2012-05-04T09:17:08-05:00 2011-12-31 410746749 CLIFTONLARSONALLEN LLP 610 WGERMANTOWN PIKESTE 400 PLYMOUTH MTG PA 19462 990 2011-01-01 237307133 BURN FOUNDATION BURN 2155453816 1520 LOCUST STREET SUITE 401 PHILADELPHIA PA 19102 PATRICIA PORTER 2155453816 2012-04-13 1 BRUCE BRAUNEWELLCPA P00075336 2156433900 2011 2016-02-24 21:20:13Z PATRICIA PORTER 1520 LOCUST STREET SUITE 401 PHILADELPHIA PA 19102 442678 0 X WWW.BURNFOUNDATION.ORG X 1973 PA SEE SCHEDULE O.TO SERVE THE GREATER PHILADELPHIA REGION IN THE PREVENTION OF BURNS, IN THE SUPPORT OF THE BURN CARE COMMUNITY, AND IN ENHANCING THE QUALITY OF LIFE FOR BURN SURVIVORS AND THEIR FAMILIES. 22 21 0 75 0 0 433151 391167 4825 7610 1557 692 33201 4892 472734 404361 0 14250 0 0 225138 227701 0 0 83581 68665 210054 293803 452005 178931 -47644 343622 272265 45908 22195 297714 250070 X TO SERVE THE GREATER PHILADELPHIA REGION IN THE PREVENTION OF BURNS, IN THE SUPPORT OF THE BURN CARE COMMUNITY, AND IN ENHANCING THE QUALITY OF LIFE FOR BURN SURVIVORS AND THEIR FAMILIES. 1 1 79391 SURVIVORS SUPPORT: ANAPOL SCHWARTZ FAMILY MENTORSHIP PROGRAM PUTS BURN SURVIVORS IN CONTACT WITH PEOPLE WHO HAVE BEEN THROUGH THE RECOVERY PROCESS AND WHO CAN OFFER SUPPORT AND HOPE TO THE SURVIVOR OR FAMILY MEMBERS. SEVERAL OUTREACH EFFORTS ARE BEING MADE THROUGH SOCIAL MEDIA AND THE INTERNET TO HELP SUPPORT SURVIVORS OF BURN INJURIES. THERE IS AN ON-LINE BLOG FOR SURVIVORS AND A SUPPORT GROUP THAT MEETS EACH MONTH. DVDS AND OTHER INFORMATION ARE GIVEN TO PATIENTS AS THEY LEAVE THE BURN CENTER WHICH WILL HELP THEM REINTEGRATE INTO THEIR EVERYDAY LIVES AND REMIND THEM OF AVAILABLE SUPPORT. 60807 FIRE AND BURN SAFETY FOR SENIORS: PROGRAM INCLUDES PRE AND POST EVALUATION, A DVD ON SAFETY WITH PRACTICAL TIPS, FOLLOWED BY DISCUSSION AND BURN FOUNDATION BINGO TO REINFORCE THE MESSAGE. THERE IS NOW A SAFETY RING GIVEN TO EACH ATTENDEE FOR REFERENCE AND A REMINDER ABOUT THE SAFETY MESSAGES. GIVEN TO GROUPS OF SENIOR CITIZENS OR AS A TRAIN-THE-TRAINER FOR FIRE SERVICES PERSONNEL. 97% OF PARTICIPANTS RATED THE PROGRAM AS EXCELLENT OR GOOD. 58085 TEACHABLE MOMENTS: FAMILIES WITH YOUNG CHILDREN: PROGRAM TARGETS FAMILIES WITH YOUNG CHILDREN THROUGH PRE-SCHOOL CLASSES AND PARENT GROUPS. THERE ARE FOUR MODULES INCLUDED IN THE LESSON PLANS, A POWER POINT FOR PARENTS AND A TAKE-HOME PARENT RESOURCE GUIDE (AVAILABLE IN SPANISH AND ENGLISH) TO SERVE AS A BASIS FOR FAMILY DISCUSSION AND PLANNING AND INCLUDES ACTIVITY PAGES FOR THE CHILDREN. A READ-ALOUD BOOK IS LEFT FOR THE LIBRARY TO REINFORCE THE SAFETY MESSAGE AND A "BURNIE" BEAR REMAINS IN THE CLASS FOR STUDENTS TO USE FOR DEMONSTRATIONS. 145281 FIRESETTING MATTERS: JUVENILE FIRE SETTING AWARENESS/PREVENTION: PROGRAM HAS 3 MODULES--FOR ADOLESCENTS, FOR TRAINING INTERVENTION SPECIALISTS AND FOR RAISING AWARENESS AMONG CAREGIVERS/TEACHERS. INCLUDES A DVD WITH INTERVIEWS WITH JUVENILE FIRESETTERS, A POWER-POINT PRESENTATION AND COMPLETE LESSON PLAN AND GUIDE. THE OBJECTIVE IS TO HEIGHTEN AWARENESS OF INAPPROPRIATE BEHAVIORS.TEACHABLE MOMENTS: ELEMENTARY SCHOOL-AGED PROGRAMS: PROGRAM INCLUDES LESSON PLANS, A DVD (STOP, DROP, ROLL, COOL AND CALL), GAMES AND HANDOUTS FOR USE IN THE CLASSROOM. DESCRIBES WHAT TO DO IN MOST FIRE SITUATIONS AND SPECIFIC PRECAUTIONS CHILDREN CAN TAKE. THESE ARE DISTRIBUTED TO SCHOOLS AND FIRE SERVICE PERSONNEL FOR THEIR USE IN EDUCATING THE PUBLIC. BOOKMARKS ARE GIVEN TO EACH STUDENT TO REMIND THEM OF THE TWO MAJOR MESSAGES.BURN CAMP SCHOLARSHIPS: SCHOLARSHIPS ARE PROVIDED TO UP TO 25 ADOLESCENTS TO ATTEND BURN CAMP EACH YEAR. THIS EXPERIENCE GIVES THE ADOLESCENT SURVIVORS A CHANCE TO BE WITH OTHER CHILDREN AND ADULT COUNSELORS WHO HAVE EXPERIENCED THE SAME TYPE OF DAMAGING INJURY IN A NON-JUDGEMENTAL ENVIRONMENT. THE OBJECTIVE IS TO HELP CHILDREN ACCEPT THEIR INJURIES AND LEARN TO THRIVE IN THE WORLD.PRESSURE GARMENTS FOR SURVIVORS: FUNDING IS PROVIDED FOR THOSE SURVIVORS WHO ARE UNDER OR UNINSURED FOR NECESSARY PRESSURE GARMENTS DURING THE HEALING PROCESS. GARMENTS MINIMIZE SCARRING AND HELP MAINTAIN ELASTICITY OF THE SKIN.PEDIATRIC BURN BUDDIES: BURN BUDDY DOLLS ARE GIVEN TO PEDIATRIC PATIENTS IN THE BURN UNITS TO COMFORT THEM AS THEY PROCEED THROUGH THE VERY PAINFUL PROCEDURES. THEY ARE ALSO USED AS TEACHING TOOLS FOR HOSPITAL PERSONNEL INSTRUCTING THE PATIENT IN BANDAGE CHANGES AND WOUND CARE.NURSE SEMINARS: SEMINARS TAUGHT BY NURSES FROM THE BURN CENTERS AS PART OF THE NURSE ADVISORY COUNCIL EDUCATE STUDENT NURSES FROM THE AREA NURSING SCHOOLS IN BURN CARE. NURSES RECEIVE VERY LIMITED INSTRUCTION ABOUT CARING FOR BURNS IN THEIR CURRICULUM AND THESE SEMINARS EDUCATE THEM ON THE NECESSARY STEPS TO TAKE IN HANDLING A BURN PATIENT AND TRANSFERRING THE PATIENT TO A QUALIFIED BURN CENTER.EARLY CARE AND TRANSFER OF BURN PATIENTS: THIS MANUAL WAS WRITTEN BY THE NURSE ADVISORY COUNCIL AND DISTRIBUTED IN DIGITAL FORMAT TO ALL THE ERS IN THE AREA AND POSTED ON THE PA TRAUMA SYSTEMS WEB SITE AS A REFERENCE FOR BURN PATIENT CARE. IT IS THE STANDARD OF CARE REFERENCE FOR FIRST RESPONDERS AND EMERGENCY PERSONNEL.SAFETY SKILLS: FIRE AND BURN PREVENTION FOR YOU: PROGRAM TARGETS CHILDREN IN GRADES 5-8 AND IS BASED AROUND A DVD FOCUSED ON COOKING AND KITCHEN SAFETY. THE PROGRAM INCLUDES LESSON PLANS, A POWER POINT PRESENTATION AND HAND OUTS FOR TEACHERS/ORGANIZATIONAL LEADERS TO USE IN HELPING THESE CHILDREN UNDERSTAND THE SAFETY PRECAUTIONS THEY CAN TAKE. THESE ADOLESCENTS ARE LEFT ON THEIR OWN MORE OFTEN AND ARE PUT IN CHARGE OF YOUNGER CHILDREN SO SAFETY CONCERNS ARE VERY IMPORTANT.FIRE AND BURN SAFETY RINGS FOR THE HOMEBOUND: THE 6-DOUBLE-SIDED CARD SAFETY RING IS DISTRIBUTED TO HOMEBOUND INDIVIDUALS THROUGH VARIOUS HOME VISITATION PROGRAMS SUCH AS MEALS ON WHEELS OR VISITING NURSES. THE RING CAN BE USED FOR REFERENCE BY PEOPLE IN THEIR HOMES AND CAN BE A FOCUS OF A SAFETY CONVERSATION BY THE VISITOR.MISCELLANEOUS PREVENTION PROGRAMS INCLUDE TRAIN-THE-TRAINER SEMINARS FOR LIFE SAFETY SPECIALISTS OR VOLUNTEERS, ELECTRICAL BURN PREVENTION FOR THE INDUSTRIAL SECTOR, HEALTH FAIRS THROUGHOUT THE REGION, AND PRELIMINARY SCALD PREVENTION PROGRAMMING. 5810 1800 145281 7610 343564 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 4 0 1 0 0 0 0 0 0 1 1 0 0 0 0 X 22 21 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 PA NJ X X KARYN KOERWER CPA 2674198740 509 HAYS LANE LOWER GWYNEDD PA 19002 X GEORGE TUTWILER 1.00 X X 0 0 0 KEVIN F BERRY ESQ 1.00 X X 0 0 0 PAUL HARTSTEIN 1.00 X X 0 0 0 RICHARD BENNETT 1.00 X X 0 0 0 PATRICIA PORTER 50.00 X X 92516 0 26887 LLOYD AYERS 1.00 X 0 0 0 CAROL CAHILL RN 1.00 X 0 0 0 SUSAN CANNON RN MSN 1.00 X 0 0 0 J LEE FULTON 1.00 X 0 0 0 LINWOOD R HAITH MD 1.00 X 0 0 0 JAMES HELLER ESQ 1.00 X 0 0 0 WILLIAM B HUGHES MD 1.00 X 0 0 0 LEON A LAROSA JR CPA CFE MST 1.00 X 0 0 0 EVERETT MARSHALL 1.00 X 0 0 0 JOHN P MCCANN JR 1.00 X 0 0 0 DOUGLAS MOKOID 1.00 X 0 0 0 DARREN PALMIERI 1.00 X 0 0 0 MARY LOU PATTON MD 1.00 X 0 0 0 CINDY REIGART RN 1.00 X 0 0 0 KATHY SEASHOLTZ 1.00 X 0 0 0 LOU TRAMONTANA 1.00 X 0 0 0 92516 0 26887 0 0 0 0 0 106413 284754 391167 BURN DVD SALES 900099 5810 5810 NURSING SEMINAR FEES 900099 1800 1800 7610 692 692 28209 106413 38317 -10108 -10108 15000 15000 15000 404361 7610 0 5584 14250 14250 119403 88595 6659 24149 80008 61290 3376 15342 15153 10258 1651 3244 13137 9289 1259 2589 101854 73863 14343 13648 24253 14779 -5676 15150 39697 34536 1985 3176 11201 9113 2088 896 751 29 116 1858 1616 93 149 6391 5560 320 511 EQUIPMENT RENTAL 10964 9539 548 877 BURN PATIENT/SURVIVOR S 6166 5385 0 781 TELEPHONE 3311 2880 166 265 BANK CHARGES 2159 725 42 1392 1304 1135 65 104 452005 343564 24860 83581 286213 207738 46030 49689 7725 13042 129207 127411 3654 1796 343622 272265 45908 22195 45908 22195 X 254590 197111 43124 52959 297714 250070 343622 272265 -47644 0 X X 0 1 1 X 0 X 1206514 837405 536236 433151 406167 3419473 1206514 837405 536236 433151 406167 3419473 547629 2871844 16867 6337 4073 1557 692 29526 3448999 66483 0.83270 0.91730 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 111112 110756 356 18095 16655 1440 1796 404361 452005 -47644 -47644 442678 38317 38317 404361 0 404361 490322 38317 38317 452005 0 452005 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE FOUNDATION IS EXEMPT FROM FEDERAL, STATE AND LOCAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND SIMILAR STATE AND LOCAL LAWS, THEREFORE, NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE FOUNDATION'S INFORMATIONAL TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. THE FOUNDATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS. SHOULD THAT STATUS BE CHALLENGED IN THE FUTURE, THE ENTITY'S 2008, 2009, AND 2010 TAX YEARS ARE OPEN FOR EXAMINATION BY THE IRS. PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSES 38,317. PART XIII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSES 38,317. ANNUAL GALA & AUCTION 98345 82453 15892 2822 20865 0 JOSEPH R. RIZZO GOLF CLASSIC 36277 23960 12317 2313 12317 0 134622 106413 28209 5135 33182 38317 -10108 15000 0 0.93000 15000 15000 NJ 1 0 1 0 1.00000 KARYN KOERWER 509 HAYS LANE LOWER GWYNEDD PA 19002 0 PATRICIA PORTER 1 OVERSEES THE ACTIVITIES X 1 15000 1 SCHOLARSHIPS TO ATTEND BURN CAMP 19 14250 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: SCHOLARSHIPS ARE USED TO PAY FOR BURN VICTIMS TO ATTEND BURN CAMP. RICHARD BENNETT CEO OF CROZER-CHESTER HOSPITAL AND A BURN FOUNDATION BOARD MEMBER 227700 ALL FOUNDATION PERSONNEL ARE EMPLOYEES OF CROZER-CHESTER HOSPITAL. THE FOUNDATION REIMBURSES THE HOSPITAL FOR THE SALARY AND RELATED PAYROLL AND BENEFIT COSTS OF THESE EMPLOYEES. 0 CYNTHIA REIGART NURSE MGR OF CROZER-CHESTER HOSPITAL AND A BURN FOUNDATION BOARD MEMBER ALL FOUNDATION PERSONNEL ARE EMPLOYEES OF CROZER-CHESTER HOSPITAL. THE FOUNDATION REIMBURSES THE HOSPITAL FOR THE SALARY AND RELATED PAYROLL AND BENEFIT COSTS OF THESE EMPLOYEES. 0 NEW PROGRAM SERVICES FORM 990, PART III, LINE 2 TWO NEW PROGRAMS WERE ADDED THIS YEAR: PEDIATRIC BURN BUDDIES AND FIRE AND BURN SAFETY RINGS FOR THE HOMEBOUND. CHANGES IN PROGRAM SERVICES FORM 990, PART III, LINE 3 THE PRE-SCHOOL PROGRAM WAS AUGMENTED WITH A READ-ALOUD BOOK AND "BURNIE" DOLL WHICH REMAIN IN THE CLASSROOMS TO REINFORCE THE SAFETY MESSAGE. BOOKS BECOME PART OF THE CLASSROOM LIBRARY. LESSON PLANS ARE NOW IN HARD COPY RATHER THAN ON CD. THE SENIOR PROGRAM NOW INCLUDES A RING OF SAFETY CARDS WHICH ARE LEFT WITH EACH ATTENDEE AS A REMINDER AND REFERENCE FOR THE MSAAGES. PARTICIPANTS RECEIVE A CROSSWORD PUZZLE TO REINFORCE THESE TIPS AND ENCOURAGE THEM TO USE THE CARDS. FORM 990, PART VI, SECTION B, LINE 11 THE 990 IS REVIEWED BY THE FINANCE COMMITTEE AND THEN RECOMMENDED TO THE FULL BOARD WHERE IT IS DISTRIBUTED. FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD MEMBERS ARE REQUIRED TO COMPLETE THE CONFLICT OF INTEREST FORM AND IT IS REVIEWED BY THE EXECUTIVE COMMITTEE. DURING DISCUSSION OF AN AREA OF CONFLICT THE AFFECTED PERSON WOULD BE EXCUSED FROM THE DISCUSSION AND THE VOTING. THE EXECUTIVE COMMITTEE REVIEWED THE PERFORMANCE OF THE PRESIDENT/CEO AND RELATED THAT INFORMATION ALONG WITH AN EVALUATION OF SALARY. FORM 990, PART VI, SECTION C, LINE 19 UPON REQUEST OF DOCUMENTS ALL FOUNDATION PERSONNEL ARE EMPLOYEES OF A MEMBER CONSORTIUM HOSPITAL. THE FOUNDATION REIMBURSES THE HOSPITAL FOR THE SALARY AND RELATED PAYROLL AND BENEFIT COSTS OF THESE EMPLOYEES. PART XII, LINE 2S THE ORGANIZATION HAS NOT CHANGED EITHER ITS OVERSIGHT PROCESS OR SELECTION DURING THE TAX YEAR.