UNISON BEHAVIORAL HEALTH GROUP INC: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- UNISON BEHAVIORAL HEALTH GROUP INC (EIN 34-1103536)
- Tax period
- 2018-07-01 to 2019-06-30
- Filed
- 2020-06-17
- IRS object ID
- 202001699349300420
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-06-17T09:34:31-05:00 | ReturnTs |
| Tax Period End | 2019-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 383635706 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | REHMANN ROBSON LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7124 W CENTRAL AVE | AddressLine1Txt |
| City | TOLEDO | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43617 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2018-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 341103536 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UNISON BEHAVIORAL HEALTH GROUP INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | UNIS | BusinessNameControlTxt |
| Phone | 4192429577 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1425 STARR AVE | AddressLine1Txt |
| City | TOLEDO | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43605 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | STACEY L BOCK | PersonNm |
| Person Title | CHIEF FINANCIAL OFFICER | PersonTitleTxt |
| Phone | 4192429577 | PhoneNum |
| Signature | 2020-06-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | KRISTEN G MORSE CPA | PreparerPersonNm |
| PTIN | P01034447 | PTIN |
| Phone | 4198658118 | PhoneNum |
| Preparation | 2020-06-12 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 72.241.128.125 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-06-12 | IPDt |
| IP Tm | 12:53:00 | IPTm |
| IP Timezone | ED | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | D5AD56651018DD44698BBAC9DDC816A1959D47B9 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2020-11-06 18:47:13Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UNISON HEALTH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | STACEY L BOCK | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1425 STARR AVE | AddressLine1Txt |
| City | TOLEDO | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43605 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $16,498,358 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.UNISONBHG.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1972 | FormationYr |
| Legal Domicile State | OH | LegalDomicileStateCd |
| Activity Or Mission | UNISON BEHAVIORAL HEALTH GROUP, INC. IS A COMMUNITY MENTAL HEALTH AGENCY THAT PROVIDES MENTAL HEALTH AND ADDICTION SERVICES TO LUCAS AND WOOD COUNTIES. OUR MENTAL HEALTH OUTPATIENT SERVICES ARE OFFERED AT MANY LEVELS OF CARE DEPENDING ON A CLIENT'S NEEDS AND DIAGNOSIS. THE SUBSTANCE ABUSE DISORDER CARE PROVIDES A FULL RANGE OF CARE INCLUDING DETOX AND RESIDENTIAL SUPPORT. OUR MISSION IS TO CREATE HOPE THOUGH SUPERIOR INTEGRATED COMMUNITY HEALTHCARE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 293 | TotalEmployeeCnt |
| Total Volunteers | 14 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,328,557 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,684,196 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $17,470,357 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $13,458,441 | CYProgramServiceRevenueAmt |
| PY Investment Income | $9,267 | PYInvestmentIncomeAmt |
| CY Investment Income | -$18,820 | CYInvestmentIncomeAmt |
| PY Other Revenue | $304,258 | PYOtherRevenueAmt |
| CY Other Revenue | $353,726 | CYOtherRevenueAmt |
| PY Total Revenue | $19,112,439 | PYTotalRevenueAmt |
| CY Total Revenue | $16,477,543 | 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 | $17,679,479 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $15,525,249 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,280,721 | PYOtherExpensesAmt |
| CY Other Expenses | $2,833,894 | CYOtherExpensesAmt |
| PY Total Expenses | $20,960,200 | PYTotalExpensesAmt |
| CY Total Expenses | $18,359,143 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$1,847,761 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$1,881,600 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $8,218,225 | TotalAssetsBOYAmt |
| Total Assets EOY | $9,489,435 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $3,459,476 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $6,612,286 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $4,758,749 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $2,877,149 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | UNISON BEHAVIORAL HEALTH GROUP, INC. IS A COMMUNITY MENTAL HEALTH AGENCY THAT PROVIDES MENTAL HEALTH AND ADDICTION SERVICES TO LUCAS AND WOOD COUNTIES. OUR MENTAL HEALTH OUTPATIENT SERVICES ARE OFFERED AT MANY LEVELS OF CARE DEPENDING ON A CLIENT'S NEEDS AND DIAGNOSIS. THE SUBSTANCE ABUSE DISORDER CARE PROVIDES A FULL RANGE OF CARE INCLUDING DETOX AND RESIDENTIAL SUPPORT. OUR MISSION IS TO CREATE HOPE THOUGH SUPERIOR INTEGRATED COMMUNITY HEALTHCARE. | MissionDesc |
| Significant New Program Srvc | Yes (1) | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $2,829,880 | ExpenseAmt |
| Revenue | $2,628,673 | RevenueAmt |
| Desc | MEDICAL SERVICES - OUR MEDICAL SERVICE TEAM PROVIDES PSYCHIATRIC, MEDICAL, NURSING, AND EDUCATION SERVICES, AS WELL AS MEDICATION MANAGEMENT TO OUR PATIENTS WITH PSYCHIATRIC CONDITIONS. ADDITIONALLY, UNISON'S OUTPATIENT COUNSELING SERVICES GIVES CLIENTS AN OPPORTUNITY TO TAKE CONTROL OF THEIR LIFE AND HEAL EMOTIONAL WOUNDS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $5,421,619 | ExpenseAmt |
| Revenue | $5,317,695 | RevenueAmt |
| Desc | HEALTH HOME SERVICES - OUR HOME HEALTH SERVICES TEAM IS RESPONSIBLE FOR THE OVERALL CARE MANAGEMENT AND CARE COORDINATION OF OUR CLIENTS WITH THE MOST SERIOUS NEEDS. THIS INCLUDES INTEGRATION OF THEIR PHYSICAL HEALTH, MENTAL HEALTH, LONG TERM CARE, AND SOCIAL SERVICE NEEDS. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $3,818,480 | ExpenseAmt |
| Revenue | $4,382,400 | RevenueAmt |
| Desc | SUBSTANCE ABUSE DISORDER SERVICES - OUR SUBSTANCE ABUSE DISORDER SERVICES PROVIDES HOLISTIC TREATMENT FOR ADDICTION INCLUDING DETOX CARE, RESIDENTIAL CARE, OUTPATIENT TREATMENT, MEDS MANAGEMENT, AND SOBER LIVING FACILITIES. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (2 entries)
| ExpenseExpenseAmt | RevenueRevenueAmt | DescDesc |
|---|---|---|
| $1,403,478 | $773,181 | BEHAVIORAL HEALTH & COMMUNITY SUPPORTIVE SERVICES - UNISON IS CONTRACTED WITH LOCAL SCHOOL SYSTEMS TO PROVIDE PROGRAMMING WITHIN THE SCHOOL TO IMPROVE CLASSROOM PERFORMANCE AND ENCOURAGE EMOTIONAL SELF-CONTROL. UNISON ALSO PROVIDES 24/7 CRISIS CARE FOR PSYCHIATRIC EMERGENCIES WITHIN WOOD COUNTY. OUR ASSERTIVE COMMUNITY TREATMENT PROGRAM PROVIDES A FULL CARE TEAM TO PROVIDE COMMUNITY BASED MENTAL HEALTH CARE FOR INDIVIDUALS EXPERIENCING SERIOUS MENTAL ILLNESS THAT INTERFERES WITH THEIR ABILITY TO LIVE IN THE COMMUNITY, ATTEND APPOINTMENTS, AND MANAGE MENTAL HEALTH SYMPTOMS. |
| $771,669 | $655,739 | OTHER PROGRAM SERVICES INCLUDE RESIDENTIAL AND MOBILE CRISIS SUPPORT. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $2,175,147 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $1,428,920 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $14,245,126 | 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 |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| 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 | Yes (1) | 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 | Yes (1) | 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 With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| 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 | Yes (1) | 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 | 53 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 293 | 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 | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | 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 | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | 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 | Yes (1) | 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 | STACEY L BOCK CHIEF FINANCIAL OFFICER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4192429577 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1425 STARR AVE | AddressLine1Txt |
| City | TOLEDO | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43605 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| WILLIAM LOGIE | ||||||||
| EMERITUS TRUSTEE | 0.50 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| LEE VIVOD | ||||||||
| TREASURER | 0.50 | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| JENNIFER DAWSON | ||||||||
| TRUSTEE | 0.50 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| LINDA TORBET | ||||||||
| CHAIR | 0.50 | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| KRISTIE DUBOIS | ||||||||
| TRUSTEE | 0.50 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| AARON FLYNN | ||||||||
| TRUSTEE | 0.50 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DEBORAH KROHN | ||||||||
| SECRETARY | 0.50 | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| JENNIFER PERION | ||||||||
| TRUSTEE | 0.50 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DIANE SCHWARTZ | ||||||||
| TRUSTEE | 0.50 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MELISSA STUDER | ||||||||
| VICE CHAIR | 0.50 | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| TIM CROAK | ||||||||
| TRUSTEE | 0.50 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| KWABENA KANKAM | ||||||||
| TRUSTEE | 0.50 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| STACEY BOCK | ||||||||
| CHIEF FINANCIAL OFFICER | 35.00 | 5.00 | $13,538 | $0 | $1,689 | Yes (X) | ||
| JEFFREY DE LAY | ||||||||
| CEO/PRESIDENT | 39.00 | 1.00 | $220,000 | $0 | $33,016 | Yes (X) | ||
| STACY HOLMAN | ||||||||
| FORMER CHIEF FINANCIAL OFFICER | 35.00 | 5.00 | $76,451 | $0 | $16,357 | Yes (X) | ||
| TUFAL M KHAN | ||||||||
| DIRECTOR MEDICAL | 20.00 | $295,007 | $0 | $3,345 | Yes (X) | |||
| KELLY A KINSEY | ||||||||
| ADVANCED PRACTICE RN | 40.00 | $198,005 | $0 | $13,900 | Yes (X) | |||
| SATWANT KAUR GILL | ||||||||
| PSYCHIATRIST | 40.00 | $199,969 | $0 | $13,051 | Yes (X) | |||
| KHALIDA DURRANI | ||||||||
| PRIMARY CARE PHYSICIAN | 40.00 | $277,104 | $0 | $34,751 | Yes (X) | |||
| LATRICE M WADDELL | ||||||||
| ADVANCED PRACTICE RN | 40.00 | $190,319 | $0 | $14,810 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,470,393 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $130,919 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 6 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $2,641,346 | GovernmentGrantsAmt |
| All Other Contributions | $42,850 | AllOtherContributionsAmt |
| Total Contributions | $2,684,196 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEDICARE/MEDICAID PA | 624100 | $11,577,857 | $11,577,857 |
| NON-MEDICAID REVENUE | 624100 | $954,524 | $954,524 |
| PRIVATE INSURANCE REV | 624100 | $452,606 | $452,606 |
| SELF PAY REVENUE | 624100 | $358,506 | $358,506 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $114,948 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $114,948 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $13,458,441 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $470 | TotalRevenueColumnAmt |
| Exclusion | $470 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $1,525 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $20,815 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$19,290 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$19,290 | TotalRevenueColumnAmt |
| Exclusion | -$19,290 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| WORKERS' COMPENSATION REFUND | 900099 | $140,753 | $140,753 | |
| MANAGEMENT FEE | 531390 | $112,229 | $112,229 | |
| AMORT JEFFERSON BLDG | 900099 | $54,479 | $54,479 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $46,265 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $46,265 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $353,726 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $16,477,543 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $13,757,688 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $35,659 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $342,145 | TotalAmt |
| Program Services | $316,987 | ProgramServicesAmt |
| Management And General | $25,158 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,065,744 | TotalAmt |
| Program Services | $9,563,321 | ProgramServicesAmt |
| Management And General | $2,502,423 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $222,397 | TotalAmt |
| Program Services | $170,253 | ProgramServicesAmt |
| Management And General | $52,144 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,894,963 | TotalAmt |
| Program Services | $2,232,949 | ProgramServicesAmt |
| Management And General | $662,014 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $94,674 | TotalAmt |
| Program Services | $16,731 | ProgramServicesAmt |
| Management And General | $77,943 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $114,841 | TotalAmt |
| Program Services | $90,014 | ProgramServicesAmt |
| Management And General | $24,827 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $609,884 | TotalAmt |
| Program Services | $527,291 | ProgramServicesAmt |
| Management And General | $82,593 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $208,695 | TotalAmt |
| Program Services | $185,037 | ProgramServicesAmt |
| Management And General | $23,658 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $78,746 | TotalAmt |
| Program Services | $1,794 | ProgramServicesAmt |
| Management And General | $76,952 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $472,276 | TotalAmt |
| Program Services | $409,485 | ProgramServicesAmt |
| Management And General | $62,791 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| OTHER OPERATING EXPENSE | $1,202,329 | $711,399 | $490,930 |
| MISCELLAENOUS | $52,449 | $19,865 | $32,584 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,359,143 | TotalAmt |
| Program Services | $14,245,126 | ProgramServicesAmt |
| Management And General | $4,114,017 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $136,200 | BOYAmt |
| EOY | $2,550,581 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,328 | BOYAmt |
| EOY | $2,212 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,836,727 | BOYAmt |
| EOY | $2,593,251 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $254,888 | BOYAmt |
| EOY | $358,844 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $11,616,554 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $7,634,541 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,985,548 | BOYAmt |
| EOY | $3,982,013 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,534 | BOYAmt |
| EOY | $2,534 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,218,225 | BOYAmt |
| EOY | $9,489,435 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,420,238 | BOYAmt |
| EOY | $1,132,581 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $2,840,460 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,028,861 | BOYAmt |
| EOY | $2,639,245 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,377 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,459,476 | BOYAmt |
| EOY | $6,612,286 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,758,749 | BOYAmt |
| EOY | $2,877,149 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,758,749 | BOYAmt |
| EOY | $2,877,149 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,218,225 | BOYAmt |
| EOY | $9,489,435 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$1,881,600 | ReconcilationRevenueExpnssAmt |
| 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 | 0 | FederalGrantAuditRequiredInd |
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 | $844,676 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $787,060 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,643,729 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,328,557 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,684,196 | CurrentTaxYearAmt |
| Total | $7,288,218 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $844,676 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $787,060 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,643,729 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,328,557 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,684,196 | CurrentTaxYearAmt |
| Total | $7,288,218 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $7,288,218 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,965 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,461 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,738 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,091 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $470 | CurrentTaxYearAmt |
| Total | $8,725 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $240,576 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $225,176 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $31,976 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $34,141 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $54,479 | CurrentTaxYearAmt |
| Total | $586,348 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $7,883,291 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $87,883,572 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.92450 | PublicSupportCY170Pct |
| Public Support PY170 | 0.95660 | 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 | $532,944 | OtherCostOrOtherBasisAmt |
| Book Value | $532,944 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,281,049 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,525,250 | DepreciationAmt |
| Book Value | $2,755,799 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,322,284 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,659,679 | DepreciationAmt |
| Book Value | $662,605 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $480,277 | OtherCostOrOtherBasisAmt |
| Depreciation | $449,612 | DepreciationAmt |
| Book Value | $30,665 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $3,982,013 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $16,952,127 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $474,584 | OtherRevenueAmt |
| Revenue Not Reported | $474,584 | RevenueNotReportedAmt |
| Revenue Subtotal | $16,477,543 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $16,477,543 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $18,833,727 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $474,584 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $474,584 | ExpensesNotReportedAmt |
| Expenses Subtotal | $18,359,143 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $18,359,143 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | UNISON DETERMINED THAT IT WAS NOT REQUIRED TO RECORD A LIABILITY RELATED TO UNCERTAIN TAX POSITIONS. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | BILLING ADJUSTMENTS 474,584. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | BILLING ADJUSTMENTS 474,584. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JEFFREY DE LAY | ||||||||||||||
| CEO/PRESIDENT | $220,000 | $0 | $0 | $0 | $0 | $0 | $5,954 | $0 | $27,062 | $0 | $253,016 | $0 | $0 | $0 |
| TUFAL M KHAN | ||||||||||||||
| DIRECTOR MEDICAL | $295,007 | $0 | $0 | $0 | $0 | $0 | $2,955 | $0 | $390 | $0 | $298,352 | $0 | $0 | $0 |
| KELLY A KINSEY | ||||||||||||||
| ADVANCED PRACTICE RN | $198,005 | $0 | $0 | $0 | $0 | $0 | $3,953 | $0 | $9,947 | $0 | $211,905 | $0 | $0 | $0 |
| SATWANT KAUR GILL | ||||||||||||||
| PSYCHIATRIST | $199,969 | $0 | $0 | $0 | $0 | $0 | $5,507 | $0 | $7,544 | $0 | $213,020 | $0 | $0 | $0 |
| KHALIDA DURRANI | ||||||||||||||
| PRIMARY CARE PHYSICIAN | $277,104 | $0 | $0 | $0 | $0 | $0 | $7,706 | $0 | $27,045 | $0 | $311,855 | $0 | $0 | $0 |
| LATRICE M WADDELL | ||||||||||||||
| ADVANCED PRACTICE RN | $190,319 | $0 | $0 | $0 | $0 | $0 | $4,863 | $0 | $9,947 | $0 | $205,129 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 2 | BEGAN OFFERING RECOVERY HOUSE SERVICES, RENTING OUT SOBER LIVING APARTMENTS, AND HOUSING SERVICES TO FIND HOUSING FOR THE CHRONICALLY HOMELESS BASED ON AWARD OF THE HOUSING FIRST GRANT. |
| FORM 990, PART VI, SECTION B, LINE 11B | AN ELECTRONIC COPY OF THE ORGANIZATIONS FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW BEFORE FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | BOARD MEMBERS ARE ASKED TO ANNUALLY DISCLOSE AND DOCUMENT ANY INTERESTS THAT COULD GIVE RISE TO A CONFLICT OF INTEREST. THE EXECUTIVE ASSISTANT MONITORS TO ENSURE THOSE DOCUMENTS ARE RECEIVED. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE ORGANIZATION USES A PROCESS FOR DETERMINING COMPENSATION OF THE ORGANIZATION'S CEO, EXECUTIVE DIRECTOR, TOP MANAGEMENT OFFICIAL, OR KEY EMPLOYEES WHICH INCLUDES A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND USE OF THE OHIO COUNCIL SALARY SURVEY REPORT. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART XII, LINE 2C: | THERE IS NO CHANGE FROM PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| IDE CENTER APARTMENTS I INC | ||||||||||
| 1425 STARR AVE | TOLEDO | OH | 43605 | 341719519 | PROVIDE LIVING FACILITIES FOR RESIDENTS WITH MENTAL ILLNESS | OH | 501(C)(3) | LINE 7 | UNISON BEHAVIORAL HEALTH GROUP INC | 0 |
| IDE CENTER APARTMENTS II INC | ||||||||||
| 1425 STARR AVE | TOLEDO | OH | 43605 | 341824354 | PROVIDE LIVING FACILITIES FOR RESIDENTS WITH MENTAL ILLNESS | OH | 501(C)(3) | LINE 7 | UNISON BEHAVIORAL HEALTH GROUP INC | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | IDE CENTER APARTMENTS II INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | Q | TransactionTypeTxt |
| Involved | $76,904 | InvolvedAmt |
| Method Of Amount Determination | FMV | MethodOfAmountDeterminationTxt |
Comments