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SAPPHIRE COMMUNITY HEALTH INC: Form 990EZ, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
SAPPHIRE COMMUNITY HEALTH INC (EIN 81-0542716)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-07-19
IRS object ID
201332009349200508
Schema version
2012v2.0
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)
Timestamp2013-07-19T10:11:36-07:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CPR ACCOUNTING PLLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 4325AddressLine1
CityMISSOULACity
StateMTState
ZIP Code59806ZIPCode
FieldValueIRS element (for citing)
Return Type990EZReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN810542716EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SAPPHIRE COMMUNITY HEALTH INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSAPPNameControl
Phone4067283710Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameJIM MORTONName
TitleBOARD MEMBERTitle
Phone4067283710Phone
Date Signed2013-07-19DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameLOREN W RANDALL CPAName
Phone4067285539Phone
Date Prepared2013-07-19DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990-EZ IRS990EZ

FieldValueIRS element (for citing)
Address ChangeXAddressChange
Method Of Accounting AccrualXMethodOfAccountingAccrual
Schedule B Not RequiredXScheduleBNotRequired
Web SiteN/AWebSite
Organization501c3XOrganization501c3
Gross Receipts2603GrossReceipts
Info In Schedule O Part IXInfoInScheduleOPartI
Contributions Gifts Grants Etc0ContributionsGiftsGrantsEtc
Program Service Revenue1193ProgramServiceRevenue
Membership Dues0MembershipDues
Investment Income5InvestmentIncome
Gross Amount From Sale Of Assets900GrossAmountFromSaleOfAssets
Cost Other Basis And Sales Expenses0CostOtherBasisAndSalesExpenses
Gain Or Loss From Sale Of Assets900GainOrLossFromSaleOfAssets
Gaming Gross Income0GamingGrossIncome
Fundraising Gross Income0FundraisingGrossIncome
Special Events Direct Expenses0SpecialEventsDirectExpenses
Special Events Net Income Loss0SpecialEventsNetIncomeLoss
Cost Of Goods Sold0CostOfGoodsSold
Gro Profit Loss Sales Of Inventory0GroProfitLossSalesOfInventory
Other Revenue Total505OtherRevenueTotal
Total Revenue2603TotalRevenue
Salaries Other Comp Empl Benefits1404SalariesOtherCompEmplBenefits
Fees And Oth Pymt To Ind Contractors4749FeesAndOthPymtToIndContractors
Occupancy Rent Utilities And Maint684OccupancyRentUtilitiesAndMaint
Printing Publications Postage166PrintingPublicationsPostage
Other Expenses Total43663OtherExpensesTotal
Total Expenses50666TotalExpenses
Excess Or Deficit For Year-48063ExcessOrDeficitForYear
Net Assets Or Fund Balances BOY73239NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY25176NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIXInfoInScheduleOPartII

Cash Savings And Investments CashSavingsAndInvestments

FieldValueIRS element (for citing)
BOY47856BOY
EOY21178EOY

Land And Buildings LandAndBuildings

FieldValueIRS element (for citing)
BOY24551BOY
EOY3300EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2830BOY
EOY700EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY75237BOY
EOY25178EOY

Sum Of Total Liabilities SumOfTotalLiabilities

FieldValueIRS element (for citing)
BOY1998BOY
EOY2EOY

Net Assets Or Fund Balances NetAssetsOrFundBalances

FieldValueIRS element (for citing)
BOY73239BOY
EOY25176EOY
FieldValueIRS element (for citing)
Primary Exempt PurposeSEE SCHEDULE OPrimaryExemptPurpose

Program Service Accomplishment ProgramServiceAccomplishment

FieldValueIRS element (for citing)
Description Program Service AccomSEE SCHEDULE ODescriptionProgramServiceAccom
Program Service Expenses50666ProgramServiceExpenses
FieldValueIRS element (for citing)
Total Program Service Expenses50666TotalProgramServiceExpenses

Officer Director Trustee Key Empl OfficerDirectorTrusteeKeyEmpl (9 entries)

TitleTitleAvg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPositionCompensationCompensation
CARLOTTA GRANDSTAFF
CHAIR1.000
DIXIE STARK
BOARD MEMBER1.000
EDITH WARK
BOARD MEMBER1.000
JAMES WALKER
BOARD MEMBER1.000
JERI DRAKE
BOARD MEMBER1.000
JIM MORTON
BOARD MEMBER1.000
KAREN TINNEY
BOARD MEMBER1.000
MARGARET ENNES
BOARD MEMBER1.000
PATTI NELSON
BOARD MEMBER1.000
FieldValueIRS element (for citing)
Activities Not Previously RptfalseActivitiesNotPreviouslyRpt
Made Changes To Orgnzng Etc DocfalseMadeChangesToOrgnzngEtcDoc
Organization Had UBIfalseOrganizationHadUBI
Subject To Proxy TaxfalseSubjectToProxyTax
Organization Dissolved EtcfalseOrganizationDissolvedEtc
Did Org File Form1120 POL This YearfalseDidOrgFileForm1120POLThisYear
Made Loans To From OfficersfalseMadeLoansToFromOfficers
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTrans
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

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

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11801 S HIGGINSAddressLine1
CityMISSOULACity
StateMTState
ZIP Code59801ZIPCode
FieldValueIRS element (for citing)
Telephone Number4067283710TelephoneNumber
FieldValueIRS element (for citing)
Foreign Financial AccountfalseForeignFinancialAccount
Foreign OfficefalseForeignOffice
Maintain Any Donor Advised FundsfalseMaintainAnyDonorAdvisedFunds
Does Org Have HospitalfalseDoesOrgHaveHospital
Tanning Services ProvidedfalseTanningServicesProvided
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction With Control EntityfalseTransactionWithControlEntity
Engage Political Cmpgn ActivitiesfalseEngagePoliticalCmpgnActivities
Engage In Lobbying ActivitiesfalseEngageInLobbyingActivities
Operating SchoolfalseOperatingSchool
Trnsfrs Exempt Non Char Related OrgfalseTrnsfrsExemptNonCharRelatedOrg
Part VI Of Comp Of Highest Paid EmplNONEPartVIOfCompOfHighestPaidEmpl
Tot Number Of Oth Empl Paid Over100k0TotNumberOfOthEmplPaidOver100k
Part VIA Hghst Paid Cntrct Prof SerNONEPartVIAHghstPaidCntrctProfSer
Tot Num Cntrct Pd Over100 K Prof Ser0TotNumCntrctPdOver100KProfSer

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii
Public Support Total1700PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Pertcentage1700PublicSupportPertcentage170
Public Support Total5090PublicSupportTotal509
Public Support Percentage5090PublicSupportPercentage509
Investment Income Percentage0InvestmentIncomePercentage

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (21 entries)

IdentifierIdentifierExplanationExplanation
PT III, 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.
PT III, LINE 28TO 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.
IN 2011, THE AGENCY CLOSED THE HEALTH CLINIC DUE TO
FEDERAL GRANT APPROPRIATIONS BEING DELAYED AT THE
FEDERAL LEVEL. HOWEVER, THE AGENCY WILL CONTINUE TO SEEK
GRANT SUPPORT IN ORDER TO RE-OPEN THE CLINIC. ACCORDINGLY,
THE AGENCY IS CONSIDERED DORMANT AS OF DECEMBER 31, 2012 AND
2011, AND WILL CONTINUE TO BE DORMANT UNTIL FUNDING IS
SECURED, OR THE BOARD OF DIRECTORS DETERMINES THE CLINIC
IS NO LONGER FEASIBLE. CURRENTLY, THERE IS NO INTENTION
TO DISSOLVE OR LIQUIDATE THE AGENCY.
PT I, Line 8Refunds
Form 990EZ, Part I, Line 8REFUNDS 505.
Form 990EZ, Part I, Line 16INSURANCE 22241. WRITE DOWN OF ASSET VALUE 21251. BAD DEBTS 171.
Form 990EZ, Part II, Line 24ACCOUNTS RECEIVABLE, NET 471. 0. PREPAIDS 2359. 700.
Form 990EZ, Part II, Line 26ACCOUNTS PAYABLE 1998. 2.