2018-05-10T16:06:45-05:00 2017-06-30 450250958 EIDE BAILLY LLP 1545 ASSOCIATES DR STE 101 DUBUQUE IA 52002 990 2016-07-01 420942273 Eyerly-Ball Community Mental Health Services EYER 5152510982 945 19th Street Des Moines IA 50314 Cynthia Steidl-Bishop CEO 5152510982 2018-05-09 1 Carmen Krantz P00031958 5635561790 2018-04-24 2016 2022-09-23 18:48:47Z Cynthia Steidl-Bishop 945 19th Street Des Moines IA 50314 12347945 0 X www.eyerlyball.org X 1966 IA Quality, responsive mental health services to persons of all cultural groups 12 12 256 20 0 0 682680 1411647 11831946 10898958 -193 -32271 -72089 -58860 12442344 12219474 0 0 0 0 7597941 8361862 0 0 0 3793694 4509033 11391635 12870895 1050709 -651421 4183856 3243114 1649430 1327687 2534426 1915427 X Innovative solutions for today's mental health challenges. 0 1 11035626 10898958 Eyerly Ball is a non-profit organization that provides mental health services to individuals in Polk, Dallas, Warren, Story, and Boone counties. The work of Eyerly Ball is critical to the health and welfare of our community. We are working to improve the lives and well-being of over five thousand individuals whose lives touch many families and children in our community. Many of the individuals seen by our organization are experiencing a significant mental health challenge that disrupts their lives and triggers problems of living with their families or environment. The primary objective of Eyerly Ball is to respond to crises and move individuals and their families towards stabilization, productivity and personal independence. Continued on Schedule OEyerly Ball has several different programs which provide mental health treatment. Due to the dynamic nature of mental illness, each program is specifically designed to successfully treat clients on an individual basis. These programs include; Intensive Psychiatric Rehabilitation (IPR), the Integrates Services Project (ISP), Jail Diversion (JD), Mobile Crisis (MCRT), Mobile Outreach Mental Health (MOMH), the Program for Assertive Community Treatment (PACT), Service Coordination (SC), Supported Community Living (SCL), Senior Outreach Counseling (SOC) and Targeted Case Management (TCM).Eyerly Ball also has a clinical location and two residential facilities for our clients to access. The clinical facility provides outpatient psychiatric services, individual psycho-therapy, family therapy, group therapy, medication evaluations, medication management, community consultation and education, and co-occurring disorder services (mental health diagnosis with substance abuse issues). The clinical facility is also able to provide clients with injections as well as lab testing. Eyerly Ball's clinic is an essential tool to ensuring the success of our company. The clinic provides services which allow our company to ensure that our clients are getting successful and appropriate mental, physical, and psychological treatment. 11035626 1 1 0 1 0 0 0 0 1 0 1 0 0 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 75 0 1 256 1 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 1 1 X Cynthia Steidl-Bishop 5152510982 945 19th Street Des Moines IA 50314 Andy Boettger President 1.00 2.00 X X 0 0 0 EJ Giovannetti Vice President 1.00 2.00 X X 0 0 0 John Roehrick Secretary 1.00 2.00 X X 0 0 0 Susan Brindle Treasurer 1.00 2.00 X X 0 0 0 Steve Roberts Member 1.00 2.00 X 0 0 0 Randolph Davis Member 1.00 2.00 X 0 0 0 Ardene Downing Member 1.00 2.00 X 0 0 0 Corrine Ganske Member 1.00 2.00 X 0 0 0 Beth Cross Member 1.00 2.00 X 0 0 0 Pat Schneider Member 1.00 2.00 X 0 0 0 Terry Slinde Member 1.00 2.00 X 0 0 0 John Schmidt Member 1.00 2.00 X 0 0 0 Cynthia Steidl-Bishop CEO 40.00 2.00 X 136868 0 20845 Jim Holstein CFO until May 2017 40.00 2.00 X 98472 0 15407 Kellen Huseman Accounting Director as of May 2017 40.00 2.00 X 0 0 0 Melanie Howard ARNP 40.00 0.00 X 117833 0 7233 353173 0 43485 2 0 1 0 ADP LLC 10200 Sunset Dr Miami FL 33173 Payroll Processing Fees 200835 Cerner Corporation PO Box 959156 St Louis MO 63195 Software support 159037 Donner Dewdney 2690 SE 82nd St Runnells IA 50237 Psychiatry Services 132560 3 24201 10000 1358277 19169 1411647 Mental health services 623220 10878874 10878874 Management fees 541611 12004 12004 Equity in LLC 900099 -40146 -40146 48226 48226 10898958 2729 2729 32611 91471 -58860 -58860 -58860 2000 37000 0 -37000 2000 -35000 -35000 12219474 10898958 0 -91131 264105 264105 6598433 5886243 712190 117843 101445 16398 794955 754464 40491 586526 509787 76739 22761 22761 49068 49068 7500 7500 1116426 777449 338977 45345 4130 41215 278935 226071 52864 148898 72659 76239 219903 164782 55121 236994 235275 1719 39439 28665 10774 16858 16858 108910 83486 25424 76280 30553 45727 Bad debt 1908952 1908952 Repairs and maintenance 141868 141868 Food 49370 49370 Subscriptions, public, 26317 26317 15209 9752 5457 12870895 11035626 1835269 0 31517 356098 216888 2447937 1205137 3538681 2260682 1242179 1277999 0 456581 0 5642 186992 4183856 3243114 1003991 746417 4549 82258 640890 499012 1649430 1327687 X 2534426 1915427 2534426 1915427 4183856 3243114 X -651421 32422 X 0 1 X 1 0 X 39532 800697 1158073 682680 1411647 4092629 6879094 8390559 9655150 11831946 10898958 47655707 6918626 9191256 10813223 12514626 12310605 51748336 4350 12140 16490 22363 22363 26713 12140 38853 51709483 102979 76695 65027 43731 35340 323772 102979 76695 65027 43731 35340 323772 7021605 9267951 10878250 12558357 12345945 52072108 0.99300 0.99040 0.00620 0.00900 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 7500 0 0 7500 0 Part II-B, Line 1: Tom Cope with Avenson, Oakley & Cope was hired to advocate legislatively for Eyerly Ball Mental Health Services. Tom Cope monitors major issues affecting Eyerly-Ball's policy concerns. 0 1 X 201582 201582 1626169 920567 705602 13993 10283 3710 1647647 1329832 317815 49290 49290 1277999 Rent deposit 10310 Related Party Receivable 124736 Beneficial interest in net assets held by Community Foundation 21377 Interest in net assets of Eyerly-Ball Foundation 30569 186992 X Part IV, Line 2b: The organization acts as the "representative payee" for clients incapable of successfully handling their own funds. In these cases, the organization pays living expense bills on behalf of the client. Each client's funds are segregated in a separate bank account. The organization recognizes a liability that offsets the aggregate bank balance of the rep payee accounts. Part X, Line 2: Eyerly-Ball Community Mental Health is organized as an Iowa nonprofit corporation and has been recognized by the Internal Revenue Service (IRS) as exempt from federal income taxes under Section 501(a) of the Internal Revenue Code as an organization described in Section 501(c)(3), qualifies for the charitable contribution deduction under Section 170(b)(1)(A)(viii), and has been determined not to be a private foundation under Section 509(a)(2). The entity is annually required to file a Return of Organization Exempt from Income Tax (Form 990) with the IRS. In addition, the entity is subject to income tax on net income that is derived from business activities that are unrelated to their exempt purpose. The entity has determined it is not subject to unrelated business income tax and has not filed an Exempt Organization Business Income Tax Return (Form 990-T) with the IRS. Eyerly-Ball believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the financial statements. The entity would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred. X X 0 0 0 0 0 0 0 0 0 Cynthia Steidl-Bishop CEO 136650 0 0 0 218 0 4100 0 16745 0 157713 0 0 0 Form 990, Part III, line 3 Crisis Observation Center, Crisis Stabilization Center, and Mobile Crisis Response Team ended in fiscal year 2017. Form 990, Part VI, Section A, line 1 Officers of the Board of Directors of the corporation shall constitute the Executive Committee. The Executive Committee shall be empowered to carry out all necessary business matters of the corporation during periods between regular Board meetings, except such acts specifically required to be approved by the Board of Directors. The Executive Committee may be authorized by the Board to conduct and approve specific activities on behalf of the Board between regular Board Meetings subject to Board ratification. The Executive Committee shall make committee assignments. Form 990, Part VI, Section B, line 11b The Form 990 is reviewed and approved by the CEO, Accounting Director, and Board of Directors prior to submitting to the IRS. Form 990, Part VI, Section B, line 12c The Board of Directors completes a conflict of interest policy annually. Employees and consultants are not allowed to serve on the Board. If there is a conflict with a Board member, the individual is not allowed to vote on the matter. The Board shall be authorized to define a non financial conflict of interest situation involving its member(s) and to take action regarding the voting right of the membership of the member in question. Form 990, Part VI, Section B, line 15a The CEO's compensation is reviewed annually, approved by the Board of Directors and documented in the board minutes and personnel files. Human resources reviews various studies of comparable positions. Form 990, Part VI, Section C, line 19 The governing documents, conflict of interest policy, and financial statements are available to the public upon request. Form 990, Part XI, line 9: Change in value of interest in net assets of Eyerly-Ball Foundation, Inc. 30,569. Change in value of beneficial interest in assets of community foundation 1,853. W H II LTD 945 19th Street Des Moines IA 50314 421205700 Operation of apartment complex for mentally ill individuals IA 501(c)(3) Line 10 Eyerly-Ball Community Mental Health Services 1 W H III Inc 945 19th Street Des Moines IA 50314 421231992 Operation of apartment complex for mentally ill individuals IA 501(c)(3) Line 10 Eyerly-Ball Community Mental Health Services 1 Golden Circle Behavioral Health LC 945 19th Street Des Moines IA 50314 421445177 Outpatient mental health & substance abuse centers IA Eyerly-Ball Community Mental Health Services Related -41688 0 1 0.66670 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 Golden Circle Behavioral Health P 490557 Cash distribution Schedule R, Part III Golden Circle was dissolved as of October 31, 2016. Golden Circle distributed all of its assets and liabilities to its members in proportion to the respective ownership interests of the members. Eyerly Ball received 2/3.