2022-11-15T14:18:19-06:00 2021-12-31 WithumSmithBrown PC 1411 BROADWAY 9TH FLOOR NEW YORK NY 10018 990 2021-01-01 135562377 VISITING NURSE ASSOCIATION HEALTH CARE SERVICES INC % ROSE MARIE BELFINI VISI 7188163510 669 CASTLETON AVENUE STATEN ISLAND NY 10301 DAVID MURRAY CFO 7188163510 2022-11-15 true DAVID MURRAY 000000000 Scott J Mariani P00642486 9738989494 3 2021 2022-09-23 18:48:47Z HOPE ILICETO RN 669 CASTLETON AVENUE STATEN ISLAND NY 10301 11835541 false X www.vnasi.org X 1928 NY TO PROVIDE THE HIGHEST QUALITY THERAPEUTIC, SUPPORT AND PREVENTIVE HEALTH CARE SERVICES OUTSIDE THE HOSPITAL SETTING AS AN INDEPENDENT HEALTH CARE AGENCY. 14 14 129 14 0 0 501406 2880236 8256165 8950521 1455663 4784 209229 0 10422463 11835541 0 0 0 0 6122052 6897977 0 0 0 4800743 4465460 10922795 11363437 -500332 472104 4534948 2359689 6553811 1800345 -2018863 559344 TO PROVIDE THE HIGHEST QUALITY THERAPEUTIC, SUPPORT AND PREVENTIVE HEALTH CARE SERVICES OUTSIDE THE HOSPITAL SETTING AS AN INDEPENDENT HEALTH CARE AGENCY. false false 9198226 0 8950521 EXPENSES INCURRED IN PROVIDING HOME CARE VISITS TO PATIENTS OVER THE COURSE OF THE YEAR. SERVICES PROVIDED INCLUDE SKILLED NURSING, PHYSICAL, OCCUPATIONAL AND OTHER THERAPIES, HOME HEALTH AIDES AND PERSONAL CARE WORKERS. THE AGENCY IS REIMBURSED FOR THESE SERVICES PRINCIPALLY BY MEDICARE, MEDICAID AND INSURANCE COMPANIES AND/OR INDIVIDUALS. 9198226 true true false false false false false false false false true false false false true true true true false false false false false false false false false false false true false false false false false false false false false false false false false true false false false true 57 0 true 129 true false false false false false false false false false false false false false X 14 14 false true false false true true true true true false false false true true true true true true false false NY X ROSE MARIE BELFINI 7188163482 669 CASTLETON AVENUE STATEN ISLAND NY 10301 X MAHFUZUL KHAN RN REGISTERED NURSE 40.0 0.0 X 152658 0 2222 NANCY CIAMBRIELLO DIRECTOR OF PATIENT SERVICE 40.0 0.0 X 128105 0 24307 ROSE MARIE BELFINI SENIOR DIRECTOR OF FINANCE 40.0 0.0 X 116829 0 22307 LORI ANN YOFFREDO PATIENT SERVICE SUPERVISOR 40.0 0.0 X 110246 0 28114 CHERYL O'CONNELL DIRECTOR OF INTAKE 40.0 0.0 X 124575 0 13654 NICOLE GRAZIANO OASIS REVIEWER 40.0 0.0 X 118295 0 0 DAVID W LEHR CHAIRPERSON - DIRECTOR 1.0 0.0 X X 0 0 0 KATHLEEN HEAD 1ST VICE CHAIRPERSON-DIRECTOR 1.0 0.0 X X 0 0 0 DAN SWEENEY 2ND VICE CHAIRPERSON-DIRECTOR 1.0 0.0 X X 0 0 0 SUSAN LEWIS SECRETARY/TREASURER - DIRECTOR 1.0 0.0 X X 0 0 0 FRANK BESIGNANO DIRECTOR 1.0 0.0 X 0 0 0 ROY DANISCHEWSKI DIRECTOR 1.0 0.0 X 0 0 0 BILL FANI DIRECTOR 1.0 0.0 X 0 0 0 JANE FEMINELLA DIRECTOR 1.0 0.0 X 0 0 0 GARY LIGRECI DIRECTOR 1.0 0.0 X 0 0 0 TOM MCDONOUGH DIRECTOR 1.0 0.0 X 0 0 0 JACK OEHM DIRECTOR 1.0 0.0 X 0 0 0 ALAN PORITZ DIRECTOR 1.0 0.0 X 0 0 0 DOLLY SMITH DIRECTOR 1.0 0.0 X 0 0 0 WINSTON WOHR DIRECTOR 1.0 0.0 X 0 0 0 HOPE ILICETO RN PRESIDENT & CEO 40.0 0.0 X 0 0 0 750708 0 90604 10 false true false NETSMART TECHNOLOGIES INC 11100 NALL AVENUE OVERLAND PARK KS 66211 EMR SYSTEM 581792 MARGARET ULTRA HOME CARE INC 34 BEACH STREET STATEN ISLAND NY 10304 MEDICAL 337179 RICHMOND UNIVERSITY MEDICAL CENTER 355 BARD AVENUE STATEN ISLAND NY 10310 MANAGEMENT 335024 CHAMPION INTERNATIONAL CONSTRUCTION 9401 RAILROAD AVENUE NORTH BERGEN NJ 07047 CONSTRUCTION 156332 MARC BLATTEIS 7 GULF ROAD EAST BRUNSWICK NJ 08816 MEDICAL 146178 11 2698759 181477 2880236 NET PATIENT SERVICE REVENUE 621610 8871151 8871151 OTHER HEALTHCARE RELATED REVENUE 621610 79370 79370 8950521 4784 4784 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11835541 8950521 4784 X 0 0 0 0 139136 103356 35780 0 5396896 4030442 1366454 99685 71978 27707 843688 609185 234503 418572 302230 116342 335024 335024 0 60000 60000 0 0 0 2787645 2512498 275147 0 49412 49412 187899 187899 214008 214008 0 323837 323837 39920 39920 0 3125 3125 0 0 50730 29862 20868 195266 195266 MEDICAL SUPPLIES 159701 159701 NY STATE ASSESSMENT 28410 28410 DUES & SUBSCRIPTIONS 19769 19769 OTHER EXPENSES 10714 10714 11363437 9198226 2165211 0 X 1391788 413509 0 0 0 0 1919084 1633632 0 0 0 0 0 0 0 0 133385 110082 1778998 1576532 69667 202466 0 0 0 0 0 0 0 0 1021024 0 4534948 2359689 1326760 730199 0 0 519622 171348 0 0 0 0 0 0 0 0 0 0 4707429 898798 6553811 1800345 X -2018863 559344 0 0 -2018863 559344 4534948 2359689 X 472104 2106103 X X false true X true false X 354500 204000 203000 501406 2880236 4143142 9314236 10774317 10935519 8465394 8950521 48439987 0 0 0 9668736 10978317 11138519 8966800 11830757 52583129 0 0 0 52583129 192 539 3199 5531 4784 14245 0 192 539 3199 5531 4784 14245 0 0 9668928 10978856 11141718 8972331 11835541 52597374 0.99973 0.96230 0.00027 0.00020 X SCHEDULE A, PART III PLEASE NOTE, SCHEDULE A, PART III HAS BEEN RESTATED TO CONFORM TO THE CURRENT YEAR PRESENTATION IN ACCORDANCE WITH FORM 990 RULES, REGULATIONS AND INSTRUCTIONS. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 167758 8388 159370 1611240 1568144 43096 202466 0 DUE TO AFFILIATE 0 DUE TO RELATED PARTY 665242 DUE TO THIRD PARTIES 233556 898798 X 11835541 11835541 11835541 11363437 11363437 11363437 SCHEDULE D, PART X, LINE 2 An independent CPA firm audited the financial statements of Visiting Nurse Association Health Care Services, Inc. for the years ended December 31, 2021 and December 31, 2020; respectively. The following footnote is included in the organization's 2021 audited financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740): THE ASSOCIATION RECOGNIZES THE EFFECT OF TAX POSITIONS ONLY WHEN THEY ARE MORE LIKELY THAN NOT TO BE SUSTAINED. MANAGEMENT HAS DETERMINED THAT THE ASSOCIATION HAD NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION OR DISCLOSURE. THE ASSOCIATION IS NO LONGER SUBJECT TO EXAMINATIONS BY THE APPLICABLE TAXING JURISDICTIONS FOR PERIODS PRIOR TO 2018. false false false false false false false false false MAHFUZUL KHAN RN REGISTERED NURSE 152658 0 0 0 0 0 2222 0 0 0 154880 0 0 0 NANCY CIAMBRIELLO DIRECTOR OF PATIENT SERVICE 128105 0 0 0 0 0 2000 0 22307 0 152412 0 0 0 CORE FORM, PART VI, SECTION A; QUESTION 3 THE ORGANIZATION IS AN AFFILIATE WITHIN VISITING NURSE ASSOCIATION OF STATEN ISLAND, INC. AND SUBSIDIARIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM ENTERED INTO A MANAGEMENT SERVICES AGREEMENT WITH RICHMOND MEDICAL CENTER D/B/A RICHMOND UNIVERSITY MEDICAL CENTER ("RUMC"); AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT HOSPITAL ORGANIZATION. RUMC WAS ENGAGED TO OVERSEE THE DAY-TO-DAY OPERATIONS OF ALL AFFILIATES WITHIN THE SYSTEM. IN ADDITION, RUMC WAS CONTRACTED TO PROVIDE THE SYSTEM WITH FULL-TIME SERVICES OF A CHIEF EXECUTIVE OFFICER. THE FOLLOWING INDIVIDUAL WAS COMPENSATED BY RUMC DURING 2021. ADDITIONALLY, IN ACCORDANCE WITH THE FEDERAL FORM 990 INSTRUCTIONS, INCLUDED BELOW IS THE INDIVIDUAL'S REPORTABLE COMPENSATION AND OTHER COMPENSATION (DEFERRED COMPENSATION & NON-TAXABLE BENEFITS) RECEIVED FROM RUMC FOR SERVICES PROVIDED TO THE SYSTEM FOR THE YEAR ENDED DECEMBER 31, 2021. HOPE ILICETO, R.N. (PRESIDENT & CHIEF EXECUTIVE OFFICER) -------------------------------------------------------- REPORTABLE COMPENSATION - $251,898 OTHER COMPENSATION (DEFERRED COMPENSATION & NON-TAXABLE BENEFITS) - $83,126 TOTAL COMPENSATION - $335,024 CORE FORM, PART VI, SECTION A, LINE 6 & 7 VISITING NURSE ASSOCIATION OF STATEN ISLAND, INC. ("VNASI") IS THE SOLE MEMBER OF THIS ORGANIZATION. VNASI HAS THE ULTIMATE RIGHT TO ELECT THE MEMBERS OF THIS ORGANIZATION'S BOARD OF DIRECTORS AND HAS CERTAIN RESERVED POWERS AS DEFINED IN THIS ORGANIZATION'S BYLAWS. EFFECTIVE WITH THE CLOSE OF BUSINESS ON DECEMBER 31, 2021, VNASI WAS STATUTORILY MERGED INTO RICHMOND MEDICAL CENTER D/B/A RICHMOND UNIVERSITY MEDICAL CENTER; AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT HOSPITAL ORGANIZATION. BEGINNING JANUARY 1, 2022, RICHMOND UNIVERSITY MEDICAL CENTER WILL HAVE THE ULTIMATE RIGHT TO ELECT THE MEMBERS OF THIS ORGANIZATION'S BOARD OF DIRECTORS AND HAVE CERTAIN RESERVED POWERS AS DEFINED IN THIS ORGANIZATION'S BYLAWS. CORE FORM, PART VI, SECTION B, LINE 11B THE ORGANIZATION IS AN AFFILIATE WITHIN VISITING NURSE ASSOCIATION OF STATEN ISLAND, INC. AND SUBSIDIARIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). AS PART OF THE TAX RETURN PREPARATION PROCESS THE ORGANIZATION HIRED A PROFESSIONAL CPA FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT-FOR-PROFIT TAX RETURN PREPARATION, TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH THE ORGANIZATION'S FINANCE PERSONNEL AND SYSTEM INDIVIDUALS ("INTERNAL WORKING GROUP") TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE SYSTEM'S INTERNAL WORKING GROUP FOR REVIEW. THE INTERNAL WORKING GROUP REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE INTERNAL WORKING GROUP FOR FINAL REVIEW AND APPROVAL PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE ("IRS"). THE ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO ITS GOVERNING BODY AFTER FILING WITH THE IRS. CORE FORM, PART VI, SECTION B, LINE 12 THE ORGANIZATION IS AN AFFILIATE WITHIN VISITING NURSE ASSOCIATION OF STATEN ISLAND, INC. AND SUBSIDIARIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM HAS A CONFLICT OF INTEREST POLICY WHICH IT ANNUALLY MONITORS AND ENFORCES. THE POLICY MANDATES THAT ALL MEMBERS OF MANAGEMENT AND THE GOVERNING BODY ANNUALLY SIGN A CONFLICT OF INTEREST POLICY AND DISCLOSE ANY POTENTIAL OR ACTUAL CONFLICTS THAT MAY EXIST. THE SIGNED CONFLICT OF INTEREST POLICY IS SUBMITTED TO THE CORPORATE COMPLIANCE OFFICER WHO REVIEWS THE SIGNED ATTESTATIONS FOR POTENTIAL OR ACTUAL CONFLICTS. IF A POTENTIAL OR ACTUAL CONFLICT OF INTEREST EXISTS, THE CORPORATE COMPLIANCE OFFICER WILL NOTIFY A MEMBER OF MANAGEMENT OR THE GOVERNING BODY ABOUT SUCH CONFLICT AND INVESTIGATE THE CONFLICT. THE RESULTS OF THE INVESTIGATION WILL BE SUMMARIZED AND DOCUMENTED BY THE CORPORATE COMPLIANCE OFFICER AND BE REPORTED TO THE GOVERNING BODY. IF THE CORPORATE COMPLIANCE OFFICER ESTABLISHES THAT AN ACTUAL CONFLICT EXISTS, THE MEMBER OF MANAGEMENT OR THE GOVERNING BODY WILL BE NOTIFIED IMMEDIATELY AND WILL NOT BE ALLOWED TO VOTE OR BE A PART OF ANY DECISIONS ABOUT ANY SUCH TRANSACTIONS THAT HAVE TO DO WITH THE CONFLICT UNTIL SUCH TIME THERE IS NO LONGER A CONFLICT. CORE FORM, PART VI, SECTION B, LINE 15 THE ORGANIZATION IS AN AFFILIATE WITHIN VISITING NURSE ASSOCIATION OF STATEN ISLAND, INC. AND SUBSIDIARIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). PURSUANT TO THE MANAGEMENT SERVICES AGREEMENT, THE ORGANIZATION'S PRESIDENT & CEO IS COMPENSATED BY RICHMOND MEDICAL CENTER D/B/A RICHMOND UNIVERSITY MEDICAL CENTER. RICHMOND UNIVERSITY MEDICAL CENTER'S GOVERNING BODY, ITS BOARD OF TRUSTEES, HAS A COMPENSATION COMMITTEE ("COMMITTEE"). THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY WHICH IT FOLLOWS WHEN IT REVIEWS AND APPROVES THE COMPENSATION AND BENEFITS OF ALL EMPLOYEES SPECIFIED AS HAVING A SUBSTANTIAL INFLUENCE OVER THE ORGANIZATION ("EXECUTIVE LEADERSHIP"). THE COMMITTEE REVIEWS THE "TOTAL COMPENSATION" OF THESE INDIVIDUALS WHICH IS INTENDED TO INCLUDE BOTH CURRENT AND DEFERRED COMPENSATION AND ALL EMPLOYEE BENEFITS, BOTH QUALIFIED AND NON-QUALIFIED. THE COMMITTEE'S REVIEW IS DONE ON AT LEAST AN ANNUAL BASIS AND ENSURES THAT THE "TOTAL COMPENSATION" OF EXECUTIVE LEADERSHIP PERSONNEL IS REASONABLE. FOR ADDITIONAL INFORMATION PLEASE REFER TO CORE FORM, PART VI, SECTION B; QUESTION 15 INCLUDED WITHIN SCHEDULE O OF THE RICHMOND UNIVERSITY MEDICAL CENTER (EIN: 74-3177454) FORM 990 FOR THE YEAR ENDED DECEMBER 31, 2021. CORE FORM, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW YORK DEPARTMENT OF THE TREASURY. IN ADDITION, THE ORGANIZATION WILL MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. CORE FORM, PART VII, SECTION A, COLUMN B THE ORGANIZATION IS AN AFFILIATE WITHIN VISITING NURSE ASSOCIATION OF STATEN ISLAND, INC. AND SUBSIDIARIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). VISITING NURSE ASSOCIATION OF STATEN ISLAND, INC. IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. CERTAIN BOARD OF DIRECTORS MEMBERS AND OFFICERS INCLUDED ON CORE FORM, PART VII AND SCHEDULE J OF THIS FORM 990 MAY HOLD SIMILAR POSITIONS WITH BOTH THIS ORGANIZATION AND OTHER AFFILIATES WITHIN THE SYSTEM. THE HOURS SHOWN ON THIS FORM 990 FOR BOARD MEMBERS WHO RECEIVE NO COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, REPRESENTS THE ESTIMATED HOURS DEVOTED PER WEEK FOR THIS ORGANIZATION. TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE BOARD OF DIRECTORS OF OTHER RELATED ORGANIZATIONS IN THE SYSTEM, THEIR RESPECTIVE HOURS PER WEEK PER ORGANIZATION ARE APPROXIMATELY THE SAME AS REFLECTED ON CORE FORM, PART VII OF THIS FORM 990. THE HOURS REFLECTED ON CORE FORM, PART VII OF THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, PAID OFFICERS, REFLECT TOTAL HOURS WORKED PER WEEK ON BEHALF OF THE SYSTEM; NOT SOLELY THIS ORGANIZATION. CORE FORM, PART X CERTAIN RECLASSIFICATIONS HAVE BEEN MADE TO THE PRIOR YEAR AMOUNTS PREVIOUSLY REPORTED TO CONFORM TO THE CURRENT YEAR PRESENTATION. THESE RECLASSIFICATIONS HAD NO IMPACT ON THE NET ASSETS OF THE ORGANIZATION AS PREVIOUSLY REPORTED. CORE FORM, PART XI; QUESTION 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES INCLUDE: - TRANSFER OF EQUITY FROM VISITING NURSE ASSOCIATION OF STATEN ISLAND, INC.; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION - $2,106,103. CORE FORM, PART XII; QUESTION 2 THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS ARE IN PROGRESS BY AN INDEPENDENT CPA FIRM AND NOT ISSUED AS OF THE DATE OF FILING THIS FORM 990. IN ADDITION, THE ORGANIZATION AN AFFILIATE WITHIN VISITING NURSE ASSOCIATION OF STATEN ISLAND, INC. AND SUBSIDIARIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM'S AUDITED FINANCIAL STATEMENTS ARE IN PROGRESS BY AN INDEPENDENT CPA FIRM AND NOT ISSUED AS OF THE DATE OF FILING THIS FORM 990. THE SYSTEM'S FINANCE COMMITTEE HAS ASSUMED RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE CONSOLIDATED FINANCIAL STATEMENTS, WHICH INCLUDES THIS ORGANIZATION, AND THE SELECTION OF AN INDEPENDENT AUDITOR. FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT THERAPISTS TOTAL FEES:1333006 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT HEALTH WORKERS TOTAL FEES:668592 FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES TOTAL FEES:702401 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING FEES TOTAL FEES:83646 VISITING NURSE ASSOC OF STATEN ISLAND 669 CASTLETON AVENUE STATEN ISLAND NY 10301 133272923 SUPPRT VNAHCS NY 501(C)(3) 509(A)(3) NA false VISITING NURSE PLUS INC 669 CASTLETON AVENUE STATEN ISLAND NY 10301 133712494 HEALTHCARE NY 501(C)(3) 509(A)(2) VNASI false HEALTH WATCH-LIFELINE INC 669 CASTLETON AVENUE STATEN ISLAND NY 10301 133484488 HEALTH SERVICES NY NA C CORP. false false false false false false false false false false true true false true true true true true false true SCHEDULE R, PART V THIS ORGANIZATION IS A MEMBER OF VISITING NURSE ASSOCIATION OF STATEN ISLAND, INC. AND SUBSIDIARIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. FUNDS ARE ROUTINELY TRANSFERRED BETWEEN AFFILIATES AND BUSINESS ACTIVITIES ARE COMMON ON BEHALF OF THE SYSTEM'S AFFILIATES, INCLUDING THIS ORGANIZATION. THESE TRANSACTIONS MAY BE RECORDED ON THE REVENUE/EXPENSE AND BALANCE SHEET STATEMENTS OF THIS ORGANIZATION AND OTHER AFFILIATES. THE SYSTEM'S ENTITIES WORK TOGETHER TO DELIVER HIGH QUALITY COST EFFECTIVE HEALTHCARE AND WELLNESS SERVICES TO THEIR COMMUNITIES REGARDLESS OF ABILITY TO PAY AND IN FURTHERANCE OF CHARITABLE TAX-EXEMPT PURPOSES.