PUBLIC HEALTH COUNCIL OF THE UPPER VALLEY: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: PUBLIC HEALTH COUNCIL OF THE UPPER VALLEY (EIN 75-2991608)
Tax period: 2011-01-01 to 2011-12-31
Filed: 2012-08-10
IRS object ID: 201202239349300105
Schema version: 2011v1.2
Note: A later return for the same period supersedes this one.
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
Form 990
Schedule A
Schedule D
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-08-10T05:36:52-07:00	Timestamp
Tax Period End Date	2011-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CHARLES F MORGAN CPA PC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 111	AddressLine1
City	LEBANON	City
State	NH	State
ZIP Code	03766	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	752991608	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	MASCOMA VALLEY HEALTH INITIATIVE	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	MASC	NameControl
Phone	6035237100	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 102	AddressLine1
City	CANAAN	City
State	NH	State
ZIP Code	03741	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	ALICE ELY	Name
Title	EXECUTIVE DIRECTOR	Title
Phone	6035237100	Phone
Date Signed	2012-08-10	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	OWEN RGAGE	Name
Phone	6034486200	Phone

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Amended Return	X	AmendedReturn
Name Of Principal Officer Person	ALICE ELY	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	PO BOX 102	AddressLine1
City	CANAAN	City
State	NH	State
ZIP Code	03741	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	183615	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	N/A	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	2003	YearFormation
State Legal Domicile	NH	StateLegalDomicile
Activity Or Mission Description	Informative Public Health Board	ActivityOrMissionDescription
Nbr Voting Members Governing Body	11	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	11	NbrIndependentVotingMembers
Total Nbr Employees	4	TotalNbrEmployees
Total Nbr Volunteers	25	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	179559	ContributionsGrantsPriorYear
Contributions Grants Current Year	183572	ContributionsGrantsCurrentYear
Program Service Revenue CY	0	ProgramServiceRevenueCY
Investment Income Prior Year	8	InvestmentIncomePriorYear
Investment Income Current Year	43	InvestmentIncomeCurrentYear
Other Revenue Current Year	0	OtherRevenueCurrentYear
Total Revenue Prior Year	179567	TotalRevenuePriorYear
Total Revenue Current Year	183615	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	145049	SalariesEtcPriorYear
Salaries Etc Current Year	105970	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	37025	OtherExpensePriorYear
Other Expenses Current Year	42274	OtherExpensesCurrentYear
Total Expenses Prior Year	182074	TotalExpensesPriorYear
Total Expenses Current Year	148244	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-2507	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	35371	RevenuesLessExpensesCY
Total Assets BOY	33525	TotalAssetsBOY
Total Assets EOY	110872	TotalAssetsEOY
Total Liabilities BOY	6041	TotalLiabilitiesBOY
Total Liabilities EOY	48017	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	27484	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	62855	NetAssetsOrFundBalancesEOY
Mission Description	Informative Public Health Board	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	148244	Expense
Revenue	226915	Revenue
Description	THE INITIATIVE WORKS TO PROMOTE AND ENCOURAGE HEALTHY BEHAVIORS AND MENTAL HEALTH, ASSURE THE QUALITY AND ACCESSIBLITY OF HEALTH SERVICES, PREVENT INJURIES, PREVENT EPIDEMICS AND THE SPREAD OF DISEASE, PROTECT AGAINST ENVIRONMENTAL HAZARDS, AND RESPOND TO DISASTERS AND ASSIST FELLOW COMMUNITY MEMBERS IN RECOVERY.	Description
Total Program Service Expense	148244	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	false	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	false	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	false	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	false	Hospital
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	false	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	false	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transaction Related Entity	false	TransactionRelatedEntity
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	0	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	4	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	11	NbrVotingGoverningBodyMembers
Number Independent Voting Members	11	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	false	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
States Where Copy Of Return Is Filed	NH	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	ALICE ELY	NamePerson
Telephone Number	6035237100	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	PO BOX 102	AddressLine1
City	CANAAN	City
State	NH	State
ZIP Code	03741	ZIPCode

Field	Value	IRS element (for citing)
No Listed Persons Compensated	X	NoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (11 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Highest Compensated EmployeeHighestCompensatedEmployee
WILLIAM E BOYLE MD
Chair	2.00	X	0	0	0
NANCY DUMONT
Vice Chair	2.00	X	0	0	0
BETTY ANN TROUGHT
Secretary	1.00	X	0	0	0
STEVE DARROW
Treasurer	2.00	X	0	0	0
MARDEE LAUMANN
BOD	1.00		0	0	0	X
LESLEY BUTMAN
BOD	1.00		0	0	0	X
DAVID BEAUFAIT MD
BOD	1.00		0	0	0	X
PAT DANIELSON
BOD	1.00		0	0	0	X
SALLY JAEGER
BOD	1.00		0	0	0	X
CHRIS CHRISTOPOULOS
BOD	1.00		0	0	0	X
ALICE ELY
Director	40.00		35428	0	0	X	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	35428	TotalReportableCompFromOrg
Formers Listed	false	FormersListed
Total Comp GT150 K	false	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources
All Other Contributions	183572	AllOtherContributions
Total Contributions	183572	TotalContributions

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	43	TotalRevenueColumn
Exclusion	$43	ExclusionAmount

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	183615	TotalRevenueColumn
Exclusion	$43	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	35428	Total
Program Services	35428	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	40561	Total
Program Services	40561	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	22112	Total
Program Services	22112	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	7869	Total
Program Services	7869	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	2462	Total
Program Services	2462	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	1398	Total
Program Services	1398	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	1721	Total
Program Services	1721	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	10191	Total
Program Services	10191	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	2317	Total
Program Services	2317	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	10192	Total
Program Services	10192	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	3244	Total
Program Services	3244	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	2182	Total
Program Services	2182	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	1277	Total
Program Services	1277	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	4929	Total
Program Services	4929	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices
Payroll Processing Fees	885	885
Meals & Entertainment	145	145
Miscellaneous	631	631
Education	80	80

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	620	Total
Program Services	620	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	148244	Total
Program Services	148244	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	20587	BOY
EOY	106564	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	7775	BOY
EOY	2330	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	1908	BOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	12291	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	10313	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	3255	BOY
EOY	1978	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	33525	BOY
EOY	110872	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	6041	BOY
EOY	4668	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
EOY	43349	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	6041	BOY
EOY	48017	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	27484	BOY
EOY	62855	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	27484	BOY
EOY	62855	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	33525	BOY
EOY	110872	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	35371	ReconcilationRevenueExpenses
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	false	FSAudited
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org170b1 Avi	X	PubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	158306	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	196751	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	92716	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	179692	CurrentTaxYearMinus1Year
Current Tax Year	183572	CurrentTaxYear
Total	811037	Total

Total170 Total170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	158306	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	196751	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	92716	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	179692	CurrentTaxYearMinus1Year
Current Tax Year	183572	CurrentTaxYear
Total	811037	Total

Field	Value	IRS element (for citing)
Public Support Total170	811037	PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	1958	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	1078	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	199	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	8	CurrentTaxYearMinus1Year
Current Tax Year	43	CurrentTaxYear
Total	3286	Total

Field	Value	IRS element (for citing)
Total Support	814323	TotalSupport
Public Support Pertcentage170	0.99600	PublicSupportPertcentage170
Public Support Pertcent Prior Year	0.99370	PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170	X	ThirtyThreePercntTestsCY170
Public Support Total509	0	PublicSupportTotal509
Public Support Percentage509	0	PublicSupportPercentage509
Investment Income Percentage	0	InvestmentIncomePercentage

Schedule D IRS990ScheduleD

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	12291	OtherCostOrOtherBasis
Depreciation	10313	Depreciation
Book Value	1978	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	1978	TotalOfBookValueLandBuildings

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifier	ExplanationExplanation
Pt VI, Line 11a	REVIEW AT BOARD OF DIRECTOR'S MEETING
Pt VI, Line 15	HIRED BY BOARD OF DIRECTORS VOTE
Pt VI, Line 12c	REVIEW AT BOARD OF DIRECTOR'S MEETING
Form 990EZ, Part I, Line 16	MEETINGS & EDUCATION OUTSIDE SERVICES PAYROLL PROCESSING FEES TELEPHONE OFFICE EXPENSES INSURANCE TRAVEL ADVERTISING FUNDRAISING EXPENSES SUPPLIES MISCELLANEOUS
Form 990EZ, Part II, Line 24	ACCOUNTS RECEIVABLE 7775. PREPAID INSURANCE 1908. FIXED ASSETS-NET 3255. PREPAID EXPENSES 434.
Form 990EZ, Part II, Line 26	ACCOUNTS PAYABLE & ACCRUED EXPENSES 6475.
Form 990, Part IX, Line 24f	REGISTRATIONS 620. 620. 0. 0.