MID-ERIE MENTAL HEALTH SERVICES INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
MID-ERIE MENTAL HEALTH SERVICES INC (EIN 16-1017709)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-05-02
IRS object ID
201821229349300412
Schema version
2017v2.2
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)
Return2018-05-02T08:35:57-05:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

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 Begin2017-01-01TaxPeriodBeginDt

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
Signature2018-04-20SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJILL M JOHNSONPreparerPersonNm
PTINP01701478PTIN
Phone7168563300PhoneNum
Preparation2018-04-17PreparationDt
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

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$9,288,856GrossReceiptsAmt
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 Employee181TotalEmployeeCnt
Total Volunteers10TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,355,550PYContributionsGrantsAmt
CY Contributions Grants$1,993,954CYContributionsGrantsAmt
PY Program Service Revenue$6,605,224PYProgramServiceRevenueAmt
CY Program Service Revenue$7,134,886CYProgramServiceRevenueAmt
PY Investment Income$786PYInvestmentIncomeAmt
CY Investment Income$1,367CYInvestmentIncomeAmt
PY Other Revenue$31,338PYOtherRevenueAmt
CY Other Revenue$158,649CYOtherRevenueAmt
PY Total Revenue$8,992,898PYTotalRevenueAmt
CY Total Revenue$9,288,856CYTotalRevenueAmt
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$6,135,572PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$6,279,050CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,766,739PYOtherExpensesAmt
CY Other Expenses$2,736,720CYOtherExpensesAmt
PY Total Expenses$8,902,311PYTotalExpensesAmt
CY Total Expenses$9,015,770CYTotalExpensesAmt
PY Revenues Less Expenses$90,587PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$273,086CYRevenuesLessExpensesAmt
Total Assets BOY$2,866,335TotalAssetsBOYAmt
Total Assets EOY$4,580,650TotalAssetsEOYAmt
Total Liabilities BOY$2,051,253TotalLiabilitiesBOYAmt
Total Liabilities EOY$3,492,482TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$815,082NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,088,168NetAssetsOrFundBalancesEOYAmt
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$3,932,087ExpenseAmt
Revenue$4,147,767RevenueAmt
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 2017 VISITS - 39,929, PROS PARTICIPATION UNIT 16,622/85 AVERAGE CLIENTS PER MONTH)Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$1,368,845ExpenseAmt
Revenue$1,053,406RevenueAmt
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 2017 VISITS - 11,644)Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$2,565,178ExpenseAmt
Revenue$2,092,362RevenueAmt
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 2017 VISITS - 8,001)Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$140,831ExpenseAmt
DescPROGRAMS FUNDED BY TRAINING AND SERVICE GRANTS. SHORT TERM PROGRAMS INCLUDE "ASSERTIVE & ADOLESCENT FAMILY TREATMENT, AND TRAINING FOR "CLIENT DIRECTED OUTCOME INFORMED TREATMENT."Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$140,831TotalOtherProgSrvcExpenseAmt
Total Program Service Expenses$8,006,941TotalProgramServiceExpensesAmt
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 Document47IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee181EmployeeCnt
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
Indoor Tanning Services0IndoorTanningServicesInd
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 (12 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)$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
DIRECTOR2.00Yes (X)$0$0$0
PAMELA GERMAIN
DIRECTOR2.00Yes (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)$112,121$0$15,562
PATRICK MCINERNEY
CFO40.002.00Yes (X)$109,476$0$4,428
FieldValueIRS element (for citing)
Total Reportable Comp From Org$221,597TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$19,990TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K2IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
TERRY JO BROOKS-DEVLIN
612 ADAM STREETTONAWANDANY14150CONSULTANT$121,165
AMHERST PSYCHIATRY PC
65 VIA FORESTA LANEWILLIAMSVILLENY14221CONSULTANT$101,520
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
Government Grants$1,571,846GovernmentGrantsAmt
All Other Contributions$422,108AllOtherContributionsAmt
Total Contributions$1,993,954TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICAID624100$5,917,843$5,917,843
THIRD PARTY INSURANCE624100$976,722$976,722
PATIENT FEES624100$165,709$165,709
MEDICARE624100$74,612$74,612
FieldValueIRS element (for citing)
Total Program Service Revenue$7,134,886TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,367TotalRevenueColumnAmt
Exclusion$1,367ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PRIOR YEAR MEDICAID AD900099$114,964$114,964
MISCELLANEOUS900099$43,685$43,685
FieldValueIRS element (for citing)
Other Revenue Total$158,649OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,288,856TotalRevenueColumnAmt
Related Or Exempt Func Income$7,293,535RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,367ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$241,587TotalAmt
Management And General$241,587ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$4,959,424TotalAmt
Program Services$4,508,876ProgramServicesAmt
Management And General$450,548ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$129,996TotalAmt
Program Services$115,441ProgramServicesAmt
Management And General$14,555ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$569,532TotalAmt
Program Services$536,396ProgramServicesAmt
Management And General$33,136ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$378,511TotalAmt
Program Services$329,994ProgramServicesAmt
Management And General$48,517ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$27,838TotalAmt
Management And General$27,838ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$293,645TotalAmt
Program Services$268,445ProgramServicesAmt
Management And General$25,200ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$432,166TotalAmt
Program Services$370,617ProgramServicesAmt
Management And General$61,549ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$634,977TotalAmt
Program Services$584,270ProgramServicesAmt
Management And General$50,707ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$77,889TotalAmt
Program Services$69,466ProgramServicesAmt
Management And General$8,423ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$52,889TotalAmt
Program Services$50,339ProgramServicesAmt
Management And General$2,550ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$110,468TotalAmt
Program Services$94,728ProgramServicesAmt
Management And General$15,740ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$45,728TotalAmt
Program Services$43,149ProgramServicesAmt
Management And General$2,579ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
CONSULTANTS$617,770$617,770
BUILDING MAINTENANCE AN$168,878$158,788$10,090
MISCELLANEOUS$128,417$112,607$15,810
TENANT DEPOSIT/WRAP EXP$96,326$96,326

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$49,729TotalAmt
Program Services$49,729ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$9,015,770TotalAmt
Program Services$8,006,941ProgramServicesAmt
Management And General$1,008,829ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,628,579BOYAmt
EOY$2,938,410EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,716BOYAmt
EOY$45,849EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$690,325BOYAmt
EOY$1,078,301EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$61,848BOYAmt
EOY$52,317EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,530,844LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,072,700LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$476,238BOYAmt
EOY$458,144EOYAmt

Other Assets Total OtherAssetsTotalGrp

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

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,866,335BOYAmt
EOY$4,580,650EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$634,217BOYAmt
EOY$581,325EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$435,871BOYAmt
EOY$532,503EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$981,165BOYAmt
EOY$2,378,654EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,051,253BOYAmt
EOY$3,492,482EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$815,082BOYAmt
EOY$1,088,168EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$815,082BOYAmt
EOY$1,088,168EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,866,335BOYAmt
EOY$4,580,650EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$273,086ReconcilationRevenueExpnssAmt
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$3,131,989CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,688,940CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,242,762CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,355,550CurrentTaxYearMinus1YearAmt
Current Tax Year$1,993,954CurrentTaxYearAmt
Total$12,413,195TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,131,989CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,688,940CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,242,762CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,355,550CurrentTaxYearMinus1YearAmt
Current Tax Year$1,993,954CurrentTaxYearAmt
Total$12,413,195TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$12,413,195PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,112CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,107CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$646CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$786CurrentTaxYearMinus1YearAmt
Current Tax Year$1,369CurrentTaxYearAmt
Total$5,020TotalAmt
FieldValueIRS element (for citing)
Total Support$12,418,215TotalSupportAmt
Gross Receipts Rltd Activities$28,912,104GrossReceiptsRltdActivitiesAmt
Public Support CY1700.99960PublicSupportCY170Pct
Public Support PY1700.99960PublicSupportPY170Pct
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

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$555,737OtherCostOrOtherBasisAmt
Depreciation$225,282DepreciationAmt
Book Value$330,455BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$975,107OtherCostOrOtherBasisAmt
Depreciation$847,418DepreciationAmt
Book Value$127,689BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$458,144TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescREFUNDABLE ADVANCES AND AMOUNTS DUE TO FUNDING SOURCESDesc
Amt$2,378,654Amt
FieldValueIRS element (for citing)
Total Liability$2,378,654TotalLiabilityAmt

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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