ANDROSCOGGIN HOME HEALTH SERVICES INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: ANDROSCOGGIN HOME HEALTH SERVICES INC (EIN 01-0227184)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-04-30
IRS object ID: 201331209349300528
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule G
Schedule J
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-04-30T10:10:01-05:00	Timestamp
Tax Period End Date	2012-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	020400296	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BRAD BORBIDGE PA	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	197 LOUDON ROAD STE 350	AddressLine1
City	CONCORD	City
State	NH	State
ZIP Code	03301	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	010227184	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Androscoggin Home Health Services Inc	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	ANDR	NameControl
Phone	2077777740	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	15 Strawberry Ave	AddressLine1
City	Lewiston	City
State	ME	State
ZIP Code	04240	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Kathleen Applin	Name
Title	Chief Financial Officer	Title
Phone	2077777740	Phone
Date Signed	2013-04-30	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	DIMITRIOS PANACOPOULOS CPA	Name
PTIN	P01603705	PTIN
Phone	6032240849	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-03-07 17:11:31Z	BuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

Field	Value	IRS element (for citing)
Business Name Line1	Androscoggin Home Care & Hospice	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Kathleen Applin	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	15 Strawberry Ave	AddressLine1
City	Lewiston	City
State	ME	State
ZIP Code	04240	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	29475728	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	www.ahch.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1966	YearFormation
State Legal Domicile	ME	StateLegalDomicile
Activity Or Mission Description	Androscoggin Home Care & Hospice is committed to caring for the health, independence, and quality of life of residents in Central and Western Maine in the comfort of their home and community.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	15	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	15	NbrIndependentVotingMembers
Total Nbr Employees	473	TotalNbrEmployees
Total Nbr Volunteers	333	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	467741	ContributionsGrantsPriorYear
Contributions Grants Current Year	591778	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	26612762	ProgramServiceRevenuePriorYear
Program Service Revenue CY	27802332	ProgramServiceRevenueCY
Investment Income Prior Year	387894	InvestmentIncomePriorYear
Investment Income Current Year	960813	InvestmentIncomeCurrentYear
Other Revenue Prior Year	65970	OtherRevenuePriorYear
Other Revenue Current Year	100309	OtherRevenueCurrentYear
Total Revenue Prior Year	27534367	TotalRevenuePriorYear
Total Revenue Current Year	29455232	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	19761915	SalariesEtcPriorYear
Salaries Etc Current Year	20822734	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	172032	TotalFundrsngExpCurrentYear
Other Expense Prior Year	5878654	OtherExpensePriorYear
Other Expenses Current Year	6263006	OtherExpensesCurrentYear
Total Expenses Prior Year	25640569	TotalExpensesPriorYear
Total Expenses Current Year	27085740	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	1893798	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	2369492	RevenuesLessExpensesCY
Total Assets BOY	27213111	TotalAssetsBOY
Total Assets EOY	29206250	TotalAssetsEOY
Total Liabilities BOY	3960086	TotalLiabilitiesBOY
Total Liabilities EOY	3583733	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	23253025	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	25622517	NetAssetsOrFundBalancesEOY
Mission Description	Androscoggin Home Care & Hospice is committed to caring for the health, independence and quality of life of residents in Central and Western Maine in the comfort of their home and community.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	24254604	Expense
Revenue	27802332	Revenue
Description	Home Care Services - Provides health, hospice and supportive services to individuals at their homes or in a health care clinic	Description
Total Program Service Expense	24254604	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	0	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	1	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	1	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	0	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	1	FundraisingActivities
Gaming	0	Gaming
Hospital	0	Hospital
Grants To Organizations	0	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	0	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	119	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	473	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	0	UnrelatedBusinessIncome
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	1	QuidProQuoContributions
Quid Pro Quo Disclosure	1	QuidProQuoDisclosure
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	15	NbrVotingGoverningBodyMembers
Number Independent Voting Members	15	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	0	MembersOrStockholders
Election Of Board Members	0	ElectionOfBoardMembers
Decisions Subject To Approval	0	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	Kathleen Applin	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	2077777740	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	15 Strawberry Ave	AddressLine1
City	Lewiston	City
State	ME	State
ZIP Code	04240	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (22 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
Bruce Cook
Board Chairman	0.00	X	0	0	0
Rene Dumont
Vice Chairman	0.00	X	0	0	0
Chip Liversidge
Treasurer	0.00	X	0	0	0
Bryan Dench
Secretary	0.00	X	0	0	0
Connie Eldridge
Board Member	0.00	X	0	0	0
Jeffrey Brown
Board Member	0.00	X	0	0	0
Sharon Cullenberg
Board Member	0.00	X	0	0	0
Cindy Giroux
Board Member	0.00	X	0	0	0
Sharron Sieleman
Board Member	0.00	X	0	0	0
J Mary MacMahon
Board Member	0.00	X	0	0	0
Michael McClellan
Board Member	0.00	X	0	0	0
Cyndi Robbins
Board Member	0.00	X	0	0	0
Miles Hunt
Board Member	0.00	X	0	0	0
Alex Roy
Board Member	0.00	X	0	0	0
Blake Whitaker
Board Member	0.00	X	0	0	0
Julie Shackley
President/CEO	40.00		168874	0	16402	X
Kathleen Applin
CFO	40.00		137800	0	23172	X
Dr Roger Austin
Medical Director	40.00		215306	0	24392		X
Andrea LeBlanc
COO	40.00		131185	0	17268			X
Dr Elizabeth White
Medical Director	24.00		122698	0	15780			X
Ann Weaver
Director of HR	40.00		121590	0	13443			X
Arthur Wing
Director of Finance	40.00		116427	0	22008			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	1013880	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	132465	TotalOtherCompensation
Number Individuals GT100 K	7	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
New England Home Therapies Inc
49 Omni Circle	Auburn	ME	04210	Medical Equipment	364418
HealthWyse LLC
60 Concord Street	Wilmington	MA	01887	Software Maintenance	287367
Therapy Concsulting LLC
130 Chapel Street	Lincoln	RI	02865	Nursing and Therapy Staffing	240672
Core Medical Group
2 Keewaydin Drive	Salem	NH	03079	Nursing and Therapy Staffing	218740
Reflectx Services Inc
15072 Collections Ctr Dr	Chicago	IL	60693	Nursing and Therapy Staffing	212511

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	5	NumberOfContractorsGT100K
Government Grants	140057	GovernmentGrants
All Other Contributions	451721	AllOtherContributions
Total Contributions	591778	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	Home Care Services	Description
Business Code	621610	BusinessCode
Total Revenue Column	27802332	TotalRevenueColumn
Related Or Exempt Function Income	27802332	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	27802332	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	419260	TotalRevenueColumn
Exclusion	$419,260	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	541553	Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	0	Securities

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	541553	Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	541553	TotalRevenueColumn
Exclusion	$541,553	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	120805	GrossIncomeFundraisingEvents
Fundraising Direct Expenses	20496	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	100309	TotalRevenueColumn
Exclusion	$100,309	ExclusionAmount

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	29455232	TotalRevenueColumn
Related Or Exempt Function Income	27802332	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$1,061,122	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	346248	Total
Management And General	346248	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	16133499	Total
Program Services	14663420	ProgramServices
Management And General	1356041	ManagementAndGeneral
Fundraising	114038	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	524055	Total
Program Services	467352	ProgramServices
Management And General	53087	ManagementAndGeneral
Fundraising	3616	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	2505670	Total
Program Services	2234557	ProgramServices
Management And General	253824	ManagementAndGeneral
Fundraising	17289	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	1313262	Total
Program Services	1171167	ProgramServices
Management And General	133033	ManagementAndGeneral
Fundraising	9062	Fundraising

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	14236	Total
Management And General	14236	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	66584	Total
Management And General	66584	ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	10908	Total
Management And General	10908	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	988992	Total
Program Services	898960	ProgramServices
Management And General	90032	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	51671	Total
Program Services	46080	ProgramServices
Management And General	5234	ManagementAndGeneral
Fundraising	357	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	100836	Total
Program Services	89926	ProgramServices
Management And General	10214	ManagementAndGeneral
Fundraising	696	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	403625	Total
Program Services	359953	ProgramServices
Management And General	40887	ManagementAndGeneral
Fundraising	2785	Fundraising

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	389600	Total
Program Services	347445	ProgramServices
Management And General	39467	ManagementAndGeneral
Fundraising	2688	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	864623	Total
Program Services	771071	ProgramServices
Management And General	87586	ManagementAndGeneral
Fundraising	5966	Fundraising

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	71016	Total
Program Services	63332	ProgramServices
Management And General	7194	ManagementAndGeneral
Fundraising	490	Fundraising

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	520902	Total
Program Services	464540	ProgramServices
Management And General	52768	ManagementAndGeneral
Fundraising	3594	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	125398	Total
Program Services	111830	ProgramServices
Management And General	12703	ManagementAndGeneral
Fundraising	865	Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
Program supplies	1868980	1868980
Other expenses	383452	341962	38844	2646
Telephone	140544	125337	14237	970
Printing and publicatio	97917	87322	9919	676

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	163722	Total
Program Services	141370	ProgramServices
Management And General	16058	ManagementAndGeneral
Fundraising	6294	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	27085740	Total
Program Services	24254604	ProgramServices
Management And General	2659104	ManagementAndGeneral
Fundraising	172032	Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	5634896	BOY
EOY	4823670	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	396166	BOY
EOY	236669	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	2185598	BOY
EOY	2164815	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	356956	BOY
EOY	374012	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	8633392	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	4493957	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	3807747	BOY
EOY	4139435	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	12220458	BOY
EOY	14508283	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	2611290	BOY
EOY	2959366	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	27213111	BOY
EOY	29206250	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	2873776	BOY
EOY	2652061	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	394065	BOY
EOY	239427	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	692245	BOY
EOY	692245	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	3960086	BOY
EOY	3583733	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	23243025	BOY
EOY	25612517	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	10000	BOY
EOY	10000	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	23253025	BOY
EOY	25622517	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	27213111	BOY
EOY	29206250	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	2369492	ReconcilationRevenueExpenses
Reconcilation Other Changes	0	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Separate	X	FinancialStatementSeparate

Field	Value	IRS element (for citing)
Audit Committee	1	AuditCommittee
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	X	PubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	497333	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	598702	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	572062	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	467741	CurrentTaxYearMinus1Year
Current Tax Year	591778	CurrentTaxYear
Total	2727616	Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	27284082	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	27566265	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	27382113	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	26612762	CurrentTaxYearMinus1Year
Current Tax Year	27802332	CurrentTaxYear
Total	136647554	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	27781415	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	28164967	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	27954175	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	27080503	CurrentTaxYearMinus1Year
Current Tax Year	28394110	CurrentTaxYear
Total	139375170	Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	5000	CurrentTaxYearMinus4Years
Total	5000	Total

Amts From Subst Contributors AmtsFromSubstContributors

Field	Value	IRS element (for citing)
Total	0	Total

Support From DQ Ps Etc SupportFromDQPsEtc

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	5000	CurrentTaxYearMinus4Years
Total	5000	Total

Field	Value	IRS element (for citing)
Public Support Total509	139370170	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	277027	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	268388	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	358013	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	394583	CurrentTaxYearMinus1Year
Current Tax Year	960813	CurrentTaxYear
Total	2258824	Total

Investment Income And UBTI InvestmentIncomeAndUBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	277027	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	268388	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	358013	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	394583	CurrentTaxYearMinus1Year
Current Tax Year	960813	CurrentTaxYear
Total	2258824	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	28058442	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	28433355	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	28312188	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	27475086	CurrentTaxYearMinus1Year
Current Tax Year	29354923	CurrentTaxYear
Total	141633994	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	0.98400	PublicSupportPercentage509
Prior Year Support Percentage	0.98810	PriorYearSupportPercentage
Investment Income Percentage	0.01590	InvestmentIncomePercentage
Prior Yr Invest Income Percentage	0.01190	PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509	X	ThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	10000	BeginningOfYearBalance
End Of Year Balance	10000	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	10000	BeginningOfYearBalance
End Of Year Balance	10000	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	10000	BeginningOfYearBalance
End Of Year Balance	10000	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	10000	BeginningOfYearBalance
End Of Year Balance	10000	EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	10000	BeginningOfYearBalance
End Of Year Balance	10000	EndOfYearBalance

Field	Value	IRS element (for citing)
Permanent Endowment EOY Balance	1.00000	PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	0	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	495364	OtherCostOrOtherBasis
Book Value	495364	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	6210068	OtherCostOrOtherBasis
Depreciation	3623908	Depreciation
Book Value	2586160	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1927960	OtherCostOrOtherBasis
Depreciation	870049	Depreciation
Book Value	1057911	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	4139435	TotalOfBookValueLandBuildings

Other Assets OtherAssets

Field	Value	IRS element (for citing)
Description	Assets Limited As To Use	Description
Book Value	2959366	BookValue

Field	Value	IRS element (for citing)
Total Book Value Other Assets	2959366	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
Description	Due To Third Party Payor	Description
Amount	$692,245	Amount

Field	Value	IRS element (for citing)
Total Of Amounts	692245	TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt	29455232	TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F990	0	RevenueNotRptdF990
Revenue Subtotal	29455232	RevenueSubtotal
Revenue Not Rptd On Fin Stmt	0	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	29455232	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	27085740	TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F990	0	ExpensesNotRptdF990
Expenses Subtotal	27085740	ExpensesSubtotal
Expenses Not Rptd On Fin Stmt	0	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	27085740	TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Description of Intended Use of Endowment Funds:	Part V, Line 4:	Restricted by donors to be maintained by the association in perpetuity.
		Part IV, Line 11F - The Association is a public charity under Section 501(c) (3) of the Internal Revenue Code. As a public charity, the Association 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 Associations tax position and concluded that the Association has no unrelated business income or uncertain tax positions that require adjustment to the financial statements.

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	Autumn Night Out	NameOfEvent1
Gross Receipts Event1	60864	GrossReceiptsEvent1
Gross Revenue Event1	60864	GrossRevenueEvent1
Rent Facility Costs Event1	2889	RentFacilityCostsEvent1
Other Direct Expenses Event1	5559	OtherDirectExpensesEvent1
Name Of Event2	Whalen Walk/Run	NameOfEvent2
Gross Receipts Event2	29240	GrossReceiptsEvent2
Gross Revenue Event2	29240	GrossRevenueEvent2
Other Direct Expenses Event2	7306	OtherDirectExpensesEvent2
Total Number Of Other Events	1	TotalNumberOfOtherEvents
Gross Receipts Other Events	30701	GrossReceiptsOtherEvents
Gross Revenue Other Events	30701	GrossRevenueOtherEvents
Other Direct Expenses Other Events	4742	OtherDirectExpensesOtherEvents
Gross Receipts Total	120805	GrossReceiptsTotal
Gross Revenue Total Events	120805	GrossRevenueTotalEvents
Rent Facility Costs Total Events	2889	RentFacilityCostsTotalEvents
Other Direct Expenses Total Events	17607	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	20496	DirectExpenseSummaryEvents
Net Income Summary	100309	NetIncomeSummary

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Independent Consultant	X	IndependentConsultant
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	0	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Julie Shackley
President/CEO	168874	0	0	0	0	0	0	0	16402	0	185276	0	0	0
Kathleen Applin
CFO	137800	0	0	0	0	0	0	0	23172	0	160972	0	0	0
Dr Roger Austin
Medical Director	215306	0	0	0	0	0	0	0	24392	0	239698	0	0	0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

Return ReferenceReturnReference	ExplanationExplanation
Form 990, Part VI, Section B, line 11	CFO and Director of Finance review the 990.
Form 990, Part VI, Section B, line 12c	Policy 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 15	The CEO is reviewed annually by the executive committee of the board of directors using external benchmarks. Officers are reviewed annually by the ceo.
Form 990, Part VI, Section C, line 19	Information is made available to the public with the publication of the Annual Report, filing of the IRS Form 990 and upon request.