FURP.ORG / PUBLIC DATA EXPLORER

HIGHLANDS COMMUNITY SERVICES BOARD: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
HIGHLANDS COMMUNITY SERVICES BOARD (EIN 54-0979632)
Tax period
2015-07-01 to 2016-06-30
Filed
2016-10-19
IRS object ID
201602939349300230
Schema version
2015v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2016-10-19T12:32:10-05:00ReturnTs
Tax Period End2016-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN061662488PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1HICOK FERN & COMPANYBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 821AddressLine1Txt
CityABINGDONCityNm
State AbbreviationVAStateAbbreviationCd
ZIP242120821ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN540979632EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HIGHLANDS COMMUNITY SERVICES BOARDBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlHIGHBusinessNameControlTxt
Phone2765251550PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1610 CAMPUS DRIVE SUITE 220AddressLine1Txt
CityABINGDONCityNm
State AbbreviationVAStateAbbreviationCd
ZIP24210ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJEFFERY R FOXPersonNm
Person TitleEXECUTIVE DIRECPersonTitleTxt
Phone2765251550PhoneNum
Signature2016-10-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJAMES H FERN CPAPreparerPersonNm
PTINP00019615PTIN
Phone2766281123PhoneNum
Preparation2016-10-12PreparationDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJEFFERY R FOXPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1610 CAMPUS DR SUITE 210AddressLine1Txt
CityABINGDONCityNm
State AbbreviationVAStateAbbreviationCd
ZIP24210ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$22,615,983GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.HIGHLANDSCSB.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1972FormationYr
Legal Domicile StateVALegalDomicileStateCd
Activity Or MissionTO PROVIDE MENTAL HEALTH, INTELLECTUAL DISABILITIES, AND SUBSTANCE ABUSE SERVICES.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee390TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$519,542PYContributionsGrantsAmt
CY Contributions Grants$1,276,480CYContributionsGrantsAmt
PY Program Service Revenue$21,024,637PYProgramServiceRevenueAmt
CY Program Service Revenue$21,303,019CYProgramServiceRevenueAmt
PY Investment Income$33,520PYInvestmentIncomeAmt
CY Investment Income$36,484CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$21,577,699PYTotalRevenueAmt
CY Total Revenue$22,615,983CYTotalRevenueAmt
PY Grants And Similar Paid$1,543,487PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$1,438,974CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$16,346,789PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$17,262,189CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$3,126,869PYOtherExpensesAmt
CY Other Expenses$3,331,890CYOtherExpensesAmt
PY Total Expenses$21,017,145PYTotalExpensesAmt
CY Total Expenses$22,033,053CYTotalExpensesAmt
PY Revenues Less Expenses$560,554PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$582,930CYRevenuesLessExpensesAmt
Total Assets BOY$18,837,176TotalAssetsBOYAmt
Total Assets EOY$19,699,064TotalAssetsEOYAmt
Total Liabilities BOY$13,191,458TotalLiabilitiesBOYAmt
Total Liabilities EOY$13,470,416TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$5,645,718NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$6,228,648NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO PROVIDE MENTAL HEALTH, INTELLECTUAL DISABILITIES, AND SUBSTANCE ABUSE SERVICES.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$1,438,974ExpenseAmt
Grant$1,438,974GrantAmt
Revenue$21,303,019RevenueAmt
DescPROVIDE MENTAL HEALTH, INTELLECTUAL DISABILITIES AND SUBSTANVE ABUSE SERVICES. SERVED APPROXIMATELY 4,263 INDIVIDUALS IN FY 16Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$16,765,182ExpenseAmt
DescTO PROVIDE MENTAL HEALTH, INTELLECTUAL DISABILITIES, AND SUBSTANCE ABUSE SERVICE.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$16,765,182TotalOtherProgSrvcExpenseAmt
Total Program Service Expenses$18,204,156TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document83IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee390EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJEFFERY R FOXPersonNm
Phone2765251550PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1610 CAMPUS DRIVE SUITE 210AddressLine1Txt
CityABINGDONCityNm
State AbbreviationVAStateAbbreviationCd
ZIP24210ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)

TitleTitleTxtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per WeekAverageHoursPerWeekRtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
SONDRA K ALAN
DIRECTORYes (X)$0$0$0
WILLIAM HARTLEY
DIRECTORYes (X)$0$0$0
ANGIE CULLOP
DIRECTORYes (X)$0$0$0
LARUE CARTER MILES
VICE-CHAIRYes (X)$0$0$0
NANCY J BROWN
SECRETARY/TRYes (X)$0$0$0
ODELL OWENS
CHAIRYes (X)$0$0$0
SAUL HERNANDESZ
DIRECTORYes (X)$0$0$0
JUDY CARRIER
DIRECTORYes (X)$0$0$0
RANDALL EADS
DIRECTORYes (X)$0$0$0
EMILY LEE
DIRECTORYes (X)$0$0$0
JEFFERY R FOX
EXECUTIVE DI$191,103$0$040.00Yes (X)
KATHRYNE SIMPSON
CFO$111,522$0$040.00Yes (X)
VANESSA A CAMPERLENGO
DOCTOR$260,275$0$040.00Yes (X)
SAFIA M SAVRI
DOCTOR$235,408$0$040.00Yes (X)
MONIKA E PELLY
DOCTOR$199,011$0$040.00Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$997,319TotalReportableCompFromOrgAmt
Indiv Rcvd Greater Than100 K5IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DREAM CLEAN INCBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 324AddressLine1Txt
CityPINEY FLATSCityNm
State AbbreviationTNStateAbbreviationCd
ZIP37686ZIPCd
FieldValueIRS element (for citing)
ServicesMEDICALServicesDesc
Compensation$143,075CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
Government Grants$860,035GovernmentGrantsAmt
All Other Contributions$416,445AllOtherContributionsAmt
Noncash Contributions$416,445NoncashContributionsAmt
Total Contributions$1,276,480TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICARE/MEDICAID PAYMENT$14,686,554$14,686,554
FEES & CONTRACTS$5,073,779$5,073,779
PATIENT SERVICE REVENUE$1,542,686$1,542,686
FieldValueIRS element (for citing)
Total Program Service Revenue$21,303,019TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$36,484TotalRevenueColumnAmt
Related Or Exempt Func Income$36,484RelatedOrExemptFuncIncomeAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$22,615,983TotalRevenueColumnAmt
Related Or Exempt Func Income$21,339,503RelatedOrExemptFuncIncomeAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$1,438,974TotalAmt
Program Services$1,438,974ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$17,262,189TotalAmt
Program Services$14,263,196ProgramServicesAmt
Management And General$2,998,993ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$9,219TotalAmt
Management And General$9,219ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$12,100TotalAmt
Management And General$12,100ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$214,336TotalAmt
Management And General$214,336ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,101,824TotalAmt
Program Services$1,101,824ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$305,666TotalAmt
Program Services$195,729ProgramServicesAmt
Management And General$109,937ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$456,360TotalAmt
Management And General$456,360ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$475,933TotalAmt
Program Services$475,933ProgramServicesAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PROGRAM OPERATIONS$311,878$311,878
SUPPLIES$279,513$251,561$27,952
OTHER EXPENSES$165,061$165,061

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$22,033,053TotalAmt
Program Services$18,204,156ProgramServicesAmt
Management And General$3,828,897ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$4,149,048BOYAmt
EOY$4,109,123EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,702,495BOYAmt
EOY$2,742,042EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$17,316,752LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$5,003,897LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$11,943,502BOYAmt
EOY$12,312,855EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$42,131BOYAmt
EOY$535,044EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$18,837,176BOYAmt
EOY$19,699,064EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,007,056BOYAmt
EOY$1,542,074EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$66,820BOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$11,302,760BOYAmt
EOY$11,079,053EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$814,822BOYAmt
EOY$849,289EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$13,191,458BOYAmt
EOY$13,470,416EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

FieldValueIRS element (for citing)
BOY$5,645,718BOYAmt
EOY$6,228,648EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,645,718BOYAmt
EOY$6,228,648EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$18,837,176BOYAmt
EOY$19,699,064EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$582,930ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteefalseAuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Governmental UnitYes (X)GovernmentalUnitInd

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,768,440OtherCostOrOtherBasisAmt
Book Value$1,768,440BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$12,439,025OtherCostOrOtherBasisAmt
Book Value$12,439,025BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$14,207,465TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescACCRUED LEAVE PAYABLEDesc
Amt$849,289Amt
FieldValueIRS element (for citing)
Total Liability$849,289TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$22,615,983TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$22,615,983RevenueSubtotalAmt
Total Revenue Per Form990$22,615,983TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$22,033,053TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$22,033,053ExpensesSubtotalAmt
Total Expenses Per Form990$22,033,053TotalExpensesPerForm990Amt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedfalseGrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypePROVIDE M H, M R AND S AGrantTypeTxt
Recipient7500RecipientCnt
Cash Grant$1,438,974CashGrantAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmt
JEFFERY R FOX
EXECUTIVE DIREC$191,103$191,103
VANESSA A CAMPERLENGO
DOCTOR$260,275$260,275
SAFIA M SAVRI
DOCTOR$235,408$235,408
MONIKA E PELLY
DOCTOR$199,011$199,011

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$416,445NoncashContributionsRptF990Amt
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 2, PART III, LINE 4DTO PROVIDE MENTAL HEALTH, INTELLECTUAL DISABILITIES, AND SUBSTANCE ABUSE SERVICE.
FORM 990, PAGE 6, PART VI, LINE 7BBRISTOL VIRGINIA CITY COUNCIL AND WASHINGTON COUNTY VIRGINIA BOARD OF SUPE RVISORS
FORM 990, PAGE 6, PART VI, LINE 11BTHE EXECUTIVE DIRECTOR, CFO, CONTROLLER AND ACCOUNTANT REVIEWS THE FORM 990 PRIOR TO THE EXECUTIVE DIRECTOR SIGNING THE RETURN.
FORM 990, PAGE 6, PART VI, LINE 12CQUALIITY AND COMPLIANCE DEPARTMENT HAVE MONITORING PROCEDURES
FORM 990, PAGE 6, PART VI, LINE 15AAGENCY PEIODICALLY COTRACTS WITH INDEPENDENT AGENCIES AND HR DIRECTOR OBTAINS COMPENSTION INFORMATION FROM SIMULAR AGENCIES IN REGION.
FORM 990, PAGE 6, PART VI, LINE 15BAGENCY PERIODICALLY CONTRACTS WITH INDEPENDENT AGENCIES AND HR DIRECTOR OB TAINS COMPENSATION INFORMATION FROM SIMULAR AGENCIES IN REGION.
FORM 990, PAGE 6, PART VI, LINE 19ANNUALLY PUBLISH IN THE NEWSPAPERS A SUMMARY STATEMENT OF FINANCIAL CONDIT ION.