2020-11-16T15:00:57-06:00 2019-12-31 131639826 EISNERAMPER LLP 111 WOOD AVENUE SOUTH ISELIN NJ 088302700 990 2019-02-04 833504845 ONEFIFTEEN RECOVERY ONEF 6142863365 6636 LONGSHORE STREET NO 200 DUBLIN OH 43017 MARTHA TAYLOR CHIEF EXECUTIVE OFFICER 6142863365 2020-11-13 1 CHRISTOPHER COLYER P00393727 7322437000 64.238.150.4 2020-11-13 08:18:48 ES P 48A4BF68544FFA472FC75130E59C8A156F5040E8 4AFC0B28C31B42BF3EDC6FF0D7C8101D6CEED69F 2019 2021-01-29 14:40:06Z X MARTHA TAYLOR 6636 LONGSHORE STREET SUITE 200 DUBLIN OH 43017 21318724 0 X WWW.ONEFIFTEEN.ORG X 2019 OH ONEFIFTEEN IS A NOT-FOR-PROFIT HEALTHCARE ECOSYSTEM DEDICATED TO THE FULL AND SUSTAINED RECOVERY OF PEOPLE SUFFERING FROM OPIOID ADDICTION AND OTHER SUBSTANCE USE DISORDERS. WE ARE DEVELOPING A TECH-ENABLED SYSTEM OF CARE THAT WILL OFFER A TREATMENT CENTER, REHABILITATION HOUSING, AND WRAP-AROUND SERVICES, ALL ON ONE STATE-OF-THE-ART CAMPUS. 6 6 5 0 0 0 21318614 0 110 0 21318724 130199 0 168355 0 0 1337496 1636050 19682674 20773849 961479 19812370 X ONEFIFTEEN IS A NOT-FOR-PROFIT HEALTHCARE ECOSYSTEM DEDICATED TO THE FULL AND SUSTAINED RECOVERY OF PEOPLE SUFFERING FROM OPIOID ADDICTION AND OTHER SUBSTANCE USE DISORDERS. WE ARE DEVELOPING A TECH-ENABLED SYSTEM OF CARE THAT WILL OFFER A TREATMENT CENTER, REHABILITATION HOUSING, AND WRAP-AROUND SERVICES, ALL ON ONE STATE-OF-THE-ART CAMPUS. WE ARE ON A QUEST TO REVERSE THE COURSE OF ADDICTION. 0 0 130199 130199 ONEFIFTEEN GRANTED $500,000 TO SAMARITAN BEHAVIORAL HEALTH INC. (SBHI) IN CY2019; OF THIS $500,000, $130,199 WAS USED TO SUBSIDIZE OUTPATIENT PROGRAMS, INCLUDING BUT NOT LIMITED TO OUTPATIENT SERVICES, INTENSIVE OUTPATIENT SERVICES, DIAGNOSTIC BEHAVIORAL HEALTH EVALUATIONS AND CRISIS STABILIZATION. THE BALANCE OF THE INITIAL $500,000 GRANTED CARRIES OVER INTO CY2020 AND WILL BE USED FOR SIMILAR SERVICES THAT TREAT THOSE PEOPLE SUFFERING FROM OPIOID ADDICTION AND OTHER SUBSTANCE USE DISORDERS. SBHI REPORTS, MONTHLY, TO ONEFIFTEEN THE AMOUNT EXPENSED THAT IS USED TO SUBSIDIZE AND CONTINUE TO CARRY OUT OUTPATIENT PROGRAMMATIC SERVICES. IN ADDITION TO SUBSIDIZING THESE OUTPATIENT PROGRAMMATIC ACTIVITIES, ONEFIFTEEN MAINTAINS OPERATIONAL EXPENSES IN SUPPORT OF THE PROGRAMMATIC SERVICES THAT SBHI CARRIES OUT, INCLUDING BUT NOT LIMITED TO LEASE PAYMENTS, SECURITY SERVICES, INFRASTRUCTURE TECHNOLOGY ASSETS, SOFTWARE SUPPORT, ETC 130199 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 8 0 5 1 0 0 0 0 0 0 0 0 0 0 0 0 X 6 6 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 0 0 0 0 OH X NICHOLAS MILLS 2162121267 6636 LONGSHORE STREET STE 200 DUBLIN OH 43017 X MARTHA TAYLOR NON-VOTING CHIEF EXECUTIVE OFFICER 12.00 X X 0 0 0 DR ROBERT CALIFF DIRECTOR (CHAIRPERSON) 1.00 X 0 0 0 DR ERIC SPINA TREASURER 1.00 X 0 0 0 GWENDOLYN BUCHANAN TRUSTEE 1.00 X 0 0 0 TERRY BURNS TRUSTEE 1.00 X 0 0 0 DRJESSICA MEGA TRUSTEE 1.00 X 0 0 0 LAINIE DEAN TRUSTEE 1.00 X 0 0 0 0 0 0 0 0 0 0 DANIS BUILDING CONSTRUCTION CO 50 E-BUSINESS WAY CINCINNATI OH 45242 CONSTRUCTION 1184136 OSTERMAN CRON 10830 WILLINGTON CT CINCINNATI OH 45242 FURNITURE, FIXTURE AND EQUIPMENT 380966 SQUIRE PATTON BOGGS 4900 KEY TOWER 127 PUBLIC SQUARE CLEVELAND OH 44114 LEGAL SERVICES 120244 3 21318614 21318614 110 110 21318724 0 0 110 130199 130199 141794 141794 14999 14999 11562 11562 205244 205244 57979 57979 5868 5868 7558 7558 21929 21929 198221 198221 712205 712205 104809 104809 6448 6448 ADMINISTRATIVE COSTS 11538 11538 PAYROLL SERVICE FEES 3567 3567 MEALS 2130 2130 1636050 130199 1505851 0 0 1231804 0 17388415 62458 0 84200 2111781 104809 0 2006972 0 20773849 0 961479 0 961479 X 0 1923955 0 17888415 0 19812370 0 20773849 19682674 129696 0 X X 1 X 0 1 0 X 21318614 21318614 21318614 21318614 21318614 110 110 21318724 X PART II, SHORT YEAR EXPLANATION: BEING THE FIRST YEAR OF THIS ORGANIZATION, THIS WAS A SHORT YEAR. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1671393 79718 1591675 440388 25091 415297 2006972 1 SAMARITAN BEHAVIORAL HEALTH INC 020633634 501(C)(3) 130199 TO COVER ENHANCED CARE COST FOR SUBTANCE USE DISORDER 1 1 LINE 2 THE GRANTS ISSUED ARE FIRST APPROVED BY THE BOARD. ONCE THE GRANTS ARE RELEASED, DONEE HAS TO SUBMIT MONTHLY RECONCILIATIONS REPORTS OF THE SPEND DOWN OF THE GRANT. THERE ARE WEEKLY DISCUSSIONS BETWEEN THE CFO OF ONEFIFTEEN AND THE RESPONSIBLE PERSON AT THE DONEE TO MONITOR THE EXPENDITURE, SPOT TRENDS AND CONTRACT AWARDS. THE BOARD ALSO HAS MEETINGS TO DISCUSS GRANT SPENDING APPROXIMATELY 6 TIMES A YEAR. SAMARITAN BEHAVIORAL HEALTH INC ENTITY CONTROLLED BY SUBSTANTIAL CONTRIBUTOR 130199 GRANT TO PROVIDE ENHANCED CARE COST FOR SUBSTANCE ABUSE SAMARITAN BEHAVIORAL HEALTH INC ENTITY CONTROLLED BY SUBSTANTIAL CONTRIBUTOR 130199 GRANT 0 VERILY LIFE SCIENCES LLC CREATOR/FOUNDER 3300000 PLEDGE FUNDING 0 FORM 990, PART VI, SECTION B, LINE 11B THE FROM 990 WAS PREPARED BY AN INDEPENDENT CPA FIRM BASED ON INFORMATION PROVIDED TO THEM BY ONEFIFTEEN'S FINANCE DEPARTMENT. THE FINANCE DEPARTMENT CAREFULLY REVIEWED AND ANALYZED THE TAX RETURN. FURTHERMORE, THE FINANCE DEPARTMENT RECONCILED THE LEDGER AMOUNTS TO THE APPROPRIATE SCHEDULES ON THE FORM 990 AND COMPARED THOSE AMOUNTS TO THE FINANCIAL STATEMENTS AND SUBSTANTIATED WORK PAPERS. A COMPLETE COPY OF THE 990 WAS THEN MADE AVAILABLE TO THE BOARD OF DIRECTORS PRIOR TO THE FILING DATE. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION (AND ITS BOARD OF DIRECTORS) HAS A CONFLICT OF INTEREST POLICY. EACH YEAR, BOARD MEMBERS, OFFICERS AND DIRECTORS COMPLETE A FORM DISCLOSING ANY CONFLICTS OF INTEREST THEY MAY HAVE. THE COMPLIANCE OFFICE REVIEWS THESE DISCLOSURES AND THEN INFORMS THE BOARD CHAIR, OF NOTABLE CONFLICTS, IF ANY. THOSE WITH CONFLICTS ARE ASKED TO RECUSE THEMSELVES WHEN APPROPRIATE. FORM 990, PART VI, SECTION C, LINE 18 DOCUMENTATION PROVIDED UPON REQUEST FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTATION PROVIDED UPON REQUEST.