GRANITE VNA INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- GRANITE VNA INC (EIN 02-0222122)
- Tax period
- 2011-10-01 to 2012-09-30
- Filed
- 2013-01-15
- IRS object ID
- 201330159349300813
- Schema version
- 2011v1.2
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-01-15T08:57:48-06:00 | Timestamp |
| Tax Period End Date | 2012-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 010523282 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Berry Dunn McNeil & Parker LLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1000 Elm Street 15th Floor | AddressLine1 |
| City | Manchester | City |
| State | NH | State |
| ZIP Code | 03101 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 020222122 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Concord Regional Visiting Nurse Association Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | CONC | NameControl |
| Phone | 6032244093 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 30 Pillsbury Street | AddressLine1 |
| City | Concord | City |
| State | NH | State |
| ZIP Code | 03301 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Mary B Deveau | Name |
| Title | President | Title |
| Phone | 6032244093 | Phone |
| Date Signed | 2013-01-07 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Rachel Williamson CPA | Name |
| PTIN | P00186614 | PTIN |
| Phone | 6036697337 | Phone |
| Date Prepared | 2013-01-07 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Mary B Deveau | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 30 Pillsbury Street | AddressLine1 |
| City | Concord | City |
| State | NH | State |
| ZIP Code | 03301 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 40320977 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.crvna.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1899 | YearFormation |
| State Legal Domicile | NH | StateLegalDomicile |
| Activity Or Mission Description | Concord Regional Visiting Nurse Association, incorporated in 1899, is a home health and hospice care provider, offering both preventive and supportive health care services. Our mission is to provide and facilitate comprehensive care in the home and community to optimize health, well-being and independence. Our services include: Skilled Nursing; Physical Therapy, Occupational Therapy, & Speech Therapy; Homemaking; Maternal/Child Health; Social Work; Hospice Care; Personal Home Services; Pediatric Care; Nutritional Counseling; Senior Health Clinics; Flu Immunization Clinics; Immunization Clinics; Blood Pressure Clinics; and Community Education. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 16 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 14 | NbrIndependentVotingMembers |
| Total Nbr Employees | 407 | TotalNbrEmployees |
| Total Nbr Volunteers | 134 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 661035 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 652383 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 21986458 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 23493083 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 626888 | InvestmentIncomePriorYear |
| Investment Income Current Year | 578353 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | -20918 | OtherRevenuePriorYear |
| Other Revenue Current Year | -15636 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 23253463 | TotalRevenuePriorYear |
| Total Revenue Current Year | 24708183 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 17166781 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 18306529 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 26617 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 4821805 | OtherExpensePriorYear |
| Other Expenses Current Year | 5047082 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 21988586 | TotalExpensesPriorYear |
| Total Expenses Current Year | 23353611 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 1264877 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 1354572 | RevenuesLessExpensesCY |
| Total Assets BOY | 22771611 | TotalAssetsBOY |
| Total Assets EOY | 25067595 | TotalAssetsEOY |
| Total Liabilities BOY | 2418190 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 2412888 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 20353421 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 22654707 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | The Organization provides and facilitates comprehensive care in the home and community to optimize health, well-being and independence. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 11480714 | Expense |
| Revenue | 14097786 | Revenue |
| Description | Home Health Care - provides skilled care services to patients who qualify for care in their home. Services were rendered to 4,301 patients including 87,103 chargable visits and 17,660 additional service hours for indigent patients. Charity care is provided to individuals who are uninsured, underinsured, or otherwise unable to pay the published fee for service. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 6285616 | Expense |
| Revenue | 7718445 | Revenue |
| Description | Hospice - supportive care for the terminally ill on a 24 hour basis. Services were rendered to 692 patients providing 38,770 hospice care days. Charity care is provided to individuals who are uninsured, underinsured, or otherwise unable to pay the published fee for services. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 1196571 | Expense |
| Revenue | 1469334 | Revenue |
| Description | Personal Care Services - Provides care and support primarily to frail elders who need assistance to stay living independently in their own homes. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 168995 | Expense |
| Revenue | 207518 | Revenue |
| Description | Community Health Services - provides community based health care services in individual homes and clinic setting including senior health clinics, immunization clinics, children dental clinics, head lice services and community health education including "Better Choices, Better Health" a program that assists older adults in learning more effective ways of self-managing their chronic condition to improve their quality of life and "A Matter of Balance" a program that assists older adults in reducing their fear of falling and improving their activity levels. Funding for services is subsidized by agency and community funding. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 168995 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Rev | 207518 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 19131896 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 1 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 1 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 8 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 407 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 16 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 14 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | NH | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Violet Rounds | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 6032244093 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 30 Pillsbury Street | AddressLine1 |
| City | Concord | City |
| State | NH | State |
| ZIP Code | 03301 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (22 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| Mary B Deveau | |||||||
| President & CEO | 50.00 | X | X | 236378 | 0 | 44587 | |
| Steven Lauwers Esq | |||||||
| Chair | 1.00 | X | X | 0 | 0 | 0 | |
| Christopher Parkinson | |||||||
| Treasurer | 1.00 | X | X | 0 | 0 | 0 | |
| Kathleen Ames | |||||||
| Vice Chair | 1.00 | X | X | 0 | 0 | 0 | |
| Mark T Broth Esq | |||||||
| Representative at Large | 1.00 | X | 0 | 0 | 0 | ||
| Vera Buck | |||||||
| Representative at Large | 1.00 | X | 0 | 0 | 0 | ||
| Charles J Fanaras RPh | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Marianne Fleischman MD | |||||||
| Secretary | 1.00 | X | X | 0 | 0 | 0 | |
| Susan Heinecke | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Brian LaRoche | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Jessica S Pollack APRN | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Douglas Sampson | |||||||
| Past Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Douglas Black MD | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Melvin J Severance CFP | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Michael L Timm | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Deacon Winton DeRosia | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Andrew B Eills Esq | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Violet Rounds | |||||||
| Chief Finance Officer | 50.00 | X | 159854 | 0 | 21083 | ||
| Lois Ferguson | |||||||
| VP Hospice House | 45.00 | 112826 | 0 | 14043 | X | ||
| Linda Flewelling | |||||||
| VP Human Resources | 45.00 | 106196 | 0 | 5784 | X | ||
| Deborah Mullen | |||||||
| VP IT | 45.00 | 110682 | 0 | 13908 | X | ||
| Ellen Bassett | |||||||
| Medical Director | 40.00 | 158134 | 0 | 7651 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 884070 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 107056 | TotalOtherCompensation |
| Number Individuals GT100 K | 6 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation
Name Of Contractor NameOfContractor
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Coremedical Group | BusinessNameLine1 |
Address Of Contractor AddressOfContractor
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2 Keenwaydin Drive | AddressLine1 |
| City | Salem | City |
| State | NH | State |
| ZIP Code | 03079 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Of Services | Physical Therapist Services | DescriptionOfServices |
| Compensation | 129540 | Compensation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 1 | NumberOfContractorsGT100K |
| Fundraising Events | 210797 | FundraisingEvents |
| Government Grants | 131963 | GovernmentGrants |
| All Other Contributions | 309623 | AllOtherContributions |
| Total Contributions | 652383 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| Home Care Revenue | 621610 | 14097786 | 14097786 |
| Hospice Revenue | 623000 | 7718445 | 7718445 |
| Personal Home Services | 621610 | 1469334 | 1469334 |
| Community Services Rev | 621990 | 207518 | 207518 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 23493083 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 407721 | TotalRevenueColumn |
| Exclusion | $407,721 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 15767790 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 15596220 | Securities |
| Other | 938 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 171570 | Securities |
| Other | -938 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 170632 | TotalRevenueColumn |
| Exclusion | $170,632 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 0 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 210797 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 15636 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -15636 | TotalRevenueColumn |
| Exclusion | -$15,636 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 24708183 | TotalRevenueColumn |
| Related Or Exempt Function Income | 23493083 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $562,717 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 428293 | Total |
| Management And General | 403557 | ManagementAndGeneral |
| Fundraising | 24736 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13887215 | Total |
| Program Services | 12186176 | ProgramServices |
| Management And General | 1701039 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 458196 | Total |
| Program Services | 404679 | ProgramServices |
| Management And General | 53517 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2429482 | Total |
| Program Services | 2159945 | ProgramServices |
| Management And General | 269537 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1103343 | Total |
| Program Services | 941337 | ProgramServices |
| Management And General | 160125 | ManagementAndGeneral |
| Fundraising | 1881 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20534 | Total |
| Management And General | 20534 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 68754 | Total |
| Management And General | 68754 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 83934 | Total |
| Management And General | 83934 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 821547 | Total |
| Program Services | 791022 | ProgramServices |
| Management And General | 30525 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1861465 | Total |
| Program Services | 1472073 | ProgramServices |
| Management And General | 389392 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 378454 | Total |
| Management And General | 378454 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 503810 | Total |
| Program Services | 180746 | ProgramServices |
| Management And General | 323064 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 664123 | Total |
| Program Services | 643912 | ProgramServices |
| Management And General | 20211 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 126613 | Total |
| Management And General | 126613 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 326497 | Total |
| Program Services | 241126 | ProgramServices |
| Management And General | 85371 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 64600 | Total |
| Management And General | 64600 | ManagementAndGeneral |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Dues & Subscriptions | 68724 | 56037 | 12687 |
| Bad Debt Expense | 54843 | 54843 | |
| Equipment Rental | 3184 | 3184 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 23353611 | Total |
| Program Services | 19131896 | ProgramServices |
| Management And General | 4195098 | ManagementAndGeneral |
| Fundraising | 26617 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 150120 | BOY |
| EOY | 120 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6088168 | BOY |
| EOY | 4824234 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 54451 | BOY |
| EOY | 76714 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2737440 | BOY |
| EOY | 3270844 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 130972 | BOY |
| EOY | 208715 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 2733782 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 1578520 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1267206 | BOY |
| EOY | 1155262 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11003471 | BOY |
| EOY | 14105551 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1339783 | BOY |
| EOY | 1426155 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22771611 | BOY |
| EOY | 25067595 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1678799 | BOY |
| EOY | 1619766 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 739391 | BOY |
| EOY | 793122 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2418190 | BOY |
| EOY | 2412888 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16295663 | BOY |
| EOY | 18459848 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 908557 | BOY |
| EOY | 871621 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3149201 | BOY |
| EOY | 3323238 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20353421 | BOY |
| EOY | 22654707 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22771611 | BOY |
| EOY | 25067595 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 1354572 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 946714 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1726440 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 650949 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 594292 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 661035 | CurrentTaxYearMinus1Year |
| Current Tax Year | 652383 | CurrentTaxYear |
| Total | 4285099 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 17033058 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 21208606 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 22575714 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 25817855 | CurrentTaxYearMinus1Year |
| Current Tax Year | 39260873 | CurrentTaxYear |
| Total | 125896106 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 18759498 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 21859555 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 23170006 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 26478890 | CurrentTaxYearMinus1Year |
| Current Tax Year | 39913256 | CurrentTaxYear |
| Total | 130181205 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 7500 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 8250 | CurrentTaxYearMinus2Years |
| Total | 15750 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 7500 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 8250 | CurrentTaxYearMinus2Years |
| Total | 15750 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 130165455 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 462707 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 335538 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 304370 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 400809 | CurrentTaxYearMinus1Year |
| Current Tax Year | 407721 | CurrentTaxYear |
| Total | 1911145 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 462707 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 335538 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 304370 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 400809 | CurrentTaxYearMinus1Year |
| Current Tax Year | 407721 | CurrentTaxYear |
| Total | 1911145 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 13599 | CurrentTaxYearMinus4Years |
| Total | 13599 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 19235804 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 22195093 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 23474376 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 26879699 | CurrentTaxYearMinus1Year |
| Current Tax Year | 40320977 | CurrentTaxYear |
| Total | 132105949 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.98530 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.98160 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.01450 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.01790 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $7,035 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 7035 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Explanation of Lobbying Activities: | Identifier |
| Return Reference | Part II-B, Line 1: | ReturnReference |
| Explanation | The Organization pays dues to various organizations, some to which a portion of the dues are attributable to lobbying expenses. | Explanation |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 2073418 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 77665 | InvestmentEarningsOrLosses |
| End Of Year Balance | 2151083 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 2073418 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 37759 | InvestmentEarningsOrLosses |
| Other Expenditures | 37759 | OtherExpenditures |
| End Of Year Balance | 2073418 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 2068241 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 5177 | InvestmentEarningsOrLosses |
| End Of Year Balance | 2073418 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1987202 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 81039 | InvestmentEarningsOrLosses |
| End Of Year Balance | 2068241 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 1.00000 | PermanentEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1052703 | OtherCostOrOtherBasis |
| Depreciation | 450702 | Depreciation |
| Book Value | 602001 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1630619 | OtherCostOrOtherBasis |
| Depreciation | 1080964 | Depreciation |
| Book Value | 549655 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 50460 | OtherCostOrOtherBasis |
| Depreciation | 46854 | Depreciation |
| Book Value | 3606 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 1155262 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (2 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Beneficial Interest in Perpetual Trust | 1172155 |
| Deposits - Worker's Compensation | 254000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 1426155 | TotalBookValueOtherAssets |
| Total Revenue | 24708183 | TotalRevenue |
| Total Expenses | 23353611 | TotalExpenses |
| Excess Or Deficit For Year | 1354572 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 850342 | NetUnrealizedGLOnInvestments |
| Other | $96,372 | OtherAmount |
| Total Adjustments | 946714 | TotalAdjustments |
| Excess Or Deficit Per FS | 2301286 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 25670533 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 850342 | NetUnrealizedGainsInvestments |
| Other Revenues | 112008 | OtherRevenues |
| Revenue Not Rptd F990 | 962350 | RevenueNotRptdF990 |
| Revenue Subtotal | 24708183 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 24708183 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 23369247 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 15636 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 15636 | ExpensesNotRptdF990 |
| Expenses Subtotal | 23353611 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 23353611 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Description of Intended Use of Endowment Funds: | Part V, Line 4: | The Endowment funds are used to subsidize charitable care, support community programs that have no outside funding, provide seed money for program expansion and new programs and to make capital improvements to the Hospice House. Programs and Services supported by the Agency's funds include Community Health Education including "Better Choices, Better Health" a program that assists older adults in learning more effective ways of self-managing their chronic condition to improve their quality of life and "A Matter of Balance" a program that assists older adults in reducing their fear of falling and improving their activity levels, health clinics for seniors that provide screenings, footcare, ear wax removal, and other related services and immunization clinics. In addition, the Hospice Program and the Hospice House are supported through charitable funds to provide subsidized or free services; bereavement support groups, Hospice volunteer training and community education. Funds also would be used to support CRVNA's Home Care Program's Telehealth Program and to subsidize charitable care for patients that are uninsured or underinsured in the Home Care Program. |
| Part XI, Line 8 - Other Adjustments: | Change in market value of perpetual trust 96,372. | |
| Part XII, Line 2d - Other Adjustments: | Fundraising Expenses 15,636. Change in Market Value of Perpetual Trusts 96,372. | |
| Part XIII, Line 2d - Other Adjustments: | Fundraising Expenses 15,636. |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | Lights of Life | NameOfEvent1 |
| Gross Receipts Event1 | 62736 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 62736 | CharitableContributionsEvent1 |
| Other Direct Expenses Event1 | 5725 | OtherDirectExpensesEvent1 |
| Name Of Event2 | Annual Appeal | NameOfEvent2 |
| Gross Receipts Event2 | 88665 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 88665 | CharitableContributionsEvent2 |
| Other Direct Expenses Event2 | 4540 | OtherDirectExpensesEvent2 |
| Total Number Of Other Events | 1 | TotalNumberOfOtherEvents |
| Gross Receipts Other Events | 59396 | GrossReceiptsOtherEvents |
| Charitable Contrib Other Events | 59396 | CharitableContribOtherEvents |
| Other Direct Expenses Other Events | 5371 | OtherDirectExpensesOtherEvents |
| Gross Receipts Total | 210797 | GrossReceiptsTotal |
| Charitable Contributions Total | 210797 | CharitableContributionsTotal |
| Other Direct Expenses Total Events | 15636 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 15636 | DirectExpenseSummaryEvents |
| Net Income Summary | -15636 | NetIncomeSummary |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Mary B Deveau | |||||||||||||
| 210928 | 0 | 20650 | 0 | 4800 | 0 | 9501 | 33610 | 1476 | 0 | 247355 | 33610 | 0 | 0 |
| Violet Rounds | |||||||||||||
| 149054 | 0 | 6000 | 0 | 4800 | 0 | 6629 | 0 | 14454 | 0 | 180937 | 0 | 0 | 0 |
| Ellen Bassett | |||||||||||||
| 157334 | 0 | 800 | 0 | 0 | 0 | 6325 | 0 | 1326 | 0 | 165785 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Supplemental Information | Identifier |
| Return Reference | Part III | ReturnReference |
| Explanation | Mary B. Deveau, President, participates in the Concord Hospital Cash Balance plan. Concord Hospital is a related organization through CRVNA's sole corporate member, Capital Region HealthCare Corporation. The deferred tax benefit received totalled $33,610, as reported on Schedule J, page 2, column (C)(ii). | Explanation |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | The Prescription Center and Northeast Pharmacy | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | Vendor of Organization | Relationship |
| Amount Of Transaction | 452176 | AmountOfTransaction |
| Description Of Transaction | Charles Fanaras, a member of the Board of Trustees of the Organization is the sole owner of The Prescription Center and Northeast Pharmacy. Douglas Sampson is an officer of The Prescription Center and served as a Trustee of the Organization until 9/11/2012. The Organization purchases prescriptions from this organization. All transactions are at arm's length. | DescriptionOfTransaction |
| Sharing Of Revenues | 0 | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (10 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Form 990, Part VI, Section A, line 2 | Douglas Sampson, a trustee of the Organization until he resigned on 9/11/2012, is an employee of The Prescription Center, an entity owned 100% by Charles J. Fanaras, a trustee of the Organization. | |
| Form 990, Part VI, Section A, line 6 | Capital Region HealthCare Corporation is the sole member of the Concord Regional VNA. | |
| Form 990, Part VI, Section A, line 7a | Capital Region HealthCare Corporation accepts any changes made to the bylaws by the governing body. | |
| Form 990, Part VI, Section B, line 11 | The role of Concord Regional Visiting Nurse Association's Audit Committee has expanded to include review of the agency's 990. The auditing firm of Berry, Dunn, McNeil and Parker presented the 990 to the Audit Committee prior to filing the form. The Audit Committee engages the auditors and receives the audit and the 990 Report. The Audit Committee receives a complete copy of the 990 including all schedules. The initial presentation of the FY2012 audit and the 990 Form will occur at the November 27, 2012 meeting of the Audit/Finance Committee meeting. Subsequent Audit Committee meetings will occur if necessary to complete the review. The Audit Committee will report to the Board of Trustees that the 990 review has occurred. The Board of Trustees accepts the Audit Committee reports, the audit, and the 990 documents. All members of the Board will have access to the reports. The Form 990 is available to the public upon request. | |
| Form 990, Part VI, Section B, line 12c | The Conflict of Interest, Statement of Conflict of Interest with Respect to a Relationship, Transaction and/or Financial Interest form was revised by the Audit Committee in February 2010 and approved by the Board in March 2010. The form was revised to ensure compliance with the State of NH Pecuniary Benefit Law (Chapter 7: RSA 7:19a) and the revised IRS 990 disclosure requirements. The Chief Executive Officer/President reviewed the form and the regulation requirements at the March 13, 2012 Board Meeting. Trustees at the meeting were requested to complete the forms and return them to management. The Executive Administrative Manager worked with Board members to ensure each member had returned the Conflict of Interest Forms. In FY2012, 100% of the Board of Trustees returned the signed conflict of interest forms. The Audit Committee at its April 24, 2012 meeting reviewed the forms for those Trustees that reported a conflict of interest. The Audit Committee reported to the full Board the conflict of interest transactions that had been disclosed on the conflict of interest forms. The Board at its May 8, 2012 meeting approved the conflict of interest disclosures. The approved transactions over $5,000 were reported as required by law to the State of New Hampshire's Director of Charitable Trust at the Attorney General's office and a notice was published in the Concord Monitor. In addition to the annual completion of the form, Trustees are asked at every Board meeting during Fiscal Year 2012, if there are any conflicts that they have identified that should be reported to Management and the Board. | |
| Form 990, Part VI, Section B, line 15 | In August 2009, the Executive Committee in collaboration with other VNAs affiliated with the Visiting Nurse Association Health System of Northern New England engaged Skeates Consulting, LLC and Olney/HR Advantage to complete an executive compensation analysis/review that would be used to determine the compensation for the Chief Executive Officer and the Chief Financial Officer. The results of this report were presented to the CRVNA Executive Committee on September 3, 2009. The Executive committee members decided at this meeting to accept the report as the appropriate tool to use to set the compensation for the CEO and CFO positions. The Board at its November 10, 2009 meeting adopted an Executive Compensation policy for the CEO/CFO positions. The Executive Committee's compensation philosophy is to pay the CEO and CFO at the appropriate level of compensation based on market data and surveys such as the compensation report noted above. The compensation will be performance based using the salary information available. The Executive Committee of the Board of Trustees recommended the annual compensation for the CEO and CFO at the December 13, 2011 Board meeting. The Board unanimously approved the compensation recommendation. | |
| Form 990, Part VI, Section C, line 19 | The Organization makes its governing documents, conflict of interest policy and financial statements available to the public upon request. | |
| Form 990, Part XI, line 5: | Net unrealized gains on investments: 850,342. Change in market value of perpetual trust 96,372. Total to Form 990, Part XI, Line 5: 946,714. | Changes in Net Assets or Fund Balances: |
| Form 990, Part XII, Line 2c | The organization has not changed it oversight or selection process during the tax year. | |
| Form 990, Part I, Line 1 | The agency's service area includes Merrimack County and portions of Hillsborough County, representing more than 30 communities in central New Hampshire. Concord Regional VNA serves 7,000 patients annually and provides 150,000 homecare hours and more than 38,000 hospice days annually, including a 10-bed Hospice House. Patients who are uninsured, underinsured, or otherwise unable to pay the published fees for services are provided charity care. In the Fiscal Year 2012, the CRVNA Home Care Program provided care to 4,301 patients. Sixteen percent (16%) of the patients served in the Home Care Program were uninsured or received funding from Medicaid or low income grants. In addition, 65% of the Home Care patients had Medicare or Medicare replacement plans as their insurance plan. We are a 501(c)(3) non-profit agency and a subsidiary of Capital Region Health Care. Concord Regional VNA is a Medicare and Medicaid Certified Home Health and Hospice Provider and is licensed by the State of New Hampshire Bureau of Health Care Facilities. In addition, Concord Regional VNA's Hospice House, an inpatient setting providing care and comfort for the terminally ill, is licensed by the State of New Hampshire as a Supportive Residential Care Facility. | Description of Organization Mission, continued |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| Capital Region Health Care Corporation | ||||||||||
| 250 Pleasant Street | Concord | NH | 03301 | 020222123 | Health Care Services | NH | 501(c)(3) | Line 11a, I | N/A | 0 |
| Concord Hospital Inc | ||||||||||
| 250 Pleasant Street | Concord | NH | 03301 | 222594672 | Patient Care Services | NH | 501(c)(3) | Line 3 | N/A | 0 |
| Riverbend Community Mental Health Inc | ||||||||||
| 3-5 North State Street PO Box 2032 | Concord | NH | 03302 | 020264383 | Mental Health Services | NH | 501(c)(3) | Line 7 | N/A | 0 |
| Capital Region Health Care Development Corporation | ||||||||||
| 250 Pleasant Street | Concord | NH | 03301 | 020429749 | Management of Real Estate Holdings | NH | 501(c)(2) | N/A | 0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 1 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
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