CATSKILL REGIONAL HEALTH CARE FOUNDATION INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
CATSKILL REGIONAL HEALTH CARE FOUNDATION INC (EIN 22-2758540)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-05-13
IRS object ID
201321339349303992
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-05-13T15:35:22-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1PATTISON KOSKEY HOWE & BUCCI CPABusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line145 FIVE MILE WOODS ROADAddressLine1
CityCATSKILLCity
StateNYState
ZIP Code12414ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN222758540EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CATSKILL REGIONAL HEALTH CAREBusinessNameLine1
Business Name Line2FOUNDATION INCBusinessNameLine2
FieldValueIRS element (for citing)
In Care Of Name% CHARLES MCENTEEInCareOfName
Name ControlCATSNameControl
Phone5189431424Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 470AddressLine1
Address Line2SuiteAddressLine2
CityCATSKILLCity
StateNYState
ZIP Code124140450ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMARTIN SMITHName
TitlePRESIDENTTitle
Phone5189431424Phone
Date Signed2013-04-25DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBRADLEY CUMMINGSName
Phone5189434502Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMARTIN SMITHNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12 LOCUST PARKAddressLine1
CityCATSKILLCity
StateNYState
ZIP Code12414ZIPCode
FieldValueIRS element (for citing)
Gross Receipts877369GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1926YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE FUNDING TO OTHER NOT-FOR-PROFIT ORGANIZATIONS WHICH PROVIDE SERVICES AND/OR ENGAGE IN RESEARCH RELATING TO HEALTH CARE SERVICES TO LOCAL RESIDENTS IN COLUMBIA AND GREENE COUNTIES.ActivityOrMissionDescription
Nbr Voting Members Governing Body8NbrVotingMembersGoverningBody
Nbr Independent Voting Members8NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year28300InvestmentIncomePriorYear
Investment Income Current Year62277InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year28300TotalRevenuePriorYear
Total Revenue Current Year62277TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year272970GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY300000GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year0SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year41446OtherExpensePriorYear
Other Expenses Current Year39965OtherExpensesCurrentYear
Total Expenses Prior Year314416TotalExpensesPriorYear
Total Expenses Current Year339965TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-286116RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-277688RevenuesLessExpensesCY
Total Assets BOY2781039TotalAssetsBOY
Total Assets EOY2503351TotalAssetsEOY
Total Liabilities BOY0TotalLiabilitiesBOY
Total Liabilities EOY0TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2781039NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY2503351NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE FUNDING TO OTHER NOT-FOR-PROFIT ORGANIZATIONS WHICH PROVIDE SERVICES AND/OR ENGAGE IN RESEARCH RELATING TO HEALTH CARE SERVICES TO LOCAL RESIDENTS IN COLUMBIA AND GREENE COUNTIES.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense300000Expense
Revenue59065Revenue
DescriptionHEALTH CARE FACILITIES FUND: GRANTS ARE GIVEN TO QUALIFYING HEALTH CARE FACILITIES IN COLUMBIA & GREENE COUNTIES TO ENSURE ADEQUATE FACILITIES FOR RESIDENTS.Description

Activity2 Activity2

FieldValueIRS element (for citing)
DescriptionSCHOLARSHIP AND ASSISTANCE FUND: FUNDS ARE GIVEN TO THE COLUMBIA-GREENE COMMUNITY COLLEGE FOR SCHOLARSHIPS AND ASSISTANCE FOR RESIDENTS OF GREENE, COLUMBIA AND SURROUNDING COUNTIES THAT ARE PURSUING A CAREER IN MEDICINE OR VETERINARIAN MEDICINE.Description
FieldValueIRS element (for citing)
Total Program Service Expense300000TotalProgramServiceExpense
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 EquipfalseReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
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
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 RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
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 Members8NbrVotingGoverningBodyMembers
Number Independent Voting Members8NumberIndependentVotingMembers
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
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicyfalseWhistleblowerPolicy
Document Retention PolicyfalseDocumentRetentionPolicy
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 PersonCHARLES MCENTEENamePerson
Telephone Number5189431424TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1288 MAIN STREETAddressLine1
CityCATSKILLCity
StateNYState
ZIP Code12414ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (8 entries)

TitleTitleIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficer
MARTIN SMITH
PRESIDENT AS NEEDEDXX
CHARLES MCENTEE
TREASURER AS NEEDEDXX
J BRUCE WHITTAKER
VICE PRESIDENT AS NEEDEDXX
STEPHEN DUNN
DIRECTOR AS NEEDEDX
WILLIS VERMILYEA
DIRECTOR AS NEEDEDX
REBECCA R MAIN
SECRETARY AS NEEDEDXX
DAVID JENKINS
DIRECTOR AS NEEDEDX
RAPHAEL KLEIN
DIRECTOR AS NEEDEDX
FieldValueIRS element (for citing)
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

FieldValueIRS element (for citing)
Name PersonNANamePerson
FieldValueIRS element (for citing)
Address Of ContractorAddressOfContractor
FieldValueIRS element (for citing)
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Total Contributions0TotalContributions
Total Program Service Revenue0TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column56402TotalRevenueColumn
Related Or Exempt Function Income56402RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities814742Securities
Other6225Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities815092Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-350Securities
Other6225Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column5875TotalRevenueColumn

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 Column62277TotalRevenueColumn
Related Or Exempt Function Income56402RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total300000Total
Program Services300000ProgramServices

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)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total0Total

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total0Total

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total0Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total4035Total
Program Services0ProgramServices
Management And General4035ManagementAndGeneral
Fundraising0Fundraising

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)
Total35325Total
Program Services0ProgramServices
Management And General35325ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total0Total

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total0Total

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total0Total

Travel Travel

FieldValueIRS element (for citing)
Total0Total

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total0Total

Insurance Insurance

FieldValueIRS element (for citing)
Total0Total

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
STATE REGISTRATION FEES25002500
FOREIGN TAXES35503550

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total339965Total
Program Services300000ProgramServices
Management And General39965ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY236BOY
EOY451EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY90432BOY
EOY42685EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY0BOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY2690371BOY
EOY2460215EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY2781039BOY
EOY2503351EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY2634008BOY
EOY2356320EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY147031BOY
EOY147031EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2781039BOY
EOY2503351EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2781039BOY
EOY2503351EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-277688ReconcilationRevenueExpenses
Method Of Accounting CashXMethodOfAccountingCash
Accountant Compile Or ReviewtrueAccountantCompileOrReview

Accountant Compile Or Review Basis AccountantCompileOrReviewBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
FS AuditedfalseFSAudited
Audit CommitteetrueAuditCommittee

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type3 Non FuncXSupportingOrg509a3Type3NonFunc
Certification CheckboxXCertificationCheckbox
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation (2 entries)

EINEINType Of OrganizationTypeOfOrganizationListed In Governing DocListedInGoverningDocSupported Organization NotifiedSupportedOrganizationNotifiedOrganized In USOrganizedInUSAmountAmount
COLUMBIA GREENE HOSPITAL FOUNDATION
14176111204falsetruetrue$250,000
GREENE COUNTY RURAL HEALTH NETWORK INC
14179163003falsetruetrue$50,000
FieldValueIRS element (for citing)
Total Number Of Supported Orgs2TotalNumberOfSupportedOrgs
Sum Of Amounts300000SumOfAmounts

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientAmount Of Cash GrantAmountOfCashGrantMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistancePurpose Of GrantPurposeOfGrant
COLUMBIA GREENE HOSPITAL FOUNDATION
71 PROSPECT AVENUEHUDSONNY12534141761112250000NANAHEALTH CARE
GREENE COUNTY RURAL HEALTH NETWORK INC
PO BOX 771CATSKILLNY1241414179163050000NANAHEALTH CARE

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURES FOR MONITORING USE OF GRANT FUNDSIdentifier
Return ReferenceFORM 990, PART IV, LINE 21ReturnReference
ExplanationGRANTS ARE AWARDED TO OTHER NOT-FOR-PROFIT TAX EXEMPT ORGANIZATIONS WHICH PROVIDY SERVICES AND/OR ENGAGE IN RESEARCH RELATING TO HEALTH CARE SERVICES TO LOCAL RESIDENTS IN COLUMBIA AND GREENE COUNTIES. THERE IS CURRENTLY NO PROCEDURE IN PLACE THAT ACTIVELY MONITORS THE USE OF GRANT FUNDS.Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
REBECCA MAIN
OFFICER50000SEE SCHEDULE Ofalse
STEVE DUNN
DIRECTOR250000SEE SCHEDULE Ofalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
PROCESS TO REVIEW FORM 990FORM 990, PART VI, SECTION A, LINE 11A TENTATIVE COPY OF FORM 990 IS PROVIDED TO THE OFFICER SIGNING THE FORM. IT IS REVIEWED AT THE ANNUAL MEETING FOR ACCURACY AND COMPLETENESS. ANY CHANGES ARE SUBMITTED TO THE PREPARER.
PUBLIC AVAILABILITYFORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
CONFLICT OF INTEREST POLICYFORM 990, PART VI. SECTION B, LINE 12OFFICERS AND DIRECTORS MUST COMPLETE A CONFLICT OF INTEREST QUESTIONAIRE FOR THE ORGANIZATION ON AN ANNUAL BASIS. THE BOARD THEN REVIEWS THE RESPONSES AND DETERMINES IF THIS WILL CREATE A CONFLICT OF INTEREST BETWEEN THE ORGANIZATION AND THE ORGANIZATION RECEIVING THE GRANT.
FINANCIAL STATEMENT REVIEW COMMITTEEFORM 990, PART XI, LINE 2THE BOARD REVIEWS THE AUDITED, REVIEWED OR COMPILED FINANCIAL STAEMENTS AT ITS ANNUAL MEETING PRIOR TO FILING THE ORGANIZATIONS' TAX RETURN, FORM 990.
PARTY TO A BUSINESS TRANSACTIONFORM 990, SCHEDULE L, PART IVREBECCA MAIN IS ALSO AN OFFICER ON THE BOARD OF THE GREENE COUNTY RURAL HEALTH NETWORK (GCRHN), A NON-PROFIT ORGANIZATION, WHO RECEIVED A GRANT FROM THE CATSKILL REGIONAL HEALTH CARE FOUNDATION (CRHCF)FOR $50,000. REBECCA MAIN ABSTAINED FROM VOTING WHEN THE REST OF THE BOARD VOTED ON THE GRANT APPLICATION.
PARTY TO A BUSINESS TRANSACTIONFORM 990, SCHEDULE L, PART IVSTEPHEN DUNN IS ALSO A DIRECTOR ON THE BOARD OF THE COLUMBIA GREENE HOSPITAL FOUNDATION, A NON-PROFIT ORGANIZATION, WHO RECEIVED A GRANT FROM THE CATSKILL REGIONAL HEALTH CARE FOUNDATION (CRHCF)FOR $250,000. STEPHEN DUNN ABSTAINED FROM VOTING WHEN THE REST OF THE BOARD VOTED ON THE GRANT APPLICATION.

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