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TIOGA COUNTY PARTNERSHIP FOR COMMUNITY HEALTH: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
TIOGA COUNTY PARTNERSHIP FOR COMMUNITY HEALTH (EIN 25-1872477)
Tax period
2012-07-01 to 2013-06-30
Filed
2013-11-08
IRS object ID
201303129349301000
Schema version
2012v2.1
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)
Timestamp2013-11-08T08:16:39-06:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN232932984EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1PARENTEBEARD LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12 WALN STREETAddressLine1
CityWELLSBOROCity
StatePAState
ZIP Code16901ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN251872477EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1TIOGA COUNTY PARTNERSHIP FOR COMMUNITY HEALTHBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlTIOGNameControl
Phone5707230520Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line133 PEARL STREETAddressLine1
CityWELLSBOROCity
StatePAState
ZIP Code16901ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NamePETER KELLERName
TitleCHAIRTitle
Phone5707230520Phone
Date Signed2013-10-09DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameTRAVIS R HUNT CPAName
PTINP00964973PTIN
Phone5707245000Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonPETER KELLERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line133 PEARL STREETAddressLine1
CityWELLSBOROCity
StatePAState
ZIP Code16901ZIPCode
FieldValueIRS element (for citing)
Gross Receipts311180GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.TIOGAPARTNERS.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2000YearFormation
State Legal DomicilePAStateLegalDomicile
Activity Or Mission DescriptionCOLLABORATING FOR BETTER PHYSICAL HEALTH, EARLY EDUCATION, AND SUBSTANCE ABUSE PREVENTION.ActivityOrMissionDescription
Nbr Voting Members Governing Body21NbrVotingMembersGoverningBody
Nbr Independent Voting Members21NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year288663ContributionsGrantsPriorYear
Contributions Grants Current Year297339ContributionsGrantsCurrentYear
Program Service Revenue Prior Year7688ProgramServiceRevenuePriorYear
Program Service Revenue CY13756ProgramServiceRevenueCY
Investment Income Prior Year102InvestmentIncomePriorYear
Investment Income Current Year85InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year296453TotalRevenuePriorYear
Total Revenue Current Year311180TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year0SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year289398OtherExpensePriorYear
Other Expenses Current Year281274OtherExpensesCurrentYear
Total Expenses Prior Year289398TotalExpensesPriorYear
Total Expenses Current Year281274TotalExpensesCurrentYear
Revenues Less Expenses Prior Year7055RevenuesLessExpensesPriorYear
Revenues Less Expenses CY29906RevenuesLessExpensesCY
Total Assets BOY205831TotalAssetsBOY
Total Assets EOY220069TotalAssetsEOY
Total Liabilities BOY50450TotalLiabilitiesBOY
Total Liabilities EOY34782TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY155381NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY185287NetAssetsOrFundBalancesEOY
Mission DescriptionPROVIDING INNOVATIVE LEADERSHIP FOR IMPROVING THE HEALTH AND QUALITY OF LIFE OF INDIVIDUALS AND COMMUNITIES IN TIOGA COUNTY, PA.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense241432Expense
Revenue13841Revenue
DescriptionSUBSTANCE 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.Description

Activity2 Activity2

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

Activity3 Activity3

FieldValueIRS element (for citing)
DescriptionPHYSICAL HEALTH PROMOTION: DIRECTED IMPROVEMENTS OF PHYSICAL-EDUCATION PROGRAM IN WELLSBORO SCHOOLS, TO BE MORE FOCUSED ON LIFELONG HEALTH, LESS ON SPORTS. COORDINATED FLU VACCINE PROGRAMS IN COUNTY. COORDINATED SEVERAL OUTDOOR ACTIVITY EVENTS AT AREA PARKS.Description
FieldValueIRS element (for citing)
Total Program Service Expense241432TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10961NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members21NbrVotingGoverningBodyMembers
Number Independent Voting Members21NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledPAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1SUSAN STICKLINBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5707230520TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line133 PEARL STREETAddressLine1
CityWELLSBOROCity
StatePAState
ZIP Code16901ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (21 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
PETER KELLER
CHAIR1.00XX000
ANNE LOUDENSLAGE
VICE-CHAIR1.00XX000
MAX HARRISON
SECRETARY1.00XX000
MARK HUGHES
TREASURER1.00XX000
JIM WEAVER
DIRECTOR1.00X000
JEFF HIMES
DIRECTOR1.00X000
LISA FEIL
DIRECTOR1.00X000
BOB MORRIS
DIRECTOR1.00X000
RONALD BUTLER
DIRECTOR1.00X000
JANIE HILFIGER
DIRECTOR1.00X000
ADRIENNE SIGNOR-ANDREWS
DIRECTOR1.00X000
MARCIA REESE
DIRECTOR1.00X000
MARK HAMILTON
DIRECTOR1.00X000
ROGER BUNN
DIRECTOR1.00X000
ERICK COOLIDGE
DIRECTOR1.00X000
DEBORAH SAWYER
DIRECTOR1.00X000
TIM MOREY
DIRECTOR1.00X000
DEBRAH CUDA
DIRECTOR1.00X000
REBECCA CHARLES
DIRECTOR1.00X000
CALEB WILLIAMS
DIRECTOR1.00X000
KIM SEXAUER
DIRECTOR1.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1LAUREL MANAGEMENT SERVICES LAUREL HEALBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line143 MEADE STREETAddressLine1
CityWELLSBOROCity
StatePAState
ZIP Code16901ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesCONTRACT MANAGEMENT SERVICESDescriptionOfServices
Compensation183187Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Government Grants246448GovernmentGrants
All Other Contributions50891AllOtherContributions
Total Contributions297339TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPROGRAM FEESDescription
Business Code900099BusinessCode
Total Revenue Column13756TotalRevenueColumn
Related Or Exempt Function Income13756RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue13756TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column85TotalRevenueColumn
Related Or Exempt Function Income85RelatedOrExemptFunctionIncome

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column311180TotalRevenueColumn
Related Or Exempt Function Income13841RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total183187Total
Program Services145444ProgramServices
Management And General37743ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total4315Total
Program Services4315ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total13329Total
Program Services13329ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2378Total
Program Services2378ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total15034Total
Program Services13812ProgramServices
Management And General1222ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total350Total
Program Services350ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total149Total
Program Services149ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total3091Total
Program Services3091ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total1947Total
Program Services1798ProgramServices
Management And General149ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PROGRAM EXPENSES5311753117
TELEPHONE26792009670
REPAIRS & MAINTENANCE938938
SUPPLIES76070258

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total281274Total
Program Services241432ProgramServices
Management And General39842ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY48819BOY
EOY110970EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY109650BOY
EOY79828EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY38553BOY
EOY23553EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1734BOY
EOY1734EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis35855LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec31871LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY7075BOY
EOY3984EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY205831BOY
EOY220069EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY37360BOY
EOY34782EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY3147BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY9943BOY
EOY0EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY50450BOY
EOY34782EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY155381BOY
EOY185287EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY155381BOY
EOY185287EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY205831BOY
EOY220069EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses29906ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review1AccountantCompileOrReview

Accountant Compile Or Review Basis AccountantCompileOrReviewBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
FS Audited0FSAudited
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years390883CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years338239CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years240789CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year288663CurrentTaxYearMinus1Year
Current Tax Year297339CurrentTaxYear
Total1555913Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years390883CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years338239CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years240789CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year288663CurrentTaxYearMinus1Year
Current Tax Year297339CurrentTaxYear
Total1555913Total
FieldValueIRS element (for citing)
Public Support Total1701555913PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years648CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years314CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years234CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year102CurrentTaxYearMinus1Year
Current Tax Year85CurrentTaxYear
Total1383Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1700CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6378CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5386CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7688CurrentTaxYearMinus1Year
Current Tax Year13756CurrentTaxYear
Total34908Total
FieldValueIRS element (for citing)
Total Support1592204TotalSupport
Public Support Pertcentage1700.97720PublicSupportPertcentage170
Public Support Pertcent Prior Year0.98820PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis6400OtherCostOrOtherBasis
Depreciation5547Depreciation
Book Value853BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis29455OtherCostOrOtherBasis
Depreciation26324Depreciation
Book Value3131BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings3984TotalOfBookValueLandBuildings
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X, LINE 2:ReturnReference
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, 2013.Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1LAUREL MANAGEMENT SERVICES LAUREL HEALTH SYSTEM (LHS)BusinessNameLine1
FieldValueIRS element (for citing)
RelationshipRON BUTLER AND JANIE HILFIGER OF LHS ARE ORGANIZATION DIRECTORS.Relationship
Description Of TransactionTHE ORGANIZATION PAID $183,187 FOR CONTRACT MANAGEMENT SERVICES TO LAUREL MANAGEMENT SERVICES / LAUREL HEALTH SYSTEM (AS NOTED ON FORM 990 PAGE 8 SECTION B).DescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION A, LINE 2BUSINESS RELATIONSHIPS: 1. RON BUTLER / 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 / DEB SAWYER
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.