2019-11-12T11:10:37-06:00 2019-06-30 420946155 HONKAMP KRUEGER & CO PC 908 W 35TH ST DAVENPORT IA 528065826 990 2018-07-01 204380936 BRIDGEVIEW COMMUNITY MENTAL HEALTH CENTER BRID 5632435633 638 S BLUFF CLINTON IA 52732 JENNIFER GRAF PRESIDENT 5632435633 2019-11-11 1 JON F THOMS CPA P00139911 5633862727 2019-11-11 104.201.82.178 2019-11-11 12:45:40 CS P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 C2595C52F0F8FDE7766DB5E1D93B789FE6267C88 2018 2020-03-31 21:24:44Z JENNIFER GRAF 638 S BLUFF CLINTON IA 52732 3193769 0 X N/A X 2005 IA TO PROVIDE COMPREHENSIVE, CARING AND QUALITY MENTAL HEALTH SERVICES FOR INDIVIDUALS IN CLINTON COUNTY AND THE SURROUNDING AREAS 7 7 55 1 0 0 14076 35057 3123842 3112593 30338 35368 560 -1379 3168816 3181639 0 0 0 0 2186451 2214679 0 0 0 786101 785463 2972552 3000142 196264 181497 2997568 3298647 160455 280037 2837113 3018610 TO PROVIDE COMPREHENSIVE, CARING AND QUALITY MENTAL HEALTH SERVICES FOR INDIVIDUALS IN CLINTON COUNTY AND THE SURROUNDING AREAS 0 0 2446972 3114093 PROVIDED MENTAL HEALTH SERVICES TO APPROXIMATELY 3,500 INDIVIDUALS IN THE CLINTON COMMUNITY AND SURROUNDING AREA. 2446972 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 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 0 1 4 0 1 55 1 0 0 0 0 0 0 0 0 0 0 0 0 X 7 7 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 1 0 1 0 X PAUL BLAIR 5632435633 638 S BLUFF BLVD CLINTON IA 52732 DAN SRP DIRECTOR 2.50 X 0 0 0 EILEEN GOLBY OSF DIRECTOR 2.50 X 0 0 0 JULIE ALLESEE DIRECTOR 2.50 X 0 0 0 RITA HART DIRECTOR 2.50 X 0 0 0 JENNIFER GRAF PRESIDENT 2.50 X 0 0 0 RICH KLAHN VICE PRESIDENT 2.50 X 0 0 0 BARB DEHAVEN SECRETARY-TREASURER 2.50 X 0 0 0 PAUL BLAIR EXECUTIVE DIRECTOR 40.00 X 98314 0 12705 MARCIA CHRISTIANSEN BUSINESS MANAGER 40.00 X 50261 0 11443 THOMAS EARWOOD MEDICAL DIRECTOR 40.00 X 400356 0 0 548931 0 24148 1 0 1 0 0 35057 35057 MEDICARE/MEDICAID/INSU 623990 2255729 2255729 RESIDENT FEES 623990 423370 423370 CONTRACTS/FEES 623990 331372 331372 CLINTON COUNTY AID 623990 81397 81397 SELF PAY 623990 20725 20725 3112593 33868 33868 1500 0 1500 1500 1500 10751 12130 -1379 -1379 3181639 3114093 0 32489 X 152838 76419 76419 1614556 1295099 319457 65031 49120 15911 244697 182534 62163 137557 106425 31132 30539 25033 5506 463601 463601 18188 17888 300 45668 45668 101319 87985 13334 11037 10914 123 19175 19175 16687 16687 SUPPLIES 42030 34266 7764 STAFF DEVELOPMENT 14279 14279 EQUIPMENT 11719 10439 1280 DUES, FEES, LICENSES 9829 9682 147 1392 933 459 3000142 2446972 553170 0 1139219 1776945 1610910 1096126 193325 231330 406977 212731 54114 194246 2997568 3298647 160455 280037 160455 280037 X 2837113 3018610 2837113 3018610 2997568 3298647 181497 0 X 0 1 X 0 0 X 26200 18200 18353 14076 35057 111886 26200 18200 18353 14076 35057 111886 5540 106346 13311 20705 18914 30338 33868 117136 229022 16215130 0.46430 0.45080 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 406977 212731 194246 194246 3181639 0 3181639 0 3181639 3000142 0 3000142 0 3000142 X 0 0 0 0 0 0 0 0 0 THOMAS EARWOOD MEDICAL DIRECTOR 400356 0 0 0 0 0 0 0 0 0 400356 0 0 0 PART I, LINE 3 COMPENSATION AMOUNTS ARE REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS REVIEWED BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION MONITORS THIS POLICY BY KNOWING WHO THE DIRECTORS ARE AND INVESTIGATING IF THERE ARE ANY POSSIBLE CONFLICTS OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15B COMPENSATION AMOUNTS ARE REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G PSYCH SERVICES: PROGRAM SERVICE EXPENSES 463,417. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 463,417. CONTRACTED SEVICES: PROGRAM SERVICE EXPENSES 30. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 30. PERSONNEL INVESTIGATION: PROGRAM SERVICE EXPENSES 154. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 154.