MARYHAVEN INC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- MARYHAVEN INC (EIN 31-0732345)
- Tax period
- 2015-07-01 to 2016-06-30
- Filed
- 2017-05-11
- IRS object ID
- 201731319349305268
- 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 | 2017-05-11T20:01:59-05:00 | ReturnTs |
| Tax Period End | 2016-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 201929757 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TRUSTED ADVISORS OF OHIO LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3691 LEE ROAD SUITE 109 | AddressLine1Txt |
| City | SHAKER HEIGHTS | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 44120 | 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 | 310732345 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARYHAVEN INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MARY | BusinessNameControlTxt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1791 Alum Creek Drive | AddressLine1Txt |
| City | Columbus | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 432071708 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Shawn D Holt | PersonNm |
| Person Title | President & CEO | PersonTitleTxt |
| Phone | 6144458131 | PhoneNum |
| Signature | 2017-05-10 | SignatureDt |
| Discuss With Paid Preparer | false | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Horace Spivey | PreparerPersonNm |
| PTIN | P01075757 | PTIN |
| Phone | 2163732389 | PhoneNum |
| Preparation | 2017-05-11 | 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 | Shawn D Holt | PrincipalOfficerNm |
| Gross Receipts | $26,507,491 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.maryhaven.com | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1967 | FormationYr |
| Legal Domicile State | OH | LegalDomicileStateCd |
| Activity Or Mission | Maryhaven provides integrated behavioral healthcare services to help men, women and adolescents restore their lives from the effects of addictive and mental illness | ActivityOrMissionDesc |
| Voting Members Governing Body | 24 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 24 | VotingMembersIndependentCnt |
| Total Employee | 528 | TotalEmployeeCnt |
| Total Gross UBI | $49,007 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,923,585 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,289,333 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $21,901,612 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $23,169,151 | CYProgramServiceRevenueAmt |
| PY Investment Income | $37,515 | PYInvestmentIncomeAmt |
| CY Investment Income | $49,007 | CYInvestmentIncomeAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $24,862,712 | PYTotalRevenueAmt |
| CY Total Revenue | $26,507,491 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $16,974,625 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $17,041,346 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $33,667 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $6,027,342 | PYOtherExpensesAmt |
| CY Other Expenses | $8,823,905 | CYOtherExpensesAmt |
| PY Total Expenses | $23,035,634 | PYTotalExpensesAmt |
| CY Total Expenses | $25,865,251 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,827,078 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $642,240 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $20,418,162 | TotalAssetsBOYAmt |
| Total Assets EOY | $22,137,752 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $3,718,988 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $4,796,338 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $16,699,174 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $17,341,414 | NetAssetsOrFundBalancesEOYAmt |
| Mission | Maryhaven provides integrated behavioral healthcare services to help men, women and adolescents restore their lives from the effects of addictive and mental illness | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $21,716,203 | ExpenseAmt |
| Grant | $2,414,060 | GrantAmt |
| Revenue | $22,650,333 | RevenueAmt |
| Desc | Maryhaven provides integrated behavioral heealthcare services to help men, women and adolescents restore their lives from the effect of addictive and mental illness. Services include supervised detoxification, medication assisted treatment, long-term and short-term rehabilitation services and outpatient group, individual and family counseling. Services were provided to 10,539 patients during this reporting period | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,663,253 | ExpenseAmt |
| Grant | $482,420 | GrantAmt |
| Revenue | $1,799,695 | RevenueAmt |
| Desc | Maryhaven operates the Engagement Center, an emergency shelter program which serves chronically homeless adults with addictive and/or mental illness. The Engagement Center is a 50-bed facility serving both adult men and women. A total of 801 adults were served during this reporting period. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $519,596 | ExpenseAmt |
| Grant | $392,853 | GrantAmt |
| Revenue | $410,728 | RevenueAmt |
| Desc | Maryhaven provides prevention, intervention and treatment services to individuals and families who are experiencing the effects of pathological gambling. The team also offers help to those who maybe at risk for becoming addicted and to adolescents who could benefit from prevention talks. A total of 87 persons were served during this reporting period. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $23,899,052 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 37 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 528 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 24 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 24 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | OH | StatesWhereCopyOfReturnIsFldCd |
| Own Website | Yes (X) | OwnWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Robert Davis | PersonNm |
| Phone | 6144458131 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1791 Alum Creek Drive | AddressLine1Txt |
| City | Columbus | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 432071708 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (33 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| Rich Mueller | |||||||||
| Chair Board of Directors | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| John Littlejohn | |||||||||
| Vice Chair | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Judge Charles A Schneider | |||||||||
| SecretaryTreasurer | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Suzanne Coleman-Tolbert | |||||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Patricia Eshman | |||||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Amy Heaton | |||||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Doug Lumpkin | |||||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Stephanie McCloud Esq | |||||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Daniel R Moore Jr | |||||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Molly E Phillips Esq | |||||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Judge Guy Reece II | |||||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Lana T Ruebel | |||||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Judge Lisa L Sadler | |||||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Ann Schiele | |||||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Christine Bustamante | |||||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Michael Stovall | |||||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Skip Weiler | |||||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Gregory Frost | |||||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Ron Kerr | |||||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Carrie Maun-Smith | |||||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Bill Petterson | |||||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Steven Power | |||||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Dennis Schulze | |||||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Judge David Cain | |||||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Shawn D Holt | |||||||||
| President & CEO | 40.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| Robert Davis | |||||||||
| CFO | 40.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| Stephen Albanese | |||||||||
| Director QIPlanning & Regio | 40.00 | 0.00 | $163,303 | $0 | $41,372 | Yes (X) | |||
| Grant Schroeder | |||||||||
| Director MATS | 40.00 | 0.00 | $189,988 | $0 | $19,333 | Yes (X) | |||
| Sara McIntosh | |||||||||
| Medical Director | 28.00 | 0.00 | $221,588 | $0 | $5,085 | Yes (X) | |||
| Angela Stewart | |||||||||
| Director HR | 40.00 | 0.00 | $136,082 | $0 | $50,981 | Yes (X) | |||
| Elizabeth Lottes | |||||||||
| Physician | 40.00 | 0.00 | $230,000 | $0 | $3,096 | Yes (X) | |||
| Paul Coleman | |||||||||
| Former PresidentCEO | 40.00 | 0.00 | $241,230 | $0 | $138,872 | Yes (X) | |||
| Vivian Russell | |||||||||
| Former CFO | 0.00 | 0.00 | $215,580 | $0 | $56,004 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,397,771 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $314,743 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 7 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (3 entries)
| ServicesServicesDesc | CompensationCompensationAmt |
|---|---|
| Paul Schkolnik PHD | |
| Psychologist | $148,452 |
| David Ruby MD | |
| Medical Services | $137,970 |
| Suseela Nalluri MD | |
| Psychiatry Service | $101,400 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $306,833 | GovernmentGrantsAmt |
| All Other Contributions | $2,982,500 | AllOtherContributionsAmt |
| Total Contributions | $3,289,333 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Fee for Service | 621400 | $435,505 | $435,505 |
| Medicaid | 621400 | $10,982,652 | $10,982,652 |
| Fees & government contr | 423000 | $10,749,656 | $10,749,656 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,001,338 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,001,338 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $23,169,151 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $49,007 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $49,007 | UnrelatedBusinessRevenueAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $26,507,491 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $23,169,151 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $49,007 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,550,332 | TotalAmt |
| Program Services | $12,590,156 | ProgramServicesAmt |
| Management And General | $960,176 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,491,014 | TotalAmt |
| Program Services | $3,175,075 | ProgramServicesAmt |
| Management And General | $315,939 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,364,604 | TotalAmt |
| Program Services | $869,688 | ProgramServicesAmt |
| Management And General | $494,916 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $74,051 | TotalAmt |
| Program Services | $16,860 | ProgramServicesAmt |
| Management And General | $57,191 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $625,311 | TotalAmt |
| Program Services | $624,271 | ProgramServicesAmt |
| Management And General | $1,040 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $320,109 | TotalAmt |
| Program Services | $317,988 | ProgramServicesAmt |
| Management And General | $2,121 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,729 | TotalAmt |
| Program Services | $37,729 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $569,740 | TotalAmt |
| Program Services | $569,740 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $143,360 | TotalAmt |
| Program Services | $143,360 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Contract Labor | $1,953,316 | $1,914,431 | $38,885 |
| Supplies | $2,377,402 | $2,332,677 | $44,725 |
| Utilities & Telephone | $485,762 | $485,354 | $408 |
| Repairs & Maintenance | $225,985 | $225,985 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $646,536 | TotalAmt |
| Program Services | $595,738 | ProgramServicesAmt |
| Management And General | $50,798 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,865,251 | TotalAmt |
| Program Services | $23,899,052 | ProgramServicesAmt |
| Management And General | $1,966,199 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $654,722 | BOYAmt |
| EOY | $798,080 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,781,254 | BOYAmt |
| EOY | $7,313,751 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,673,079 | BOYAmt |
| EOY | $4,100,027 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,878 | BOYAmt |
| EOY | $34,095 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $116,848 | BOYAmt |
| EOY | $151,888 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $15,424,339 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $6,563,661 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,324,327 | BOYAmt |
| EOY | $8,860,678 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $841,054 | BOYAmt |
| EOY | $879,233 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,418,162 | BOYAmt |
| EOY | $22,137,752 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,321,707 | BOYAmt |
| EOY | $3,603,075 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $586,031 | BOYAmt |
| EOY | $1,193,263 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $811,250 | BOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,718,988 | BOYAmt |
| EOY | $4,796,338 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,441,463 | BOYAmt |
| EOY | $17,355,445 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,257,711 | BOYAmt |
| EOY | -$14,031 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,699,174 | BOYAmt |
| EOY | $17,341,414 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,418,162 | BOYAmt |
| EOY | $22,137,752 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $642,240 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | 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 (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $15,880,389 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $17,467,712 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $21,245,976 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $24,142,025 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $25,457,146 | CurrentTaxYearAmt |
| Total | $104,193,248 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $15,880,389 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $17,467,712 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $21,245,976 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $24,142,025 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $25,457,146 | CurrentTaxYearAmt |
| Total | $104,193,248 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $104,193,248 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $34,572 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $31,908 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $32,873 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $37,515 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $49,007 | CurrentTaxYearAmt |
| Total | $185,875 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $280,835 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $509,066 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $641,090 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $683,172 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,001,338 | CurrentTaxYearAmt |
| Total | $3,115,501 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $107,494,624 | TotalSupportAmt |
| Public Support CY170 | 0.96930 | PublicSupportCY170Pct |
| Public Support PY170 | 0.97400 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $120,464 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $288 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $556 | AdministrativeExpensesAmt |
| End Year Balance | $120,196 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $121,007 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $13 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $556 | AdministrativeExpensesAmt |
| End Year Balance | $120,464 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $121,540 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $23 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $556 | AdministrativeExpensesAmt |
| End Year Balance | $121,007 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $122,059 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $37 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $555 | AdministrativeExpensesAmt |
| End Year Balance | $121,541 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $122,586 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $28 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $88 | AdministrativeExpensesAmt |
| End Year Balance | $122,526 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 1.00000 | BoardDesignatedBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,193,000 | OtherCostOrOtherBasisAmt |
| Book Value | $1,193,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,169,518 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,168,284 | DepreciationAmt |
| Book Value | $4,001,234 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $215,383 | OtherCostOrOtherBasisAmt |
| Depreciation | $65,399 | DepreciationAmt |
| Book Value | $149,984 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,964,136 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,225,695 | DepreciationAmt |
| Book Value | $738,441 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,882,302 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,104,283 | DepreciationAmt |
| Book Value | $2,778,019 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $8,860,678 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Assets Held by Others | $120,196 |
| Security Interest | $450,000 |
| Interest Receivable | $309,037 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $879,233 | TotalBookValueOtherAssetsAmt |
| Total Rev Etc Audited Fincl Stmt | $26,507,491 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $26,507,491 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $26,507,491 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $25,865,251 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $25,865,251 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $25,865,251 | TotalExpensesPerForm990Amt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|
| Paul Coleman | |||
| Former PresidentCEO | $241,230 | $138,872 | $380,102 |
| Vivian Russell | |||
| Former CFO | $215,580 | $56,004 | $271,584 |
| Stephen Albanese | |||
| Director QIPlanning & Regional Op | $163,303 | $41,372 | $204,675 |
| Grant Schroeder | |||
| Director MATS | $189,988 | $19,333 | $209,321 |
| Sara McIntosh MD | |||
| Medical Director | $221,588 | $5,085 | $226,673 |
| Angela Stewart | |||
| Director HR | $136,082 | $50,981 | $187,063 |
| Elizabeth Lottes DO | |||
| Physician | $230,000 | $3,096 | $233,096 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990 governing body review Part VI line 11 | The organizations President & CEO and CFO both review the Form 990 after it is prepared. A complete copy of the Form 990 is then provided to all members of the organizations governing body for review before filing the form. |
| Conflict of interest policy compliance Part VI line 12c | The Conflict of Interest policy is reviewed annually by members of the Board of Directors. |
| CEO executive director top management comp Part VI line 15a | Compensation of the President/CEO, other officers and key employees is reviewed and approved by a compensation committee made up of Executive Board Members. The committee uses data from compensation studies of comparable positions with organizations of comparable size and mission/purpose. |
| Governing documents etc available to public Part VI line 19 | Governing documents and the Conflict of Interest policy are available to the general public upon request. Audited financial statements and copies of the Form 990 are provided to funders in accordance with contract requirements and are made available to the public upon request. |
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