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SAPPHIRE COMMUNITY HEALTH INC: Form 990EZ, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
SAPPHIRE COMMUNITY HEALTH INC (EIN 81-0542716)
Tax period
2014-01-01 to 2014-12-31
Filed
2015-10-21
IRS object ID
201542949349200829
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)
Return2015-10-21T18:03:29-05:00ReturnTs
Tax Period End2014-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN810522654PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1LOREN RANDALL PC DBA RANDALL HENSEL & COBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 4325AddressLine1Txt
CityMISSOULACityNm
State AbbreviationMTStateAbbreviationCd
ZIP598064325ZIPCd
FieldValueIRS element (for citing)
Return Type990EZReturnTypeCd
Tax Period Begin2014-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN810542716EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SAPPHIRE COMMUNITY HEALTH INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSAPPBusinessNameControlTxt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 9025AddressLine1Txt
CityMISSOULACityNm
State AbbreviationMTStateAbbreviationCd
ZIP59807ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJIM MORTONPersonNm
Person TitleTREASURERPersonTitleTxt
Signature2015-10-19SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLOREN W RANDALL CPAPreparerPersonNm
PTINP00237699PTIN
Phone4067285539PhoneNum
Preparation2015-10-19PreparationDt
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990-EZ IRS990EZ

FieldValueIRS element (for citing)
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Website AddressN/AWebsiteAddressTxt
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Gross Receipts$97,814GrossReceiptsAmt
Info In Schedule O Part IYes (X)InfoInScheduleOPartIInd
Contributions Gifts Grants Etc$96,240ContributionsGiftsGrantsEtcAmt
Program Service Revenue$1,571ProgramServiceRevenueAmt
Investment Income$3InvestmentIncomeAmt
Total Revenue$97,814TotalRevenueAmt
Salaries Other Comp Empl Bnft$117SalariesOtherCompEmplBnftAmt
Fees And Other Pymt To Ind Cntrct$15,376FeesAndOtherPymtToIndCntrctAmt
Occupancy Rent Utlts And Maint$14,268OccupancyRentUtltsAndMaintAmt
Printing Publications Postage$413PrintingPublicationsPostageAmt
Other Expenses Total$32,900OtherExpensesTotalAmt
Total Expenses$63,074TotalExpensesAmt
Excess Or Deficit For Year$34,740ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY$22,711NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$57,451NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIYes (X)InfoInScheduleOPartIIInd

Cash Savings And Investments CashSavingsAndInvestmentsGrp

FieldValueIRS element (for citing)
BOY$21,911BOYAmt
EOY$39,081EOYAmt

Other Assets Total Detail OtherAssetsTotalDetail

FieldValueIRS element (for citing)
BOY$800BOYAmt
EOY$20,328EOYAmt

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$22,711BOYAmt
EOY$59,409EOYAmt

Sum Of Total Liabilities SumOfTotalLiabilitiesGrp

FieldValueIRS element (for citing)
EOY$1,958EOYAmt

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY$22,711BOYAmt
EOY$57,451EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
Primary Exempt PurposeIMPROVE THE OVERALL HEALTH STATUS OF ADULTS AND CHILDREN IN RAVALLI COUNTY, MONTANA, BY PROVIDING QUALITY PRIMARY AND PREVENTATIVE HEALTH SERVICES TO THE MEDICALLY UNDERSERVED POPULATION.PrimaryExemptPurposeTxt

Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp

FieldValueIRS element (for citing)
Description Program Srvc AccomTO PROVIDE COMPREHENSIVE PRIMARY CARE AND PREVENTATIVE HEALTH CARE SERVICES THAT WILL IMPROVE THE HEALTH STATUS AND DECREASE HEALTH DISPARITIES OF THE MEDICALLY UNDERSERVED POPULATIONS OF RAVALLI COUNTY, MONTANA.DescriptionProgramSrvcAccomTxt
Program Service Expenses$63,074ProgramServiceExpensesAmt
FieldValueIRS element (for citing)
Total Program Service Expenses$63,074TotalProgramServiceExpensesAmt

Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (5 entries)

TitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmt
CARLOTTA GRANDSTAFF
CHAIR1.00$0
DIXIE STARK
VICE CHAIR1.00$0
JAMES WALKER
BOARD MEMBER1.00$0
JERI DRAKE
BOARD MEMBER1.00$0
JIM MORTON
SECRETARY/TR1.00$0
FieldValueIRS element (for citing)
Activities Not Previously RptfalseActivitiesNotPreviouslyRptInd
Chg Made To Orgnzng Doc Not RptfalseChgMadeToOrgnzngDocNotRptInd
Organization Had UBIfalseOrganizationHadUBIInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Organization Dissolved EtcfalseOrganizationDissolvedEtcInd
Form1120 Pol FiledfalseForm1120PolFiledInd
Made Loans To From OfficersfalseMadeLoansToFromOfficersInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonHUMAN RESOURCE COUNCIL INCPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11801 S HIGGINSAddressLine1Txt
CityMISSOULACityNm
State AbbreviationMTStateAbbreviationCd
ZIP59801ZIPCd
FieldValueIRS element (for citing)
Phone4067283710PhoneNum
FieldValueIRS element (for citing)
Foreign Financial AccountfalseForeignFinancialAccountInd
Foreign OfficefalseForeignOfficeInd
Donor Advised FndsfalseDonorAdvisedFndsInd
Operate HospitalfalseOperateHospitalInd
Tanning Services ProvidedfalseTanningServicesProvidedInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
School OperatingfalseSchoolOperatingInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Part VI Of Comp Of Hghst Pd EmplNONEPartVIOfCompOfHghstPdEmplTxt
Part VI Hghst Pd Cntrct Prof SrvcNONEPartVIHghstPdCntrctProfSrvcTxt
Filed Schedule AYes (true)FiledScheduleAInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990-EZ, PART I, LINE 16EXPENSES INSURANCE 8,510 LAB AND MEDICAL SUPPLIES 12,425 LICENSES 240 COMMUNICATIONS 69 SUPPLIES 4,397 OUTREACH 6,210 REPAIRS AND MAINTENANCE 880 TRAVEL AND TRAINING 169 TOTAL 32,900
FORM 990-EZ, PART II, LINE 24GRANTS RECEIVABLE 0 6,000 ACCOUNTS RECEIVABLE 800 3,647 PREPAID EXPENSES AND DEFERRED CHARGES 0 10,681 TOTAL 800 20,328
FORM 990-EZ, PART II, LINE 26ACCOUNTS PAYABLE AND ACCRUED EXPENSES 0 1,958
FORM 990-EZ, PART IIIIMPROVE THE OVERALL HEALTH STATUS OF ADULTS AND CHILDREN IN RAVALLI COUNTY, MONTANA, BY PROVIDING QUALITY PRIMARY AND PREVENTATIVE HEALTH SERVICES TO THE MEDICALLY UNDERSERVED POPULATION.