2016-12-09T07:47:30-06:00 2016-06-30 420946155 Honkamp Krueger & Co PC 951 13th Avenue North Clinton IA 52732 990 2015-07-01 204380936 Bridgeview Community Mental Health Center BRID 5632435633 638 S Bluff Clinton IA 52732 PAUL BLAIR President 5632435633 2016-11-22 1 JON F THOMS CPA P00139911 5632426911 2016-11-22 2015 2017-02-10 21:41:12Z Jennifer Graf 638 S Bluff Clinton IA 52732 3266092 0 X N/A X 2005 IA TO PROVIDE COMPREHENSIVE, CARING AND QUALITY MENTAL HEALTH SERVICES FOR INDIVIDUALS IN CLINTON COUNTY AND THE SURROUNDING AREAS 7 7 65 1 0 0 26200 18200 3585818 3212558 13311 20705 15736 781 3641065 3252244 0 0 0 0 2556306 2382988 0 0 0 455740 697309 3012046 3080297 629019 171947 2616497 2826521 214007 252084 2402490 2574437 TO PROVIDE COMPREHENSIVE, CARING AND QUALITY MENTAL HEALTH SERVICES FOR INDIVIDUALS IN CLINTON COUNTY AND THE SURROUNDING AREAS 0 0 2547998 3212580 PROVIDED MENTAL HEALTH SERVICES TO APPROXIMATELY 3,500 INDIVIDUALS IN THE CLINTON COMMUNITY AND SURROUNDING AREA. DURING THE FISCAL YEAR THE ORGANIZATION ADDED INTEGRATED HOME HEALTH SERVICES TO THEIR PROGRAMS. 2547998 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 8 0 1 65 1 0 0 0 0 0 0 0 0 0 0 X 7 7 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 1 0 X Paul Blair 5632435633 638 S Bluff CLINTON IA 52732 Shawn Hammerlinck DIRECTOR 2.50 X 0 0 0 RICH KLAHN DIRECTOR 2.50 X 0 0 0 BARB DEHAVEN DIRECTOR 2.50 X 0 0 0 JACK WOLFE DIRECTOR 2.50 X 0 0 0 RUTHANN PAPKE Secretary 2.50 X 0 0 0 JENNIFER GRAF PRESIDENT 2.50 X 0 0 0 DEB OLSON VICE PRESIDENT 2.50 X 0 0 0 PAUL BLAIR EXECUTIVE DIRECTOR 40.00 X 84215 0 6040 Marcia Christiansen Business Manager 40.00 X 53162 0 6503 Thomas Earwood Medical Director 40.00 X 242609 0 0 379986 0 12543 1 0 1 0 Medical Business Office Services 541 Otis Bowen Dr Munster IN 46321 Billing services 103402 1 18200 18200 MEDICARE/MEDICAID/INSU 623990 2395157 2395157 RESIDENT FEES 623990 512900 512900 CONTRACTS/FEES 623990 212769 212769 CLINTON COUNTY AID 623990 75471 75471 Self Pay 623990 16261 16261 3212558 20705 20705 14607 13848 759 759 Miscellaneous 623990 22 22 22 3252244 3212580 0 21464 X 441624 220812 220812 1452963 1329375 123588 59348 45812 13536 282714 218234 64480 146339 117491 28848 26357 12666 13691 334502 334502 22692 21779 913 20966 20966 135211 102400 32811 15953 15633 320 13640 13640 17055 15602 1453 SUPPLIES 55012 43571 11441 STAFF DEVELOPMENT 27972 27719 253 EQUIPMENT 14411 9581 4830 DUES, FEES, LICENSES 11108 10349 759 2430 1506 924 3080297 2547998 532299 0 403451 712179 1897167 1720839 220694 279550 69661 80343 223924 190314 25524 33610 2616497 2826521 214007 252084 214007 252084 X 2402490 2574437 2402490 2574437 2616497 2826521 171947 0 X 0 1 X 0 0 X 491283 174476 28720 26200 18200 738879 491283 174476 28720 26200 18200 738879 738879 11728 12017 12361 13311 20705 70122 500 500 809501 14968633 0.91280 0.95000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 223924 190314 33610 33610 X 3252244 0 3252244 0 3252244 3080297 0 3080297 0 3080297 Part X, Line 2: The Center is exempt from income taxes as a non-profit organization under Section 501(c)(3) of the Internal Revenue Code and under state income tax code. The Organization's federal income tax returns for 2014, 2015 and 2016 are subject to examination by the IRS, generally for three years after they were filed. Glow Walk 14607 14607 13848 14607 14607 13848 13848 759 X 0 0 0 0 0 0 0 0 0 Thomas Earwood Medical Director 242609 0 0 0 0 0 0 0 0 0 242609 0 0 0 Part I, Line 3 COMPENSATION AMOUNTS ARE REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS. Form 990, Part VI, Section B, line 11 FORM 990 IS REVIEWED BY THE BOARD OF DIRECTORS. Form 990, Part VI, Section B, line 15b COMPENSATION AMOUNTS ARE REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS. Form 990, Part VI, Section C, line 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. Form 990, Part IX, line 11g Psych services: Program service expenses 223,926. Management and general expenses 0. Fundraising expenses 0. Total expenses 223,926. contracted sevices: Program service expenses 3,331. Management and general expenses 0. Fundraising expenses 0. Total expenses 3,331. personnel investigation: Program service expenses 408. Management and general expenses 0. Fundraising expenses 0. Total expenses 408. transcription services: Program service expenses 829. Management and general expenses 0. Fundraising expenses 0. Total expenses 829. outsourced billing fees: Program service expenses 103,402. Management and general expenses 0. Fundraising expenses 0. Total expenses 103,402. Temporary staff: Program service expenses 2,606. Management and general expenses 0. Fundraising expenses 0. Total expenses 2,606.