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FOUNDATION FOR COMMUNITY HEALTH INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
FOUNDATION FOR COMMUNITY HEALTH INC (EIN 20-0057897)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-15
IRS object ID
201123199349303912
Schema version
2010v3.2
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)
Timestamp2011-11-15T08:31:18-08:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

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 Line1PO Box 898AddressLine1
CityWinstedCity
StateCTState
ZIP Code060980898ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

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 Signed2011-11-15DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameRobert E King CPAName
Phone8603790215Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts2294912GrossReceipts
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 Gross UBI0TotalGrossUBI
Contributions Grants Prior Year245394ContributionsGrantsPriorYear
Contributions Grants Current Year2046770ContributionsGrantsCurrentYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year-214220InvestmentIncomePriorYear
Investment Income Current Year245861InvestmentIncomeCurrentYear
Other Revenue Current Year2281OtherRevenueCurrentYear
Total Revenue Prior Year31174TotalRevenuePriorYear
Total Revenue Current Year2294912TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year565220GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY659922GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year224492SalariesEtcPriorYear
Salaries Etc Current Year234350SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year326199OtherExpensePriorYear
Other Expenses Current Year318238OtherExpensesCurrentYear
Total Expenses Prior Year1115911TotalExpensesPriorYear
Total Expenses Current Year1212510TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-1084737RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1082402RevenuesLessExpensesCY
Total Assets BOY20667665TotalAssetsBOY
Total Assets EOY24177333TotalAssetsEOY
Total Liabilities BOY229407TotalLiabilitiesBOY
Total Liabilities EOY132395TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY20438258NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY24044938NetAssetsOrFundBalancesEOY
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
Expense1042203Expense
Grants659222Grants
DescriptionImprove the physical and mental health of all residents of the area historically served by Sharon HospitalDescription
Total Program Service Expense1042203TotalProgramServiceExpense
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 EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10967NumberFormsTransmittedWith1096
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
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 DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
Sytske Arnason
Director1.00X000
Richard Taber
Director1.00X000
Peter Gleason
Director1.00X000
Nancy Murphy
Vice Chair2.00X000X
Nancy Heaton
Executive Direc40.00101694027611X
Miriam Tannen
Chairman2.00X000X
Leslie Farhangi
Director1.00X000
Kathryn E Palmer-House
Secretary2.00X000X
John P Charde
Vice Chairman2.00X000X
Joan Dunlop
Director1.00X000
Jeffrey May
Director1.00X000
Eileen Mulligan
Treasurer2.00X000X
Dr John W Gallup
Director1.00X000
David McIntosh
Director1.00X000
Barbara S Maltby
Director1.00X000
Alice Yoakum
Director1.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org101694TotalReportableCompFromOrg
Total Other Compensation27611TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
All Other Contributions2046770AllOtherContributions
Total Contributions2046770TotalContributions
Total Program Service Revenue0TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column191555TotalRevenueColumn
Exclusion$191,555ExclusionAmount

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)
Securities54306Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities54306Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column54306TotalRevenueColumn
Exclusion$54,306ExclusionAmount

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)
DescriptionOtherDescription
Total Revenue Column2281TotalRevenueColumn
Exclusion$2,281ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue2281TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column2294912TotalRevenueColumn
Exclusion$248,142ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total659922Total
Program Services659922ProgramServices

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)
Total129305Total
Program Services90514ProgramServices
Management And General38791ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total79073Total
Program Services55351ProgramServices
Management And General23722ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total5346Total
Program Services3742ProgramServices
Management And General1604ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total7005Total
Program Services4904ProgramServices
Management And General2101ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total13621Total
Program Services9535ProgramServices
Management And General4086ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1173Total
Management And General1173ManagementAndGeneral

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)
Total72831Total
Program Services50982ProgramServices
Management And General21849ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total146532Total
Program Services98346ProgramServices
Management And General48186ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total13575Total
Program Services9502ProgramServices
Management And General4073ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total3698Total
Program Services2589ProgramServices
Management And General1109ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total4509Total
Program Services3157ProgramServices
Management And General1352ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total41010Total
Program Services28707ProgramServices
Management And General12303ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total4476Total
Program Services3133ProgramServices
Management And General1343ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total5031Total
Program Services4119ProgramServices
Management And General912ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total8518Total
Program Services5963ProgramServices
Management And General2555ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total5140Total
Program Services3598ProgramServices
Management And General1542ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Unemployment800560240
Staff Development31272370757
Postage and Shipping21021682420
Payroll Service1140798342
Equipment Rental & Maint346624261040

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1110Total
Program Services303ProgramServices
Management And General807ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total1212510Total
Program Services1042203ProgramServices
Management And General170307ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY38347BOY
EOY46619EOY

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)
EOY128827EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY5459BOY
EOY5266EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis67179LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec27363LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY48334BOY
EOY39816EOY

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)
BOY20575525BOY
EOY23956805EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY20667665BOY
EOY24177333EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY77784BOY
EOY60100EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY151623BOY
EOY72295EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY229407BOY
EOY132395EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY17867225BOY
EOY20593193EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY285134BOY
EOY1165846EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2285899BOY
EOY2285899EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY20438258BOY
EOY24044938EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY20667665BOY
EOY24177333EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1082402ReconcilationRevenueExpenses
Reconcilation Other Changes2524278ReconcilationOtherChanges
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$865,804Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts865804SumOfAmounts

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 Balance20321902BeginningOfYearBalance
Contributions1985716Contributions
Investment Earnings Or Losses2758066InvestmentEarningsOrLosses
Other Expenditures1212072OtherExpenditures
End Of Year Balance23853612EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

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

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance23782838BeginningOfYearBalance
Contributions317089Contributions
Investment Earnings Or Losses-6234337InvestmentEarningsOrLosses
Other Expenditures1191479OtherExpenditures
End Of Year Balance16674111EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.86000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.09600PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.04400TermEndowmentEOYBalance
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
Depreciation2760Depreciation
Book Value21285BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis16348OtherCostOrOtherBasis
Depreciation9812Depreciation
Book Value6536BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis26786OtherCostOrOtherBasis
Depreciation14791Depreciation
Book Value11995BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings39816TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
Security Deposit3400
Receivable - Charitable Remainder Trust96225
FieldValueIRS element (for citing)
Total Book Value Other Assets23956805TotalBookValueOtherAssets
Total Revenue2294912TotalRevenue
Total Expenses1212510TotalExpenses
Excess Or Deficit For Year1082402ExcessOrDeficitForYear
Net Unrealized GL On Investments2509701NetUnrealizedGLOnInvestments
Other$14,577OtherAmount
Total Adjustments2524278TotalAdjustments
Excess Or Deficit Per FS3606680ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt4819190TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments2509701NetUnrealizedGainsInvestments
Other Revenues14577OtherRevenues
Revenue Not Rptd F9902524278RevenueNotRptdF990
Revenue Subtotal2294912RevenueSubtotal
Total Revenue Per Form9902294912TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt1212510TotExpensesEtcAuditedFinclStmt
Expenses Subtotal1212510ExpensesSubtotal
Total Expenses Per Form9901212510TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part XII, Line 2dPart XII, Line 2d: Other revenue amounts included in F/S but not included on form 990Change in Value of CRT $14577
Part XI, Line 8Part XI, Line 8: Other Changes in Net Assets or Fund BalancesChange in Value of CRT $14577
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 RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistancePurpose Of GrantPurposeOfGrant
Womens Support Services
POB 341 158 Gay StSharonCT06069061072379501(c)(3)200000Cyberbullying/ OnLine Cruelty
Universal Healthcare Foundation of CT
290 Pratt StreetMeridenCT06450061590060501(c)(3)100000Leadership Dev/Community Engagement
Prime Time House
810 Main StreetTorringtonCT06790222719755207710Rural Mental Health Initiative
NW CT Community Coll
Park Place EastWinstedCT06798061044425965000Nursing Program
Northwest CT Council of Govt
17 Sackett Hill RdWarrenCT06754060891344Municipality687750Prescription Assistance
NorthEast Community Council Inc
PO Box 35 51 S Center StreetMillertonNY12546141734237501(c)(3)278350Care Car Program/ Mobility Mgmt
Maria Seymour Brooker Memorial
157 Litchfield StTorringtonCT06790060646712501(c)(3)225200School Based Preventative Dental Prog.
Hudson River Healthcare Inc
1037 Main StPeekskillNY10566132828349501(c)(3)1000000Oral Health Initiative& Dental Van
Housatonic Youth Svc Bureau
PO Box 356Falls VillageCT06031223124429501(c)(3)200000Development of Prevention Network
Greenwoods Counciling Referrals Inc
Litchfield PlaceLitchfieldCT06759061351190214550Impr Access to Mental Health-Care
Geer Nursing & Rehabilitation
83 South Canaan Rd POB 819CanaanCT06018061230842501(c)(3)340000Adult 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)698550Prescription Assistance Fund
Council on Addiction Prevention & Ed
80 Washington StreetPoughkeepsieNY12601222804639501(c)(3)440910Prevention & Education
Columbia Memorial Hospital
71 Prospect AvenueHudsonNY12534141338373501(c)(3)249500Expanded Dental Services
Columbia Cty Healthcare Consor
325 Columbia StHudsonNY12534141802680501 (c)(3)313700Oral Health, Script Asst,Med Trans.
Catholic Charities Comm Services
1011 First Avenue 6th FloorNew YorkNY10022135562185501(c)(3)150000Providing Access/services for Immigrants
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants15TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations2TotalNbrOfOtherOrganizations

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 (4 entries)

RelationshipRelationshipDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenuesAmount Of TransactionAmountOfTransaction
Joan Dunlop
Common Directorsee Sched A 11hfalse
Alice Yoakum
Common Directorsee Sched A 11hfalse
Upholstery Shed
mother of Exec Dirpurchase of shades/blindsfalse851
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 Involved204882AmountInvolved
Method Of Amt DeterminationActual CostMethodOfAmtDetermination