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TIOGA COUNTY PARTNERSHIP FOR COMMUNITY HEALTH: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
TIOGA COUNTY PARTNERSHIP FOR COMMUNITY HEALTH (EIN 25-1872477)
Tax period
2014-07-01 to 2015-06-30
Filed
2016-02-12
IRS object ID
201640439349300524
Schema version
2014v6.0
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)
Return2016-02-12T08:38:08-06:00ReturnTs
Tax Period End2015-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN390859910PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BAKER TILLY VIRCHOW KRAUSE LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12 WALN STREETAddressLine1Txt
CityWELLSBOROCityNm
State AbbreviationPAStateAbbreviationCd
ZIP16901ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN251872477EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TIOGA COUNTY PARTNERSHIP FOR COMMUNITY HEALTHBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlTIOGBusinessNameControlTxt
Phone5707230520PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line133 PEARL STREETAddressLine1Txt
CityWELLSBOROCityNm
State AbbreviationPAStateAbbreviationCd
ZIP16901ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonANNE LOUDENSLAGERPersonNm
Person TitleCHAIRPersonTitleTxt
Phone5707230520PhoneNum
Signature2016-01-21SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTRAVIS R HUNT CPAPreparerPersonNm
PTINP00964973PTIN
Phone5707245000PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-08-17 19:52:53ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerANNE LOUDENSLAGERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line133 PEARL STREETAddressLine1Txt
CityWELLSBOROCityNm
State AbbreviationPAStateAbbreviationCd
ZIP16901ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$301,832GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.TIOGAPARTNERS.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2000FormationYr
Legal Domicile StatePALegalDomicileStateCd
Activity Or MissionCOLLABORATING FOR BETTER PHYSICAL HEALTH, EARLY EDUCATION, AND SUBSTANCE ABUSE PREVENTION.ActivityOrMissionDesc
Voting Members Governing Body22VotingMembersGoverningBodyCnt
Voting Members Independent20VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers60TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$342,485PYContributionsGrantsAmt
CY Contributions Grants$270,908CYContributionsGrantsAmt
PY Program Service Revenue$32,311PYProgramServiceRevenueAmt
CY Program Service Revenue$28,936CYProgramServiceRevenueAmt
PY Investment Income$80PYInvestmentIncomeAmt
CY Investment Income$80CYInvestmentIncomeAmt
PY Other Revenue$1,369PYOtherRevenueAmt
CY Other Revenue$1,908CYOtherRevenueAmt
PY Total Revenue$376,245PYTotalRevenueAmt
CY Total Revenue$301,832CYTotalRevenueAmt
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$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$257,315PYOtherExpensesAmt
CY Other Expenses$305,989CYOtherExpensesAmt
PY Total Expenses$257,315PYTotalExpensesAmt
CY Total Expenses$305,989CYTotalExpensesAmt
PY Revenues Less Expenses$118,930PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$4,157CYRevenuesLessExpensesAmt
Total Assets BOY$352,257TotalAssetsBOYAmt
Total Assets EOY$371,185TotalAssetsEOYAmt
Total Liabilities BOY$48,040TotalLiabilitiesBOYAmt
Total Liabilities EOY$71,125TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$304,217NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$300,060NetAssetsOrFundBalancesEOYAmt
MissionPROVIDING INNOVATIVE LEADERSHIP FOR IMPROVING THE HEALTH AND QUALITY OF LIFE OF INDIVIDUALS AND COMMUNITIES IN TIOGA COUNTY, PA.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$271,875ExpenseAmt
Revenue$30,924RevenueAmt
DescSUBSTANCE ABUSE PREVENTION: CREATED AND DISTRIBUTED MEDIA MATERIALS IN THE PREVENTION OF YOUTH ALCHOLOL AND DRUG USE AND WARNING ADULT SUPPLIERS OF LAWS AND DANGERS. WORKED WITH SCHOOLS AND CHURCHES TO INCREASE YOUTH PREVENTION ACTIVITIES.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
DescINFORMATIVE EVENTS TARGETED TO SENIOR CITIZENS, FAMILIES, THE COMMUNITY, AND HIGH SCHOOLERS, REGARDING HEALTH, CAREERS, SERVICES AVAILABLE, COMMUNITY DEVELOPMENT, ETC.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
DescCOORDINATED FLU VACCINE PROGRAMS IN COUNTY. COORDINATED SEVERAL OUTDOOR ACTIVITY EVENTS AT AREA PARKS.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$271,875TotalProgramServiceExpensesAmt
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 Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J 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 Document3IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members22GoverningBodyVotingMembersCnt
Independent Voting Member20IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
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 CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldPAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SUSAN STICKLINBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5707230520PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line133 PEARL STREETAddressLine1Txt
CityWELLSBOROCityNm
State AbbreviationPAStateAbbreviationCd
ZIP16901ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
ANNE LOUDENSLAGER
CHAIR1.00Yes (X)Yes (X)$0$0$0
JIM WEAVER
VICE-CHAIR1.00Yes (X)Yes (X)$0$0$0
MAX HARRISON
SECRETARY1.00Yes (X)Yes (X)$0$0$0
MARK HUGHES
TREASURER1.00Yes (X)Yes (X)$0$0$0
RONALD BUTLER
DIRECTOR1.00Yes (X)$0$0$0
JOAN BURROWS
DIRECTOR1.00Yes (X)$0$0$0
MARCIA REESE
DIRECTOR1.00Yes (X)$0$0$0
BOB MORRIS
DIRECTOR1.00Yes (X)$0$0$0
JACKIE SMITH
DIRECTOR1.00Yes (X)$0$0$0
KIM SEXAUER
DIRECTOR1.00Yes (X)$0$0$0
ADRIENNE SIGNOR-ANDREWS
DIRECTOR1.00Yes (X)$0$0$0
TIM MOREY
DIRECTOR1.00Yes (X)$0$0$0
JEFF HIMES
DIRECTOR1.00Yes (X)$0$0$0
LISA FEIL
DIRECTOR1.00Yes (X)$0$0$0
LINDSEY SIKORSKI
DIRECTOR1.00Yes (X)$0$0$0
JIM FARRER
DIRECTOR1.00Yes (X)$0$0$0
CHRISTIE BLACKWELL
DIRECTOR1.00Yes (X)$0$0$0
DEB SAWYER
DIRECTOR1.00Yes (X)$0$0$0
ROGER BUNN
DIRECTOR1.00Yes (X)$0$0$0
MARK HAMILTON
DIRECTOR1.00Yes (X)$0$0$0
ERICK COOLIDGE
DIRECTOR1.00Yes (X)$0$0$0
JANIE HILFIGER
DIRECTOR1.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
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 Line1LAUREL MANAGEMENT SERVICES SUSQUEHANNABusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line143 MEADE STREETAddressLine1Txt
CityWELLSBOROCityNm
State AbbreviationPAStateAbbreviationCd
ZIP16901ZIPCd
FieldValueIRS element (for citing)
ServicesCONTRACT MANAGEMENT SERVICESServicesDesc
Compensation$156,803CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
Government Grants$155,780GovernmentGrantsAmt
All Other Contributions$115,128AllOtherContributionsAmt
Total Contributions$270,908TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPROGRAM FEESDesc
Business900099BusinessCd
Total Revenue Column$28,936TotalRevenueColumnAmt
Related Or Exempt Func Income$28,936RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$28,936TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$80TotalRevenueColumnAmt
Related Or Exempt Func Income$80RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescADMINISTRATIVE FEE INCDesc
Business900099BusinessCd
Total Revenue Column$1,908TotalRevenueColumnAmt
Related Or Exempt Func Income$1,908RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,908OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$301,832TotalRevenueColumnAmt
Related Or Exempt Func Income$30,924RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$156,803TotalAmt
Program Services$125,669ProgramServicesAmt
Management And General$31,134ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$4,515TotalAmt
Program Services$4,515ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$21,837TotalAmt
Program Services$21,837ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,131TotalAmt
Program Services$2,131ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$15,285TotalAmt
Program Services$13,819ProgramServicesAmt
Management And General$1,466ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$4,431TotalAmt
Program Services$4,431ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$244TotalAmt
Program Services$244ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,485TotalAmt
Program Services$2,485ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$3,702TotalAmt
Program Services$3,406ProgramServicesAmt
Management And General$296ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PROGRAM EXPENSES$82,468$82,468
SUPPLIES$7,307$6,215$1,092
REPAIRS & MAINTENANCE$3,040$3,040
TELEPHONE$1,576$1,450$126

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$165TotalAmt
Program Services$165ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$305,989TotalAmt
Program Services$271,875ProgramServicesAmt
Management And General$34,114ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$249,407BOYAmt
EOY$253,196EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$79,908BOYAmt
EOY$79,988EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$15,891BOYAmt
EOY$25,697EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,830BOYAmt
EOY$3,698EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$46,352LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$37,746LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$4,221BOYAmt
EOY$8,606EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$352,257BOYAmt
EOY$371,185EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$48,040BOYAmt
EOY$56,125EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
EOY$15,000EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$48,040BOYAmt
EOY$71,125EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$193,919BOYAmt
EOY$193,528EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$110,298BOYAmt
EOY$106,532EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$304,217BOYAmt
EOY$300,060EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$352,257BOYAmt
EOY$371,185EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$4,157ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewYes (1)AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
FS Audited0FSAuditedInd
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$240,789CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$288,663CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$297,339CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$342,485CurrentTaxYearMinus1YearAmt
Current Tax Year$270,908CurrentTaxYearAmt
Total$1,440,184TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$240,789CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$288,663CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$297,339CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$342,485CurrentTaxYearMinus1YearAmt
Current Tax Year$270,908CurrentTaxYearAmt
Total$1,440,184TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$1,440,184PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$234CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$102CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$85CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$80CurrentTaxYearMinus1YearAmt
Current Tax Year$80CurrentTaxYearAmt
Total$581TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,386CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,688CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$13,756CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$33,680CurrentTaxYearMinus1YearAmt
Current Tax Year$30,844CurrentTaxYearAmt
Total$91,354TotalAmt
FieldValueIRS element (for citing)
Total Support$1,532,119TotalSupportAmt
Public Support CY1700.94000PublicSupportCY170Pct
Public Support PY1700.95700PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,400OtherCostOrOtherBasisAmt
Depreciation$6,400DepreciationAmt
Book Value$0BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$39,952OtherCostOrOtherBasisAmt
Depreciation$31,346DepreciationAmt
Book Value$8,606BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$8,606TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD IS MET. MANAGEMENT DETERMINED THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD FOR THE FISCAL YEAR ENDED JUNE 30, 2015.ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LAUREL MANAGEMENT SERVICES SUSQUEHANNA HEALTH SYSTEM (SHS)BusinessNameLine1Txt
FieldValueIRS element (for citing)
Relationship DescriptionRON BUTLER (RET 4-15) AND JANIE HILFIGER OF SHS ARE ORGANIZATION DIRECTORS.RelationshipDescriptionTxt
TransactionTHE ORGANIZATION PAID $156,803 FOR CONTRACT MANAGEMENT SERVICES TO LAUREL MANAGEMENT SERVICES / SUSQUEHANNA HEALTH SYSTEM (AS NOTED ON FORM 990 PAGE 8 SECTION B).TransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2BUSINESS RELATIONSHIPS: 1. RON BUTLER (RETIRED APRIL 2015)/ JANIE HILFIGER 2. MARK HAMILTON / ROGER BUNN / ERICK COOLIDGE 3. MAX HARRISON / MARK HAMILTON / ROGER BUNN / ERICK COOLIDGE 4. JIM WEAVER / MARK HAMILTON / ROGER BUNN / ERICK COOLIDGE 5. MAX HARRISON / MARCIA REESE 6. RON BUTLER (RETIRED APRIL 2015)/ JANIE HILFGER / JOAN BURROWS 7. ANNE LOUDENSLAGER (LEFT EARLY 2015)/ LINDSEY SIKORSKI
FORM 990, PART VI, SECTION B, LINE 11FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CAT THE BOARD AND EXECUTIVE COMMITTEE LEVEL, CONFLICTS ARE DISCUSSED AS NEEDED DURING DECISION MAKING. IF THE GROUP AGREES A CONFLICTS EXISTS, THE CONFLICTED MEMBER WILL ABSTAIN FROM VOTING ON THE DECISION. A CONFLICT QUESTIONAIRRE IS COMPLETED ANNUALLY AND NEW BOARD MEMBERS ADDED COMPLETE DURING THE INTERIM.
FORM 990, PART VI, SECTION C, LINE 19ALL DOCUMENTS ARE AVAILABLE UPON REQUEST.