MARYHAVEN INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
MARYHAVEN INC (EIN 31-0732345)
Tax period
2019-07-01 to 2020-06-30
Filed
2022-02-25
IRS object ID
202210569349300201
Schema version
2019v5.1
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

FieldValueIRS element (for citing)
Return2022-02-25T02:13:40-05:00ReturnTs
Tax Period End2020-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN813010192PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1HWA ALLIANCE OF CPA FIRMS INCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line16100 OAK TREE BOULEVARD SUITE 200AddressLine1Txt
CityIndependenceCityNm
State AbbreviationOHStateAbbreviationCd
ZIP44131ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN310732345EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MARYHAVEN INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMARYBusinessNameControlTxt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11791 Alum Creek DriveAddressLine1Txt
CityColumbusCityNm
State AbbreviationOHStateAbbreviationCd
ZIP432071708ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonADAM ROWANPersonNm
Person TitleInterim CEOPersonTitleTxt
Phone6144458131PhoneNum
Signature2022-01-31SignatureDt
Discuss With Paid PreparerfalseDiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJohn R WrightPreparerPersonNm
PTINP00291948PTIN
Phone8009133919PhoneNum
Preparation2022-02-25PreparationDt
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Amended ReturnYes (X)AmendedReturnInd
Principal OfficerShawn HoltPrincipalOfficerNm
Gross Receipts$31,616,056GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.maryhaven.comWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1967FormationYr
Legal Domicile StateOHLegalDomicileStateCd
Activity Or MissionMaryhaven 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 Body19VotingMembersGoverningBodyCnt
Voting Members Independent19VotingMembersIndependentCnt
Total Employee576TotalEmployeeCnt
Total Volunteers75TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,323,219PYContributionsGrantsAmt
CY Contributions Grants$3,002,102CYContributionsGrantsAmt
PY Program Service Revenue$30,712,122PYProgramServiceRevenueAmt
CY Program Service Revenue$28,559,967CYProgramServiceRevenueAmt
PY Investment Income$65,943PYInvestmentIncomeAmt
CY Investment Income$53,987CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$33,101,284PYTotalRevenueAmt
CY Total Revenue$31,616,056CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$25,582,003PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$20,567,700CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$292,913CYTotalFundraisingExpenseAmt
PY Other Expenses$11,324,935PYOtherExpensesAmt
CY Other Expenses$16,398,030CYOtherExpensesAmt
PY Total Expenses$36,906,938PYTotalExpensesAmt
CY Total Expenses$36,965,730CYTotalExpensesAmt
PY Revenues Less Expenses-$3,805,654PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$5,349,674CYRevenuesLessExpensesAmt
Total Assets BOY$18,516,730TotalAssetsBOYAmt
Total Assets EOY$16,972,324TotalAssetsEOYAmt
Total Liabilities BOY$5,362,281TotalLiabilitiesBOYAmt
Total Liabilities EOY$9,167,549TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$13,154,449NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$7,804,775NetAssetsOrFundBalancesEOYAmt
MissionMaryhaven 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 SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$19,934,531ExpenseAmt
Revenue$21,021,132RevenueAmt
DescMaryhaven 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

FieldValueIRS element (for citing)
Expense$7,784,512ExpenseAmt
Revenue$9,622,131RevenueAmt
DescThe 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

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$1,576,242ExpenseAmt
Grant$1,013,176GrantAmt
DescThe Engagement Center is a 50 bed emergency shelter for homeless men and women who are publicly inebriated at the time of admission.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$29,295,285TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (true)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee576EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members19GoverningBodyVotingMembersCnt
Independent Voting Member19IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldOHStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonShawn HoltPersonNm
Phone6144458131PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11791 Alum Creek DriveAddressLine1Txt
CityColumbusCityNm
State AbbreviationOHStateAbbreviationCd
ZIP432071708ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (33 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
John Littlejohn
Chair Board of Directors2.000.00Yes (X)$0$0$0
Steven C Power
Vice Chair Board of Director2.000.00Yes (X)$0$0$0
Kevin Brady
SecretaryTreasBoard of Dir2.000.00Yes (X)$0$0$0
Amy Heaton
Board Member1.000.00Yes (X)$0$0$0
Judge David E Cain
Board Member1.000.00Yes (X)$0$0$0
Suzanne Coleman-Tolbert
Board Member1.000.00Yes (X)$0$0$0
Patricia Eshman
Board Member1.000.00Yes (X)$0$0$0
Rich Mueller
Board Member1.000.00Yes (X)$0$0$0
Daniel R Moore Jr
Board Member1.000.00Yes (X)$0$0$0
Michael Stovall
Board Member1.000.00Yes (X)$0$0$0
Judge Charles A Schneider
Board Member1.000.00Yes (X)$0$0$0
Judge Guy Lester Reece II
Board Member1.000.00Yes (X)$0$0$0
Lana T Ruebel
Board Member1.000.00Yes (X)$0$0$0
Judge Lisa L Sadler
Board Member1.000.00Yes (X)$0$0$0
Ann Schiele
Board Member1.000.00Yes (X)$0$0$0
Noreen Nichols SPHR
Board Member1.000.00Yes (X)$0$0$0
Thomas E Lach
Board Member1.000.00Yes (X)$0$0$0
Abby Morrison
Board Member1.000.00Yes (X)$0$0$0
Stephanie McCloud Esq
Board Member1.000.00Yes (X)$0$0$0
Shawn Holt
CEO40.000.00$284,015$0$46,415Yes (X)Yes (X)
Adam Rowan
COO40.000.00$179,387$0$40,790Yes (X)
John Reed
CFO40.000.00$207,083$0$20,000Yes (X)
Matthew Donovan
VP Facilities40.000.00$139,050$0$13,905Yes (X)
Angela Stewart
VP HR & Diversity40.000.00$231,158$0$40,765Yes (X)
Melissa Mitchell
General Counsel40.000.00$205,509$0$28,227Yes (X)
Trupti Patel
Medical Director40.000.00$83,727$0$2,663Yes (X)
Nanon Morrison
VP Marketing40.000.00$80,000$0$8,000Yes (X)
Andrew Moss
VP MASC40.000.00$125,675$0$13,063Yes (X)
Rebecca Boyle
Nurse Practioner40.000.00$114,423$0$13,268Yes (X)
Kari Pederson
Nurse Practioner40.000.00$123,859$0$13,740Yes (X)
Constance Hartgrove
Nurse Practioner40.000.00$111,720$0$20,400Yes (X)
Robert White
Director of IT40.000.00$121,364$0$26,140Yes (X)
Dr Dana Vallangeon
Medical Director40.000.00$148,470$0$14,847Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,155,440TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$302,223TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K12IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsYes (true)CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

ServicesServicesDescCompensationCompensationAmt
Bryan Feldman
Medical Services$111,783
Suseela Nalluri MD
Psychiatry$152,153
Indrani Naskar
Medical Services$216,561
Vinutha Reddy
Medical Services$140,793
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K4CntrctRcvdGreaterThan100KCnt
Government Grants$1,272,491GovernmentGrantsAmt
All Other Contributions$1,729,611AllOtherContributionsAmt
Total Contributions$3,002,102TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Fee for Service621400$460,571$460,571
Medicaid621400$16,660,068$16,660,068
Fees & government contr423000$12,175,637$12,175,637

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column-$736,309TotalRevenueColumnAmt
Related Or Exempt Func Income-$736,309RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$28,559,967TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$53,987TotalRevenueColumnAmt
Related Or Exempt Func Income$53,987RelatedOrExemptFuncIncomeAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$31,616,056TotalRevenueColumnAmt
Related Or Exempt Func Income$28,613,954RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$16,239,037TotalAmt
Program Services$12,786,480ProgramServicesAmt
Management And General$3,293,276ManagementAndGeneralAmt
Fundraising$159,281FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$4,328,663TotalAmt
Program Services$3,328,273ProgramServicesAmt
Management And General$964,425ManagementAndGeneralAmt
Fundraising$35,965FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,889,993TotalAmt
Program Services$1,158,551ProgramServicesAmt
Management And General$689,418ManagementAndGeneralAmt
Fundraising$42,024FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$65,576TotalAmt
Management And General$59,679ManagementAndGeneralAmt
Fundraising$5,897FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,112,782TotalAmt
Program Services$1,110,446ProgramServicesAmt
Management And General$2,336ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$120,863TotalAmt
Program Services$112,650ProgramServicesAmt
Management And General$7,928ManagementAndGeneralAmt
Fundraising$285FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,144,026TotalAmt
Program Services$629,214ProgramServicesAmt
Management And General$514,812ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$209,114TotalAmt
Program Services$125,468ProgramServicesAmt
Management And General$83,646ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Temporary Agency Staff$775,929$706,638$69,291
Supplies$2,340,478$2,027,562$285,579$27,337
Utilities & Telephone$622,078$510,709$111,369
Repairs & Maintenance$537,621$425,434$112,187

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$7,579,570TotalAmt
Program Services$6,373,860ProgramServicesAmt
Management And General$1,183,586ManagementAndGeneralAmt
Fundraising$22,124FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$36,965,730TotalAmt
Program Services$29,295,285ProgramServicesAmt
Management And General$7,377,532ManagementAndGeneralAmt
Fundraising$292,913FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$83,302BOYAmt
EOY$215,204EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,327,060BOYAmt
EOY$5,078,128EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,910,283BOYAmt
EOY$1,852,198EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$36,756BOYAmt
EOY$40,790EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$96,158BOYAmt
EOY$109,197EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$19,352,013LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$9,799,877LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$11,071,383BOYAmt
EOY$9,552,136EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$991,788BOYAmt
EOY$124,671EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$18,516,730BOYAmt
EOY$16,972,324EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$4,158,025BOYAmt
EOY$9,167,549EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,204,256BOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,362,281BOYAmt
EOY$9,167,549EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$13,154,449BOYAmt
EOY$7,150,284EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
EOY$654,491EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$13,154,449BOYAmt
EOY$7,804,775EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$18,516,730BOYAmt
EOY$16,972,324EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$5,349,674ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$25,457,146CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$28,431,341CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$29,569,468CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$32,416,460CurrentTaxYearMinus1YearAmt
Current Tax Year$32,298,378CurrentTaxYearAmt
Total$148,172,793TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$25,457,146CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$28,431,341CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$29,569,468CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$32,416,460CurrentTaxYearMinus1YearAmt
Current Tax Year$32,298,378CurrentTaxYearAmt
Total$148,172,793TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$148,172,793PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$49,007CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$40,105CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$49,141CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$65,943CurrentTaxYearMinus1YearAmt
Current Tax Year$53,987CurrentTaxYearAmt
Total$258,183TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,001,338CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,039,458CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$426,690CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$618,881CurrentTaxYearMinus1YearAmt
Current Tax Year-$736,309CurrentTaxYearAmt
Total$2,350,058TotalAmt
FieldValueIRS element (for citing)
Total Support$150,781,034TotalSupportAmt
Public Support CY1700.98270PublicSupportCY170Pct
Public Support PY1700.97210PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$123,630BeginningYearBalanceAmt
Investment Earnings Or Losses$1,598InvestmentEarningsOrLossesAmt
Administrative Expenses$557AdministrativeExpensesAmt
End Year Balance$124,671EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$121,103BeginningYearBalanceAmt
Investment Earnings Or Losses$3,082InvestmentEarningsOrLossesAmt
Administrative Expenses$555AdministrativeExpensesAmt
End Year Balance$123,630EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$120,206BeginningYearBalanceAmt
Investment Earnings Or Losses$1,452InvestmentEarningsOrLossesAmt
Administrative Expenses$555AdministrativeExpensesAmt
End Year Balance$121,103EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$120,196BeginningYearBalanceAmt
Investment Earnings Or Losses$565InvestmentEarningsOrLossesAmt
Administrative Expenses$555AdministrativeExpensesAmt
End Year Balance$120,206EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$120,464BeginningYearBalanceAmt
Investment Earnings Or Losses$288InvestmentEarningsOrLossesAmt
Administrative Expenses$556AdministrativeExpensesAmt
End Year Balance$120,196EndYearBalanceAmt
FieldValueIRS element (for citing)
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,193,000OtherCostOrOtherBasisAmt
Book Value$1,193,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,359,025OtherCostOrOtherBasisAmt
Depreciation$3,905,975DepreciationAmt
Book Value$3,453,050BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,098,525OtherCostOrOtherBasisAmt
Depreciation$830,009DepreciationAmt
Book Value$1,268,516BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,352,821OtherCostOrOtherBasisAmt
Depreciation$1,951,360DepreciationAmt
Book Value$401,461BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,348,642OtherCostOrOtherBasisAmt
Depreciation$3,112,533DepreciationAmt
Book Value$3,236,109BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$9,552,136TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
Assets Held by Others$124,671
Security Interest$450,000
Interest Receivable$459,473
Allowance for Doubtful Accounts-$909,473
FieldValueIRS element (for citing)
Total Book Value Other Assets$124,671TotalBookValueOtherAssetsAmt
Total Rev Etc Audited Fincl Stmt$31,616,056TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$31,616,056RevenueSubtotalAmt
Total Revenue Per Form990$31,616,056TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$36,965,730TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$36,965,730ExpensesSubtotalAmt
Total Expenses Per Form990$36,965,730TotalExpensesPerForm990Amt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmt
Shawn Holt
CEO$284,015$46,415$330,430
Adam Rowan
COO$179,387$40,790$220,177
John Reed
CFO$207,083$20,000$227,083
Matthew Donovan
VP Facilities$139,050$13,905$152,955
Angela Stewart
VP HR & Diversity$231,158$40,765$271,923
Melissa Mitchell
General Counsel$205,509$28,227$233,736
Dr Dana Vallangeon MD
Medical Director$148,470$14,847$163,317

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Amended return informationCorrected prior reported officers and key employees compensation.
Form 990 governing body review Part VI line 11The 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 12cThe conflict of Interest policy is reviewed annually by members of the Board of Directors.
CEO executive director top management comp Part VI line 15aCompensation 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 15bAn 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 19Governing 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 24eOther expenses consist of Physician Services, Nursing Services, Client Assistance, Laboratory, Small Equipment, Training & Education, Photocpy, Printing & Postage and Other Expenses and Bad Debts

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