Columbus Area Integrated Health Services: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
Columbus Area Integrated Health Services (EIN 31-0733984)
Tax period
2016-07-01 to 2017-06-30
Filed
2018-05-07
IRS object ID
201801279349301880
Schema version
2016v3.0
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)
Return2018-05-07T15:49:45-05:00ReturnTs
Tax Period End2017-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN310800053PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLARK SCHAEFER HACKETT & COBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line114 East Main Street Suite 500AddressLine1Txt
CitySpringfieldCityNm
State AbbreviationOHStateAbbreviationCd
ZIP45502ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN310733984EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Columbus Area Integrated Health ServicesBusinessNameLine1Txt
Business Name Line2IncBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlCOLUBusinessNameControlTxt
Phone6142520711PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11515 East Broad StAddressLine1Txt
CityColumbusCityNm
State AbbreviationOHStateAbbreviationCd
ZIP43205ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonAnthony PennPersonNm
Person TitlePRESIDENT/CEOPersonTitleTxt
Phone6142520711PhoneNum
Signature2018-04-27SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMatthew ShroyerPreparerPersonNm
PTINP00737986PTIN
Phone9373992000PhoneNum
Preparation2018-04-27PreparationDt
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerANTHONY PENNPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11515 East Broad StAddressLine1Txt
CityColumbusCityNm
State AbbreviationOHStateAbbreviationCd
ZIP43205ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$15,547,551GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.columbus-area.comWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1965FormationYr
Legal Domicile StateOHLegalDomicileStateCd
Activity Or MissionTo provide culturally sensitive and quality mental health and wellness services to the community.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee280TotalEmployeeCnt
Total Volunteers10TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$6,357,329PYContributionsGrantsAmt
CY Contributions Grants$7,295,064CYContributionsGrantsAmt
PY Program Service Revenue$8,779,280PYProgramServiceRevenueAmt
CY Program Service Revenue$7,943,275CYProgramServiceRevenueAmt
PY Investment Income-$141,664PYInvestmentIncomeAmt
CY Investment Income$1,518CYInvestmentIncomeAmt
PY Other Revenue-$39,366PYOtherRevenueAmt
CY Other Revenue$79,322CYOtherRevenueAmt
PY Total Revenue$14,955,579PYTotalRevenueAmt
CY Total Revenue$15,319,179CYTotalRevenueAmt
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$8,617,372PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$8,120,178CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$7,944,961PYOtherExpensesAmt
CY Other Expenses$7,397,450CYOtherExpensesAmt
PY Total Expenses$16,562,333PYTotalExpensesAmt
CY Total Expenses$15,517,628CYTotalExpensesAmt
PY Revenues Less Expenses-$1,606,754PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$198,449CYRevenuesLessExpensesAmt
Total Assets BOY$3,897,511TotalAssetsBOYAmt
Total Assets EOY$3,341,955TotalAssetsEOYAmt
Total Liabilities BOY$6,512,736TotalLiabilitiesBOYAmt
Total Liabilities EOY$6,155,629TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$2,615,225NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$2,813,674NetAssetsOrFundBalancesEOYAmt
MissionTo provide culturally sensitive and quality mental health and wellness services to the community.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$6,661,371ExpenseAmt
Revenue$6,261,232RevenueAmt
DescOutpatient Therapy: control, reduction, or maintenance of symptomatic behavior which causes the person psychological stressDesc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$5,783,025ExpenseAmt
Revenue$206,965RevenueAmt
DescResidential/vocational services: provided various levels of support within a residential and/or pre-vocational settingDesc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$1,382,732ExpenseAmt
Revenue$1,682,043RevenueAmt
DescPharmacyDesc
FieldValueIRS element (for citing)
Total Program Service Expenses$13,827,128TotalProgramServiceExpensesAmt
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 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
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 RequiredYes (1)ScheduleJRequiredInd
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 Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document145IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee280EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
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
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
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
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ANTHONY PENNBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6142520711PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11515 E Broad StAddressLine1Txt
CityColumbusCityNm
State AbbreviationOHStateAbbreviationCd
ZIP43205ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
Angel Harris
Board President1.00Yes (X)Yes (X)$0$0$0
Robyn Taylor
Board Vice President1.00Yes (X)Yes (X)$0$0$0
Michael Bivens
Board Treasurer1.00Yes (X)Yes (X)$0$0$0
Lori Elmore
Board Secretary1.00Yes (X)Yes (X)$0$0$0
Arthur Holloway
Board Member1.00Yes (X)$0$0$0
John Alexander
Board Member1.00Yes (X)$0$0$0
John Little
Board Member1.00Yes (X)$0$0$0
Michael Madison
Board Member1.00Yes (X)$0$0$0
John Rush
Board Member1.00Yes (X)$0$0$0
Anthony Penn
CEO40.00Yes (X)$188,849$0$19,303
Dewitt Harrell
CFO40.00Yes (X)$121,784$0$0
Dr Liberato Basobas
Psychiatrist40.00$212,760$0$402Yes (X)
Mary Kirkman
Deputy Chief Clinical Serv40.00$101,368$0$13,112Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$624,761TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$32,817TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K4IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
My Psychiatric Partners LLC
6221 Riverside Dr Suite North OneDublinOH43017Psychiatric Services$736,000
COMDATA
5301 Maryland Way 1BrentwoodTN37027purchase card services$521,774
Anda Inc
PO Box 930219AtlantaGA311930219Pharmacy Medication Supplier$451,759
Hartford on the Lake Apartments
8033 Ridgeway AveSkokieIL60076Shelter Care for clients$381,964
Miami-Luken Inc
265 S Pioneer BlvdSpringboroOH450663307Pharmacy Medication Supplier$351,345
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K19CntrctRcvdGreaterThan100KCnt
Federated Campaigns$10,410FederatedCampaignsAmt
Government Grants$7,144,362GovernmentGrantsAmt
All Other Contributions$140,292AllOtherContributionsAmt
Total Contributions$7,295,064TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Medicaid (Title XIX)621400$3,506,037$3,506,037
Program service contracts621400$2,417,877$2,417,877
Pharmacy Revenue446110$1,682,043$1,682,043
Program Fees621400$174,449$174,449
Patient service fees621400$162,869$162,869
FieldValueIRS element (for citing)
Total Program Service Revenue$7,943,275TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,518TotalRevenueColumnAmt
Exclusion$1,518ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$100,729RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$228,372RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$127,643RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$127,643TotalRevenueColumnAmt
Exclusion-$127,643ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOther incomeDesc
Business900099BusinessCd
Total Revenue Column$206,965TotalRevenueColumnAmt
Related Or Exempt Func Income$206,965RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$206,965OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$15,319,179TotalRevenueColumnAmt
Related Or Exempt Func Income$8,150,240RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion-$126,125ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$329,937TotalAmt
Program Services$32,994ProgramServicesAmt
Management And General$296,943ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$6,319,429TotalAmt
Program Services$5,933,722ProgramServicesAmt
Management And General$385,707ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$961,451TotalAmt
Program Services$961,451ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$509,361TotalAmt
Program Services$471,235ProgramServicesAmt
Management And General$38,126ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$96,302TotalAmt
Management And General$96,302ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$17,855TotalAmt
Management And General$17,855ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,558,248TotalAmt
Program Services$1,506,993ProgramServicesAmt
Management And General$51,255ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$412TotalAmt
Program Services$412ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$950,983TotalAmt
Program Services$757,130ProgramServicesAmt
Management And General$193,853ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$259,197TotalAmt
Program Services$211,394ProgramServicesAmt
Management And General$47,803ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$119,924TotalAmt
Management And General$119,924ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$185,580TotalAmt
Program Services$166,383ProgramServicesAmt
Management And General$19,197ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$171,100TotalAmt
Program Services$80ProgramServicesAmt
Management And General$171,020ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Direct client assistanc$2,108,002$2,099,306$8,696
Operating Expenses$1,740,699$1,569,514$171,185
Miscellaneous$116,514$43,880$72,634
repayment due funding s$72,634$72,634

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$15,517,628TotalAmt
Program Services$13,827,128ProgramServicesAmt
Management And General$1,690,500ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,690,047BOYAmt
EOY$588,778EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$596,695BOYAmt
EOY$1,442,619EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$139,302BOYAmt
EOY$58,306EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$73,236BOYAmt
EOY$51,062EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$4,524,971LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$3,347,470LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,375,629BOYAmt
EOY$1,177,501EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$22,602BOYAmt
EOY$23,689EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$3,897,511BOYAmt
EOY$3,341,955EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,593,185BOYAmt
EOY$1,551,128EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$2,147,657BOYAmt
EOY$1,585,866EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,999,695BOYAmt
EOY$2,074,685EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$772,199BOYAmt
EOY$943,950EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$6,512,736BOYAmt
EOY$6,155,629EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$2,635,782BOYAmt
EOY-$2,834,231EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$20,557BOYAmt
EOY$20,557EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$2,615,225BOYAmt
EOY-$2,813,674EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,897,511BOYAmt
EOY$3,341,955EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$198,449ReconcilationRevenueExpnssAmt
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)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)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$6,456,781CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,734,864CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,616,346CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,357,329CurrentTaxYearMinus1YearAmt
Current Tax Year$7,295,064CurrentTaxYearAmt
Total$32,460,384TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,456,781CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,734,864CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,616,346CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,357,329CurrentTaxYearMinus1YearAmt
Current Tax Year$7,295,064CurrentTaxYearAmt
Total$32,460,384TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$32,460,384PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$455CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$471,431CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$543CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,511CurrentTaxYearMinus1YearAmt
Current Tax Year$1,518CurrentTaxYearAmt
Total$476,458TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$173,719CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$161,371CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$162,270CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$201,565CurrentTaxYearMinus1YearAmt
Current Tax Year$206,965CurrentTaxYearAmt
Total$905,890TotalAmt
FieldValueIRS element (for citing)
Total Support$33,842,732TotalSupportAmt
Gross Receipts Rltd Activities$38,867,461GrossReceiptsRltdActivitiesAmt
Public Support CY1700.95920PublicSupportCY170Pct
Public Support PY1700.96160PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$302,810OtherCostOrOtherBasisAmt
Book Value$302,810BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,747,442OtherCostOrOtherBasisAmt
Depreciation$1,365,353DepreciationAmt
Book Value$382,089BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$31,031OtherCostOrOtherBasisAmt
Depreciation$31,031DepreciationAmt
Book Value$0BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,337,605OtherCostOrOtherBasisAmt
Depreciation$1,845,003DepreciationAmt
Book Value$492,602BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$106,083OtherCostOrOtherBasisAmt
Depreciation$106,083DepreciationAmt
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,177,501TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
Due to others$106,618
Payable due funding source$837,332
FieldValueIRS element (for citing)
Total Liability$943,950TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$15,547,551TotalRevEtcAuditedFinclStmtAmt
Other Revenue$228,372OtherRevenueAmt
Revenue Not Reported$228,372RevenueNotReportedAmt
Revenue Subtotal$15,319,179RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$15,319,179TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$15,746,000TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$228,372OtherExpensesIncludedAmt
Expenses Not Reported$228,372ExpensesNotReportedAmt
Expenses Subtotal$15,517,628ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$15,517,628TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part X, Line 2:THE ORGANIZATION HAS RENTAL INCOME ASSOCIATED WITH DEBT FINANCED PROPERTY WHICH IS SUBJECT TO TAX AS UNRELATED BUSINESS INCOME. AT JUNE 30, 2017 AND 2016, THE ORGANIZATION RECORDED A TAX LIABILITY OF $0 ON THIS UNRELATED BUSINESS ACTIVITY DUE TO RECURRING LOSSES ASSOCIATED TO THIS PROPERTY. THE ORGANIZATION BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. THE ORGANIZATION'S FEDERAL EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURNS (FORM 990T) FOR 2015, 2016 AND 2017 ARE SUBJECT TO EXAMINATION BY THE IRS, GENERALLY FOR THREE YEARS AFTER THEY WERE FILED.
Part XI, Line 2d - Other Adjustments:Rental Expense 228,372.
Part XII, Line 2d - Other Adjustments:Rental Expense 228,372.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractYes (X)WrittenEmploymentContractInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Anthony Penn
CEO$188,849$0$0$0$0$0$1,600$0$17,703$0$208,152$0$0$0
Dr Liberato Basobas
Psychiatrist$212,760$0$0$0$0$0$0$0$402$0$213,162$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section B, line 11bManagement reviews a draft copy of the 990 prior to filing. The return is also reviewed by the board, which allows any further inquiries to be discussed.
Form 990, Part VI, Section B, line 12cIt is the continuing responsibility of the board, officers and management employees to scrutinize their transactions and outside business interest and relationships for potential conflicts and to immediately make such disclosures known. All conflicts should be disclosed to the chief executive officer, or if he is the one with the conflict, then to the board president, who shall bring the matter to the attention of the board or duly constituted committee thereof. The board or duly constituted committee thereof shall determine whether a conflict exists and is the case of an existing conflict, whether the contemplated transaction may be authorized as just, fair and reasonable to Columbus Area Integrated Health Services, Inc. The decision of the board or a duly constituted committee thereof on these matters will rest in their sole discretion, and their concern must be the welfare of Columbus Area Integrated Health Services, Inc. and the advancement of its purpose.
Form 990, Part VI, Section B, line 15Reviewed by the Executive Committee of the Board of Trustees and the full board of Trustees. The overall budget and salaries, including comparability studies, are approved by the board of Trustees.
Form 990, Part VI, Section C, line 19UPON REQUEST
Form 990, Part IX, line 11gContracted Services: Program service expenses 1,495,754. Management and general expenses 51,255. Fundraising expenses 0. Total expenses 1,547,009. Professional Fees: Program service expenses 11,239. Management and general expenses 0. Fundraising expenses 0. Total expenses 11,239.
Form 990, Part XII, Line 2c:The process has not changed.

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