancy Net Invst Incm$135,071OccupancyNetInvstIncmAmt
Occupancy Dsbrs Chrtbl$254,953OccupancyDsbrsChrtblAmt
Trav Conf Meeting Rev And Expnss$56,962TravConfMeetingRevAndExpnssAmt
Trav Conf Meeting Net Invst Incm$0TravConfMeetingNetInvstIncmAmt
Trav Conf Meeting Dsbrs Chrtbl$56,962TravConfMeetingDsbrsChrtblAmt
Printing And Pub Rev And Expnss$4,403PrintingAndPubRevAndExpnssAmt
Printing And Pub Net Invst Incm$0PrintingAndPubNetInvstIncmAmt
Printing And Pub Dsbrs Chrtbl$3,803PrintingAndPubDsbrsChrtblAmt
Other Expenses Rev And Expnss$176,215OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$66,752OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$114,927OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$2,832,752TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$1,270,794TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$1,911,586TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$539,429ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$1,485,676ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$3,372,181TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$1,270,794TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$3,397,262TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$890,535ExcessRevenueOverExpensesAmt
Net Investment Income$1,221,190NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$1,586,718SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$1,224,470SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$1,224,470SavAndTempCashInvstEOYFMVAmt
Prepaid Expenses BOY$332,679PrepaidExpensesBOYAmt
Prepaid Expenses EOY$353,834PrepaidExpensesEOYAmt
Prepaid Expenses EOYFMV$353,834PrepaidExpensesEOYFMVAmt
Corporate Stock BOY$10,757,328CorporateStockBOYAmt
Corporate Stock EOY$8,762,434CorporateStockEOYAmt
Corporate Stock EOYFMV$8,762,434CorporateStockEOYFMVAmt
Corporate Bonds BOY$1,469,284CorporateBondsBOYAmt
Corporate Bonds EOY$1,462,704CorporateBondsEOYAmt
Corporate Bonds EOYFMV$1,462,704CorporateBondsEOYFMVAmt
Other Investments BOY$14,993,180OtherInvestmentsBOYAmt
Other Investments EOY$13,713,109OtherInvestmentsEOYAmt
Other Investments EOYFMV$13,713,109OtherInvestmentsEOYFMVAmt
Land Bldg Equip Cost Or Other Bss$3,243,892LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,552,039LandBldgEquipAccumDeprecAmt
Land BOY$850,381LandBOYAmt
Land EOY$691,853LandEOYAmt
Land EOYFMV$691,853LandEOYFMVAmt
Other Assets BOY$10,511OtherAssetsBOYAmt
Other Assets EOY$15,954OtherAssetsEOYAmt
Other Assets EOYFMV$15,954OtherAssetsEOYFMVAmt
Total Assets BOY$30,000,081TotalAssetsBOYAmt
Total Assets EOY$26,224,358TotalAssetsEOYAmt
Total Assets EOYFMV$26,224,358TotalAssetsEOYFMVAmt
Accounts Payable BOY$1,958,878AccountsPayableBOYAmt
Accounts Payable EOY$608,777AccountsPayableEOYAmt
Other Liabilities BOY$48,577OtherLiabilitiesBOYAmt
Other Liabilities EOY$81,468OtherLiabilitiesEOYAmt
Total Liabilities BOY$2,007,455TotalLiabilitiesBOYAmt
Total Liabilities EOY$690,245TotalLiabilitiesEOYAmt
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind
Unrestricted BOY$27,992,626UnrestrictedBOYAmt
Unrestricted EOY$25,534,113UnrestrictedEOYAmt
Tot Net Ast Or Fund Balances BOY$27,992,626TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$25,534,113TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$30,000,081TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$26,224,358TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$27,992,626TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$890,535ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$27,102,091SubtotalAmt
Other Decreases$1,567,978OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$25,534,113TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (2 entries)

PropertyPropertyDescGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmtHow AcquiredHowAcquiredCdAcquiredAcquiredDtSoldSoldDt
PUBLICLY TRADED SECURITIES$7,698,894$6,297,000$1,401,894$1,401,894
COMMUNITY HEALTH VENTURES$24,773$24,773$24,773P2006-06-202014-12-31
FieldValueIRS element (for citing)
Capital Gain Net Income$1,426,667CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 Tax0LiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$3,177,550AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$27,970,934NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.113602DistributionYr1Rt
Adjusted Qlfy Distri Yr2$4,034,403AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$29,636,227NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.136131DistributionYr2Rt
Total Distribution0.249733TotalDistributionRt
Average Distribution0.124867AverageDistributionRt
Net Vl Noncharitable Assets$26,898,197NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$3,358,697AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$12,212NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$3,370,909AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$3,397,262QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Domestic Org Meeting Sect4940eYes (X)DomesticOrgMeetingSect4940eInd
Investment Income Excise Tax$12,212InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$12,212SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$12,212TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$21,457EstimatedPlusOvpmtIncmTxAmt
Total Payments And Credits$21,457TotalPaymentsAndCreditsAmt
Overpayment$9,245OverpaymentAmt
Applied To ES Tax$9,245AppliedToESTaxAmt
Refund$0RefundAmt

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 (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
FEYGELE JACOBS
55 BROADWAY SUITE 1502NEW YORKNY10006PRESIDENT & CEO35.00$298,069$82,553$0
IGOR GOLDENBERG
55 BROADWAY SUITE 1502NEW YORKNY10006CFO35.00$158,075$16,763$0
LONNY REISMAN MD
55 BROADWAY SUITE 1502NEW YORKNY10006BOARD MEMBER1.00$0$0$0
MARTIN ZUCKERMAN ESQ
55 BROADWAY SUITE 1502NEW YORKNY10006TREASURER/SECRETARY1.00$0$0$0
SAMUEL DANIEL MD
55 BROADWAY SUITE 1502NEW YORKNY10006VICE CHAIR/TREASURER1.00$0$0$0
SARA ROSENBAUM ESQ
55 BROADWAY SUITE 1502NEW YORKNY10006CHAIRPERSON1.00$0$0$0
THOMAS VAN COVERDEN
55 BROADWAY SUITE 1502NEW YORKNY10006SECRETARY1.00$0$0$0
MARTHA WOLFGANG
55 BROADWAY SUITE 1502NEW YORKNY10006BOARD MEMBER1.00$0$0$0
DAVID REYNOLDS DRPH
55 BROADWAY SUITE 1502NEW YORKNY10006BOARD MEMBER1.00$0$0$0

Compensation Highest Paid Empl CompensationHighestPaidEmplGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee BenefitsEmployeeBenefitsAmtExpense AccountExpenseAccountAmt
JULIO BELLBER
55 BROADWAY SUITE 1502NEW YORKNY10006FORMER DIRECTOR0.00$415,722$62,768$0
DAVID HARTZBAND
55 BROADWAY SUITE 1502NEW YORKNY10006TECHNOLOGY RESEARCH30.00$156,576$33,845$0
BARBARA ALLEN
55 BROADWAY SUITE 1502NEW YORKNY10006FINANCE MANAGER35.00$104,006$28,734$0
MARJORIE BOMSON
55 BROADWAY SUITE 1502NEW YORKNY10006MANAGER-ADMINISTRATI35.00$85,313$22,194$0
BRIAN SCHATZ
55 BROADWAY SUITE 1502NEW YORKNY10006ASSOCIATE DIRECTOR,35.00$75,450$15,068$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 TECH STRATEGIES
6612 BRAWNER STREETMCLEANVA22101HEALTH INFORMATION TECHNOLOGY CONSULTING$80,135
COHNREZNICK LLP
1212 AVE OF THE AMERICASNEW YORKNY10036AUDIT AND TAX PREPARATION$62,300
MIRRAM GROUP LLC
215 PARK AVE SOUTH 15TH FLNEW YORKNY10003STRATEGIC CONSULTING$60,000
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$26,108,848AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$1,198,966AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$27,307,814TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$27,307,814AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$409,617CashDeemedCharitableAmt
Net Vl Noncharitable Assets$26,898,197NetVlNoncharitableAssetsAmt
Minimum Investment Return$1,344,910MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$1,344,910MinimumInvestmentReturnAmt
Tax Based On Investment Income$12,212TaxBasedOnInvestmentIncomeAmt
Total Tax$12,212TotalTaxAmt
Distributable Before Adj$1,332,698DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$1,332,698DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$1,332,698DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$3,397,262ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$3,397,262QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$12,212PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$3,385,050AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$1,332,698DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr2$2,572,674ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$1,786,666ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$4,359,340TotalExcessDistributionCyovAmt
Qualifying Distributions$3,397,262QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$1,332,698AppliedToCurrentYearAmt
Remaining Distri From Corpus$2,064,564RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$6,423,904TotalCorpusAmt
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$0ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$6,423,904ExcessDistriCyovToNextYrAmt
Excess From Year2$2,572,674ExcessFromYear2Amt
Excess From Year1$1,786,666ExcessFromYear1Amt
Excess From Current Year$2,064,564ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

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

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (28 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
ASIAN HEALTH SERVICES INC
818 WEBSTER STREETOAKLANDCA94607PCGRANT TO FEDERALLY QUALIFIED COMMUNITY HEALTH CENTER TO EXPAND OUTREACH AND ENROLLMENT.$200,000
ASSOCIATION OF CLINICIANS FOR THE UNDERSERVED
1420 SPRING HILL ROAD SUITE 600TYSONS CORNERVA22102PCCONFERENCE SPONSORSHIP - "DELIVERING QUALITY CARE FOR THE UNDERSERVED"$5,000
BI-STATE PRIMARY CARE ASSOCIATION INC
525 CLINTON STREETBOWNH03304PCVERMONT HEALTH SYSTEMS STRATEGIC PLAN AND MODELING.$35,000
CALLEN-LORDE COMMUNITY HEALTH CENTER
356 WEST 18TH STREETNEW YORKNY10011PCSUPPORT OF CHARITABLE EVENT$1,400
CARE FOR THE HOMELESS
30 EAST 33RD ST 5TH FLOORNEW YORKNY10016PCSUPPORT OF CHARITABLE EVENT$5,000
CHINATOWN HEALTH CLINIC FOUNDATION
268 CANAL ST 6TH FLOORNEW YORKNY10013PCSUPPORT OF CHARITABLE EVENT$1,600
CITY HARVEST
6 EAST 32ND ST 5TH FLOORNEW YORKNY10016PCSUPPORT OF CHARITABLE ORGANIZATION$500
CLINICAL DIRECTORS NETWORK
5 WEST 37TH STREET 10TH FLNEW YORKNY10018PCWEBINAR SERIES DISSEMINATING RESEARCH FOCUSED ON COMMUNITY HEALTH CENTERS.$25,000
COMMUNITY HEALTH CARE ASSOC OF NYS
111 BROADWAY SUITE 1402NEW YORKNY10006PCSPONSORSHIP - STATEWIDE CONFERENCE AND CLINICAL FORUM.$3,500
COMMUNITY HEALTH OF SOUTH FLORIDA INC
10300 SW 216TH STREETMIAMIFL33190PCGRANT TO FEDERALLY QUALIFIED COMMUNITY HEALTH CENTER TO EXPAND OUTREACH AND ENROLLMENT.$123,253
GEORGE WASHINGTON UNIVERSITY
2121 I STREET NW SUITE 601WASHINGTONDC20052PCGIFT TO SUPPORT GEIGER GIBSON PROGRAM IN DEPARTMENT OF HEALTH POLICY, MILKEN INSTITUTE SPH.$350,000
GEORGE WASHINGTON UNIVERSITY
2121 I STREET NW SUITE 601WASHINGTONDC20052PCSTUDY IMPACT OF HEALTH CARE REFORM ON COMMUNITY HEALTH CENTERS AND PATIENT ACCESS IN PUERTO RICO.$56,742
HIMSS FOUNDATION
230 EAST OHIO ST SUITE 500CHICAGOIL60611PCCAPITAL HILL STEERING COMMITTEE ON TELEHEALTH AND HEALTHCARE INFORMATICS EDUCATION SESSIONS$5,000
HRHCARE FOUNDATION
55 SOUTH BROADWAYTARRYTOWNNY10591PCSUPPORT OF CHARITABLE EVENT$3,500
HUDSON HEADWATERS HEALTH FOUNDATION
9 CAREY ROADQUEENSBURYNY12804PCSUPPORT OF CHARITABLE EVENT$1,500
JEFFREY T LATMAN FOUNDATION
PO BOX 237DOBBS FERRYNY10522PCSUPPORT OF CHARITABLE EVENT$880
MAINE PRIMARY CARE ASSOCIATION
73 WINTHOP STREETAUGUSTAME04330PCGRANT TO PRIMARY CARE ASSOCIATION TO EXPAND OUTREACH AND ENROLLMENT.$200,000
MINNESOTA ASSOCIATION OF COMMUNITY HEALTH CENTERS
1113 E FRANKLIN AVE SUITE 202MINNEAPOLISMN55404PCSUPPORT EDUCATIONAL VIDEO FOR MINNESOTA COMMUNITY HEALTH CENTERS.$1,000
MISSOURI COALITION FOR PRIMARY CARE
3325 EMERALD LANEJEFFERSON CITYMO65109PCGRANT TO PRIMARY CARE ASSOCIATION TO EXPAND OUTREACH AND ENROLLMENT.$200,000
MORRIS HEIGHTS HEALTH CENTER INC
85 WEST BURNSIDE AVENUEBRONXNY10453PCGRANT TO FEDERALLY QUALIFIED COMMUNITY HEALTH CENTER TO EXPAND OUTREACH AND ENROLLMENT.$71,834
NATIONAL CENTER FOR FARMWORKER HEALTH INC
1770 FM 967BUDATX78610PCMIGRANT HEALTH PROFILE ANALYSIS AND REPORT$25,000
NORTHWEST REGIONAL PRIMARY CARE ASSOCIATION
6512-23RD AVE NORTHWEST SUITE 305SEATTLEWA98117PCCHC LEADERSHIP TRAINING PROGRAM$35,000
ONE WORLD COMMUNITY HEALTH CENTERS
4920 SOUTH 30TH STREETOMAHANE68107PCEMERGENCY GRANT-MAJOR FIRE DAMAGE$10,000
PRIMARY CARE DEVELOPMENT CORP
45 BROADWAY SUITE 530NEW YORKNY10006PCSUPPORT OF CHARITABLE EVENT$2,500
PUBLIC HEALTH ASSOC OF NEW YORK CITY
1 UNIVERSITY PLAZA-HS204BROOKLYNNY11201PCSUPPORT OF CHARITABLE EVENT$350
PUBLIC HEALTH SOLUTIONS
40 WORTH ST 5TH FLOORNEW YORKNY10013PCSUPPORT OF CHARITABLE EVENT$500
URBAN HEALTH PLAN INC
960 SOUTHERN BOULEVARDBRONXNY10459PCSUPPORT OF CHARITABLE EVENT$1,700
WISCONSIN PRIMARY HEALTH CARE ASSOCIATION
5202 EASTPARK BLVD SUITE 109MADISONWI53718PCGRANT TO PRIMARY CARE ASSOCIATION TO EXPAND OUTREACH AND ENROLLMENT.$119,917
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$1,485,676TotalGrantOrContriPdDurYrAmt

Grant Or Contri Apprv For Fut GrantOrContriApprvForFutGrp (3 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
GEORGE WASHINGTON UNIVERSITY OFFICE OF THE VP RESEARCH
2121 I STREET NW SUITE 601WASHINGTONDC20052PCDEVELOP WHITE PAPER FOR COMMUNITY HEALTH CENTER POPULATION HEALTH MANAGEMENT.$12,000
GEORGE WASHINGTON UNIVERSITY OFFICE OF THE VP RESEARCH
2121 I STREET NW SUITE 601WASHINGTONDC20052PCSTUDY IMPACT OF HEALTH CARE REFORM ON COMMUNITY HEALTH CENTERS AND PATIENT ACCESS IN PUERTO RICO,$56,742
NORTHWEST REGIONAL PRIMARY CARE ASSOCIATION
6512-23RD AVE NORTHWEST SUITE 305SEATTLEWA98117PCCHC LEADERSHIP TRAINING PROGRAM$15,000
FieldValueIRS element (for citing)
Total Grant Or Contri Apprv Fut$83,742TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$1,224ExclusionAmt

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$1,064,093ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$1,416,329ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$2,481,646ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$2,481,646TotalIncomeProducingActyAmt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EO0TrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EOYes (1)TrnsfrOtherAssetNonchrtblEOInd
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

Transfer Schedule Detail TransferScheduleDetail

FieldValueIRS element (for citing)
Line Number1a(2)LineNumberTxt
Involved$5,443InvolvedAmt

Noncharitable Exempt Org Name NoncharitableExemptOrgName

FieldValueIRS element (for citing)
Business Name Line1RCHN COMMUNITY HEALTH FOUNDATION SUPPORT CORP INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transfers Trans And Shr ArrngmCHANGE IN DUE TO DUE FROM BETWEEN RELATED ORGANIZATIONS.TransfersTransAndShrArrngmDesc
FieldValueIRS element (for citing)
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$58,775Amt
Net Investment Income$44,081NetInvestmentIncomeAmt
Disbursements Charitable Prps$15,575DisbursementsCharitablePrpsAmt

Depreciation Schedule DepreciationSchedule

Depreciation Property DepreciationPropertyGrp (4 entries)

PropertyPropertyDescAcquiredAcquiredDtCost Or Other BasisCostOrOtherBasisAmtPrior Year DepreciationPriorYearDepreciationAmtComputation MethodComputationMethodTxtLifeLifeRtCurrent Year ExpenseCurrentYearExpenseAmtNet Investment IncomeNetInvestmentIncomeAmt
LEASEHOLD IMPROVEMENTS2012-01-01$2,368,053$1,727,750SL10.000000000000$236,777$0
VEHICLES2012-01-01$86,294$20,136SL5.000000000000$15,821$0
FURNITURE & FIXTURES2012-01-01$628,227$393,477SL10.000000000000$63,688$0
EQUIPMENT2012-01-01$247,613$93,849SL5.000000000000$36,498$0

Gain Loss Sale Other Assets Sch GainLossSaleOtherAssetsSch

Gain Loss Sale Other Asset GainLossSaleOtherAssetGrp

FieldValueIRS element (for citing)
AssetSALE OF FIXED ASSETSAssetDesc
Acquired2012-11AcquiredDt
How AcquiredPURCHASEDHowAcquiredTxt
Sold2014-12SoldDt
Gross Sales Price$40,000GrossSalesPriceAmt
Sales Expense$0SalesExpenseAmt
Total Net-$10,338TotalNetAmt
Accumulated Depreciation$35,956AccumulatedDepreciationAmt

General Explanation Attachment GeneralExplanationAttachment

General Explanation GeneralExplanationGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDescMedium ExplanationMediumExplanationTxt
FORM 990-PF, PART VII-B, LINE 1A(4):OFFICERS FEYGELE JACOBS AND IGOR GOLDENBERG RECEIVED COMPENSATION FOR THE YEAR ENDING DECEMBER 31, 2014. 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.
FORM 990-PF SUPPLEMENTAL INFORMATION:THE ORGANIZATION PROVIDED PAYMENTS AND CERTAIN BENEFITS TO THE ORGANIZATION'S FOUNDING PRESIDENT THAT QUALIFY AS "SEVERANCE PAYMENTS" DURING THE REPORTING PERIOD. SUBJECT TO THE FOUNDING PRESIDENT'S SATISFACTION OF HIS OBLIGATIONS TO THE ORGANIZATION, THIS CONTINUED PAY AND BENEFITS IS PROJECTED GENERALLY THROUGH REPORTING YEAR 2015, AND IS BEING REPORTED AS CURRENT COMPENSATION AND BENEFITS IN THE NATURE OF SEVERANCE FOR 2014.

Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corporate Bonds InvestmentsCorporateBondsGrp

FieldValueIRS element (for citing)
BondFIXED INCOMEBondNm
EOY Book Value$1,462,704EOYBookValueAmt
EOYFMV$1,462,704EOYFMVAmt

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp

FieldValueIRS element (for citing)
StockEQUITIESStockNm
EOY Book Value$8,762,434EOYBookValueAmt
EOYFMV$8,762,434EOYFMVAmt

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (3 entries)

Category Or ItemCategoryOrItemTxtListed At Cost Or FMVListedAtCostOrFMVCdBook ValueBookValueAmtEOYFMVEOYFMVAmt
ALTERNATIVE INVESTMENTSFMV$2,049,038$2,049,038
INVESTMENT IN CHA/CHVFMV$524,915$524,915
MUTUAL FUNDSFMV$11,139,156$11,139,156

Land Etc Schedule2 LandEtcSchedule2

Land Etc LandEtcGrp (3 entries)

Category Or ItemCategoryOrItemTxtCost Or Other BasisCostOrOtherBasisAmtAccumulated DepreciationAccumulatedDepreciationAmtBook ValueBookValueAmt
LEASEHOLD IMPROVEMENTS$2,368,053$1,964,527$403,526
FURNITURE & FIXTURES$628,227$457,165$171,062
EQUIPMENT$247,613$130,347$117,266

Legal Fees Schedule LegalFeesSchedule

Legal Fees LegalFeesGrp (4 entries)

CategoryCategoryTxtLegal FeesLegalFeesAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
SMITH & DOWNEY$3,615$3,615$0
MANATT PHELPS & PHILLIPS LLP$34,606$23,532$11,584
WHITEMAN OSTERMAN & HANNA LLP$193$0$193
HIRSCHEN SINGER & EPSTEIN LLP$4,148$4,148$0

Other Assets Schedule OtherAssetsSchedule

Other Assets Schedule OtherAssetsScheduleGrp

FieldValueIRS element (for citing)
DescDUE FROM RELATED PARTIESDesc
BOY Book Value$10,511BOYBookValueAmt
EOY Book Value$15,954EOYBookValueAmt
EOYFMV$15,954EOYFMVAmt

Other Decreases Schedule OtherDecreasesSchedule

Other Decreases Detail OtherDecreasesDetail

FieldValueIRS element (for citing)
DescUNREALIZED GAINDesc
Amt$1,567,978Amt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (5 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
INSURANCE$38,374$14,966$28,676
INFORMATION TECHNOLOGY EXPENSES$57,707$22,506$35,201
DUES AND MEMBERSHIPS$10,095$0$10,095
TELEPHONE$20,956$8,173$12,734
OTHER EXPENSES$49,083$21,107$28,221

Other Liabilities Schedule OtherLiabilitiesSchedule

Other Liabilities Detail OtherLiabilitiesDetail

FieldValueIRS element (for citing)
DescDEFERRED RENTDesc
BOY Book Value$48,577BOYBookValueAmt
EOY Book Value$81,468EOYBookValueAmt

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail (7 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
PUBLIC INTEREST MEDIA GROUP$26,290$0$27,340
MIRRAM GROUP LLC$60,000$0$60,000
HEALTH TECH STRATEGIES$82,089$0$80,135
FT SOLUTIONS LLC$12,544$0$28,336
HEALTH POLICY ASSOCIATES$30,000$0$30,000
MERRILL LYNCH$148,099$148,099$0
VSHIFT$133,916$0$133,916

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
FEDERAL EXCISE TAX$23,926$0$0
FOREIGN TAXES$13,781$13,781$0