STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

FOUNDATION FOR COMMUNITY HEALTH INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
FOUNDATION FOR COMMUNITY HEALTH INC (EIN 20-0057897)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-08-13
IRS object ID
201332259349302133
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)
Timestamp2013-08-13T12:53:11-07:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1KING KING & ASSOCIATES CPASBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1170 HOLABIRD AVEAddressLine1
CityWINSTEDCity
StateCTState
ZIP Code060981727ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN200057897EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1FOUNDATION FOR COMMUNITY HEALTH INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlFOUNNameControl
Phone8603645157Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1155 SHARON VALLEY ROADAddressLine1
CitySHARONCity
StateCTState
ZIP Code06069ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameNancy HeatonName
TitleExecutive DirecTitle
Date Signed2013-08-13DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameRobert E King CPAName
PTINP00083643PTIN
Phone8603790215Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts1301821GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web Sitefchealth.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2003YearFormation
State Legal DomicileCTStateLegalDomicile
Activity Or Mission DescriptionTo maintain and improve the physical and mental health of all residents of the area historically served by Sharon Hospital Inc.ActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members15NbrIndependentVotingMembers
Total Nbr Employees3TotalNbrEmployees
Total Nbr Volunteers15TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year346913ContributionsGrantsPriorYear
Contributions Grants Current Year307615ContributionsGrantsCurrentYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year1846975InvestmentIncomePriorYear
Investment Income Current Year993856InvestmentIncomeCurrentYear
Other Revenue Current Year350OtherRevenueCurrentYear
Total Revenue Prior Year2193888TotalRevenuePriorYear
Total Revenue Current Year1301821TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year757626GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY813309GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year261259SalariesEtcPriorYear
Salaries Etc Current Year264454SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year352518OtherExpensePriorYear
Other Expenses Current Year386738OtherExpensesCurrentYear
Total Expenses Prior Year1371403TotalExpensesPriorYear
Total Expenses Current Year1464501TotalExpensesCurrentYear
Revenues Less Expenses Prior Year822485RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-162680RevenuesLessExpensesCY
Total Assets BOY22572342TotalAssetsBOY
Total Assets EOY24325535TotalAssetsEOY
Total Liabilities BOY288771TotalLiabilitiesBOY
Total Liabilities EOY336955TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY22283571NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY23988580NetAssetsOrFundBalancesEOY
Mission DescriptionTo maintain and improve the physical and mental health of all residents of the area historically served by Sharon Hospital Inc.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense1258515Expense
Grants813309Grants
DescriptionImprove the physical and mental health of all residents of the area historically served by Sharon HospitalDescription
Total Program Service Expense1258515TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10966NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingfalseComplianceWithBackupWitholding
Number Of Employees3NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members15NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteesfalseMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledCTStatesWhereCopyOfReturnIsFiled
Own WebsiteXOwnWebsite
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonBerkshire Taconic Comm FndNamePerson
Telephone Number4135288039TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1800 North Main StreetAddressLine1
CitySheffieldCity
StateMAState
ZIP Code01257ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (15 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
Eileen Mulligan
Secretary2.000.00XX000
Kenneth Schechter
Director1.000.00X000
Rev Dr David McIntosh
Director1.000.00X000
John P Charde
Director1.000.00X000
Sytske Arnason
Director1.000.00X000
Barbara S Maltby
Director1.000.00X000
Peter Gleason
Treasurer2.000.00XX000
Evelyn Garzetta
Director1.000.00X000
Dr Eugene Chin
Director1.000.00X000
Richard Taber
Director1.000.00X000
Nancy Murphy
Vice Chair2.000.00XX000
Alice Yoakum
Director1.000.00X000
Kathryn E Palmer-House
Chairman2.000.00XX000
Jeffrey May
Director1.000.00X000
Nancy Heaton
Executive Direc40.000.00X103693035186
FieldValueIRS element (for citing)
Total Reportable Comp From Org103693TotalReportableCompFromOrg
Total Other Compensation35186TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
All Other Contributions307615AllOtherContributions
Total Contributions307615TotalContributions
Total Program Service Revenue0TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column428941TotalRevenueColumn
Exclusion$428,941ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities564915Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities564915Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column564915TotalRevenueColumn
Exclusion$564,915ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMisc. RecieptsDescription
Total Revenue Column350TotalRevenueColumn
Exclusion$350ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue350TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column1301821TotalRevenueColumn
Exclusion$994,206ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total813309Total
Program Services813309ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total138879Total
Program Services97215ProgramServices
Management And General41664ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total101811Total
Program Services71268ProgramServices
Management And General30543ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total0Total

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total7110Total
Program Services4977ProgramServices
Management And General2133ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total0Total

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total16654Total
Program Services11658ProgramServices
Management And General4996ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total8675Total
Management And General8675ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total9078Total
Management And General9078ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total230884Total
Program Services161619ProgramServices
Management And General69265ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total39980Total
Program Services28506ProgramServices
Management And General11474ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total8331Total
Program Services5832ProgramServices
Management And General2499ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2673Total
Program Services1871ProgramServices
Management And General802ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total3184Total
Program Services2228ProgramServices
Management And General956ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total40557Total
Program Services28390ProgramServices
Management And General12167ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total3952Total
Program Services2766ProgramServices
Management And General1186ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total5412Total
Program Services4434ProgramServices
Management And General978ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total7985Total
Program Services5589ProgramServices
Management And General2396ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total7922Total
Program Services5545ProgramServices
Management And General2377ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Payroll Service1155808347
Postage and Shipping14991125374
Equipment Rental & Maint26891882807
Staff Development1039179942397

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total2371Total
Program Services1499ProgramServices
Management And General872ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total1464501Total
Program Services1258515ProgramServices
Management And General205986ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY22493BOY
EOY21368EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
EOY33564EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY73683BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY8812BOY
EOY8630EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis77083LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec42814LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY42254BOY
EOY34269EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY22425100BOY
EOY24227704EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY22572342BOY
EOY24325535EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY61721BOY
EOY63782EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY227050BOY
EOY273173EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY288771BOY
EOY336955EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY19135265BOY
EOY20809306EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY862407BOY
EOY893375EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2285899BOY
EOY2285899EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY22283571BOY
EOY23988580EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY22572342BOY
EOY24325535EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-162680ReconcilationRevenueExpenses
Reconciliation Unrealized Invest1863197ReconciliationUnrealizedInvest
Reconcilation Other Changes4492ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type3 Func IntXSupportingOrg509a3Type3FuncInt
Certification CheckboxXCertificationCheckbox
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1Berkshire Taconic Community FoundBusinessNameLine1
FieldValueIRS element (for citing)
EIN061254469EIN
Type Of Organization11aTypeOfOrganization
Listed In Governing DoctrueListedInGoverningDoc
Supported Organization NotifiedtrueSupportedOrganizationNotified
Organized In UStrueOrganizedInUS
Amount$1,258,515Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts1258515SumOfAmounts

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

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance22199793BeginningOfYearBalance
Contributions283693Contributions
Investment Earnings Or Losses2857053InvestmentEarningsOrLosses
Other Expenditures1464501OtherExpenditures
End Of Year Balance23876038EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance23853612BeginningOfYearBalance
Contributions426687Contributions
Investment Earnings Or Losses-709103InvestmentEarningsOrLosses
Other Expenditures1371403OtherExpenditures
End Of Year Balance22199793EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance20321902BeginningOfYearBalance
Contributions1985716Contributions
Investment Earnings Or Losses2758066InvestmentEarningsOrLosses
Other Expenditures1212072OtherExpenditures
End Of Year Balance23853612EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance16674111BeginningOfYearBalance
Contributions245394Contributions
Investment Earnings Or Losses4518309InvestmentEarningsOrLosses
Other Expenditures1115912OtherExpenditures
End Of Year Balance20321902EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance317089BeginningOfYearBalance
Contributions-6234337Contributions
Grants Or Scholarships1191479GrantsOrScholarships
Administrative Expenses16674111AdministrativeExpenses
End Of Year Balance16674111EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.86735BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.09574PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.03691TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgstrueEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RtrueAreRelatedOrgsListedScheduleR

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis24045OtherCostOrOtherBasis
Depreciation5966Depreciation
Book Value18079BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis16348OtherCostOrOtherBasis
Depreciation14466Depreciation
Book Value1882BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis36690OtherCostOrOtherBasis
Depreciation22382Depreciation
Book Value14308BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings34269TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
Security Deposit2600
Receivable - Charitable Remainder Trust12111
FieldValueIRS element (for citing)
Total Book Value Other Assets24227704TotalBookValueOtherAssets
Tot Revenue Etc Audited Fincl Stmt3169510TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments1863197NetUnrealizedGainsInvestments
Other Revenues4492OtherRevenues
Revenue Not Rptd F9901867689RevenueNotRptdF990
Revenue Subtotal1301821RevenueSubtotal
Total Revenue Per Form9901301821TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt1464501TotExpensesEtcAuditedFinclStmt
Expenses Subtotal1464501ExpensesSubtotal
Total Expenses Per Form9901464501TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part XI, Line 2dPart XI, Line 2d: Other revenue amounts included in F/S but not included on form 990Change in Value of CRT $4492
Part V, Line 4Part V, Line 4: Intended uses of the endowment fund.Endowment 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 I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (17 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientAmount Of Cash GrantAmountOfCashGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistancePurpose Of GrantPurposeOfGrant
Womens Support Services
POB 341 158 Gay StSharonCT06069061072379150000Cyberbullying/ OnLine Cruelty
Susan B Anthony Project
179 Water StreetTorringtonCT06790061085983150000Community Education & Outreach
State of Connecticut
410 Capitol AveHartfordCT06134066000798100000Nursing home oral health
NW CT Community Coll
Park Place EastWinstedCT06798061044425986440Nursing Program
Northwest CT Council of Govt
17 Sackett Hill RdWarrenCT06754060891344615000Prescription Assistance
NorthEast Community Council Inc
PO Box 35 51 S Center StreetMillertonNY125461417342371086350NE Dutchess Transit/ Mobility Mgmt.
Maria Seymour Brooker Memorial
157 Litchfield StTorringtonCT06790060646712250000School Based Preventative Dental Prog.
HV CASA
69 Stony Hill RoadBethelCT06801061411713100000NW corner prevention network
Hudson River Healthcare Inc
1037 Main StPeekskillNY10566132828349700000Children's access to mental health
Geer Nursing & Rehabilitation
83 South Canaan Rd POB 819CanaanCT06018061230842350000Adult Day Care Trans.
EMS Institute
One Low RoadSharonCT06069200061963250000Recriuting & Retention in Volunteer EMS
Dutchess Cty Comm Action Agenc
77 Cannon StPoughkeepsieNY12601141611857750000Prescription Assistance Fund
Council on Addiction Prevention & Ed
80 Washington StreetPoughkeepsieNY12601222804639250000Prevention & Education
Community Mental Health Affiliat
29 Russell StreetNew BritainCT06052060934544810200Expan behavioral health service
Columbia Memorial Hospital
71 Prospect AvenueHudsonNY12534141338373250000Expanded Dental Services
Columbia Cty Healthcare Consor
325 Columbia StHudsonNY12534141802680752850Oral Health, Script Asst,Med Trans.
Catholic Charities Comm Services
1011 First Avenue 6th FloorNew YorkNY10022135562185560000Kinship Circles of Support Program
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants17TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierGrantmaker's Description of How Grants are UsedIdentifier
ExplanationGrantees are required to file reports with the donor reflecting how the funds were spent.Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
Alice Yoakum
Common Directorsee Sched A 11hfalse
Sytske Arnason
Common Directorsee Sched A 11hfalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part XI, Line 9Other Changes In Net Assets Or Fund Balances - Other IncreasesChange in Value of CRT = $4492
Form 990, Part VI, Line 19Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableDocuments are available on the organization's web site, 990 is available on Guidestar.com, and are provided upon request.
Form 990, Part VI, Line 15bForm 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesReviewed annually by Board.
Form 990, Part VI, Line 15aForm 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top ManagementCompensation data and job descriptions are reviewed annually and compared to FCH.
Form 990, Part VI, Line 12cForm 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsPolicy reviewed annually with Board.
Form 990, Part VI, Line 11bForm 990, Part VI, Line 11b: Form 990 Review ProcessThe audit committee of the Board reviews the 990 and recommends its acceptance to the full board who have the option of reviewing it personally.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1Berkshire Taconic Community FoundationBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1800 North Main StreetAddressLine1
CitySheffieldCity
StateMAState
ZIP Code012570400ZIPCode
FieldValueIRS element (for citing)
EIN061254469EIN
Primary ActivitiesSupport for charitable organizationsPrimaryActivities
Legal Domicile StateMALegalDomicileState
Exempt Code Section501(c)(3)ExemptCodeSection
Public Charity Status7PublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1Berkshire Taconic Community FoundationBusinessNameLine1
FieldValueIRS element (for citing)
Controlled OrgfalseControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1Berkshire Taconic Community FoundationBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypelTransactionType
Amount Involved268976AmountInvolved
Method Of Amt DeterminationActual CostMethodOfAmtDetermination