2016-02-12T13:37:24-07:00 2015-06-30 990 2014-07-01 310732345 MARYHAVEN INC MARY 6144458131 1791 Alum Creek Drive Columbus OH 432071708 Vivian Russell Chief Financial Officer 6144458131 2015-11-12 2014 2016-08-17 19:52:53Z Paul H Coleman 1791 Alum Creek Drive Columbus OH 432071708 24862712 0 X www.maryhaven.com X 1967 OH Maryhaven provides integrated behavioral healthcare services to help men, women and adolescents restore their lives from the effects of addictive and mental illness. 23 23 415 0 0 0 2881719 2923585 18995097 21901612 32873 37515 -1981 0 21907708 24862712 0 0 0 0 15472568 16974625 29992 33667 126169 5234286 6027342 20736846 23035634 1170862 1827078 18617361 20418162 3745265 3718988 14872096 16699174 Maryhaven provides integrated behavioral healthcare services to help men, women and adolescents restore their lives from the effects of addictive and mental illness. 0 0 19575342 2359312 18921522 Maryhaven provides integrated behavioral healthcare services to help men, women and adolescents restore their lives from the effects of addictive and mental illness. Services include medically supervised detoxification, medication assisted treatment, long-term and short-term rehabilitation services and outpatient group, individual and family counseling. Services were provided to 7,425 patients during this reporting period. 1529750 564273 1076216 Maryhaven operates the Engagement Center, an emergency shelter program, which serves chronically homeless adults with addictive and/or mental illnesses. The Engagement Center is a 50-bed facility serving both adult men and women. A total of 780 adults were served during this reporting period. 206093 0 216940 Maryhaven operates several Public Safety programs including residential driver intervention programs for adults and outpatient intervention programs to address underage drinking and drug use. A total of 1,160 persons were served during this reporting period. 0 0 0 21311185 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 38 0 1 415 1 1 1 0 0 0 0 0 0 0 0 0 0 X 23 23 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 OH X X Vivian Russell - Chief Fin Officer 6144458131 1791 Alum Creek Drive Columbus OH 432071708 Patricia Eshman Chair, Board of Directors 1 0 X 0 0 0 The Honorable Gregory Frost Vice Chair, Board of Directors 1 0 X 0 0 0 Richard Mueller Secretary/Treasurer, Board of Directors 1 0 X 0 0 0 Christine Bustamante Board Member 1 0 X 0 0 0 The Honorable David E Cain Board Member 1 0 X 0 0 0 Suzanne Coleman-Tolbert Board Member 1 0 X 0 0 0 Amy Heaton Board Member 1 0 X 0 0 0 Ron Kerr Board Member 1 0 X 0 0 0 John Littlejohn Board Member 1 0 X 0 0 0 Douglas Lumpkin Board Member 1 0 X 0 0 0 Carrie Maun-Smith Board Member 1 0 X 0 0 0 Stephanie McCloud Board Member 1 0 X 0 0 0 Daniel R Moore Jr Board Member 1 0 X 0 0 0 Bill Patterson Board Member 1 0 X 0 0 0 Molly E Philipps Board Member 1 0 X 0 0 0 The Honorable Guy Reece Board Member 1 0 X 0 0 0 Lana T Ruebel Board Member 1 0 X 0 0 0 The Honorable Lisa Sadler Board Member 1 0 X 0 0 0 Ann Schiele Board Member 1 0 X 0 0 0 The Honorable Charles A Schneider Board Member 1 0 X 0 0 0 Dennis K Schulze Board Member 1 0 X 0 0 0 Michael Stovall Board Member 1 0 X 0 0 0 Robert 'Skip' Weiler Board Member 1 0 X 0 0 0 Paul Coleman President and CEO 40 0 X 222612 0 40510 Vivian Russell Chief Financial Officer/Director Business Ops. 40 0 X 199491 0 29924 Stephen Albanese Director, QI/Planning and Regional Operations 40 0 X 148825 0 22323 Sara McIntosh MD Medical Director 28 0 X 212100 0 8400 Grant Schroeder Director, Medically Assisted Treatment Services 40 0 X 167478 0 25122 Angela Stewart Director, Human Resources 40 0 X 128391 0 19259 Elizabeth Lottes DO Physician 40 0 X 185769 0 0 1264666 0 145538 9 0 1 0 Paul Warrick Schkolnik PhD Address on file at Maryhaven Columbus OH 43207 Psychologist services 140148 David Rudy MD Address on file at Maryhaven Columbus OH 43207 Medical services 114870 2 0 0 0 0 1237487 1686098 0 2923585 Fee for service 621400 433527 433527 0 0 Medicaid 621400 8780131 8780131 0 0 Fees amd government contracts 423990 12004782 12004782 0 0 683172 683172 0 0 21901612 37515 0 0 37515 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24862712 21901612 0 37515 1264666 813917 450749 0 12612569 12132661 415056 64852 591704 489686 100514 1504 1367464 1240131 117341 9992 1138222 1054292 78326 5604 0 43753 43753 38714 38714 33667 33667 878629 759064 113014 6551 124468 53490 70978 0 942694 829628 109519 3547 49433 49433 0 0 1216596 1216224 372 0 332348 329535 2361 452 56000 56000 0 0 483767 483767 0 0 124852 124852 0 0 Medications/Medical Supplies 640122 640122 0 0 Dietary Food/Supplies 708401 708401 0 0 Laboratory Testing 328832 328832 0 0 Training & Education 58733 1150 57583 0 23035634 21311185 1598280 126169 611966 654722 6505185 7781254 3020414 3673079 38488 26878 140121 116848 13426677 6102350 7492334 7324327 808853 841054 18617361 20418162 2186370 2321707 438895 586031 1120000 811250 3745265 3718988 X 14555072 15441463 317024 1257711 0 0 14872096 16699174 18617361 20418162 1827078 0 0 0 0 0 X 0 1 1 1 1 X 15416791 15880389 17467712 21245976 24142025 94152893 0 0 0 0 0 0 0 0 0 0 0 0 15416791 15880389 17467712 21245976 24142025 94152893 0 94152893 34160 34572 31908 32873 37515 171028 0 0 0 0 0 0 229435 280835 509066 641090 683172 2343598 96667519 0.97399 0.97547 X Schedule A, Part II, Line 10 Other income is primarily comprised of dietary income. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 121007 0 13 0 0 556 120464 121540 0 23 0 0 556 121007 122059 0 37 0 0 556 121540 122586 0 28 0 0 555 122059 22302 100000 372 0 0 88 122586 1 0 0 0 0 0 1193000 1193000 0 7169518 2989045 4180473 0 78993 41580 37413 0 1750847 1170715 580132 0 3234319 1901010 1333309 7324327 24862712 0 0 0 0 0 24862712 0 0 0 24862712 23035634 0 0 0 0 0 23035634 0 0 0 23035634 Schedule D, Part V, Line 4 Endowment funds are designated for future operating needs at the Women's Center. These funds are temporarily restricted and the Board of Directors may authorize the use of these funds for this purpose at their discretion. X X X X X X 1 Goettler Associates 580 South High Street Columbus OH 43207 Professional fundraising consultation services to conduct a planning and feasibility study for a capital campaign to raise funds for expansion and renovation of treatment facility space. Services also included preparation of preliminary case for support, interviews with potential donors and other stakeholders and campaign planning. 0 960729 33667 927062 960729 33667 927062 OH X X X X 0 1 0 0 0 0 0 0 0 Paul Coleman President and CEO 222612 0 0 0 33392 0 0 0 7118 0 263122 0 0 0 Vivian Russell Chief Financial Officer/Director Business Ops. 199491 0 0 0 29924 0 0 0 0 0 229415 0 0 0 Sara McIntosh MD Medical Director 212100 0 0 0 8400 0 0 0 0 0 220500 0 0 0 Elizabeth Lottes DO Physician 185769 0 0 0 0 0 0 0 0 0 185769 0 0 0 Grant Schroeder Director, Medically Assisted Treatment Services 167478 0 0 0 25122 0 0 0 0 0 192600 0 0 0 Schedule J, Part I, Line 3 An independent third party compensation consulting firm was previously engaged to create compensation ranges for all key employees of the organization. Schedule J, Part I, Line 4 The following employees participated in a supplemental non-qualified pension plan in which they received the following distributions in July 2014: Paul Coleman ($19,686); Stephen Albanese ($11,464); Vivian Russell ($12,183); Grant Schroeder ($14,815); Angela Stewart ($10,666). Form 990, Part VI, Section B, Line 11b The Finance Committee of the Board of Directors reviews the Form 990 return after it is filed. The Form 990 return is subsequently distributed to all members of the Board of Directors for their review. Form 990, Part VI, Section B, Line 12c The conflict of Interest policy is reviewed annually by members of the Board of Directors. Form 990, Part VI, Section B, Line 15 An independent third party compensation consulting firm was previously engaged to create compensation ranges for all key employees of the organization. Form 990, Part VI, Section C, 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 available to the public upon request.