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FOUNDATION FOR COMMUNITY HEALTH INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
FOUNDATION FOR COMMUNITY HEALTH INC (EIN 20-0057897)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-11-04
IRS object ID
201433089349301568
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)
Return2014-11-04T14:08:20-06:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KING KING & ASSOCIATES CPA'SBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1170 HOLABIRD AVENUEAddressLine1
CityWINSTEDCity
StateCTState
ZIP Code060981727ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN200057897EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1FOUNDATION FOR COMMUNITY HEALTHBusinessNameLine1
Business Name Line2INCBusinessNameLine2
FieldValueIRS element (for citing)
Business Name ControlFOUNBusinessNameControlTxt
Phone8603645157PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1478 CORNWALL BRIDGE ROADAddressLine1
CitySHARONCity
StateCTState
ZIP Code060692521ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonNANCY HEATONPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone8603645157PhoneNum
Signature2014-08-01SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonROBERT E KING CPAPreparerPersonNm
PTINP00083643PTIN
Phone8603790215PhoneNum
Preparation2014-11-04PreparationDt
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeYes (X)AddressChangeInd
Gross Receipts$1,140,687GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressFCHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2003FormationYr
Legal Domicile StateCTLegalDomicileStateCd
Activity Or MissionTO MAINTAIN AND IMPROVE THE PHYSICAL AND MENTAL HEALTH OF ALL RESIDENTS OF THE AREA HISTORICALLY SERVED BY SHARON HOSPITAL INC.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee3TotalEmployeeCnt
Total Volunteers14TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$307,615PYContributionsGrantsAmt
CY Contributions Grants$313,889CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$993,856PYInvestmentIncomeAmt
CY Investment Income$826,798CYInvestmentIncomeAmt
PY Other Revenue$350PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$1,301,821PYTotalRevenueAmt
CY Total Revenue$1,140,687CYTotalRevenueAmt
PY Grants And Similar Paid$813,309PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$783,594CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$264,454PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$286,274CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$386,738PYOtherExpensesAmt
CY Other Expenses$404,064CYOtherExpensesAmt
PY Total Expenses$1,464,501PYTotalExpensesAmt
CY Total Expenses$1,473,932CYTotalExpensesAmt
PY Revenues Less Expenses-$162,680PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$333,245CYRevenuesLessExpensesAmt
Total Assets BOY$24,325,535TotalAssetsBOYAmt
Total Assets EOY$26,695,293TotalAssetsEOYAmt
Total Liabilities BOY$336,955TotalLiabilitiesBOYAmt
Total Liabilities EOY$281,373TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$23,988,580NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$26,413,920NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO MAINTAIN AND IMPROVE THE PHYSICAL AND MENTAL HEALTH OF ALL RESIDENTS OF THE AREA HISTORICALLY SERVED BY SHARON HOSPITAL INC.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$1,236,140ExpenseAmt
Grant$783,594GrantAmt
DescIMPROVE THE PHYSICAL AND MENTAL HEALTH OF ALL RESIDENTS OF THE AREA HISTORICALLY SERVED BY SHARON HOSPITALDesc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
DescIMPROVE THE PHYSICAL AND MENTAL HEALTH OF ALL RESIDENTS OF THE AREA HISTORICALLY SERVED BY SHARON HOSPITALDesc
FieldValueIRS element (for citing)
Total Program Service Expenses$1,236,140TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntYes (true)BusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document9IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld CompliancefalseBackupWthldComplianceInd
Employee3EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesfalseMinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldCTStatesWhereCopyOfReturnIsFldCd
Own WebsiteYes (X)OwnWebsiteInd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonBERKSHIRE TACONIC COMM FNDPersonNm
Phone4135288039PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1800 NORTH MAIN STREETAddressLine1
CitySHEFFIELDCity
StateMAState
ZIP Code01257ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
SYTSKE ARNASON
DIRECTOR1.00Yes (X)$0$0$0
SALLY BERG
DIRECTOR1.00Yes (X)$0$0$0
JOHN P CHARDE
DIRECTOR1.00Yes (X)$0$0$0
DR EUGENE CHIN
DIRECTOR1.00Yes (X)$0$0$0
JOHN GALLUP
DIRECTOR1.00Yes (X)$0$0$0
EVELYN GARZETTA
DIRECTOR1.00Yes (X)$0$0$0
PETER GLEASON
TREASURER2.00Yes (X)$0$0$0Yes (X)
BARBARA S MALTBY
DIRECTOR1.00Yes (X)$0$0$0
JEFFREY MAY
DIRECTOR1.00Yes (X)$0$0$0
NANCY MURPHY
VICE CHAIR2.00Yes (X)$0$0$0Yes (X)
KATHRYN E PALMER-HOUSE
CHAIRMAN2.00Yes (X)$0$0$0Yes (X)
KENNETH SCHECHTER
DIRECTOR1.00Yes (X)$0$0$0
MIRIAM TANNEN
DIRECTOR1.00Yes (X)$0$0$0
ALICE YOAKUM
DIRECTOR1.00Yes (X)$0$0$0
NANCY HEATON
EXECUTIVE DI40.00$108,257$0$37,146Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$108,257TotalReportableCompFromOrgAmt
Total Other Compensation$37,146TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
All Other Contributions$313,889AllOtherContributionsAmt
Total Contributions$313,889TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$355,419TotalRevenueColumnAmt
Exclusion$355,419ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$471,379SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$471,379SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$471,379TotalRevenueColumnAmt
Exclusion$471,379ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,140,687TotalRevenueColumnAmt
Exclusion$826,798ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$783,594TotalAmt
Program Services$783,594ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$145,403TotalAmt
Program Services$101,782ProgramServicesAmt
Management And General$43,621ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$115,905TotalAmt
Program Services$81,133ProgramServicesAmt
Management And General$34,772ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$7,669TotalAmt
Program Services$5,368ProgramServicesAmt
Management And General$2,301ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$17,297TotalAmt
Program Services$12,108ProgramServicesAmt
Management And General$5,189ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$37,046TotalAmt
Management And General$37,046ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$8,750TotalAmt
Management And General$8,750ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$215,730TotalAmt
Program Services$151,011ProgramServicesAmt
Management And General$64,719ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$43,970TotalAmt
Program Services$31,452ProgramServicesAmt
Management And General$12,518ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$12,506TotalAmt
Program Services$8,754ProgramServicesAmt
Management And General$3,752ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,705TotalAmt
Program Services$1,968ProgramServicesAmt
Management And General$737ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$4,721TotalAmt
Program Services$3,304ProgramServicesAmt
Management And General$1,417ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$42,869TotalAmt
Program Services$30,008ProgramServicesAmt
Management And General$12,861ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$3,562TotalAmt
Program Services$2,493ProgramServicesAmt
Management And General$1,069ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$6,395TotalAmt
Program Services$5,549ProgramServicesAmt
Management And General$846ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$6,908TotalAmt
Program Services$4,836ProgramServicesAmt
Management And General$2,072ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$6,407TotalAmt
Program Services$4,485ProgramServicesAmt
Management And General$1,922ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
STAFF DEVELOPMENT$7,067$4,947$2,120
EQUIPMENT RENTAL &MAINTEN$3,227$2,259$968
PAYROLL SERVICE FEES$1,181$827$354
DUES & SUBSCRIPTIONS$734$734

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$286TotalAmt
Program Services$262ProgramServicesAmt
Management And General$24ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,473,932TotalAmt
Program Services$1,236,140ProgramServicesAmt
Management And General$237,792ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$21,368BOYAmt
EOY$38,123EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$33,564BOYAmt
EOY$33,581EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$8,630BOYAmt
EOY$7,180EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$82,133LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$49,722LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$34,269BOYAmt
EOY$32,411EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$24,212,993BOYAmt
EOY$26,562,225EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$14,711BOYAmt
EOY$21,773EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$24,325,535BOYAmt
EOY$26,695,293EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$63,782BOYAmt
EOY$74,019EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$273,173BOYAmt
EOY$207,354EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$336,955BOYAmt
EOY$281,373EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$20,809,306BOYAmt
EOY$22,897,350EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$893,375BOYAmt
EOY$1,230,671EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,285,899BOYAmt
EOY$2,285,899EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$23,988,580BOYAmt
EOY$26,413,920EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$24,325,535BOYAmt
EOY$26,695,293EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$333,245ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$2,756,523NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$2,062OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type3 Func IntYes (X)SupportingOrgType3FuncIntInd
CertificationYes (X)CertificationInd
Contribution ControllerfalseContributionControllerInd
Contribution FamilyfalseContributionFamilyInd
Contribution35 ControlledfalseContribution35ControlledInd

Supported Org Information SupportedOrgInformationGrp

Supported Organization Name SupportedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1BERKSHIRE TACONIC COMMUNITY FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
EIN061254469EIN
Organization Type11AOrganizationTypeDesc
Governing Document ListedYes (true)GoverningDocumentListedInd
Supported Org NotifiedYes (true)SupportedOrgNotifiedInd
US OrganizedYes (true)USOrganizedInd
Support$1,236,140SupportAmt
FieldValueIRS element (for citing)
Supported Organizations Total1SupportedOrganizationsTotalCnt
Support Sum$1,236,140SupportSumAmt

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

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$23,876,038BeginningYearBalanceAmt
Contributions$295,511ContributionsAmt
Investment Earnings Or Losses$3,583,235InvestmentEarningsOrLossesAmt
Other Expenditures$1,467,502OtherExpendituresAmt
End Year Balance$26,287,282EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$22,199,793BeginningYearBalanceAmt
Contributions$283,693ContributionsAmt
Investment Earnings Or Losses$2,857,053InvestmentEarningsOrLossesAmt
Other Expenditures$1,464,501OtherExpendituresAmt
End Year Balance$23,876,038EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$23,853,612BeginningYearBalanceAmt
Contributions$426,687ContributionsAmt
Investment Earnings Or Losses-$709,103InvestmentEarningsOrLossesAmt
Other Expenditures$1,371,403OtherExpendituresAmt
End Year Balance$22,199,793EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$20,321,902BeginningYearBalanceAmt
Contributions$1,985,716ContributionsAmt
Investment Earnings Or Losses$2,758,066InvestmentEarningsOrLossesAmt
Other Expenditures$1,212,072OtherExpendituresAmt
End Year Balance$23,853,612EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$16,674,111BeginningYearBalanceAmt
Contributions$245,394ContributionsAmt
Investment Earnings Or Losses$4,518,309InvestmentEarningsOrLossesAmt
Other Expenditures$1,115,912OtherExpendituresAmt
End Year Balance$20,321,902EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.86670BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.08690PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.04640TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (true)RelatedOrgListSchRInd

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$24,045OtherCostOrOtherBasisAmt
Depreciation$7,567DepreciationAmt
Book Value$16,478BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$52,860OtherCostOrOtherBasisAmt
Depreciation$36,927DepreciationAmt
Book Value$15,933BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,228OtherCostOrOtherBasisAmt
Depreciation$5,228DepreciationAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$32,411TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$3,899,272TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$2,756,523NetUnrealizedGainsInvstAmt
Other Revenue$2,062OtherRevenueAmt
Revenue Not Reported$2,758,585RevenueNotReportedAmt
Revenue Subtotal$1,140,687RevenueSubtotalAmt
Total Revenue Per Form990$1,140,687TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,473,932TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$1,473,932ExpensesSubtotalAmt
Total Expenses Per Form990$1,473,932TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PAGE 2, PART V, LINE 4ENDOWMENT FUNDS ARE USED TO ACCOMPLISH THE MISSION OF THE ORGANIZATION: TO MAINTAIN AND IMPROVE THE PHYSICAL AND MENTAL HEALTH OF ALL RESIDENTS OF THE AREA HISTORICALLY SERVED BY SHARON HOSPITAL INC.
SCHEDULE D, PAGE 4, PART XI, LINE 2DCHANGE IN VALUE OF CRT 2,062

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedfalseGrantRecordsMaintainedInd

Recipient Table RecipientTable (16 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
COLUMBIA CTY HEALTHCARE CONSOR
325 COLUMBIA STHUDSONNY12534141802680501C3$25,000ORAL HEALTH, SCRIPT
DUTCHESS CTY COMM ACTION AGENC
77 CANNON STPOUGHKEEPSIENY12601141611857501C3$150,000PRESCRIPTION ASSISTA
EMS INSTITUTE
ONE LOW ROADSHARONCT06069200061963501C3$25,000RECRIUTING & RETENTI
GEER NURSING & REHABILITATION
83 SOUTH CANAAN RD POB 819CANAANCT06018061230842501C3$35,000ADULT DAY CARE TRANS
HUDSON RIVER HEALTHCARE INC
1037 MAIN STPEEKSKILLNY10566132828349501C3$50,000PREVENTIVE DENTAL
NORTHWEST CT COUNCIL OF GOVT
17 SACKETT HILL RDWARRENCT06754060891344GOV$121,500PRESCRIPTION ASSISTA
MARIA SEYMOUR BROOKER MEMORIAL
157 LITCHFIELD STREETTORRINGTONCT06790060646712501C3$25,300REGION1 HYGIENCE PRO
COLUMBIA MEMORIAL HOSPITAL
71 PROSPECT AVENUEHUNDSONNY12534141338373501C3$25,000EXPANDED DENTAL SERV
SUSAN B ANTHONY PROJECT
179 WATER STREETTORRINGTONCT06790061085983501C3$16,000COMMUNITY EDUCATION
WOMEN'S SUPPORT SERVICES
PO BOX 341 158 GAY STREETSHARONCT06069061072379501C3$16,000PROMOTING HEALTHY RE
NORTHWESTERN COMMUNITY COLLEGE FOUN
PARK PLACE EASTWINSTEDCT06798061044425501C3$98,644NURSING PROGRAM
COLUMBIA COUNTY COMMUNITY HEALTHCAR
325 COLUMBIA STREETHUDSONNY12534141802680501C3$13,500PRESCRIPTION ASSISTA
CATHOLIC CHARITIES COMMUNITY SERVIC
1011 FIRST AVENUE 6TH FLOORNEW YORKNY10022135562185501C3$35,000KINSHIP CIRCLES
COUNCIL ON ADDICTION PREVENTION& ED
80 WASHINGTON STREETPOUGHKEEPSIENY12601222804639501C3$18,500PREVENTION & EDUCATI
COMMUNITY MENTAL HEALTH AFFILIATES
29 RUSSELL STREETNEW BRITAINCT06052060934544501C3$85,000EXPAN BEHAVIORAL HEA
CT HEALTH INSURANCE EXCHANGE
280 TRUMBULL STREET 18TH FLOORHARTFORDCT06103454340164GOV$30,000LITCHFIELD NAVIGATOR
FieldValueIRS element (for citing)
Total501c3 Org16Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE I, PAGE 1, PART I, LINE 2FormAndLineReferenceDesc
ExplanationGRANTEES ARE REQUIRED TO FILE REPORTS WITH THE DONOR REFLECTING HOW THE FUNDS WERE SPENT.ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
SYTSKE ARNASON
COMMON DIRECTORSEE SCHED A 11Hfalse
ALICE YOAKUM
COMMON DIRECTORSEE SCHED A 11Hfalse

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 2, PART III, LINE 4DIMPROVE THE PHYSICAL AND MENTAL HEALTH OF ALL RESIDENTS OF THE AREA HISTORICALLY SERVED BY SHARON HOSPITAL
FORM 990, PAGE 6, PART VI, LINE 8BN/A
FORM 990, PAGE 6, PART VI, LINE 11BTHE AUDIT COMMITTEE OF THE BOARD REVIEWS THE 990 AND RECOMENDS ITS ACCEPTANCE TO THE FULL BOARD WHO HAVE THE OPTION OF REVIEWING IT PERSONALLY.
FORM 990, PAGE 6, PART VI, LINE 12CPOLICY REVIEWED ANNUALLY WITH BOARD.
FORM 990, PAGE 6, PART VI, LINE 15ACOMPENSATION DATA AND JOB DESCRIPTIONS ARE REVIEWED ANNUALLY AND COMPARED TO FCH.
FORM 990, PAGE 6, PART VI, LINE 15BREVIEWED ANNUALLY BY BOARD.
FORM 990, PAGE 6, PART VI, LINE 19DOCUMENTS ARE AVAILABLE ON THE ORGANIZATION'S WEB SITE, 990 IS AVAILABLE O N GUIDESTAR.COM, AND ARE PROVIDED UPON REQUEST.
FORM 990, PART XI, LINE 9CHANGE IN VALUE OF CRT 2,062

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1BERKSHIRE TACONIC COMMUNITY FOUNDATBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1800 NORTH MAIN STREETAddressLine1
CitySHEFFIELDCity
StateMAState
ZIP Code012570400ZIPCode
FieldValueIRS element (for citing)
EIN061254469EIN
Primary ActivitiesSUPPORT FOPrimaryActivitiesTxt
Legal Domicile StateMALegalDomicileStateCd
Exempt Code Section501CExemptCodeSectionTxt
Public Charity Status7PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1BERKSHIREBusinessNameLine1
FieldValueIRS element (for citing)
Controlled OrganizationfalseControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1BERKSHIRE TACONIC COMMUNITY FOUNDATBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeLTransactionTypeTxt
Involved$152,565InvolvedAmt
Method Of Amount DeterminationACTUAL COSTMethodOfAmountDeterminationTxt