PROFESSIONAL COUNSELING ASSOCIATES INC: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- PROFESSIONAL COUNSELING ASSOCIATES INC (EIN 71-0479416)
- Tax period
- 2023-07-01 to 2024-06-30
- Filed
- 2025-05-13
- IRS object ID
- 202511339349308696
- Schema version
- 2023v6.0
- 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 | 2025-05-13T17:16:08+00:00 | ReturnTs |
| Tax Period End | 2024-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 440160260 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Forvis Mazars LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 3667 | AddressLine1Txt |
| City | Little Rock | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 722033667 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 710479416 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Professional Counseling Associates Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PROF | BusinessNameControlTxt |
| Phone | 5012211843 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3601 RICHARDS ROAD | AddressLine1Txt |
| City | NORTH LITTLE ROCK | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 72117 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BRIAN DAVIS | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Signature | 2025-05-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (true) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Amber Sherrill | PreparerPersonNm |
| PTIN | P00748683 | PTIN |
| Phone | 5013721040 | PhoneNum |
| Preparation | 2025-05-15 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BRIAN DAVIS | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3601 RICHARDS ROAD | AddressLine1Txt |
| City | NORTH LITTLE ROCK | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 72117 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $4,148,166 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.PCA-AR.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1974 | FormationYr |
| Legal Domicile State | AR | LegalDomicileStateCd |
| Activity Or Mission | WE HELP MAKE OUR COMMUNITY HEALTHIER, SAFER, AND MORE PRODUCTIVE BY IMPROVING THE LIVES OF THE PEOPLE WE SERVE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 53 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 53 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 54 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,857,583 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,010,163 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $893,405 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $1,125,996 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $7 | CYInvestmentIncomeAmt |
| PY Other Revenue | $18,643 | PYOtherRevenueAmt |
| CY Other Revenue | $12,000 | CYOtherRevenueAmt |
| PY Total Revenue | $3,769,631 | PYTotalRevenueAmt |
| CY Total Revenue | $4,148,166 | 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 | $2,069,385 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $2,551,593 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,320,935 | PYOtherExpensesAmt |
| CY Other Expenses | $1,264,688 | CYOtherExpensesAmt |
| PY Total Expenses | $3,390,320 | PYTotalExpensesAmt |
| CY Total Expenses | $3,816,281 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $379,311 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $331,885 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $5,375,251 | TotalAssetsBOYAmt |
| Total Assets EOY | $5,682,309 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $87,424 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $62,597 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $5,287,827 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $5,619,712 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO OFFER PATHWAYS TO WHOLENESS, HEALING, AND HOPE THROUGH CARING AND EFFECTIVE MENTAL HEALTH SERVICES. WE HELP MAKE OUR COMMUNITY HEALTHIER, SAFER, AND MORE PRODUCTIVE BY IMPROVING THE LIVES OF THE PEOPLE WE SERVE, HELPING INDIVIDUALS AND FAMILIES BUILD ON THEIR OWN STRENGTHS, AND BY SUPPORTING THE WORK OF OTHER CAREGIVERS AND SERVICE PROVIDERS. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $3,128,239 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $1,125,996 | RevenueAmt |
| Desc | PROFESSIONAL COUNSELING ASSOCIATES(PCA) PROVIDES MENTAL HEALTH CARE FOR LOWER INCOME & ELDERLY PEOPLE. PCA PROVIDED OUTPATIENT CARE TO 2,106 CLIENTS. | Desc |
| Total Program Service Expenses | $3,128,239 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| 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 | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | 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 | Yes (true) | 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 | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 34 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| 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 | 53 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 53 | 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 | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | 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 | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | AR | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BRIAN LUTZ | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4799575570 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1400 EAST 16TH STREET | AddressLine1Txt |
| City | RUSSELVILLE | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 72802 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (58 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|---|
| FRANK JOHNSON | |||||||
| CHAIRMAN | 1.0 | 9.0 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| MARIBEL C ROGERS | |||||||
| VICE CHAIRMAN | 1.0 | 9.0 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| ALEX LYNCH | |||||||
| DIRECTOR | 1.0 | 9.0 | Yes (X) | $0 | $0 | $0 | |
| ALICE HINES | |||||||
| DIRECTOR | 1.0 | 9.0 | Yes (X) | $0 | $0 | $0 | |
| AMANDA JOSHLIN | |||||||
| DIRECTOR | 1.0 | 9.0 | Yes (X) | $0 | $0 | $0 | |
| BECKY HARTSFIELD | |||||||
| DIRECTOR | 1.0 | 9.0 | Yes (X) | $0 | $0 | $0 | |
| CANDRA BRASEL | |||||||
| DIRECTOR | 1.0 | 9.0 | Yes (X) | $0 | $0 | $0 | |
| CEDRIC WILLIAMS | |||||||
| DIRECTOR | 1.0 | 9.0 | Yes (X) | $0 | $0 | $0 | |
| CHARLIE CROSS | |||||||
| DIRECTOR | 1.0 | 9.0 | Yes (X) | $0 | $0 | $0 | |
| CHRISTOPHER R THORNTON | |||||||
| DIRECTOR | 1.0 | 9.0 | Yes (X) | $0 | $0 | $0 | |
| CLYDE E NOEL | |||||||
| DIRECTOR | 1.0 | 9.0 | Yes (X) | $0 | $0 | $0 | |
| CONNIE GARDNER | |||||||
| DIRECTOR | 1.0 | 9.0 | Yes (X) | $0 | $0 | $0 | |
| DAVID MCBEE | |||||||
| DIRECTOR | 1.0 | 9.0 | Yes (X) | $0 | $0 | $0 | |
| DEBORAH KING | |||||||
| DIRECTOR | 1.0 | 9.0 | Yes (X) | $0 | $0 | $0 | |
| DEWAYNE PHELAN | |||||||
| DIRECTOR | 1.0 | 9.0 | Yes (X) | $0 | $0 | $0 | |
| DONNIE DAVIS | |||||||
| DIRECTOR | 1.0 | 9.0 | Yes (X) | $0 | $0 | $0 | |
| ELIZABETH KELLEY | |||||||
| DIRECTOR | 1.0 | 9.0 | Yes (X) | $0 | $0 | $0 | |
| ERIC SMITH | |||||||
| DIRECTOR | 1.0 | 9.0 | Yes (X) | $0 | $0 | $0 | |
| FARRIS DEBOARD | |||||||
| DIRECTOR | 1.0 | 9.0 | Yes (X) | $0 | $0 | $0 | |
| FREDRIC SMITH | |||||||
| DIRECTOR | 1.0 | 9.0 | Yes (X) | $0 | $0 | $0 | |
| GARY HEAD | |||||||
| DIRECTOR | 1.0 | 9.0 | Yes (X) | $0 | $0 | $0 | |
| HAYWARD FINKS JR | |||||||
| DIRECTOR | 1.0 | 9.0 | Yes (X) | $0 | $0 | $0 | |
| HERB WASHINGTON | |||||||
| DIRECTOR | 1.0 | 9.0 | Yes (X) | $0 | $0 | $0 | |
| JACKIE BRASHEARS | |||||||
| DIRECTOR | 1.0 | 9.0 | Yes (X) | $0 | $0 | $0 | |
| JACOB KERSEY | |||||||
| DIRECTOR | 1.0 | 9.0 | Yes (X) | $0 | $0 | $0 | |
| JEANIE B HILL | |||||||
| DIRECTOR | 1.0 | 9.0 | Yes (X) | $0 | $0 | $0 | |
| JERRI SKAGGS | |||||||
| DIRECTOR | 1.0 | 9.0 | Yes (X) | $0 | $0 | $0 | |
| JULIA FROST | |||||||
| DIRECTOR | 1.0 | 9.0 | Yes (X) | $0 | $0 | $0 | |
| KENNY WYATT | |||||||
| DIRECTOR | 1.0 | 9.0 | Yes (X) | $0 | $0 | $0 | |
| KEVIN HATFIELD | |||||||
| DIRECTOR | 1.0 | 9.0 | Yes (X) | $0 | $0 | $0 | |
| KEVIN MOLDER | |||||||
| DIRECTOR | 1.0 | 9.0 | Yes (X) | $0 | $0 | $0 | |
| LEIGH ANN WRIGHT | |||||||
| DIRECTOR | 1.0 | 9.0 | Yes (X) | $0 | $0 | $0 | |
| LORI ROSS | |||||||
| DIRECTOR | 1.0 | 9.0 | Yes (X) | $0 | $0 | $0 | |
| LUCILLA GARRETT | |||||||
| DIRECTOR | 1.0 | 9.0 | Yes (X) | $0 | $0 | $0 | |
| LYNN RUSSELL | |||||||
| DIRECTOR | 1.0 | 9.0 | Yes (X) | $0 | $0 | $0 | |
| MARCIA HARDING | |||||||
| DIRECTOR | 1.0 | 9.0 | Yes (X) | $0 | $0 | $0 | |
| MARSHA JONES | |||||||
| DIRECTOR | 1.0 | 9.0 | Yes (X) | $0 | $0 | $0 | |
| MELISSA PIERCE | |||||||
| DIRECTOR | 1.0 | 9.0 | Yes (X) | $0 | $0 | $0 | |
| MIKE MORGENTHALER | |||||||
| DIRECTOR | 1.0 | 9.0 | Yes (X) | $0 | $0 | $0 | |
| PAIGE CATT | |||||||
| DIRECTOR | 1.0 | 9.0 | Yes (X) | $0 | $0 | $0 | |
| PAUL DIELMANN | |||||||
| DIRECTOR | 1.0 | 9.0 | Yes (X) | $0 | $0 | $0 | |
| REBECCA A JONES | |||||||
| DIRECTOR | 1.0 | 9.0 | Yes (X) | $0 | $0 | $0 | |
| REBECCA LOU ANN HARVEY | |||||||
| DIRECTOR | 1.0 | 9.0 | Yes (X) | $0 | $0 | $0 | |
| REGINA BURKETT | |||||||
| DIRECTOR | 1.0 | 9.0 | Yes (X) | $0 | $0 | $0 | |
| RHONDA HODGES | |||||||
| DIRECTOR | 1.0 | 9.0 | Yes (X) | $0 | $0 | $0 | |
| ROBERT YOUNG | |||||||
| DIRECTOR | 1.0 | 9.0 | Yes (X) | $0 | $0 | $0 | |
| RUTH PROVOST | |||||||
| DIRECTOR | 1.0 | 9.0 | Yes (X) | $0 | $0 | $0 | |
| SHARON SPURLIN | |||||||
| DIRECTOR | 1.0 | 9.0 | Yes (X) | $0 | $0 | $0 | |
| SHARRON STALLINGS | |||||||
| DIRECTOR | 1.0 | 9.0 | Yes (X) | $0 | $0 | $0 | |
| TARA ALLEN | |||||||
| DIRECTOR | 1.0 | 9.0 | Yes (X) | $0 | $0 | $0 | |
| TIMOTHY HARNESS | |||||||
| DIRECTOR | 1.0 | 9.0 | Yes (X) | $0 | $0 | $0 | |
| TONY THOMAS | |||||||
| DIRECTOR | 1.0 | 9.0 | Yes (X) | $0 | $0 | $0 | |
| VIXEN JAMES | |||||||
| DIRECTOR | 1.0 | 9.0 | Yes (X) | $0 | $0 | $0 | |
| ANGELA LEE KOONE | |||||||
| VP CLINICAL OPS THROUGH 11/1/2023 | 40.0 | 40.0 | Yes (X) | $0 | $129,518 | $14,329 | |
| BRIAN DAVIS | |||||||
| CEO | 1.0 | 52.0 | Yes (X) | $0 | $195,162 | $15,423 | |
| BRIAN LUTZ | |||||||
| VP OF ACCOUNTING | 2.0 | 42.0 | Yes (X) | $0 | $133,148 | $10,567 | |
| ERIN WILLCUTT | |||||||
| VP OF CLINICAL OPS | 1.0 | 8.0 | Yes (X) | $0 | $89,903 | $13,305 | |
| KEITH FAUGHT | |||||||
| CFO | 2.0 | 49.0 | Yes (X) | $0 | $162,357 | $2,440 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $710,088 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $56,064 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $3,009,963 | GovernmentGrantsAmt |
| All Other Contributions | $200 | AllOtherContributionsAmt |
| Total Contributions | $3,010,163 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT FEES | Desc |
| Business | 621420 | BusinessCd |
| Total Revenue Column | $1,125,996 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,125,996 | RelatedOrExemptFuncIncomeAmt |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $1,125,996 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7 | TotalRevenueColumnAmt |
| Exclusion | $7 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $12,000 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $12,000 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $12,000 | TotalRevenueColumnAmt |
| Exclusion | $12,000 | ExclusionAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,148,166 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,125,996 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $12,007 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,117,356 | TotalAmt |
| Program Services | $1,722,305 | ProgramServicesAmt |
| Management And General | $395,051 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $121,171 | TotalAmt |
| Program Services | $98,563 | ProgramServicesAmt |
| Management And General | $22,608 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $137,310 | TotalAmt |
| Program Services | $111,691 | ProgramServicesAmt |
| Management And General | $25,619 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $175,756 | TotalAmt |
| Program Services | $142,964 | ProgramServicesAmt |
| Management And General | $32,792 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,519 | TotalAmt |
| Management And General | $15,519 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,914 | TotalAmt |
| Program Services | $3,997 | ProgramServicesAmt |
| Management And General | $917 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $268,840 | TotalAmt |
| Program Services | $218,681 | ProgramServicesAmt |
| Management And General | $50,159 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,201 | TotalAmt |
| Program Services | $4,231 | ProgramServicesAmt |
| Management And General | $970 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $156,013 | TotalAmt |
| Program Services | $126,905 | ProgramServicesAmt |
| Management And General | $29,108 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $64,513 | TotalAmt |
| Program Services | $52,476 | ProgramServicesAmt |
| Management And General | $12,037 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $253,810 | TotalAmt |
| Program Services | $206,455 | ProgramServicesAmt |
| Management And General | $47,355 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,468 | TotalAmt |
| Program Services | $41,865 | ProgramServicesAmt |
| Management And General | $9,603 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $134 | TotalAmt |
| Program Services | $109 | ProgramServicesAmt |
| Management And General | $25 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $532 | TotalAmt |
| Program Services | $433 | ProgramServicesAmt |
| Management And General | $99 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $156,729 | TotalAmt |
| Program Services | $127,487 | ProgramServicesAmt |
| Management And General | $29,242 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $45,893 | TotalAmt |
| Program Services | $37,330 | ProgramServicesAmt |
| Management And General | $8,563 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Inpatient Hospitalizations | $193,600 | $193,600 | |
| DUES & MEMBERSHIPS | $17,081 | $13,894 | $3,187 |
| FOOD | $15,370 | $12,502 | $2,868 |
| REPAIRS & MAINTENANCE | $9,885 | $8,041 | $1,844 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,186 | TotalAmt |
| Program Services | $4,710 | ProgramServicesAmt |
| Management And General | $476 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,816,281 | TotalAmt |
| Program Services | $3,128,239 | ProgramServicesAmt |
| Management And General | $688,042 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $263,114 | BOYAmt |
| EOY | $345,520 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,268 | BOYAmt |
| EOY | $160,791 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $59,210 | BOYAmt |
| EOY | $159,482 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $12,002 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $5,738,187 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $3,114,448 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,691,451 | BOYAmt |
| EOY | $2,623,739 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,236 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,298,972 | BOYAmt |
| EOY | $2,380,775 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,375,251 | BOYAmt |
| EOY | $5,682,309 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,873 | BOYAmt |
| EOY | $7,119 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $47,551 | BOYAmt |
| EOY | $55,478 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $87,424 | BOYAmt |
| EOY | $62,597 | 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 | $5,287,827 | BOYAmt |
| EOY | $5,619,712 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,287,827 | BOYAmt |
| EOY | $5,619,712 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,375,251 | BOYAmt |
| EOY | $5,682,309 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $331,885 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | 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 (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | 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 | $2,708,681 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,740,761 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,805,656 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,857,583 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,010,163 | CurrentTaxYearAmt |
| Total | $14,122,844 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,708,681 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,740,761 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,805,656 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,857,583 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,010,163 | CurrentTaxYearAmt |
| Total | $14,122,844 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $0 | SubstantialContributorsTotAmt |
| Public Support Total170 | $14,122,844 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $39,057 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $18,106 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $16,105 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $15,000 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $12,007 | CurrentTaxYearAmt |
| Total | $100,275 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $18,183 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $10,953 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $11,574 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,643 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $44,353 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $14,267,472 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $5,753,183 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.9899 | PublicSupportCY170Pct |
| Public Support PY170 | 0.9864 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule A, Part II, Line 10 Other Income | FormAndLineReferenceDesc |
| Explanation | DESCRIPTION - MEDICAL RECORDS REVENUE, COLUMN A - 4848.0, COLUMN B - 11.0, COLUMN C - 210.0, COLUMN D - 0.0, COLUMN E - 0.0, COLUMN F - 5069.0; DESCRIPTION - MISCELLANEOUS INCOME, COLUMN A - 13335.0, COLUMN B - 10942.0, COLUMN C - 11364.0, COLUMN D - 3643.0, COLUMN E - 0.0, COLUMN F - 39284.0; | ExplanationTxt |
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 | $1,250,719 | OtherCostOrOtherBasisAmt |
| Book Value | $1,250,719 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,781,169 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,544,183 | DepreciationAmt |
| Book Value | $1,236,986 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $706,299 | OtherCostOrOtherBasisAmt |
| Depreciation | $570,265 | DepreciationAmt |
| Book Value | $136,034 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $2,623,739 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DUE FROM AFFILIATE | $2,367,144 |
| SECURITY DEPOSIT | $1,333 |
| ROU LEASES | $12,298 |
| INTERCO. INTEREST RECEIVABLE |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $2,380,775 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| CAPITAL LEASES | $12,491 |
| DUE TO AFFILIATES | $42,987 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $55,478 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $4,148,166 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $0 | OtherRevenueAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $4,148,166 | RevenueSubtotalAmt |
| Other Revenues Not Included | $0 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $4,148,166 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $3,816,281 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $0 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $3,816,281 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $0 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $3,816,281 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule D, Part X, Line 2 | FormAndLineReferenceDesc |
| Explanation | MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BRIAN DAVIS | ||||||||||||||
| CEO | $0 | $179,379 | $0 | $14,925 | $0 | $858 | $0 | $12,209 | $0 | $3,214 | $0 | $210,585 | $0 | $0 |
| KEITH FAUGHT | ||||||||||||||
| CFO | $0 | $162,058 | $0 | $0 | $0 | $299 | $0 | $2,440 | $0 | $0 | $0 | $164,797 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule J, Part I, Line 3 | FormAndLineReferenceDesc |
| Explanation | ARISA HEALTH, A RELATED ORGANIZATION, ESTABLISHES THE COMPENSATION OF THE PROFESSIONAL COUNSELING ASSOCIATES' CEO THROUGH THE APPROVAL OF THE BOARD/COMPENSATION COMMITTEE AND A WRITTEN EMPLOYMENT CONTRACT. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 6 Classes of members or stockholders | ARISA HEALTH, A RELATED ORGANIZATION, IS THE SOLE MEMBER OF THE CORPORATION. |
| Form 990, Part VI, Line 7a Members or stockholders electing members of governing body | ARISA HEALTH, THE SOLE MEMBER, HAS THE POWERS WITH RESPECT TO THE APPOINTMENT, ELECTION OR REMOVAL OF THE BOARD OF DIRECTORS. |
| Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders | THE FOLLOWING GOVERNANCE DECISIONS OF THE ORGANIZATION ARE SUBJECT TO APPROVAL BY ARISA HEALTH, THE SOLE MEMBER. - ALL POWERS WITH RESPECT TO THE APPOINTMENT, ELECTION OR REMOVAL OF THE BOARD OF DIRECTORS - ALL POWERS WITH RESPECT TO THE EMPLOYMENT OF SENIOR MANAGEMENT & OFFICERS - REQUISITE APPROVAL OF THE CORPORATION'S ANNUAL BUDGET - REQUISITE APPROVAL OF ANY ACTION TO ALTER, AMEND OR MODIFY THE CORPORATION'S TAX-EXEMPT CHARACTERIZATION OR STATUS - REQUISITE APPROVAL OF ANY ACTION TO MERGE, COMBINE, DIVIDE OR DISSOLVE THE CORPORATION - REQUISITE APPROVAL OF ANY ACTION TO SEEK BANKRUPTCY PROTECTION - REQUISITE APPROVAL OF THE BORROWING OF MONEY - REQUISITE APPROVAL OF CAUSING THE CORPORATION TO ENTER INTO, MODIFY, TERMINATE OR ALLOW TO EXPIRE ANY ARMS' LENGTH AGREEMENTS THAT ARE NECESSARY OR APPROPRIATE FOR THE PROPER OPERATION OF THE BUSINESS OF THE CORPORATION. |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | ACCOUNTING MANAGEMENT REVIEWS THE 990 IN DETAIL BEFORE IT IS FILED |
| Form 990, Part VI, Line 12c Conflict of interest policy | WHEN POTENTIAL CONFLICTS OF INTEREST ARE DISCOVERED, THE CEO AND THE BOARD PRESIDENT DISCUSS AND INVESTIGATE SUCH MATTERS. ANY ALLEGATION FOUND TO BE TRUE WILL BE BROUGHT BEFORE THE BOARD OF DIRECTORS FOR APPROPRIATE ACTION. |
| Form 990, Part VI, Line 19 Required documents available to the public | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| OAK TREE APARTMENTS INC | ||||||||||
| PO BOX 6430 | SPRINGDALE | AR | 72766 | 581762622 | HOUSING | AR | 501(c)(3) | 10 | OGCI | Yes (true) |
| THE HEMINGWAY INC | ||||||||||
| PO BOX 6430 | SPRINGDALE | AR | 72766 | 710714702 | HOUSING | AR | 501(c)(3) | 10 | OGCI | Yes (true) |
| WATSON STREET APARTMENTS INC | ||||||||||
| PO BOX 6430 | SPRINGDALE | AR | 72766 | 710559838 | HOUSING | AR | 501(c)(3) | 10 | OGCI | Yes (true) |
| OZARK GUIDANCE CENTER INC | ||||||||||
| PO BOX 6430 | SPRINGDALE | AR | 72766 | 710416869 | MENTAL HEALTH | AR | 501(c)(3) | 7 | ARISA | Yes (true) |
| CONWAY APARTMENTS INC | ||||||||||
| 855 S SALEM ROAD | CONWAY | AR | 72034 | 582014294 | HOUSING | AR | 501(c)(3) | 10 | CAI | Yes (true) |
| HOUSING SERVICES INC | ||||||||||
| 715 E G STREET | RUSSELVILLE | AR | 72801 | 710613882 | HOUSING | AR | 501(c)(3) | 10 | CAI | Yes (true) |
| COUNSELING ASSOCIATES INC | ||||||||||
| 110 SKYLINE DRIVE | RUSSELVILLE | AR | 72801 | 237198398 | MENTAL HEALTH | AR | 501(c)(3) | 7 | ARISA | Yes (true) |
| NE ARKANSAS COMM MENTAL HLTH CNTR INC | ||||||||||
| 2707 BROWNS LANE | JONESBORO | AR | 72401 | 710774925 | MENTAL HEALTH | AR | 501(c)(3) | 7 | ARISA | Yes (true) |
| ARISA HEALTH INC | ||||||||||
| 2400 S 48TH STREET | SPRINGDALE | AR | 72762 | 844286440 | MENTAL HEALTH | AR | 501(c)(3) | 7 | NA | Yes (true) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (true) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (true) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (4 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| ARISA HEALTH INC | ||
| D | $2,366,345 | FMV |
| ARISA HEALTH INC | ||
| O | $2,551,592 | FMV |
| ARISA HEALTH INC | ||
| P | $373,796 | FMV |
| ARISA HEALTH INC | ||
| Q | $2,943,877 | FMV |
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