BETA

MODERN MINDS: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
MODERN MINDS (EIN 84-3549226)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-11-14
IRS object ID
202233189349313608
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

FieldValueIRS element (for citing)
Return2022-11-14T14:58:30-06:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN420714325PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1RSM US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1210 PARK AVE SUITE 1725AddressLine1Txt
CityOKLAHOMA CITYCityNm
State AbbreviationOKStateAbbreviationCd
ZIP73102ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN843549226EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MODERN MINDSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMODEBusinessNameControlTxt
Phone8432661717PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line140 CALHOUN STREET 240AddressLine1Txt
CityCHARLESTONCityNm
State AbbreviationSCStateAbbreviationCd
ZIP29401ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonABBY KNABPersonNm
Person TitleTREASURERPersonTitleTxt
Phone8432661717PhoneNum
Signature2022-11-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstABBYPersonFirstNm
Person LastKNABPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLAUREN NOWAKOWSKIPreparerPersonNm
PTINP01796934PTIN
Phone4052397961PhoneNum
Preparation2022-11-14PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerABBY KNABPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line140 CALHOUN STREET 240AddressLine1Txt
CityCHARLESTONCityNm
State AbbreviationSCStateAbbreviationCd
ZIP29401ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$3,163,519GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressHTTPS://MODERN-MINDS.COM/WebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2019FormationYr
Legal Domicile StateSCLegalDomicileStateCd
Activity Or MissionMODERN MINDS IS A MENTAL HEALTH AND WELLBEING PRACTICE PRIORITIZING THERAPY AND WHOLE-PERSON HEALTH.ActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers10TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,300,000PYContributionsGrantsAmt
CY Contributions Grants$2,836,000CYContributionsGrantsAmt
PY Program Service Revenue$60,165PYProgramServiceRevenueAmt
CY Program Service Revenue$327,519CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$2,360,165PYTotalRevenueAmt
CY Total Revenue$3,163,519CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$270,833PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,688,264PYOtherExpensesAmt
CY Other Expenses$2,191,223CYOtherExpensesAmt
PY Total Expenses$1,959,097PYTotalExpensesAmt
CY Total Expenses$2,191,223CYTotalExpensesAmt
PY Revenues Less Expenses$401,068PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$972,296CYRevenuesLessExpensesAmt
Total Assets BOY$908,689TotalAssetsBOYAmt
Total Assets EOY$1,923,138TotalAssetsEOYAmt
Total Liabilities BOY$91,210TotalLiabilitiesBOYAmt
Total Liabilities EOY$49,330TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$817,479NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,873,808NetAssetsOrFundBalancesEOYAmt
MissionTO TREAT MENTAL HEALTH AND BUILD PSYCHOLOGICAL FLEXIBILITY; A RESILIENCE MINDSET THAT EMPOWERS PEOPLE TO COPE WITH, ACCEPT AND ADJUST TO LIFE'S EVERYDAY CHALLENGES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$1,750,003ExpenseAmt
Revenue$327,519RevenueAmt
DescTHERAPY AND WELLNESS NAVIGATION: MODERN MINDS PROVIDES WORKING-AGE ADULTS WITH WEEKLY THERAPY SESSIONS AND WELLNESS NAVIGATION THAT MAY INCLUDE A VARIETY OF OTHER INTEGRATIVE SERVICES, INCLUDING MEDICATION MANAGEMENT, NUTRITIONAL COUNSELING, FITNESS PLANS, AND MINDFULNESS CLASSES. IN 2021, MODERN MINDS SERVED A TOTAL OF 360 CLIENTS THROUGH ITS INDIVIDUAL AND GROUP THERAPY PROGRAMS.MODERN MINDS OFFERS REDUCED RATES TO QUALIFYING CLIENTS BASED ON OBJECTIVE NEED CRITERIA. IN 2021, APPROXIMATELY 17% OF SERVICES WERE PROVIDED ON A SLIDING FEE SCALE.Desc
Total Program Service Expenses$1,750,003TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document11IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members7GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldSCStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ABBY KNABBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8432661717PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line140 CALHOUN STREET 240AddressLine1Txt
CityCHARLESTONCityNm
State AbbreviationSCStateAbbreviationCd
ZIP29401ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
DR ANNE MARIE ALBANO
EXEC. DIRECTOR/PRESIDENT1.000.00Yes (X)Yes (X)$0$0$0
BENJAMIN NAVARRO
CHAIRPERSON1.000.00Yes (X)Yes (X)$0$0$0
DR DAVID COLE
VICE-CHAIRPERSON1.000.00Yes (X)Yes (X)$0$0$0
DR PATRICK CAWLEY
DIRECTOR1.000.00Yes (X)$0$0$0
BRIAN DURBIN
DIRECTOR1.000.00Yes (X)$0$0$0
FORD PERRY
DIRECTOR1.000.00Yes (X)$0$0$0
DR LISA SALADIN
DIRECTOR1.000.00Yes (X)$0$0$0
CAROLINE BROWN
SECRETARY1.000.00Yes (X)$0$0$0
ABBY KNAB
TREASURER1.000.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
MUSC STRATEGIC VENTURES
169 ASHLEY AVENUECHARLESTONSC29407EMPLOYEE LEASING$1,049,117
COLUMBIA UNIVERSITY
533 WEST 218TH STREETNEW YORKNY10034CONSULTING SERVICES$250,000
JOHN MICHAEL SHEEHAN
1700 50TH STREET NSAINT PETERSBURGFL33710CONSULTING SERVICES$160,000
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
All Other Contributions$2,836,000AllOtherContributionsAmt
Noncash Contributions$936,000NoncashContributionsAmt
Total Contributions$2,836,000TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT THERAPYDesc
Business541900BusinessCd
Total Revenue Column$327,519TotalRevenueColumnAmt
Related Or Exempt Func Income$327,519RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$327,519TotalProgramServiceRevenueAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,163,519TotalRevenueColumnAmt
Related Or Exempt Func Income$327,519RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$52,522TotalAmt
Management And General$52,522ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$26,450TotalAmt
Management And General$26,450ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,583,393TotalAmt
Program Services$1,293,345ProgramServicesAmt
Management And General$290,048ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$66,668TotalAmt
Program Services$66,668ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$39,759TotalAmt
Program Services$29,444ProgramServicesAmt
Management And General$10,315ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$106,043TotalAmt
Program Services$90,137ProgramServicesAmt
Management And General$15,906ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$194,662TotalAmt
Program Services$165,462ProgramServicesAmt
Management And General$29,200ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$25,501TotalAmt
Program Services$21,676ProgramServicesAmt
Management And General$3,825ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$71,954TotalAmt
Program Services$61,161ProgramServicesAmt
Management And General$10,793ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$5,371TotalAmt
Program Services$5,371ProgramServicesAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
FURNITURE AND EQUIPMENT$10,549$9,641$908
MEALS AND ENTERTAINMENT$8,351$7,098$1,253

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,191,223TotalAmt
Program Services$1,750,003ProgramServicesAmt
Management And General$441,220ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$188,559BOYAmt
EOY$391,404EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$7,640BOYAmt
EOY$29,610EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$22,392BOYAmt
EOY$31,278EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,015,838LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$377,555LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$643,390BOYAmt
EOY$638,283EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$41,208BOYAmt
EOY$827,063EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$5,500BOYAmt
EOY$5,500EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$908,689BOYAmt
EOY$1,923,138EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$91,210BOYAmt
EOY$49,330EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$91,210BOYAmt
EOY$49,330EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$817,479BOYAmt
EOY$1,873,808EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$817,479BOYAmt
EOY$1,873,808EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$908,689BOYAmt
EOY$1,923,138EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$972,296ReconcilationRevenueExpnssAmt
Prior Period Adjustments$84,033PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,015,838OtherCostOrOtherBasisAmt
Depreciation$377,555DepreciationAmt
Book Value$638,283BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$638,283TotalBookValueLandBuildingsAmt

Schedule M IRS990ScheduleM

Secur Prtnrshp Trust Intrsts SecurPrtnrshpTrustIntrstsGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$936,000NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Form8283 Received1Form8283ReceivedCnt
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, COLUMN (B):FormAndLineReferenceDesc
ExplanationTHE AMOUNT REPORTED IN COLUMN (B) REPRESENTS THE NUMBER OF ITEMS RECEIVED.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2THE FOLLOWING OFFICERS AND DIRECTORS HAVE BUSINESS RELATIONSHIPS: - BENJAMIN NAVARRO, FORD PERRY, AND ABBY KNAB (NONVOTING OFFICER) - BENJAMIN NAVARRO AND BRIAN DURBIN - DR. DAVID COLE, DR. PATRICK CAWLEY, AND CAROLINE BROWN (NONVOTING OFFICER) - DR. DAVID COLE AND DR. LISA SALADIN
FORM 990, PART VI, SECTION A, LINE 6THE ORGANIZATION WAS FOUNDED BY TWO MEMBERS - A PRIVATE FOUNDATION AND A SOUTH CAROLINA NONPROFIT, NONSTOCK CORPORATION. BOTH FOUNDING MEMBERS ARE RECOGNIZED AS TAX-EXEMPT ORGANIZATIONS UNDER SECTION 501(C)(3).
FORM 990, PART VI, SECTION A, LINE 7ATHE ORGANIZATION'S TWO 501(C)(3) FOUNDING MEMBERS HAD THE POWER TO APPOINT ONE OR MORE MEMBERS OF THE GOVERNING BODY AS OUTLINED IN THE ORGANIZATION'S BYLAWS.
FORM 990, PART VI, SECTION A, LINE 7BCERTAIN ACTIONS ENUMERATED IN THE ORGANIZATION'S BYLAWS ARE SUBJECT TO WRITTEN CONSENT OF EACH OF THE TWO 501(C)(3) FOUNDING MEMBERS. SUCH ACTIONS INCLUDE GOVERNANCE DECISIONS CONCERNING: - ANY MATERIAL CHANGE TO THE ORGANIZATION'S PURPOSES OR MISSION; - THE ADMISSION OF ADDITIONAL MEMBERS; - ANY CHANGES TO THE GOVERNING DOCUMENTS THAT MATERIALLY CHANGE THE RIGHTS OF THE FOUNDING MEMBERS
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 IS REVIEWED BY THE DIRECTORS OF PROGRAMMING AND OPERATIONS AND A FULL COPY IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CTHE CONFLICT OF INTEREST POLICY IS MONITORED AND ENFORCED BY HAVING THE POLICY REVIEWED AND SIGNED BY BOARD MEMBERS ON AN ANNUAL BASIS. IF A POTENTIAL CONFLICT ARISES DURING THE YEAR, THE INTERESTED INDIVIDUAL SHALL RECUSE HIMSELF/HERSELF FROM ALL DISCUSSIONS AND/OR VOTE.
FORM 990, PART VI, SECTION B, LINE 15THE ORGANIZATION DID NOT COMPENSATE ANY CURRENT OFFICER, DIRECTOR, OR TRUSTEE.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11GCONTRACT LABOR - CLINIC: PROGRAM SERVICE EXPENSES 1,293,345. MANAGEMENT AND GENERAL EXPENSES 231,298. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,524,643. CONTRACT LABOR - ADMIN: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 18,750. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 18,750. CONSULTANTS - HR: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 40,000. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 40,000.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1JOURNEY WELLNESS LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1200 MEETING STREET STE 206AddressLine1Txt
CityCHARLESTONCityNm
State AbbreviationSCStateAbbreviationCd
ZIP29401ZIPCd
FieldValueIRS element (for citing)
EIN814237106EIN
Primary ActivitiesWELLNESS CENTERPrimaryActivitiesTxt
Legal Domicile StateSCLegalDomicileStateCd
Total Income$0TotalIncomeAmt
End Of Year Assets$176,208EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1MODERN MINDSBusinessNameLine1Txt

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