2017-04-27T14:05:22-05:00 2016-06-30 BKD LLP 1201 Walnut Suite 1700 Kansas City MO 641062246 990 2015-07-01 431556416 TRI-COUNTY MENTAL HEALTH SERVICES INC % DONNA DOUTHIT CFO TRI- 8164680400 3100 NE 83RD STREET STE 1001 KANSAS CITY MO 64119 TOM PETRIZZO CEO 8164680400 2017-02-15 true Michael J Engle P00482834 8162216300 2015 2021-01-29 14:40:06Z THOMAS PETRIZZO 3100 NE 83RD ST STE 1001 KANSAS CITY MO 64119 15457164 false X TRI-COUNTYMHS.ORG X 1990 MO OUR MISSION IS TO PROVIDE PREVENTION AND RECOVERY-ORIENTED MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES WHICH ARE QUALITY ASSURED AND CONSUMER-CENTERED. 15 15 110 100 -107 -107 766539 782729 13642428 14443353 100107 118332 99592 79149 14608666 15423563 6189 11169 0 0 5681319 6232779 0 0 95740 8714348 9018425 14401856 15262373 206810 161190 9781414 9822855 1031999 1024422 8749415 8798433 X SEE SCHEDULE O false false 5738440 7614086 SEE SCHEDULE O 3122503 2597312 PSYCHIATRIC SERVICES - TRI-COUNTY OFFERS REGULAR MEDICATION APPOINTMENTS AT 5 SITES IN OUR 3-COUNTY COVERAGE AREA. OVER 4,599 CONSUMERS RECEIVED MEDICATION SERVICES IN FY 2016. PHYSICIAN VISITS IN FY 2016 TOTALED 15,514. THE AGENCY ENSURES URGENT MEDICATION VISITS (I.E. PERSONS DISCHARGED FROM THE HOSPITAL) WITHIN 7 DAYS. CRISIS PHYSICIAN APPOINTMENTS ARE AVAILABLE DAILY. MEDICATION SERVICES ARE PROVIDED BY 6 EXPERIENCED PSYCHIATRISTS, AN ADVANCED NURSE PRACTITIONER, AND 6 NURSING STAFF. 4001072 4231848 SEE SCHEDULE O 12862015 true true false true false false false false false true true false false false false false true false false false false false false false true false false false false true false false false false false false false false false false false false false false false false false true 112 0 true 110 true false false false false false true true false false false false X 15 15 false false false false false false false true true false false true true true true true true true false true true MO X X DONNA DOUTHIT CFO 8164680400 3100 NE 83RD STREET STE 1001 KANSAS CITY MO 64119 CHRISTAL MILLIGAN BOARD MEMBER 1.0 0.0 X 0 0 0 DEANNE TOWNSEND TREASURER 1.0 0.0 X X 0 0 0 DOUG ERVIN BOARD MEMBER 1.0 0.0 X 0 0 0 DR MIKE CRIM BOARD MEMBER 1.0 0.0 X 0 0 0 CHELLY PFEIFER BOARD VICE CHAIR 1.0 0.0 X X 0 0 0 GENE HANSON BOARD MEMBER 1.0 0.0 X 0 0 0 JEANNE PYLAND BOARD MEMBER 1.0 0.0 X 0 0 0 KEVIN TRIMBLE BOARD CHAIR 1.0 0.0 X X 0 0 0 LEISA REID BOARD MEMBER 1.0 0.0 X 0 0 0 MIKE O'NEAL BOARD MEMBER 1.0 0.0 X 0 0 0 ROSEMARY SALERNO BOARD MEMBER 1.0 0.0 X 0 0 0 SARA SEIDEL SECRETARY 1.0 0.0 X X 0 0 0 TONI CLEMENS BOARD MEMBER 1.0 0.0 X 0 0 0 PAUL FREGEAU BOARD MEMBER 1.0 0.0 X 0 0 0 JENNIFER GOERING BOARD MEMBER 1.0 0.0 X 0 0 0 JO STUEVE BOARD MEMBER 1.0 0.0 X 0 0 0 DONNA DOUTHIT CFO 40.0 0.0 X 87157 0 8890 JOANN WERNER ASSOCIATE DIRECTOR 40.0 0.0 X 119561 0 5596 THOMAS PETRIZZO CEO 40.0 0.0 X 204236 0 16145 DR GRANT PIEPERGERDES SR. PSYCHIATRIST 36.0 0.0 X 219426 0 22691 DR ZAFAR MAHMOOD STAFF PSYCHIATRIST 30.0 0.0 X 193541 0 3446 DR PARIMAL PUROHIT STAFF PSYCHIATRIST 40.0 0.0 X 190188 0 22113 DR SYED A KARIM STAFF PSYCHIATRIST 40.0 0.0 X 185603 0 17287 DR LATHA VENKATESH STAFF PSYCHIATRIST 40.0 0.0 X 178914 0 716 1378626 0 96884 8 false true false MENTAL HEALTH RESOURCES ADULT COMM SUPPORT 1285185 ADDICTION RECOVERY SERVICES ADDICTION COUNSELING 1144000 SKYLANDER PSYCH SERVICES ADULT COMM SUPPORT 605937 WILLOWBROOK YOUTH COMM SUPPORT 501056 HEARTLAND RESIDENTIAL CARE ADULT COMM SUPPORT 428454 11 67638 0 32275 0 13000 669816 782729 DEPARTMENT MENTAL HEALTH 621110 3886219 3886219 COUNTY MENTAL HEALTH 621110 3524347 3524347 MEDICARE/MEDICAID 621110 5981636 5981636 INCOME FROM THIRD PARTY PAYERS 621110 1051151 1051151 14443353 65083 65083 0 0 33385 33385 0 33385 33385 53540 291 53540 -291 53249 53249 22617 32275 33310 -10693 -10693 0 0 MISCELLANEOUS 900099 56564 56564 PARTNERSHIP INCOME 900099 -107 -107 56457 15423563 14443353 -107 197588 11169 11169 0 0 0 434164 341268 92896 0 4905343 3801386 1034765 69192 115224 84948 30276 422052 322716 91474 7862 355996 275926 75274 4796 0 13898 13898 56821 2601 54220 626 626 0 30596 30596 688 394 294 43566 215 35406 7945 167745 95246 72123 376 0 0 30506 25890 4616 160496 144292 13782 2422 0 7029 2356 3908 765 447 447 0 281021 22659 258362 110160 38100 72060 REPAIRS AND MAINT 336666 82293 254373 TRAINING 21598 7463 14135 DUES AND SUBSCRIPTION 25852 1187 22590 2075 GENERAL CLINICAL 7574113 7574113 156597 28187 128397 13 15262373 12862015 2304618 95740 0 0 3181686 3605311 0 0 2169383 1719039 0 0 0 0 0 0 0 0 69766 140777 4702062 3090910 1562046 1611152 2396718 2362910 0 0 0 0 0 0 401815 383666 9781414 9822855 1031999 1024422 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1031999 1024422 X 8383654 8488010 238197 182859 127564 127564 8749415 8798433 9781414 9822855 161190 -112172 X false true X true false X 622851 836682 1216825 766539 782729 4225626 9520522 9369946 10218198 10946436 10919006 50974108 0 3417920 3698438 3032524 2695992 3524347 16369221 0 13561293 13905066 14467547 14408967 15226082 71568955 0 0 0 0 0 0 71568955 69067 84214 83852 95452 98468 431053 0 69067 84214 83852 95452 98468 431053 0 374463 196686 105972 77506 56457 811084 14004823 14185966 14657371 14581925 15381007 72811092 0.98294 0.98230 0.00592 0.00577 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED true true false false false false true 7980 true 180 false 8160 false SCHEDULE C, PART II-B, LINES 1G & 1H The Prevention Department's lobbying efforts include: - Presenting at city council meetings on ordinances such as smoke free workplaces and Tobacco 21 (increasing age of sale). - Sending out emails to 500+ volunteers informing them of legislation, committee hearings, etc. and providing them with information to call or email their elected officials. - Taking Youth With Vision members (HS students) to Jefferson City to meet with legislators to lobby for specific bills - in the most recent trip, one of the representatives has been working with the students to draft a new bill, requiring e-cigs to follow same marketing restrictions as cigarettes. - Conference presentations that educate on the harms that marijuana has had in those states who have decriminalized or legalized marijuana. In addition, Tom Petrizzo participates in both the Missouri and National Hill Days. During Hill Days, representatives from community mental health centers and our state Coalition meet with elected officials to discuss issues related to the provision of mental health services and how legislation may impact those services. Tom also maintains ongoing contact with elected officials from our coverage area (Clay, Platte and Ray counties) to discuss mental health. 216364 750 6835 750 2413 220786 214207 5473 897 2419 216364 196309 22671 1000 1466 2307 214207 207574 15319 500 23913 2171 196309 202473 8128 1000 2027 207574 0.57777 0.42223 false false 154712 154712 2732805 1735090 997715 1536513 1133282 403231 278032 222538 55494 1611152 15337314 -112172 25923 -86249 15423563 15423563 15288296 25923 25923 15262373 15262373 SCHEDULE D, PART V, LINE 4 THE ENDOWMENT FUNDS ARE USED TO PAY SCHOLARSHIPS FOR STAFF WHO ARE PURSUING ADVANCED EDUCATION IN MENTAL HEALTH SERVICES AND FOR GENERAL CLINICAL PROGRAM SERVICES. SCHEDULE D, PART X, LINE 2 MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. SCHEDULE D, PART XI, LINE 2D FUNDRAISING EXPENSES $ 25,923 SCHEDULE D, PART XII, LINE 2D FUNDRAISING EXPENSES $ 25,923 ANNUAL MEETING 40448 27395 13053 3214 13630 3000 6079 FALL 5k 6464 3300 3164 550 15 75 2058 1 7980 1580 6400 738 187 150 3614 54892 32275 22617 4502 13832 3225 11751 33310 -10693 X X X X false false false false false false false false false THOMAS PETRIZZO CEO 194535 0 0 0 9701 0 3245 0 12900 0 220381 0 DR GRANT PIEPERGERDES SR. PSYCHIATRIST 211846 0 7580 0 0 0 6333 0 16358 0 242117 0 DR ZAFAR MAHMOOD STAFF PSYCHIATRIST 188149 0 5392 0 0 0 2700 0 746 0 196987 0 DR PARIMAL PUROHIT STAFF PSYCHIATRIST 190188 0 0 0 0 0 5792 0 16321 0 212301 0 DR SYED A KARIM STAFF PSYCHIATRIST 185603 0 0 0 0 0 0 0 17287 0 202890 0 DR LATHA VENKATESH STAFF PSYCHIATRIST 178914 0 0 0 0 0 0 0 716 0 179630 0 FORM 990, PART III, LINE 1 OUR MISSION IS TO PROVIDE PREVENTION AND RECOVERY-ORIENTED MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES WHICH ARE QUALITY ASSURED AND CONSUMER-CENTERED. OUR COMMITMENT IS TO OFFER HOPE TO NURTURE VITALITY THAT KEEPS LIFE AND LIVING MEANINGFUL, TO BEHAVE WITH INTEGRITY IN HARMONY WITH OUR MISSION AND OUR PERSONAL VALUES AND TO BE RESPONSIVE BY BEING THERE FOR OUR CONSUMERS AND ASSOCIATES. FORM 990, PART III TRI-COUNTY MENTAL HEALTH SERVICES IS COMMITTED TO COMBATING HOPELESSNESS IN CHALLENGING TIMES THROUGH BEHAVIORAL HEALTH SERVICES FOR THE KANSAS CITY NORTHLAND COMMUNITY, WITH PREVENTION, ASSESSMENT AND TREATMENT SERVICES FOR INDIVIDUALS AND FAMILIES THROUGHOUT CLAY, PLATTE AND RAY COUNTIES. TRI-COUNTY IS COMMITTED TO PROVIDING A COMPREHENSIVE ARRAY OF BEHAVIORAL HEALTH SERVICES. WE SUBSCRIBE TO THE PHILOSOPHY THAT THE BEST CONSUMER OUTCOMES ARE ACHIEVED BY PROVIDING SERVICES AS CLOSE TO THE CONSUMER'S HOME AND COMMUNITY AS POSSIBLE. SERVICE SITES INCLUDE KANSAS CITY, NORTH KANSAS CITY, RICHMOND, EXCELSIOR SPRINGS, AND PLATTE CITY, AS WELL AS THROUGH OUR NETWORK OF 93 CONTRACT PROVIDERS. DURING FISCAL YEAR 2016, TRI-COUNTY PROVIDED MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES TO OVER 7,900 CONSUMERS IN OUR 3-COUNTY SERVICE AREA. WE PROVIDED OVER 236,000 SERVICES TO THOSE CONSUMERS, INCLUDING ASSESSMENTS, PHYSICIAN EVALUATION AND MEDICATION MANAGEMENT, COMMUNITY SUPPORT, DAY TREATMENT, AND CRISIS SERVICES. IN ADDITION, WE PROVIDED ALMOST 550 PREVENTION PROGRAM ACTIVITIES IN OUR SCHOOLS TO PROMOTE A HEALTHY FUTURE WHICH HAD APPROXIMATELY 26,750 PARTICIPANTS. OUR DRUG COURTS AND OTHER OUTPATIENT SUBSTANCE ABUSE TREATMENT PROGRAMS CONTINUED TO INCREASE WITH A GROWING FOCUS ON INTEGRATED TREATMENT FOR THOSE WITH CO-OCCURRING MENTAL DISORDERS AND SUBSTANCE ABUSE DIAGNOSES. FORM 990, PART III, LINE 4A ADULT COMMUNITY SUPPORT - COMMUNITY SUPPORT CASE MANAGERS SUPPORT CONSUMERS AND PROMOTE AVENUES TO HELP EACH INDIVIDUAL FUNCTION AS INDEPENDENTLY AS POSSIBLE. THEY ACCOMPLISH THIS THROUGH THE PROVISION OF SERVICES DESIGNED TO LINK INDIVIDUALS WITH COMMUNITY RESOURCES THAT BEST MEET THEIR NEEDS (INCLUDING HOUSING, FINANCIAL, HEALTH CARE AND TRANSPORTATION) AND THROUGH PROVISION OF DIRECT SKILLS TRAINING AND SUPPORTIVE COUNSELING. TRANSITIONAL CASE MANAGEMENT CONSISTS OF ASSESSING ACUITY LEVEL AND NEED, ENSURING LINKAGE TO COMMUNITY RESOURCES AND ENTITLEMENTS, AND MOST IMPORTANTLY, THAT AN INDIVIDUAL'S IMMEDIATE NEEDS ARE ADDRESSED. DAY TREATMENT PROGRAMS PROVIDE A VARIETY OF GROUP ACTIVITIES WHICH ALLOW CONSUMERS TO FEEL PRODUCTIVE, EMPHASIZE SOCIAL SKILLS AND AUGMENTS DEXTERITY AND INDIVIDUAL EXPERTISE. TRI-COUNTY PROVIDED APPROXIMATELY 164,600 HOURS OF ADULT COMMUNITY SUPPORT SERVICES IN FY 2016. FORM 990, PART III, LINE 4C OUTPATIENT SERVICES - CONSUMERS BEING SEEN FOR THE FIRST TIME RECEIVE ASSESSMENT AND CRISIS INTERVENTION BY STAFF MEMBERS HOLDING MASTER DEGREES IN APPROPRIATE MENTAL HEALTH AND SUBSTANCE ABUSE TREATMENT DISCIPLINES. INFORMATION OBTAINED FROM THESE INTERVIEWS IS USED TO DIAGNOSE, RECOMMEND TREATMENT AND MEASURE EACH CONSUMER'S PROGRESS. BRIEF, INTENSIVE THERAPY - INDIVIDUAL, GROUP AND FAMILY - IS PROVIDED DIRECTLY BY THE TRI-COUNTY STAFF OR IS COORDINATED THROUGH REFERRAL TO A TRI-COUNTY PROVIDER. INTENSIVE OUTPATIENT SERVICES ARE DESIGNED FOR CONSUMERS EXPERIENCING SERIOUS ACUTE DISTRESS WHO ARE AT RISK OF FURTHER PSYCHIATRIC DETERIORATION OR HOSPITALIZATION. TRI-COUNTY PROVIDED APPROXIMATELY 25,750 HOURS OF TREATMENT SERVICES IN FY 2016. FORM 990, PART III, LINE 4D SUBSTANCE ABUSE SERVICES - SUBSTANCE ABUSE TREATMENT SERVICES ARE OFFERED TO MALE AND FEMALE CONSUMERS, ADOLESCENTS AND ADULTS. COMPREHENSIVE SUBSTANCE ABUSE ASSESSMENT AND A COMBINATION OF INDIVIDUALIZED TREATMENT SERVICES INCLUDING INDIVIDUAL COUNSELING, GROUP EDUCATION, GROUP COUNSELING, FAMILY EDUCATION AND COUNSELING, RELAPSE PREVENTION COUNSELING, MANAGEMENT OF CO-OCCURRING DISORDERS, AND A VARIETY OF COMMUNITY SUPPORT SERVICES MAKE UP THE SERVICE COMPONENTS OF TRI-COUNTY'S SUBSTANCE ABUSE PROGRAMS. TRI-COUNTY PROVIDED APPROXIMATELY 59,050 HOURS OF SERVICE IN FY 2016. FORM 990, PART VI, SECTION B, LINE 11B AN INDEPENDENT ACCOUNTING FIRM PREPARES AND REVIEWS THE 990. THE 990 IS THEN REVIEWED BY THE ORGANIZATION'S CFO AND CEO. ANY QUESTIONS OR CONCERNS THE CFO OR CEO HAVE ARE ADDRESSED AND ANY CORRECTIONS OR CLARIFICATIONS ARE MADE. THE 990 IS THEN PROVIDED TO THE MEMBERS OF THE BOARD FOR THEIR REVIEW PRIOR TO FILING THE 990. ANY QUESTIONS OR CONCERNS THE BOARD HAVE ARE ADDRESSED AND ANY CORRECTIONS OR CLARIFICATIONS ARE MADE PRIOR TO FILING THE 990. FORM 990, PART VI, SECTION B, LINE 12C EMPLOYEES OF TRI-COUNTY ARE INSTRUCTED UPON BEING HIRED TO REPORT ALL POTENTIAL CONFLICTS TO THE EMPLOYEE'S SUPERVISOR, DEPARTMENT HEAD, COMPLIANCE OFFICER, ASSOCIATE DIRECTOR OR CEO. IT IS THE RESPONSIBILITY OF TRI-COUNTY'S COMPLIANCE COMMITTEE TO DETERMINE WHETHER A CONFLICT OR POTENTIAL CONFLICT EXISTS. KEY EMPLOYEES OF TRI-COUNTY AND TRI-COUNTY'S BOARD OF DIRECTORS REVIEW THE AGENCY'S CONFLICT OF INTEREST POLICY FOR BOARD MEMBERS AND KEY EMPLOYEES AND COMPLETE A DISCLOSURE STATEMENT ANNUALLY. IN ADDITION, ON AN ANNUAL BASIS, THE COMPLIANCE OFFICER NOTIFIES OTHER TRI-COUNTY EMPLOYEES CONCERNING THE PURPOSES AND INTENT OF THIS POLICY SO THAT THEY MAY HAVE THE OPPORTUNITY TO DISCLOSE ANY POTENTIAL CONFLICT OF INTEREST. ANY EMPLOYEE DISCLOSING A POTENTIAL CONFLICT IS REQUIRED TO COMPLETE THE CONFLICT OF INTEREST DISCLOSURE STATEMENT FOR EMPLOYEES. EMPLOYEES WHO HAVE QUESTIONS ABOUT WHETHER THEY SHOULD COMPLETE A QUESTIONNAIRE ARE INSTRUCTED TO DIRECT THOSE QUESTIONS TO THE COMPLIANCE OFFICER OR CEO. COMPLETED QUESTIONNAIRES ARE SUBMITTED TO THE COMPLIANCE COMMITTEE FOR REVIEW. QUESTIONNAIRES COMPLETED BY STAFF ARE KEPT IN THE EMPLOYEE'S PERSONNEL FILE AND QUESTIONNAIRES COMPLETED BY MEMBERS OF THE BOARD OF DIRECTORS ARE RETAINED BY THE EXECUTIVE ASSISTANT TO THE CEO. FORM 990, PART VI, SECTION B, LINES 15A & 15B THE EXECUTIVE COMMITTEE OF THE BOARD DETERMINES THE TOTAL COMPENSATION PACKAGE FOR THE CEO. THE HR MANAGER OBTAINS COMPARABLE DATA ON PEER AGENCIES FROM THEIR FORM 990 POSTED ON GUIDESTAR AND FORWARDS THIS INFORMATION TO THE BOARD CHAIR FOR REVIEW. THE EXECUTIVE COMMITTEE OF THE BOARD REPORTS THE COMPENSATION PACKAGE FOR THE CEO TO THE BOARD OF DIRECTORS FOR APPROVAL. THE HR MANAGER COMPLETED A REVIEW OF COMPENSATION FOR CEOS IN SIMILAR ORGANIZATIONS DURING CALENDAR YEAR 2016 AND PROVIDED TO THE EXECUTIVE COMMITTEE OF THE BOARD. THE COMPENSATION PAY RANGES FOR OTHER EMPLOYEES OF THE AGENCY ARE REVIEWED ANNUALLY BY THE HR DIRECTOR. THEY ARE COMPARED TO VARIOUS SALARY SURVEYS TO DETERMINE IF SALARY RANGES ARE APPROPRIATE. RECOMMENDATIONS FOR CHANGES IN SALARY RANGES ARE SUBMITTED TO THE EXECUTIVE TEAM OF THE AGENCY FOR REVIEW AND APPROVAL. SALARY INCREASES ARE REVIEWED WITH THE BOARD ANNUALLY AS PART OF THE REVIEW PROCESS FOR THE AGENCY BUDGET. A MAXIMUM ALLOWABLE SALARY PERCENTAGE INCREASE AMOUNT IS DETERMINED DURING THE BUDGET PROCESS AND APPROVED BY THE BOARD. IN ADDITION, COMPENSATION FOR STAFF PSYCHIATRISTS ARE REVIEWED BY THE BOARD AS PART OF THE ANNUAL FMV REVIEW OF PAYMENTS TO CONTRACT PROVIDERS AND OTHER CONTRACTORS. THE HR MANAGER COMPLETED A REVIEW OF COMPENSATION FOR KEY EMPLOYEES IN SIMILAR ORGANIZATIONS DURING CALENDAR YEAR 2016 AND PROVIDED TO THE CEO. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.