2011-05-12T13:34:13-05:00 2010-12-31 LARSONALLEN LLP 18 SENTRY PARK WEST SUITE 300 BLUE BELL PA 194222240 990 2010-01-01 237307133 BURN FOUNDATION BURN 2155453816 1520 LOCUST STREET NO 401 PHILADELPHIA PA 19102 PATRICIA PORTER 2155453816 2011-05-04 1 2156433900 2010 2016-03-07 17:11:31Z PATRICIA PORTER 1520 LOCUST STREET NO 401 PHILADELPHIA PA 19102 519559 0 X WWW.BURNFOUNDATION.ORG X 1973 PA PLEASE REFER TO SCHEDULE O 22 21 0 75 0 0 563236 433151 10511 4825 4073 1557 15718 33201 593538 472734 0 0 0 0 238488 225138 0 0 133286 375251 68665 613739 293803 -20201 178931 654140 343622 535357 45908 118783 297714 X TO SERVE THE GREATER PHILADELPHIA REGION IN THE PREVENTION OF BURNS, IN THE SUPPORT OF THE BURN CARE COMMUNITY, AND IN ENHANCING THE QUALITY OF LIFE FOR BURN SURVIVORS AND THEIR FAMILIES. 0 1 -154296 0 REGIONAL BURN CENTER SUPPORT- THE SUPPORT IS BASED ON A FORMULATION CONSIDERING BURN BED OCCUPANCY, SEVERITY OF BURNS AND INSURANCE REIMBURSEMENT. THE BURN FOUNDATION ALLOCATES FUNDS TO EACH OF THE FOUR REGIONAL BURN CENTERS. 69742 0 TEACHABLE MOMENTS: BURN AND FIRE SAFETY FOR FAMILIES WITH YOUNG CHILDREN: PROGRAM TARGETS FAMILIES WITH YOUNG CHILDREN THROUGH PRE-SCHOOL CLASSES AND PARENT GROUPS. THERE ARE FOUR MODULES INCLUDED IN THE LESSON PLANS, A POWER POINT FOR PARENTS AND A TAKE-HOME PARENT RESOURCE GUIDE (AVAILABLE IN SPANISH AND ENGLISH) TO SERVE AS A BASIS FOR FAMILY DISCUSSION AND PLANNING AS WELL AS AN ACTIVITY BOOK FOR THE CHILDREN. 19557 SURVIVORS SUPPORT/PRESSURE GARMENTS: ANAPOL SCHWARTZ FAMILY MENTORSHIP PROGRAM PUTS BURN SURVIVORS IN CONTACT WITH PEOPLE WHO HAVE BEEN THROUGH THE RECOVERY PROCESS AND WHO CAN OFFER SUPPORT AND HOPE TO THE SURVIVOR OR FAMILY MEMBERS. SEVERAL OUTREACH EFFORTS ARE BEING MADE THROUGH SOCIAL MEDIA TO HELP SUPPORT SURVIVORS OF BURN INJURIES. DVDS AND OTHER INFORMATION IS GIVEN TO PATIENTS AS THEY LEAVE THE BURN CENTER WHICH WILL HELP THEM REINTEGRATE INTO THEIR EVERYDAY LIVES. IN ADDITION, FUNDING IS PROVIDED FOR THOSE WHO ARE UNDER OR UNINSURED FOR NECESSARY PRESSURE GARMENTS DURING THE HEALING PROCESS. 59034 0 FIRE AND BURN SAFETY FOR SENIORS: PROGRAM INCLUDES PRE AND POST EVALUATIONS, A DVD ON SAFETY WITH PRACTICAL TIPS, FOLLOWED BY DISCUSSION AND BURN FOUNDATION BINGO TO REINFORCE THE MESSAGE. GIVEN TO GROUPS OF SENIOR CITIZENS OR AS A TRAIN-THE-TRAINER FOR FIRE SERVICES PERSONNEL. 97% OF PARTICIPANTS RATED THE PROGRAM AS EXCELLENT OR GOOD. 14056 FIRESETTING MATTERS: JUVENILE FIRE SETTING AWARENESS/PREVENTION: PROGRAM HAS 3 MODULES--FOR ADOLESCENTS, FOR TRAINING INTERVENTION SPECIALISTS AND FOR RAISING AWARENESS AMONG CAREGIVERS/TEACHERS. INCLUDES A DVD WITH INTERVIEWS WITH JUVENILE FIRESETTERS, A POWER-POINT PRESENTATION AND COMPLETE LESSON PLAN AND GUIDE. THE OBJECTIVE IS TO HEIGHTEN AWARENESS OF INAPPROPRIATE BEHAVIORS. 14056 TEACHABLE MOMENTS: ELEMENTARY SCHOOL-AGED PROGRAMS: PROGRAM INCLUDES LESSON PLANS, A DVD (STOP, DROP, ROLL, COOL AND CALL), GAMES AND HANDOUTS FOR USE IN THE CLASSROOM. DESCRIBES WHAT TO DO IN MOST FIRE SITUATIONS AND SPECIFIC PRECAUTIONS CHILDREN CAN TAKE. THESE ARE DISTRIBUTED TO SCHOOLS AND FIRE SERVICE PERSONNEL FOR THEIR USE IN EDUCATING THE PUBLIC. 12904 BURN CAMP SCHOLARSHIPS: SCHOLARSHIPS ARE PROVIDED TO UP TO 25 ADOLESCENTS TO ATTEND A WEEK OF BURN CAMP EACH YEAR. THIS EXPERIENCE GIVES THE ADOLESCENT SURVIVORS A CHANCE TO BE WITH OTHER CHILDREN AND ADULT COUNSELORS WHO HAVE EXPERIENCED THE SAME TYPE OF DAMAGING INJURY IN A NON-JUDGEMENTAL ENVIRONMENT. THE OBJECTIVE IS TO HELP CHILDREN ACCEPT THEIR INJURIES AND LEARN TO THRIVE IN THE WORLD. 8185 2100 NURSES SEMINARS: SEMINARS TAUGHT BY NURSES FROM THE BURN CENTERS EDUCATE STUDENT NURSES FROM THE AREA NURSING SCHOOLS IN BURN CARE. NURSES RECEIVE VERY LIMITED INSTRUCTION ABOUT CARING FOR BURNS IN THEIR CURRICULUM AND THESE SEMINARS EDUCATE THEM ON THE NECESSARY STEPS TO TAKE IN HANDLING A BURN PATIENT AND TRANSFERRING THE PATIENT TO A QUALIFIED BURN CENTER. 14056 2725 SAFETY SKILLS: FIRE AND BURN PREVENTION FOR YOU: PROGRAM TARGETS CHILDREN IN GRADES 5-8 AND IS BASED AROUND A DVD FOCUSED ON COOKING AND KITCHEN SAFETY. THE PROGRAM INCLUDES LESSON PLANS, A POWER POINT PRESENTATION AND HAND OUTS FOR TEACHERS/ORGANIZATIONAL LEADERS TO USE IN HELPING THESE CHILDREN UNDERSTAND THE SAFETY PRECAUTIONS THEY CAN TAKE. THESE ADOLESCENTS ARE LEFT ON THEIR OWN MORE OFTEN AND ARE PUT IN CHARGE OF YOUNGER CHILDREN SO SAFETY CONCERNS ARE VERY IMPORTANT. 122291 4825 57294 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 2 0 0 0 0 0 0 0 1 1 0 0 0 0 X 22 21 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 PA NJ X X KARYN KOERWER CPA 2674198740 509 HAYS LANE LOWER GWYNEDD PA 19002 GEORGE TUTWILER 1.00 X X 0 0 0 RICHARD BENNETT 1.00 X X 0 0 0 PATRICIA PORTER 50.00 X X 95337 0 23935 PAUL E HARTSTEIN 1.00 X X 0 0 0 LLOYD AYERS 1.00 X 0 0 0 KEVIN BERRY 1.00 X X 0 0 0 LEE FULTON 1.00 X 0 0 0 LINWOOD R HAITH MD 1.00 X 0 0 0 JAMES HELLER ESQ 1.00 X 0 0 0 WILLIAM HUGHES MD 1.00 X 0 0 0 LEON LAROSA JR CPACFEMST 1.00 X 0 0 0 EVERETT MARSHALL 1.00 X 0 0 0 JOHN P MCCANN JR 1.00 X 0 0 0 MARY LOU PATTON MD 1.00 X 0 0 0 CINDY REIGART RN 1.00 X 0 0 0 KATHY SEASHOLTZ 1.00 X 0 0 0 LUIGI TRAMONTANA 1.00 X 0 0 0 CAROL CAHILL 1.00 X 0 0 0 RUSSELL DAVIS 1.00 X 0 0 0 DOUGLAS MOKOID 1.00 X 0 0 0 DARREN PALMIERI 1.00 X 0 0 0 KATHLEEN MCGLYNN 1.00 X 0 0 0 95337 0 23935 0 0 0 0 0 106389 49500 277262 433151 BURN DVD SALES 900099 2725 2725 NURSING SEMINAR FEES 900099 2100 2100 4825 1557 1557 48909 106389 46825 2084 2084 31117 31117 31117 472734 4825 0 34758 95337 23834 19067 52436 78781 56267 20382 2132 37730 14964 9275 13491 13290 6127 3018 4145 105302 45267 33489 26546 29252 9289 4659 15304 32011 16204 7981 7826 11117 9239 1878 1486 431 212 843 2717 1250 616 851 6641 3055 1505 2081 EQUIPMENT RENTAL 8999 4140 2039 2820 TELEPHONE 2771 1275 628 868 BANK CHARGES 1799 235 66 1498 DUES AND SUBSCRIPTIONS 1263 581 286 396 BURN PATIENT/SURVIVOR S -134693 -134864 171 293803 57294 103223 133286 574411 286213 61500 46030 11857 7725 129207 125553 6372 3654 654140 343622 535357 45908 535357 45908 X 64456 254590 54327 43124 118783 297714 654140 343622 178931 X X 0 1 1 X 0 X 1022208 1206514 837405 536236 433151 4035514 1022208 1206514 837405 536236 433151 4035514 289529 3745985 19181 16867 6337 4073 1557 48015 4083529 61973 0.91730 0.95700 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 111112 110488 624 18095 15065 3030 3654 472734 293803 178931 0 178931 519559 46825 46825 472734 0 472734 340628 46825 46825 293803 0 293803 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE FOUNDATION IS EXEMPT FROM FEDERAL, STATE AND LOCAL INCOME TAXES UNDER SECTION 501 (C)(3) OF THE INTERNAL REVENUE CODE AND SIMILAR STATE AND LOCAL LAWS, THEREFORE, NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THE ACCOMPANYING FINACIAL STATEMENTS. THE FOUNDATION'S INFORMATIONAL TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE AND LOCAL AUTHORITES. THE FOUNDATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS. SHOULD THAT STATUS BE CHALLENGED IN THE FUTURE, THE ENTITIES 2007, 2008 AND 2009 TAX YEARS ARE OPEN FOR EXAMINATION BY THE IRS. SPECIAL EVENT EXPENSES ANNUAL GALA 120433 87863 32570 0 207 22140 8137 GOLF OUTINGS 34865 18526 16339 1330 11755 3256 155298 106389 48909 1537 11755 22140 11393 46825 2084 31117 1 0.93000 31117 31117 NJ 1 0 1 0 0.00000 1.00000 KARYN KOERWER 509 HAYS LANE LOWER GWYNEDD PA 19002 0 PATRICIA PORTER 1 OVERSEES THE ACTIVITIES X 1 37117 RICHARD BENNETT CEO OF CROZER-CHESTER HOSPITAL AND A BURN FOUNDATION BOARD MEMBER ALL FOUNDATION PERSONNEL ARE EMPLOYEES OF CROZER-CHESTER HOSPITAL. THE FOUNDATION REIMBURSES THE HOSPITAL FOR THE SALARY AND RELATED PAYROLL AND BENEFIT COSTS OF THESE EMPLOYEES. 0 CYNTHIA REIGART NURSE MGR OF CROZER-CHESTER HOSPITAL AND A BURN FOUNDATION BOARD MEMBER ALL FOUNDATION PERSONNEL ARE EMPLOYEES OF CROZER-CHESTER HOSPITAL. THE FOUNDATION REIMBURSES THE HOSPITAL FOR THE SALARY AND RELATED PAYROLL AND BENEFIT COSTS OF THESE EMPLOYEES. 0 CHANGES IN PROGRAM SERVICES FORM 990, PART III, LINE 3 THE COMMONWEALTH OF PENNSYLVANIA CUT THE STATE BUDGET AND TERMINATED THE APPROPRIATION TO THE BURN FOUNDATION; THEREFORE THE BURN FOUNDATION WAS FORCED TO TERMINATE THE PROGRAM TO FUND THE 4 HOSPITALS BASED ON PATIENTS TREATED AND SEVERITY OF CASES. FORM 990, PART VI, SECTION B, LINE 11 THE 990 IS REVIEWED BY THE FINANCE COMMITTEE AND THEN RECOMMENDED TO THE FULL BOARD WHERE IT IS DISTRIBUTED. FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD MEMBERS ARE REQUIRED TO COMPLETE THE CONFLICT OF INTEREST FORM AND IT IS REVIEWED BY THE EXECUTIVE COMMITTEE. DURING DISCUSSION OF AN AREA OF CONFLICT THE AFFECTED PERSON WOULD BE EXCUSED FROM THE DISCUSSION AND THE VOTING. THE EXECUTIVE COMMITTEE REVIEWED THE PERFORMANCE OF THE PRESIDENT/CEO AND RELATED THAT INFORMATION ALONG WITH AN EVALUATION OF SALARY. FORM 990, PART VI, SECTION C, LINE 19 UPON REQUEST OF DOCUMENTS THE ORGANIZATION HAS NOT CHANGED EITHER ITS OVERSIGHT PROCESS OR SELECTION DURING THE TAX YEAR.