2013-06-03T12:04:31-05:00 2012-12-31 410746749 CLIFTONLARSONALLEN LLP 610 WEST GERMANTOWN PIKE SUITE 400 PLYMOUTH MEETING PA 19462 990 2012-01-01 237307133 BURN FOUNDATION BURN 2155453816 ONE MEDICAL CENTER BLVD LEWIS HOUSE UPLAND PA 19013 PATRICIA PORTER 2155453816 2013-05-31 1 BRUCE BRAUNEWELLCPA P00075336 2156433900 2012 2016-03-07 17:11:31Z X PATRICIA PORTER ONE MEDICAL CENTER BLVD LEWIS HOUSE UPLAND PA 19013 416056 0 X WWW.BURNFOUNDATION.ORG X 1973 PA SEE SCHEDULE O.TO SERVE THE GREATER PHILADELPHIA REGION IN THE PREVENTION OF BURNS, IN THE SUPPORT OF THE BURN CARE COMMUNITY, AND IN ENHANCING THE QUALITY OF LIFE FOR BURN SURVIVORS AND THEIR FAMILIES. 17 16 0 75 0 0 391167 385155 7610 3098 692 238 4892 -9698 404361 378793 14250 11822 0 0 227701 292834 0 0 179840 210054 229540 452005 534196 -47644 -155403 272265 196318 22195 101651 250070 94667 X TO SERVE THE GREATER PHILADELPHIA REGION IN THE PREVENTION OF BURNS, IN THE SUPPORT OF THE BURN CARE COMMUNITY, AND IN ENHANCING THE QUALITY OF LIFE FOR BURN SURVIVORS AND THEIR FAMILIES. 0 0 70230 SURVIVORS SUPPORT: ANAPOL SCHWARTZ FAMILY MENTORSHIP PROGRAM PUTS BURN SURVIVORS IN CONTACT WITH PEOPLE WHO HAVE BEEN THROUGH THE RECOVERY PROCESS AND WHO CAN OFFER SUPPORT AND HOPE TO THE SURVIVOR OR FAMILY MEMBERS. SEVERAL OUTREACH EFFORTS ARE BEING MADE THROUGH SOCIAL MEDIA AND THE INTERNET TO HELP SUPPORT SURVIVORS OF BURN INJURIES. THERE IS AN ON-LINE BLOG FOR SURVIVORS AND A SUPPORT GROUP THAT MEETS EACH MONTH. DVDS AND OTHER INFORMATION ARE GIVEN TO PATIENTS AS THEY LEAVE THE BURN CENTER WHICH WILL HELP THEM REINTEGRATE INTO THEIR EVERYDAY LIVES AND REMIND THEM OF AVAILABLE SUPPORT. 51521 FIRE AND BURN SAFETY FOR SENIORS: PROGRAM INCLUDES PRE AND POST EVALUATION, A DVD ON SAFETY WITH PRACTICAL TIPS, FOLLOWED BY DISCUSSION AND BURN FOUNDATION BINGO TO REINFORCE THE MESSAGE. THERE IS NOW A SAFETY RING GIVEN TO EACH ATTENDEE FOR REFERENCE AND A REMINDER ABOUT THE SAFETY MESSAGES. GIVEN TO GROUPS OF SENIOR CITIZENS OR AS A TRAIN-THE-TRAINER FOR FIRE SERVICES PERSONNEL. 97% OF PARTICIPANTS RATED THE PROGRAM AS EXCELLENT OR GOOD. 45577 TEACHABLE MOMENTS: FAMILIES WITH YOUNG CHILDREN: PROGRAM TARGETS FAMILIES WITH YOUNG CHILDREN THROUGH PRE-SCHOOL CLASSES AND PARENT GROUPS. THERE ARE FOUR MODULES INCLUDED IN THE LESSON PLANS, A POWER POINT FOR PARENTS AND A TAKE-HOME PARENT RESOURCE GUIDE (AVAILABLE IN SPANISH AND ENGLISH) TO SERVE AS A BASIS FOR FAMILY DISCUSSION AND PLANNING AND INCLUDES ACTIVITY PAGES FOR THE CHILDREN. A READ-ALOUD BOOK IS LEFT FOR THE LIBRARY TO REINFORCE THE SAFETY MESSAGE AND A "BURNIE" BEAR REMAINS IN THE CLASS FOR STUDENTS TO USE FOR DEMONSTRATIONS. 97947 11822 3098 FIRESETTING MATTERS: JUVENILE FIRE SETTING AWARENESS/PREVENTION: PROGRAM HAS 3 MODULES--FOR ADOLESCENTS, FOR TRAINING INTERVENTION SPECIALISTS AND FOR RAISING AWARENESS AMONG CAREGIVERS/TEACHERS. INCLUDES A DVD WITH INTERVIEWS WITH JUVENILE FIRESETTERS, A POWER-POINT PRESENTATION AND COMPLETE LESSON PLAN AND GUIDE. THE OBJECTIVE IS TO HEIGHTEN AWARENESS OF INAPPROPRIATE BEHAVIORS.TEACHABLE MOMENTS: ELEMENTARY SCHOOL-AGED PROGRAMS: PROGRAM INCLUDES LESSON PLANS, A DVD (STOP, DROP, ROLL, COOL AND CALL), GAMES AND HANDOUTS FOR USE IN THE CLASSROOM. DESCRIBES WHAT TO DO IN MOST FIRE SITUATIONS AND SPECIFIC PRECAUTIONS CHILDREN CAN TAKE. THESE ARE DISTRIBUTED TO SCHOOLS AND FIRE SERVICE PERSONNEL FOR THEIR USE IN EDUCATING THE PUBLIC. BOOKMARKS ARE GIVEN TO EACH STUDENT TO REMIND THEM OF THE TWO MAJOR MESSAGES.BURN CAMP SCHOLARSHIPS: SCHOLARSHIPS ARE PROVIDED TO UP TO 25 ADOLESCENTS TO ATTEND BURN CAMP EACH YEAR. THIS EXPERIENCE GIVES THE ADOLESCENT SURVIVORS A CHANCE TO BE WITH OTHER CHILDREN AND ADULT COUNSELORS WHO HAVE EXPERIENCED THE SAME TYPE OF DAMAGING INJURY IN A NON-JUDGEMENTAL ENVIRONMENT. THE OBJECTIVE IS TO HELP CHILDREN ACCEPT THEIR INJURIES AND LEARN TO THRIVE IN THE WORLD.PRESSURE GARMENTS FOR SURVIVORS: FUNDING IS PROVIDED FOR THOSE SURVIVORS WHO ARE UNDER OR UNINSURED FOR NECESSARY PRESSURE GARMENTS DURING THE HEALING PROCESS. GARMENTS MINIMIZE SCARRING AND HELP MAINTAIN ELASTICITY OF THE SKIN.PEDIATRIC BURN BUDDIES: BURN BUDDY DOLLS ARE GIVEN TO PEDIATRIC PATIENTS IN THE BURN UNITS TO COMFORT THEM AS THEY PROCEED THROUGH THE VERY PAINFUL PROCEDURES. THEY ARE ALSO USED AS TEACHING TOOLS FOR HOSPITAL PERSONNEL INSTRUCTING THE PATIENT IN BANDAGE CHANGES AND WOUND CARE.NURSE SEMINARS: SEMINARS TAUGHT BY NURSES FROM THE BURN CENTERS AS PART OF THE NURSE ADVISORY COUNCIL EDUCATE STUDENT NURSES FROM THE AREA NURSING SCHOOLS IN BURN CARE. NURSES RECEIVE VERY LIMITED INSTRUCTION ABOUT CARING FOR BURNS IN THEIR CURRICULUM AND THESE SEMINARS EDUCATE THEM ON THE NECESSARY STEPS TO TAKE IN HANDLING A BURN PATIENT AND TRANSFERRING THE PATIENT TO A QUALIFIED BURN CENTER.EARLY CARE AND TRANSFER OF BURN PATIENTS: THIS MANUAL WAS WRITTEN BY THE NURSE ADVISORY COUNCIL AND DISTRIBUTED IN DIGITAL FORMAT TO ALL THE ERS IN THE AREA AND POSTED ON THE PA TRAUMA SYSTEMS WEB SITE AS A REFERENCE FOR BURN PATIENT CARE. IT IS THE STANDARD OF CARE REFERENCE FOR FIRST RESPONDERS AND EMERGENCY PERSONNEL.SAFETY SKILLS: FIRE AND BURN PREVENTION FOR YOU: PROGRAM TARGETS CHILDREN IN GRADES 5-8 AND IS BASED AROUND A DVD FOCUSED ON COOKING AND KITCHEN SAFETY. THE PROGRAM INCLUDES LESSON PLANS, A POWER POINT PRESENTATION AND HAND OUTS FOR TEACHERS/ORGANIZATIONAL LEADERS TO USE IN HELPING THESE CHILDREN UNDERSTAND THE SAFETY PRECAUTIONS THEY CAN TAKE. THESE ADOLESCENTS ARE LEFT ON THEIR OWN MORE OFTEN AND ARE PUT IN CHARGE OF YOUNGER CHILDREN SO SAFETY CONCERNS ARE VERY IMPORTANT.FIRE AND BURN SAFETY RINGS FOR THE HOMEBOUND: THE 6-DOUBLE-SIDED CARD SAFETY RING IS DISTRIBUTED TO HOMEBOUND INDIVIDUALS THROUGH VARIOUS HOME VISITATION PROGRAMS SUCH AS MEALS ON WHEELS OR VISITING NURSES. THE RING CAN BE USED FOR REFERENCE BY PEOPLE IN THEIR HOMES AND CAN BE A FOCUS OF A SAFETY CONVERSATION BY THE VISITOR.MISCELLANEOUS PREVENTION PROGRAMS INCLUDE TRAIN-THE-TRAINER SEMINARS FOR LIFE SAFETY SPECIALISTS OR VOLUNTEERS, ELECTRICAL BURN PREVENTION FOR THE INDUSTRIAL SECTOR, HEALTH FAIRS THROUGHOUT THE REGION, AND PRELIMINARY SCALD PREVENTION PROGRAMMING. 97947 11822 3098 265275 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 3 0 1 0 0 0 0 0 0 1 1 0 0 0 0 X 17 16 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 PA NJ X X THE ORGANIZATION 2155453816 ONE MEDICAL CENTER BOULEVARD LEWIS UPLAND PA 19013 X GEORGE TUTWILER 1.00 X X 0 0 0 KEVIN F BERRY ESQ 1.00 X X 0 0 0 RICHARD BENNETT 1.00 X X 0 0 0 PATRICIA PORTER 50.00 X X 91847 0 29823 LLOYD AYERS 1.00 X 0 0 0 SUSAN CANNON RN MSN 1.00 X 0 0 0 LINWOOD R HAITH MD 1.00 X 0 0 0 WILLIAM B HUGHES MD 1.00 X 0 0 0 LEON A LAROSA JR CPA CFE MST 1.00 X 0 0 0 EVERETT MARSHALL 1.00 X 0 0 0 JOHN P MCCANN JR 1.00 X X 0 0 0 DOUGLAS MOKOID 1.00 X 0 0 0 DARREN PALMIERI 1.00 X 0 0 0 MARY LOU PATTON MD 1.00 X X 0 0 0 CINDY REIGART RN 1.00 X X 0 0 0 LOU TRAMONTANA 1.00 X 0 0 0 JERRY KOTS 1.00 X 0 0 0 91847 0 29823 0 0 0 0 0 80074 305081 385155 NURSING SEMINAR FEES 900099 2200 2200 BURN DVD SALES 900099 898 898 3098 238 238 21210 80074 37263 -16053 -16053 6355 0 6355 6355 378793 3098 0 -9460 X 11822 11822 121670 38903 27660 55107 88352 32087 11062 45203 68680 12770 37235 18675 14132 6579 948 6605 122632 79379 8389 34864 2758 1943 117 698 40080 34870 2004 3206 11159 7771 3388 60 52 3 5 1562 1359 78 125 9642 8389 482 771 PRINTING AND PUBLICATIO 15447 9122 168 6157 EQUIPMENT RENTAL 12281 10684 614 983 BURN PATIENT/SURVIVOR S 4078 3874 204 POSTAGE AND SHIPPING 3246 1152 63 2031 6595 4519 258 1818 534196 265275 89081 179840 207738 174253 49689 10000 13042 11831 127913 127679 1796 234 272265 196318 22195 101651 22195 101651 X 197111 39576 52959 55091 250070 94667 272265 196318 -155403 0 X X 0 1 X 1 0 X 837405 536236 433151 406167 385155 2598114 837405 536236 433151 406167 385155 2598114 413359 2184755 6337 4073 1557 692 238 12897 2611011 40366 0.83670 0.83270 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 111112 111024 88 16801 16655 146 234 X 416056 37263 37263 378793 0 378793 571459 37263 37263 534196 0 534196 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: THE FOUNDATION IS EXEMPT FROM FEDERAL, STATE AND LOCAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND SIMILAR STATE AND LOCAL LAWS, THEREFORE, NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE FOUNDATION'S INFORMATIONAL TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. THE FOUNDATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS. THE ENTITY'S 2009, 2010, AND 2011 TAX YEARS ARE OPEN FOR EXAMINATION BY THE IRS. PART XI, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSES 37,263. PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSES 37,263. ANNUAL GALA & AUCTION 74068 62099 11969 2010 20936 JOSEPH R. RIZZO GOLF CLASSIC 27216 17975 9241 12665 1652 101284 80074 21210 12665 3662 20936 37263 -16053 6355 0 1.00000 6355 6355 NJ 1 0 1 0 1.00000 JOHN MCCANN JR ONE MEDICAL CENTER BLVD LEWIS HOUSE UPLAND PA 19013 0 PATRICIA PORTER OVERSEES THE ACTIVITIES X 1 1 SCHOLARSHIPS TO ATTEND BURN CAMP 15 11822 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: SCHOLARSHIPS ARE USED TO PAY FOR BURN VICTIMS TO ATTEND BURN CAMP. CROZER - CHESTER HOSPITAL CEO OF CROZER-CHESTER HOSPITAL AND A BURN FOUNDATION BOARD MEMBER 292834 ALL FOUNDATION PERSONNEL ARE EMPLOYEES OF CROZER-CHESTER HOSPITAL. THE FOUNDATION REIMBURSES THE HOSPITAL FOR THE SALARY AND RELATED PAYROLL AND BENEFIT COSTS OF THESE EMPLOYEES. 0 CROZER - CHESTER HOSPITAL NURSE MGR OF CROZER-CHESTER HOSPITAL AND A BURN FOUNDATION BOARD MEMBER ALL FOUNDATION PERSONNEL ARE EMPLOYEES OF CROZER-CHESTER HOSPITAL. THE FOUNDATION REIMBURSES THE HOSPITAL FOR THE SALARY AND RELATED PAYROLL AND BENEFIT COSTS OF THESE EMPLOYEES. 0 FORM 990, PART VI, SECTION B, LINE 11 THE 990 IS REVIEWED BY THE FINANCE COMMITTEE AND THEN RECOMMENDED TO THE FULL BOARD WHERE IT IS DISTRIBUTED. FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD MEMBERS ARE REQUIRED TO COMPLETE THE CONFLICT OF INTEREST FORM AND IT IS REVIEWED BY THE EXECUTIVE COMMITTEE. DURING DISCUSSION OF AN AREA OF CONFLICT THE AFFECTED PERSON WOULD BE EXCUSED FROM THE DISCUSSION AND THE VOTING. THE EXECUTIVE COMMITTEE REVIEWED THE PERFORMANCE OF THE PRESIDENT/CEO AND RELATED THAT INFORMATION ALONG WITH AN EVALUATION OF SALARY. FORM 990, PART VI, SECTION C, LINE 19 UPON REQUEST OF DOCUMENTS ALL FOUNDATION PERSONNEL ARE EMPLOYEES OF A MEMBER CONSORTIUM HOSPITAL. THE FOUNDATION REIMBURSES THE HOSPITAL FOR THE SALARY AND RELATED PAYROLL AND BENEFIT COSTS OF THESE EMPLOYEES. OTHER FEES FORM 990, PART IX, LINE 11G PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 79,379. MANAGEMENT AND GENERAL EXPENSES 8,389. FUNDRAISING EXPENSES 34,864. TOTAL EXPENSES 122,632. PART XII LINE 2S THE ORGANIZATION HAS NOT CHANGED EITHER ITS OVERSIGHT PROCESS OR SELECTION DURING THE TAX YEAR.