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SOUTHERN TIER HEALTH CARE SYSTEM INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
SOUTHERN TIER HEALTH CARE SYSTEM INC (EIN 16-1469489)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-06-22
IRS object ID
201131739349300818
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)
Timestamp2011-06-22T12:40:41-07:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1RA MERCER & CO PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line112250 OLEAN RD BOX 218AddressLine1
CitySARDINIACity
StateNYState
ZIP Code14134ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN161469489EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SOUTHERN TIER HEALTH CARE SYSTEM INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSOUTNameControl
Phone7163720614Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE BLUEBIRD SQUAREAddressLine1
CityOLEANCity
StateNYState
ZIP Code14760ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameHOWARD HOWLETTName
TitlePRESIDENTTitle
Phone7163720614Phone
Date Signed2011-05-04DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameJULIE L JAGODA CPAName
Phone7164965028Phone
Date Prepared2011-06-22DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDONNA KAHMNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1111 VIRGINIA STAddressLine1
CityOLEANCity
StateNYState
ZIP Code14760ZIPCode
FieldValueIRS element (for citing)
Gross Receipts1435359GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1995YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionTO IMPROVE HEALTH CAREActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees21TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year1483006ContributionsGrantsPriorYear
Contributions Grants Current Year1383186ContributionsGrantsCurrentYear
Program Service Revenue Prior Year18909ProgramServiceRevenuePriorYear
Program Service Revenue CY32976ProgramServiceRevenueCY
Investment Income Prior Year1440InvestmentIncomePriorYear
Investment Income Current Year1828InvestmentIncomeCurrentYear
Other Revenue Prior Year19044OtherRevenuePriorYear
Other Revenue Current Year12399OtherRevenueCurrentYear
Total Revenue Prior Year1522399TotalRevenuePriorYear
Total Revenue Current Year1430389TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year818104SalariesEtcPriorYear
Salaries Etc Current Year862290SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year513095OtherExpensePriorYear
Other Expenses Current Year405177OtherExpensesCurrentYear
Total Expenses Prior Year1331199TotalExpensesPriorYear
Total Expenses Current Year1267467TotalExpensesCurrentYear
Revenues Less Expenses Prior Year191200RevenuesLessExpensesPriorYear
Revenues Less Expenses CY162922RevenuesLessExpensesCY
Total Assets BOY1004384TotalAssetsBOY
Total Assets EOY1175545TotalAssetsEOY
Total Liabilities BOY196082TotalLiabilitiesBOY
Total Liabilities EOY204321TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY808302NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY971224NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO IMPROVE HEALTH CAREMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense74212Expense
Grants205453Grants
DescriptionSUPPORT OF RURAL PRIMARY CARE HOSPITALS, EMERGENCY CARE FACILITIIES, AND A CHILD ADVOCACY CENTER, INCLUDING GENERAL MONETARY SUPPORT FOR THOSE FACILITIES IN NEED.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense218237Expense
Grants229912Grants
DescriptionEDUCATION AND PROMOTION OF A TOBACCO FREE LIFESTYLEDescription

Activity3 Activity3

FieldValueIRS element (for citing)
Expense305656Expense
Grants206390Grants
DescriptionEMS TRAINING AND SERVICES, FLYCAR, GAMBLING EDUCATION AND OTHER HEALTH AND WELFARE PROGRAMS INCLUDING OTHER EXPENSES DIRECTLY RELATED TO THE ABOVE.Description

Activity Other ActivityOther (2 entries)

ExpenseExpenseGrantsGrantsDescriptionDescription
206516204100PROVIDE HEALTH INSURANCE/HEALTH CARE TO INDIVIDUALS AND FAMILIES WHO OTHERWISE WOULD NOT BE ABLE TO AFFORD IT.
298090422408CHILD ADVOCACY CENTER - PROVIDE ALL SERVICES TO ABUSED CHILDREN IN ONE SAFE PLACE.
FieldValueIRS element (for citing)
Total Of Other Program Service Exp504606TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt626508TotalOfOtherProgramServiceGrnt
Total Program Service Expense1102711TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
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 ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
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 EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees21NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
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 OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJENNA NELSONNamePerson
Telephone Number7163720614TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1ONE BLUE BIRD SQUAREAddressLine1
CityOLEANCity
StateNYState
ZIP Code14760ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (2 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployee
SEE ATTACHED
VARIOUS0.00X000
DONNA KAHM
CEO37.009661400X
FieldValueIRS element (for citing)
Total Reportable Comp From Org96614TotalReportableCompFromOrg
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Government Grants1268263GovernmentGrants
All Other Contributions114923AllOtherContributions
Total Contributions1383186TotalContributions

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column32976TotalRevenueColumn
FieldValueIRS element (for citing)
Total Program Service Revenue32976TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1828TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Income Fundraising Events17369GrossIncomeFundraisingEvents
Fundraising Direct Expenses4970FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column12399TotalRevenueColumn
Exclusion$12,399ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column1430389TotalRevenueColumn
Related Or Exempt Function Income34804RelatedOrExemptFunctionIncome
Exclusion$12,399ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total639528Total
Program Services551326ProgramServices
Management And General88202ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total172039Total
Program Services149752ProgramServices
Management And General22287ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total50723Total
Program Services43721ProgramServices
Management And General7002ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total19591Total
Program Services0ProgramServices
Management And General19591ManagementAndGeneral
Fundraising0Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total13042Total
Program Services12579ProgramServices
Management And General463ManagementAndGeneral
Fundraising0Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total27229Total
Program Services26507ProgramServices
Management And General722ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
PROFESSIONAL FEES684596493035290
PROGRAM EXPENSE11540610939760090
OFFICE EXP & SUPPLIES477142295420
OPERATIONS154204137795164090
NETWORK PROJECTS2475247500

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total1267467Total
Program Services1102711ProgramServices
Management And General164756ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY174806BOY
EOY200838EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY94302BOY
EOY359674EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY390610BOY
EOY211452EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
EOY4993EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY344666BOY
EOY398588EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1004384BOY
EOY1175545EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY173054BOY
EOY189736EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY23028BOY
EOY14585EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY196082BOY
EOY204321EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY767007BOY
EOY904514EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY41295BOY
EOY66710EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY808302BOY
EOY971224EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1004384BOY
EOY1175545EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses162922ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1120722CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1026125CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1406253CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1483006CurrentTaxYearMinus1Year
Current Tax Year1388793CurrentTaxYear
Total6424899Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1120722CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1026125CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1406253CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1483006CurrentTaxYearMinus1Year
Current Tax Year1388793CurrentTaxYear
Total6424899Total
FieldValueIRS element (for citing)
Public Support Total1706424899PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1591CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1612CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4684CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1440CurrentTaxYearMinus1Year
Current Tax Year1828CurrentTaxYear
Total11155Total
FieldValueIRS element (for citing)
Total Support6436054TotalSupport
Public Support Pertcentage1700.99830PublicSupportPertcentage170
Public Support Pertcent Prior Year0.99830PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170
Public Support Total5090PublicSupportTotal509
Public Support Percentage5090PublicSupportPercentage509
Investment Income Percentage0InvestmentIncomePercentage

Schedule D IRS990ScheduleD

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
EQUIPMENT72515
OFFICE FURNITURE AND EQUIPMENT25715
BUILDING & IMPROVEMENTS300358
FieldValueIRS element (for citing)
Total Book Value Other Assets398588TotalBookValueOtherAssets
Total Revenue1430389TotalRevenue
Total Expenses1267467TotalExpenses
Excess Or Deficit For Year162922ExcessOrDeficitForYear
Excess Or Deficit Per FS162922ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt1430389TotRevenueEtcAuditedFinclStmt
Revenue Subtotal1430389RevenueSubtotal
Total Revenue Per Form9901430389TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt1267467TotExpensesEtcAuditedFinclStmt
Expenses Subtotal1267467ExpensesSubtotal
Total Expenses Per Form9901267467TotalExpensesPerForm990

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1DRESS DOWN DAYNameOfEvent1
Gross Receipts Event18475GrossReceiptsEvent1
Gross Revenue Event18475GrossRevenueEvent1
Other Direct Expenses Event12894OtherDirectExpensesEvent1
Name Of Event2PRINCESS PARTYNameOfEvent2
Gross Receipts Event27450GrossReceiptsEvent2
Gross Revenue Event27450GrossRevenueEvent2
Other Direct Expenses Event21536OtherDirectExpensesEvent2
Gross Receipts Total15925GrossReceiptsTotal
Gross Revenue Total Events15925GrossRevenueTotalEvents
Other Direct Expenses Total Events4430OtherDirectExpensesTotalEvents
Direct Expense Summary Events4430DirectExpenseSummaryEvents
Net Income Summary11495NetIncomeSummary

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifierExplanationExplanation
Pt VI-C, Line 19All documents available upon request.
Pt VI-A, Line 7aBoard of Directors elects its members.
Pt VI-B, Line 11aPresentation by the auditor at the board mtg & approved by the Board.
Pt VI-B, Line 15The Board does a thorough review of the CEO's performance.
Pt VI-C, Line 19The CEO and Board do reviews of other key employees.
Pt VI-B, Line 12cAnnually each member is asked to fill out a form and sign with regard
to conflicts of interest.
Form 990EZ, Part I, Line 16PROFESSIONAL FEES DUES AND SUBSCRIPTIONS OFFICE EXPENSE BANK CHARGES MISCELLANEOUS ADVERTISING EDUCATION AND TRAINING INSURANCE RENT COMMUNITY PROJECTS PROGRAM EXPENSES NETWORK PROJECTS MAINTENANCE
Form 990EZ, Part II, Line 24ACCOUNTS RECEIVABLE - NET GRANTS RECEIVABLE - NET INVESTMENTS
Form 990EZ, Part II, Line 26ACCOUNTS PAYABLE & ACCRUED EXPENSES DEFERRED REVENUE
Form 990, Part III, Line 4dPROVIDE HEALTH INSURANCE/HEALTH CARE TO INDIVIDUALS AND 206516. 204100. 0. CHILD ADVOCACY CENTER - PROVIDE ALL SERVICES TO 298090. 422408. 0.