BROCKTON VISITING NURSE ASSOCIATION: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
BROCKTON VISITING NURSE ASSOCIATION (EIN 04-2103941)
Tax period
2010-11-01 to 2011-10-31
Filed
2012-06-15
IRS object ID
201241679349300959
Schema version
2010v3.4
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)
Timestamp2012-06-15T14:27:43-05:00Timestamp
Tax Period End Date2011-10-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1LEFKOWITZ GARFINKEL ET AL PCBusinessNameLine1

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 Date2010-11-01TaxPeriodBeginDate

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 Signed2012-06-07DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameLYNN O'MARRA ESQUIREName
Phone4014214800Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
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 Receipts12201738GrossReceipts
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 Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members16NbrIndependentVotingMembers
Total Nbr Employees143TotalNbrEmployees
Total Nbr Volunteers5TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year172634ContributionsGrantsPriorYear
Contributions Grants Current Year126159ContributionsGrantsCurrentYear
Program Service Revenue Prior Year10108873ProgramServiceRevenuePriorYear
Program Service Revenue CY10531290ProgramServiceRevenueCY
Investment Income Prior Year280392InvestmentIncomePriorYear
Investment Income Current Year362127InvestmentIncomeCurrentYear
Other Revenue Prior Year31889OtherRevenuePriorYear
Other Revenue Current Year53729OtherRevenueCurrentYear
Total Revenue Prior Year10593788TotalRevenuePriorYear
Total Revenue Current Year11073305TotalRevenueCurrentYear
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 Year8271559SalariesEtcPriorYear
Salaries Etc Current Year8714007SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2117100OtherExpensePriorYear
Other Expenses Current Year2428031OtherExpensesCurrentYear
Total Expenses Prior Year10388659TotalExpensesPriorYear
Total Expenses Current Year11142038TotalExpensesCurrentYear
Revenues Less Expenses Prior Year205129RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-68733RevenuesLessExpensesCY
Total Assets BOY9382874TotalAssetsBOY
Total Assets EOY9378273TotalAssetsEOY
Total Liabilities BOY1631360TotalLiabilitiesBOY
Total Liabilities EOY1760204TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY7751514NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY7618069NetAssetsOrFundBalancesEOY
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
Expense9988290Expense
Revenue10531290Revenue
DescriptionTHE BROCKTON VISITING NURSE ASSOCIATION OFFERS:*IN-HOME NURSING: ADULT AND MATERNAL CHILD HEALTH. SPECIALTIES INCLUDE CARDIAC, DIABETES (ADA CERTIFIED), 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 Expense9988290TotalProgramServiceExpense
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 With10968NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees143NumberOfEmployees
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 Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members16NumberIndependentVotingMembers
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 (22 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 GIBSON
DIRECTOR2.00X000
MARY ANN KELLEHER
DIRECTOR2.00X000
MARY ANNE MILLER
DIRECTOR2.00X000
JAMES MORRIS
DIRECTOR2.00X000
PRISCILLA MUELLER
DIRECTOR2.00X000
GENEVA PRINCE
DIRECTOR2.00X000
DANIEL TROUT
DIRECTOR2.00X000
BEVERLY PAVASARIS
PRESIDENT37.50X14473807130
MICHELE WOLFSBERG
VP CLINICAL OPS.37.50121937020772X
JOHN DEDNAH
RN62.9015101206381X
ALAN OPPENHEIM
PT47.60113435016183X
ANN DUPRE
PT43.3012153302626X
ELIZABETH MERRIAM
RN49.2012423403369X
FieldValueIRS element (for citing)
Total Reportable Comp From Org776889TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation56461TotalOtherCompensation
Number Individuals GT100 K12NumberIndividualsGT100K
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
BAKER HOME CARE FINANCIAL CONSULTANTS
53 PRINCE STREETBROOKLINEMA02445INTERIM CFO167770
ACS
PO BOX 554N EASTONMA02356IT MANAGEMENT163356
US SECURITY
200 MANSELL COURT 5TH FLOORROSWELLGA30076SECURITY MANAGEMENT100743
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
Fundraising Events3758FundraisingEvents
All Other Contributions122401AllOtherContributions
Total Contributions126159TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionHOME HEALTH CAREDescription
Business Code621610BusinessCode
Total Revenue Column10531290TotalRevenueColumn
Related Or Exempt Function Income10531290RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue10531290TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column211502TotalRevenueColumn
Exclusion$211,502ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities1242221Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities1091596Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities150625Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column150625TotalRevenueColumn
Exclusion$150,625ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events90566GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events3758CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses36837FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column53729TotalRevenueColumn
Exclusion$53,729ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column11073305TotalRevenueColumn
Related Or Exempt Function Income10531290RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$415,856ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total152545Total
Management And General152545ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total6989381Total
Program Services6540680ProgramServices
Management And General448701ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total204237Total
Program Services187224ProgramServices
Management And General17013ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total852744Total
Program Services788315ProgramServices
Management And General64429ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total515100Total
Program Services472192ProgramServices
Management And General42908ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total45263Total
Management And General45263ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total678319Total
Program Services399769ProgramServices
Management And General278550ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total22429Total
Program Services20561ProgramServices
Management And General1868ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total502944Total
Program Services461049ProgramServices
Management And General41895ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total217908Total
Program Services217265ProgramServices
Management And General643ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total133840Total
Program Services122691ProgramServices
Management And General11149ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total62092Total
Program Services56920ProgramServices
Management And General5172ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
SUPPLIES241653241653
SOFTWARE CONTRACTS14208113024611835
TELEPHONE12085711079010067
MEMBERSHIP DUES107925989358990
OFFICE EXPENSES27112248542258

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total125608Total
Program Services115146ProgramServices
Management And General10462ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total11142038Total
Program Services9988290ProgramServices
Management And General1153748ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1923528BOY
EOY1575498EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1360985BOY
EOY1392222EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY76558BOY
EOY104089EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1575989LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1293768LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY318023BOY
EOY282221EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY5703780BOY
EOY6024243EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY9382874BOY
EOY9378273EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY699991BOY
EOY804670EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY528869BOY
EOY556534EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY402500BOY
EOY399000EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1631360BOY
EOY1760204EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY7529261BOY
EOY7397600EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY106829BOY
EOY105045EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY115424BOY
EOY115424EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7751514BOY
EOY7618069EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY9382874BOY
EOY9378273EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-68733ReconcilationRevenueExpenses
Reconcilation Other Changes-64712ReconcilationOtherChanges
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 Years119034CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years179821CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years163473CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year172634CurrentTaxYearMinus1Year
Current Tax Year126159CurrentTaxYear
Total761121Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11353601CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10040097CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10507363CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10108873CurrentTaxYearMinus1Year
Current Tax Year10531290CurrentTaxYear
Total52541224Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11472635CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10219918CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10670836CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10281507CurrentTaxYearMinus1Year
Current Tax Year10657449CurrentTaxYear
Total53302345Total

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 Total50953302345PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years247315CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years195130CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years126346CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year167170CurrentTaxYearMinus1Year
Current Tax Year211502CurrentTaxYear
Total947463Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years247315CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years195130CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years126346CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year167170CurrentTaxYearMinus1Year
Current Tax Year211502CurrentTaxYear
Total947463Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11719950CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10415048CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10797182CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10448677CurrentTaxYearMinus1Year
Current Tax Year10868951CurrentTaxYear
Total54249808Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98250PublicSupportPercentage509
Prior Year Support Percentage0.98410PriorYearSupportPercentage
Investment Income Percentage0.01750InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01590PriorYrInvestIncomePercentage
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$2,892OtherActivitiesAmount
Total Lobbying Expenditures IIB2892TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF OTHER LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1I: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 Balance5920319BeginningOfYearBalance
Contributions550Contributions
Investment Earnings Or Losses234689InvestmentEarningsOrLosses
Other Expenditures5486OtherExpenditures
End Of Year Balance6150072EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

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

Current Year Minus2 Years CurrentYearMinus2Years

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
Depreciation45154Depreciation
Book Value2080BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1528755OtherCostOrOtherBasis
Depreciation1248614Depreciation
Book Value280141BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings282221TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO THIRD PARTY PAYERSDescription
Amount$399,000Amount
FieldValueIRS element (for citing)
Total Of Amounts399000TotalOfAmounts
Total Revenue11073305TotalRevenue
Total Expenses11142038TotalExpenses
Excess Or Deficit For Year-68733ExcessOrDeficitForYear
Net Unrealized GL On Investments-69352NetUnrealizedGLOnInvestments
Other$4,640OtherAmount
Total Adjustments-64712TotalAdjustments
Excess Or Deficit Per FS-133445ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt10962840TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-69351NetUnrealizedGainsInvestments
Other Revenues4640OtherRevenues
Revenue Not Rptd F990-64711RevenueNotRptdF990
Revenue Subtotal11027551RevenueSubtotal
Investment Expenses Not Included45263InvestmentExpensesNotIncluded
Other Revenues Not Included491OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt45754RevenueNotRptdOnFinStmt
Total Revenue Per Form99011073305TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt11096284TotExpensesEtcAuditedFinclStmt
Other Expenses Included-491OtherExpensesIncluded
Expenses Not Rptd F990-491ExpensesNotRptdF990
Expenses Subtotal11096775ExpensesSubtotal
Investment Expenses Not Included245263InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt45263ExpensesNotRptdOnFinStmt
Total Expenses Per Form99011142038TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierExplanationExplanation
PART XI, LINE 8 - OTHER ADJUSTMENTS:OTTI ADJUSTMENT 4,640.
PART XII, LINE 2D - OTHER ADJUSTMENTS:OTTI ADJUSTMENT 4,640.
PART XII, LINE 4B - OTHER ADJUSTMENTS:INTEREST INCOME 491.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:INTEREST INCOME -491.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1CFK GOLF TOURNAMENTNameOfEvent1
Gross Receipts Event194324GrossReceiptsEvent1
Charitable Contributions Event13758CharitableContributionsEvent1
Gross Revenue Event190566GrossRevenueEvent1
Other Direct Expenses Event136837OtherDirectExpensesEvent1
Gross Receipts Total94324GrossReceiptsTotal
Charitable Contributions Total3758CharitableContributionsTotal
Gross Revenue Total Events90566GrossRevenueTotalEvents
Other Direct Expenses Total Events36837OtherDirectExpensesTotalEvents
Direct Expense Summary Events36837DirectExpenseSummaryEvents
Net Income Summary53729NetIncomeSummary

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 (2 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
BEVERLY PAVASARIS
144738000000071300151868000
JOHN DEDNAH
151012000000063810157393000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
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.
EMPLOYEES 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 12C
THE 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 B, LINE 15
THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED LOSSES ON INVESTMENTS: -69,352. OTTI ADJUSTMENT 4,640. TOTAL TO FORM 990, PART XI, LINE 5: -64,712.FORM 990, PART XI, LINE 5:
OVERSIGHT OF AUDITTHE OVERSIGHT PROCESS OVER THE AUDIT OF THE ORGANIZATION'S FINANCIAL STATEMENTS HAS NOT CHANGED FROM THE PREVIOUS YEAR.FORM 990, PART XII, LINE 2C:

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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