ANDROSCOGGIN HOME HEALTH SERVICES INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: ANDROSCOGGIN HOME HEALTH SERVICES INC (EIN 01-0227184)
Tax period: 2011-01-01 to 2011-12-31
Filed: 2012-07-16
IRS object ID: 201211999349300241
Schema version: 2011v1.2
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	2012-07-16T15:48:37-05:00	Timestamp
Tax Period End Date	2011-12-31	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	2011-01-01	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	2012-07-17	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	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	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	27555909	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	16	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	16	NbrIndependentVotingMembers
Total Nbr Employees	459	TotalNbrEmployees
Total Nbr Volunteers	309	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	572062	ContributionsGrantsPriorYear
Contributions Grants Current Year	467741	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	27382113	ProgramServiceRevenuePriorYear
Program Service Revenue CY	26612762	ProgramServiceRevenueCY
Investment Income Prior Year	814556	InvestmentIncomePriorYear
Investment Income Current Year	387894	InvestmentIncomeCurrentYear
Other Revenue Prior Year	39623	OtherRevenuePriorYear
Other Revenue Current Year	65970	OtherRevenueCurrentYear
Total Revenue Prior Year	28808354	TotalRevenuePriorYear
Total Revenue Current Year	27534367	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	20198837	SalariesEtcPriorYear
Salaries Etc Current Year	19761915	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	169216	TotalFundrsngExpCurrentYear
Other Expense Prior Year	5530143	OtherExpensePriorYear
Other Expenses Current Year	5878654	OtherExpensesCurrentYear
Total Expenses Prior Year	25728980	TotalExpensesPriorYear
Total Expenses Current Year	25640569	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	3079374	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	1893798	RevenuesLessExpensesCY
Total Assets BOY	24508706	TotalAssetsBOY
Total Assets EOY	27213111	TotalAssetsEOY
Total Liabilities BOY	3149479	TotalLiabilitiesBOY
Total Liabilities EOY	3960086	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	21359227	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	23253025	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	22942030	Expense
Revenue	26612762	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	22942030	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	0	LobbyingActivities
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
Transaction Related Entity	0	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	120	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	459	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	16	NbrVotingGoverningBodyMembers
Number Independent Voting Members	16	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 PO BOX 819	AddressLine1
City	LEWISTON	City
State	ME	State
ZIP Code	04240	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (23 entries)

TitleTitle	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Average Hours Per WeekAverageHoursPerWeek	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
JEFFERY BROWN MD
MEMBER	X	0	0	0
BRUCE COOK
BOARD CHAIRMAN	X	0	0	0
BRYAN DENCH
SECRETARY	X	0	0	0
RENE L DUMONT
VICE CHAIRMAN	X	0	0	0
MICHAEL D MCCLELLAN
MEMBER	X	0	0	0
MILES HUNT
MEMBER	X	0	0	0
J MARY MACMAHON
MEMBER	X	0	0	0
SHARON CULLENBERG
MEMBER	X	0	0	0
CINDY GIROUX
MEMBER	X	0	0	0
CHIP LIVERSIDGE
TREASURER	X	0	0	0
CYNDI ROBBINS
MEMBER	X	0	0	0
DON MAYBERRY
MEMBER	X	0	0	0
CONNIE ELDFIDGE
MEMBER	X	0	0	0
SHARRON SIELEMAN
MEMBER	X	0	0	0
ALEX ROY
MEMBER	X	0	0	0
BLAKE WHITAKER
MEMBER	X	0	0	0
JULIE SHACKLEY
PRESIDENT/CEO		176148	0	15755	40.00	X
KATHLEEN APPLIN
CFO		131302	0	22108	40.00	X
ROGER N AUSTIN MD
MED DIR.		224300	0	23551	40.00		X
ANDREA LEBLANC
COO		116811	0	15319	40.00			X
ARTHUR WING
DIR. OF FINANCE		111701	0	21142	40.00			X
ANN M WEAVER
DIR. OF HR		110696	0	12005	40.00			X
ELIZABETH WHITE
MED DIR.		111654	0	10622	40.00			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	982612	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	120502	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 (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
HEALTHWYSE LLC
60 CONCORD STREET	WILMINGTON	MA	01887	SOFTWARE MAINTENANCE	310155
AMN HEALTHCARE INC
2735 COLLECTION CTR	CHICAGO	IL	60693	NURSING AND THERAPY STAFFING	216257
CORE MEDICAL GROUP
2 KEEWAYDIN DRIVE	SALEM	NH	03079	NURSING AND THERAPY STAFFING	148633

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	3	NumberOfContractorsGT100K
Government Grants	160307	GovernmentGrants
All Other Contributions	307434	AllOtherContributions
Total Contributions	467741	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	HOME CARE SERVICES	Description
Business Code	621610	BusinessCode
Total Revenue Column	26612762	TotalRevenueColumn
Related Or Exempt Function Income	26612762	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	26612762	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	394583	TotalRevenueColumn
Exclusion	$394,583	ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	6689	Securities

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	-6689	Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-6689	TotalRevenueColumn
Exclusion	-$6,689	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	80823	GrossIncomeFundraisingEvents
Fundraising Direct Expenses	14853	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	65970	TotalRevenueColumn
Exclusion	$65,970	ExclusionAmount

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	27534367	TotalRevenueColumn
Related Or Exempt Function Income	26612762	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$453,864	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	593164	Total
Program Services	247851	ProgramServices
Management And General	345313	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	15040565	Total
Program Services	13660652	ProgramServices
Management And General	1265876	ManagementAndGeneral
Fundraising	114037	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	503317	Total
Program Services	448757	ProgramServices
Management And General	50886	ManagementAndGeneral
Fundraising	3674	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	2379084	Total
Program Services	2121191	ProgramServices
Management And General	240526	ManagementAndGeneral
Fundraising	17367	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	1245785	Total
Program Services	1110742	ProgramServices
Management And General	125949	ManagementAndGeneral
Fundraising	9094	Fundraising

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	6928	Total
Management And General	6928	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	69597	Total
Management And General	69597	ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	10034	Total
Management And General	10034	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	1001354	Total
Program Services	893479	ProgramServices
Management And General	107875	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	50202	Total
Program Services	44760	ProgramServices
Management And General	5076	ManagementAndGeneral
Fundraising	366	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	102830	Total
Program Services	91683	ProgramServices
Management And General	10396	ManagementAndGeneral
Fundraising	751	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	343332	Total
Program Services	306115	ProgramServices
Management And General	34711	ManagementAndGeneral
Fundraising	2506	Fundraising

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	375486	Total
Program Services	334783	ProgramServices
Management And General	37962	ManagementAndGeneral
Fundraising	2741	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	840005	Total
Program Services	748948	ProgramServices
Management And General	84925	ManagementAndGeneral
Fundraising	6132	Fundraising

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	85752	Total
Program Services	76456	ProgramServices
Management And General	8670	ManagementAndGeneral
Fundraising	626	Fundraising

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	374220	Total
Program Services	333655	ProgramServices
Management And General	37833	ManagementAndGeneral
Fundraising	2732	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	119165	Total
Program Services	106248	ProgramServices
Management And General	12047	ManagementAndGeneral
Fundraising	870	Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
PROGRAM SUPPLIES	1657747	1657747
OTHER EXPENSES	364790	325247	36880	2663
TELEPHONE	147198	131242	14881	1075
BAD DEBTS	100000	100000

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	230014	Total
Program Services	202474	ProgramServices
Management And General	22958	ManagementAndGeneral
Fundraising	4582	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	25640569	Total
Program Services	22942030	ProgramServices
Management And General	2529323	ManagementAndGeneral
Fundraising	169216	Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	5672990	BOY
EOY	5634896	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	61540	BOY
EOY	396166	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	2204746	BOY
EOY	2185598	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	334821	BOY
EOY	356956	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	7802041	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	3994294	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	3827457	BOY
EOY	3807747	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	9920394	BOY
EOY	12220458	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	2486758	BOY
EOY	2611290	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	24508706	BOY
EOY	27213111	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	2388964	BOY
EOY	2873776	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	68270	BOY
EOY	394065	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	3149479	BOY
EOY	3960086	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	21349227	BOY
EOY	23243025	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	21359227	BOY
EOY	23253025	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	24508706	BOY
EOY	27213111	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	1893798	ReconcilationRevenueExpenses
Reconcilation Other Changes	0	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Separate	X	FinancialStatementSeparate
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	564025	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	497333	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	598702	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	572062	CurrentTaxYearMinus1Year
Current Tax Year	467741	CurrentTaxYear
Total	2699863	Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	27872047	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	27284082	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	27566265	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	27382113	CurrentTaxYearMinus1Year
Current Tax Year	26612762	CurrentTaxYear
Total	136717269	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	28436072	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	27781415	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	28164967	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	27954175	CurrentTaxYearMinus1Year
Current Tax Year	27080503	CurrentTaxYear
Total	139417132	Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

Field	Value	IRS element (for citing)
Current Tax Year Minus3 Years	5000	CurrentTaxYearMinus3Years
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 Minus3 Years	5000	CurrentTaxYearMinus3Years
Total	5000	Total

Field	Value	IRS element (for citing)
Public Support Total509	139412132	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	379238	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	277027	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	268388	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	358013	CurrentTaxYearMinus1Year
Current Tax Year	394583	CurrentTaxYear
Total	1677249	Total

Investment Income And UBTI InvestmentIncomeAndUBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	379238	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	277027	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	268388	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	358013	CurrentTaxYearMinus1Year
Current Tax Year	394583	CurrentTaxYear
Total	1677249	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	28815310	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	28058442	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	28433355	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	28312188	CurrentTaxYearMinus1Year
Current Tax Year	27475086	CurrentTaxYear
Total	141094381	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	0.98810	PublicSupportPercentage509
Prior Year Support Percentage	0.98860	PriorYearSupportPercentage
Investment Income Percentage	0.01190	InvestmentIncomePercentage
Prior Yr Invest Income Percentage	0.01130	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

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	6156264	OtherCostOrOtherBasis
Depreciation	3389802	Depreciation
Book Value	2766462	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1150413	OtherCostOrOtherBasis
Depreciation	604492	Depreciation
Book Value	545921	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	3807747	TotalOfBookValueLandBuildings

Other Assets OtherAssets

Field	Value	IRS element (for citing)
Description	ASSETS LIMITED AS TO USE	Description
Book Value	2611290	BookValue

Field	Value	IRS element (for citing)
Total Book Value Other Assets	2611290	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
Total Revenue	27534367	TotalRevenue
Total Expenses	25640569	TotalExpenses
Excess Or Deficit For Year	1893798	ExcessOrDeficitForYear
Excess Or Deficit Per FS	1893798	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	27524333	TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F990	0	RevenueNotRptdF990
Revenue Subtotal	27524333	RevenueSubtotal
Investment Expenses Not Included	10034	InvestmentExpensesNotIncluded
Revenue Not Rptd On Fin Stmt	10034	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	27534367	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	25630535	TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F990	0	ExpensesNotRptdF990
Expenses Subtotal	25630535	ExpensesSubtotal
Investment Expenses Not Included2	10034	InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt	10034	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	25640569	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (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	45871	GrossReceiptsEvent1
Gross Revenue Event1	45871	GrossRevenueEvent1
Rent Facility Costs Event1	1857	RentFacilityCostsEvent1
Other Direct Expenses Event1	3606	OtherDirectExpensesEvent1
Name Of Event2	WHALEN WALK/RUN	NameOfEvent2
Gross Receipts Event2	22888	GrossReceiptsEvent2
Gross Revenue Event2	22888	GrossRevenueEvent2
Other Direct Expenses Event2	4818	OtherDirectExpensesEvent2
Total Number Of Other Events	1	TotalNumberOfOtherEvents
Gross Receipts Other Events	12064	GrossReceiptsOtherEvents
Gross Revenue Other Events	12064	GrossRevenueOtherEvents
Other Direct Expenses Other Events	4572	OtherDirectExpensesOtherEvents
Gross Receipts Total	80823	GrossReceiptsTotal
Gross Revenue Total Events	80823	GrossRevenueTotalEvents
Rent Facility Costs Total Events	1857	RentFacilityCostsTotalEvents
Other Direct Expenses Total Events	12996	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	14853	DirectExpenseSummaryEvents
Net Income Summary	65970	NetIncomeSummary

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Substantiation Required	1	SubstantiationRequired
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)

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
176148	0	0	0	0	0	0	0	15755	0	191903	0	0	0
KATHLEEN APPLIN
131302	0	0	0	0	0	0	0	22108	0	153410	0	0	0
ROGER N AUSTIN MD
224300	0	0	0	0	0	0	0	23551	0	247851	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.