efile Public Visual Render
Submission Date - 2017-11-13
TIN: 03-0344168
Form
990
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private
foundations)
Do not enter social security numbers on this form as it may be made public.
Information about Form 990 and its instructions is at
www.IRS.gov/form990
.
OMB No. 1545-0047
20
16
Open to Public Inspection
A
For the 2016 calendar year, or tax year beginning
01-01-2016
, and ending
12-31-2016
B
Check if applicable:
Address change
Name change
Initial return
Final return/terminated
Amended return
Application pending
C
Name of organization
The Vermont-Oxford Network
Doing business as
Number and street (or P.O. box if mail is not delivered to street address)
33 Kilburn Street
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Burlington
,
VT
05401
D Employer identification number
03-0344168
E Telephone number
(802) 865-4814
G
Gross receipts $
7,263,522
F
Name and address of principal officer:
Jeffrey D Horbar MD
33 Kilburn Street
Burlington
,
VT
05401
I
Tax-exempt status:
501(c)(3)
501(c)
(
)
(insert no.)
4947(a)(1)
or
527
J
Website:
www.vtoxford.org
H(a)
Is this a group return for
subordinates?
Yes
No
H(b)
Are all subordinates
included?
Yes
No
If "No," attach a list. (see instructions)
H(c)
Group exemption number
K
Form of organization:
Corporation
Trust
Association
Other
L
Year of formation:
1994
M
State of legal domicile:
VT
Part I
Summary
1
Briefly describe the organizations mission or most significant activities:
To improve the quality and safety of medical care for newborn infants and their families through a coordinated program of research, education, and quality improvement projects.
2
Check this box
3
Number of voting members of the governing body (Part VI, line 1a)
........
3
8
4
Number of independent voting members of the governing body (Part VI, line 1b)
.....
4
6
5
Total number of individuals employed in calendar year 2016 (Part V, line 2a)
......
5
49
6
Total number of volunteers (estimate if necessary)
.............
6
7a
Total unrelated business revenue from Part VIII, column (C), line 12
........
7a
0
b
Net unrelated business taxable income from Form 990-T, line 34
.........
7b
Prior Year
Current Year
8
Contributions and grants (Part VIII, line 1h)
.........
1,000
2,000
9
Program service revenue (Part VIII, line 2g)
.........
6,214,239
6,971,468
10
Investment income (Part VIII, column (A), lines 3, 4, and 7d )
....
339,109
290,054
11
Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)
0
12
Total revenueadd lines 8 through 11 (must equal Part VIII, column (A), line 12)
6,554,348
7,263,522
13
Grants and similar amounts paid (Part IX, column (A), lines 13 )
...
0
14
Benefits paid to or for members (Part IX, column (A), line 4)
.....
0
15
Salaries, other compensation, employee benefits (Part IX, column (A), lines 510)
2,850,741
3,376,847
16a
Professional fundraising fees (Part IX, column (A), line 11e)
.....
0
b
Total fundraising expenses (Part IX, column (D), line 25)
0
17
Other expenses (Part IX, column (A), lines 11a11d, 11f24e)
....
3,355,946
2,933,608
18
Total expenses. Add lines 1317 (must equal Part IX, column (A), line 25)
6,206,687
6,310,455
19
Revenue less expenses. Subtract line 18 from line 12
.......
347,661
953,067
Beginning of Current Year
End of Year
20
Total assets (Part X, line 16)
.............
10,262,202
10,254,012
21
Total liabilities (Part X, line 26)
.............
3,996,488
2,953,281
22
Net assets or fund balances. Subtract line 21 from line 20
.....
6,265,714
7,300,731
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
2017-11-13
Signature of officer
Date
Peter Pelaia
Director/Operations
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Colleen L Montgomery CPA
Preparer's signature
Colleen L Montgomery CPA
Date
Check
if
self-employed
PTIN
P00038392
Firm's name
Montgomery & Granai PC
Firm's EIN
Firm's address
110 Main Street
Burlington
,
VT
054018451
Phone no.
(802) 864-6565
May the IRS discuss this return with the preparer shown above? (see instructions)
..........
Yes
No
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form
990
(2016)
Form 990 (2016)
Page
2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III
..............
1
Briefly describe the organizations mission:
To improve the quality and safety of medical care for newborn infants and their families through a coordinated program of research, education, and quality improvement projects.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ?
.....................
Yes
No
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program
services?
...........................
Yes
No
If "Yes," describe these changes on Schedule O.
4
Describe the organizations program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a
(Code:
) (Expenses $
2,969,097
including grants of $
) (Revenue $
2,645,439
)
Quality Improvement & Education NICQ Next2 continues the series of intensive improvement collaboratives sponsored by Vermont Oxford Network. Interdisciplinary teams from 60 institutions in North America are working together to improve the quality and safety of medical care for newborn infants and their families by integrating the concepts of family-centered care, the context for improvement, increased value, and standardization into their collaborative improvement work, addressing: Optimizing Outcomes of the Micro-Premature Infant, Improving Lung, Brain and Nutritions: A multi-System approach, Improving Outcomes for Infants requiring surgery, Improving Teams and Teamwork. This two year project commenced in January 2016 and concluded in December 2017. iNICQ Web Conference Series - "iNICQ 2016 Choosing Antibiotics Wisely" - Overuse and misuse of antibiotics is common in NICUs. In fact studies show a 40-fold variation in prescribing practices accross NICUs(as described by Schulman et al in Pediatric, May 2015, within 127 California NICUs). Alert to the growing danger, the Centers for Disease Control and Prevention has identified antibiotic overuse as one of the "top five" targets for improvement, and has proposed core elements for hospital based antibiotic stewardship programs designed to promote appropriate use of antibiotics. The CDC worked collaboratively with VON in the development of iNICQ 2016 Choosing Antibiotics Wisely. While hospitals often have antibiotic stewardship teams focused on adult patients, iNICQ 2016 focused specifically on key compenents of antibiotic stewardship programs within NICUs The iNICQ Collaborative center-level improvement teams pioneered evidence based best practices that will reduce the overuse of antibiotics, while bringing much-needed standardized protocols and baseline data for hospitals to share. In addition to collaborating with the CDC, iNICQ 2016 was led by key neonatology experts from Choosing Wisely in Neonatology, an initiative of the ABM Foundation. A total of 143 hospitals participated in 2016. Annual Quality CongressThe 2016 Vermont Oxford Network Annual Quality Congress was held on September 9 to 12, 2016 in Chicago, IL. The aim of the AQC 2065 meeting was to bring together parents, leading academic neonatologists, scientists and practicing clinicians in neonatal medicine to discuss and determine the current status of knowledge and evidence-based content addressing a variety of neonatal patient care needs and dilemmas in the field to improve the care of preterm infants and family centered care. The topics included: Transfers, Transports and Telemedicine, Opportunities to Impact INfections and Emerging Drug Resistance, Prevention and Treatment of BPD, Newborn and Maternal Heralth Arond the World, and Transformative Learning. The agenda also included: The Learning Fair, featuring State and Regional Group Posters, Family Centered Care Posters, and NICU Improvement Story Posters. The meeting was attended by 12742 health professionals and parent representatives from the United States and around the world.
4b
(Code:
) (Expenses $
1,717,723
including grants of $
) (Revenue $
4,285,892
)
DATABASE/MEMBERSHIP SERVICES Membership: In 2016 there were 1075 active members in the Network. Membership in the Network for the Very Low Birth Weight Database (401 to 1500 grams) cost $4900 in 2016. The 2016 fee for the Expanded Database (all NICU admissions over 401 grams) membership was based on hospital size (AHA Data). Small hospitals were $5350 per year, medium were $6650 per year and large or Children's hospitals were $7900 per year. Membership entitled members to quarterly and yearly reports from the database, access to the Internet reporting system and participation in clinical trials Scientific studies of the quality of care carried out in intensive care nurseries included preparation of reports on results. In 2017 we published the Vermont Oxford Network Annual Database Summary for 2016, a detailed compendium describing the practices and outcomes at 988 neonatal units caring for very low birth weight infants and the Vermont Oxford Network 2016 Expanded Database Summary describing the practices and outcomes of all NICU infants regardless of birth weight at 456 units participating in the expanded database. The Nightingale Internet reporting system was provided to members. It allows confidential password protected access to hospital specific reports.Database Research - PublishedFullerton BS, Sparks EA, Morrow KA, Edwards EM, Soll RF, Jaksic T, Horbar JD, Modi BP. Hospital transfers and patterns of mortality in very low birth weight neonates with surgical necrotizing enterocolitis. Journal of Pediatric Surgery. 2016 Jun;51(6):932-5. PubMed: 27230800Boghossian NS, Geraci M, Edwards EM, Morrow KA, Horbar JD. Anthropometric charts for infants born between 22 and 29 weeks gestation. Pediatrics. 2016; 138(6): e20161641. PubMed: 27940694McBride CA, Bernstein IM, Badger GJ, Soll RF. Maternal hypertension and mortality in small for gestational age 22- to 29-week infants. Reproductive Science. 2017 Jan 1:1933719117711260. Epub ahead of print. PubMed: 28578635Horbar JD, Edwards EM, Greenberg LT, Morrow KA, Soll RF, Buus-Frank ME, Buzas JS. Variation in performance of neonatal intensive care units in the United States. JAMA Pediatrics. 2017 Jan 9:e164396. PubMed: 28068438Database Research In PressFullerton BS, Velazco CS, Sparks EA, Morrow KA, Edwards EM, Soll RF, Modi BP, Horbar JD, Jaksic T. Contemporary outcomes of infants with gastroschisis in North America: a multicenter cohort study. Journal of Pediatrics.Fullerton BS, Hong CR, Velazco CS, Mercier CE, Morrow KA, Edwards EM, Ferrelli KR, Soll RF, Modi BP, Horbar JD, Jaksic T. Severe neurodevelopmental disability and healthcare needs among survivors of medical and surgical necrotizing enterocolitis: a prospective cohort study. Journal of Pediatric Surgery.Velazco CS, Fullerton BS, Hong CR, Morrow KA, Edwards EM, Soll RF, Jaksic T, Horbar JD, Modi BP. Morbidity and mortality among big babies who develop necrotizing enterocolitis: a prospective multicenter cohort analysis. Journal of Pediatric Surgery.Database Research Presentations at National MeetingsPodium presentation. Horbar J, Edwards E, Morrow K, Buus-Frank M, Soll R, Buzas J. Can all neonatal intensive care units, NICUS, perform as well as the best 25%? 2016 Pediatric Academic Societies Meeting; April 30May 3, 2016; Baltimore, MD. Fullerton BS, Hong CR, Velazco CS, Mercier CE, Morrow KA, Edwards EM, Ferrelli KR, Soll RF, Modi BP, Horbar JD, Jaksic T. Severe neurodevelopmental disability and healthcare needs among survivors of medical and surgical necrotizing enterocolitis: a prospective cohort study. Podium presentation at: 2017 American Pediatric Surgical Association Annual Meeting; May 47, 2017; Hollywood, FL. Winner, M. Judah Folkman Memorial Award for best podium presentation in clinical science by a trainee.Velazco CS, Fullerton BS, Hong CR, Morrow KA, Edwards EM, Soll RF, Jaksic T, Horbar JD, Modi BP. Morbidity and mortality among big babies who develop necrotizing enterocolitis: a prospective multicenter cohort analysis. Poster presentation at: 2017 American Pediatric Surgical Association Annual Meeting; May 47, 2017; Hollywood, FL.Shrestha M, Scarpino S, Edwards EM, Greenberg LT, Horbar JD. The interhospital transfer network for very low birth weight infants in the United States. Podium presentation at: 2017 Pediatric Academic Societies Meeting; May 69, 2017; San Francisco, CA.Ehret D, Greenberg LT, Edwards EM, Bernstein I, Buzas JS, Soll RF, Horbar JD. Variation among hospitals in antenatal steroid use and postnatal life support for infants born at 22 to 25 weeks gestation. Podium presentation at: 2017 Pediatric Academic Societies Meeting; May 69, 2017; San Francisco, CA.Ehret D, Greenberg LT, Edwards EM, Bernstein I, Buzas JS, Soll RF, Horbar JD. Use of antenatal steroids and survival among infants 22 to 25 weeks gestational age. Podium presentation at: 2017 Pediatric Academic Societies Meeting; May 69, 2017; San Francisco, CA.Mercier C, Edwards EM, Morrow K, Ferrelli K, Soll RF. Increasing contribution of language delay to severe disability for extremely low birth weight infants. Poster presentation at: 2017 Pediatric Academic Societies Meeting; May 69, 2017; San Francisco, CA.Hong CR, Fullerton BS, Morrow KA, Edwards EM, Ferrelli KR, Soll RF, Modi BP, Horbar JD, Jaksic T. Growth morbidity in extremely low birth weight survivors of necrotizing enterocolitis at discharge and two year follow-up. Poster presentation at: 2017 American Academy of Pediatrics Annual Meeting, September 1619, 2017; Chicago, IL.
4c
(Code:
) (Expenses $
114,047
including grants of $
) (Revenue $
24,374
)
TRIALS ELBW Follow-up: 18-24 Month follow-up continues on infants born between 401 and 1000 grams or 22 weeks 0 days to 27 weeks 6 days. 36 centers participated in 2016 for the 2014 birth year cohort. Centers received reports of their data by birth year as well as a network cohort report.Parental Interview Reporting Questionnaire (PIRQ) continues on same group of infants.VON Days: The first rapid audit of unit practices and guidelines (VON Day) on Pulse Oximetry took place in November 2011. This VON day focused on oxygen management practices in infants less than 30 weeks gestation at birth and on a pulse oximeter on a single day in participating NICUs. For each eligible infant the audit addressed the low and high ordered oxygen saturation target, the low and high pulse oximeter alarm settings, and whether the targets and alarm settings were consistent with the units own policies and guidelines. There were 150 participating NICUs submitting data on 1814 infants. Results were presented at the 2011 Annual Meeting. Four additional VON Day audits were featured in 2012. The topics were Delivery Room Quality, Intubation and Extubation, Respiratory Care and Ventilator Complications. Between 82 and 95 NICUs participated in these audits. Results were presented at the 2012 Annual Meeting. For 2013, the focus of the VON Day Audit was Neonatal Abstinence Syndrome. The audit was offered twice during the year. 180 hospitals participated in the first audit and 170 hospitals participated in the second audit, with 147 hospitals participating in both audits. A total of 2041 infant records were audited. Results were presented at the 2013 Annual Meeting. For 2014, the focus of the VON Day Audit continued with Neonatal Abstinence Syndrome. The audit was offered twice during the year. 125 hospitals participated in the first audit and 117 hospitals participated in the second audit, with 104 hospitals participating in both audits. A total of 1417 infant records were audited. Results were presented at the 2014 Annual Meeting. In 2015, there were two VON Day audits, one on Alarm Safety and one on NAS: A Universal Training Solution. 86 centers participated in both the Alarm VON Days and over 2156 infants were evaluated in the 2 audits. 81 centers participated in the two NAS VON Days with 853 infants that were treated for NAS being evaluated. Results were presented at the 2015 Annual Quality Congress. A paper on Alarm Safety was published in the Journal of Perinatology.In 2016, there were two VON Day audits on antibiotic stewardship. Overall 149 centers participated in the two audits and 1350 infants were evaluated. Additionally, 32 centers in Maryland completed the NAS, Universal Training Solution audit of over 130 infants.VON DaysPatrick SW, Schumacher RE, Horbar JD, Buus-Frank ME, Edwards EM, Morrow KA, Ferrelli KR, Picarillo AP, Gupta M, Soll RF. Improving care for neonatal abstinence syndrome. Pediatrics. 2016; 137(5): e20153835. PubMed: 27244809Hagadorn JI, Sink DW, Buus-Frank ME, Edwards EM, Morrow KA, Horbar JD, Ferrelli K, Soll RF. Alarm safety and oxygen saturation targets in the Vermont Oxford network iNICQ 2015 collaborative. J Perinatol. 2017; 37(3): 270-276. PubMed: 27977012VON Days Presentations at National Meetings Hagadorn J, Sink D, Buus-Frank M, Edwards E, Morrow K, Schmidt B, Horbar J, Ferrelli K, Soll R. Oximeter alarm safety and oxygen saturation (SpO2) targets in Vermont Oxford Network NICUs. Podium presentation at: 2016 Pediatric Academic Societies Meeting; April 30-May 3, 2016; Baltimore, MD.Mercier C, Edwards EM, Morrow K, Ferrelli K, Soll RF. Antibiotic stewardship in 143 neonatal intensive care units (NICUs). Poster presentation at: 2017 Pediatric Academic Societies Meeting; May 69, 2017; San Francisco, CA.
4d
Other program services (Describe in Schedule O.)
(Expenses $
6,443
including grants of $
) (Revenue $
16,700
)
4e
Total program service expenses
4,807,310
Form
990
(2016)
Form 990 (2016)
Page
3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)?
If "Yes," complete Schedule A
.....................
1
Yes
2
Is the organization required to complete
Schedule B, Schedule of Contributors
(see instructions)?
...
2
No
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office?
If "Yes," complete Schedule C, Part I
.............
3
No
4
Section 501(c)(3) organizations.
Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year?
If "Yes," complete Schedule C, Part II
..............
4
No
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19?
If "Yes," complete Schedule C, Part III
.................
5
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts?
If "Yes," complete Schedule D, Part I
..................
6
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures?
If "Yes," complete Schedule D, Part II
...
7
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets?
If "Yes," complete Schedule D, Part III
.............
8
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services?
If "Yes," complete Schedule D, Part IV
..............
9
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments?
If "Yes," complete Schedule D, Part V
......
10
No
11
If the organizations answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If "Yes," complete Schedule D, Part VI.
...................
11a
Yes
b
Did the organization report an amount for investmentsother securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16?
If "Yes," complete Schedule D, Part VII
.......
11b
No
c
Did the organization report an amount for investmentsprogram related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16?
If "Yes," complete Schedule D, Part VIII
.......
11c
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16?
If "Yes," complete Schedule D, Part IX
............
11d
Yes
e
Did the organization report an amount for other liabilities in Part X, line 25?
If "Yes," complete Schedule D, Part X
11e
No
f
Did the organizations separate or consolidated financial statements for the tax year include a footnote that addresses the organizations liability for uncertain tax positions under FIN 48 (ASC 740)?
If "Yes," complete Schedule D, Part X
11f
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If "Yes," complete Schedule D, Parts XI and XII
.................
12a
Yes
b
Was the organization included in consolidated, independent audited financial statements for the tax year?
If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional
12b
No
13
Is the organization a school described in section 170(b)(1)(A)(ii)?
If "Yes," complete Schedule E
13
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?
.....
14a
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more?
If "Yes," complete Schedule F, Parts I and IV
.........
14b
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization?
If Yes, complete Schedule F, Parts II and IV
.....
15
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals?
If Yes, complete Schedule F, Parts III and IV
...
16
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e?
If "Yes," complete Schedule G, Part I
(see instructions)
....
17
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a?
If "Yes," complete Schedule G, Part II
............
18
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a?
If "Yes," complete Schedule G, Part III
...................
19
No
Form
990
(2016)
Form 990 (2016)
Page
4
Part IV
Checklist of Required Schedules
(continued)
Yes
No
20a
Did the organization operate one or more hospital facilities?
If "Yes," complete Schedule H
....
20a
No
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?
20b
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1?
If Yes, complete Schedule I, Parts I and II
.....
21
No
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2?
If Yes, complete Schedule I, Parts I and III
........
22
No
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organizations current and former officers, directors, trustees, key employees, and highest compensated employees?
If "Yes," complete Schedule J
.......................
23
Yes
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002?
If Yes, answer lines 24b through 24d and complete Schedule K. If No, go to line 25a
...............
24a
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?
...
24b
No
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?
...............
24c
No
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?
...
24d
No
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations.
Did the organization engage in an excess benefit transaction with a disqualified person during the year?
If "Yes," complete Schedule L, Part I
............
25a
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organizations prior Forms 990 or 990-EZ?
If "Yes," complete Schedule L, Part I
...................
25b
No
26
Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons?
If "Yes," complete Schedule L, Part II
................
26
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons?
If "Yes," complete Schedule L, Part III
.........
27
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee?
If "Yes," complete Schedule L,
Part IV
........................
28a
No
b
A family member of a current or former officer, director, trustee, or key employee?
If "Yes," complete Schedule L, Part IV
.....................
28b
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner?
If "Yes," complete Schedule L, Part IV
...
28c
No
29
Did the organization receive more than $25,000 in non-cash contributions?
If "Yes," complete Schedule M
..
29
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions?
If "Yes," complete Schedule M
.............
30
No
31
Did the organization liquidate, terminate, or dissolve and cease operations?
If "Yes," complete Schedule N, Part I
.
31
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets?
If "Yes," complete Schedule N, Part II
...........
32
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3?
If "Yes," complete Schedule R, Part I
........
33
No
34
Was the organization related to any tax-exempt or taxable entity?
If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1
.........................
34
No
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
No
b
If Yes to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)?
If "Yes," complete Schedule R, Part V, line 2
...
35b
No
36
Section 501(c)(3) organizations.
Did the organization make any transfers to an exempt non-charitable related organization?
If "Yes," complete Schedule R, Part V, line 2
.............
36
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes?
If "Yes," complete Schedule R, Part VI
37
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19?
Note.
All Form 990 filers are required to complete Schedule O.
............
38
No
Form
990
(2016)
Form 990 (2016)
Page
5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V
...........
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable
..
1a
81
b
Enter the number of Forms W-2G included in line 1a.
Enter -0-
if not applicable
.
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners?
..................
1c
Yes
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return
..................
2a
49
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note.
If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?
...
3a
No
b
If Yes, has it filed a Form 990-T for this year?
If No to line 3b, provide an explanation in Schedule O
...
3b
No
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?
..
4a
No
b
If "Yes," enter the name of the foreign country:
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?
..
5a
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T?
............
5c
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?
...
6a
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?
......................
6b
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?
....................
7a
No
b
If "Yes," did the organization notify the donor of the value of the goods or services provided?
.....
7b
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?
.........................
7c
No
d
If "Yes," indicate the number of Forms 8282 filed during the year
....
7d
0
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
7e
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?
..
7f
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?
......................
7g
No
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?
..........................
7h
No
8
Sponsoring organizations maintaining donor advised funds.
Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year?
.........................
8
No
9a
Did the sponsoring organization make any taxable distributions under section 4966?
...
9a
No
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?
...
9b
No
10
Section 501(c)(7) organizations.
Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12
...
10a
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
11
Section 501(c)(12) organizations.
Enter:
a
Gross income from members or shareholders
.........
11a
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.)
..........
11b
12a
Section 4947(a)(1) non-exempt charitable trusts.
Is the organization filing Form 990 in lieu of Form 1041?
12a
No
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year.
12b
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note.
See the instructions for additional information the organization must report on Schedule O.
13a
No
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans
....
13b
c
Enter the amount of reserves on hand
............
13c
14a
Did the organization receive any payments for indoor tanning services during the tax year?
.....
14a
No
b
If "Yes," has it filed a Form 720 to report these payments?
If "No," provide an explanation in Schedule O
..
14b
Form
990
(2016)
Form 990 (2016)
Page
6
Part VI
Governance, Management, and Disclosure
For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines
8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI
..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year
1a
8
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent
1b
6
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee?
.................
2
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person?
.
3
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed?
...........................
4
Yes
5
Did the organization become aware during the year of a significant diversion of the organizations assets?
.
5
No
6
Did the organization have members or stockholders?
................
6
No
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body?
....................
7a
Yes
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body?
...................
7b
No
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body?
.......................
8a
Yes
b
Each committee with authority to act on behalf of the governing body?
............
8b
Yes
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organizations mailing address?
If "Yes," provide the names and addresses in Schedule O
.......
9
No
Section B. Policies
(
This Section B requests information about policies not required by the Internal Revenue Code.
)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates?
............
10a
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form?
............................
11a
Yes
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990.
.....
12a
Did the organization have a written conflict of interest policy?
If "No," go to line 13
.......
12a
Yes
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts?
..........................
12b
Yes
c
Did the organization regularly and consistently monitor and enforce compliance with the policy?
If "Yes," describe in Schedule O how this was done
...................
12c
Yes
13
Did the organization have a written whistleblower policy?
...............
13
Yes
14
Did the organization have a written document retention and destruction policy?
.........
14
Yes
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organizations CEO, Executive Director, or top management official
...........
15a
Yes
b
Other officers or key employees of the organization
................
15b
Yes
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year?
......................
16a
No
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organizations exempt status with respect to such arrangements?
............
16b
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filed
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
Own website
Another's website
Upon request
Other (explain in Schedule O)
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
A Lynn Stillman
33 Kilburn St
Burlington
,
VT
05401
(802) 865-4814
Form
990
(2016)
Form 990 (2016)
Page
7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII
..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a
Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organizations tax year.
List all of the organizations
current
officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.
List all of the organizations
current
key employees, if any. See instructions for definition of "key employee."
List the organizations five
current
highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.
List all of the organizations
former
officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.
List all of the organizations
former directors or trustees
that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.
List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and Title
(B)
Average hours per week (list any hours for related organizations below dotted line)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(D)
Reportable compensation from the organization (W- 2/1099-MISC)
(E)
Reportable compensation from related organizations (W- 2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
(1)
Jeanette Rogowski PhD
......................................................................
Director
0.25
.................
0.00
X
0
0
0
(2)
Jeffrey D Horbar MD
......................................................................
CEO, Sec/Treas
40.00
.................
0.00
X
X
363,356
0
8,099
(3)
Roger Soll MD
......................................................................
President
16.00
.................
0.00
X
X
131,331
0
3,940
(4)
William J Keenan MD
......................................................................
Director
0.25
.................
0.00
X
0
0
0
(5)
Cedric Priebe III MD
......................................................................
Director
0.25
.................
0.00
X
0
0
0
(6)
William Edwards MD
......................................................................
Vice President
0.25
.................
0.00
X
X
0
0
0
(7)
Ira M Bernstein MD
......................................................................
Director
0.25
.................
0.00
X
0
0
0
(8)
Frederick C Morin III MD
......................................................................
Director
0.25
.................
0.00
X
0
0
0
(9)
Madge Buss-Frank
......................................................................
Dir. QI & Education
40.00
.................
0.00
X
165,418
0
15,204
(10)
David Mortensen
......................................................................
Dir of IT
40.00
.................
0.00
X
118,321
0
13,640
Form
990
(2016)
Form 990 (2016)
Page
8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
(continued)
(A)
Name and Title
(B)
Average hours per week (list any hours for related organizations below dotted line)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(D)
Reportable compensation from the organization (W- 2/1099-MISC)
(E)
Reportable compensation from related organizations (W- 2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
1b
Sub-Total
................
c
Total from continuation sheets to Part VII, Section A
....
d
Total (add lines 1b and 1c)
...........
778,426
40,883
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization
4
Yes
No
3
Did the organization list any
former
officer, director or trustee, key employee, or highest compensated employee on line 1a?
If "Yes," complete Schedule J for such individual
..............
3
No
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000?
If "Yes," complete Schedule J for such
individual
...........................
4
Yes
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization?
If "Yes," complete Schedule J for such person
........
5
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organizations tax year.
(A)
Name and business address
(B)
Description of services
(C)
Compensation
Sheraton Chicago Hotel
301 E North Water St
Chicago
,
IL
60611
IT Services
217,018
Denise Zayack Precision Investigati
,
40 Highgate Road
Toronto
,
Ontario
M8X 2B3
CA
Consulting
105,371
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization
2
Form
990
(2016)
Form 990 (2016)
Page
9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII
.............
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512-514
1a
Federated campaigns
..
1a
b
Membership dues
..
1b
c
Fundraising events
..
1c
d
Related organizations
1d
e
Government grants (contributions)
1e
f
All other contributions, gifts, grants, and similar amounts not included above
1f
2,000
g
Noncash contributions included
in lines 1a-1f:$
h Total.
Add lines 1a-1f
.......
2,000
Business Code
2a
Contracts
24,374
24,374
b
Membership Dues & Assessments
6,405,008
6,405,008
c
Misc
450
450
d
Registration fees
415,261
415,261
e
Special reports/member
126,375
126,375
f
All other program service revenue .
g
Total.
Add lines 2a2f
....
6,971,468
3
Investment income (including dividends, interest, and other
similar amounts)
......
176,943
176,943
4
Income from investment of tax-exempt bond proceeds
0
5
Royalties
...........
0
(ii) Personal
(i) Real
6a
Gross rents
b
Less: rental expenses
c
Rental income or (loss)
d
Net rental income or (loss)
......
0
(ii) Other
(i) Securities
7a
Gross amount from sales of assets other than inventory
113,111
b
Less: cost or other basis and sales expenses
c
Gain or (loss)
113,111
d
Net gain or (loss)
.....
113,111
113,111
8a
Gross income from fundraising events (not including $
of contributions reported on line 1c).
See Part IV, line 18
....
a
b
Less: direct expenses
...
b
c
Net income or (loss) from fundraising events
..
0
9a
Gross income from gaming activities.
See Part IV, line 19
...
a
b
Less: direct expenses
...
b
c
Net income or (loss) from gaming activities
..
0
10a
Gross sales of inventory, less
returns and allowances
..
a
b
Less: cost of goods sold
..
b
c
Net income or (loss) from sales of inventory
..
0
Business Code
Miscellaneous Revenue
11a
b
c
d
All other revenue
....
e
Total.
Add lines 11a11d
......
0
12
Total revenue.
See Instructions.
.....
7,263,522
7,084,579
176,943
Form
990
(2016)
Form 990 (2016)
Page
10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).
Check if Schedule O contains a response or note to any line in this Part IX
..............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII.
(A)
Total expenses
(B)
Program service
expenses
(C)
Management and
general expenses
(D)
Fundraising
expenses
1
Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21
0
2
Grants and other assistance to domestic individuals. See Part IV, line 22
0
3
Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, line 15 and 16.
0
4
Benefits paid to or for members
0
5
Compensation of current officers, directors, trustees, and key employees
....
506,726
506,726
6
Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B)
....
0
7
Other salaries and wages
2,317,176
1,901,669
415,507
8
Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions)
....
66,344
54,638
11,706
9
Other employee benefits
.......
275,425
224,365
51,060
10
Payroll taxes
...........
211,176
151,621
59,555
11
Fees for services (non-employees):
a
Management
......
0
b
Legal
.........
18,627
9,006
9,621
c
Accounting
...........
28,865
28,865
d
Lobbying
...........
0
e
Professional fundraising services.
See Part IV, line 17
0
f
Investment management fees
......
67,834
67,834
g
Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)
959,242
854,243
104,999
12
Advertising and promotion
....
34,489
29,514
4,975
13
Office expenses
.......
19,212
2,412
16,800
14
Information technology
......
113,177
92,128
21,049
15
Royalties
..
0
16
Occupancy
...........
182,431
146,717
35,714
17
Travel
............
354,761
339,565
15,196
18
Payments of travel or entertainment expenses for any federal, state, or local public officials
.
0
19
Conferences, conventions, and meetings
....
648,321
648,321
20
Interest
...........
2,807
2,807
21
Payments to affiliates
.......
0
22
Depreciation, depletion, and amortization
..
61,914
46,618
15,296
23
Insurance
...
32,235
32,235
24
Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a
Postage and Shipping
118,648
116,925
1,723
b
Honoraria
80,056
79,300
756
c
Bad debt allowance
62,572
62,572
d
Printing and Publications
36,972
36,550
422
e
All other expenses
111,445
73,718
37,727
25
Total functional expenses.
Add lines 1 through 24e
6,310,455
4,807,310
1,503,145
0
26
Joint costs.
Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation.
Check here
if following SOP 98-2 (ASC 958-720).
Form
990
(2016)
Form 990 (2016)
Page
11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX
..............
(A)
Beginning of year
(B)
End of year
1
Cashnon-interest-bearing
........
689,595
1
777,395
2
Savings and temporary cash investments
.........
2
0
3
Pledges and grants receivable, net
......
3
0
4
Accounts receivable, net
.............
1,219,917
4
779,020
5
Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L
.............
5
0
6
Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
..............
6
0
7
Notes and loans receivable, net
....
7
0
8
Inventories for sale or use
........
8
0
9
Prepaid expenses and deferred charges
......
110,301
9
168,544
10a
Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D
10a
590,481
b
Less: accumulated depreciation
10b
462,058
149,794
10c
128,423
11
Investmentspublicly traded securities
.
7,495,905
11
7,794,574
12
Investmentsother securities. See Part IV, line 11
.....
12
0
13
Investmentsprogram-related. See Part IV, line 11
..
13
0
14
Intangible assets
...............
14
0
15
Other assets. See Part IV, line 11
...........
596,690
15
606,056
16
Total assets.
Add lines 1 through 15 (must equal line 34)
...
10,262,202
16
10,254,012
17
Accounts payable and accrued expenses
.....
363,763
17
279,104
18
Grants payable
...
18
19
Deferred revenue
.........
3,332,105
19
2,674,177
20
Tax-exempt bond liabilities
.........
20
21
Escrow or custodial account liability.
Complete Part IV of Schedule D
21
22
Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
persons.
Complete Part II of Schedule L
..
22
23
Secured mortgages and notes payable to unrelated third parties
..
300,620
23
24
Unsecured notes and loans payable to unrelated third parties
..
24
25
Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24).
Complete Part X of Schedule D
25
26
Total liabilities.
Add lines 17 through 25
..
3,996,488
26
2,953,281
Organizations that follow SFAS 117 (ASC 958),
check here
and complete lines 27 through 29, and lines 33 and 34.
27
Unrestricted net assets
6,265,714
27
7,300,731
28
Temporarily restricted net assets
...........
28
29
Permanently restricted net assets
29
Organizations that do not follow SFAS 117 (ASC 958),
check here
and complete lines 30 through 34.
30
Capital stock or trust principal, or current funds
.....
30
31
Paid-in or capital surplus, or land, building or equipment fund
...
31
32
Retained earnings, endowment, accumulated income, or other funds
32
33
Total net assets or fund balances
...........
6,265,714
33
7,300,731
34
Total liabilities and net assets/fund balances
........
10,262,202
34
10,254,012
Form
990
(2016)
Form 990 (2016)
Page
12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI
..............
1
Total revenue (must equal Part VIII, column (A), line 12)
............
1
7,263,522
2
Total expenses (must equal Part IX, column (A), line 25)
............
2
6,310,455
3
Revenue less expenses. Subtract line 2 from line 1
..............
3
953,067
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A))
..
4
6,265,714
5
Net unrealized gains (losses) on investments
...............
5
81,950
6
Donated services and use of facilities
.................
6
7
Investment expenses
.....................
7
8
Prior period adjustments
.....................
8
9
Other changes in net assets or fund balances (explain in Schedule O)
........
9
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
7,300,731
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII
.............
Yes
No
1
Accounting method used to prepare the Form 990:
Cash
Accrual
Other
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organizations financial statements compiled or reviewed by an independent accountant?
2a
No
If Yes, check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
Separate basis
Consolidated basis
Both consolidated and separate basis
b
Were the organizations financial statements audited by an independent accountant?
2b
Yes
If Yes, check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
Separate basis
Consolidated basis
Both consolidated and separate basis
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight
of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
No
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
No
b
If "Yes," did the organization undergo the required audit or audits?
If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
Form
990
(2016)
Form 990 (2016)
Additional Data
Software ID:
16000303
Software Version:
2016v3.0
Form 990, Special Condition Description:
Special Condition Description