ALCOHOLISM COUNCIL OF CINCINNATI AREA: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- ALCOHOLISM COUNCIL OF CINCINNATI AREA (EIN 31-6059934)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-11
- IRS object ID
- 202233159349306273
- Schema version
- 2021v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-11-11T15:27:42-06:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 310800053 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLARK SCHAEFER HACKETT & CO | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 EAST 4TH STREET | AddressLine1Txt |
| City | CINCINNATI | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 45202 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 316059934 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ADDICTION SERVICES COUNCIL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ADDI | BusinessNameControlTxt |
| Phone | 5132817880 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2828 VERNON PLACE | AddressLine1Txt |
| City | CINCINNATI | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 45219 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LISA MERTZ | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 5132817880 | PhoneNum |
| Signature | 2022-10-25 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | LISA | PersonFirstNm |
| Person Last | MERTZ | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | NATOSHA CARR | PreparerPersonNm |
| PTIN | P01225377 | PTIN |
| Phone | 5132413111 | PhoneNum |
| Preparation | 2022-10-25 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | LISA MERTZ | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2828 VERNON PLACE | AddressLine1Txt |
| City | CINCINNATI | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 45219 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $2,164,403 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.ADDICTIONSERVCICESCOUNCIL.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1960 | FormationYr |
| Legal Domicile State | OH | LegalDomicileStateCd |
| Activity Or Mission | TO BE GREATER CINCINNATI'S LEADING ADVOCATE AND RESOURCE ON ALCOHOLISM, DRUG ABUSE AND OTHER ADDICTIONS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 38 | TotalEmployeeCnt |
| Total Volunteers | 5 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,996,130 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,932,565 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $213,981 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $223,083 | CYProgramServiceRevenueAmt |
| PY Investment Income | $3,271 | PYInvestmentIncomeAmt |
| CY Investment Income | $8,755 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $2,213,382 | PYTotalRevenueAmt |
| CY Total Revenue | $2,164,403 | 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 | $1,352,513 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,507,971 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $125,489 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $468,155 | PYOtherExpensesAmt |
| CY Other Expenses | $629,823 | CYOtherExpensesAmt |
| PY Total Expenses | $1,820,668 | PYTotalExpensesAmt |
| CY Total Expenses | $2,137,794 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $392,714 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $26,609 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,467,846 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,448,048 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $339,978 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $257,340 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,127,868 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,190,708 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | WE AT THE ADDICTION SERVICES COUNCIL STRIVE TO BE THE AREA'S LEADING RESOURCE ON ALCOHOLISM, DRUG ABUSE/DEPENDENCY AND OTHER ADDICTIONS AND TO PROMOTE EFFECTIVE SOLUTIONS TO THESE AND OTHER RELATED PROBLEMS. SERVING THE GREATER CINCINNATI AREA SINCE 1949 OUR VISION CONTINUES TO BE THE CREATION OF A COMMUNITY FREE FROM ALCOHOL AND OTHER DRUG ABUSE AND ADDICTION AND ITS TRAGIC CONSEQUENCES. UNTIL THAT VISION IS ACHIEVED WE WILL CONTINUE TO INCREASE AWARENESS, DECREASE STIGMA, ADVOCATE FOR SOLUTION AND PROVIDE SERVICES THAT ENSURE THAT ALL WHO NEED HELP WILL RECEIVE IT. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $853,937 | ExpenseAmt |
| Revenue | $223,083 | RevenueAmt |
| Desc | THE ADDICTION SERVICES COUNCIL ADDRESSES ALCOHOL, DRUG ABUSE AND OTHER ADDICTIONS/DEPENDENCE ISSUES ACROSS THE FULL CONTINUUM OF ADDICTIVE ILLNESS. FROM ADVOCACY AND COMMUNITY AWARENESS, PREVENTION, INTERVENTION, TREATMENT THROUGH TO RECOVERY SUPPORT, WE ARE ABLE TO ASSIST CONSUMERS/FAMILIES IN ACCESSING CARE NO MATTER WHAT THE SUBSTANCE AND NO MATTER WHAT THE PROBLEM. 24 HOURS/DAY, WE PROVIDE LIVE, PERSONAL RESPONSE THROUGH OUR ADDICTION HOTLINE (513-281-7422): THE ONLY ONE OF ITS KIND IN OUR REGION. THE ADDICTION SERVICES COUNCIL PROVIDES A VARIETY OF DIRECT TREATMENT SERVICES INCLUDING ASSESSMENT, INDIVIDUAL AND GROUP COUNSELING, AND INTERVENTION. THESE SERVICES ARE AVAILABLE ON A SLIDING FEE SCALE. WE SERVE PEOPLE FROM ALL "WALKS OF LIFE". MANY, HOWEVER, OF OUR TREATMENT CLIENTS ARE INDIGENT. WE ARE VERY CONCERNED THAT AS PUBLIC RESOURCES BECOME TIGHTER, MANY WILL GO WITHOUT THE HELP THEY NEED. WE NOW PROVIDE 6 GROUPS A WEEK FOR PEOPLE AWAITING THE PLACEMENT IN A MORE INTENSIVE TREATMENT PROGRAM, THOSE EXPLORING THE NEED FOR ALCOHOL OR OTHER DRUG RELATED TREATMENT, PEOPLE SEEKING SUPPORT FOR THEIR RECOVERY, FAMILY MEMBERS SEEKING TO INCREASE THEIR QUALITY OF LIFE OR WANTING TO DECREASE ENABLING/SELF-DESTRUCTIVE BEHAVIORS AND CONSUMERS INVOLVED IN TREATMENT ELSEWHERE WHO NEED ADDITIONAL COUNSELING SERVICES TO ADDRESS PROBLEMS SUCH AS DOMESTIC VIOLENCE, FAMILY DYSFUNCTIONAL AND TRAUMA RESOLUTION. THE COUNCIL STRUCTURES ITS TREATMENT SERVICES TO FILL IDENTIFIED GAPS IN OUR COMMUNITY SERVICE DELIVERY SYSTEM AND OFFERS SERVICES THAT ARE NOT AVAILABLE ELSEWHERE. IN 2020, WE HANDLED APPROXIMATELY 8,483 CALLS FROM INDIVIDUALS SEEKING INFORMATION AND/OR HELP REGARDING ADDICTIONS. OF THESE, 1,220 INDIVIDUALS RECEIVED HELP THROUGH OUR RECOVERY HEALTH ACCESS CENTER (RHAC) (ASSESSMENT, CASE MANAGEMENT AND/OR PLACEMENT) AND 186 RECEIVED OUTPATIENT TREATMENT SERVICES.WE ALSO PROVIDED PREVENTION SERVICES TO APPROXIMATELY 30,000 INDIVIDUALS THROUGH OUR EXPANDED COMMUNITY OUTREACH EFFORTS, SCHOOL-BASED PROGRAMS, SUMMER CAMP, EAPS, QUICK RESPONSE TEAM, AND GAMBLING ASSESSMENT/EDUCATION PROGRAM. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $658,698 | ExpenseAmt |
| Desc | IN ORDER TO PREVENT ADDICTION, THE COUNCIL PROVIDES PROGRAMS IN SCHOOLS AND COMMUNITIES SPECIFICALLY DESIGNED FOR CHILDREN, ADOLESCENTS AND ADULTS THAT FOCUS ON PROMOTING SOCIAL AND EMOTIONAL GROWTH WHILE PROVIDING ACCURATE INFORMATION ABOUT ALCOHOL AND OTHER DRUGS. KID'S CONNECTION IS AN AWARD WINNING EDUCATION/SUPPORT GROUP FOR YOUNG PEOPLE WHO HAVE AN ALCOHOL OR OTHER DRUG DEPENDENT CAREGIVER IN THEIR LIVES; TEEN INSTITUTE (TI) ALLOWS ADOLESCENTS IN GRADES NINE THROUGH TWELVE TO SEEK AND DISCOVER THEIR OWN PERSONAL UNIQUENESS WITHIN AN ALCOHOL AND DRUG FREE LIFESTYLE. TI PROVIDES OPPORTUNITIES FOR SELF-EXPLORATION AND SKILL BUILDING, RECEIVING PEER SUPPORT, HAVING FUN, AND LEARNING NEW INFORMATION. WE PROVIDE ALCOHOL AND DRUG FREE ACTIVITIES AT VARIOUS SITES IN THE AREA AND RUN A SUMMER CAMP (KUUMBA) THAT HIGHLIGHTS PREVENTION OF ALCOHOL/DRUG ABUSE AND TUTORING FOR EDUCATIONAL NEEDS. LIFE SKILLS HELPS STRENGTHEN COMMUNICATION SKILLS AND PROVIDES OPPORTUNITIES FOR INTERACTION ABOUT TOPICS OF OTHER DRUGS IN AGE APPROPRIATE WAYS. WORKPLACE INTERVENTION NETWORK (WIN) OFFERS EMPLOYERS ASSISTANCE IN IDENTIFYING AND RESOLVING PRODUCTIVITY PROBLEMS FOR EMPLOYEES IMPAIRED BY DRUG ABUSE. SECOND STEP VIOLENCE PREVENTION PROGRAM ADDRESSES SUBSTANCE ABUSE AS WELL AS VIOLENCE PREVENTION. OUR PREVENTION EFFORTS PUT US IN CONTACT WITH OVER 30,000 PEOPLE EVERY YEAR. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $1,512,635 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | 0 | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 6 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 38 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | 0 | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CARL HENNIGEN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5132817880 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2828 VERNON PLACE | AddressLine1Txt |
| City | CINCINNATI | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 45219 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| JAMES ROMBKE | ||||||
| PRESIDENT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| JIM MOCK | ||||||
| VICE PRESIDENT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| DARRIN NYE ESQ | ||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| BOB BYRNE | ||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| CHRIS TAYLOR | ||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | |
| CHRIS YEAZEL | ||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | |
| DENNIS CARROLL | ||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | |
| DOUG SPAK | ||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | |
| JEFFREY SHAFFER | ||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MICHAEL GUREASKO MD | ||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MONICA SULLIVAN MD | ||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | |
| ROBERT BOWMAN | ||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | |
| CINDY ROWLAND | ||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | |
| LISA MERTZ | ||||||
| CEO | 40.00 | Yes (X) | $90,089 | $0 | $7,953 | |
| AMI BROPHY | ||||||
| INTERIM CEO | 40.00 | Yes (X) | $12,699 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $102,788 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $7,953 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $22,146 | FederatedCampaignsAmt |
| Government Grants | $1,797,625 | GovernmentGrantsAmt |
| All Other Contributions | $112,794 | AllOtherContributionsAmt |
| Total Contributions | $1,932,565 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEDICAID | 900099 | $119,719 | $119,719 |
| PROGRAM SERVICE FEES | 900099 | $103,364 | $103,364 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $223,083 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,755 | TotalRevenueColumnAmt |
| Exclusion | $8,755 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,164,403 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $223,083 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $8,755 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $110,741 | TotalAmt |
| Program Services | $82,844 | ProgramServicesAmt |
| Management And General | $25,288 | ManagementAndGeneralAmt |
| Fundraising | $2,609 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,216,100 | TotalAmt |
| Program Services | $909,745 | ProgramServicesAmt |
| Management And General | $277,704 | ManagementAndGeneralAmt |
| Fundraising | $28,651 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,442 | TotalAmt |
| Program Services | $23,521 | ProgramServicesAmt |
| Management And General | $7,180 | ManagementAndGeneralAmt |
| Fundraising | $741 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,212 | TotalAmt |
| Program Services | $35,319 | ProgramServicesAmt |
| Management And General | $10,781 | ManagementAndGeneralAmt |
| Fundraising | $1,112 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $102,476 | TotalAmt |
| Program Services | $76,661 | ProgramServicesAmt |
| Management And General | $23,401 | ManagementAndGeneralAmt |
| Fundraising | $2,414 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,100 | TotalAmt |
| Program Services | $11,236 | ProgramServicesAmt |
| Management And General | $9,457 | ManagementAndGeneralAmt |
| Fundraising | $8,407 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $262,635 | TotalAmt |
| Program Services | $101,408 | ProgramServicesAmt |
| Management And General | $85,355 | ManagementAndGeneralAmt |
| Fundraising | $75,872 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,002 | TotalAmt |
| Program Services | $18,704 | ProgramServicesAmt |
| Management And General | $5,709 | ManagementAndGeneralAmt |
| Fundraising | $589 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,231 | TotalAmt |
| Program Services | $21,867 | ProgramServicesAmt |
| Management And General | $6,675 | ManagementAndGeneralAmt |
| Fundraising | $689 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,429 | TotalAmt |
| Program Services | $41,465 | ProgramServicesAmt |
| Management And General | $12,658 | ManagementAndGeneralAmt |
| Fundraising | $1,306 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,115 | TotalAmt |
| Program Services | $5,322 | ProgramServicesAmt |
| Management And General | $1,625 | ManagementAndGeneralAmt |
| Fundraising | $168 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,999 | TotalAmt |
| Program Services | $14,213 | ProgramServicesAmt |
| Management And General | $4,338 | ManagementAndGeneralAmt |
| Fundraising | $448 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,253 | TotalAmt |
| Program Services | $7,670 | ProgramServicesAmt |
| Management And General | $2,341 | ManagementAndGeneralAmt |
| Fundraising | $242 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,755 | TotalAmt |
| Program Services | $26,000 | ProgramServicesAmt |
| Management And General | $7,936 | ManagementAndGeneralAmt |
| Fundraising | $819 | FundraisingAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| SPECIFIC ASSISTANCE | $97,000 | $91,500 | $5,500 | $0 |
| MEMBERSHIP | $16,207 | $12,124 | $3,701 | $382 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,097 | TotalAmt |
| Program Services | $33,036 | ProgramServicesAmt |
| Management And General | $10,021 | ManagementAndGeneralAmt |
| Fundraising | $1,040 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,137,794 | TotalAmt |
| Program Services | $1,512,635 | ProgramServicesAmt |
| Management And General | $499,670 | ManagementAndGeneralAmt |
| Fundraising | $125,489 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $319,977 | BOYAmt |
| EOY | $333,149 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,295 | BOYAmt |
| EOY | $22,146 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $400,108 | BOYAmt |
| EOY | $188,996 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,391 | BOYAmt |
| EOY | $5,927 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,091,916 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $657,780 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $428,224 | BOYAmt |
| EOY | $434,136 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $268,851 | BOYAmt |
| EOY | $463,694 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,467,846 | BOYAmt |
| EOY | $1,448,048 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $81,882 | BOYAmt |
| EOY | $12,849 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $258,096 | BOYAmt |
| EOY | $244,491 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $339,978 | BOYAmt |
| EOY | $257,340 | 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 | $1,056,115 | BOYAmt |
| EOY | $1,168,562 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $71,753 | BOYAmt |
| EOY | $22,146 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,127,868 | BOYAmt |
| EOY | $1,190,708 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,467,846 | BOYAmt |
| EOY | $1,448,048 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $26,609 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $36,231 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | 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 | $1,778,408 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,095,891 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,628,627 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,996,130 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,932,565 | CurrentTaxYearAmt |
| Total | $9,431,621 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,778,408 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,095,891 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,628,627 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,996,130 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,932,565 | CurrentTaxYearAmt |
| Total | $9,431,621 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $9,431,621 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,223 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $8,614 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,007 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,271 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,755 | CurrentTaxYearAmt |
| Total | $33,870 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,150 | CurrentTaxYearMinus4YearsAmt |
| Total | $5,150 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $9,470,641 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $1,570,178 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.99590 | PublicSupportCY170Pct |
| Public Support PY170 | 0.99530 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
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 | $102,200 | OtherCostOrOtherBasisAmt |
| Book Value | $102,200 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $989,716 | OtherCostOrOtherBasisAmt |
| Depreciation | $657,780 | DepreciationAmt |
| Book Value | $331,936 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $434,136 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $2,200,634 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $36,231 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $36,231 | RevenueNotReportedAmt |
| Revenue Subtotal | $2,164,403 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $2,164,403 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $2,137,794 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $2,137,794 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $2,137,794 | TotalExpensesPerForm990Amt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 8B | THE BOARD DOES HAVE SUBCOMMITTEES THAT DOCUMENT MEETINGS HELD AND WRITTEN ACTIONS TAKEN BY SUCH COMMITTEES. HOWEVER, THE SUBCOMMITTEES DO NOT HAVE AUTHORITY TO ACT WITHOUT CONSENT FROM THE BOARD. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE ORGANIZATION'S INDEPENDENT ACCOUNTING FIRM PREPARES THE 990 AND SELECT OFFICERS OF THE ORGANIZATION, INCLUDING THE CEO, REVIEW THE 990 BEFORE IT IS SUBMITTED TO THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE CONFLICT OF INTEREST POLICY IS DISTRIBUTED TO BOARD MEMBERS ON AN ANNUAL BASIS. ANY INDIVIDUAL WITH A POTENTIAL CONFLICT HAS THE OPPORTUNITY TO DECLARE POTENTIAL CONFLICTS AT BOARD MEETINGS AND ANY CONFLICT WILL BE HANDLED ON A CASE BY CASE BASIS. |
| FORM 990, PART VI, SECTION B, LINE 15A | THE CEO'S SALARY IS DETERMINED AND APPROVED BY THE BOARD. INDEPENDENT DATA SUCH AS 990S FROM OTHER REGIONAL NONPROFITS AND OTHER NATIONAL COMPARABILITY DATA IS USED TO AID IN DETERMINING COMPENSATION. THE ORGANIZATION DOES NOT HAVE ANY KEY EMPLOYEES OR OTHER OFFICERS. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC BY WRITTEN REQUEST. |
| FORM 990, PART IX, LINE 11G | OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 101,408. MANAGEMENT AND GENERAL EXPENSES 85,355. FUNDRAISING EXPENSES 75,872. TOTAL EXPENSES 262,635. |
| FORM 990, PART XII, LINE 2C: | THE ORGANIZATION HAS A FINANCE COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND THE SELECTION OF AN INDEPENDENT ACCOUNTANT. THE PROCESSES FOR OVERSEEING THE AUDIT AND THE SELECTION CRITERIA FOR AN INDEPENDENT ACCOUNTANT HAVE NOT CHANGED FROM PREVIOUS YEARS. |
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