MARYHAVEN INC: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- MARYHAVEN INC (EIN 31-0732345)
- Tax period
- 2020-07-01 to 2021-06-30
- Filed
- 2022-04-26
- IRS object ID
- 202201169349300505
- Schema version
- 2020v4.1
- 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 | 2022-04-26T05:11:30-04:00 | ReturnTs |
| Tax Period End | 2021-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 813010192 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HWA ALLIANCE OF CPA FIRMS INC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6100 OAK TREE BLVD SUITE 200 | AddressLine1Txt |
| City | Independence | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 44131 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 310732345 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARYHAVEN INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MARY | BusinessNameControlTxt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1791 Alum Creek Drive | AddressLine1Txt |
| City | Columbus | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 432071708 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ADAM ROWAN | PersonNm |
| Person Title | Interim CEO | PersonTitleTxt |
| Phone | 6144458131 | PhoneNum |
| Signature | 2022-03-08 | SignatureDt |
| Discuss With Paid Preparer | false | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | ADAM | PersonFirstNm |
| Person Last | ROWAN | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | John R Wright | PreparerPersonNm |
| PTIN | P00291948 | PTIN |
| Phone | 2165410090 | PhoneNum |
| Preparation | 2022-04-26 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 0 | TrustedCustomerCd |
| OOB Security Verification | 00 | OOBSecurityVerificationCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Shawn Holt | PrincipalOfficerNm |
| Gross Receipts | $39,459,060 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.maryhaven.com | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1967 | FormationYr |
| Legal Domicile State | OH | LegalDomicileStateCd |
| Activity Or Mission | Maryhaven provides comprehensive services for patients who at all stages of recovery, including in-patient, and out-patient care, medically assisted treatment as well as cognitive behavioral and other proven therapies, individual and group counseling. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 798 | TotalEmployeeCnt |
| Total Volunteers | 100 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $3,002,102 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,263,345 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $28,559,967 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $37,194,062 | CYProgramServiceRevenueAmt |
| PY Investment Income | $53,987 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,653 | CYInvestmentIncomeAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $31,616,056 | PYTotalRevenueAmt |
| CY Total Revenue | $39,459,060 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $20,567,700 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $18,261,266 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $284,863 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $16,398,030 | PYOtherExpensesAmt |
| CY Other Expenses | $14,492,633 | CYOtherExpensesAmt |
| PY Total Expenses | $36,965,730 | PYTotalExpensesAmt |
| CY Total Expenses | $32,753,899 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$5,349,674 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $6,705,161 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $16,972,324 | TotalAssetsBOYAmt |
| Total Assets EOY | $17,217,047 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $9,167,549 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,707,111 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $7,804,775 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $14,509,936 | NetAssetsOrFundBalancesEOYAmt |
| Mission | Maryhaven provides comprehensive services for patients who at all stages of recovery, including in-patient, and out-patient care, medically assisted treatment as well as cognitive behavioral and other proven therapies, individual and group counseling. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $16,967,136 | ExpenseAmt |
| Desc | Maryhaven provides integrated behavioral healthcare services to help men, women and adolescents restore their lives from the effect of addictive and mental illness. Services include supervised detoxification, medication assisted treatment, long-term and short-term rehabilitation services and outpatient group, individual and family counseling. Services were provided to 11,000+ patients during this reporting period. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $5,666,180 | ExpenseAmt |
| Desc | The Engagement Center is a 50 bed emergency shelter for homeless men and women who are publicly inebriated at the time of admission. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $3,872,256 | ExpenseAmt |
| Desc | The Maryhaven Addiction Stabilization Center (MASC)is a 55-bed facility that serves individuals who have recently overdosed on opiates or who may be at high risk for opiate overdose. Patients are transported by local EMS workers as well as the local opiate-specific rapid response team. The center includes a Triage/Admission, Detox, and Residential sub program segments. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $26,505,572 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (true) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | 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 | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 68 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 798 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| 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 | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | 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 | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | OH | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Shawn Holt | PersonNm |
| Phone | 6144458131 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1791 Alum Creek Drive | AddressLine1Txt |
| City | Columbus | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 432071708 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Key EmployeeKeyEmployeeInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|---|
| Dr Trupti Patel | ||||||||
| Medical Director | 40.00 | 0.00 | Yes (X) | $413,452 | $0 | $49,922 | ||
| Shawn Holt | ||||||||
| President and CEO | 40.00 | 0.00 | $350,809 | $0 | $45,113 | Yes (X) | ||
| Angela Stewart | ||||||||
| Vice President of HR | 40.00 | 0.00 | Yes (X) | $235,038 | $0 | $31,309 | ||
| John Reed | ||||||||
| CFO | 40.00 | 0.00 | Yes (X) | $231,969 | $0 | $21,161 | ||
| Melissa Mitchell | ||||||||
| Chief Counsel | 40.00 | 0.00 | Yes (X) | $216,820 | $0 | $27,405 | ||
| Adam Rowan | ||||||||
| COO | 40.00 | 0.00 | $197,444 | $0 | $36,142 | Yes (X) | ||
| Matthew Donovan | ||||||||
| Vice President Facilities | 40.00 | 0.00 | Yes (X) | $153,043 | $0 | $14,461 | ||
| Kari Pederson | ||||||||
| Nurse Practionier | 40.00 | 0.00 | Yes (X) | $140,891 | $0 | $24,054 | ||
| Robert Behrens | ||||||||
| Nurse Practionier | 40.00 | 0.00 | Yes (X) | $121,470 | $0 | $29,276 | ||
| Amy Cochran | ||||||||
| Director of Nursing | 40.00 | 0.00 | Yes (X) | $126,962 | $0 | $23,756 | ||
| Dr Lawrence Mendel | ||||||||
| Medical Doctor | 40.00 | 0.00 | Yes (X) | $140,086 | $0 | $7,004 | ||
| Ryan Pickut | ||||||||
| Program Director | 40.00 | 0.00 | Yes (X) | $117,747 | $0 | $22,418 | ||
| John Littlejohn | ||||||||
| Board Member | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| Rich Mueller | ||||||||
| Board Member | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| Michael Stovall | ||||||||
| Board Member | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| Judge David E Cain | ||||||||
| Board Member | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| Patricia Eshman | ||||||||
| Board Member | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| Judge Charles A Schneider | ||||||||
| Board Member | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| Judge Lisa L Sadler | ||||||||
| Board Member | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| Tina Ambrozy | ||||||||
| Board Member | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| Judge Guy Lester Reece II | ||||||||
| Board Member | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| Lana T Ruebel | ||||||||
| Board Member | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| Amy Heaton | ||||||||
| Vice Chair Board of Director | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| Kevin Brady | ||||||||
| Chair Board of Directors | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| Noreen Nichols | ||||||||
| Treasurer Board of Directors | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| Abby Morrison | ||||||||
| SecretaryBoard of Directors | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,445,731 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $332,021 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 12 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| ServicesServicesDesc | CompensationCompensationAmt |
|---|---|
| Regency Hospital of Columbus | |
| Facility Rent | $570,512 |
| All City Cleaning | |
| Cleaning Services | $399,268 |
| Contracting Solutions | |
| Construction Serv | $303,059 |
| Archive Data | |
| Furniture | $247,247 |
| Naskar Associates | |
| Physician Services | $155,705 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $817,276 | GovernmentGrantsAmt |
| All Other Contributions | $1,446,069 | AllOtherContributionsAmt |
| Total Contributions | $2,263,345 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Fee for Service | 621400 | $541,097 | $541,097 |
| Medicaid | 621400 | $19,275,587 | $19,275,587 |
| Fees & government contr | 423000 | $12,473,973 | $12,473,973 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,903,405 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $4,903,405 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $37,194,062 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,653 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,653 | RelatedOrExemptFuncIncomeAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $39,459,060 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $37,195,715 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,453,002 | TotalAmt |
| Program Services | $11,381,739 | ProgramServicesAmt |
| Management And General | $2,926,733 | ManagementAndGeneralAmt |
| Fundraising | $144,530 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,808,264 | TotalAmt |
| Program Services | $2,999,008 | ProgramServicesAmt |
| Management And General | $771,173 | ManagementAndGeneralAmt |
| Fundraising | $38,083 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,127,450 | TotalAmt |
| Program Services | $1,303,063 | ProgramServicesAmt |
| Management And General | $776,519 | ManagementAndGeneralAmt |
| Fundraising | $47,868 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $74,037 | TotalAmt |
| Management And General | $67,374 | ManagementAndGeneralAmt |
| Fundraising | $6,663 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $994,238 | TotalAmt |
| Program Services | $991,752 | ProgramServicesAmt |
| Management And General | $2,486 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $80,408 | TotalAmt |
| Program Services | $74,980 | ProgramServicesAmt |
| Management And General | $5,227 | ManagementAndGeneralAmt |
| Fundraising | $201 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,030,531 | TotalAmt |
| Program Services | $566,792 | ProgramServicesAmt |
| Management And General | $463,739 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $239,739 | TotalAmt |
| Program Services | $143,244 | ProgramServicesAmt |
| Management And General | $95,896 | ManagementAndGeneralAmt |
| Fundraising | $599 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Temporary Agency Staff | $1,065,113 | $969,253 | $95,860 | |
| Supplies | $1,922,172 | $1,662,679 | $235,466 | $24,027 |
| Utilities & Telephone | $536,187 | $439,673 | $96,514 | |
| Repairs & Maintenance | $715,171 | $564,985 | $150,186 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,707,587 | TotalAmt |
| Program Services | $5,408,404 | ProgramServicesAmt |
| Management And General | $276,291 | ManagementAndGeneralAmt |
| Fundraising | $22,892 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,753,899 | TotalAmt |
| Program Services | $26,505,572 | ProgramServicesAmt |
| Management And General | $5,963,464 | ManagementAndGeneralAmt |
| Fundraising | $284,863 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $215,204 | BOYAmt |
| EOY | $82,935 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,078,128 | BOYAmt |
| EOY | $5,628,098 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,852,198 | BOYAmt |
| EOY | $2,048,745 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,790 | BOYAmt |
| EOY | $49,898 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $109,197 | BOYAmt |
| EOY | $141,794 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $19,951,398 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $10,809,976 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,552,136 | BOYAmt |
| EOY | $9,141,422 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $124,671 | BOYAmt |
| EOY | $124,155 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,972,324 | BOYAmt |
| EOY | $17,217,047 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,167,549 | BOYAmt |
| EOY | $2,707,111 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,167,549 | BOYAmt |
| EOY | $2,707,111 | 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 | $7,150,284 | BOYAmt |
| EOY | $14,092,857 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $654,491 | BOYAmt |
| EOY | $417,079 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,804,775 | BOYAmt |
| EOY | $14,509,936 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,972,324 | BOYAmt |
| EOY | $17,217,047 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $6,705,161 | 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) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| 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 | $28,431,341 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $29,569,468 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $32,416,460 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $32,298,378 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $34,554,002 | CurrentTaxYearAmt |
| Total | $157,269,649 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $28,431,341 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $29,569,468 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $32,416,460 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $32,298,378 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $34,554,002 | CurrentTaxYearAmt |
| Total | $157,269,649 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $157,269,649 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $40,105 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $49,141 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $65,943 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $53,987 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,653 | CurrentTaxYearAmt |
| Total | $210,829 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,039,458 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $426,690 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $618,881 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | -$736,309 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,903,405 | CurrentTaxYearAmt |
| Total | $6,252,125 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $163,732,603 | TotalSupportAmt |
| Public Support CY170 | 0.96050 | PublicSupportCY170Pct |
| Public Support PY170 | 0.98270 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $124,671 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $41 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $557 | AdministrativeExpensesAmt |
| End Year Balance | $124,155 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $123,630 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $1,598 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $557 | AdministrativeExpensesAmt |
| End Year Balance | $124,671 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $121,103 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $3,082 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $555 | AdministrativeExpensesAmt |
| End Year Balance | $123,630 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $120,206 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $1,452 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $555 | AdministrativeExpensesAmt |
| End Year Balance | $121,103 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $120,196 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $565 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $555 | AdministrativeExpensesAmt |
| End Year Balance | $120,206 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,193,000 | OtherCostOrOtherBasisAmt |
| Book Value | $1,193,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,359,025 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,094,025 | DepreciationAmt |
| Book Value | $3,265,000 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,144,393 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,133,057 | DepreciationAmt |
| Book Value | $1,011,336 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,562,605 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,105,770 | DepreciationAmt |
| Book Value | $456,835 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,692,375 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,477,124 | DepreciationAmt |
| Book Value | $3,215,251 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $9,141,422 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Assets Held by Others | Desc |
| Book Value | $124,155 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $124,155 | TotalBookValueOtherAssetsAmt |
| Total Rev Etc Audited Fincl Stmt | $39,459,060 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $39,459,060 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $39,459,060 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $32,753,899 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $32,753,899 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $32,753,899 | TotalExpensesPerForm990Amt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | 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 (10 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|
| Shawn Holt | |||
| President and CEO | $350,809 | $45,113 | $395,922 |
| Adam Rowan | |||
| COO | $197,444 | $36,142 | $233,586 |
| John Reed | |||
| CFO | $231,969 | $21,161 | $253,130 |
| Matthew Donovan | |||
| Vice President Facilities | $153,043 | $14,461 | $167,504 |
| Angela Stewart | |||
| Vice President of HR | $235,038 | $31,309 | $266,347 |
| Melissa Mitchell | |||
| Chief Counsel | $216,820 | $27,405 | $244,225 |
| Dr Trupti Patel | |||
| Medical Director | $413,452 | $49,922 | $463,374 |
| Kari Pederson | |||
| Nurse Practionier | $140,891 | $24,054 | $164,945 |
| Robert Behrens | |||
| Nurse Practionier | $121,470 | $29,276 | $150,746 |
| Amy Cochran | |||
| Director of Nursing | $126,962 | $23,756 | $150,718 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990 governing body review Part VI line 11 | The Finance Committee of the Board of Directors reviews the Form 990 return after it is prepared. The Form 990 return is subsequently distributed to all members of the Board of Directors for their review. |
| Conflict of interest policy compliance Part VI line 12c | The conflict of Interest policy is reviewed annually by members of the Board of Directors. |
| CEO executive director top management comp Part VI line 15a | Compensation of the President/CEO, other officers and key employees is reviewed and approved by a compensation committee made up of Executive Board Members. The committee uses data from compensation studies of comparable positions with organizations of comparable size and mission/purpose. |
| Other officer or key employee compensation Part VI line 15b | An independent third pary compensation consulting firm was previosuly engaged to create compensation ranges for all key employees of the organization. |
| Governing documents etc available to public Part VI line 19 | Governing documents and the Conflict of Interest policy are available to the general public upon request. Audited financial statements and copies of the Form 990 are provided to funders in accordance with contract requirement and are made available to the public upon request. |
| List of other expenses Part IX line 24e | Other expenses consist of Physician Services, Nursing Services, Client Assistance, Laboratory, Small Equipment, Training & Education, Photocpy, Printing & Postage and Other Expenses. |
Comments