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SAPPHIRE COMMUNITY HEALTH INC: Form 990EZ, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
SAPPHIRE COMMUNITY HEALTH INC (EIN 81-0542716)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-03-10
IRS object ID
201400699349200330
Schema version
2013v3.1
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)
Return2014-03-10T14:57:56-07:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1LOREN W RANDALL CPAS PCBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 4325AddressLine1
CityMISSOULACity
StateMTState
ZIP Code59806ZIPCode
FieldValueIRS element (for citing)
Return Type990EZReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN810542716EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SAPPHIRE COMMUNITY HEALTH INCBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlSAPPBusinessNameControlTxt
Phone4067283710PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 9025AddressLine1
CityMISSOULACity
StateMTState
ZIP Code59807ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJIM MORTONPersonNm
Person TitleSECRETARY/TREASURERPersonTitleTxt
Phone4067283710PhoneNum
Signature2014-03-03SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLOREN W RANDALL CPAPreparerPersonNm
Phone4067285539PhoneNum
Preparation2014-03-10PreparationDt
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

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$827GrossReceiptsAmt
Info In Schedule O Part IYes (X)InfoInScheduleOPartIInd
Contributions Gifts Grants Etc$800ContributionsGiftsGrantsEtcAmt
Program Service Revenue$25ProgramServiceRevenueAmt
Membership Dues$0MembershipDuesAmt
Investment Income$2InvestmentIncomeAmt
Cost Or Other Basis Expense Sale$0CostOrOtherBasisExpenseSaleAmt
Gain Or Loss From Sale Of Assets$0GainOrLossFromSaleOfAssetsAmt
Gaming Gross Income$0GamingGrossIncomeAmt
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Special Events Direct Expenses$0SpecialEventsDirectExpensesAmt
Special Events Net Income Loss$0SpecialEventsNetIncomeLossAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt
Gross Profit Loss Sls Of Invntry$0GrossProfitLossSlsOfInvntryAmt
Total Revenue$827TotalRevenueAmt
Salaries Other Comp Empl Bnft$114SalariesOtherCompEmplBnftAmt
Fees And Other Pymt To Ind Cntrct$2,450FeesAndOtherPymtToIndCntrctAmt
Printing Publications Postage$28PrintingPublicationsPostageAmt
Other Expenses Total$700OtherExpensesTotalAmt
Total Expenses$3,292TotalExpensesAmt
Excess Or Deficit For Year-$2,465ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY$25,176NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$22,711NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIYes (X)InfoInScheduleOPartIIInd

Cash Savings And Investments CashSavingsAndInvestmentsGrp

FieldValueIRS element (for citing)
BOY$21,178BOYAmt
EOY$21,911EOYAmt

Land And Buildings LandAndBuildingsGrp

FieldValueIRS element (for citing)
BOY$3,300BOYAmt

Other Assets Total Detail OtherAssetsTotalDetail

FieldValueIRS element (for citing)
BOY$700BOYAmt
EOY$800EOYAmt

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$25,178BOYAmt
EOY$22,711EOYAmt

Sum Of Total Liabilities SumOfTotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2BOYAmt

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY$25,176BOYAmt
EOY$22,711EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
Primary Exempt PurposeSEE SCHEDULE OPrimaryExemptPurposeTxt

Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp

FieldValueIRS element (for citing)
Description Program Srvc AccomSEE SCHEDULE ODescriptionProgramSrvcAccomTxt
Program Service Expenses$3,292ProgramServiceExpensesAmt
FieldValueIRS element (for citing)
Total Program Service Expenses$3,292TotalProgramServiceExpensesAmt

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/TREASURER1.00$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

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HUMAN RESOURCE COUNCIL INCBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line11801 S HIGGINSAddressLine1
CityMISSOULACity
StateMTState
ZIP Code59801ZIPCode
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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd
Public Support Total170$0PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support CY1700PublicSupportCY170Pct
Public Support Total509$0PublicSupportTotal509Amt
Public Support CY5090PublicSupportCY509Pct
Investment Income CY0InvestmentIncomeCYPct

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (19 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PT III, EXEMPT PURPOSEIMPROVE THE OVERALL HEALTH STATUS OF ADULTS AND CHILDREN IN RAVALLI
PT III, EXEMPT PURPOSECOUNTY, MONTANA, BY PROVIDING QUALITY PRIMARY AND PREVENTATIVE
PT III, EXEMPT PURPOSEHEALTH SERVICES TO THE MEDICALLY UNDERSERVED POPULATION.
PT III, LINE 28TO PROVIDE COMPREHENSIVE PRIMARY CARE AND PREVENTATIVE
PT III, LINE 28HEALTH CARE SERVICES THAT WILL IMPROVE THE HEALTH STATUS
PT III, LINE 28AND DECREASE HEALTH DISPARITIES OF THE MEDICALLY
PT III, LINE 28UNDERSERVED POPULATIONS OF RAVALLI COUNTY, MONTANA.
PT III, LINE 28IN 2011, THE AGENCY CLOSED THE HEALTH CLINIC DUE TO
PT III, LINE 28FEDERAL GRANT APPROPRIATIONS BEING DELAYED AT THE
PT III, LINE 28FEDERAL LEVEL. HOWEVER, THE AGENCY WILL CONTINUE TO SEEK
PT III, LINE 28GRANT SUPPORT IN ORDER TO RE-OPEN THE CLINIC. ACCORDINGLY,
PT III, LINE 28THE AGENCY IS CONSIDERED DORMANT AS OF DECEMBER 31, 2013 AND
PT III, LINE 282012, AND WILL CONTINUE TO BE DORMANT UNTIL FUNDING IS
PT III, LINE 28SECURED, OR THE BOARD OF DIRECTORS DETERMINES THE CLINIC
PT III, LINE 28IS NO LONGER FEASIBLE. CURRENTLY, THERE IS NO INTENTION
PT III, LINE 28TO DISSOLVE OR LIQUIDATE THE AGENCY.
Form 990EZ, Part I, Line 16INSURANCE 700.
Form 990EZ, Part II, Line 24ACCOUNTS RECEIVABLE, NET 0. 800. PREPAIDS 700. 0.
Form 990EZ, Part II, Line 26ACCOUNTS PAYABLE 2.