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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-05-07T15:49:45-05:00 | ReturnTs |
| Tax Period End | 2017-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 310800053 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLARK SCHAEFER HACKETT & CO | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 14 East Main Street Suite 500 | AddressLine1Txt |
| City | Springfield | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 45502 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 310733984 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Columbus Area Integrated Health Services | BusinessNameLine1Txt |
| Business Name Line2 | Inc | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | COLU | BusinessNameControlTxt |
| Phone | 6142520711 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1515 East Broad St | AddressLine1Txt |
| City | Columbus | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43205 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Anthony Penn | PersonNm |
| Person Title | PRESIDENT/CEO | PersonTitleTxt |
| Phone | 6142520711 | PhoneNum |
| Signature | 2018-04-27 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Matthew Shroyer | PreparerPersonNm |
| PTIN | P00737986 | PTIN |
| Phone | 9373992000 | PhoneNum |
| Preparation | 2018-04-27 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ANTHONY PENN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1515 East Broad St | AddressLine1Txt |
| City | Columbus | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43205 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $15,547,551 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.columbus-area.com | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1965 | FormationYr |
| Legal Domicile State | OH | LegalDomicileStateCd |
| Activity Or Mission | To provide culturally sensitive and quality mental health and wellness services to the community. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 280 | TotalEmployeeCnt |
| Total Volunteers | 10 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $6,357,329 | PYContributionsGrantsAmt |
| CY Contributions Grants | $7,295,064 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $8,779,280 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $7,943,275 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$141,664 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,518 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$39,366 | PYOtherRevenueAmt |
| CY Other Revenue | $79,322 | CYOtherRevenueAmt |
| PY Total Revenue | $14,955,579 | PYTotalRevenueAmt |
| CY Total Revenue | $15,319,179 | 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 | $8,617,372 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $8,120,178 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $7,944,961 | PYOtherExpensesAmt |
| CY Other Expenses | $7,397,450 | CYOtherExpensesAmt |
| PY Total Expenses | $16,562,333 | PYTotalExpensesAmt |
| CY Total Expenses | $15,517,628 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$1,606,754 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$198,449 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $3,897,511 | TotalAssetsBOYAmt |
| Total Assets EOY | $3,341,955 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $6,512,736 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $6,155,629 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$2,615,225 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$2,813,674 | NetAssetsOrFundBalancesEOYAmt |
| Mission | To provide culturally sensitive and quality mental health and wellness services to the community. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $6,661,371 | ExpenseAmt |
| Revenue | $6,261,232 | RevenueAmt |
| Desc | Outpatient Therapy: control, reduction, or maintenance of symptomatic behavior which causes the person psychological stress | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $5,783,025 | ExpenseAmt |
| Revenue | $206,965 | RevenueAmt |
| Desc | Residential/vocational services: provided various levels of support within a residential and/or pre-vocational setting | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,382,732 | ExpenseAmt |
| Revenue | $1,682,043 | RevenueAmt |
| Desc | Pharmacy | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $13,827,128 | 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 | Yes (1) | 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 | 0 | 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 | 145 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 280 | 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | 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 | ANTHONY PENN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6142520711 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1515 E Broad St | AddressLine1Txt |
| City | Columbus | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43205 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| Angel Harris | |||||||
| Board President | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Robyn Taylor | |||||||
| Board Vice President | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Michael Bivens | |||||||
| Board Treasurer | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Lori Elmore | |||||||
| Board Secretary | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Arthur Holloway | |||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| John Alexander | |||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| John Little | |||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Michael Madison | |||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| John Rush | |||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Anthony Penn | |||||||
| CEO | 40.00 | Yes (X) | $188,849 | $0 | $19,303 | ||
| Dewitt Harrell | |||||||
| CFO | 40.00 | Yes (X) | $121,784 | $0 | $0 | ||
| Dr Liberato Basobas | |||||||
| Psychiatrist | 40.00 | $212,760 | $0 | $402 | Yes (X) | ||
| Mary Kirkman | |||||||
| Deputy Chief Clinical Serv | 40.00 | $101,368 | $0 | $13,112 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $624,761 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $32,817 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 4 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| My Psychiatric Partners LLC | |||||
| 6221 Riverside Dr Suite North One | Dublin | OH | 43017 | Psychiatric Services | $736,000 |
| COMDATA | |||||
| 5301 Maryland Way 1 | Brentwood | TN | 37027 | purchase card services | $521,774 |
| Anda Inc | |||||
| PO Box 930219 | Atlanta | GA | 311930219 | Pharmacy Medication Supplier | $451,759 |
| Hartford on the Lake Apartments | |||||
| 8033 Ridgeway Ave | Skokie | IL | 60076 | Shelter Care for clients | $381,964 |
| Miami-Luken Inc | |||||
| 265 S Pioneer Blvd | Springboro | OH | 450663307 | Pharmacy Medication Supplier | $351,345 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 19 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $10,410 | FederatedCampaignsAmt |
| Government Grants | $7,144,362 | GovernmentGrantsAmt |
| All Other Contributions | $140,292 | AllOtherContributionsAmt |
| Total Contributions | $7,295,064 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Medicaid (Title XIX) | 621400 | $3,506,037 | $3,506,037 |
| Program service contracts | 621400 | $2,417,877 | $2,417,877 |
| Pharmacy Revenue | 446110 | $1,682,043 | $1,682,043 |
| Program Fees | 621400 | $174,449 | $174,449 |
| Patient service fees | 621400 | $162,869 | $162,869 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $7,943,275 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,518 | TotalRevenueColumnAmt |
| Exclusion | $1,518 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $100,729 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $228,372 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$127,643 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$127,643 | TotalRevenueColumnAmt |
| Exclusion | -$127,643 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Other income | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $206,965 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $206,965 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $206,965 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $15,319,179 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $8,150,240 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$126,125 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $329,937 | TotalAmt |
| Program Services | $32,994 | ProgramServicesAmt |
| Management And General | $296,943 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,319,429 | TotalAmt |
| Program Services | $5,933,722 | ProgramServicesAmt |
| Management And General | $385,707 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $961,451 | TotalAmt |
| Program Services | $961,451 | ProgramServicesAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $509,361 | TotalAmt |
| Program Services | $471,235 | ProgramServicesAmt |
| Management And General | $38,126 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $96,302 | TotalAmt |
| Management And General | $96,302 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,855 | TotalAmt |
| Management And General | $17,855 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,558,248 | TotalAmt |
| Program Services | $1,506,993 | ProgramServicesAmt |
| Management And General | $51,255 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $412 | TotalAmt |
| Program Services | $412 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $950,983 | TotalAmt |
| Program Services | $757,130 | ProgramServicesAmt |
| Management And General | $193,853 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $259,197 | TotalAmt |
| Program Services | $211,394 | ProgramServicesAmt |
| Management And General | $47,803 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $119,924 | TotalAmt |
| Management And General | $119,924 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $185,580 | TotalAmt |
| Program Services | $166,383 | ProgramServicesAmt |
| Management And General | $19,197 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $171,100 | TotalAmt |
| Program Services | $80 | ProgramServicesAmt |
| Management And General | $171,020 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,517,628 | TotalAmt |
| Program Services | $13,827,128 | ProgramServicesAmt |
| Management And General | $1,690,500 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,690,047 | BOYAmt |
| EOY | $588,778 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $596,695 | BOYAmt |
| EOY | $1,442,619 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $139,302 | BOYAmt |
| EOY | $58,306 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $73,236 | BOYAmt |
| EOY | $51,062 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $4,524,971 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $3,347,470 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,375,629 | BOYAmt |
| EOY | $1,177,501 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,602 | BOYAmt |
| EOY | $23,689 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,897,511 | BOYAmt |
| EOY | $3,341,955 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,593,185 | BOYAmt |
| EOY | $1,551,128 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,147,657 | BOYAmt |
| EOY | $1,585,866 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,999,695 | BOYAmt |
| EOY | $2,074,685 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $772,199 | BOYAmt |
| EOY | $943,950 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,512,736 | BOYAmt |
| EOY | $6,155,629 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$2,635,782 | BOYAmt |
| EOY | -$2,834,231 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,557 | BOYAmt |
| EOY | $20,557 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$2,615,225 | BOYAmt |
| EOY | -$2,813,674 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,897,511 | BOYAmt |
| EOY | $3,341,955 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$198,449 | 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 | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
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 | $6,456,781 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,734,864 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,616,346 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,357,329 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,295,064 | CurrentTaxYearAmt |
| Total | $32,460,384 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,456,781 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,734,864 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,616,346 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,357,329 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,295,064 | CurrentTaxYearAmt |
| Total | $32,460,384 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $32,460,384 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $455 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $471,431 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $543 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,511 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,518 | CurrentTaxYearAmt |
| Total | $476,458 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $173,719 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $161,371 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $162,270 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $201,565 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $206,965 | CurrentTaxYearAmt |
| Total | $905,890 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $33,842,732 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $38,867,461 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.95920 | PublicSupportCY170Pct |
| Public Support PY170 | 0.96160 | 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 | $302,810 | OtherCostOrOtherBasisAmt |
| Book Value | $302,810 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,747,442 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,365,353 | DepreciationAmt |
| Book Value | $382,089 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $31,031 | OtherCostOrOtherBasisAmt |
| Depreciation | $31,031 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,337,605 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,845,003 | DepreciationAmt |
| Book Value | $492,602 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $106,083 | OtherCostOrOtherBasisAmt |
| Depreciation | $106,083 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,177,501 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| Due to others | $106,618 |
| Payable due funding source | $837,332 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $943,950 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $15,547,551 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $228,372 | OtherRevenueAmt |
| Revenue Not Reported | $228,372 | RevenueNotReportedAmt |
| Revenue Subtotal | $15,319,179 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $15,319,179 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $15,746,000 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $228,372 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $228,372 | ExpensesNotReportedAmt |
| Expenses Subtotal | $15,517,628 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $15,517,628 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| 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 (2 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section B, line 11b | Management 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 12c | It 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 15 | Reviewed 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 19 | UPON REQUEST |
| Form 990, Part IX, line 11g | Contracted 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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