PAVILLON INTERNATIONAL: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
PAVILLON INTERNATIONAL (EIN 38-3102731)
Tax period
2011-07-01 to 2012-06-30
Filed
2012-10-18
IRS object ID
201212929349300611
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-10-18T10:23:36-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN560587953EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1GILLIAM COBLE & MOSER LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 621AddressLine1
CityBURLINGTONCity
StateNCState
ZIP Code272160621ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN383102731EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1PAVILLON INTERNATIONALBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlPAVINameControl
Phone8286258210Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1241 PAVILLON PLACEAddressLine1
CityMILL SPRINGCity
StateNCState
ZIP Code28756ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameANNE VANCEName
TitleCHIEF EXECUTIVE OFFICERTitle
Phone8286258210Phone
Date Signed2012-10-16DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBERT DAVIS JRName
PTINP00102185PTIN
Phone3362276283Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonANNE VANCENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1241 PAVILLON PLACEAddressLine1
CityMILL SPRINGCity
StateNCState
ZIP Code28756ZIPCode
FieldValueIRS element (for citing)
Gross Receipts12235877GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.PAVILLON.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1993YearFormation
State Legal DomicileMIStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE TREATMENT EDUCATION AND RECOVERY SERVICESActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees134TotalNbrEmployees
Total Nbr Volunteers4TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year427012ContributionsGrantsPriorYear
Contributions Grants Current Year241650ContributionsGrantsCurrentYear
Program Service Revenue Prior Year10071877ProgramServiceRevenuePriorYear
Program Service Revenue CY11714228ProgramServiceRevenueCY
Investment Income Prior Year35921InvestmentIncomePriorYear
Investment Income Current Year10339InvestmentIncomeCurrentYear
Other Revenue Prior Year24699OtherRevenuePriorYear
Other Revenue Current Year215589OtherRevenueCurrentYear
Total Revenue Prior Year10559509TotalRevenuePriorYear
Total Revenue Current Year12181806TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year828796GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY881382GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year5870062SalariesEtcPriorYear
Salaries Etc Current Year6050269SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year177407TotalFundrsngExpCurrentYear
Other Expense Prior Year2797495OtherExpensePriorYear
Other Expenses Current Year2957649OtherExpensesCurrentYear
Total Expenses Prior Year9496353TotalExpensesPriorYear
Total Expenses Current Year9889300TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1063156RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2292506RevenuesLessExpensesCY
Total Assets BOY12101415TotalAssetsBOY
Total Assets EOY14291230TotalAssetsEOY
Total Liabilities BOY3261724TotalLiabilitiesBOY
Total Liabilities EOY3159033TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY8839691NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY11132197NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO PROVIDE TREATMENT EDUCATION AND RECOVERY SERVICES THAT ARE ACCESSIBLE, EFFECTIVE, AND PROMOTE HOPE IN RECOVERY FOR INDIVIDUALS, FAMILIES, AND COMMUNITIES AFFECTED BY SUBSTANCE-USE DISORDERS.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense4688494Expense
Revenue8912637Revenue
DescriptionPRIMARY RESIDENTIAL: PAVILLON IS EFFECTIVE IN THE FIELD OF TWELVE-STEP RESIDENTIAL TREATMENT, RESEARCH-BASED RECOVERY SERVICES AND EDUCATION FOR CHEMICAL DEPENDENCY AND RELATED DISORDERS. SOME KEY COMPONENTS OF THE PROGRAM CONSIST OF (1) THE TWELVE STEPS, (2) INDIVIDUAL BIO-PSYCHO-SOCIAL ASSESSMENTS, (3) MEDICAL CARE AND DETOXIFICATION, (4) SPECIALTY GROUPS & SERVICES, (5) INDIVIDUAL TREATMENT PLANNING, (6) A FAMILY PROGRAM, AND (7) CONTINUING CARE/CASE MANAGEMENT. BREAKING THE ADDICTION TO DRUGS AND ALCOHOL INVOLVES A DEEP COMMITMENT IN FOSTERING RECLAMATION TO A HEALTHY AND STABLE LIFE WHERE PATIENTS EMERGE WITH HOPE AND A DEEPER UNDERSTANDING OF THEMSELVES AND THE REQUIREMENTS FOR A SUSTAINED RECOVERY.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense779896Expense
Revenue2427934Revenue
DescriptionEXTENDED CARE: THIS IS A PROFESSIONAL'S PROGRAM DESIGNED FOR ANY PROFESSIONAL CAUGHT UP IN ADDICTION'S COMPLEX WEB OF NEUROLOGICAL AND BEHAVORIAL SYMPTOMS. PAVILLON'S MULTI-DISCIPLINARY TEAM OF ADDICTION SPECIALISTS, PHYSICIANS, PSYCHIATRISTS, PSYCHOLOGISTS, AND THERAPISTS CONDUCTS DETAILED EVALUATIONS OF THE CLIENT'S PHYSICAL, PSYCHOLOGICAL AND SPIRITUAL HEALTH. KEY ELEMENTS OF THE PROGRAMS CONSIST OF (1) 12-STEP FACILITATION, (2) COGNITIVE AND RELAPSE PREVENTION THERAPIES, (3) RECOVERY FOCUSED EDUCATIONAL GROUPS, (4) SPIRITUAL GROWTH GROUPS, AND (5) FAMILY EDUCATION AND COUNSELING.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense325904Expense
Revenue370942Revenue
DescriptionOUTPATIENT SERVICES: ALL PROGRAMS ARE DESIGNED TO ADDRESS PROBLEMS ASSOCIATED WITH CHEMICAL DEPENDENCIES AND, IF APPLICABLE, RELATED MENTAL HEALTH DISORDERS. THE GOAL IS TO HELP CLIENTS INTEGRATE A WORKABLE RECOVERY PROGRAM INTO DAILY LIFE BY COMBINING THE CONVENIENCE OF WEEKLY OUTPATIENT SERVICES WITH THE DEDICATED APPROACH NECESSARY TO ONGOING RECOVERY EFFORTS. FAMILIES ARE ALSO ENCOURAGED TO PARTICIPATE IN OUR OUTPATIENT PROGRAMS BY UTILIZING INDIVIDUAL AND FAMILY COUNSELING SESSIONS.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense41218Expense
Revenue27367Revenue
DescriptionCHILDREN'S PROGRAM: THIS PROGRAM IS DESIGNED FOR CHILDREN OR TEENS BETWEEN THE AGES OF 6-14 WHO HAVE A FAMILY HISTORY OF SUBSTANCE ABUSE OR ARE CURRENTLY LIVING IN AN AT-RISK ENVIRONMENT. THE PROGRAM PROVIDES SUPPORT TO THE CHILD OR TEEN'S EMOTIONAL SELF. COPING SKILLS AND TOOLS THAT CAN BE USED WITHIN THE FAMILY AND MANY OTHER AREAS OF THEIR LIFE ARE PROVIDED.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp41218TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev27367TotalOfOtherProgramServiceRev
Total Program Service Expense5835512TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
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 Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP1LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109656NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees134NumberOfEmployees
Employment Tax Returns Filed0EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters1LocalChapters
Policies Reference Chapters1PoliciesReferenceChapters
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 FiledNCStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1DAVID TRUSCOTTBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8286942300TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1241 PAVILLON PLACEAddressLine1
CityMILL SPRINGSCity
StateNCState
ZIP Code28756ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (19 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
ROBERT HAYES JR
CHAIR2.00XX000
WILLIAM AUSTIN
VICE CHAIR2.00XX000
PETER BUDKO
TREASURER/SECRETARY2.00XX000
TOM COVINGTON
DIRECTOR - BOARD1.00X000
ROBERT GOODALE
DIRECTOR - BOARD1.00X000
OLSON HUFF
DIRECTOR - BOARD1.00X000
LAKE JAMESON JR
DIRECTOR - BOARD1.00X000
JAMES LANGDON
DIRECTOR - BOARD1.00X000
SCOTT MANSFIELD
DIRECTOR - BOARD1.00X000
PAT MARRIOTT
DIRECTOR - BOARD1.00X000
CHERYL MCMURRY KAYNARD
DIRECTOR - BOARD1.00X000
ROBERT TOOMEY
DIRECTOR - BOARD1.00X000
ANNE VANCE
CEO40.00XX293741014835
DAVID TRUSCOTT
DIRECTOR OF FINANCE40.00X95883014835
JOHN ROBERTS
MEDICAL DIRECTOR40.0028831705116X
SUSAN HOLMAN
MEDICAL DIRECTOR40.001086620504X
STEVE MILLETTE
CLINICAL DIRECTOR40.0010932202047X
LILIANE DESJARDINS
FORMER0.005000000X
GILLES DESJARDINS
FORMER0.005000000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org995925TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation37337TotalOtherCompensation
Number Individuals GT100 K4NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
COOPER CONSTRUCTION COMPANY
PO BOX 806HENDERSONVILLENC287930806CONTRACTING662074
BCBS OF NC
PO BOX 30071DURHAMNC27702INSURANCE579537
AMERICAN EXPRESS
PO BOX 360001FORT LAUDERDALEFL333360001CREDIT CARD169202
SYSCO FOOD SERVICE
PO BOX 96CONCORDNC28026FOOD117533
US FOOD SERVICE
PO BOX 602292CHARLOTTENC28266FOOD117409
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
All Other Contributions241650AllOtherContributions
Noncash Contributions78730NoncashContributions
Total Contributions241650TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT FEESDescription
Business Code623990BusinessCode
Total Revenue Column11714228TotalRevenueColumn
Related Or Exempt Function Income11714228RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue11714228TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column10339TotalRevenueColumn
Exclusion$10,339ExclusionAmount
FieldValueIRS element (for citing)
Gross Sales Of Inventory78723GrossSalesOfInventory
Cost Of Goods Sold54071CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column24652TotalRevenueColumn
Related Or Exempt Function Income24652RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
DEBT CANCELLATION900099201008$201,008
WOMEN'S RETREAT9000998959$8,959
FOOD - MEAL REVENUE9000994670$4,670

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column-23700TotalRevenueColumn
Exclusion-$23,700ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue190937TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column12181806TotalRevenueColumn
Related Or Exempt Function Income11738880RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$201,276ExclusionAmount

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total881382Total
Program Services881382ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total677940Total
Program Services638978ProgramServices
Management And General38962ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total4164799Total
Program Services2260461ProgramServices
Management And General1760426ManagementAndGeneral
Fundraising143912Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total122862Total
Program Services66336ProgramServices
Management And General53684ManagementAndGeneral
Fundraising2842Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total668406Total
Program Services360888ProgramServices
Management And General292059ManagementAndGeneral
Fundraising15459Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total416262Total
Program Services248688ProgramServices
Management And General155588ManagementAndGeneral
Fundraising11986Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total36785Total
Management And General36785ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total10575Total
Management And General10575ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total475047Total
Program Services364129ProgramServices
Management And General110918ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total55270Total
Management And General55270ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total466430Total
Program Services221160ProgramServices
Management And General243110ManagementAndGeneral
Fundraising2160Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total296204Total
Program Services123706ProgramServices
Management And General172498ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total185600Total
Program Services37048ProgramServices
Management And General147904ManagementAndGeneral
Fundraising648Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total41619Total
Program Services634ProgramServices
Management And General40985ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total69264Total
Program Services29703ProgramServices
Management And General39561ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total518095Total
Program Services172012ProgramServices
Management And General346083ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total57953Total
Program Services11590ProgramServices
Management And General46363ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
FOOD SUPPLIES & SERVICE33358324400689577
REPAIRS & MAINTENANCE27192275309196613
PATIENT CARE9446994469
MISCELLANEOUS3793937939

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total6894Total
Program Services5013ProgramServices
Management And General1481ManagementAndGeneral
Fundraising400Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total9889300Total
Program Services5835512ProgramServices
Management And General3876381ManagementAndGeneral
Fundraising177407Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY3144006BOY
EOY4952152EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY355672BOY
EOY428695EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY101281BOY
EOY66667EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY165386BOY
EOY110383EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY13375BOY
EOY13438EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY113680BOY
EOY129213EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis13284929LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec4708029LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY8199919BOY
EOY8576900EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY8096BOY
EOY13782EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY12101415BOY
EOY14291230EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY596282BOY
EOY556388EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY516936BOY
EOY530212EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY414207BOY
EOY388138EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY1273016BOY
EOY1458858EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY461283BOY
EOY225437EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3261724BOY
EOY3159033EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY8740844BOY
EOY11022517EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY98847BOY
EOY109680EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY8839691BOY
EOY11132197EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY12101415BOY
EOY14291230EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses2292506ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
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 Years374408CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years109403CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years157477CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year427012CurrentTaxYearMinus1Year
Current Tax Year241650CurrentTaxYear
Total1309950Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6113733CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8060216CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9243344CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10133550CurrentTaxYearMinus1Year
Current Tax Year11738880CurrentTaxYear
Total45289723Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6488141CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8169619CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9400821CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10560562CurrentTaxYearMinus1Year
Current Tax Year11980530CurrentTaxYear
Total46599673Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years53900CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years60000CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years57650CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year91975CurrentTaxYearMinus1Year
Current Tax Year109258CurrentTaxYear
Total372783Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years53900CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years60000CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years57650CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year91975CurrentTaxYearMinus1Year
Current Tax Year109258CurrentTaxYear
Total372783Total
FieldValueIRS element (for citing)
Public Support Total50946226890PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years34630CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years53965CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years52900CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year35921CurrentTaxYearMinus1Year
Current Tax Year10339CurrentTaxYear
Total187755Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years34630CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years53965CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years52900CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year35921CurrentTaxYearMinus1Year
Current Tax Year10339CurrentTaxYear
Total187755Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years46521CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years35182CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years45283CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3783CurrentTaxYearMinus1Year
Current Tax Year190937CurrentTaxYear
Total321706Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6569292CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8258766CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9499004CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10600266CurrentTaxYearMinus1Year
Current Tax Year12181806CurrentTaxYear
Total47109134Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98130PublicSupportPercentage509
Prior Year Support Percentage0.98260PriorYearSupportPercentage
Investment Income Percentage0.00400InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00720PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis680399OtherCostOrOtherBasis
Book Value680399BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis10861609OtherCostOrOtherBasis
Depreciation3550480Depreciation
Book Value7311129BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis759516OtherCostOrOtherBasis
Depreciation559740Depreciation
Book Value199776BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis983405OtherCostOrOtherBasis
Depreciation597809Depreciation
Book Value385596BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings8576900TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDEFERRED COMPENSATION OBLIGATIONDescription
Amount$225,437Amount
FieldValueIRS element (for citing)
Total Of Amounts225437TotalOfAmounts
Total Revenue12181806TotalRevenue
Total Expenses9889300TotalExpenses
Excess Or Deficit For Year2292506ExcessOrDeficitForYear
Excess Or Deficit Per FS2292506ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt12181806TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal12181806RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99012181806TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt9889300TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal9889300ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9909889300TotalExpensesPerForm990

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Form990 Schedule I Part III Form990ScheduleIPartIII (3 entries)

Type Of GrantTypeOfGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistanceDescription Of Non Cash AssistanceDescriptionOfNonCashAssistance
FINANCIAL AID154057REDUCTION IN TOTAL FEE FUNDED FROM SCHOLARSHIP FUND.
FULL SCHOLARSHIP355663FREE SERVICE PROVIDES & NOT FUNDED.
TREATMENT DISCOUNTS371662REDUCE FEES CHARGED AND NOT FUNDED.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
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 (4 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ANNE VANCE
2937410000000148350308576000
JOHN ROBERTS
288317000000051160293433000
LILIANE DESJARDINS
5000000000000050000000
GILLES DESJARDINS
5000000000000050000000

Schedule L IRS990ScheduleL

Loan Table LoanTable

FieldValueIRS element (for citing)
Name PersonDALE PATRICIA HOLLNamePerson
Purpose Of LoanTO FINANCE THE EXTENDED CARE HOMEPurposeOfLoan
Loan To OrganizationXLoanToOrganization
Original Principal$475,000OriginalPrincipalAmount
Balance Due388138BalanceDue
Default0Default
Approved By Board1ApprovedByBoard
Written Agreement1WrittenAgreement
FieldValueIRS element (for citing)
Total Balance Due388138TotalBalanceDue

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F99078730NoncashContribsRptdF990
Method Of Determining RevenuesFMVMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Number Of8283 Received0NumberOf8283Received
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11A COPY OF THE FORM 990 WILL BE REVIEWED BY THE GOVERNING BOARD AT THEIR OCTOBER BOARD MEETING. ALL OUTSTANDING QUESTIONS WILL BE DISCUSSED AND RESOLVED BEFORE FILING THE FINAL FORM 990 TO THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CAS A RESULT OF CARF ACCREDITATION, A CORPORATE COMPLIANCE PROGRAM HAS BEEN ESTABLISHED PROVIDING TRAINING TO ALL EMPLOYEES REGARDING COMPLIANCE ISSUES, REPORTING AND INVESTIGATIONS.
FORM 990, PART VI, SECTION B, LINE 15THE COMPENSATION OF THE CEO IS DETERMINED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. THE COMPENSATION OF KEY EMPLOYEES ARE DETERMINED BY THE CEO. NO OTHER OFFICERS ARE COMPENSATED. THE PROCESS CONSISTS OF REVIEWING THE SALARY AND BENEFITS PROVIDED AT SIMILAR TREATMENT CENTERS' POSITIONS COUPLED WITH THE EXPERIENCE AND CREDENTIALS.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE AVAILABLE ON THE INTRANET FOR ALL EMPLOYEES. THE FORM 990 IS AVAILABLE TO THE PUBLIC, AS REQUESTED.
FORM 990, PART XII, LINE 2CPAVILLON HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.OVERSIGHT OF AUDIT

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