CHILDRENS SERVICE CENTER OF WYOMING VALLEY INC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- CHILDRENS SERVICE CENTER OF WYOMING VALLEY INC (EIN 24-0795404)
- Tax period
- 2015-07-01 to 2016-06-30
- Filed
- 2017-01-31
- IRS object ID
- 201730319349300978
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-01-31T13:19:34-06:00 | ReturnTs |
| Tax Period End | 2016-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 232667890 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KRONICK KALADA BERDY & CO PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 190 LATHROP ST | AddressLine1Txt |
| City | KINGSTON | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 18704 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 240795404 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHILDRENS SVC CTR OF WYOM VALLEY INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CHIL | BusinessNameControlTxt |
| Phone | 5708256425 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 335 S FRANKLIN STREET | AddressLine1Txt |
| City | WILKES BARRE | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 18702 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MICHAEL HOPKINS | PersonNm |
| Person Title | PRESIDENT/CEO | PersonTitleTxt |
| Phone | 5708256427 | PhoneNum |
| Signature | 2017-01-24 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ANTHONY CARAVAGGIO CPA | PreparerPersonNm |
| PTIN | P00132580 | PTIN |
| Phone | 5702832727 | PhoneNum |
| Preparation | 2017-01-24 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MICHAEL HOPKINS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 335 S FRANKLIN STREET | AddressLine1Txt |
| City | WILKES BARRE | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 18702 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $20,111,634 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.CSCWV.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1938 | FormationYr |
| Legal Domicile State | PA | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE DIAGNOSTIC SERVICES TO CHILDREN WITH EMOTIONAL, BEHAVIORAL OR INTELLECTUAL DISORDERS AND FOSTERS THE WELFARE OF THE CHILD AND THEIR FAMILY IN ANY APPROPRIATE MANNER, PROVIDES CONSULTATION SERVICES TO AGENCIES IN THE COMMUNITY WHICH PROVIDE SERVICES TO CHILDREN, FURTHERS THE WELFARE OF THE CHILDREN BY MAINTAINING AN INTEREST IN THE COMMUNITY-WIDE PROGRAM FOR DOMESTIC CARE AND EDUCATION, PROVIDES EDUCATIONAL SERVICES IN THE FIELD OF MENTAL HEALTH TO SECULAR AND PROFESSIONAL GROUPS, AND PURSUES RESEARCH IN THE AREA OF CLINICAL STUDY OF CHILDREN FOR RESIDENTS OF WILKES-BARRE, PA AND THE SURROUNDING COMMUNITIES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 15 | VotingMembersIndependentCnt |
| Total Employee | 474 | TotalEmployeeCnt |
| Total Volunteers | 30 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,079,428 | PYContributionsGrantsAmt |
| CY Contributions Grants | $980,212 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $17,721,474 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $19,124,687 | CYProgramServiceRevenueAmt |
| PY Investment Income | $8,133 | PYInvestmentIncomeAmt |
| CY Investment Income | $6,735 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $18,809,035 | PYTotalRevenueAmt |
| CY Total Revenue | $20,111,634 | 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 | $15,010,447 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $16,216,027 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,500,098 | PYOtherExpensesAmt |
| CY Other Expenses | $2,687,766 | CYOtherExpensesAmt |
| PY Total Expenses | $17,510,545 | PYTotalExpensesAmt |
| CY Total Expenses | $18,903,793 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,298,490 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,207,841 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $14,998,419 | TotalAssetsBOYAmt |
| Total Assets EOY | $16,615,419 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,074,550 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,241,959 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $13,923,869 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $15,373,460 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO PROVIDE DIAGNOSTIC SERVICES TO CHILDREN WITH EMOTIONAL, BEHAVIORAL,OR INTELLECTUAL DISORDERS AND FOSTERS THE WELFARE OF THE CHILD AND THEIR FAMILY IN ANY APPROPRIATE MANNER, PROVIDES CONSULTATION SERVICES TO AGENCIES IN THE COMMUNITY WHICH PROVIDE SERVICES TO CHILDREN, FURTHERS THE WELFARE OF THE CHILD BY MAINTAINING AN INTEREST IN THE COMMUNITY-WIDE PROGRAM FOR DOMESTIC CARE AND EDUCATION, PROVIDES EDUCATIONAL SERVICES IN THE FIELD OF MENTAL HEALTH TO SECULAR AND PROFESSIONAL GROUPS, AND PURSUES RESEARCH IN THE AREA OF CLINICAL STUDY OF CHILDREN FOR RESIDENTS OF WILKES-BARRE, PA AND THE SURROUNDING COMMUNITIES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $200,885 | ExpenseAmt |
| Revenue | $172,501 | RevenueAmt |
| Desc | FUNCTIONAL FAMILY THERAPY - FAMILY THERAPY DESIGNED FOR PREVENTING A SPECTRUM OF BEHAVIORS THAT MAY REQUIRE MORE EXTENSIVE TREATMENT. EXCLUDES DONATED FACILITIES OF $2,979 | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,832,526 | ExpenseAmt |
| Revenue | $2,415,255 | RevenueAmt |
| Desc | PARTIAL HOSPITALIZATION - MORE INTENSIVE PHYCHIATRIC TREATMENT FOR CHILDREN AND ADOLESCENTS WITH SEVERE EMOTIONAL PROBLEMS EXPENSE EXCLUDES $29,989 OF DONATED FACIITIES. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,272,106 | ExpenseAmt |
| Revenue | $2,406,117 | RevenueAmt |
| Desc | OUTPATIENT TREATMENT - INDIVIDUAL & GROUP PSYCHOTHERAPY, FAMILY THERAPY AND CRISIS INTERVENTION. EXPENSE EXCLUDES $35,470 OF DONATED FACILITIES. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (7 entries)
| ExpenseExpenseAmt | RevenueRevenueAmt | DescDesc |
|---|---|---|
| $765,586 | $824,888 | MENTAL HEALTH GROUP HOME - PROVIDES RESIDENCE FOR EMOTIONALLY DISTURBED CHILDREN AND ADOLESCENTS. EXPENSE EXCLUDES $8,580 OF DONATED FACILITIES. |
| $314,606 | $349,710 | COMMUNITY CRISIS PROGRAM RESPONSE TEAM - MENTAL HEALTH PROFESSIONALS RESPOND TO COMMUNITY DISASTERS SUCH AS A STUDENT SUICIDE, SCHOOL VIOLENCE, ACCIDENTAL DEATH OF A PEER OR TEACHER, NATURAL DISASTERS OR OTHER TRAUMATIC EVENTS AT THE REQUEST OF SCHOOL ADMINISTRATION OR COMMUNITY GROUPS. EXCLUDES DONATED FACILITIES OF $3,575. |
| $202,674 | $153,370 | ADOPTIONS SERVICES INCLUDED BUT NOT LIMITED TO: FAMILY SUITABILITY STUDIES, HOME CERTIFICATION, FAMILY AND CHILD COUNSELING, CULTURAL EDUCATION AND ORIENTATION, PARENTING SKILLS AND INTRA-COUNTY SERVICES. EXCLUDES DONATED FACILITIES OF $1,787. |
| $3,893,423 | $5,993,969 | SCHOOL BASED NEEDS - TREATMENT SERVICES FOR CHILDREN PROVIDED AT THE SCHOOL SITE. EXCLUDES $1,192 IN DONATED FACILITIES. |
| $2,954,011 | $3,246,510 | AUTISM (PREVASIVE DEVELOPMENTAL DISORDER) - PROVIDES A THERAPEUTIC INTERVENTION CONSISTING OF OPERANT CONDITIONING AND BEHAVIORAL ANALYSIS FOR THIRTY FIVE HOURSE PER WEEK. EXCLUDES $36,721 IN DONATED FACILITIES. |
| $769,039 | $949,769 | HOME BASED INTENSIVE FAMILY SERVICES - A TEAM OF SPECIALLY TRAINED STAFF GO INTO THE HOME AND DEVELOP A TREATMENT PROGRAM DESIGNED TO HELP A CHILD AND/OR FAMILY. EMPHASIS IS ON PREVENTING OUT OF HOME PLACEMENTS. EXCLUDES $8,937 IN DONATED FACILITIES. |
| $2,975,103 | $2,612,598 | MISCELLANEOUS PROGRAM EXPENSES. EXCLUDES $36,105 IN DONATED FACILITIES. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $11,874,442 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $14,130,814 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $16,179,959 | 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 | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | 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 | Yes (1) | 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 | 25 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 474 | 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 |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 15 | 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 | 0 | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | 0 | RegularMonitoringEnfrcInd |
| Whistleblower Policy | 0 | WhistleblowerPolicyInd |
| Document Retention Policy | 0 | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | PA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BUSINESS MANAGER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5708256425 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 335 SOUTH FRANKLIN ST | AddressLine1Txt |
| City | WILKES BARRE | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 18702 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| DR BERNARD PREVUZNAK | |||||||
| DIRECTOR | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| STEPHEN BARROUK | |||||||
| DIRECTOR | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| EDWARD COLEMAN | |||||||
| VICE CHAIRMAN | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| JOHN THALENFELD | |||||||
| CHAIRPERSON | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| JUDY RICE | |||||||
| DIRECTOR | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| MARY CASALE | |||||||
| SECRETARY | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| GEORGE CONYNGHAM | |||||||
| DIRECTOR | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| CHARLES KOEHL III | |||||||
| TREASURER | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| KERRY MCCARTHY-TURNER | |||||||
| DIRECTOR | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| PAUL SIEGEL | |||||||
| DIRECTOR | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| DR SANDRA LANE | |||||||
| DIRECTOR | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| GEORGE COSGROVE | |||||||
| DIRECTOR | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| JONATHAN SPOHRER | |||||||
| DIRECTOR | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| COLLEEN DOYLE | |||||||
| DIRECTOR | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| GARY H GROVES | |||||||
| DIRECTOR | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| MICHAEL HOPKINS | |||||||
| PRESIDENT/CEO | 40.00 | $203,888 | $0 | $16,202 | Yes (X) | ||
| ROBERT BRAY | |||||||
| VICE PRESIDENT/FINANCE | 40.00 | $154,768 | $0 | $16,250 | Yes (X) | ||
| RON SIMON | |||||||
| CHIEF OPERATING OFFICER | 40.00 | $110,000 | $0 | $5,320 | Yes (X) | ||
| OLADAPAO OSUNTOKUN MD | |||||||
| PSYCHIATRIST | 40.00 | $162,113 | $0 | $19,041 | Yes (X) | ||
| MUHAMMAD KHAN MD | |||||||
| PSYCHIATRIST | 40.00 | $469,026 | $0 | $23,201 | Yes (X) | ||
| GREGORY MICHAEL | |||||||
| PSYCHOLOGIST | 40.00 | $122,052 | $0 | $4,834 | Yes (X) | ||
| JOEL SMITH | |||||||
| IT DIRECTOR | 40.00 | $116,655 | $0 | $7,556 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,338,502 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $92,404 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 7 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $980,212 | AllOtherContributionsAmt |
| Total Contributions | $980,212 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| SCHOOL BASED NEEDS | 621400 | $5,993,969 | $5,993,969 |
| AUTISM | 621400 | $3,246,510 | $3,246,510 |
| MISCELLANEOUS PROGRAMS | 621400 | $2,612,598 | $2,612,598 |
| PARTIAL HOSPITALIZATION | 621400 | $2,415,255 | $2,415,255 |
| OUTPATIENT TREATMENT | 621400 | $2,406,117 | $2,406,117 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,450,238 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,450,238 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $19,124,687 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,735 | TotalRevenueColumnAmt |
| Exclusion | $6,735 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $20,111,634 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $19,124,687 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $6,735 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,430,907 | TotalAmt |
| Program Services | $286,181 | ProgramServicesAmt |
| Management And General | $1,144,726 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,507,980 | TotalAmt |
| Program Services | $10,685,083 | ProgramServicesAmt |
| Management And General | $822,897 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $203,757 | TotalAmt |
| Program Services | $203,757 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,076,505 | TotalAmt |
| Program Services | $1,619,533 | ProgramServicesAmt |
| Management And General | $456,972 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $996,878 | TotalAmt |
| Program Services | $810,828 | ProgramServicesAmt |
| Management And General | $186,050 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $91,798 | TotalAmt |
| Program Services | $91,798 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $54,716 | TotalAmt |
| Program Services | $54,716 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $276,979 | TotalAmt |
| Program Services | $274,947 | ProgramServicesAmt |
| Management And General | $2,032 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,042 | TotalAmt |
| Program Services | $39,763 | ProgramServicesAmt |
| Management And General | $279 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $377,218 | TotalAmt |
| Program Services | $377,218 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| OFFICE EQUIPMENT R&M | $192,734 | $192,198 | $536 |
| WORKMAN'S COMP | $177,137 | $177,137 | |
| INSURANCE | $147,320 | $133,838 | $13,482 |
| AUTO EXPENSES | $140,508 | $136,529 | $3,979 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,189,314 | TotalAmt |
| Program Services | $1,096,433 | ProgramServicesAmt |
| Management And General | $92,881 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,903,793 | TotalAmt |
| Program Services | $16,179,959 | ProgramServicesAmt |
| Management And General | $2,723,834 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,938,750 | BOYAmt |
| EOY | $4,958,885 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,751,181 | BOYAmt |
| EOY | $1,477,526 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $357,486 | BOYAmt |
| EOY | $326,134 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $7,852,454 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $4,469,984 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,254,535 | BOYAmt |
| EOY | $3,382,470 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,367,410 | BOYAmt |
| EOY | $3,032,950 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,329,057 | BOYAmt |
| EOY | $3,437,454 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,998,419 | BOYAmt |
| EOY | $16,615,419 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,025,959 | BOYAmt |
| EOY | $1,181,124 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $48,591 | BOYAmt |
| EOY | $60,835 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,074,550 | BOYAmt |
| EOY | $1,241,959 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,053,840 | BOYAmt |
| EOY | $13,261,681 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,424,478 | BOYAmt |
| EOY | $1,690,828 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $445,551 | BOYAmt |
| EOY | $420,951 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,923,869 | BOYAmt |
| EOY | $15,373,460 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,998,419 | BOYAmt |
| EOY | $16,615,419 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $1,207,841 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $241,750 | 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 | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $400,281 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $503,008 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $509,261 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,079,428 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $644,739 | CurrentTaxYearAmt |
| Total | $3,136,717 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $18,003,793 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $17,020,408 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $17,230,911 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $17,721,474 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $19,124,784 | CurrentTaxYearAmt |
| Total | $89,101,370 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $18,404,074 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $17,523,416 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $17,740,172 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $18,800,902 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $19,769,523 | CurrentTaxYearAmt |
| Total | $92,238,087 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $92,238,087 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,986 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $34,014 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,470 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $8,133 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,735 | CurrentTaxYearAmt |
| Total | $58,338 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,986 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $34,014 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,470 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $8,133 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,735 | CurrentTaxYearAmt |
| Total | $58,338 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $18,407,060 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $17,557,430 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $17,746,642 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $18,809,035 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $19,776,258 | CurrentTaxYearAmt |
| Total | $92,296,425 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99940 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99940 | PublicSupportPY509Pct |
| Investment Income CY | 0.00060 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00060 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
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
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,852,454 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,469,984 | DepreciationAmt |
| Book Value | $3,382,470 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $3,382,470 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (2 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| INVESTMENT IN JOINT VENTURE | $44,491 | C |
| INVESTMENTS | $2,988,459 | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $3,032,950 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| BENEFICIAL INTEREST IN PERPETUAL TRUSTS | $420,951 |
| REFUNDABLE ADVANCE - CHILDREN'S HOME | $2,040,000 |
| PLEDGES RECEIVABLE | $976,503 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $3,437,454 | TotalBookValueOtherAssetsAmt |
| Total Rev Etc Audited Fincl Stmt | $19,936,023 | TotalRevEtcAuditedFinclStmtAmt |
| Donated Services And Use Fclts | $166,500 | DonatedServicesAndUseFcltsAmt |
| Revenue Not Reported | $166,500 | RevenueNotReportedAmt |
| Revenue Subtotal | $19,769,523 | RevenueSubtotalAmt |
| Other Revenues Not Included | $342,111 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $342,111 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $20,111,634 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $19,070,293 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $166,500 | DonatedServicesUseFcltsAmt |
| Expenses Not Reported | $166,500 | ExpensesNotReportedAmt |
| Expenses Subtotal | $18,903,793 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $18,903,793 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART XI, LINE 4B - OTHER ADJUSTMENTS: | FormAndLineReferenceDesc |
| Explanation | NET ASSETS RELEASED FROM RESTRICTION 335,376. INTEREST INCOME 6,735. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| 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 (4 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MICHAEL HOPKINS | ||||||||||||||
| PRESIDENT/CEO | $203,888 | $0 | $0 | $0 | $0 | $0 | $8,155 | $0 | $8,047 | $0 | $220,090 | $0 | $0 | $0 |
| ROBERT BRAY | ||||||||||||||
| VICE PRESIDENT/FINANCE | $154,768 | $0 | $0 | $0 | $0 | $0 | $6,191 | $0 | $10,059 | $0 | $171,018 | $0 | $0 | $0 |
| OLADAPAO OSUNTOKUN MD | ||||||||||||||
| PSYCHIATRIST | $162,113 | $0 | $0 | $0 | $0 | $0 | $6,484 | $0 | $12,557 | $0 | $181,154 | $0 | $0 | $0 |
| MUHAMMAD KHAN MD | ||||||||||||||
| PSYCHIATRIST | $469,026 | $0 | $0 | $0 | $0 | $0 | $10,644 | $0 | $12,557 | $0 | $492,227 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | FORM 990 REVIEWED AT BOARD OF DIRECTOR MEETING. |
| FORM 990, PART VI, SECTION C, LINE 19 | AVAILABLE UPON REQUEST |
| FORM 990, PART XI, LINE 9: | CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUST -24,600. CHANGE IN TEMPORARILY RESTRICTED ASSETS 266,350. |
| FORM 990, PART XII, LINE 2C: | NO CHANGE FROM PRIOR YEAR |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHILDRENS HOME OF WILKES-BARRE | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 700 SCOTT STREET | AddressLine1Txt |
| City | WILKESBARRE | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 18703 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 246016763 | EIN |
| Primary Activities | PROVIDES SUPPORT TO CSC | PrimaryActivitiesTxt |
| Legal Domicile State | PA | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
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