SAMARITAN FAMILY HEALTH & COUNSELING CENTER INC: Form 990, tax year 2021
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- Organization
- SAMARITAN FAMILY HEALTH & COUNSELING CENTER INC (EIN 23-7381665)
- Tax period
- 2021-07-01 to 2022-06-30
- Filed
- 2023-01-23
- IRS object ID
- 202340239349300244
- Schema version
- 2021v4.0
- 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 | 2023-01-23T13:58:13-05:00 | ReturnTs |
| Tax Period End | 2022-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 352072184 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DWC CPAS LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3454 DOUGLAS RD | AddressLine1Txt |
| City | SOUTH BEND | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46635 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 237381665 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SAMARITAN FAMILY HEALTH AND | BusinessNameLine1Txt |
| Business Name Line2 | COUNSELING CENTER INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SAMA | BusinessNameControlTxt |
| Phone | 5742770274 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 17195 CLEVELAND ROAD | AddressLine1Txt |
| City | SOUTH BEND | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46635 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ALEXANDRA SOBIESKI | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 5742770277 | PhoneNum |
| Signature | 2023-01-18 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | ALEXANDRA | PersonFirstNm |
| Person Last | SOBIESKI | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | RICHARD CULLAR CPA | PreparerPersonNm |
| PTIN | P00967641 | PTIN |
| Phone | 5742339366 | PhoneNum |
| Preparation | 2023-01-20 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-03-07 01:45:13Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SEASONS COUNSELING OF MICHIANA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ALEXANDRA SOBIESKI | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 17195 CLEVELAND ROAD | AddressLine1Txt |
| City | SOUTH BEND | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46635 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $534,057 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | SEASONS-COUNSELING.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1974 | FormationYr |
| Legal Domicile State | IN | LegalDomicileStateCd |
| Activity Or Mission | THE ORGANIZATION'S PRIMARY EXEMPT PURPOSE IS TO SUPPORT MENTAL HEALTH FOR EACH LIFE WE TOUCH. WE DO THAT BY PROVIDING PROFESSIONAL COUNSELING SERVICES, SUPPLEMENTED BY EDUCATIONAL PRESENTATIONS AND PUBLIC OUTREACH RELATED TO MENTAL HEALTH. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 17 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $5,846 | PYContributionsGrantsAmt |
| CY Contributions Grants | $17,233 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $482,319 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $516,517 | CYProgramServiceRevenueAmt |
| PY Investment Income | $362 | PYInvestmentIncomeAmt |
| CY Investment Income | $307 | CYInvestmentIncomeAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $488,527 | PYTotalRevenueAmt |
| CY Total Revenue | $534,057 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $420,335 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $456,741 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $32,770 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $45,111 | PYOtherExpensesAmt |
| CY Other Expenses | $63,483 | CYOtherExpensesAmt |
| PY Total Expenses | $465,446 | PYTotalExpensesAmt |
| CY Total Expenses | $520,224 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $23,081 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $13,833 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $111,904 | TotalAssetsBOYAmt |
| Total Assets EOY | $127,568 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $41,719 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $43,550 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $70,185 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $84,018 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE ORGANIZATION'S PRIMARY EXEMPT PURPOSE IS TO SUPPORT MENTAL HEALTH FOR EACH LIFE WE TOUCH. WE DO THAT BY PROVIDING PROFESSIONAL COUNSELING SERVICES, SUPPLEMENTED BY EDUCATIONAL PRESENTATIONS AND PUBLIC OUTREACH RELATED TO MENTAL HEALTH. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $366,911 | ExpenseAmt |
| Revenue | $516,517 | RevenueAmt |
| Desc | PROFESSIONAL COUNSELING: DURING THE FISCAL YEAR 2021-2022, WE PROVIDED APPROXIMATELY 6,200 HOURS OF COUNSELING SERVICES TO PEOPLE SUFFERING FROM DEPRESSION, ANXIETY, FAMILY ISSUES, PTSD, AND OTHER PROBLEMS SUCH AS DEALING WITH THE LINGERING CHALLENGES RELATED TO COVID-19. MORE THAN 600 NEW CLIENTS SOUGHT INDIVIDUAL, COUPLE, AND FAMILY THERAPY FROM THE AGENCY'S CLINICAL STAFF. WE PROVIDE FAITH-FRIENDLY COUNSELING SERVICES, ALLOWING EACH CLIENT, AT THEIR REQUEST, TO INCORPORATE THEIR BELIEF SYSTEM INTO THE THERAPEUTIC PROCESS. WE SERVED CLIENTS WITH A VARIETY OF RELIGIOUS AFFILIATIONS THAT INCLUDE BAPTIST, ROMAN CATHOLIC, CHURCH OF CHRIST, EPISCOPAL, LUTHERAN, MENNONITE, METHODIST, PRESBYTERIAN, JUDAISM, AMONG OTHERS. KNOWING THAT ACCESS TO MENTAL HEALTHCARE CAN BE A CHALLENGE FOR MANY PEOPLE, WE ALSO SUBSIDIZED CARE FOR SEVERAL CLIENTS BY USE OF OUR CLIENT ASSISTANCE FUND. FUNDED ENTIRELY BY DONATIONS, THE CLIENT ASSISTANCE FUND IS USED TO PAY A PORTION OF THE SERVICE FEE, WHILE THE CLIENT IS RESPONSIBLE FOR THE REMAINDER. MENTAL HEALTH EDUCATION: WE ENGAGED IN OUTREACH EFFORTS AND PROVIDED EDUCATIONAL PROGRAMS TO OUR COMMUNITY THROUGHOUT THE YEAR. WE BELIEVE THIS NOT ONLY RAISES AWARENESS ABOUT MENTAL HEALTH, BUT ALSO PROVIDES COMMUNITY MEMBERS WITH IMPORTANT TOOLS TO HELP THEM LEAD HAPPIER, HEALTHIER, AND MORE PRODUCTIVE LIVES. TO DO THIS WE COLLABORATE WITH SCHOOLS, REGIONAL NON- PROFITS, CHURCHES, AND HEALTHCARE PROVIDERS TO CREATE TAILORED PROGRAMS TO MEET THE NEEDS OF THEIR STUDENTS, CLIENTS, PARISHIONERS, AND PATIENTS. WE ARE PLEASED TO BE PART OF THE HEALING PROCESS FOR SO MANY INDIVIDUALS, COUPLES, AND FAMILIES. PROVIDING PROFESSIONAL THERAPY, INCREASING ACCESS TO CARE, AND RAISING AWARENESS ABOUT MENTAL HEALTH HAVE POSITIVE AND LONG- LASTING EFFECTS ON OUR COMMUNITY. | Desc |
| Total Program Service Expenses | $366,911 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | false | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 17 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | false | WhistleblowerPolicyInd |
| Document Retention Policy | false | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | IN | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DONALD ZERFAS | PersonNm |
| Phone | 5742770274 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 17195 CLEVELAND ROAD | AddressLine1Txt |
| City | SOUTH BEND | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46635 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (10 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|
| ALEXANDRA SOBIESKI | ||||||
| EXECUTIVE DI | 40.00 | Yes (X) | $47,375 | $0 | $0 | |
| CHAD HARTZELL | ||||||
| PAST PRESIDE | 1.00 | $0 | $0 | $0 | Yes (X) | |
| MICHAEL JASZIEWICZ | ||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |
| AMY JORDAN | ||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |
| DR THOMAS LARSON | ||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |
| JOHN WESTRA | ||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |
| REBECCA ZAKOWSKI | ||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |
| ROB PERUGINI | ||||||
| PRESIDENT | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| JULIE MARKIEWICZ | ||||||
| TREASURER | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| ADAM DEBECK | ||||||
| SECRETARY | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $47,375 | TotalReportableCompFromOrgAmt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Government Grants | $10,259 | GovernmentGrantsAmt |
| All Other Contributions | $6,974 | AllOtherContributionsAmt |
| Total Contributions | $17,233 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | COUNSELING SERVICES | Desc |
| Business | 624100 | BusinessCd |
| Total Revenue Column | $516,517 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $516,517 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $516,517 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $307 | TotalRevenueColumnAmt |
| Exclusion | $307 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $534,057 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $516,517 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $307 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,875 | TotalAmt |
| Program Services | $17,950 | ProgramServicesAmt |
| Management And General | $13,462 | ManagementAndGeneralAmt |
| Fundraising | $13,463 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $379,272 | TotalAmt |
| Program Services | $292,040 | ProgramServicesAmt |
| Management And General | $75,854 | ManagementAndGeneralAmt |
| Fundraising | $11,378 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,594 | TotalAmt |
| Program Services | $25,097 | ProgramServicesAmt |
| Management And General | $6,519 | ManagementAndGeneralAmt |
| Fundraising | $978 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,800 | TotalAmt |
| Program Services | $1,800 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,482 | TotalAmt |
| Fundraising | $1,482 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,321 | TotalAmt |
| Program Services | $4,867 | ProgramServicesAmt |
| Management And General | $1,264 | ManagementAndGeneralAmt |
| Fundraising | $190 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,331 | TotalAmt |
| Program Services | $10,265 | ProgramServicesAmt |
| Management And General | $2,666 | ManagementAndGeneralAmt |
| Fundraising | $400 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,074 | TotalAmt |
| Program Services | $6,987 | ProgramServicesAmt |
| Management And General | $1,815 | ManagementAndGeneralAmt |
| Fundraising | $272 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,566 | TotalAmt |
| Program Services | $1,976 | ProgramServicesAmt |
| Management And General | $513 | ManagementAndGeneralAmt |
| Fundraising | $77 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,690 | TotalAmt |
| Program Services | $2,841 | ProgramServicesAmt |
| Management And General | $738 | ManagementAndGeneralAmt |
| Fundraising | $111 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,018 | TotalAmt |
| Program Services | $3,088 | ProgramServicesAmt |
| Management And General | $3,930 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|
| PROGRAM DEVELOPMENT | $8,839 | $4,420 | $4,419 |
| BANK CHARGES | $5,422 | $5,422 | |
| BAD DEBTS | $3,527 | $3,527 | |
| MISCELLANEOUS | $413 | $413 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $520,224 | TotalAmt |
| Program Services | $366,911 | ProgramServicesAmt |
| Management And General | $120,543 | ManagementAndGeneralAmt |
| Fundraising | $32,770 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $56,071 | BOYAmt |
| EOY | $54,872 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,857 | BOYAmt |
| EOY | $12,089 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $2,464 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,955 | BOYAmt |
| EOY | $27,434 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $124,965 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $94,256 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,021 | BOYAmt |
| EOY | $30,709 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $111,904 | BOYAmt |
| EOY | $127,568 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,719 | BOYAmt |
| EOY | $43,550 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,719 | BOYAmt |
| EOY | $43,550 | 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 | $69,185 | BOYAmt |
| EOY | $83,018 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,000 | BOYAmt |
| EOY | $1,000 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $70,185 | BOYAmt |
| EOY | $84,018 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $111,904 | BOYAmt |
| EOY | $127,568 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $13,833 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | false | FSAuditedInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $10,866 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,669 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,136 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,846 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $17,233 | CurrentTaxYearAmt |
| Total | $45,750 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $397,526 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $386,680 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $449,975 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $482,319 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $516,517 | CurrentTaxYearAmt |
| Total | $2,233,017 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $408,392 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $392,349 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $456,111 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $488,165 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $533,750 | CurrentTaxYearAmt |
| Total | $2,278,767 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $2,278,767 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $311 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $342 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $375 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $362 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $307 | CurrentTaxYearAmt |
| Total | $1,697 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $311 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $342 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $375 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $362 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $307 | CurrentTaxYearAmt |
| Total | $1,697 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $408,703 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $392,691 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $456,486 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $488,527 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $534,057 | CurrentTaxYearAmt |
| Total | $2,280,464 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99930 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99920 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00000 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule D IRS990ScheduleD
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $75,355 | OtherCostOrOtherBasisAmt |
| Depreciation | $67,018 | DepreciationAmt |
| Book Value | $8,337 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $19,428 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,870 | DepreciationAmt |
| Book Value | $11,558 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $30,182 | OtherCostOrOtherBasisAmt |
| Depreciation | $19,368 | DepreciationAmt |
| Book Value | $10,814 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $30,709 | TotalBookValueLandBuildingsAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990 - ORGANIZATION'S MISSION | THE ORGANIZATION'S PRIMARY EXEMPT PURPOSE IS TO SUPPORT MENTAL HEALTH FOR EACH LIFE WE TOUCH. WE DO THAT BY PROVIDING PROFESSIONAL COUNSELING SERVICES, SUPPLEMENTED BY EDUCATIONAL PRESENTATIONS AND PUBLIC OUTREACH RELATED TO MENTAL HEALTH. |
| FORM 990, PAGE 2, PART III, LINE 4A | PROFESSIONAL COUNSELING: DURING THE FISCAL YEAR 2021-2022, WE PROVIDED APPROXIMATELY 6,200 HOURS OF COUNSELING SERVICES TO PEOPLE SUFFERING FROM DEPRESSION, ANXIETY, FAMILY ISSUES, PTSD, AND OTHER PROBLEMS SUCH AS DEALING WITH THE LINGERING CHALLENGES RELATED TO COVID-19. MORE THAN 600 NEW CLIENTS SOUGHT INDIVIDUAL, COUPLE, AND FAMILY THERAPY FROM THE AGENCY'S CLINICAL STAFF. WE PROVIDE FAITH-FRIENDLY COUNSELING SERVICES, ALLOWING EACH CLIENT, AT THEIR REQUEST, TO INCORPORATE THEIR BELIEF SYSTEM INTO THE THERAPEUTIC PROCESS. WE SERVED CLIENTS WITH A VARIETY OF RELIGIOUS AFFILIATIONS THAT INCLUDE BAPTIST, ROMAN CATHOLIC, CHURCH OF CHRIST, EPISCOPAL, LUTHERAN, MENNONITE, METHODIST, PRESBYTERIAN, JUDAISM, AMONG OTHERS. KNOWING THAT ACCESS TO MENTAL HEALTHCARE CAN BE A CHALLENGE FOR MANY PEOPLE, WE ALSO SUBSIDIZED CARE FOR SEVERAL CLIENTS BY USE OF OUR CLIENT ASSISTANCE FUND. FUNDED ENTIRELY BY DONATIONS, THE CLIENT ASSISTANCE FUND IS USED TO PAY A PORTION OF THE SERVICE FEE, WHILE THE CLIENT IS RESPONSIBLE FOR THE REMAINDER. MENTAL HEALTH EDUCATION: WE ENGAGED IN OUTREACH EFFORTS AND PROVIDED EDUCATIONAL PROGRAMS TO OUR COMMUNITY THROUGHOUT THE YEAR. WE BELIEVE THIS NOT ONLY RAISES AWARENESS ABOUT MENTAL HEALTH, BUT ALSO PROVIDES COMMUNITY MEMBERS WITH IMPORTANT TOOLS TO HELP THEM LEAD HAPPIER, HEALTHIER, AND MORE PRODUCTIVE LIVES. TO DO THIS WE COLLABORATE WITH SCHOOLS, REGIONAL NON- PROFITS, CHURCHES, AND HEALTHCARE PROVIDERS TO CREATE TAILORED PROGRAMS TO MEET THE NEEDS OF THEIR STUDENTS, CLIENTS, PARISHIONERS, AND PATIENTS. WE ARE PLEASED TO BE PART OF THE HEALING PROCESS FOR SO MANY INDIVIDUALS, COUPLES, AND FAMILIES. PROVIDING PROFESSIONAL THERAPY, INCREASING ACCESS TO CARE, AND RAISING AWARENESS ABOUT MENTAL HEALTH HAVE POSITIVE AND LONG- LASTING EFFECTS ON OUR COMMUNITY. |
| FORM 990, PART VI | LINE 15B. THIS QUESTION IS ANSWERED "NO" BECAUSE THE ORGANIZATION DOES NOT HAVE ANY OTHER PAID OFFICERS OR KEY EMPLOYEES. |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE FORM 990 IS PREPARED BY A CPA, REVIEWED BY THE BUSINESS MANAGER AND THE EXECUTIVE DIRECTOR, AND DISTRIBUTED FOR REVIEW BY THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS (AS COMMISSIONED BY THE BOARD). |
| FORM 990, PAGE 6, PART VI, LINE 12C | THE EXECUTIVE DIRECTOR PERFORMS ONGOING MONITORING OF COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY BY 1) DISCUSSING THE POLICY WITH NEW DIRECTORS, AND 2) CONTINUALLY EVALUATING DIRECTOR ACTIVITIES AND RELATIONSHIPS WITH DIRECTORS. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE EXECUTIVE DIRECTOR AND OTHER EMPLOYEES OF THE CENTER ARE GIVEN PERIODIC PERFORMANCE EVALUATIONS. THE EXECUTIVE DIRECTOR IS EVALUATED BY THE INDEPENDENT BOARD OF DIRECTORS, AND THE OTHER EMPLOYEES ARE EVALUATED BY THE EXECUTIVE DIRECTOR. THE EVALUATIONS ARE DISCUSSED WITH THE BOARD OF DIRECTORS. THE COMPENSATION ADJUSTMENTS ARE APPROVED BY THE BOARD OF DIRECTORS BASED UPON THE RESULTS OF THE EVALUATIONS. THIS COMPENSATION WAS LAST SET ON JUNE 28, 2021. |
| FORM 990, PAGE 6, PART VI, LINE 19 | INCLUDED ON OUR WEBSITE IS A STATEMENT INDICATING THAT OUR FINANCIAL STATEMENTS AND OTHER PUBLIC DOCUMENTS, INCLUDING OUR CONFLICT OF INTEREST POLICY, ARE AVAILABLE UPON REQUEST. |
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