STRATEGY STUDIO / PUBLIC DATA EXPLORER

CENTRAL VERMONT HOME HEALTH & HOSPICE INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
CENTRAL VERMONT HOME HEALTH & HOSPICE INC (EIN 03-0186089)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-07-23
IRS object ID
201312049349300641
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)
Timestamp2013-07-23T15:51:14-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN020400296EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Brad Borbidge PABusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1197 Loudon RoadAddressLine1
CityConcordCity
StateNHState
ZIP Code03301ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN030186089EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Central Vermont Home Health & Hospice IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCENTNameControl
Phone8022231878Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1600 Granger RdAddressLine1
CityBarreCity
StateVTState
ZIP Code056415369ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSandra RousseName
TitleExecutive DirectorTitle
Phone8022231878Phone
Date Signed2013-07-23DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDimitrios Panacopoulos CPAName
PTINP01603705PTIN
Phone6032240849Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonSandra RousseNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1600 Granger RoadAddressLine1
CityBarreCity
StateVTState
ZIP Code05641ZIPCode
FieldValueIRS element (for citing)
Gross Receipts12046115GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.cvhhh.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1911YearFormation
State Legal DomicileVTStateLegalDomicile
Activity Or Mission DescriptionProvide comprehensive, high quality home health and hospice care to all Central Vermonters, regardless of their ability to pay. In addition, the agency promotes the general welfare of the citizens of Central Vermont with health promotion and long term care services.ActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees280TotalNbrEmployees
Total Nbr Volunteers198TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year454282ContributionsGrantsPriorYear
Contributions Grants Current Year420850ContributionsGrantsCurrentYear
Program Service Revenue Prior Year10024628ProgramServiceRevenuePriorYear
Program Service Revenue CY10748879ProgramServiceRevenueCY
Investment Income Prior Year107650InvestmentIncomePriorYear
Investment Income Current Year770923InvestmentIncomeCurrentYear
Other Revenue Prior Year69097OtherRevenuePriorYear
Other Revenue Current Year75758OtherRevenueCurrentYear
Total Revenue Prior Year10655657TotalRevenuePriorYear
Total Revenue Current Year12016410TotalRevenueCurrentYear
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 Year8027577SalariesEtcPriorYear
Salaries Etc Current Year8206228SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year18686TotalFundrsngExpCurrentYear
Other Expense Prior Year2486795OtherExpensePriorYear
Other Expenses Current Year2594463OtherExpensesCurrentYear
Total Expenses Prior Year10514372TotalExpensesPriorYear
Total Expenses Current Year10800691TotalExpensesCurrentYear
Revenues Less Expenses Prior Year141285RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1215719RevenuesLessExpensesCY
Total Assets BOY15512292TotalAssetsBOY
Total Assets EOY16889361TotalAssetsEOY
Total Liabilities BOY1237998TotalLiabilitiesBOY
Total Liabilities EOY1399348TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY14274294NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY15490013NetAssetsOrFundBalancesEOY
Mission DescriptionProvide comprehensive, high quality home health and hospice care to all Central Vermonters, regardless of their ability to pay. In addition, the agency promotes the general welfare of the citizens of Central Vermont with health promotion and long term care services.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense9328220Expense
Revenue10748879Revenue
DescriptionHomecare Services-provides home health care, hospice and community health services to communities in central Vermont.Description
Total Program Service Expense9328220TotalProgramServiceExpense
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 Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
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
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
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 Rltnshp0OfficerEntityWithBsnssRltnshp
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 With109614NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees280NumberOfEmployees
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 Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
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 Policy0WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Sandra RousseBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8022231878TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1600 Granger RoadAddressLine1
CityBarreCity
StateVTState
ZIP Code05641ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (16 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
Sandra Rousse
President & CEO40.00XX12664605026
Charles Martel
Chairman0.00X000
Ann Rangaviz
Vice Chairman0.00X000
Sean Starr
Treasurer0.00X000
Mary Neville-Hood
Secretary0.00X000
Chris Abrams
Board Member0.00X000
Megan Cicio
Board Member0.00X000
Gary Clark
Board Member0.00X000
Robert Cody II
Board Member0.00X000
Ann Cummings
Board Member0.00X000
Brian Harwood
Board Member0.00X000
Jean Joslin
Board Member0.00X000
Charlotte MacLeay
Board Member0.00X000
Gloria Rice
Board Member0.00X000
Christoper Turley
Board Member0.00X000
Kelly Thompson
CFO40.00X6431108407
FieldValueIRS element (for citing)
Total Reportable Comp From Org190957TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation13433TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Federated Campaigns11079FederatedCampaigns
Government Grants170213GovernmentGrants
All Other Contributions239558AllOtherContributions
Total Contributions420850TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionHomecareDescription
Business Code621610BusinessCode
Total Revenue Column10748879TotalRevenueColumn
Related Or Exempt Function Income10748879RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue10748879TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column362087TotalRevenueColumn
Exclusion$362,087ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities408836Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities0Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities408836Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column408836TotalRevenueColumn
Exclusion$408,836ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events105463GrossIncomeFundraisingEvents
Fundraising Direct Expenses29705FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column75758TotalRevenueColumn
Exclusion$75,758ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column12016410TotalRevenueColumn
Related Or Exempt Function Income10748879RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$846,681ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total204430Total
Management And General204430ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total6473868Total
Program Services5796577ProgramServices
Management And General662390ManagementAndGeneral
Fundraising14901Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total81982Total
Program Services71300ProgramServices
Management And General10502ManagementAndGeneral
Fundraising180Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total945170Total
Program Services822014ProgramServices
Management And General120675ManagementAndGeneral
Fundraising2481Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total500778Total
Program Services435527ProgramServices
Management And General64149ManagementAndGeneral
Fundraising1102Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total8941Total
Management And General8941ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total79000Total
Management And General79000ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total461271Total
Program Services266956ProgramServices
Management And General194315ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total1501Total
Program Services1305ProgramServices
Management And General196ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total32668Total
Program Services28411ProgramServices
Management And General4257ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total23918Total
Program Services20801ProgramServices
Management And General3117ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total147065Total
Program Services127902ProgramServices
Management And General19163ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total396838Total
Program Services390469ProgramServices
Management And General6347ManagementAndGeneral
Fundraising22Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total25119Total
Program Services21846ProgramServices
Management And General3273ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total163980Total
Program Services142613ProgramServices
Management And General21367ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total65313Total
Program Services56803ProgramServices
Management And General8510ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Medicaid Tax438942438942
Program Supplies418726418726
Other Expenses14611012707219038
Printing and Publicatio1003558727913076

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total84716Total
Program Services73677ProgramServices
Management And General11039ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total10800691Total
Program Services9328220ProgramServices
Management And General1453785ManagementAndGeneral
Fundraising18686Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3104419BOY
EOY3708175EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1430717BOY
EOY1504730EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY357715BOY
EOY309949EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis4911515LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec2863009LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY2092775BOY
EOY2048506EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY708691BOY
EOY779718EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY7817975BOY
EOY8538283EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY15512292BOY
EOY16889361EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY837062BOY
EOY1031079EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY400936BOY
EOY368269EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1237998BOY
EOY1399348EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY14230916BOY
EOY15447135EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY500BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY42878BOY
EOY42878EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY14274294BOY
EOY15490013EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY15512292BOY
EOY16889361EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses1215719ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
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 Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years450989CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years464792CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years508580CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year454282CurrentTaxYearMinus1Year
Current Tax Year420850CurrentTaxYear
Total2299493Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11822336CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11666401CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10437725CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10024628CurrentTaxYearMinus1Year
Current Tax Year10748879CurrentTaxYear
Total54699969Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years12273325CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12131193CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10946305CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10478910CurrentTaxYearMinus1Year
Current Tax Year11169729CurrentTaxYear
Total56999462Total

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 Total50956999462PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years367719CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years397142CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years373384CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year490552CurrentTaxYearMinus1Year
Current Tax Year362087CurrentTaxYear
Total1990884Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years367719CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years397142CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years373384CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year490552CurrentTaxYearMinus1Year
Current Tax Year362087CurrentTaxYear
Total1990884Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years12641044CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12528335CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11319689CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10969462CurrentTaxYearMinus1Year
Current Tax Year11531816CurrentTaxYear
Total58990346Total
FieldValueIRS element (for citing)
Public Support Percentage5090.96630PublicSupportPercentage509
Prior Year Support Percentage0.96560PriorYearSupportPercentage
Investment Income Percentage0.03370InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.03440PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance42878BeginningOfYearBalance
End Of Year Balance42878EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance42878BeginningOfYearBalance
End Of Year Balance42878EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance42878BeginningOfYearBalance
End Of Year Balance42878EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance42878BeginningOfYearBalance
End Of Year Balance42878EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance42878BeginningOfYearBalance
End Of Year Balance42878EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis175764OtherCostOrOtherBasis
Book Value175764BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2864524OtherCostOrOtherBasis
Depreciation1135281Depreciation
Book Value1729243BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1871227OtherCostOrOtherBasis
Depreciation1727728Depreciation
Book Value143499BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings2048506TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionAssets Limited As To UseDescription
Book Value8538283BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets8538283TotalBookValueOtherAssets
Tot Revenue Etc Audited Fincl Stmt12016410TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal12016410RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99012016410TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt10800691TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal10800691ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99010800691TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Description of Intended Use of Endowment Funds:Part V, Line 4:Restricted by donors to be maintained in perpetuity; the income is expendable to support healthcare services.
Part IV, Line 11F - The Agency is a public charity under Section 501(c)(3) of the Internal Revenue Code. As a public charity, the Agency is exempt from state and federal income taxes on income earned in accordance with its tax exempt purpose. Unrelated business income is subject to state and federal income tax. Management has evaluated the Agencys tax position and concluded that the Agency has no unrelated business income or uncertain tax positions that require adjustment to the financial statements.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1Colors of Autumn Fashion ShowNameOfEvent1
Gross Receipts Event156658GrossReceiptsEvent1
Gross Revenue Event156658GrossRevenueEvent1
Other Direct Expenses Event115148OtherDirectExpensesEvent1
Name Of Event2Golf TournamentNameOfEvent2
Gross Receipts Event230250GrossReceiptsEvent2
Gross Revenue Event230250GrossRevenueEvent2
Other Direct Expenses Event27292OtherDirectExpensesEvent2
Total Number Of Other Events1TotalNumberOfOtherEvents
Gross Receipts Other Events18555GrossReceiptsOtherEvents
Gross Revenue Other Events18555GrossRevenueOtherEvents
Other Direct Expenses Other Events7265OtherDirectExpensesOtherEvents
Gross Receipts Total105463GrossReceiptsTotal
Gross Revenue Total Events105463GrossRevenueTotalEvents
Other Direct Expenses Total Events29705OtherDirectExpensesTotalEvents
Direct Expense Summary Events29705DirectExpenseSummaryEvents
Net Income Summary75758NetIncomeSummary

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

Return ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Section B, line 11The CFO reviews the 990 and gives to the CEO for review and signature. The Form 990 is then e-mailed to the Board of Directors.
Form 990, Part VI, Section B, line 12cPolicy is reviewed annually with the board of directors. Each member is asked to sign an affidavit acknowledging they have read the policy, understand the policy, and are in compliance with the policy.
Form 990, Part VI, Section B, line 15The CEO has contracted an outside consultant, Dix Consulting, to review CEO and all other Senior Manager salaries. Consultant prepares a report that is reviewed by the board which includes all the committee chairs. The CEO presents the report to the Board for all Senior Managers and the Board approves an increase or not. The CEO's salary is discussed and approved in Executive Session. All the other positions are presented to the CEO and COO/CFO for review by the HR Director. The VAHHA wage survey along with some other area related salaries are compared and adjusted as needed. This information is then presented to the Personnel Committee. Any increases or changes are reviewed by position and % change, no numbers are presented unless requested. The personnel Committee presents changes to the Finance Committee for approval. The Finance Committee then brings to the full Board for approval.
Form 990, Part VI, Section C, line 19Upon request.