Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
|
Total |
||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | 4,053,865 | 4,166,190 | 3,832,679 | 4,238,639 | 4,027,921 | 20,319,294 |
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | 4,053,865 | 4,166,190 | 3,832,679 | 4,238,639 | 4,027,921 | 20,319,294 |
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f).. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | 20,319,294 | |||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 4,053,865 | 4,166,190 | 3,832,679 | 4,238,639 | 4,027,921 | 20,319,294 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 70,557 | 32,002 | 1,773 | 1,549 | 105,881 | |
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | 40,821 | 29,058 | 139,662 | 84,270 | 106,741 | 400,552 |
| 11 | Total support. Add lines 7 through 10 | 20,852,355 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose | ||||||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513 ..... | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge | ||||||
| 6 | Total. Add lines 1 through 5 | ||||||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | ||||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public support. (Subtract line 7c from line 6.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | ||||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | ||||||
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
|||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2019 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2019 |
(iii) Distributable Amount for 2019 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2019 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions. |
||||
| 3 Excess distributions carryover, if any, to 2019: | ||||
| a From 2014....... | ||||
| b From 2015....... | ||||
| c From 2016....... | ||||
| d From 2017....... | ||||
| e From 2018....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2019 distributable amount | ||||
|
i
Carryover from 2014 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2019 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2019 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2019, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
||||
|
6
Remaining underdistributions for 2019. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
||||
|
7 Excess distributions carryover to 2020. Add lines 3j and 4c. |
||||
| 8 Breakdown of line 7: | ||||
| a Excess from 2015..... | ||||
| b Excess from 2016..... | ||||
| c Excess from 2017..... | ||||
| d Excess from 2018..... | ||||
| e Excess from 2019..... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|---|
| PART II, LINE 10 | OTHER INCOME 400,552 |
| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990, PAGE 2, PART III, LINE 4A | HOME AND COMMUNITY BASED SERVICES TWO HUNDRED AND EIGHT (208) CLIENTS ACCESSED 1,419,844.08 OF IN-HOME AND COMMUNITY BASED SUPPORT SERVICES. AFTER A COMPREHENSIVE IN-HOME ASSESSMENT, CLIENTS RECEIVED A CUSTOMIZED CARE PLAN. SERVICES PROVIDED INCLUDED: EIGHT HUNDRED AND TWENTY-SEVEN (827) HOURS OF COMPANION SUPPORT TWENTY-THREE THOUSAND SEVEN HUNDRED AND EIGHTY-THREE (23,783) HOURS OF IN-FACILITY RESPITE AND 14,909 HOURS OF IN-HOME RESPITE EIGHTEEN THOUSAND THREE HUNDRED AND THIRTY-FIVE (18,335) HOURS OF LIGHT HOUSEKEEPING ASSISTANCE CONSUMABLE MEDICAL SUPPLIES SUCH AS NUTRITIONAL SUPPLEMENTS, BED PADS, AND ADULT UNDERGARMENTS TOTALING 65,776 TWO THOUSAND FOUR HUNDRED AND FIFTY-EIGHT (2,458) HOURS OF CASE MANAGEMENT AND SCREENING AND ASSESSMENTS WERE PROVIDED TO CAREGIVERS AND THEIR LOVED ONE. SIX THOUSAND FOUR HUNDRED AND ONE (6,401) HOURS OF ASSISTANCE WITH ACTIVITIES OF DAILY LIVING INCLUDING PERSONAL HYGIENE WITH THIS HELP, 97% OF THE CLIENTS SERVED WERE ABLE TO REMAIN AT HOME, THUS AVOIDING NURSING HOME PLACEMENT. HOME & COMMUNITY BASED CARE INCLUDES HOMEMAKING, PERSONAL CARE, COMPANIONSHIP, RESPITE, ADULT DAY CARE, PEST CONTROL, AND EMERGENCY ALERT SYSTEM. CONSUMABLE SUPPLIES INCLUDES INCONTINENCE SUPPLIES, MEDICAL EQUIPMENT, NUTRITIONAL SUPPLEMENTS, OINTMENTS, AND GLOVES. |
| FORM 990, PAGE 2, PART III, LINE 4B | BREVARD SENIOR NUTRITION PROGRAM MEALS ON WHEELS VOLUNTEERS DELIVER NUTRITIONALLY BALANCED MEALS, PROVIDE SOCIAL CONTACT, AND A SAFETY CHECK TO HOMEBOUND SENIORS FIVE-DAYS A WEEK IN THEIR HOME. HOT, NUTRITIOUS MEALS WERE SERVED TO 2,110 SENIORS RECEIVING MEALS ON WHEELS OR ATTENDING A NEIGHBORHOOD SENIORS AT LUNCH MEAL SITE. MEALS ON WHEELS VOLUNTEERS DELIVERED 167,347 MEALS TO 1,354 HOMEBOUND SENIORS. FIVE HUNDRED AND SIXTY-SEVEN (567) MEALS ON WHEELS VOLUNTEERS DONATED 59,964 HOURS OF SERVICE AND TRAVELED 381,450 MILES. AT TWELVE NEIGHBORHOOD DINING SITES, 756 SENIORS AT LUNCH PARTICIPANTS WERE SERVED 70,158 MEALS. A TOTAL OF 162 SENIORS AT LUNCH VOLUNTEERS DONATED 12,380 HOURS OF SERVICE. |
| FORM 990, PAGE 2, PART III, LINE 4C | THE HOME CARE PROGRAM EMPLOYS CERTIFIED NURSING ASSISTANTS, HOME HEALTH AIDES, AND HOMEMAKERS TO PROVIDE HOUSEKEEPING AND MEAL PREPARATION, SHOPPING ASSISTANCE, COMPANIONSHIP, RESPITE AND NON-MEDICAL PERSONAL CARE IN THE HOME OF THE CLIENT. A REGISTERED NURSE WORKS WITH THE CLIENT AND CAREGIVER TO DEVELOP AN INDIVIDUALIZED PLAN OF CARE AND OVERSEES DIRECT CLIENT CARE. THE AGING MATTERS IN BREVARD HOME CARE PROGRAM IS LICENSED THROUGH THE FLORIDA AGENCY FOR HEALTHCARE ADMINISTRATION, LICENSE XXX-XX-XXXX, AND IS ACCREDITED BY THE COMMUNITY HEALTH ACCREDITATION PARTNER (CHAP). HOME CARE SERVED 95 UNDUPLICATED CLIENTS FOR A TOTAL OF 14,860.25 HOURS OF THE FOLLOWING SERVICES: EIGHTY (80) SENIORS RECEIVED 6,133 HOURS OF ASSISTANCE WITH SHOPPING, LIGHT HOUSEKEEPING, AND MEAL PREPARATION. FORTY-ONE (41) SENIORS RECEIVED 5,826 HOURS OF ASSISTANCE WITH THEIR PERSONAL CARE. SIX (6) CAREGIVERS WERE PROVIDED 1,455.50 HOURS OF RESPITE RELIEF. SIXTEEN (16) SENIORS RECEIVED 1,445.25 HOURS OF COMPANIONSHIP TO PREVENT SOCIAL ISOLATION AND LONELINESS. |
| FORM 990, PAGE 2, PART III, LINE 4D | OTHER PROGRAM SERVICES THE KITCHEN PREPARED AND DELIVERED 237,505 MEALS TO MEALS ON WHEELS RECIPIENTS AND SENIORS AT LUNCH SITES; AN ADDITIONAL 133,064 MEALS TO ADULT DAY CENTERS, CHILD CARE CENTERS, AND CHARTER SCHOOLS. IN PARTNERSHIP WITH UNITED WAY OF BREVARD AND LOCAL CORPORATIONS, 507 MEALS WERE DELIVERED ON FOUR (4) SATURDAYS BY CORPORATE EMPLOYEES. THE KITCHEN SERVED 7,465 MEALS TO LOW-INCOME CHILDREN ATTENDING SUMMER LUNCH PROGRAMS. THE KITCHEN CATERED 131 FUNCTIONS, SERVING 9,040 MEALS. THE SENIORS ASSISTANCE PROGRAM SUPPORTS AT RISKS SENIORS IN THE EARLY STAGES OF DIFFICULTY. 3,955 SENIORS ASSISTANCE PROGRAM MAN HOURS AND 466.50 PRIVATE PAY MAN HOURS. 4,421.50 TOTAL MAN HOURS. COMPLETED 1,373 SENIORS ASSISTANCE PROGRAM WORK ORDERS AND 238 PRIVATE PAY WORK ORDERS. 1,611 TOTAL WORK ORDERS. 1,219 NEW CLIENTS FOR SENIOR ASSISTANCE PROGRAM AND 226 NEW CLIENTS FOR PRIVATE PAY. 1,445 NEW CLIENTS JOB TYPES, ALL FUNDING CODES: 255 RAMPS OF ALL SIZES BUILT 66 BED RAILS 35 CHAIR PLATFORMS 1,400 GRAB BARS 371 HOMES CHECKED FOR SMOKE DETECTORS THE SENIOR TRANSERVE PROGRAM VOLUNTEERS PROVIDED 2,673 ONE WAY TRIPS USING THEIR OWN VEHICLES AND FUEL TO TRANSPORT 114 UNDUPLICATED, NON-DRIVING SENIOR AND VETERAN CLIENTS. FORTY-ONE (41) SENIOR TRANSERVE VOLUNTEER DRIVERS TRAVELED 23,420 MILES DONATING 1,768 HOURS OF SERVICE. TWENTY-FOUR (24) VETS DRIVING VETS VOLUNTEER DRIVERS TRAVELED 21,993 MILES DONATING 1,215 HOURS OF SERVICE. TRANSPORTATION INCLUDED VISITS TO 455 DESTINATIONS TO INCLUDE: MEDICAL APPOINTMENTS, THE VA CLINIC, HOSPITALS, PHARMACIES, GROCERY STORES, AND BEAUTY/BARBER SHOPS. THE SUNFLOWER HOUSE IS A SENIOR AND A CAREGIVER RESOURCE CENTER OFFERING INFORMATION, REFERRALS, TRAINING, SUPPORT, AND SOCIAL ACTIVITIES LOCATED AT THE MERRIT SQUARE MALL. SEVEN HUNDRED AND SIXTY-EIGHT (768) INDIVIDUALS RECEIVED INFORMATION ABOUT COMMUNITY RESOURCES FOR CAREGIVERS AND SENIORS. NINTY-ONE (91) EDUCATIONAL WORKSHOPS WERE PRESENTED AT HEALTH FAIRS, SENIOR CENTERS, HOSPITALS, COMMUNITY EVENTS, REHAB FACILITIES, NURSING HOMES, RETIREMENT COMMUNITIES, CHAMBER EVENTS, AND CIVIC ORGANIZATIONS. THIRITEEN (13) VOLUNTEERS DONATED 1,200 HOURS OF SERVICE ANSWERING PHONE CALLS AND PROVIDING INFORMATION AND REFERRALS TO VISITING SENIORS AND CAREGIVERS. SIXTY (60) SENIORS PARTICIPATED IN 101 HOURS OF EXERCISE CLASSES. CAREGIVER LIFE TRANSITIONS PROVIDED 13 HOURS OF SOCIALIZATION TO 6 PARTICIPANTS. SENIORS THAT PARTICIPATED IN THE CAREGIVER SUPPORT PROGRAM RECEIVED 68 HOURS OF TRAINING AND SUPPORT. THE MEDICAL EQUIPMENT BANK DONATED 704 WHEELCHAIRS/ TRANSPORT CHAIRS, WALKERS, CANES, BEDSIDE COMMODES, AND SHOWER CHAIRS/ TRANSFER BENCHES TO SENIORS IN NEED. THE RETIRED AND SENIOR VOLUNTEER PROGRAM (RSVP) IDENTIFIES NEEDS IN THE COMMUNITY AND ENGAGES SENIORS 55 AND OLDER INTO VOLUNTEER SERVICE. THE PROGRAM HELPS MATCH INDIVIDUALS WITH HIGH IMPACT VOLUNTEER OPPORTUNITIES AT LOCAL NON-PROFIT OR GOVERNMENT ORGANIZATIONS. FIVE HUNDRED AND SIXTY-ONE (561) VOLUNTEERS AGED 55 AND OLDER PROVIDED 57,059 HOURS OF SERVICE VALUES AT 1,408,787. RSVP VOLUNTEERS WERE RECRUITED TO HELP SUPPORT 14 NOT-FOR-PROFIT AND GOVERNMENTAL AGENCIES. BONE BUILDERS EXERCISE CLASSES HELP PREVENT OSTEOPOROSIS BY IMPROVING BONE AND MUSCLE STRENGTH WHILE ALSO WORKING TO BETTER BALANCE. CLASSES ARE HELD TWO TO THREE TIMES A WEEK AT NINE (9) LOCATIONS THROUGHOUT BREVARD COUNTY WITH 623 SENIOR PARTICIPANTS. FIVE HUNDRED AND SIXTY-ONE PERCENT (561) OF VOLUNTEERS WERE PLACED IN PROGRAMS THAT ARE FOCUSED ON HEALTH FUTURES, EDUCATION, VETERAN AND MILITARY FAMILIES,ECONOMIC OPPORTUNITY, AND CAPACITY BUILDING. |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE DRAFT 990 IS PROVIDED TO THE EXECUTIVE COMMITTEE FOR REVIEW BEFORE FILING. |
| FORM 990, PAGE 6, PART VI, LINE 12C | THE CEO, CFO, AND HR DIRECTOR MONITOR AND ENFORCE THE COMPLIANCE OF THE CONFLICT ON INTEREST POLICY BY THE USE OF A BID PROCESS FOR PURCHASES, EDUCATION AND AWARENESS OF THE BOARD MEMBERS, AND ANNUAL EVALUATIONS OF STAFF. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS REVIEWS THE PREVIOUS YEARS AGREED UPON GOALS AND OBJECTIVES. AFTER THE COMMITTEE MEETS, THEY DETERMINE THE COMPENSATION AND MEET WITH THE CEO TO DEVELOP NEW GOALS AND OBJECTIVES AND TO DISCUSS COMPENSATION. A WRITTEN EVALUATION IS COMPLETED WITH GOALS AND OBJECTIVES FOR THE UPCOMING YEAR AND A REVIEW OF THE PREVIOUS YEARS GOALS AND OBJECTIVES. THE CEO MEETS WITH THE KEY EMPLOYEE AND WITH THE HUMAN RESOURCES DIRECTOR IF NECESSARY. THE EMPLOYEE RECEIVES A COPY OF THE EVALUATION AND THE ORIGINAL IS PLACED IN THE HUMAN RESOURCE DEPT. FILES. THIS IS A YEARLY EVALUATION WITH DISCUSSION ON COMPENSATION. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE CONFLICT OF INTEREST POLICY AND DOCUMENTATION IS AVAILABLE FOR REVIEW BY ALL CONTRACTING ENTITIES OR OTHERS WHO MAY HAVE AN INTEREST AT THE CHIEF FINANCIAL OFFICERS OFFICE. THE ANNUAL AUDIT IS AVAILABLE FOR REVIEW AT THE CHIEF FINANCIAL OFFICERS OFFICE DURING WEEKDAY WORK HOURS. A COPY OF THE AUDIT IS MAILED TO ALL GRANTORS AND IS SENT WITH ALL FOUNDATION REQUESTS. |
| Software ID: | |
| Software Version: |