FMRS HEALTH SYSTEMS INC: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- FMRS HEALTH SYSTEMS INC (EIN 55-0520303)
- Tax period
- 2022-07-01 to 2023-06-30
- Filed
- 2024-02-29
- IRS object ID
- 202440609349300909
- Schema version
- 2022v5.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-02-29T10:16:15-06:00 | ReturnTs |
| Tax Period End | 2023-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 540504608 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BROWN EDWARDS & COMPANY LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 707 VIRGINIA STREET EAST SUITE 300 | AddressLine1Txt |
| City | CHARLESTON | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 25301 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 550520303 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FMRS HEALTH SYSTEMS INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | FMRS | BusinessNameControlTxt |
| Phone | 3042567100 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 SOUTH EISENHOWER DRIVE | AddressLine1Txt |
| City | BECKLEY | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 25801 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARY REDMAN | PersonNm |
| Person Title | CHIEF ADMINISTRATIVE OFFICER | PersonTitleTxt |
| Phone | 3042567100 | PhoneNum |
| Signature | 2024-02-27 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | MARY | PersonFirstNm |
| Person Last | REDMAN | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MELISSA PRICE | PreparerPersonNm |
| PTIN | P00750418 | PTIN |
| Phone | 3043434188 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | RANDALL VENABLE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 SOUTH EISENHOWER DRIVE | AddressLine1Txt |
| City | BECKLEY | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 25801 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $16,297,585 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.FMRS.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1969 | FormationYr |
| Legal Domicile State | WV | LegalDomicileStateCd |
| Activity Or Mission | FMRS HEALTH SYSTEMS' MISSION IS TO SERVE INDIVIDUALS, FAMILIES AND COMMUNITIES THROUGH PREVENTION, TREATMENT AND RECOVERY SERVICES, ENSURING THAT HELP TODAY LEADS TO A BETTER TOMORROW. | ActivityOrMissionDesc |
| Voting Members Governing Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 346 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $8,892,729 | PYContributionsGrantsAmt |
| CY Contributions Grants | $9,240,616 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $6,017,034 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $6,734,677 | CYProgramServiceRevenueAmt |
| PY Investment Income | $6,528 | PYInvestmentIncomeAmt |
| CY Investment Income | $108,378 | CYInvestmentIncomeAmt |
| PY Other Revenue | $185,553 | PYOtherRevenueAmt |
| CY Other Revenue | $213,914 | CYOtherRevenueAmt |
| PY Total Revenue | $15,101,844 | PYTotalRevenueAmt |
| CY Total Revenue | $16,297,585 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $11,105,212 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $13,187,359 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $4,034,040 | PYOtherExpensesAmt |
| CY Other Expenses | $4,057,705 | CYOtherExpensesAmt |
| PY Total Expenses | $15,139,252 | PYTotalExpensesAmt |
| CY Total Expenses | $17,245,064 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$37,408 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$947,479 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $13,391,667 | TotalAssetsBOYAmt |
| Total Assets EOY | $13,132,034 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,432,880 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $3,043,240 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $10,958,787 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $10,088,794 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | FMRS HEALTH SYSTEMS' MISSION IS TO SERVE INDIVIDUALS, FAMILIES AND COMMUNITIES THROUGH PREVENTION, TREATMENT AND RECOVERY SERVICES, ENSURING THAT HELP TODAY LEADS TO A BETTER TOMORROW. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $3,135,154 | ExpenseAmt |
| Revenue | $1,246,199 | RevenueAmt |
| Desc | SUBSTANCE ABUSE - FEDERALLY FUNDED PROGRAM OFFERING A COMPREHENSIVE ARRAY OF SUBSTANCE ABUSE ASSESSMENT AND TREATMENT SERVICES TO MEET THE VARYING NEEDS OF THOSE WHO ARE ABUSING OR ADDICTED TO ALCOHOL OR OTHER DRUGS OF ABUSE | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,816,282 | ExpenseAmt |
| Revenue | $1,571,220 | RevenueAmt |
| Desc | OUTPATIENT - PROGRAM FOCUSING ON THE DIAGNOSIS AND TREATMENT OF EMOTIONAL AND BEHAVIORAL HEALTH PROBLEMS ON AN OUTPATIENT BASIS | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,301,735 | ExpenseAmt |
| Revenue | $1,041,571 | RevenueAmt |
| Desc | PHYSICIANS - PROGRAM DEDICATED TO ENHANCING THE EMOTIONAL AND BEHAVIORAL HEALTH THROUGH ADVOCACY, COMMUNITY INVOLVEMENT AND PROVISION OF THE HIGHEST QUALITY DIAGNOSTIC AND PROFESSIONAL TREATMENT SERVICES. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $7,359,819 | ExpenseAmt |
| Revenue | $3,089,601 | RevenueAmt |
| Desc | CRISIS - COMPREHENSIVE ARRAY OF PROGRAMS DESIGNED TO STABILIZE THE CONDITIONS OF ACUTE OR SEVERE PSYCHIATRIC SYMPTOMS; DAY TREATMENT - PROGRAM FOCUSING ON THE DIAGNOSIS AND TREATMENT OF EMOTIONAL AND BEHAVIORAL HEALTH PROBLEMS IN A DAY TIME TREATMENT; COMMUNITY ENGAGEMENT ( FORMERLY CARE COORDINATOR) - PROGRAM TO DEVELOP A COMMUNITY SUPPORT SYSTEM FOR ADULTS WITH SERIOUS MENTAL ILLNESS AND CO-OCCURRING MENTAL ILLNESS AND/OR SUBSTANCE ABUSE AND/OR DEVELOPMENTAL DISABILITIES WHO ARE AT RISK OF HOSPITALIZATION; SERVICE COORDINATION - CASE MANAGEMENT PROGRAM DESIGNED TO PROVIDE A SINGLE POINT OF CONTACT TO ENSURE PATIENTS' NEEDS ARE MET; ACT - ASSERTIVE COMMUNITY TREATMENT. AN INCLUSIVE ARRAY OF COMMUNITY-BASED REHABILITATION SERVICES TO HIGH RISK CONSUMERS WHO HAVE A HISTORY OF FREQUENT HOSPITALIZATIONS AND/OR CRISIS CONTACTS; WAIVER SERVICES - STATE FUNDED MEDICAID PROGRAM DESIGNED TO DELIVER SERVICES TO INDIVIDUALS IN THEIR HOME AND COMMUNITY AS AN ALTERNATIVE TO RECEIVING SERVICES IN AN INTERMEDIATE CARE FACILITY | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $7,359,819 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $3,089,601 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $13,612,990 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 25 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 346 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JODIE C KEMLOCK | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3042567100 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 S EISENHOWER DR | AddressLine1Txt |
| City | BECKLEY | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 25801 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| JANETT GREEN | |||||||
| PRESIDENT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| BRAD WARTELLA | |||||||
| VICE PRESIDENT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| DANIEL CALVERT | |||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JACK TANNER | |||||||
| CHAIR NOMINATING COMMITTEE | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| CLYDE SMITH | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| CLEO MATHEWS | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JEANA CARR | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| RANDALL VENABLE | |||||||
| CHIEF EXECUTIVE OFFICER | 40.00 | Yes (X) | $137,381 | $0 | $12,517 | ||
| JODIE KEMLOCK | |||||||
| CHIEF FINANCIAL OFFICER | 40.00 | Yes (X) | $83,950 | $0 | $15,367 | ||
| JENNIFER HAMICK | |||||||
| CHIEF OPERATIONS OFFICER | 40.00 | Yes (X) | $97,708 | $0 | $13,019 | ||
| MARY REDMAN | |||||||
| CHIEF ADMINISTRATIVE OFFIC | 40.00 | Yes (X) | $92,420 | $0 | $16,478 | ||
| TRACY KING | |||||||
| CHIEF CLINICAL OFFICER | 40.00 | Yes (X) | $84,145 | $0 | $10,251 | ||
| ROBERT STUART | |||||||
| MONITORING & EVALUATION OFFICER | 40.00 | Yes (X) | $72,661 | $0 | $15,062 | ||
| EDWARD BEZ | |||||||
| PHYSICIAN | 40.00 | $276,267 | $0 | $29,702 | Yes (X) | ||
| MERCEDES WEIKLE | |||||||
| FAMILY NURSE PRACTITIONER | 40.00 | $130,968 | $0 | $13,342 | Yes (X) | ||
| SCOTTY ROSE | |||||||
| PHYSICIANS ASSISTANT | 40.00 | $123,044 | $0 | $12,440 | Yes (X) | ||
| TAMMY SAULS | |||||||
| FAMILY NURSE PRACTITIONER | 40.00 | $119,798 | $0 | $17,019 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,218,342 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $155,197 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 5 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| APPALACHIAN PSYCHIATRIC SERVICES PLLC | |||||
| PO BOX 1128 | BECKLEY | WV | 25802 | CONTRACTED PHYSICIANS | $248,260 |
| QUALIFACTS INC | |||||
| PO BOX 4577 | CAROL STREAM | IL | 60197 | CLINICAL SOFTWARE PROVIDER | $235,483 |
| GENOA TELEPSYCHIATRY | |||||
| PO BOX 84019 | CHICAGO | IL | 60689 | CONTRACTED PHYSICIANS | $146,590 |
| SV & ASSOCIATESLLC | |||||
| PO BOX 532 | MARYSVILLE | WA | 98270 | GRANT EVALUATOR | $103,348 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $9,240,616 | GovernmentGrantsAmt |
| Total Contributions | $9,240,616 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT SERVICE FEES, NET | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $6,734,677 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $6,734,677 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $6,734,677 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $108,378 | TotalRevenueColumnAmt |
| Exclusion | $108,378 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS REVENUE | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $213,914 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $213,914 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $213,914 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $16,297,585 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $6,948,591 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $108,378 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $632,898 | TotalAmt |
| Program Services | $255,340 | ProgramServicesAmt |
| Management And General | $377,558 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,037,447 | TotalAmt |
| Program Services | $8,441,022 | ProgramServicesAmt |
| Management And General | $1,596,425 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $439,443 | TotalAmt |
| Program Services | $363,827 | ProgramServicesAmt |
| Management And General | $75,616 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,165,195 | TotalAmt |
| Program Services | $951,711 | ProgramServicesAmt |
| Management And General | $213,484 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $912,376 | TotalAmt |
| Program Services | $728,553 | ProgramServicesAmt |
| Management And General | $183,823 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,625 | TotalAmt |
| Management And General | $25,625 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $58,560 | TotalAmt |
| Management And General | $58,560 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $692,494 | TotalAmt |
| Program Services | $654,425 | ProgramServicesAmt |
| Management And General | $38,069 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $493,656 | TotalAmt |
| Program Services | $86,868 | ProgramServicesAmt |
| Management And General | $406,788 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,024,672 | TotalAmt |
| Program Services | $641,708 | ProgramServicesAmt |
| Management And General | $382,964 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,956 | TotalAmt |
| Program Services | $39,226 | ProgramServicesAmt |
| Management And General | $4,730 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $269,490 | TotalAmt |
| Program Services | $172,072 | ProgramServicesAmt |
| Management And General | $97,418 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $269,784 | TotalAmt |
| Program Services | $201,147 | ProgramServicesAmt |
| Management And General | $68,637 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| OTHER EXPENSES | $946,841 | $883,934 | $62,907 |
| FURNITURE & FIXTURES | $232,627 | $193,157 | $39,470 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,245,064 | TotalAmt |
| Program Services | $13,612,990 | ProgramServicesAmt |
| Management And General | $3,632,074 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $753,853 | BOYAmt |
| EOY | $694,964 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,198,761 | BOYAmt |
| EOY | $3,609,225 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $748,517 | BOYAmt |
| EOY | $952,080 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,257,000 | BOYAmt |
| EOY | $1,367,518 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $215,264 | BOYAmt |
| EOY | $251,687 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $5,934,534 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $3,724,958 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,322,400 | BOYAmt |
| EOY | $2,209,576 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,895,872 | BOYAmt |
| EOY | $4,046,984 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,391,667 | BOYAmt |
| EOY | $13,132,034 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,321,667 | BOYAmt |
| EOY | $1,160,173 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,111,213 | BOYAmt |
| EOY | $1,883,067 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,432,880 | BOYAmt |
| EOY | $3,043,240 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,958,787 | BOYAmt |
| EOY | $10,088,794 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,958,787 | BOYAmt |
| EOY | $10,088,794 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,391,667 | BOYAmt |
| EOY | $13,132,034 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$947,479 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $77,486 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,395,983 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,499,055 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,779,463 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $8,892,729 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,240,616 | CurrentTaxYearAmt |
| Total | $40,807,846 | TotalAmt |
Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $335,556 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $335,556 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $335,556 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $335,556 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $335,556 | CurrentTaxYearAmt |
| Total | $1,677,780 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,731,539 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,834,611 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,115,019 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,228,285 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,576,172 | CurrentTaxYearAmt |
| Total | $42,485,626 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $42,485,626 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $81,330 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $96,032 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $19,675 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,494 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $108,378 | CurrentTaxYearAmt |
| Total | $306,909 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $136,945 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $121,835 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $125,800 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $185,553 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $213,914 | CurrentTaxYearAmt |
| Total | $784,047 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $43,576,582 | TotalSupportAmt |
| Public Support CY170 | 0.97500 | PublicSupportCY170Pct |
| Public Support PY170 | 0.97680 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $115,410 | OtherCostOrOtherBasisAmt |
| Book Value | $115,410 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,466,873 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,078,072 | DepreciationAmt |
| Book Value | $1,388,801 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,767,969 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,348,786 | DepreciationAmt |
| Book Value | $419,183 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $722,107 | OtherCostOrOtherBasisAmt |
| Depreciation | $614,535 | DepreciationAmt |
| Book Value | $107,572 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $862,175 | OtherCostOrOtherBasisAmt |
| Depreciation | $683,565 | DepreciationAmt |
| Book Value | $178,610 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $2,209,576 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $16,714,880 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $77,486 | NetUnrealizedGainsInvstAmt |
| Donated Services And Use Fclts | $339,809 | DonatedServicesAndUseFcltsAmt |
| Revenue Not Reported | $417,295 | RevenueNotReportedAmt |
| Revenue Subtotal | $16,297,585 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $16,297,585 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $17,584,873 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $339,809 | DonatedServicesUseFcltsAmt |
| Expenses Not Reported | $339,809 | ExpensesNotReportedAmt |
| Expenses Subtotal | $17,245,064 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $17,245,064 | TotalExpensesPerForm990Amt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | EDWARD BEZ | PersonNm |
| Title | PHYSICIAN | TitleTxt |
| Base Compensation Filing Org | $276,267 | BaseCompensationFilingOrgAmt |
| Compensation Based On Rltd Orgs | $0 | CompensationBasedOnRltdOrgsAmt |
| Bonus Filing Organization | $0 | BonusFilingOrganizationAmount |
| Bonus Related Organizations | $0 | BonusRelatedOrganizationsAmt |
| Other Compensation Filing Org | $0 | OtherCompensationFilingOrgAmt |
| Other Compensation Rltd Orgs | $0 | OtherCompensationRltdOrgsAmt |
| Deferred Compensation Flng Org | $19,250 | DeferredCompensationFlngOrgAmt |
| Deferred Comp Rltd Orgs | $0 | DeferredCompRltdOrgsAmt |
| Nontaxable Benefits Filing Org | $10,452 | NontaxableBenefitsFilingOrgAmt |
| Nontaxable Benefits Rltd Orgs | $0 | NontaxableBenefitsRltdOrgsAmt |
| Total Compensation Filing Org | $305,969 | TotalCompensationFilingOrgAmt |
| Total Compensation Rltd Orgs | $0 | TotalCompensationRltdOrgsAmt |
| Comp Report Prior990 Filing Org | $0 | CompReportPrior990FilingOrgAmt |
| Comp Report Prior990 Rltd Orgs | $0 | CompReportPrior990RltdOrgsAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | COPY REVIEWED BY FINANCE COMMITTEE BEFORE FILED WHEN PRACTICAL, OTHERWISE REVIEWED SUBSEQUENT TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | REVIEWED REGULARLY AND HANDLED ACCORDINGLY. |
| FORM 990, PART VI, SECTION B, LINE 15 | 15A: COMPENSATION DICTATED BY CONTRACT ESTABLISHED BY BOARD BASED ON MARKET VALUE AND REVIEWED ANNUALLY. 15B: REVIEWED ANNUALLY BASED ON MARKET VALUE OF POSITION. |
| FORM 990, PART VI, SECTION C, LINE 19 | AVAILABLE UPON REQUEST |
| FORM 990, PART XII, LINE 2C: | THERE WERE NO CHANGES TO THE PROCESS FROM THE PRIOR YEAR. |
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