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BURN FOUNDATION: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
BURN FOUNDATION (EIN 23-7307133)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-06-03
IRS object ID
201301549349300120
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-06-03T12:04:31-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN410746749EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1610 WEST GERMANTOWN PIKE SUITE 400AddressLine1
CityPLYMOUTH MEETINGCity
StatePAState
ZIP Code19462ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN237307133EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1BURN FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlBURNNameControl
Phone2155453816Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE MEDICAL CENTER BLVD LEWIS HOUSEAddressLine1
CityUPLANDCity
StatePAState
ZIP Code19013ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NamePATRICIA PORTERName
TitlePRESIDENT AND CEOTitle
Phone2155453816Phone
Date Signed2013-05-31DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBRUCE BRAUNEWELLCPAName
PTINP00075336PTIN
Phone2156433900Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeXAddressChange
Name Of Principal Officer PersonPATRICIA PORTERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1ONE MEDICAL CENTER BLVD LEWIS HOUSEAddressLine1
CityUPLANDCity
StatePAState
ZIP Code19013ZIPCode
FieldValueIRS element (for citing)
Gross Receipts416056GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.BURNFOUNDATION.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1973YearFormation
State Legal DomicilePAStateLegalDomicile
Activity Or Mission DescriptionSEE SCHEDULE O.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.ActivityOrMissionDescription
Nbr Voting Members Governing Body17NbrVotingMembersGoverningBody
Nbr Independent Voting Members16NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers75TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year391167ContributionsGrantsPriorYear
Contributions Grants Current Year385155ContributionsGrantsCurrentYear
Program Service Revenue Prior Year7610ProgramServiceRevenuePriorYear
Program Service Revenue CY3098ProgramServiceRevenueCY
Investment Income Prior Year692InvestmentIncomePriorYear
Investment Income Current Year238InvestmentIncomeCurrentYear
Other Revenue Prior Year4892OtherRevenuePriorYear
Other Revenue Current Year-9698OtherRevenueCurrentYear
Total Revenue Prior Year404361TotalRevenuePriorYear
Total Revenue Current Year378793TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year14250GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY11822GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year227701SalariesEtcPriorYear
Salaries Etc Current Year292834SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year179840TotalFundrsngExpCurrentYear
Other Expense Prior Year210054OtherExpensePriorYear
Other Expenses Current Year229540OtherExpensesCurrentYear
Total Expenses Prior Year452005TotalExpensesPriorYear
Total Expenses Current Year534196TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-47644RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-155403RevenuesLessExpensesCY
Total Assets BOY272265TotalAssetsBOY
Total Assets EOY196318TotalAssetsEOY
Total Liabilities BOY22195TotalLiabilitiesBOY
Total Liabilities EOY101651TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY250070NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY94667NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO 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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense70230Expense
DescriptionSURVIVORS SUPPORT: 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 AND THE INTERNET TO HELP SUPPORT SURVIVORS OF BURN INJURIES. THERE IS AN ON-LINE BLOG FOR SURVIVORS AND A SUPPORT GROUP THAT MEETS EACH MONTH. DVDS AND OTHER INFORMATION ARE GIVEN TO PATIENTS AS THEY LEAVE THE BURN CENTER WHICH WILL HELP THEM REINTEGRATE INTO THEIR EVERYDAY LIVES AND REMIND THEM OF AVAILABLE SUPPORT.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense51521Expense
DescriptionFIRE AND BURN SAFETY FOR SENIORS: PROGRAM INCLUDES PRE AND POST EVALUATION, A DVD ON SAFETY WITH PRACTICAL TIPS, FOLLOWED BY DISCUSSION AND BURN FOUNDATION BINGO TO REINFORCE THE MESSAGE. THERE IS NOW A SAFETY RING GIVEN TO EACH ATTENDEE FOR REFERENCE AND A REMINDER ABOUT THE SAFETY MESSAGES. 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.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense45577Expense
DescriptionTEACHABLE MOMENTS: 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 AND INCLUDES ACTIVITY PAGES FOR THE CHILDREN. A READ-ALOUD BOOK IS LEFT FOR THE LIBRARY TO REINFORCE THE SAFETY MESSAGE AND A "BURNIE" BEAR REMAINS IN THE CLASS FOR STUDENTS TO USE FOR DEMONSTRATIONS.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense97947Expense
Grants11822Grants
Revenue3098Revenue
DescriptionFIRESETTING 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.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. BOOKMARKS ARE GIVEN TO EACH STUDENT TO REMIND THEM OF THE TWO MAJOR MESSAGES.BURN CAMP SCHOLARSHIPS: SCHOLARSHIPS ARE PROVIDED TO UP TO 25 ADOLESCENTS TO ATTEND 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.PRESSURE GARMENTS FOR SURVIVORS: FUNDING IS PROVIDED FOR THOSE SURVIVORS WHO ARE UNDER OR UNINSURED FOR NECESSARY PRESSURE GARMENTS DURING THE HEALING PROCESS. GARMENTS MINIMIZE SCARRING AND HELP MAINTAIN ELASTICITY OF THE SKIN.PEDIATRIC BURN BUDDIES: BURN BUDDY DOLLS ARE GIVEN TO PEDIATRIC PATIENTS IN THE BURN UNITS TO COMFORT THEM AS THEY PROCEED THROUGH THE VERY PAINFUL PROCEDURES. THEY ARE ALSO USED AS TEACHING TOOLS FOR HOSPITAL PERSONNEL INSTRUCTING THE PATIENT IN BANDAGE CHANGES AND WOUND CARE.NURSE SEMINARS: SEMINARS TAUGHT BY NURSES FROM THE BURN CENTERS AS PART OF THE NURSE ADVISORY COUNCIL 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.EARLY CARE AND TRANSFER OF BURN PATIENTS: THIS MANUAL WAS WRITTEN BY THE NURSE ADVISORY COUNCIL AND DISTRIBUTED IN DIGITAL FORMAT TO ALL THE ERS IN THE AREA AND POSTED ON THE PA TRAUMA SYSTEMS WEB SITE AS A REFERENCE FOR BURN PATIENT CARE. IT IS THE STANDARD OF CARE REFERENCE FOR FIRST RESPONDERS AND EMERGENCY PERSONNEL.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.FIRE AND BURN SAFETY RINGS FOR THE HOMEBOUND: THE 6-DOUBLE-SIDED CARD SAFETY RING IS DISTRIBUTED TO HOMEBOUND INDIVIDUALS THROUGH VARIOUS HOME VISITATION PROGRAMS SUCH AS MEALS ON WHEELS OR VISITING NURSES. THE RING CAN BE USED FOR REFERENCE BY PEOPLE IN THEIR HOMES AND CAN BE A FOCUS OF A SAFETY CONVERSATION BY THE VISITOR.MISCELLANEOUS PREVENTION PROGRAMS INCLUDE TRAIN-THE-TRAINER SEMINARS FOR LIFE SAFETY SPECIALISTS OR VOLUNTEERS, ELECTRICAL BURN PREVENTION FOR THE INDUSTRIAL SECTOR, HEALTH FAIRS THROUGHOUT THE REGION, AND PRELIMINARY SCALD PREVENTION PROGRAMMING.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp97947TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt11822TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev3098TotalOfOtherProgramServiceRev
Total Program Service Expense265275TotalProgramServiceExpense
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 Liabilities0ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
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
Gaming1Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required0ScheduleJRequired
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 Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10963NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members17NbrVotingGoverningBodyMembers
Number Independent Voting Members16NumberIndependentVotingMembers
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 Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledPAStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledNJStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1THE ORGANIZATIONBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2155453816TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1ONE MEDICAL CENTER BOULEVARD LEWISAddressLine1
CityUPLANDCity
StatePAState
ZIP Code19013ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (17 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
GEORGE TUTWILER
CHAIR1.00XX000
KEVIN F BERRY ESQ
VICE CHAIR1.00XX000
RICHARD BENNETT
TREASURER1.00XX000
PATRICIA PORTER
PRESIDENT & CEO50.00XX91847029823
LLOYD AYERS
DIRECTOR1.00X000
SUSAN CANNON RN MSN
DIRECTOR1.00X000
LINWOOD R HAITH MD
DIRECTOR1.00X000
WILLIAM B HUGHES MD
DIRECTOR1.00X000
LEON A LAROSA JR CPA CFE MST
DIRECTOR1.00X000
EVERETT MARSHALL
DIRECTOR1.00X000
JOHN P MCCANN JR
ADMINISTRATOR1.00XX000
DOUGLAS MOKOID
DIRECTOR1.00X000
DARREN PALMIERI
DIRECTOR1.00X000
MARY LOU PATTON MD
SECRETARY1.00XX000
CINDY REIGART RN
ASSISTANT SECRETARY1.00XX000
LOU TRAMONTANA
DIRECTOR1.00X000
JERRY KOTS
DIRECTOR1.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org91847TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation29823TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Fundraising Events80074FundraisingEvents
All Other Contributions305081AllOtherContributions
Total Contributions385155TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NURSING SEMINAR FEES90009922002200
BURN DVD SALES900099898898
FieldValueIRS element (for citing)
Total Program Service Revenue3098TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column238TotalRevenueColumn
Exclusion$238ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events21210GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events80074CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses37263FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-16053TotalRevenueColumn
Exclusion-$16,053ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Gaming6355GrossIncomeGaming
Gaming Direct Expenses0GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column6355TotalRevenueColumn
Exclusion$6,355ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column378793TotalRevenueColumn
Related Or Exempt Function Income3098RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion-$9,460ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total11822Total
Program Services11822ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total121670Total
Program Services38903ProgramServices
Management And General27660ManagementAndGeneral
Fundraising55107Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total88352Total
Program Services32087ProgramServices
Management And General11062ManagementAndGeneral
Fundraising45203Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total68680Total
Program Services12770ProgramServices
Management And General37235ManagementAndGeneral
Fundraising18675Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total14132Total
Program Services6579ProgramServices
Management And General948ManagementAndGeneral
Fundraising6605Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total122632Total
Program Services79379ProgramServices
Management And General8389ManagementAndGeneral
Fundraising34864Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2758Total
Program Services1943ProgramServices
Management And General117ManagementAndGeneral
Fundraising698Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total40080Total
Program Services34870ProgramServices
Management And General2004ManagementAndGeneral
Fundraising3206Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total11159Total
Program Services7771ProgramServices
Fundraising3388Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total60Total
Program Services52ProgramServices
Management And General3ManagementAndGeneral
Fundraising5Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1562Total
Program Services1359ProgramServices
Management And General78ManagementAndGeneral
Fundraising125Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total9642Total
Program Services8389ProgramServices
Management And General482ManagementAndGeneral
Fundraising771Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
PRINTING AND PUBLICATIO1544791221686157
EQUIPMENT RENTAL1228110684614983
BURN PATIENT/SURVIVOR S40783874204
POSTAGE AND SHIPPING32461152632031

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total6595Total
Program Services4519ProgramServices
Management And General258ManagementAndGeneral
Fundraising1818Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total534196Total
Program Services265275ProgramServices
Management And General89081ManagementAndGeneral
Fundraising179840Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY207738BOY
EOY174253EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY49689BOY
EOY10000EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY13042BOY
EOY11831EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis127913LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec127679LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1796BOY
EOY234EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY272265BOY
EOY196318EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY22195BOY
EOY101651EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY22195BOY
EOY101651EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY197111BOY
EOY39576EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY52959BOY
EOY55091EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY250070BOY
EOY94667EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY272265BOY
EOY196318EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-155403ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years837405CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years536236CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years433151CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year406167CurrentTaxYearMinus1Year
Current Tax Year385155CurrentTaxYear
Total2598114Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years837405CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years536236CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years433151CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year406167CurrentTaxYearMinus1Year
Current Tax Year385155CurrentTaxYear
Total2598114Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total413359AmountsSubstContributorsTotal
Public Support Total1702184755PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6337CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4073CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1557CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year692CurrentTaxYearMinus1Year
Current Tax Year238CurrentTaxYear
Total12897Total
FieldValueIRS element (for citing)
Total Support2611011TotalSupport
Gross Receipts From Admissions Etc40366GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.83670PublicSupportPertcentage170
Public Support Pertcent Prior Year0.83270PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

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

FieldValueIRS element (for citing)
Disclosed Orgs Legal Control1DisclosedOrgsLegalControl
Disclosed For Charitable Purposes1DisclosedForCharitablePurposes

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis111112OtherCostOrOtherBasis
Depreciation111024Depreciation
Book Value88BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis16801OtherCostOrOtherBasis
Depreciation16655Depreciation
Book Value146BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings234TotalOfBookValueLandBuildings
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt416056TotRevenueEtcAuditedFinclStmt
Other Revenues37263OtherRevenues
Revenue Not Rptd F99037263RevenueNotRptdF990
Revenue Subtotal378793RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form990378793TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt571459TotExpensesEtcAuditedFinclStmt
Other Expenses Included37263OtherExpensesIncluded
Expenses Not Rptd F99037263ExpensesNotRptdF990
Expenses Subtotal534196ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form990534196TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X, LINE 2: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 FINANCIAL STATEMENTS. THE FOUNDATION'S INFORMATIONAL TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. THE FOUNDATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS. THE ENTITY'S 2009, 2010, AND 2011 TAX YEARS ARE OPEN FOR EXAMINATION BY THE IRS.
PART XI, LINE 2D - OTHER ADJUSTMENTS:SPECIAL EVENT EXPENSES 37,263.
PART XII, LINE 2D - OTHER ADJUSTMENTS:SPECIAL EVENT EXPENSES 37,263.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1ANNUAL GALA & AUCTIONNameOfEvent1
Gross Receipts Event174068GrossReceiptsEvent1
Charitable Contributions Event162099CharitableContributionsEvent1
Gross Revenue Event111969GrossRevenueEvent1
Non Cash Prizes Event12010NonCashPrizesEvent1
Rent Facility Costs Event120936RentFacilityCostsEvent1
Name Of Event2JOSEPH R. RIZZO GOLF CLASSICNameOfEvent2
Gross Receipts Event227216GrossReceiptsEvent2
Charitable Contributions Event217975CharitableContributionsEvent2
Gross Revenue Event29241GrossRevenueEvent2
Cash Prizes Event212665CashPrizesEvent2
Non Cash Prizes Event21652NonCashPrizesEvent2
Gross Receipts Total101284GrossReceiptsTotal
Charitable Contributions Total80074CharitableContributionsTotal
Gross Revenue Total Events21210GrossRevenueTotalEvents
Cash Prizes Total Events12665CashPrizesTotalEvents
Non Cash Prizes Total Events3662NonCashPrizesTotalEvents
Rent Facility Costs Total Events20936RentFacilityCostsTotalEvents
Direct Expense Summary Events37263DirectExpenseSummaryEvents
Net Income Summary-16053NetIncomeSummary

Gaming Information GamingInformation

FieldValueIRS element (for citing)
Gross Revenue Other Gaming6355GrossRevenueOtherGaming
Volunteer Labor Other Gaming0VolunteerLaborOtherGaming
Volunteer Labor Prcnt Other Gaming1.00000VolunteerLaborPrcntOtherGaming
Gross Revenue Total Gaming6355GrossRevenueTotalGaming
Net Gaming Income Summary6355NetGamingIncomeSummary
FieldValueIRS element (for citing)
States Where Gaming ConductedNJStatesWhereGamingConducted
Licensed1Licensed
License Suspended Etc0LicenseSuspendedEtc
Gaming With Nonmembers1GamingWithNonmembers
Member Of Other Entity0MemberOfOtherEntity
Percentage Of Gaming Othr Facility1.00000PercentageOfGamingOthrFacility

Name Of Gaming Rec Keeper Bus NameOfGamingRecKeeperBus

FieldValueIRS element (for citing)
Business Name Line1JOHN MCCANN JRBusinessNameLine1

Address Of Gaming Rec Keeper US AddressOfGamingRecKeeperUS

FieldValueIRS element (for citing)
Address Line1ONE MEDICAL CENTER BLVD LEWIS HOUSEAddressLine1
CityUPLANDCity
StatePAState
ZIP Code19013ZIPCode
FieldValueIRS element (for citing)
Contract With3rd Party For Gam Rev0ContractWith3rdPartyForGamRev
Gaming Manager Name PersonPATRICIA PORTERGamingManagerNamePerson
Gaming Manager Services ProvidedOVERSEES THE ACTIVITIESGamingManagerServicesProvided
Gaming Manager Is Director OfficerXGamingManagerIsDirectorOfficer
Charitable Distrib Required1CharitableDistribRequired

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantSCHOLARSHIPS TO ATTEND BURN CAMPTypeOfGrant
Number Of Recipients15NumberOfRecipients
Amount Of Cash Grant11822AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: SCHOLARSHIPS ARE USED TO PAY FOR BURN VICTIMS TO ATTEND BURN CAMP.Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
CROZER - CHESTER HOSPITAL
CEO OF CROZER-CHESTER HOSPITAL AND A BURN FOUNDATION BOARD MEMBER292834ALL 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
CROZER - CHESTER HOSPITAL
NURSE MGR OF CROZER-CHESTER HOSPITAL AND A BURN FOUNDATION BOARD MEMBERALL 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

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11THE 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 12CALL 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 19UPON REQUEST OF DOCUMENTS
ALL FOUNDATION PERSONNEL ARE EMPLOYEES OF A MEMBER CONSORTIUM HOSPITAL. THE FOUNDATION REIMBURSES THE HOSPITAL FOR THE SALARY AND RELATED PAYROLL AND BENEFIT COSTS OF THESE EMPLOYEES.
FORM 990, PART IX, LINE 11GPROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 79,379. MANAGEMENT AND GENERAL EXPENSES 8,389. FUNDRAISING EXPENSES 34,864. TOTAL EXPENSES 122,632.OTHER FEES
PART XII LINE 2STHE ORGANIZATION HAS NOT CHANGED EITHER ITS OVERSIGHT PROCESS OR SELECTION DURING THE TAX YEAR.