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HEALTHNETWORK FOUNDATION: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
HEALTHNETWORK FOUNDATION (EIN 04-3804600)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-13
IRS object ID
201223189349302942
Schema version
2011v1.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-11-13T13:59:47-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN341523030EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BOBER MARKEY FEDOROVICH & COMPANYBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line13421 RIDGEWOOD ROAD SUITE 300AddressLine1
CityAKRONCity
StateOHState
ZIP Code44333ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN043804600EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1HEALTHNETWORK FOUNDATIONBusinessNameLine1
Business Name Line2FKA HEALTH NET FOUNDATION INCBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlHEALNameControl
Phone4402475555Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line133 RIVER STREET NO 230AddressLine1
CityCHAGRIN FALLSCity
StateOHState
ZIP Code44022ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameLISA HERCHEKName
TitleCPATitle
Phone4402475555Phone
Date Signed2012-11-12DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDALE RUTHERName
PTINP00403039PTIN
Phone3307629785Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonLISA HERCHEKNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line133 RIVER STREET NO 230AddressLine1
CityCHAGRIN FALLSCity
StateOHState
ZIP Code44022ZIPCode
FieldValueIRS element (for citing)
Gross Receipts7011258GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.HEALTHNETWORKFOUNDATION.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1991YearFormation
State Legal DomicileOHStateLegalDomicile
Activity Or Mission DescriptionHEALTH NET HELPS MEMBERS FIND APPROPRIATE MEDICAL INSTITUTIONS FOR THE MEMBERS PARTICULAR NEEDS.ActivityOrMissionDescription
Nbr Voting Members Governing Body4NbrVotingMembersGoverningBody
Nbr Independent Voting Members4NbrIndependentVotingMembers
Total Nbr Employees10TotalNbrEmployees
Total Nbr Volunteers4TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year2487153ContributionsGrantsPriorYear
Contributions Grants Current Year2743526ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year405464InvestmentIncomePriorYear
Investment Income Current Year329447InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year2892617TotalRevenuePriorYear
Total Revenue Current Year3072973TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year296500GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY522500GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year687990SalariesEtcPriorYear
Salaries Etc Current Year756711SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year563666OtherExpensePriorYear
Other Expenses Current Year647295OtherExpensesCurrentYear
Total Expenses Prior Year1548156TotalExpensesPriorYear
Total Expenses Current Year1926506TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1344461RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1146467RevenuesLessExpensesCY
Total Assets BOY7135627TotalAssetsBOY
Total Assets EOY7789199TotalAssetsEOY
Total Liabilities BOY987292TotalLiabilitiesBOY
Total Liabilities EOY1129371TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY6148335NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY6659828NetAssetsOrFundBalancesEOY
Mission DescriptionCONNECTING CEOS AND ENTREPRENEURS WITH LEADING HOSPITALS TO PROVIDE THE BEST ACCESS TO WORLD CLASS CARE AND INCREASE PHILANTHORPIC FUNDING FOR MEDICAL RESEARCH.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense1336866Expense
Grants522500Grants
DescriptionASSISTANCE PROVIDED TO MEMBERS TO HELP THEM FIND THE MEDICAL INSTITUTIONS THAT FITS THEIR PARTICULAR NEEDS.Description
Total Program Service Expense1336866TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10968NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees10NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of1Form8282PropertyDisposedOf
Number Of8282 Filed1NumberOf8282Filed
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members4NbrVotingGoverningBodyMembers
Number Independent Voting Members4NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees0MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledOHStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1LISA HERCHECKBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8669682467TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line133 RIVER STREETAddressLine1
CityCHAGRIN FALLSCity
StateOHState
ZIP Code44022ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (7 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
GAB GONCALVES
TRUSTEE1.00X000
F WILLIAM STEERE
TRUSTEE1.00X000
ROBERT M TAYLOR
TRUSTEE1.00X000
WILLIAM W ROWLEY
TRUSTEE1.00X000
DR BERNARDO FERNANDEZ
TRUSTEE1.00X400000
ADAM KAUFMAN
CO-PRESIDENT40.00177163016215X
LISA HERCHEK
CO-PRESIDENT40.00150522024674X
FieldValueIRS element (for citing)
Total Reportable Comp From Org331685TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation40889TotalOtherCompensation
Number Individuals GT100 K2NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Membership Dues824950MembershipDues
All Other Contributions1918576AllOtherContributions
Total Contributions2743526TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column219023TotalRevenueColumn
Exclusion$219,023ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities4048709Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities3938285Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities110424Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column110424TotalRevenueColumn
Related Or Exempt Function Income110424RelatedOrExemptFunctionIncome

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column3072973TotalRevenueColumn
Related Or Exempt Function Income110424RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$219,023ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total522500Total
Program Services522500ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total372574Total
Program Services298059ProgramServices
Management And General74515ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total285854Total
Program Services228683ProgramServices
Management And General57171ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total4904Total
Program Services3923ProgramServices
Management And General981ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total48468Total
Program Services38775ProgramServices
Management And General9693ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total44911Total
Program Services35929ProgramServices
Management And General8982ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total3818Total
Management And General3818ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total1800Total
Management And General1800ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total62828Total
Management And General62828ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total125100Total
Management And General125100ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total131601Total
Program Services107242ProgramServices
Management And General24359ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total37406Total
Program Services16842ProgramServices
Management And General20564ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total56872Total
Management And General56872ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total58743Total
Management And General58743ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total39307Total
Program Services31446ProgramServices
Management And General7861ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total28667Total
Management And General28667ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total12531Total
Management And General12531ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total7813Total
Management And General7813ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BANK FEES2814528145
COMMUNICATION EXPENSE18907151263781
MOVING/RELOCATION EXPEN1072110721
RECRUITMENT1000010000

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total13036Total
Program Services10196ProgramServices
Management And General2840ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total1926506Total
Program Services1336866ProgramServices
Management And General589640ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY174091BOY
EOY268009EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY6883671BOY
EOY7450585EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY41669BOY
EOY29514EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY6921BOY
EOY6393EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis106832LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec72134LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY29275BOY
EOY34698EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY7135627BOY
EOY7789199EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY134642BOY
EOY90294EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY852650BOY
EOY1039077EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY987292BOY
EOY1129371EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY6148335BOY
EOY6659828EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6148335BOY
EOY6659828EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7135627BOY
EOY7789199EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1146467ReconcilationRevenueExpenses
Reconcilation Other Changes-634974ReconcilationOtherChanges
Method Of Accounting CashXMethodOfAccountingCash
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited0FSAudited
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1952080CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1618897CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1617710CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2437153CurrentTaxYearMinus1Year
Current Tax Year2743526CurrentTaxYear
Total10369366Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1952080CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1618897CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1617710CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2437153CurrentTaxYearMinus1Year
Current Tax Year2743526CurrentTaxYear
Total10369366Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50910369366PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years160360CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years234550CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years-27045CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year274566CurrentTaxYearMinus1Year
Current Tax Year219023CurrentTaxYear
Total861454Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years160360CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years234550CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years-27045CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year274566CurrentTaxYearMinus1Year
Current Tax Year219023CurrentTaxYear
Total861454Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2112440CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1853447CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1590665CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2711719CurrentTaxYearMinus1Year
Current Tax Year2962549CurrentTaxYear
Total11230820Total
FieldValueIRS element (for citing)
Public Support Percentage5090.92330PublicSupportPercentage509
Prior Year Support Percentage0.94880PriorYearSupportPercentage
Investment Income Percentage0.07670InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.05120PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis98787OtherCostOrOtherBasis
Depreciation69267Depreciation
Book Value29520BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis8045OtherCostOrOtherBasis
Depreciation2867Depreciation
Book Value5178BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings34698TotalOfBookValueLandBuildings

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained0RecordsMaintained

Recipient Table RecipientTable (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantMethod Of ValuationMethodOfValuationPurpose Of GrantPurposeOfGrant
CEDARS SINAI MEDICAL CENTER
8700 BEVERLY BLVDLOS ANGELESCA90048951644600501(C)(3)35000FMVDONATION
CLEVELAND CLINIC FOUNDATION
9500 EUCLID AVECLEVELANDOH44195340714585501(C)(3)291000FMVDONATION
UCSF MEDICAL CENTER
PO BOX 0208SAN FRANCISCOCA94143941550853501(C)(3)35000FMVDONATION
JOHN HOPKINS
1101E 33RD ST NO E001BALTIMOREMD21218521465301501(C)(3)50000FMVDONATION
HOSPITALS FOR SPECIAL SURGERY
535 EAST 70TH STNEW YORKNY10021131624135501(C)(3)10000FMVDONATION
UNIVERSITY OF CINCINNATI
234 GOODMAN STCINCINNATIOH45219316000989501(C)(3)81500FMVDONATION
CINCINNATI CHILDREN'S HOSPITAL
3333 BURNET AVECINCINNATIOH45229310833936501(C)(3)10000FMVDONATION
MEMORIAL SLOAN KETTERING CANCER CENTER
1275 YORK AVENEW YORKNY10065912154267501(C)(3)10000FMVDONATION
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants8TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ADAM KAUFMAN
12500005216300036570125580193378000
LISA HERCHEK
11153803898400033740213000175196000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 8BTHERE ARE NO COMMITTEES THAT HAVE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 11THE PRESIDENT REVIEWS THE FORM 990 BEFORE IT IS FILED.
FORM 990, PART VI, SECTION B, LINE 12CTHE CONFLICT OF INTEREST POLICY IS REVIEWED ANNUALLY BY THE BOARD.
FORM 990, PART VI, SECTION B, LINE 15THE BOARD OF DIRECTORS REVIEW AND APPROVE THE COMPENSATION OF THE CO-PRESIDENTS.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS DOCUMENTS AVAILABLE TO THE PUBLIC UPON REQUEST AND THE FORM 990 IS ALSO ON WWW.GUIDESTAR.ORG.
FORM 990, PART XI, LINE 5:NET UNREALIZED LOSSES ON INVESTMENTS: -634,974.CHANGES IN NET ASSETS OR FUND BALANCES: