BROCKTON VISITING NURSE ASSOCIATION: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
BROCKTON VISITING NURSE ASSOCIATION (EIN 04-2103941)
Tax period
2012-11-01 to 2013-10-31
Filed
2014-09-12
IRS object ID
201402559349300120
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)
Timestamp2014-09-12T09:39:44-05:00Timestamp
Tax Period End Date2013-10-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN020400296EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BRAD BORBIDGE PAABusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1197 LOUDON ROAD STE 350AddressLine1
CityCONCORDCity
StateNHState
ZIP Code03301ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-11-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN042103941EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Brockton Visiting Nurse Association IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlBROCNameControl
Phone5085872121Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1500 Belmont StreetAddressLine1
CityBrocktonCity
StateMAState
ZIP Code02301ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameBeverly PavasarisName
TitlePresident/CEOTitle
Phone5085872121Phone
Date Signed2014-09-12DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDIMITRIOS PANACOPOULOS CPAName
PTINP01603705PTIN
Phone6032240849Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonBeverly PavasarisNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1500 BelmontAddressLine1
CityBrocktonCity
StateMAState
ZIP Code02301ZIPCode
FieldValueIRS element (for citing)
Gross Receipts14264970GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.brocktonvna.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1910YearFormation
State Legal DomicileMAStateLegalDomicile
Activity Or Mission DescriptionOur mission is to offer compassionate and quality home health care services throughout the community. Brockton VNA staff work closely with physicians and hospitals to deliver high-quality services that meet the unique needs of every patient. Staff have training in advanced technological procedures including chemotherapy, infusion therapy, laboratory testing, pain management, medication reconciliation, telehealth, chronic care management and falls prevention. Coaching patients to be able to care for themselves is a critical component of care. The goal is to return patients to their normal routine of daily living as quickly as possible. For over a century, the Brockton VNA has provided southeastern Massachusetts and the greater Brockton area with the highest standards of home health care services.ActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees137TotalNbrEmployees
Total Nbr Volunteers12TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year143434ContributionsGrantsPriorYear
Contributions Grants Current Year146985ContributionsGrantsCurrentYear
Program Service Revenue Prior Year11831323ProgramServiceRevenuePriorYear
Program Service Revenue CY13084128ProgramServiceRevenueCY
Investment Income Prior Year198680InvestmentIncomePriorYear
Investment Income Current Year941778InvestmentIncomeCurrentYear
Other Revenue Prior Year192524OtherRevenuePriorYear
Other Revenue Current Year61013OtherRevenueCurrentYear
Total Revenue Prior Year12365961TotalRevenuePriorYear
Total Revenue Current Year14233904TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year9050218SalariesEtcPriorYear
Salaries Etc Current Year9803038SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year39782TotalFundrsngExpCurrentYear
Other Expense Prior Year3106436OtherExpensePriorYear
Other Expenses Current Year3825358OtherExpensesCurrentYear
Total Expenses Prior Year12156654TotalExpensesPriorYear
Total Expenses Current Year13628396TotalExpensesCurrentYear
Revenues Less Expenses Prior Year209307RevenuesLessExpensesPriorYear
Revenues Less Expenses CY605508RevenuesLessExpensesCY
Total Assets BOY9680995TotalAssetsBOY
Total Assets EOY10657171TotalAssetsEOY
Total Liabilities BOY1555110TotalLiabilitiesBOY
Total Liabilities EOY1925778TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY8125885NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY8731393NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionOur mission is to offer compassionate and quality home health care services throughout the community. Brockton VNA staff work closely with physicians and hospitals to deliver high-quality services that meet the unique needs of every patient. Staff have training in advanced technological procedures including chemotherapy, infusion therapy, laboratory testing, pain management, medication reconciliation, telehealth, chronic care management and falls prevention. Coaching patients to be able to care for themselves is a critical component of care. The goal is to return patients to their normal routine of daily living as quickly as possible. For over a century, the Brockton VNA has provided southeastern Massachusetts and the greater Brockton area with the highest standards of home health care services.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense12081111Expense
Revenue13084128Revenue
DescriptionThe Brockton Visiting Nurse Association Offers:*In-Home Nursing: Adult and maternal child health. Specialties include cardiac, diabetes (ADA recognized), intravenous therapy, oncology, respiratory/pulmonary and a wound care team.*Adult and pediatric rehabilitation therapy: Occupational therapy, physical therapy and speech language pathology.*Health care team services: dietician and nutritional counseling, home health aides, interpreter services and medical social workers.Description
Total Program Service Expense12081111TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109616NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees137NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledMAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Lawrence BakerBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5085872121TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1500 Belmont StreetAddressLine1
CityBrocktonCity
StateMAState
ZIP Code02301ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (23 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
Philip Tarallo
Chairman0.00X000
Margaret Mone
Vice Chair0.00X000
John Duval
Clerk0.00X000
Wayne Dunn
Board Member0.00X000
Heather Hanson
Board Member0.00X000
Mary Anne Kelleher
Board Member0.00X000
Corinne Maioli
Board Member0.00X000
James Morris
Board Member0.00X000
Priscilla Mueller
Board Member0.00X000
Jean Ellen Ouellette Kenney
Board Member0.00X000
Geneva Prince
Board Member0.00X000
Gail Russell
Board Member0.00X000
Scott Sanborn
Board Member0.00X000
Daniel Trout
Board Member0.00X000
Beverly Pavasaris
President & CEO37.5014442007405X
Lawrence Baker
Contracted CFO40.0017059500X
Michele Wolfsberg
VP Clinical Operations37.5012243606121X
Margaret Gazzara Hess
VP HR37.5011207405603X
Ann Dupre
Physical Therapist43.0011663002968X
Alan Oppenheim
Physical Therapist50.00117136019023X
John Dednah
Registered Nurse64.0015290806503X
Silvia Averill
Registered Nurse52.0012018902941X
Ellizabeth Merriam
Registered Nurse59.0014017203471X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1196560TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation54035TotalOtherCompensation
Number Individuals GT100 K7NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Andrew EavesBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line153 Lacey RoadAddressLine1
CityProspectCity
StateCTState
ZIP Code06712ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesContracted Marketing VPDescriptionOfServices
Compensation122682Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
Government Grants128199GovernmentGrants
All Other Contributions18786AllOtherContributions
Total Contributions146985TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionHome Health CareDescription
Business Code621610BusinessCode
Total Revenue Column13084128TotalRevenueColumn
Related Or Exempt Function Income13084128RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue13084128TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column129714TotalRevenueColumn
Exclusion$129,714ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities812064Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities0Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities812064Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column812064TotalRevenueColumn
Exclusion$812,064ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events92079GrossIncomeFundraisingEvents
Fundraising Direct Expenses31066FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column61013TotalRevenueColumn
Exclusion$61,013ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column14233904TotalRevenueColumn
Related Or Exempt Function Income13084128RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,002,791ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total147643Total
Management And General147643ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total7975377Total
Program Services7496854ProgramServices
Management And General478523ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total246315Total
Program Services227497ProgramServices
Management And General18818ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total784348Total
Program Services724424ProgramServices
Management And General59924ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total649355Total
Program Services599744ProgramServices
Management And General49611ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total56037Total
Management And General56037ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total49510Total
Management And General49510ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1855275Total
Program Services1332398ProgramServices
Management And General522877ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total22921Total
Program Services21170ProgramServices
Management And General1751ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total13602Total
Program Services12563ProgramServices
Management And General1039ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total171248Total
Program Services158165ProgramServices
Management And General13083ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total511470Total
Program Services472394ProgramServices
Management And General39076ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total272541Total
Program Services251719ProgramServices
Management And General20822ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total13604Total
Program Services12565ProgramServices
Management And General1039ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total3370Total
Program Services3113ProgramServices
Management And General257ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total123747Total
Program Services114293ProgramServices
Management And General9454ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total66543Total
Program Services61459ProgramServices
Management And General5084ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Other Expenses29075126853822213
Program Supplies194349194349
Equipment Rental/Repair85645791026543
Telephone47541439093632

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total47204Total
Program Services6855ProgramServices
Management And General567ManagementAndGeneral
Fundraising39782Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total13628396Total
Program Services12081111ProgramServices
Management And General1507503ManagementAndGeneral
Fundraising39782Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1006331BOY
EOY848152EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1593810BOY
EOY1835812EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY107008BOY
EOY85691EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1793026LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1547305LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY258626BOY
EOY245721EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY6715220BOY
EOY7641795EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY9680995BOY
EOY10657171EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY620395BOY
EOY933026EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY555669BOY
EOY611306EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY379046BOY
EOY381446EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1555110BOY
EOY1925778EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY7902119BOY
EOY8511466EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY108342BOY
EOY104503EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY115424BOY
EOY115424EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY8125885BOY
EOY8731393EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY9680995BOY
EOY10657171EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses605508ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years163473CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years172634CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years126159CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year143434CurrentTaxYearMinus1Year
Current Tax Year146786CurrentTaxYear
Total752486Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10507363CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10108873CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10531290CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11831323CurrentTaxYearMinus1Year
Current Tax Year13084128CurrentTaxYear
Total56062977Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10670836CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10281507CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10657449CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11974757CurrentTaxYearMinus1Year
Current Tax Year13230914CurrentTaxYear
Total56815463Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50956815463PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years126346CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years167170CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years211502CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year198680CurrentTaxYearMinus1Year
Current Tax Year129714CurrentTaxYear
Total833412Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years126346CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years167170CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years211502CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year198680CurrentTaxYearMinus1Year
Current Tax Year129714CurrentTaxYear
Total833412Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10797182CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10448677CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10868951CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12173437CurrentTaxYearMinus1Year
Current Tax Year13360628CurrentTaxYear
Total57648875Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98550PublicSupportPercentage509
Prior Year Support Percentage0.98360PriorYearSupportPercentage
Investment Income Percentage0.01450InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01640PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

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 Balance115424BeginningOfYearBalance
End Of Year Balance115424EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance115424BeginningOfYearBalance
End Of Year Balance115424EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance115424BeginningOfYearBalance
End Of Year Balance115424EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance115424BeginningOfYearBalance
End Of Year Balance115424EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance115424BeginningOfYearBalance
End Of Year Balance115424EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.00000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.00000TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1793026OtherCostOrOtherBasis
Depreciation1547305Depreciation
Book Value245721BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings245721TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionInvestments Including Certain Assets Limited As To UseDescription
Book Value7641795BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets7641795TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDue To Third Party PayersDescription
Amount$381,446Amount
FieldValueIRS element (for citing)
Total Of Amounts381446TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt14233904TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal14233904RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99014233904TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt13628396TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal13628396ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99013628396TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
ExplanationPart IV, Line 11f The Association is a public charity under Section 501(c)(3) of the Internal Revenue Code. As a public charity, the Association is exempt from state and federal income taxes on income earned in accordance with their tax exempt purposes. Unrelated business income is subject to state and federal income tax. Management has evaluated the Associations tax position and concluded that it has no unrelated business income or uncertain tax positions that require adjustment to the financial statements. Management believes the Association is no longer subject to income tax examinations for years prior to 2010.Explanation

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1Golf TournamentNameOfEvent1
Gross Receipts Event192079GrossReceiptsEvent1
Gross Revenue Event192079GrossRevenueEvent1
Cash Prizes Event14200CashPrizesEvent1
Other Direct Expenses Event126866OtherDirectExpensesEvent1
Gross Receipts Total92079GrossReceiptsTotal
Gross Revenue Total Events92079GrossRevenueTotalEvents
Cash Prizes Total Events4200CashPrizesTotalEvents
Other Direct Expenses Total Events26866OtherDirectExpensesTotalEvents
Direct Expense Summary Events31066DirectExpenseSummaryEvents
Net Income Summary61013NetIncomeSummary

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Beverly Pavasaris
President & CEO144420000000074050151825000
Lawrence Baker
Contracted CFO170595000000000170595000
John Dednah
Registered Nurse152908000000065030159411000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Form 990, Part VI, Section A, line 3The Vice President of finance position is filled on an interim basis by an outside consultant.
Form 990, Part VI, Section B, line 11The form 990 was reviewed by the Vice President of Finance who then submitted a narrative explaining the form 990 along with a copy of the form 990 to all board members. The members of the board of directors approved the form 990 for filing with the IRS.
Form 990, Part VI, Section B, line 12cEmployees are initially required to disclose any interests that may cause conflict upon being hired. After the initial disclosure, employees are responsible for updating the appropriate person withing the Organization if a situation arises that could cause conflict.
Form 990, Part VI, Section B, line 15The process for determining compensation of the Organization's top management officials includes review of comparability data. Compensation decisions are reviewed by members of the Organization's board of directors with final compensation amounts subject to approval of the board chairman. Compensation policies are also reviewed and established by members of the Organization's board for other key management personnel of the Organization.
Form 990, Part VI, Section C, line 19Upon request.
Form 990, Part IX, line 11gOther Contracted Services: Program service expenses 1,332,398. Management and general expenses 522,877. Fundraising expenses 0. Total expenses 1,855,275.Other Fees

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