Columbus Area Integrated Health Services: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
Columbus Area Integrated Health Services (EIN 31-0733984)
Tax period
2015-07-01 to 2016-06-30
Filed
2017-05-15
IRS object ID
201701359349309005
Schema version
2015v3.0
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)
Return2017-05-15T14:44:13-05:00ReturnTs
Tax Period End2016-06-30TaxPeriodEndDt

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 Begin2015-07-01TaxPeriodBeginDt

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
Signature2017-05-10SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMATTHEW SHROYERPreparerPersonNm
PTINP00737986PTIN
Phone9373992000PhoneNum
Preparation2017-05-10PreparationDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

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$18,174,330GrossReceiptsAmt
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
Contract TerminationYes (X)ContractTerminationInd
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee317TotalEmployeeCnt
Total Volunteers10TotalVolunteersCnt
Total Gross UBI-$240,931TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$6,616,346PYContributionsGrantsAmt
CY Contributions Grants$6,357,329CYContributionsGrantsAmt
PY Program Service Revenue$8,077,551PYProgramServiceRevenueAmt
CY Program Service Revenue$8,779,280CYProgramServiceRevenueAmt
PY Investment Income$4,606PYInvestmentIncomeAmt
CY Investment Income-$141,664CYInvestmentIncomeAmt
PY Other Revenue-$192,278PYOtherRevenueAmt
CY Other Revenue-$39,366CYOtherRevenueAmt
PY Total Revenue$14,506,225PYTotalRevenueAmt
CY Total Revenue$14,955,579CYTotalRevenueAmt
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$8,569,384PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$8,617,372CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$5,695,339PYOtherExpensesAmt
CY Other Expenses$7,944,961CYOtherExpensesAmt
PY Total Expenses$14,264,723PYTotalExpensesAmt
CY Total Expenses$16,562,333CYTotalExpensesAmt
PY Revenues Less Expenses$241,502PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$1,606,754CYRevenuesLessExpensesAmt
Total Assets BOY$6,542,806TotalAssetsBOYAmt
Total Assets EOY$3,897,511TotalAssetsEOYAmt
Total Liabilities BOY$7,551,277TotalLiabilitiesBOYAmt
Total Liabilities EOY$6,512,736TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$1,008,471NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$2,615,225NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE CULTURALLY SENSITIVE AND QUALITY MENTAL HEALTH AND WELLNESS SERVICES TO THE COMMUNITY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$5,858,468ExpenseAmt
Revenue$5,673,266RevenueAmt
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$5,407,572ExpenseAmt
Revenue$201,565RevenueAmt
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$2,980,790ExpenseAmt
Revenue$3,106,014RevenueAmt
DescPHARMACYDesc
FieldValueIRS element (for citing)
Total Program Service Expenses$14,246,830TotalProgramServiceExpensesAmt
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 MemYes (1)BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial LiquidationYes (1)PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document144IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee317EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
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
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 (15 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
ARTHUR HOLLOWAY
BOARD MEMBER1.00Yes (X)$0$0$0
DEBBIE HUGHES
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
LORI ELMORE
BOARD SECRETARY1.00Yes (X)Yes (X)$0$0$0
MICHAEL BIVENS
BOARD TREASURER1.00Yes (X)Yes (X)$0$0$0
MICHAEL MADISON
BOARD MEMBER1.00Yes (X)$0$0$0
ROBYN TAYLOR
BOARD VICE PRESIDENT1.00Yes (X)Yes (X)$0$0$0
TRACIE TAYLOR
BOARD MEMBER1.00Yes (X)$0$0$0
ANTHONY PENN
CEO40.00Yes (X)$188,849$0$19,303
DEWITT HARRELL
CFO40.00Yes (X)$121,785$0$0
DORIAN WINGARD
COO1.00Yes (X)$4,615$0$3,152
DR LIBERATO BASOBAS
PSYCHIATRIST40.00$212,760$0$403Yes (X)
MARY KIRKMAN
DEPUTY CHIEF CLINICAL SERVICES40.00$101,368$0$13,122Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$629,377TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$35,980TotalOtherCompensationAmt
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
ANDA INC
2915 WESTON RDWESTONFL33331PHARMACY MEDICATION SUPPLIER$795,182
HARTFORD ON THE LAKE APARTMENTS
2400 W SHORE BLVDCOLUMBUSOH43232SHELTER CARE FOR CLIENTS$288,157
COMDATA
5301 MARYLAND WAYBRENTWOODTN37027PURCHASE CARD SERVICES$213,621
RENEWED PROPERTIES INC
7820 PALMER ROAD SWREYNOLDSBURGOH43068LANDLORD FOR 813 BRYDEN ROAD$184,250
LENCHO ABASHAMO
6616 RETTON ROADREYNOLDSBURGOH43068PHARMACY MANAGEMENT$162,939
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
Federated Campaigns$20,191FederatedCampaignsAmt
Government Grants$6,191,518GovernmentGrantsAmt
All Other Contributions$145,620AllOtherContributionsAmt
Total Contributions$6,357,329TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PHARMACY REVENUE446110$3,106,014$3,106,014
MEDICAID (TITLE XIX)621400$2,852,212$2,852,212
PROGRAM SERVICE CONTRACTS621400$2,131,060$2,131,060
PATIENT SERVICE FEES621400$599,752$599,752
PROGRAM FEES621400$90,242$90,242
FieldValueIRS element (for citing)
Total Program Service Revenue$8,779,280TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,511TotalRevenueColumnAmt
Exclusion$2,511ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$458,304RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$699,235RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$240,931RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$240,931TotalRevenueColumnAmt
Unrelated Business Revenue-$240,931UnrelatedBusinessRevenueAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$2,375,341OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$2,519,516OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$144,175OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$144,175TotalRevenueColumnAmt
Exclusion-$144,175ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER INCOMEDesc
Business900099BusinessCd
Total Revenue Column$201,565TotalRevenueColumnAmt
Related Or Exempt Func Income$201,565RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$201,565OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$14,955,579TotalRevenueColumnAmt
Related Or Exempt Func Income$8,980,845RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue-$240,931UnrelatedBusinessRevenueAmt
Exclusion-$141,664ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$313,439TotalAmt
Program Services$22,586ProgramServicesAmt
Management And General$290,853ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$6,590,712TotalAmt
Program Services$6,065,260ProgramServicesAmt
Management And General$525,452ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,170,848TotalAmt
Program Services$1,000,076ProgramServicesAmt
Management And General$170,772ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$542,373TotalAmt
Program Services$466,371ProgramServicesAmt
Management And General$76,002ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$956,647TotalAmt
Program Services$600,766ProgramServicesAmt
Management And General$355,881ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$18,966TotalAmt
Program Services$9,131ProgramServicesAmt
Management And General$9,835ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$746,447TotalAmt
Program Services$482,594ProgramServicesAmt
Management And General$263,853ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$186,522TotalAmt
Program Services$175,943ProgramServicesAmt
Management And General$10,579ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$105,664TotalAmt
Management And General$105,664ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$156,549TotalAmt
Program Services$127,997ProgramServicesAmt
Management And General$28,552ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$209,271TotalAmt
Program Services$73,077ProgramServicesAmt
Management And General$136,194ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
OPERATING EXPENSES$3,366,922$3,094,263$272,659
DIRECT CLIENT ASSISTANC$1,611,574$1,606,273$5,301
REPAYMENT DUE FUNDING S$487,255$487,255
MISCELLANEOUS$99,144$35,238$63,906

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$16,562,333TotalAmt
Program Services$14,246,830ProgramServicesAmt
Management And General$2,315,503ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,028,805BOYAmt
EOY$1,690,047EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,316,672BOYAmt
EOY$596,695EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$199,999BOYAmt
EOY$139,302EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$78,442BOYAmt
EOY$73,236EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$4,524,971LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$3,149,342LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$3,736,330BOYAmt
EOY$1,375,629EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$20,557BOYAmt
EOY$22,602EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$162,001BOYAmt
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$6,542,806BOYAmt
EOY$3,897,511EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,634,627BOYAmt
EOY$1,593,185EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$851,837BOYAmt
EOY$2,147,657EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$4,916,357BOYAmt
EOY$1,999,695EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$148,456BOYAmt
EOY$772,199EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$7,551,277BOYAmt
EOY$6,512,736EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$1,029,028BOYAmt
EOY-$2,635,782EOYAmt

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-$1,008,471BOYAmt
EOY-$2,615,225EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$6,542,806BOYAmt
EOY$3,897,511EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$1,606,754ReconcilationRevenueExpnssAmt
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$9,639,164CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,456,781CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,734,864CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,616,346CurrentTaxYearMinus1YearAmt
Current Tax Year$6,357,329CurrentTaxYearAmt
Total$34,804,484TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,639,164CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,456,781CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,734,864CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,616,346CurrentTaxYearMinus1YearAmt
Current Tax Year$6,357,329CurrentTaxYearAmt
Total$34,804,484TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$34,804,484PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$479CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$455CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$471,431CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$543CurrentTaxYearMinus1YearAmt
Current Tax Year$2,511CurrentTaxYearAmt
Total$475,419TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$213,689CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$173,719CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$161,371CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$162,270CurrentTaxYearMinus1YearAmt
Current Tax Year$201,565CurrentTaxYearAmt
Total$912,614TotalAmt
FieldValueIRS element (for citing)
Total Support$36,192,517TotalSupportAmt
Gross Receipts Rltd Activities$35,057,265GrossReceiptsRltdActivitiesAmt
Public Support CY1700.96160PublicSupportCY170Pct
Public Support PY1700.96470PublicSupportPY170Pct
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$1,303,297DepreciationAmt
Book Value$444,145BookValueAmt

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$1,708,931DepreciationAmt
Book Value$628,674BookValueAmt

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$1,375,629TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
DUE TO OTHERS$67,828
PAYABLE DUE FUNDING SOURCE$704,371
FieldValueIRS element (for citing)
Total Liability$772,199TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$15,654,814TotalRevEtcAuditedFinclStmtAmt
Other Revenue$699,235OtherRevenueAmt
Revenue Not Reported$699,235RevenueNotReportedAmt
Revenue Subtotal$14,955,579RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$14,955,579TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$17,261,568TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$699,235OtherExpensesIncludedAmt
Expenses Not Reported$699,235ExpensesNotReportedAmt
Expenses Subtotal$16,562,333ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$16,562,333TotalExpensesPerForm990Amt

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, 2016 AND 2015, 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 2014, 2015 AND 2016 ARE SUBJECT TO EXAMINATION BY THE IRS, GENERALLY FOR THREE YEARS AFTER THEY WERE FILED.
PART XI, LINE 2D - OTHER ADJUSTMENTS:RENTAL EXPENSE 699,235.
PART XII, LINE 2D - OTHER ADJUSTMENTS:RENTAL EXPENSE 699,235.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractYes (X)WrittenEmploymentContractInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
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$403$0$213,163$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 4AFormAndLineReferenceDesc
ExplanationDORIAN WINGARD, COO $7,768ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JAMES C RAGLANDRAGLAND ENTERPRISESBusinessNameLine1Txt
FieldValueIRS element (for citing)
Relationship DescriptionFORMER BOARD MEMBERRelationshipDescriptionTxt
Transaction$77,420TransactionAmt
TransactionCONSULTING SERVICESTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule N IRS990ScheduleN

Disposition Of Assets Detail DispositionOfAssetsDetail

FieldValueIRS element (for citing)
Assets Distri Or Expnss PaidBUILDING AT 899 E BROAD ST.AssetsDistriOrExpnssPaidDesc
Distribution2016-06-01DistributionDt
Fair Market Value Of Asset$2,375,341FairMarketValueOfAssetAmt
Method Of FMV DeterminationCONTRACT SALES PRICEMethodOfFMVDeterminationTxt
FieldValueIRS element (for citing)
Director Of Successor20DirectorOfSuccessor2Ind
Employee Of Successor20EmployeeOfSuccessor2Ind
Owner Of Successor20OwnerOfSuccessor2Ind
Receive Compensation20ReceiveCompensation2Ind

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11MANAGEMENT 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 XII, LINE 2C:THE PROCESS HAS NOT CHANGED.

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