MARYHAVEN INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
MARYHAVEN INC (EIN 31-0732345)
Tax period
2018-07-01 to 2019-06-30
Filed
2020-04-10
IRS object ID
202001019349300000
Schema version
2018v3.1
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)
Return2020-04-10T00:13:34-04:00ReturnTs
Tax Period End2019-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1HEMPHILL WRIGHT & ASSOCIATES INCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line16100 OAK TREE BOULEVARDAddressLine1Txt
CityIndependenceCityNm
State AbbreviationOHStateAbbreviationCd
ZIP44131ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-07-01TaxPeriodBeginDt

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)
PersonSHAWN D HOLTPersonNm
Person TitlePresident CEOPersonTitleTxt
Phone6144458131PhoneNum
Signature2019-11-09SignatureDt
Discuss With Paid PreparerfalseDiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLeizlPreparerPersonNm
PTINP00291950PTIN
Phone2165410090PhoneNum
Preparation2020-04-10PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address108.170.27.75IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-04-10IPDt
IP Tm00:19:54IPTm
Federal Original Submission Id3496872020101iqej0jcFederalOriginalSubmissionId
Federal Original Submission Id2020-04-10FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id013FC05A5D5F5D53AE60E33BD51DBAA4E56B8165AtSubmissionCreationDeviceId
At Submission Filing Device Id013FC05A5D5F5D53AE60E33BD51DBAA4E56B8165AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerShawn HoltPrincipalOfficerNm
Gross Receipts$33,101,284GrossReceiptsAmt
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 Employee659TotalEmployeeCnt
Total Volunteers100TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,416,688PYContributionsGrantsAmt
CY Contributions Grants$2,323,219CYContributionsGrantsAmt
PY Program Service Revenue$26,579,470PYProgramServiceRevenueAmt
CY Program Service Revenue$30,712,122CYProgramServiceRevenueAmt
PY Investment Income$49,141PYInvestmentIncomeAmt
CY Investment Income$65,943CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$30,045,299PYTotalRevenueAmt
CY Total Revenue$33,101,284CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$18,496,693PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$25,582,003CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$298,549CYTotalFundraisingExpenseAmt
PY Other Expenses$14,162,688PYOtherExpensesAmt
CY Other Expenses$11,324,935CYOtherExpensesAmt
PY Total Expenses$32,659,381PYTotalExpensesAmt
CY Total Expenses$36,906,938CYTotalExpensesAmt
PY Revenues Less Expenses-$2,614,082PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$3,805,654CYRevenuesLessExpensesAmt
Total Assets BOY$19,321,001TotalAssetsBOYAmt
Total Assets EOY$18,516,730TotalAssetsEOYAmt
Total Liabilities BOY$2,360,898TotalLiabilitiesBOYAmt
Total Liabilities EOY$5,362,281TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$16,960,103NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$13,154,449NetAssetsOrFundBalancesEOYAmt
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$22,049,291ExpenseAmt
Grant$3,192,061GrantAmt
Revenue$22,290,746RevenueAmt
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$6,578,500ExpenseAmt
Grant$1,583,804GrantAmt
Revenue$8,538,246RevenueAmt
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$1,414,999ExpenseAmt
Grant$955,180GrantAmt
Revenue$1,530,917RevenueAmt
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$30,042,790TotalProgramServiceExpensesAmt
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
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
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 With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
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
Employee659EmployeeCnt
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 (29 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndFormer 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
President and CEO40.000.00$245,000$0$89,998Yes (X)
Adam Rowan
COO40.000.00$150,890$0$0Yes (X)
John Reed
CFO40.000.00$43,154$0$0Yes (X)
Matthew Donovan
Vice President of Operations40.000.00$135,000$0$1,125Yes (X)
Angela Stewart
Vice President of HR40.000.00$164,800$0$49,025Yes (X)
Melissa Mitchell
General Counsel40.000.00$74,856$0$0Yes (X)
Andrew Moss
Vice President of MASC40.000.00$110,037$0$0Yes (X)
Sara Mclntosh
Medical Director28.000.00$144,270$0$0Yes (X)
Dana Vallangeon
Medical Director40.000.00$132,477$0$0Yes (X)
Robert Davis
CFO40.000.00$160,146$0$4,680Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,360,630TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$144,828TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K8IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

ServicesServicesDescCompensationCompensationAmt
Bryan Feldman
Medical Services$104,297
David Ruby MD
Medical Services$213,294
Suseela Nalluri MD
Psychiatry$172,215
Laura Davis NP
Nurse Practitioner$161,215
Vinutha Reddy
Medical Services$132,675
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
Government Grants$522,214GovernmentGrantsAmt
All Other Contributions$1,801,005AllOtherContributionsAmt
Total Contributions$2,323,219TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Fee for Service621400$217,865$217,865
Medicaid621400$15,828,135$15,828,135
Fees & government contr423000$14,047,241$14,047,241

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$618,881TotalRevenueColumnAmt
Related Or Exempt Func Income$618,881RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$30,712,122TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$65,943TotalRevenueColumnAmt
Related Or Exempt Func Income$65,943RelatedOrExemptFuncIncomeAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$33,101,284TotalRevenueColumnAmt
Related Or Exempt Func Income$30,778,065RelatedOrExemptFuncIncomeAmt
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$21,715,666TotalAmt
Program Services$17,999,934ProgramServicesAmt
Management And General$3,535,306ManagementAndGeneralAmt
Fundraising$180,426FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,866,337TotalAmt
Program Services$3,500,296ProgramServicesAmt
Management And General$349,745ManagementAndGeneralAmt
Fundraising$16,296FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,664,611TotalAmt
Program Services$920,517ProgramServicesAmt
Management And General$707,081ManagementAndGeneralAmt
Fundraising$37,013FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$109,110TotalAmt
Management And General$99,298ManagementAndGeneralAmt
Fundraising$9,812FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,169,848TotalAmt
Program Services$1,167,392ProgramServicesAmt
Management And General$2,456ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$290,370TotalAmt
Program Services$270,638ProgramServicesAmt
Management And General$19,048ManagementAndGeneralAmt
Fundraising$684FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,092,222TotalAmt
Program Services$546,111ProgramServicesAmt
Management And General$546,111ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$199,257TotalAmt
Program Services$99,628ProgramServicesAmt
Management And General$99,629ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Temporary Agency Staff$1,088,322$958,484$129,838
Supplies$2,841,388$2,319,432$488,768$33,188
Utilities & Telephone$610,387$440,073$170,314
Repairs & Maintenance$549,541$401,894$147,647

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,709,879TotalAmt
Program Services$1,418,391ProgramServicesAmt
Management And General$270,358ManagementAndGeneralAmt
Fundraising$21,130FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$36,906,938TotalAmt
Program Services$30,042,790ProgramServicesAmt
Management And General$6,565,599ManagementAndGeneralAmt
Fundraising$298,549FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$103,991BOYAmt
EOY$83,302EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$3,156,383BOYAmt
EOY$2,327,060EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$4,294,533BOYAmt
EOY$3,910,283EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$46,999BOYAmt
EOY$36,756EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$101,050BOYAmt
EOY$96,158EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$20,184,719LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$9,113,336LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$10,668,221BOYAmt
EOY$11,071,383EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$949,824BOYAmt
EOY$991,788EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$19,321,001BOYAmt
EOY$18,516,730EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,360,898BOYAmt
EOY$4,158,025EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
EOY$1,204,256EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,360,898BOYAmt
EOY$5,362,281EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$16,728,879BOYAmt
EOY$12,819,258EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$231,224BOYAmt
EOY$335,191EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$16,960,103BOYAmt
EOY$13,154,449EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$19,321,001BOYAmt
EOY$18,516,730EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$3,805,654ReconcilationRevenueExpnssAmt
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$24,142,025CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$25,457,146CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$28,431,341CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$29,569,468CurrentTaxYearMinus1YearAmt
Current Tax Year$32,416,460CurrentTaxYearAmt
Total$140,016,440TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$24,142,025CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$25,457,146CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$28,431,341CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$29,569,468CurrentTaxYearMinus1YearAmt
Current Tax Year$32,416,460CurrentTaxYearAmt
Total$140,016,440TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$140,016,440PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$37,515CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$49,007CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$40,105CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$49,141CurrentTaxYearMinus1YearAmt
Current Tax Year$65,943CurrentTaxYearAmt
Total$241,711TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$683,172CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,001,338CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,039,458CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$426,690CurrentTaxYearMinus1YearAmt
Current Tax Year$618,881CurrentTaxYearAmt
Total$3,769,539TotalAmt
FieldValueIRS element (for citing)
Total Support$144,027,690TotalSupportAmt
Public Support CY1700.97210PublicSupportCY170Pct
Public Support PY1700.96990PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$121,007BeginningYearBalanceAmt
Investment Earnings Or Losses$13InvestmentEarningsOrLossesAmt
Administrative Expenses$556AdministrativeExpensesAmt
End Year Balance$120,464EndYearBalanceAmt
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$3,717,926DepreciationAmt
Book Value$3,641,099BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,799,266OtherCostOrOtherBasisAmt
Depreciation$536,341DepreciationAmt
Book Value$1,262,925BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,339,455OtherCostOrOtherBasisAmt
Depreciation$1,997,568DepreciationAmt
Book Value$1,341,887BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,493,973OtherCostOrOtherBasisAmt
Depreciation$2,861,501DepreciationAmt
Book Value$3,632,472BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$11,071,383TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
Assets Held by Others$123,630
Security Interest$450,000
Interest Receivable$418,158
FieldValueIRS element (for citing)
Total Book Value Other Assets$991,788TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescMedicaid Adv Payment Payablelong tDesc
Amt$1,204,256Amt
FieldValueIRS element (for citing)
Total Liability$1,204,256TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$33,101,284TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$33,101,284RevenueSubtotalAmt
Total Revenue Per Form990$33,101,284TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$36,906,938TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$36,906,938ExpensesSubtotalAmt
Total Expenses Per Form990$36,906,938TotalExpensesPerForm990Amt

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 (4 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmt
Shawn Holt
President and CEO$245,000$89,998$334,998
Robert Davis
CFO$160,146$4,680$164,826
Adam Rowan
COO$150,890$150,890
Angela Stewart
Vice President of HR$164,800$49,025$213,825

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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.

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