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AVOW HOSPICE INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
AVOW HOSPICE INC (EIN 59-2201250)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-08-29
IRS object ID
201132419349300103
Schema version
2010v3.4
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)
Timestamp2011-08-29T09:13:08-05:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1LARSONALLEN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line14099 TAMIAMI TRAIL N STE 300AddressLine1
CityNAPLESCity
StateFLState
ZIP Code34103ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN592201250EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1AVOW HOSPICE INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlAVOWNameControl
Phone2394303472Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11095 WHIPPOORWILL LANEAddressLine1
CityNAPLESCity
StateFLState
ZIP Code34105ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameKAREN ROLLINSName
TitlePRESIDENT/CEOTitle
Phone2394303472Phone
Date Signed2011-08-26DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameAMELIA COOPER CPAName
Phone2392628686Phone
Date Prepared2011-08-24DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonKAREN ROLLINSNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11095 WHIPPOORWILL LANEAddressLine1
CityNAPLESCity
StateFLState
ZIP Code34105ZIPCode
FieldValueIRS element (for citing)
Gross Receipts23298474GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.AVOWHOSPICE.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1982YearFormation
State Legal DomicileFLStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE A CONTINUATION OF HOME OUTPATIENT AND HOME-LIKE INPATIENT PALLIATIVE AND SUPPORTIVE CARE TO PATIENTS AND FAMILIES OF PATIENTS WITH LIFE-LIMITING ILLNESSESS.ActivityOrMissionDescription
Nbr Voting Members Governing Body23NbrVotingMembersGoverningBody
Nbr Independent Voting Members18NbrIndependentVotingMembers
Total Nbr Employees190TotalNbrEmployees
Total Nbr Volunteers300TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year2470536ContributionsGrantsPriorYear
Contributions Grants Current Year6225155ContributionsGrantsCurrentYear
Program Service Revenue Prior Year12198920ProgramServiceRevenuePriorYear
Program Service Revenue CY16227385ProgramServiceRevenueCY
Investment Income Prior Year-2189380InvestmentIncomePriorYear
Investment Income Current Year293559InvestmentIncomeCurrentYear
Other Revenue Prior Year513732OtherRevenuePriorYear
Other Revenue Current Year475020OtherRevenueCurrentYear
Total Revenue Prior Year12993808TotalRevenuePriorYear
Total Revenue Current Year23221119TotalRevenueCurrentYear
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 Year8839230SalariesEtcPriorYear
Salaries Etc Current Year10082054SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year436515TotalFundrsngExpCurrentYear
Other Expense Prior Year5629093OtherExpensePriorYear
Other Expenses Current Year6389008OtherExpensesCurrentYear
Total Expenses Prior Year14468323TotalExpensesPriorYear
Total Expenses Current Year16471062TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-1474515RevenuesLessExpensesPriorYear
Revenues Less Expenses CY6750057RevenuesLessExpensesCY
Total Assets BOY20335371TotalAssetsBOY
Total Assets EOY28413528TotalAssetsEOY
Total Liabilities BOY2378658TotalLiabilitiesBOY
Total Liabilities EOY1496200TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY17956713NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY26917328NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE A CONTINUATION OF HOME OUTPATIENT AND HOME-LIKE INPATIENT PALLIATIVE AND SUPPORTIVE CARE TO PATIENTS AND FAMILIES OF PATIENTS WITH LIFE-LIMITING ILLNESSES.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense11244474Expense
Revenue16778655Revenue
DescriptionTHE PALLIATIVE AND SUPPORTIVE CARE SERVICE ENFOLDS OUR PATIENTS AND FAMILIES IN A PLAN CARE THAT INCLUDES MEDICAL SERVICES, COMPLEMENTARY THERAPIES, SPIRITUAL CARE GRIEF SUPPORT AND SOCIAL SUPPORT. WITH RESPECT TO OUR PATIENTS INDEPENDENCE, FREEDOM OF CHOICE AND RIGHT TO MAKE THEIR OWN DECISIONS ABOUT THEIR END-OF-LIFE CARE. FOR THOSE WITH SPECIAL NEEDS, A COMFORTABLE INPATIENT FACILITY WITH PRIVATE ROOMS IS PROVIDED.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense17000Expense
DescriptionTHE CHARITY CARE PROGRAM SERVICE PROVIDES SERVICES OF HOME PATIENT AND HOME LIKE PATIENT PALLIATIVE AND SUPPORTIVE CARE, REGARDLESS OF THE PATIENT'S ABILITY TO PAY. THESE UNCOLLECTIBLE AMOUNTS ACCOUNT FOR OUR CHARITY CARE.Description
FieldValueIRS element (for citing)
Total Program Service Expense11261474TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
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 Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
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 Required1ScheduleJRequired
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 Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109679NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees190NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members23NbrVotingGoverningBodyMembers
Number Independent Voting Members18NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledFLStatesWhereCopyOfReturnIsFiled
Own WebsiteXOwnWebsite
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonROBERT BEISEIGELNamePerson
Telephone Number2396496382TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11095 WHIPPPOORWILL LANEAddressLine1
CityNAPLESCity
StateFLState
ZIP Code34105ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (24 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
BALLO RICHARD
DIRECTOR2.00X000
BIONDO MICHAEL
VICE CHAIR2.00X000X
D'ANGELO CHRISTINE
CHIEF OPERATING OFFICER40.00X14571100X
CORBIN TED
DIRECTOR2.00X000
GAZDIC JANICE H
DIRECTOR2.00X000
GAZDIC THOMAS J
DIRECTOR2.00X000
HAVEMEIER BRAD
TREASURER2.00X000X
HAYHOE GLENNA
DIRECTOR2.00X000
HOFFMAN CHARLES
DIRECTOR2.00X000
JOHNSTON JAY
SECRETARY2.00X000X
KRAUSE ANDREW
DIRECTOR2.00X000
LEACH JOHN
DIRECTOR2.00X000
MITCHELL MD PAUL
VP OF PHYSICIAN RELATIONS40.00X20582300X
MORRIS ROBERT W
DIRECTOR2.00X000
ROLLINS KAREN
PRESIDENT / CEO40.00X15447400X
WALTERS JRGEORGE M
CHAIRMAN2.00X000
FULLER JULIANA
DIRECTOR2.00X000
GROVER VIP
DIRECTOR2.00X000
HOEY NANCY
DIRECTOR2.00X000
LIPITZ ROGER
DIRECTOR2.00X000
MOSKOWITZ DR MARK
DIRECTOR2.00X000
STEVENSON KAREN
DIRECTOR2.00X000
YOVANOVICH RICHARD
DIRECTOR2.00X000
NEHRKORN CYNTHIA
PHYSICIAN40.0015538400X
FieldValueIRS element (for citing)
Total Reportable Comp From Org661392TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K4NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Fundraising Events452756FundraisingEvents
All Other Contributions5772399AllOtherContributions
Noncash Contributions37220NoncashContributions
Total Contributions6225155TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICARE/MEDICAID PAYM6230001555627215556272
PRIVATE MEDICAL CARE R623000671113671113
FieldValueIRS element (for citing)
Total Program Service Revenue16227385TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column201689TotalRevenueColumn
Exclusion$201,689ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities92975Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other1105Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities92975Securities
Other-1105Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column91870TotalRevenueColumn
Exclusion$91,870ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events0GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events452756CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses76250FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-76250TotalRevenueColumn
Exclusion-$76,250ExclusionAmount
FieldValueIRS element (for citing)
Gross Sales Of Inventory520426GrossSalesOfInventory

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column520426TotalRevenueColumn
Related Or Exempt Function Income520426RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUS REVENUEDescription
Business Code453000BusinessCode
Total Revenue Column30844TotalRevenueColumn
Related Or Exempt Function Income30844RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue30844TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column23221119TotalRevenueColumn
Related Or Exempt Function Income16778655RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$217,309ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total661392Total
Program Services52911ProgramServices
Management And General582025ManagementAndGeneral
Fundraising26456Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total7630966Total
Program Services5604931ProgramServices
Management And General1733965ManagementAndGeneral
Fundraising292070Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total103680Total
Program Services69361ProgramServices
Management And General30330ManagementAndGeneral
Fundraising3989Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1034633Total
Program Services692428ProgramServices
Management And General303147ManagementAndGeneral
Fundraising39058Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total651383Total
Program Services455138ProgramServices
Management And General196245ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total83891Total
Program Services89ProgramServices
Management And General81127ManagementAndGeneral
Fundraising2675Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total24850Total
Management And General24500ManagementAndGeneral
Fundraising350Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total422731Total
Program Services187140ProgramServices
Management And General231070ManagementAndGeneral
Fundraising4521Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total296771Total
Program Services216ProgramServices
Management And General296495ManagementAndGeneral
Fundraising60Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total633695Total
Program Services188147ProgramServices
Management And General394521ManagementAndGeneral
Fundraising51027Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total405578Total
Program Services120236ProgramServices
Management And General285342ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total11937Total
Management And General1277ManagementAndGeneral
Fundraising10660Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total412887Total
Program Services148984ProgramServices
Management And General263903ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total162698Total
Program Services102991ProgramServices
Management And General59202ManagementAndGeneral
Fundraising505Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
MEDICAL SUPPLIES AND SE18004801800480
NURSING HOME ROOM & BOA15725841572584
PERSONNEL COSTS5442092491412899245144
BAD DEBT1669716697

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total16471062Total
Program Services11261474ProgramServices
Management And General4773073ManagementAndGeneral
Fundraising436515Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY850BOY
EOY600EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY4464405BOY
EOY1587261EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY1234732BOY
EOY7132575EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1678627BOY
EOY1647016EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY245902BOY
EOY116617EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis13460763LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec3263764LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY7901628BOY
EOY10196999EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY4790878BOY
EOY7709387EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY18349BOY
EOY23073EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY20335371BOY
EOY28413528EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1718260BOY
EOY683678EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY660398BOY
EOY812522EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2378658BOY
EOY1496200EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY15638291BOY
EOY18665380EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1084718BOY
EOY7016244EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1233704BOY
EOY1235704EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY17956713BOY
EOY26917328EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY20335371BOY
EOY28413528EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses6750057ReconcilationRevenueExpenses
Reconcilation Other Changes2210558ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
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 Years3666519CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3362304CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4565433CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2470536CurrentTaxYearMinus1Year
Current Tax Year6225155CurrentTaxYear
Total20289947Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years17017175CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years16708104CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years13254247CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12198920CurrentTaxYearMinus1Year
Current Tax Year16227385CurrentTaxYear
Total75405831Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years455999CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years569801CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years514892CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year500243CurrentTaxYearMinus1Year
Current Tax Year520426CurrentTaxYear
Total2561361Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years21139693CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years20640209CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years18334572CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year15169699CurrentTaxYearMinus1Year
Current Tax Year22972966CurrentTaxYear
Total98257139Total

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 Total50998257139PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years283702CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years485233CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years241736CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year161643CurrentTaxYearMinus1Year
Current Tax Year201689CurrentTaxYear
Total1374003Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years283702CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years485233CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years241736CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year161643CurrentTaxYearMinus1Year
Current Tax Year201689CurrentTaxYear
Total1374003Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year13489CurrentTaxYearMinus1Year
Current Tax Year30844CurrentTaxYear
Total44333Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years21423395CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years21125442CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years18576308CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year15344831CurrentTaxYearMinus1Year
Current Tax Year23205499CurrentTaxYear
Total99675475Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98580PublicSupportPercentage509
Prior Year Support Percentage0.95980PriorYearSupportPercentage
Investment Income Percentage0.01380InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01370PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
General ExplanationSCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS REVENUEGeneralExplanation

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 Balance1233704BeginningOfYearBalance
Contributions2000Contributions
Investment Earnings Or Losses62937InvestmentEarningsOrLosses
Other Expenditures-62397OtherExpenditures
End Of Year Balance1361038EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance1092534BeginningOfYearBalance
Contributions180928Contributions
Investment Earnings Or Losses-39758InvestmentEarningsOrLosses
End Of Year Balance1233704EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance886908BeginningOfYearBalance
Contributions37242Contributions
Investment Earnings Or Losses168384InvestmentEarningsOrLosses
End Of Year Balance1092534EndOfYearBalance
FieldValueIRS element (for citing)
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1444625OtherCostOrOtherBasis
Book Value1444625BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis9734077OtherCostOrOtherBasis
Depreciation1822487Depreciation
Book Value7911590BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis110295OtherCostOrOtherBasis
Depreciation14387Depreciation
Book Value95908BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2171766OtherCostOrOtherBasis
Depreciation1426890Depreciation
Book Value744876BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings10196999TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
ACCRUED PAYROLL AND BENEFITS$777,412
GIFT ANNUITY$35,110
FieldValueIRS element (for citing)
Total Of Amounts812522TotalOfAmounts
Total Revenue23221119TotalRevenue
Total Expenses16471062TotalExpenses
Excess Or Deficit For Year6750057ExcessOrDeficitForYear
Net Unrealized GL On Investments378012NetUnrealizedGLOnInvestments
Prior Period Adjustments1832546PriorPeriodAdjustments
Total Adjustments2210558TotalAdjustments
Excess Or Deficit Per FS8960615ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt23717431TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments378012NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities42050DonatedSrvcAndUseOfFacilities
Revenue Not Rptd F990420062RevenueNotRptdF990
Revenue Subtotal23297369RevenueSubtotal
Other Revenues Not Included-76250OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-76250RevenueNotRptdOnFinStmt
Total Revenue Per Form99023221119TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt16589362TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities42050DonatedServicesUseOfFacilities
Other Expenses Included76250OtherExpensesIncluded
Expenses Not Rptd F990118300ExpensesNotRptdF990
Expenses Subtotal16471062ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99016471062TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:PART V, LINE 4:THE INCOME FROM ENDOWMENT IS TO BE USED TO SUPPORT CHARITY AND PATIENT CARE.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X:THE INTERNAL REVENUE SERVICE HAS RECOGNIZED THE ORGANIZATION AS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, INCOME EARNED IN FURTHERANCE OF THE ORGANIZATION'S TAX-EXEMPT PURPOSE IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES. AS A RESULT, THESE FINANCIAL STATEMENTS INCLUDE NO PROVISION OR LIABILITY FOR INCOME TAXES. THE ORGANIZATION'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE AND LOCAL AUTHORITIES. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAXES. THE ORGANIZATION FOLLOWS THE INCOME TAX STANDARD REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THIS GUIDANCE CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ORGANIZATION'S FINANCIAL STATEMENTS. THE IMPLEMENTATION OF THIS STANDARD HAD NO IMPACT ON THE ORGANIZATION'S FINANCIAL STATEMENTS. THE ORGANIZATIONS 2007, 2008 AND 2009 TAX RETURNS ARE OPEN FOR INSPECTION BY FEDERAL AND STATE TAXING AUTHORITIES.
PART XII, LINE 4B - OTHER ADJUSTMENTS:FUNDRAISING EXPENSES -76,250.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:FUNDRAISING EXPENSES 76,250.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1VINEYARDS GOLF/TENNIS/SOCIALNameOfEvent1
Gross Receipts Event198738GrossReceiptsEvent1
Charitable Contributions Event198738CharitableContributionsEvent1
Non Cash Prizes Event1163NonCashPrizesEvent1
Rent Facility Costs Event13950RentFacilityCostsEvent1
Food And Beverage Event16369FoodAndBeverageEvent1
Entertainment Event1500EntertainmentEvent1
Other Direct Expenses Event14452OtherDirectExpensesEvent1
Name Of Event2AVOW "LET US BE THE MUSIC" CONCERTNameOfEvent2
Gross Receipts Event282152GrossReceiptsEvent2
Charitable Contributions Event282152CharitableContributionsEvent2
Rent Facility Costs Event21800RentFacilityCostsEvent2
Food And Beverage Event22084FoodAndBeverageEvent2
Other Direct Expenses Event24741OtherDirectExpensesEvent2
Total Number Of Other Events6TotalNumberOfOtherEvents
Gross Receipts Other Events271866GrossReceiptsOtherEvents
Charitable Contrib Other Events271866CharitableContribOtherEvents
Non Cash Prizes Other Events472NonCashPrizesOtherEvents
Rent Facility Costs Other Events1045RentFacilityCostsOtherEvents
Food And Beverage Other Events21368FoodAndBeverageOtherEvents
Entertainment Other Events575EntertainmentOtherEvents
Other Direct Expenses Other Events28731OtherDirectExpensesOtherEvents
Gross Receipts Total452756GrossReceiptsTotal
Charitable Contributions Total452756CharitableContributionsTotal
Non Cash Prizes Total Events635NonCashPrizesTotalEvents
Rent Facility Costs Total Events6795RentFacilityCostsTotalEvents
Food And Beverage Total Events29821FoodAndBeverageTotalEvents
Entertainment Total Events1075EntertainmentTotalEvents
Other Direct Expenses Total Events37924OtherDirectExpensesTotalEvents
Direct Expense Summary Events76250DirectExpenseSummaryEvents
Net Income Summary-76250NetIncomeSummary

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
MITCHELL MD PAUL
199692000613100000205823000
ROLLINS KAREN
146282000819200000154474000
NEHRKORN CYNTHIA
1396050001577900000155384000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePART I, LINE 4AReturnReference
ExplanationMICHAEL POHL RECEIVED $5,856.00 OF SEVERANCE COMPENSATION DURING 2010.Explanation

Schedule M IRS990ScheduleM

Works Of Art WorksOfArt

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F9905000NoncashContribsRptdF990
Method Of Determining RevenuesFMVMethodOfDeterminingRevenues

Other Non Cash Contributions Table OtherNonCashContributionsTable (4 entries)

Non Cash CheckboxNonCashCheckboxDescriptionDescriptionNumber Of ContributionsNumberOfContributionsNoncash Contribs Rptd F990NoncashContribsRptdF990Method Of Determining RevenuesMethodOfDeterminingRevenues
XORGAN19000FMV
XGIFT PACKAGES28820FMV
XOFFICE EQUIPMENT16500FMV
XLANDSCAPING PLANTS17900FMV
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 2JANICE AND THOMAS GAZDIC ARE DIRECTORS OF THE ORGANIZATION AND ARE HUSBAND AND WIFE.
FORM 990, PART VI, SECTION B, LINE 11AN AUDIT BY AN OUTSIDE CPA FIRM IS PERFORMED AND ITS FINDINGS ARE SUBMITTED TO THE FINANCE COMMITTEE. THE FORM 990 IS THEN COMPLETED, SUBMITTED FOR REVIEW BY THE BOARD WHICH ENCOMPASSES ANALYZING VARIANCES AGAINST ACTUAL YEAR TO DATE DOLLAR AMOUNTS FROM COMPANY GENERATED FINANCIAL STATEMENTS.
ALL TRANSACTIONS PRIOR TO APPROVAL ARE REVIEWED BY THE PRESIDENT/CEO FOR CONFLICTS OF INTEREST AND WHEN DISCOVERED ARE DISCUSSED WITH THE BOARD TO DETERMINE IF THE TRANSACTION WILL BE ALLOWED TO OCCUR. ALL EMPLOYEES ARE COVERED BY A NO CONFLICT POLICY AND RESTRICTIONS CAN INCLUDE DISMISSAL.FORM 990, PART VI, SECTION B, LINE 12C
COMPENSATION IS REVIEWED BY A COMPENSATION COMMITTEE THAT RELATES RECOMMENDATIONS TO THE BOARD FOR VOTE.FORM 990, PART VI, SECTION B, LINE 15
THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC ON ITS WEBSITE AND UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED GAINS ON INVESTMENTS: 378,012. PRIOR PERIOD ADJUSTMENTS: 1,832,546. TOTAL TO FORM 990, PART XI, LINE 5: 2,210,558.FORM 990, PART XI, LINE 5:
THE PROCESS OF ASSUMING RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE ORGANIZATION'S FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR.FORM 990, PART XI, LINE 2C: