MID-ERIE MENTAL HEALTH SERVICES INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
MID-ERIE MENTAL HEALTH SERVICES INC (EIN 16-1017709)
Tax period
2018-01-01 to 2018-12-31
Filed
2019-05-13
IRS object ID
201911339349303616
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)
Return2019-05-13T11:50:52-05:00ReturnTs
Tax Period End2018-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN160765486PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1LUMSDEN & MCCORMICK LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1369 FRANKLIN STREETAddressLine1Txt
CityBUFFALOCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14202ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN161017709EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MID-ERIE MENTAL HEALTH SERVICES INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMID-BusinessNameControlTxt
Phone7168957167PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11526 WALDEN AVENUE NO 400AddressLine1Txt
CityCHEEKTOWAGACityNm
State AbbreviationNYStateAbbreviationCd
ZIP14225ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonELIZABETH MAUROPersonNm
Person TitleCEOPersonTitleTxt
Phone7168957167PhoneNum
Signature2019-05-10SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJILL M JOHNSON CPAPreparerPersonNm
PTINP01701478PTIN
Phone7168563300PhoneNum
Preparation2019-05-10PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address38.122.36.250IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-05-10IPDt
IP Tm07:58:40IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device Id4753A884D6EE5DE568C2C3B53D62BE9A0947019FAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1ENDEAVOR HEALTH SERVICESBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerELIZABETH MAUROPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11526 WALDEN AVENUE NO 400AddressLine1Txt
CityCHEEKTOWAGACityNm
State AbbreviationNYStateAbbreviationCd
ZIP14225ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$11,842,377GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MID-ERIE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1972FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionTHE MISSION OF MID-ERIE COUNSELING AND TREATMENT SERVICES IS TO COLLABORATE WITH CONSUMERS, FAMILIES AND COMMUNITIES TO PROMOTE WELLNESS AND RECOVERY THROUGH AN ARRAY OF MENTAL HEALTH AND CHEMICAL DEPENDENCY TREATMENT, EDUCATION AND SUPPORT SERVICES.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee205TotalEmployeeCnt
Total Volunteers12TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$6,489NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,993,954PYContributionsGrantsAmt
CY Contributions Grants$1,831,121CYContributionsGrantsAmt
PY Program Service Revenue$7,134,886PYProgramServiceRevenueAmt
CY Program Service Revenue$9,746,951CYProgramServiceRevenueAmt
PY Investment Income$1,367PYInvestmentIncomeAmt
CY Investment Income$6,267CYInvestmentIncomeAmt
PY Other Revenue$158,649PYOtherRevenueAmt
CY Other Revenue$258,038CYOtherRevenueAmt
PY Total Revenue$9,288,856PYTotalRevenueAmt
CY Total Revenue$11,842,377CYTotalRevenueAmt
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$6,279,050PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$8,282,907CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,736,720PYOtherExpensesAmt
CY Other Expenses$3,565,927CYOtherExpensesAmt
PY Total Expenses$9,015,770PYTotalExpensesAmt
CY Total Expenses$11,848,834CYTotalExpensesAmt
PY Revenues Less Expenses$273,086PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$6,457CYRevenuesLessExpensesAmt
Total Assets BOY$4,580,650TotalAssetsBOYAmt
Total Assets EOY$5,858,174TotalAssetsEOYAmt
Total Liabilities BOY$3,492,482TotalLiabilitiesBOYAmt
Total Liabilities EOY$4,776,463TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,088,168NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,081,711NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE MISSION OF MID-ERIE COUNSELING AND TREATMENT SERVICES IS TO COLLABORATE WITH CONSUMERS, FAMILIES AND COMMUNITIES TO PROMOTE WELLNESS AND RECOVERY THROUGH AN ARRAY OF MENTAL HEALTH AND CHEMICAL DEPENDENCY TREATMENT, EDUCATION AND SUPPORT SERVICES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$5,434,637ExpenseAmt
Revenue$6,493,769RevenueAmt
DescADULT MENTAL HEALTH SERVICES - ADULT MENTAL HEALTH SERVICES ARE BASED ON THE PROMISE THAT INDIVIDUALS WHO SUFFER FROM SEVERE AND PERSISTENT MENTAL ILLNESS CAN, AND DO RECOVER THROUGH THE USE OF TREATMENT AND PSYCHIATRIC REHABILITATION INTERVENTIONS. INDIVIDUALS EXPERIENCING ACUTE MENTAL ILLNESS OR SITUATIONAL DIFFICULTIES UTILIZE SOLUTION-FOCUSED THERAPIES TO ACHIEVE PROBLEM RESOLUTION. ADULT MENTAL HEALTH PROGRAMMING FOCUSES ON THE FOLLOWING SERVICES: CLINIC TREATMENT, PERSONALIZED RECOVERY ORIENTED SERVICES (PROS), CASE MANAGEMENT, FORENSIC. (TOTAL 2018 VISITS - 46,249, PROS PARTICIPATION UNIT 18,132/77 AVERAGE CLIENTS PER MONTH)Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$1,866,100ExpenseAmt
Revenue$1,385,360RevenueAmt
DescCHEMICAL DEPENDENCY SERVICES - SERVICES ARE DESIGNED FOR ADULTS AND ADOLESCENTS WHOSE BASIC ATTACHMENTS (FAMILY, WORK, SCHOOL, ETC.) AND MANAGEMENT OF DAILY ACTIVITIES ARE IMPAIRED THROUGH THE ABUSIVE USE OF ALCOHOL AND/OR OTHER DRUGS. SERVICES INCLUDE: COUNSELING FOR INDIVIDUALS, FAMILIES AND GROUPS, CHEMICAL DEPENDENCY EDUCATION, AFTERCARE, MEDICAL EVALUATION, LINKING WITH OTHER SOCIAL AND COMMUNITY RESOURCES, AND SPECIALTY GROUPS. (TOTAL 2018 VISITS - 9,390)Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$3,319,956ExpenseAmt
Revenue$2,125,860RevenueAmt
DescCHILD MENTAL HEALTH SERVICES - THE CHILD MENTAL HEALTH PROGRAM PROVIDES A COMPREHENSIVE ARRAY OF COMMUNITY BASED TREATMENT AND SUPPORT SERVICES TO FAMILIES WITH CHILDREN AND/OR ADOLESCENTS WHO HAVE SERIOUS EMOTIONAL AND BEHAVIORAL DISORDERS. THROUGH THEIR INVOLVEMENT IN SERVICES, CHILDREN AND ADOLESCENTS STRIVE TO REACH THEIR OPTIMAL POTENTIAL WHILE REMAINING IN THE SAFEST AVAILABLE ENVIRONMENT. SERVICES INCLUDE: CLINIC TREATMENT, ENHANCED TREATMENT CENTER, ENHANCEMENT STEP DOWN/DIVERSION, CHILD INTENSIVE CARE COORDINATION, SCHOOL-BASED MENTAL HEALTH PROGRAM, HOME AND COMMUNITY BASED SERVICES WAIVER PROGRAM/CARE COORDINATION, CASE MANAGEMENT, GRANDPARENT ADVOCACY PROJECT, AND FAMILY SUPPORT. (TOTAL 2018 VISITS - 8,161)Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$24,896ExpenseAmt
DescPROGRAMS FUNDED BY TRAINING AND SERVICE GRANTS.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$24,896TotalOtherProgSrvcExpenseAmt
Total Program Service Expenses$10,645,589TotalProgramServiceExpensesAmt
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
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
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 With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document53IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee205EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
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 Members10GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
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 CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JUDITH HALAS-KOSSOWSKIBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7168957167PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11526 WALDEN AVENUEAddressLine1Txt
CityCHEEKTOWAGACityNm
State AbbreviationNYStateAbbreviationCd
ZIP14225ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
FREDERIC COOK
PRESIDENT2.002.00Yes (X)Yes (X)$0$0$0
NATHAN WAY
VICE PRESIDENT2.002.00Yes (X)Yes (X)$0$0$0
STEVEN UMSTEAD
TREASURER2.002.00Yes (X)Yes (X)$0$0$0
JOCELYN BOS
SECRETARY2.00Yes (X)Yes (X)$0$0$0
DR VICTORIA BROOKS
DIRECTOR2.00Yes (X)$0$0$0
MARK BYRNE
DIRECTOR2.002.00Yes (X)$0$0$0
PAMELA GERMAIN
DIRECTOR2.002.00Yes (X)$0$0$0
BRIAN MURPHY
DIRECTOR2.002.00Yes (X)$0$0$0
TAK NOBUMOTO
DIRECTOR2.00Yes (X)$0$0$0
NANCY ROGERS
DIRECTOR2.00Yes (X)$0$0$0
ELIZABETH MAURO
CEO40.002.00Yes (X)$129,801$0$18,713
PETER CIMINELLI
CFO EFFECTIVE JUNE 201840.002.00Yes (X)$61,303$0$0
PATRICK MCINERNEY
CFO THROUGH FEBRUARY 201840.002.00Yes (X)$29,337$0$150
FieldValueIRS element (for citing)
Total Reportable Comp From Org$220,441TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$18,863TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
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
BROOKS-DEVLIN PSYCHIATRIC NP PLLC
612 ADAM STREETTONAWANDANY14150CONSULTANT$160,958
PAUL B GIORDANO
546 RICHMAN AVEBUFFALONY14222CONSULTANT$147,950
AMHERST PSYCHIATRY PC
65 VIA FORESTA LANEWILLIAMSVILLENY14221CONSULTANT$101,300
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
Government Grants$1,487,249GovernmentGrantsAmt
All Other Contributions$343,872AllOtherContributionsAmt
Total Contributions$1,831,121TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICAID624100$8,165,664$8,165,664
THIRD PARTY INSURANCE624100$1,187,789$1,187,789
PATIENT FEES624100$301,644$301,644
MEDICARE624100$91,854$91,854
FieldValueIRS element (for citing)
Total Program Service Revenue$9,746,951TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,267TotalRevenueColumnAmt
Exclusion$6,267ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PRIOR YEAR MEDICAID ADJUSTMENTS900099$194,228$194,228
MISCELLANEOUS900099$63,810$63,810
FieldValueIRS element (for citing)
Other Revenue Total$258,038OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$11,842,377TotalRevenueColumnAmt
Related Or Exempt Func Income$10,004,989RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$6,267ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$239,304TotalAmt
Management And General$239,304ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$6,696,769TotalAmt
Program Services$6,155,941ProgramServicesAmt
Management And General$540,828ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$168,543TotalAmt
Program Services$147,230ProgramServicesAmt
Management And General$21,313ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$677,907TotalAmt
Program Services$636,764ProgramServicesAmt
Management And General$41,143ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$500,384TotalAmt
Program Services$445,553ProgramServicesAmt
Management And General$54,831ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$20,633TotalAmt
Management And General$20,633ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$409,846TotalAmt
Program Services$348,943ProgramServicesAmt
Management And General$60,903ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$602,972TotalAmt
Program Services$484,095ProgramServicesAmt
Management And General$118,877ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$691,193TotalAmt
Program Services$631,901ProgramServicesAmt
Management And General$59,292ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$82,852TotalAmt
Program Services$69,834ProgramServicesAmt
Management And General$13,018ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$58,759TotalAmt
Program Services$53,086ProgramServicesAmt
Management And General$5,673ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$76,297TotalAmt
Program Services$71,548ProgramServicesAmt
Management And General$4,749ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$51,352TotalAmt
Program Services$48,603ProgramServicesAmt
Management And General$2,749ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
CONSULTANTS$925,748$925,748
BUILDING MAINTENANCE AN$221,322$206,649$14,673
TENANT DEPOSIT/WRAP EXP$159,439$159,439

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$265,514TotalAmt
Program Services$260,255ProgramServicesAmt
Management And General$5,259ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$11,848,834TotalAmt
Program Services$10,645,589ProgramServicesAmt
Management And General$1,203,245ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,938,410BOYAmt
EOY$4,119,798EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$45,849BOYAmt
EOY$63,961EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,078,301BOYAmt
EOY$1,004,822EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$52,317BOYAmt
EOY$57,890EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,752,210LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,148,997LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$458,144BOYAmt
EOY$603,213EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$861EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$7,629BOYAmt
EOY$7,629EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$4,580,650BOYAmt
EOY$5,858,174EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$581,325BOYAmt
EOY$960,041EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$532,503BOYAmt
EOY$715,907EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,378,654BOYAmt
EOY$3,100,515EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,492,482BOYAmt
EOY$4,776,463EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,088,168BOYAmt
EOY$1,081,711EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,088,168BOYAmt
EOY$1,081,711EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,580,650BOYAmt
EOY$5,858,174EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$6,457ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

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$2,688,940CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,242,762CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,355,550CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,993,954CurrentTaxYearMinus1YearAmt
Current Tax Year$1,831,121CurrentTaxYearAmt
Total$11,112,327TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,688,940CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,242,762CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,355,550CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,993,954CurrentTaxYearMinus1YearAmt
Current Tax Year$1,831,121CurrentTaxYearAmt
Total$11,112,327TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$109,069SubstantialContributorsTotAmt
Public Support Total170$11,003,258PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,107CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$646CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$786CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,367CurrentTaxYearMinus1YearAmt
Current Tax Year$6,267CurrentTaxYearAmt
Total$10,173TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$47,014CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$41,749CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$31,338CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$158,649CurrentTaxYearMinus1YearAmt
Current Tax Year$258,038CurrentTaxYearAmt
Total$536,788TotalAmt
FieldValueIRS element (for citing)
Total Support$11,659,288TotalSupportAmt
Gross Receipts Rltd Activities$35,823,550GrossReceiptsRltdActivitiesAmt
Public Support CY1700.94370PublicSupportCY170Pct
Public Support PY1700.97760PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:FormAndLineReferenceDesc
ExplanationPRIOR YEAR MEDICAID ADJUSTMENTS - 2017 AMOUNT: $ 114,964. 2018 AMOUNT: $ 194,228. MISCELLANEOUS - 2014 AMOUNT: $ 47,014. 2015 AMOUNT: $ 41,749. 2016 AMOUNT: $ 31,338. 2017 AMOUNT: $ 43,685. 2018 AMOUNT: $ 63,810.ExplanationTxt

Schedule B IRS990ScheduleB

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$714,731OtherCostOrOtherBasisAmt
Depreciation$260,790DepreciationAmt
Book Value$453,941BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,037,479OtherCostOrOtherBasisAmt
Depreciation$888,207DepreciationAmt
Book Value$149,272BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$603,213TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescREFUNDABLE ADVANCES AND AMOUNTS DUE TO FUNDING SOURCESDesc
Amt$3,100,515Amt
FieldValueIRS element (for citing)
Total Liability$3,100,515TotalLiabilityAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE IRS FORM 990 IS REVIEWED IN DETAIL BY THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS. THE FINANCE COMMITTEE THEN REPORTS TO THE FOLLOWING DIRECTORS MEETING WHERE A COPY IS AVAILABLE FOR INSPECTION. IF NO MEETING IS SCHEDULED BETWEEN THE PREPARATION DATE AND THE DUE DATE, THE COMPLETE FORM IS DISTRIBUTED THROUGH EMAIL TO ALL DIRECTORS FOR COMMENT.
FORM 990, PART VI, SECTION B, LINE 12CCONFLICT OF INTEREST DISCLOSURES ARE SIGNED ANNUALLY BY ALL DIRECTORS AS WELL AS NEW MEMBERS JOINING THE BOARD DURING INTERIM PERIODS. THIS PROCEDURE IS A REGULAR AGENDA ITEM AT THE ANNUAL MEETING.
FORM 990, PART VI, SECTION B, LINE 15THE CEO'S COMPENSATION IS COMPARED TO OTHER LOCAL ORGANIZATIONS, SCALED FOR APPROPRIATE SIZE, AND ADJUSTED ACCORDING TO PERFORMANCE REVIEWS. ALL OTHER EMPLOYEE SALARIES ARE AT THE DISCRETION OF THE EXECUTIVE DIRECTOR.
FORM 990, PART VI, SECTION C, LINE 19DOCUMENTS ARE MADE AVAILABLE FOR INSPECTION AT THE ADMINISTRATIVE OFFICES. COPIES CAN BE OBTAINED AT THE REQUESTING PARTY'S EXPENSE.
FORM 990, PART XII, LINE 2C:THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1MID-ERIE FOUNDATION INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11526 WALDEN AVENUEAddressLine1Txt
CityCHEEKTOWAGACityNm
State AbbreviationNYStateAbbreviationCd
ZIP14225ZIPCd
FieldValueIRS element (for citing)
EIN161578172EIN
Primary ActivitiesTO SUPPORT THE PROGRAMS OF MID-ERIE MENTAL HEALTH SERVICES, INC.PrimaryActivitiesTxt
Legal Domicile StateNYLegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity StatusLINE 12B, IIPublicCharityStatusTxt
Direct Controlling NAN/ADirectControllingNACd
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

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