BROCKTON VISITING NURSE ASSOCIATION: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
BROCKTON VISITING NURSE ASSOCIATION (EIN 04-2103941)
Tax period
2011-11-01 to 2012-10-31
Filed
2013-09-13
IRS object ID
201342569349300714
Schema version
2011v1.5
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-09-13T10:48:49-05:00Timestamp
Tax Period End Date2012-10-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN453994797EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1LGC&D LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1TEN WEYBOSSET STREET - SUITE 700AddressLine1
CityPROVIDENCECity
StateRIState
ZIP Code02903ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-11-01TaxPeriodBeginDate

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
TitlePRESIDENTTitle
Phone5085872121Phone
Date Signed2013-09-05DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameLYNN O'MARRA ESQUIREName
PTINP00821716PTIN
Phone4014214800Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonBEVERLY PAVASARISNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1500 BELMONT STREETAddressLine1
CityBROCKTONCity
StateMAState
ZIP Code02301ZIPCode
FieldValueIRS element (for citing)
Gross Receipts13438462GrossReceipts
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. THE BROCKTON VISITING NURSE ASSOCIATION (BROCKTON VNA) IS A MEDICARE CERTIFIED NOT-FOR-PROFIT HOME HEALTH CARE ORGANIZATION COVERING CITIES AND TOWNS THROUGHOUT SOUTHEASTERN MASSACHUSETTS. BROCTON VNA'S SKILLED PROFESSIONAL STAFF MEMBERS ARE RECOGNIZED CAREGIVERS BY PHYSICIANS, HOSPITALS AND WITHIN THE COMMUNITY. A COLLABORATIVE TEAM APPROACH FOCUSES ON PROVIDING THE HIGHEST QUALITY COMPLEX CARE IN THE COMFORT OF THE PATIENT'S HOME. BROCKTON VNA COORDINATES THE PATIENT'S MEDICAL, SOCIAL, EMOTIONAL, NUTRITIONAL AND PERSONAL NEEDS.ActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees154TotalNbrEmployees
Total Nbr Volunteers5TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year126159ContributionsGrantsPriorYear
Contributions Grants Current Year143434ContributionsGrantsCurrentYear
Program Service Revenue Prior Year10531290ProgramServiceRevenuePriorYear
Program Service Revenue CY11831323ProgramServiceRevenueCY
Investment Income Prior Year362127InvestmentIncomePriorYear
Investment Income Current Year335501InvestmentIncomeCurrentYear
Other Revenue Prior Year53729OtherRevenuePriorYear
Other Revenue Current Year55703OtherRevenueCurrentYear
Total Revenue Prior Year11073305TotalRevenuePriorYear
Total Revenue Current Year12365961TotalRevenueCurrentYear
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 Year8714007SalariesEtcPriorYear
Salaries Etc Current Year9050218SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2428031OtherExpensePriorYear
Other Expenses Current Year3106436OtherExpensesCurrentYear
Total Expenses Prior Year11142038TotalExpensesPriorYear
Total Expenses Current Year12156654TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-68733RevenuesLessExpensesPriorYear
Revenues Less Expenses CY209307RevenuesLessExpensesCY
Total Assets BOY9378273TotalAssetsBOY
Total Assets EOY9680995TotalAssetsEOY
Total Liabilities BOY1760204TotalLiabilitiesBOY
Total Liabilities EOY1555110TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY7618069NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY8125885NetAssetsOrFundBalancesEOY
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
Expense10894173Expense
Revenue11831323Revenue
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.*CARING FOR KIDS PROGRAM: A UNIQUE MODEL OF HOME CARE FOR MEDICALLY FRAGILE CHILDREN AND THEIR FAMILIES.Description
Total Program Service Expense10894173TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
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 Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
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 Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109614NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees154NumberOfEmployees
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 Disclosure0QuidProQuoDisclosure
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 Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
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 Number5088945250TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1500 BELMONT STREETAddressLine1
CityBROCKTONCity
StateMAState
ZIP Code02301ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (20 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
JEAN E OUELLETTE-KENNEY
CHAIR2.00XX000
PHILIP TARALLO
1ST VICE CHAIR2.00XX000
GAIL RUSSELL
2ND VICE CHAIR2.00XX000
MARGARET MONE
TREASURER2.00XX000
HEATHER HANSON
RECORDING SECRETARY2.00XX000
CORINNE MAIOLI
CORRESPONDING SECRETARY2.00XX000
H SCOTT SANBORN
AUDITOR2.00XX000
WAYNE DUNN
DIRECTOR2.00X000
JOHN DUVAL
DIRECTOR2.00X000
MARY ANN KELLEHER
DIRECTOR2.00X000
MARY ANNE MILLER
DIRECTOR2.00X000
JAMES MORRIS
DIRECTOR2.00X000
PRISCILLA MUELLER
DIRECTOR2.00X000
DANIEL TROUT
DIRECTOR2.00X000
BEVERLY PAVASARIS
PRESIDENT37.50X14155606087
MICHELE WOLFSBERG
VP CLINICAL OPS.37.50120010019124X
JOHN DEDNAH
RN62.9015403108736X
ELIZABETH MERRIAM
RN49.2013884003458X
MARGARET GAZZARA HESS
VP HUMAN RESOURCES37.50116617016008X
SILVIA AVERILL
RN45.0012808102837X
FieldValueIRS element (for citing)
Total Reportable Comp From Org799135TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation56250TotalOtherCompensation
Number Individuals GT100 K10NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
CORE MEDICAL
2 KEEWAYDIN DRIVESALEMNH03079CONTRACT PHYSICAL THERAPISTS430803
ACS
PO BOX 554N EASTONMA02356IT MANAGEMENT229327
BAKER HOME CARE FINANCIAL CONSULTANTS
53 PRINCE STREETBROOKLINEMA02445INTERIM CFO165442
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
All Other Contributions143434AllOtherContributions
Total Contributions143434TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionHOME HEALTH CAREDescription
Business Code621610BusinessCode
Total Revenue Column11831323TotalRevenueColumn
Related Or Exempt Function Income11831323RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue11831323TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column198680TotalRevenueColumn
Exclusion$198,680ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities1170089Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities1033268Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities136821Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column136821TotalRevenueColumn
Exclusion$136,821ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events94936GrossIncomeFundraisingEvents
Fundraising Direct Expenses39233FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column55703TotalRevenueColumn
Exclusion$55,703ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column12365961TotalRevenueColumn
Related Or Exempt Function Income11831323RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$391,204ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total150264Total
Management And General150264ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total7311280Total
Program Services6781746ProgramServices
Management And General529534ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total206697Total
Program Services188012ProgramServices
Management And General18685ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total836555Total
Program Services766374ProgramServices
Management And General70181ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total545422Total
Program Services496116ProgramServices
Management And General49306ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total47338Total
Management And General47338ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1281883Total
Program Services1003333ProgramServices
Management And General278550ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total26962Total
Program Services24525ProgramServices
Management And General2437ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total26762Total
Program Services24343ProgramServices
Management And General2419ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total510252Total
Program Services464125ProgramServices
Management And General46127ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total234133Total
Program Services233490ProgramServices
Management And General643ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total3568Total
Program Services3245ProgramServices
Management And General323ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total129790Total
Program Services118057ProgramServices
Management And General11733ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total70455Total
Program Services64086ProgramServices
Management And General6369ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
SUPPLIES228010228010
SOFTWARE CONTRACTS14277512986812907
TELEPHONE12952611781711709
MEMBERSHIP DUES108025982609765

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total166957Total
Program Services152766ProgramServices
Management And General14191ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total12156654Total
Program Services10894173ProgramServices
Management And General1262481ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1575498BOY
EOY1263955EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1392222BOY
EOY1593810EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY104089BOY
EOY107008EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1682185LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1423559LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY282221BOY
EOY258626EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY6024243BOY
EOY6457596EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY9378273BOY
EOY9680995EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY804670BOY
EOY620395EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY556534BOY
EOY555669EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY399000BOY
EOY379046EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1760204BOY
EOY1555110EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY7397600BOY
EOY7902119EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY105045BOY
EOY108342EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY115424BOY
EOY115424EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7618069BOY
EOY8125885EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY9378273BOY
EOY9680995EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses209307ReconcilationRevenueExpenses
Reconcilation Other Changes298509ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
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 Years179821CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years163473CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years172634CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year126159CurrentTaxYearMinus1Year
Current Tax Year143434CurrentTaxYear
Total785521Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10040097CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10507363CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10108873CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10531290CurrentTaxYearMinus1Year
Current Tax Year11831323CurrentTaxYear
Total53018946Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10219918CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10670836CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10281507CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10657449CurrentTaxYearMinus1Year
Current Tax Year11974757CurrentTaxYear
Total53804467Total

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 Total50953804467PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years195130CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years126346CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years167170CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year211502CurrentTaxYearMinus1Year
Current Tax Year198680CurrentTaxYear
Total898828Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years195130CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years126346CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years167170CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year211502CurrentTaxYearMinus1Year
Current Tax Year198680CurrentTaxYear
Total898828Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10415048CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10797182CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10448677CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10868951CurrentTaxYearMinus1Year
Current Tax Year12173437CurrentTaxYear
Total54703295Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98360PublicSupportPercentage509
Prior Year Support Percentage0.98250PriorYearSupportPercentage
Investment Income Percentage0.01640InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01750PriorYrInvestIncomePercentage
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 C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$2,580OtherActivitiesAmount
Total Lobbying Expenditures IIB2580TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1:ReturnReference
ExplanationTOTAL PORTION OF DUES PAID TO ORGANIZATIONS ALLOCATED TO LOBBYING ACTIVITIES.Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance6150072BeginningOfYearBalance
Contributions5350Contributions
Investment Earnings Or Losses565003InvestmentEarningsOrLosses
Other Expenditures5205OtherExpenditures
End Of Year Balance6715220EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance5920319BeginningOfYearBalance
Contributions550Contributions
Investment Earnings Or Losses234689InvestmentEarningsOrLosses
Other Expenditures5486OtherExpenditures
End Of Year Balance6150072EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance5256027BeginningOfYearBalance
Contributions5000Contributions
Investment Earnings Or Losses664130InvestmentEarningsOrLosses
Other Expenditures4838OtherExpenditures
End Of Year Balance5920319EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance4636763BeginningOfYearBalance
Contributions5000Contributions
Investment Earnings Or Losses614264InvestmentEarningsOrLosses
End Of Year Balance5256027EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.96000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.02000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.02000TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis47234OtherCostOrOtherBasis
Depreciation45820Depreciation
Book Value1414BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1634951OtherCostOrOtherBasis
Depreciation1377739Depreciation
Book Value257212BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings258626TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO THIRD PARTY PAYERSDescription
Amount$379,046Amount
FieldValueIRS element (for citing)
Total Of Amounts379046TotalOfAmounts
Total Revenue12365961TotalRevenue
Total Expenses12156654TotalExpenses
Excess Or Deficit For Year209307ExcessOrDeficitForYear
Net Unrealized GL On Investments298509NetUnrealizedGLOnInvestments
Total Adjustments298509TotalAdjustments
Excess Or Deficit Per FS507816ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt12617132TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments298509NetUnrealizedGainsInvestments
Revenue Not Rptd F990298509RevenueNotRptdF990
Revenue Subtotal12318623RevenueSubtotal
Investment Expenses Not Included47338InvestmentExpensesNotIncluded
Revenue Not Rptd On Fin Stmt47338RevenueNotRptdOnFinStmt
Total Revenue Per Form99012365961TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt12109316TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal12109316ExpensesSubtotal
Investment Expenses Not Included247338InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt47338ExpensesNotRptdOnFinStmt
Total Expenses Per Form99012156654TotalExpensesPerForm990

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1CFK GOLF TOURNAMENTNameOfEvent1
Gross Receipts Event194936GrossReceiptsEvent1
Gross Revenue Event194936GrossRevenueEvent1
Other Direct Expenses Event139233OtherDirectExpensesEvent1
Gross Receipts Total94936GrossReceiptsTotal
Gross Revenue Total Events94936GrossRevenueTotalEvents
Other Direct Expenses Total Events39233OtherDirectExpensesTotalEvents
Direct Expense Summary Events39233DirectExpenseSummaryEvents
Net Income Summary55703NetIncomeSummary

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

FieldValueIRS element (for citing)
Name PersonJOHN DEDNAHNamePerson
Base Compensation Filing Org154031BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org0DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org8736NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org162767TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 3THE VICE PRESIDENT OF FINANCE POSITION IS BEING FILLED ON AN INTERIM BASIS BY AN OUTSIDE CONSULTANT.
FORM 990, PART VI, SECTION A, LINE 6THE SOLE MEMBER OF THE ORGANIZATION IS BAY STATE VISITING NURSE ASSOCIATION AND HOSPICE, INC. ("BAY STATE"). THE BYLAWS OF THE ORGANIZATION ALLOW FOR BAY STATE TO ELECT NO LESS THAN 15% AND NO GREATER THAN 30% OF THE ELECTED DIRECTORS TO THE BOARD OF DIRECTORS OF THE ORGANIZATION. THE ORGANIZATION MAY ELECT NO LESS THAN 70% AND NO GREATER THAN 85% OF THE ELECTED DIRECTORS TO THE BOARD OF DIRECTORS OF THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7APLEASE SEE RESPONSE TO PART VI, SECTION A, LINE 6.
FORM 990, PART VI, SECTION A, LINE 7BPLEASE SEE RESPONSE TO PART VI, SECTION A, LINE 6.
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 WITHIN 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 OFFICIAL 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 19THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 5:NET UNREALIZED GAINS ON INVESTMENTS: 298,509.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2C:THE OVERSIGHT PROCESS OVER THE AUDIT OF THE ORGANIZATION'S FINANCIAL STATEMENTS HAS NOT CHANGED FROM THE PREVIOUS YEAR.OVERSIGHT OF AUDIT

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1BAY STATE VISITING NURSE ASSOCIATION AND HOSPICE INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1500 BELMONT STREETAddressLine1
CityBROCKTONCity
StateMAState
ZIP Code02301ZIPCode
FieldValueIRS element (for citing)
Primary ActivitiesHOSPICE SERVICESPrimaryActivities
Legal Domicile StateMALegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity Status509(A)(2)PublicCharityStatus
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

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