UPPER BAY COUNSELING & SUPPORT SVCS INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- UPPER BAY COUNSELING & SUPPORT SVCS INC (EIN 51-0329224)
- Tax period
- 2021-07-01 to 2022-06-30
- Filed
- 2023-05-10
- IRS object ID
- 202301309349302965
- Schema version
- 2021v4.2
- 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 | 2023-05-10T12:15:03-05:00 | ReturnTs |
| Tax Period End | 2022-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 520982413 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GROSS MENDELSOHN & ASSOCIATES PA | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1801 PORTER STREET SUITE 500 | AddressLine1Txt |
| City | BALTIMORE | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 21230 | 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 | 510329224 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UPPER BAY COUNSELING & SUPPORT SERVICES | BusinessNameLine1Txt |
| Business Name Line2 | INC AND AFFILIATE | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | UPPE | BusinessNameControlTxt |
| Phone | 4109965104 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 BOOTH STREET | AddressLine1Txt |
| City | ELKTON | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 21921 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SUANNE BLUMBERG | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 4109965104 | PhoneNum |
| Signature | 2023-05-10 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | SUANNE | PersonFirstNm |
| Person Last | BLUMBERG | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | LISA JOHNSON | PreparerPersonNm |
| PTIN | P01250416 | PTIN |
| Phone | 4106855512 | PhoneNum |
| Preparation | 2023-05-06 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | SUANNE BLUMBERG | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 BOOTH STREET | AddressLine1Txt |
| City | ELKTON | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 21921 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $11,722,587 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.UPPERBAY.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1990 | FormationYr |
| Legal Domicile State | MD | LegalDomicileStateCd |
| Activity Or Mission | PROVIDES A BROAD AND EXPANDING RANGE OF HIGH QUALITY BEHAVIORAL HEALTH AND COMMUNITY SERVICES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 209 | TotalEmployeeCnt |
| Total Volunteers | 4 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,447,381 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,066,123 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $11,249,258 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $10,381,596 | CYProgramServiceRevenueAmt |
| PY Investment Income | $11,741 | PYInvestmentIncomeAmt |
| CY Investment Income | $180,171 | CYInvestmentIncomeAmt |
| PY Other Revenue | $13,403 | PYOtherRevenueAmt |
| CY Other Revenue | $94,183 | CYOtherRevenueAmt |
| PY Total Revenue | $13,721,783 | PYTotalRevenueAmt |
| CY Total Revenue | $11,722,073 | 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 | $10,080,673 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $9,378,446 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,166,535 | PYOtherExpensesAmt |
| CY Other Expenses | $2,455,136 | CYOtherExpensesAmt |
| PY Total Expenses | $12,247,208 | PYTotalExpensesAmt |
| CY Total Expenses | $11,833,582 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,474,575 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$111,509 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $4,746,884 | TotalAssetsBOYAmt |
| Total Assets EOY | $3,721,722 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,302,601 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,388,948 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,444,283 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $2,332,774 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | UPPER BAY COUNSELING & SUPPORT SERVICES PROVIDES A BROAD AND EXPANDING RANGE OF HIGH QUALITY BEHAVIORAL HEALTH AND COMMUNITY SERVICES. WE PROMOTE WELLNESS AND UPHOLD THE DIGNITY OF OUR CONSUMERS. (SEE SCHEDULE O FOR CONTINUATION)WE ARE DEDICATED TO EXCELLENCE, THROUGH CREATIVITY, FLEXIBILITY, AND TEAMWORK. WE SERVE AND ADVOCATE FOR INDIVIDUALS, FAMILIES, AND COMMUNITIES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $862,495 | ExpenseAmt |
| Desc | THE CECIL SCHOOL BASED PROGRAM OFFERS COMPREHENSIVE EMOTIONAL AND BEHAVIORAL HEALTH SERVICES TO THE CHILDREN IN NEED BY PROVIDING THERAPY AND OTHER CLINICAL SERVICES TO STUDENTS IN CECIL COUNTY'S PUBLIC SCHOOLS. OUR LICENSED THERAPISTS WORK WITH CHILDREN IN THE SCHOOL SETTING WHO NEED ASSISTANCE BY OFFERING INDIVIDUAL, GROUP AND FAMILY COUNSELING. IN ADDITION, SCHOOL-BASED COUNSELORS REGULARLY CONSULT WITH SCHOOL PERSONNEL AND ATTEND CONFERENCES DIRECTLY RELATED TO THE STUDENTS' TREATMENT AND ACADEMIC STATUS. COUNSELORS ALSO PROVIDE CARE COORDINATION SERVICES, WHICH LINK THE BEHAVIORAL HEALTH SERVICES WITH SCHOOL BEHAVIOR, FAMILY ENVIRONMENT AND FUNCTIONING, AND OTHER AGENCIES THAT MAY BE INVOLVED WITH THE STUDENT. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $843,228 | ExpenseAmt |
| Desc | THE SUNRISE RESIDENTIAL REHABILITATION PROGRAM (RRP) IS A COMMUNITY BASED RESIDENTIAL HOUSING PROGRAM LOCATED IN CECIL COUNTY. RESIDENTS LIVE IN A GROUP HOME SETTING WITH TWENTY-FOUR HOUR SUPERVISION, OR AN APARTMENT SETTING WITH TWENTY-FOUR HOUR STAFF AVAILABILITY AND SUPPORT. THE PROGRAM HAS SIX GENERAL BEDS, AND THIRTY-TWO INTENSIVE BEDS. IN ADDITION TO MANAGING MENTAL HEALTH SYMPTOMS, RESIDENTS ARE SUPPORTED AND ENCOURAGED TO DEVELOP LIFE SKILLS NEEDED TO SUCCESSFULLY TRANSITION OUT OF THE RESIDENTIAL PROGRAM AND LIVE INDEPENDENTLY IN THE COMMUNITY. THE GOAL OF RRP IS TO SUPPORT CLIENTS TO GROW IN THEIR OWN RECOVERY, SO THAT THEY MAY REMAIN IN THE COMMUNITY, PREVENTING RE-HOSPITALIZATION, AND GAINING SKILLS NEEDED TO TRANSITION FULLY INTO INDEPENDENT LIVING. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $899,760 | ExpenseAmt |
| Desc | ASSERTIVE COMMUNITY TREATMENT (ACT) IS AN EVIDENCE-BASED PRACTICE MODEL CREATED TO RENDER TREATMENT, CLINICAL, REHABILITATION, AND SUPPORT SERVICES TO PERSONS WHO ARE DIAGNOSED WITH A SEVERE MENTAL ILLNESS. ACT TEAMS ARE MULTI-DISCIPLINARY AND ENCOMPASS DISCIPLINES FROM AREAS OF PSYCHIATRY, NURSING, PSYCHOTHERAPY, SUBSTANCE ABUSE, AND VOCATIONAL REHABILITATION. BASED ON THEIR RESPECTIVE AREAS OF EXPERTISE, THE TEAM MEMBERS COLLABORATE TO RENDER INTEGRATED SERVICES OF THE PERSONS SELECTION, JOINING HIM OR HER IN MAKING PROGRESS TOWARDS GOALS, AND REALIZING WHEN TO ADJUST TREATMENT THROUGHOUT THE SERVICES. ACT PROVIDES COMPREHENSIVE AND FLEXIBLE TREATMENT, AS WELL AS SUPPORT AND REHABILITATION SERVICES TO PERSONS IN THEIR COMMUNITY INSTEAD OF IN THE HOSPITAL OR TRADITIONAL CLINIC. (CONTINUED ON SCHEDULE O)WHAT IS UNIQUE ABOUT THESE SERVICES IS THAT THEY RENDER INTERVENTIONS AND SKILLS PRACTICES IN AREAS WHERE PERSONS ARE MOST COMFORTABLE: RESIDENCE, WORK, SOCIAL HANGOUTS, AND MORE IMPORTANTLY, WHERE SUPPORT/TREATMENT ARE MOST NEEDED. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $7,673,490 | ExpenseAmt |
| Desc | VARIOUS OTHER PROGRAMS SUCH AS OUTPATIENT THERAPY AND PSYCHIATRIC REHABILITATION SERVICES FOR ADULTS, CHILDREN AND YOUTH. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $7,673,490 | TotalOtherProgSrvcExpenseAmt |
| Total Program Service Expenses | $10,278,973 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | 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 | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | 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 | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | 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 | 13 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 209 | 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 |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| 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 | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | 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 | Yes (1) | LocalChaptersInd |
| Policies Reference Chapters | Yes (1) | PoliciesReferenceChaptersInd |
| 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 | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | MD | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE ORGANIZATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4109963400 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 BOOTH STREET | AddressLine1Txt |
| City | ELKTON | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 21921 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| CLINTON REDDIG | ||||||||
| PRESIDENT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| MICHAEL GORDON | ||||||||
| MEMBER | 0.75 | Yes (X) | $0 | $0 | $0 | 0.20 | ||
| PATRICIA D FOLK | ||||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| REVEREND JOHN R SCHAEFFER | ||||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| SUANNE BLUMBERG | ||||||||
| CEO AND MEMBER | 40.00 | Yes (X) | Yes (X) | $134,764 | $0 | $3,132 | 0.20 | |
| KAROLYN BOWE ESQ | ||||||||
| MEMBER | 0.75 | Yes (X) | $0 | $0 | $0 | |||
| ALAN SEXTON | ||||||||
| MEMBER | 0.75 | Yes (X) | $0 | $0 | $0 | |||
| EVONNE BOROSKI | ||||||||
| MEMBER | 0.75 | Yes (X) | $0 | $0 | $0 | |||
| KEVIN URICK | ||||||||
| MEMBER | 0.75 | Yes (X) | $0 | $0 | $0 | |||
| ELLEN D RILEY | ||||||||
| DIRECTOR OF FINANCE | 40.00 | Yes (X) | $81,336 | $0 | $15,680 | 0.20 | ||
| RALPH SCOVILLE MD | ||||||||
| PSYCHIATRIST | 35.00 | $222,528 | $0 | $10,273 | Yes (X) | |||
| LATISHA JACKSON | ||||||||
| NURSE PRACTITIONER | 36.00 | $180,960 | $0 | $16,975 | Yes (X) | |||
| PAUL A GLANAKON MD | ||||||||
| PSYCHIATRIST | 20.00 | $104,040 | $0 | $0 | Yes (X) | |||
| KWABENA OWUSU | ||||||||
| NURSE PRACTITIONER | 40.00 | $244,691 | $0 | $20,073 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $968,319 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $66,133 | 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 |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $1,033,308 | GovernmentGrantsAmt |
| All Other Contributions | $32,815 | AllOtherContributionsAmt |
| Total Contributions | $1,066,123 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| FEES FOR SERVICES | 624100 | $9,984,102 | $9,984,102 |
| RESIDENTIAL CLIENT FEES | 624100 | $375,641 | $375,641 |
| EMPLOYMENT SUPPORT SERVICES | 624100 | $8,507 | $8,507 |
| COUNSELING SERVICES | 624100 | $6,000 | $6,000 |
| MEDICAL RECORDS SERVICES | 624100 | $3,703 | $3,703 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,643 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,643 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $10,381,596 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,889 | TotalRevenueColumnAmt |
| Exclusion | $5,889 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $174,796 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $514 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $174,282 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $174,282 | TotalRevenueColumnAmt |
| Exclusion | $174,282 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| OTHER | 624100 | $80,952 | $80,952 |
| MANAGEMENT FEES | 624100 | $13,231 | $13,231 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $94,183 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,722,073 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $10,475,779 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $180,171 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $241,702 | TotalAmt |
| Management And General | $241,702 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,419,698 | TotalAmt |
| Program Services | $6,706,786 | ProgramServicesAmt |
| Management And General | $712,912 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $151,817 | TotalAmt |
| Program Services | $139,435 | ProgramServicesAmt |
| Management And General | $12,382 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,000,418 | TotalAmt |
| Program Services | $889,851 | ProgramServicesAmt |
| Management And General | $110,567 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $564,811 | TotalAmt |
| Program Services | $495,757 | ProgramServicesAmt |
| Management And General | $69,054 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $759 | TotalAmt |
| Management And General | $759 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,600 | TotalAmt |
| Management And General | $34,600 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $199,636 | TotalAmt |
| Program Services | $174,498 | ProgramServicesAmt |
| Management And General | $25,138 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,926 | TotalAmt |
| Management And General | $4,926 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $449,062 | TotalAmt |
| Program Services | $369,167 | ProgramServicesAmt |
| Management And General | $79,895 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $372,697 | TotalAmt |
| Program Services | $306,937 | ProgramServicesAmt |
| Management And General | $65,760 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,079 | TotalAmt |
| Program Services | $31,594 | ProgramServicesAmt |
| Management And General | $10,485 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $217,560 | TotalAmt |
| Program Services | $167,567 | ProgramServicesAmt |
| Management And General | $49,993 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $85,895 | TotalAmt |
| Program Services | $71,472 | ProgramServicesAmt |
| Management And General | $14,423 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| TRANSPORTATION | $351,570 | $319,416 | $32,154 |
| CLIENT SERVICES | $290,934 | $290,934 | |
| SERVICE FEES | $105,003 | $49,046 | $55,957 |
| REPAIRS AND MAINTENANCE | $84,192 | $67,967 | $16,225 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $216,223 | TotalAmt |
| Program Services | $198,546 | ProgramServicesAmt |
| Management And General | $17,677 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,833,582 | TotalAmt |
| Program Services | $10,278,973 | ProgramServicesAmt |
| Management And General | $1,554,609 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $76,464 | BOYAmt |
| EOY | $170,794 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,131,171 | BOYAmt |
| EOY | $136,122 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $525,189 | BOYAmt |
| EOY | $950,545 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,389 | BOYAmt |
| EOY | $19,547 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $5,317,983 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $2,993,851 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,850,627 | BOYAmt |
| EOY | $2,324,132 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,369 | BOYAmt |
| EOY | $12,299 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,000 | BOYAmt |
| EOY | $28,000 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $77,675 | BOYAmt |
| EOY | $80,283 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,746,884 | BOYAmt |
| EOY | $3,721,722 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,403,100 | BOYAmt |
| EOY | $559,594 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $872,632 | BOYAmt |
| EOY | $791,815 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,869 | BOYAmt |
| EOY | $37,539 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,302,601 | BOYAmt |
| EOY | $1,388,948 | 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 | $2,444,283 | BOYAmt |
| EOY | $2,332,774 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,444,283 | BOYAmt |
| EOY | $2,332,774 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,746,884 | BOYAmt |
| EOY | $3,721,722 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$111,509 | ReconcilationRevenueExpnssAmt |
| 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) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | 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 | $356,060 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $368,276 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $521,124 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,447,381 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,066,123 | CurrentTaxYearAmt |
| Total | $4,758,964 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $12,601,736 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $13,102,815 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $12,362,950 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $11,262,661 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $10,394,827 | CurrentTaxYearAmt |
| Total | $59,724,989 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $12,957,796 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $13,471,091 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $12,884,074 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $13,710,042 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $11,460,950 | CurrentTaxYearAmt |
| Total | $64,483,953 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $64,483,953 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,081 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,062 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $835 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,941 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,889 | CurrentTaxYearAmt |
| Total | $14,808 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,081 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,062 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $835 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,941 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,889 | CurrentTaxYearAmt |
| Total | $14,808 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $12,958,877 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $13,472,153 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $12,884,909 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $13,715,983 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $11,466,839 | CurrentTaxYearAmt |
| Total | $64,498,761 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99980 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99990 | PublicSupportPY509Pct |
| Investment Income CY | 0.00020 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00010 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $297,760 | OtherCostOrOtherBasisAmt |
| Book Value | $297,760 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,355,224 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,308,884 | DepreciationAmt |
| Book Value | $1,046,340 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $783,567 | OtherCostOrOtherBasisAmt |
| Depreciation | $218,349 | DepreciationAmt |
| Book Value | $565,218 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,857,474 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,442,660 | DepreciationAmt |
| Book Value | $414,814 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $23,958 | OtherCostOrOtherBasisAmt |
| Depreciation | $23,958 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $2,324,132 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| DEFERRED COMPENSATION | $12,299 |
| DEFERRED RENT | $25,240 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $37,539 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $11,722,073 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $11,722,073 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $11,722,073 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $11,833,582 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $11,833,582 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $11,833,582 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | UPPER BAY COUNSELING & SUPPORT SERVICES, INC. HAD NO LIABILITY FOR UNCERTAIN TAX POSITIONS. THE ORGANIZATION'S FEDERAL EXEMPT ORGANIZATION RETURNS ARE SUBJECT TO EXAMINATION BY THE IRS, GENERALLY FOR A PERIOD OF THREE YEARS AFTER THE RETURNS ARE FILED. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | 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 (3 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KWABENA OWUSU | ||||||||||||||
| NURSE PRACTITIONER | $244,691 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $20,073 | $0 | $264,764 | $0 | $0 | $0 |
| RALPH SCOVILLE MD | ||||||||||||||
| PSYCHIATRIST | $222,528 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $10,273 | $0 | $232,801 | $0 | $0 | $0 |
| LATISHA JACKSON | ||||||||||||||
| NURSE PRACTITIONER | $180,960 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $16,975 | $0 | $197,935 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS REVIEWED AND APPROVED BY THE CEO, DIRECTOR OF FINANCE, AND THE BOARD FINANCE COMMITTEE PRIOR TO FILING. IT IS PROVIDED TO ALL OTHER BOARD MEMBERS UPON REQUEST. |
| FORM 990, PART VI, SECTION B, LINE 12C | ANNUALLY, AT THE BEGINNING OF THE FISCAL YEAR THE GOVERNING BOARD AND KEY EMPLOYEES ARE ASKED TO UPDATE THEIR STATUS WITH CONFLICT OF INTEREST FORM. CONFLICT OF INTEREST FORMS AND DISCLOSURES ARE REVIEWED BY THE EXECUTIVE COMMITTEE, AND CONFLICTS ARE IDENTIFIED AND RESOLVED AS DEEMED APPROPRIATE. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE BOARD PERSONNEL COMMITTEE CONDUCTS ANNUAL PERFORMANCE REVIEWS OF THE CEO, WHO IS NOT A MEMBER OF THAT COMMITTEE. THE COMMITTEE THEN RECOMMENDS A MERIT SALARY ADJUSTMENT BY REFERENCE TO AN INDEPENDENT SALARY SURVEY FOR SIMLIAR POSITIONS IN THE REGION TO ENSURE THE ADJUSTED SALARY FALLS WITHIN ITS COMPARABLE RANGE. THE HUMAN RESOURCES DEPARTMENT PERFORMS MARKET RESEARCH AND INTERNAL COMPARISONS FOR ALL OTHER EMPLOYEES. MANAGEMENT'S COMPENSATION COMMITTEE REVIEWS AND APPROVES ANY PROPOSED COMPENSATION PER EMPLOYEE. |
| FORM 990, PART VI, SECTION C, LINE 19 | UPON REQUEST |
| FORM 990, PART XII, LINE 2C | DRAFT AUDITED FINANCIAL STATEMENTS ARE REVIEWED BY THE CEO, DIRECTOR OF FINANCE, AND FINANCE COMMITTEE OF THE BOARD PRIOR TO FINALIZATION. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SUSQUEHANNA COUNSELING SERVICES LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 BOOTH STREET | AddressLine1Txt |
| City | ELKTON | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 21921 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 454669862 | EIN |
| Primary Activities | COUNSELING SERVICES | PrimaryActivitiesTxt |
| Legal Domicile State | MD | LegalDomicileStateCd |
| Total Income | $36,008 | TotalIncomeAmt |
| End Of Year Assets | $42,067 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UPPER BAY COUNSELING & SUPPORT SERVICES | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| FIVE RIVERS HOMES INC | ||||||||||
| 200 BOOTH STREET | ELKTON | MD | 21921 | 331114602 | AFFORDABLE HOUSING TO PERSONS WITH CHRONIC MENTAL DISABILITIES | MD | 501(C)(3) | LINE 7 | N/A | 0 |
| HIGH STREET HOMES | ||||||||||
| 200 BOOTH STREET | ELKTON | MD | 21921 | 300470783 | AFFORDABLE HOUSING TO PERSONS WITH CHRONIC MENTAL DISABILITIES | MD | 501(C)(3) | LINE 7 | N/A | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARYLAND BEHAVIORAL HEALTH SOLUTIONS INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 18 EGGES LAND | AddressLine1Txt |
| City | CATONSVILLE | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 21228 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 832721084 | EIN |
| Primary Activities | PURSUIT OF VALUE-BASED PURCHASING | PrimaryActivitiesTxt |
| Legal Domicile State | MD | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Entity Type | C | EntityTypeTxt |
| Share Of EOY Assets | $7,867 | ShareOfEOYAssetsAmt |
| Ownership | 0.04000 | OwnershipPct |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (10 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| FIVE RIVERS HOMES INC | ||
| D | $42,481 | ACCOUNTS PAYABLE DUE TO SPONSO |
| HIGH STREET HOMES INC | ||
| D | $20,376 | ACCOUNTS PAYABLE DUE TO SPONSO |
| FIVE RIVERS HOMES INC | ||
| L | $6,448 | MANAGEMENT FEE PER AGREEMENT |
| HIGH STREET HOMES INC | ||
| L | $6,783 | MANAGEMENT FEE PER AGREEMENT |
| FIVE RIVERS HOMES INC | ||
| N | $4,349 | GEN LIAB. & PROPERTY INSURANCE |
| HIGH STREET HOMES INC | ||
| N | $6,789 | GEN LIAB. & PROPERTY INSURANCE |
| FIVE RIVERS HOMES INC | ||
| O | $9,580 | OFFICE & MAINTENANCE STAFF TIME |
| HIGH STREET HOMES INC | ||
| O | $18,769 | OFFICE & MAINTENANCE STAFF TIME |
| FIVE RIVERS HOMES INC | ||
| Q | $18,954 | INTERCOMPANY CHARGES RECORDED |
| HIGH STREET HOMES INC | ||
| Q | $18,954 | INTERCOMPANY CHARGES RECORDED |
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