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SOUTHERN TIER HEALTH CARE SYSTEM INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
SOUTHERN TIER HEALTH CARE SYSTEM INC (EIN 16-1469489)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-07-24
IRS object ID
201842059349300014
Schema version
2017v2.3
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2018-07-24T09:03:25-05:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN161117932PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BUFFAMANTE WHIPPLE BUTTAFARO PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1130 SOUTH UNION STREET SUITE 200AddressLine1Txt
CityOLEANCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14760ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN161469489EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SOUTHERN TIER HEALTH CARE SYSTEM INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSOUTBusinessNameControlTxt
Phone7163720614PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1150 N UNION STREETAddressLine1Txt
CityOLEANCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14760ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDONNA KAHMPersonNm
Person TitleCEOPersonTitleTxt
Phone7163720614PhoneNum
Signature2018-07-24SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDAVID V DITANNA CPAPreparerPersonNm
PTINP01368498PTIN
Phone7163721620PhoneNum
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeYes (X)AddressChangeInd
Principal OfficerDONNA KAHMPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1150 N UNION STAddressLine1Txt
CityOLEANCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14760ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,029,320GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressSTHCS.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1995FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionTO IMPROVE HEALTH CARE.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee20TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,271,116PYContributionsGrantsAmt
CY Contributions Grants$891,729CYContributionsGrantsAmt
PY Program Service Revenue$187,882PYProgramServiceRevenueAmt
CY Program Service Revenue$134,526CYProgramServiceRevenueAmt
PY Investment Income$1,039PYInvestmentIncomeAmt
CY Investment Income$999CYInvestmentIncomeAmt
PY Other Revenue$19,461PYOtherRevenueAmt
CY Other Revenue$2,066CYOtherRevenueAmt
PY Total Revenue$1,479,498PYTotalRevenueAmt
CY Total Revenue$1,029,320CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$743,861PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$605,754CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$627,754PYOtherExpensesAmt
CY Other Expenses$425,628CYOtherExpensesAmt
PY Total Expenses$1,371,615PYTotalExpensesAmt
CY Total Expenses$1,031,382CYTotalExpensesAmt
PY Revenues Less Expenses$107,883PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$2,062CYRevenuesLessExpensesAmt
Total Assets BOY$1,643,606TotalAssetsBOYAmt
Total Assets EOY$1,853,233TotalAssetsEOYAmt
Total Liabilities BOY$230,528TotalLiabilitiesBOYAmt
Total Liabilities EOY$470,269TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,413,078NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,382,964NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO IMPROVE HEALTH CAREMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$193,827ExpenseAmt
Revenue$53,941RevenueAmt
DescEMS TRAINING AND SERVICES, AND OTHER HEALTH AND WELFARE PROGRAMS INCLUDING OTHER EXPENSES DIRECTLY RELATED TO THE ABOVE.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$198,106ExpenseAmt
Revenue$42,123RevenueAmt
DescSUPPORT OF A CHILD ADVOCACY CENTER THAT PROVIDES MULTI-DISCIPLINARY SERVICES THAT FOCUSES ON CHILD SEXUAL AND PHYSICAL ABUSE.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$220,326ExpenseAmt
DescTO PROVIDE SERVICES TO VICTIMS OF CHILD ABUSE AND NEGLECT AND NON-OFFENDING FAMILY MEMBERS; EDUCATE PROFESSIONALS IN EVIDENCE-BASED TREATMENTS; INVESTIGATE THE CAUSES OF PREVENTABLE AND ACCIDENTAL CHILD DEATHS; EDUCATE PROFESSIONALS AND COMMUNITY MEMBERS TO PREVENT SIMILAR CHILD DEATHS; IMPROVE THE HEALTH AND SAFETY OF CHILDREN.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$353,952ExpenseAmt
Revenue$38,362RevenueAmt
DescOTHER PROGRAM SERVICES AND EXPENSESDesc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$353,952TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$38,362TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$966,211TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (1)BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document21IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee20EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1COLLEEN ROSSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7163720614PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1150 N UNION STAddressLine1Txt
CityOLEANCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14760ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
ANDREW BOSER
DIRECTOR0.00Yes (X)$0$0$0
DANIEL STRAUCH
DIRECTOR0.00Yes (X)$0$0$0
EVA BENEDICT
DIRECTOR0.00Yes (X)$0$0$0
CAROL MAHONEY
DIRECTOR0.00Yes (X)$0$0$0
TODD REISNER
DIRECTOR0.00Yes (X)$0$0$0
BETSY WRIGHT
DIRECTOR0.00Yes (X)$0$0$0
DR KEVIN WATKINS
DIRECTOR0.00Yes (X)$0$0$0Yes (X)
HOWARD HOWLETT
CHAIRMAN0.00Yes (X)$0$0$0Yes (X)
TOM HOLT
TREASURER0.00Yes (X)$0$0$0Yes (X)
TIMOTHY FINAN
SECRETARY0.00Yes (X)$0$0$0Yes (X)
DONNA KAHM
CEO37.50$122,385$0$31,059Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$122,385TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$31,059TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CUMMINS CONSTRUCTIONBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line1CENTER STAddressLine1Txt
CityCUBACityNm
State AbbreviationNYStateAbbreviationCd
ZIP14727ZIPCd
FieldValueIRS element (for citing)
ServicesCAPITAL CONSTRUCTIONServicesDesc
Compensation$120,000CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
Government Grants$849,685GovernmentGrantsAmt
All Other Contributions$42,044AllOtherContributionsAmt
Total Contributions$891,729TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
SERVICES900099$81,041$81,041
TRAINING AND WORKSHOPS900099$40,783$40,783

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$12,702TotalRevenueColumnAmt
Related Or Exempt Func Income$12,702RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$134,526TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$999TotalRevenueColumnAmt
Exclusion$999ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$2,066FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,066TotalRevenueColumnAmt
Exclusion$2,066ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,029,320TotalRevenueColumnAmt
Related Or Exempt Func Income$134,526RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$3,065ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$122,385TotalAmt
Program Services$100,000ProgramServicesAmt
Management And General$22,385ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$376,346TotalAmt
Program Services$354,021ProgramServicesAmt
Management And General$22,325ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$49,873TotalAmt
Program Services$37,866ProgramServicesAmt
Management And General$12,007ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$18,112TotalAmt
Program Services$17,023ProgramServicesAmt
Management And General$1,089ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$39,038TotalAmt
Program Services$35,245ProgramServicesAmt
Management And General$3,793ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,629TotalAmt
Program Services$1,629ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$20,774TotalAmt
Program Services$20,774ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PROGRAM EXPENSES$218,261$218,261
OPERATIONS$109,012$107,987$1,025
PROFESSIONAL FEES$72,536$70,149$2,387
POSTAGE$1,760$1,600$160

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,656TotalAmt
Program Services$1,656ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,031,382TotalAmt
Program Services$966,211ProgramServicesAmt
Management And General$65,171ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$186,995BOYAmt
EOY$94,898EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$897,030BOYAmt
EOY$728,910EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$257,101BOYAmt
EOY$148,460EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$6,056BOYAmt
EOY$14,951EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$972,404LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$106,390LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$296,424BOYAmt
EOY$866,014EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,643,606BOYAmt
EOY$1,853,233EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$155,065BOYAmt
EOY$198,711EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$75,463BOYAmt
EOY$6,401EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
EOY$265,157EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$230,528BOYAmt
EOY$470,269EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,360,592BOYAmt
EOY$1,356,923EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$52,486BOYAmt
EOY$26,041EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,413,078BOYAmt
EOY$1,382,964EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,643,606BOYAmt
EOY$1,853,233EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$2,062ReconcilationRevenueExpnssAmt
Prior Period Adjustments-$28,052PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

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

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,226,819CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$970,601CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,169,422CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,271,116CurrentTaxYearMinus1YearAmt
Current Tax Year$891,729CurrentTaxYearAmt
Total$5,529,687TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,226,819CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$970,601CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,169,422CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,271,116CurrentTaxYearMinus1YearAmt
Current Tax Year$891,729CurrentTaxYearAmt
Total$5,529,687TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$5,529,687PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,376CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$854CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,059CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,039CurrentTaxYearMinus1YearAmt
Current Tax Year$999CurrentTaxYearAmt
Total$5,327TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,307CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$13,110CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$37,204CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$19,461CurrentTaxYearMinus1YearAmt
Current Tax Year$2,066CurrentTaxYearAmt
Total$82,148TotalAmt
FieldValueIRS element (for citing)
Total Support$5,617,162TotalSupportAmt
Gross Receipts Rltd Activities$502,811GrossReceiptsRltdActivitiesAmt
Public Support CY1700.98440PublicSupportCY170Pct
Public Support PY1700.95730PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A PART II, SECTION B: TOTAL SUPPORT, LINE 10: OTHERFormAndLineReferenceDesc
ExplanationTHE AMOUNTS REPRESENT GROSS FUNDRAISING AMOUNTS.ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule D IRS990ScheduleD

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$918,566InvestmentCostOrOtherBasisAmt
Depreciation$70,646DepreciationAmt
Book Value$847,920BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$53,838InvestmentCostOrOtherBasisAmt
Depreciation$35,744DepreciationAmt
Book Value$18,094BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$866,014TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$1,029,320TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$1,029,320RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$1,029,320TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,031,382TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$1,031,382ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$1,031,382TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationSOUTHERN TIER HEALTH CARE SYSTEM, INC. IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND FROM NEW YORK INCOME TAXES. THEREFORE, NO PROVISION HAS BEEN MADE FOR FEDERAL OR NEW YORK INCOME TAXES IN THE ACCOMPANYING FINANCIAL STATEMENTS.ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TODD REISNERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Relationship DescriptionBOARD OF DIRECTORSRelationshipDescriptionTxt
Transaction$15,300TransactionAmt
TransactionGRANT FUNDS PASSED THROUGH TO TRANS AM AMBULANCE, WHERE MR. REISNER IS THE GENERAL MANAGER, FOR FLY CAR AMBULANCE SERVICES WITHIN THE REGION.TransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BDRAFT 990 IS SENT TO BOARD FINANCIAL COMMITTEE FOR REVIEW. THE COMMITTEE FORWARDS THE DRAFT 990 TO THE BOARD OF DIRECTORS AFTER REVIEW. AUDITORS THEN PRESENT DRAFT 990 TO THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 12CBOARD REVIEWS CONFLICT OF INTEREST DISCLOSURES ON AN ANNUAL BASIS AND RESOLVES ANY NOTED.
FORM 990, PART VI, SECTION B, LINE 15THE BOARD MEMBERS COMPLETE A CEO EVALUATION, ONCE COMPLETED THE SUMMARY IS SENT TO THE EXECUTIVE COMMITTEE. THE COMMITTEE WOULD THEN PRESENT ITS CONCLUSION TO THE FULL BOARD OF DIRECTORS FOR APPROVAL.
FORM 990, PART VI, SECTION C, LINE 19ORGANIZATION PROVIDES ALL DOCUMENTS UPON REQUEST.