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FOUNDATION FOR COMMUNITY HEALTH INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
FOUNDATION FOR COMMUNITY HEALTH INC (EIN 20-0057897)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-15
IRS object ID
201223209349302187
Schema version
2011v1.2
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)
Timestamp2012-11-15T06:07:36-08:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

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 Date2011-01-01TaxPeriodBeginDate

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 Signed2012-11-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameRobert E King CPAName
Phone8603790215Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts2193888GrossReceipts
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 Year2046770ContributionsGrantsPriorYear
Contributions Grants Current Year346913ContributionsGrantsCurrentYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year245861InvestmentIncomePriorYear
Investment Income Current Year1846975InvestmentIncomeCurrentYear
Other Revenue Prior Year2281OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year2294912TotalRevenuePriorYear
Total Revenue Current Year2193888TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year659922GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY757626GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year234350SalariesEtcPriorYear
Salaries Etc Current Year261259SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year318238OtherExpensePriorYear
Other Expenses Current Year352518OtherExpensesCurrentYear
Total Expenses Prior Year1212510TotalExpensesPriorYear
Total Expenses Current Year1371403TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1082402RevenuesLessExpensesPriorYear
Revenues Less Expenses CY822485RevenuesLessExpensesCY
Total Assets BOY24177333TotalAssetsBOY
Total Assets EOY22572342TotalAssetsEOY
Total Liabilities BOY132395TotalLiabilitiesBOY
Total Liabilities EOY288771TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY24044938NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY22283571NetAssetsOrFundBalancesEOY
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
Expense1179772Expense
Grants757626Grants
DescriptionImprove the physical and mental health of all residents of the area historically served by Sharon HospitalDescription
Total Program Service Expense1179772TotalProgramServiceExpense
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
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Quid Pro Quo DisclosurefalseQuidProQuoDisclosure
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
Form720 FiledfalseForm720Filed
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
Policies Reference ChaptersfalsePoliciesReferenceChapters
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
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledCTStatesWhereCopyOfReturnIsFiled
Own WebsiteXOwnWebsite
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 (16 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
Eileen Mulligan
Treasurer2.00XX000
George Garfunkel
Director1.00X000
Miriam Tannen
Chairman2.00XX000
Dr John W Gallup
Director1.00X000
John P Charde
Vice Chairman2.00XX000
Sytske Arnason
Director1.00X000
Barbara S Maltby
Director1.00X000
Peter Gleason
Director1.00X000
Leslie Farhangi
Director1.00X000
Joan Dunlop
Director1.00X000
Richard Taber
Director1.00X000
Nancy Murphy
Vice Chair2.00XX000
Alice Yoakum
Director1.00X000
Kathryn E Palmer-House
Secretary2.00XX000
Jeffrey May
Director1.00X000
Nancy Heaton
Executive Direc40.00X103201030453
FieldValueIRS element (for citing)
Total Reportable Comp From Org103201TotalReportableCompFromOrg
Total Other Compensation30453TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
All Other Contributions346913AllOtherContributions
Total Contributions346913TotalContributions
Total Program Service Revenue0TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column331383TotalRevenueColumn
Exclusion$331,383ExclusionAmount

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)
Securities1515592Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities1515592Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1515592TotalRevenueColumn
Exclusion$1,515,592ExclusionAmount

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
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column2193888TotalRevenueColumn
Exclusion$1,846,975ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total757626Total
Program Services757626ProgramServices

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)
Total133654Total
Program Services93558ProgramServices
Management And General40096ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total101850Total
Program Services71295ProgramServices
Management And General30555ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total6883Total
Program Services4818ProgramServices
Management And General2065ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2500Total
Program Services1750ProgramServices
Management And General750ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total16372Total
Program Services11460ProgramServices
Management And General4912ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total4539Total
Management And General4539ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

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)
Total97546Total
Program Services68282ProgramServices
Management And General29264ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total158702Total
Program Services105927ProgramServices
Management And General52775ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total5415Total
Program Services3790ProgramServices
Management And General1625ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total4210Total
Program Services2947ProgramServices
Management And General1263ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total1311Total
Program Services918ProgramServices
Management And General393ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total42820Total
Program Services29974ProgramServices
Management And General12846ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total4752Total
Program Services3326ProgramServices
Management And General1426ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total4956Total
Program Services4057ProgramServices
Management And General899ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total7466Total
Program Services5226ProgramServices
Management And General2240ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total4875Total
Program Services3412ProgramServices
Management And General1463ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Staff Development709049632127
Printing and Publications20521942110
Postage and Shipping14221099323
Payroll Service1220854366
Equipment Rental & Maint334023381002

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total802Total
Program Services210ProgramServices
Management And General592ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total1371403Total
Program Services1179772ProgramServices
Management And General191631ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY46619BOY
EOY22493EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
EOY0EOY

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)
BOY128827BOY
EOY73683EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY5266BOY
EOY8812EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis77083LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec34829LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY39816BOY
EOY42254EOY

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)
BOY23956805BOY
EOY22425100EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY24177333BOY
EOY22572342EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY60100BOY
EOY61721EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY72295BOY
EOY227050EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY132395BOY
EOY288771EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY20593193BOY
EOY19135265EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1165846BOY
EOY862407EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2285899BOY
EOY2285899EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY24044938BOY
EOY22283571EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY24177333BOY
EOY22572342EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses822485ReconcilationRevenueExpenses
Reconcilation Other Changes-2583852ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredfalseFederalGrantAuditRequired
Federal Grant Audit PerformedfalseFederalGrantAuditPerformed

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$1,001,845Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts1001845SumOfAmounts

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 Balance23853612BeginningOfYearBalance
Contributions426687Contributions
Investment Earnings Or Losses-709103InvestmentEarningsOrLosses
Other Expenditures1371403OtherExpenditures
End Of Year Balance22199793EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

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

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance16674111BeginningOfYearBalance
Contributions245394Contributions
Investment Earnings Or Losses4518309InvestmentEarningsOrLosses
Other Expenditures1115912OtherExpenditures
End Of Year Balance20321902EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.85900BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.10300PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.03800TermEndowmentEOYBalance
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
Depreciation4363Depreciation
Book Value19682BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis16348OtherCostOrOtherBasis
Depreciation12260Depreciation
Book Value4088BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis36690OtherCostOrOtherBasis
Depreciation18206Depreciation
Book Value18484BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings42254TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
Security Deposit2600
Receivable - Charitable Remainder Trust7619
FieldValueIRS element (for citing)
Total Book Value Other Assets22425100TotalBookValueOtherAssets
Total Revenue2193888TotalRevenue
Total Expenses1371403TotalExpenses
Excess Or Deficit For Year822485ExcessOrDeficitForYear
Net Unrealized GL On Investments-2556078NetUnrealizedGLOnInvestments
Other-$27,774OtherAmount
Total Adjustments-2583852TotalAdjustments
Excess Or Deficit Per FS-1761367ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt-389964TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-2556078NetUnrealizedGainsInvestments
Other Revenues-27774OtherRevenues
Revenue Not Rptd F990-2583852RevenueNotRptdF990
Revenue Subtotal2193888RevenueSubtotal
Total Revenue Per Form9902193888TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt1371403TotExpensesEtcAuditedFinclStmt
Expenses Subtotal1371403ExpensesSubtotal
Total Expenses Per Form9901371403TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part XI, Line 8Part XI, Line 8: Other Changes in Net Assets or Fund BalancesChange in Value of CRT $ -27774
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 (18 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistancePurpose Of GrantPurposeOfGrant
Womens Support Services
POB 341 158 Gay StSharonCT06069061072379501(c)(3)150000Cyberbullying/ OnLine Cruelty
NW CT Community Coll
Park Place EastWinstedCT06798061044425501(c)(3)986440Nursing Program
Northwest CT Council of Govt
17 Sackett Hill RdWarrenCT06754060891344Municipality615000Prescription Assistance
NorthEast Community Council Inc
PO Box 35 51 S Center StreetMillertonNY12546141734237501(c)(3)207830Care Car Program/ Mobility Mgmt
Maria Seymour Brooker Memorial
157 Litchfield StTorringtonCT06790060646712501(c)(3)249200School Based Preventative Dental Prog.
Hudson River Healthcare Inc
1037 Main StPeekskillNY10566132828349501(c)(3)735000Oral Health Initiative& Dental Van
Housatonic Youth Svc Bureau
PO Box 356Falls VillageCT06031223124429501(c)(3)400000Development of Prevention Network
Geer Nursing & Rehabilitation
83 South Canaan Rd POB 819CanaanCT06018061230842501(c)(3)350000Adult Day Care Trans.
EMS Institute
One Low RoadSharonCT06069200061963501(c)(3)250000Recriuting & Retention in Volunteer EMS
Dutchess Cty Comm Action Agenc
77 Cannon StPoughkeepsieNY12601141611857501(c)(3)1000000Prescription Assistance Fund
CT Council for Philanthropy
221 Main StreetHartfordCT06106237024016501(c)(3)298000membership support
Council on Addiction Prevention & Ed
80 Washington StreetPoughkeepsieNY12601222804639501(c)(3)300000Prevention & Education
Columbia Memorial Hospital
71 Prospect AvenueHudsonNY12534141338373501(c)(3)250000Expanded Dental Services
Columbia Cty Healthcare Consor
325 Columbia StHudsonNY12534141802680501(c)(3)356790Oral Health, Script Asst,Med Trans.
CHORE Services
155 Sharon ValleySharonCT06069510426889501(c)(3)300000Leadership Transition for new E.D.
Catholic Charities Comm Services
1011 First Avenue 6th FloorNew YorkNY10022135562185501(c)(3)560000Providing Access/services for Immigrants
Berkshire Taconic Community Foundation
271 Main Street Suite 3Great BarringtonMA01230061254469501(c)(3)78000Learning Center Program
Astor Comm Based Behavioral Hl
13 Mt Carmel PlacePoughkeepsieNY12601141397918501(c)(3)450000Parent/Child Interactive Therapy
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants18TotalNbrOf501C3AndGovtGrants
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 (3 entries)

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

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Line 19Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableDocuments are available on the organization's web site or 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 12cForm 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsPolicy reviewed annually with Board.
Form 990, Part VI, Line 11Form 990, Part VI, Line 11: 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
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 TypekTransactionType
Amount Involved244219AmountInvolved
Method Of Amt DeterminationActual CostMethodOfAmtDetermination