NORTH CENTRAL MENTAL HEALTH SERVICES: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- NORTH CENTRAL MENTAL HEALTH SERVICES (EIN 31-0847283)
- Tax period
- 2014-07-01 to 2015-06-30
- Filed
- 2016-05-06
- IRS object ID
- 201631279349300608
- Schema version
- 2014v6.0
- 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 | 2016-05-06T08:29:28-04:00 | ReturnTs |
| Tax Period End | 2015-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 010548473 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Parms and Company LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 585 S Front St Ste 220 | AddressLine1Txt |
| City | Columbus | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43215 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 310847283 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | North Central Mental Health Services Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | NORT | BusinessNameControlTxt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1301 N High Street | AddressLine1Txt |
| City | Columbus | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43201 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Joseph Niedzwiedski | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 6142996600 | PhoneNum |
| Signature | 2016-05-06 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Theodore W Johnson CPA | PreparerPersonNm |
| PTIN | P00024730 | PTIN |
| Phone | 6142243078 | PhoneNum |
| Preparation | 2016-05-06 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-08-17 19:52:53Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $15,597,773 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.ncmhs.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1973 | FormationYr |
| Legal Domicile State | OH | LegalDomicileStateCd |
| Activity Or Mission | To provide mental health and drug addiction services. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 300 | TotalEmployeeCnt |
| Total Volunteers | 100 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,993,305 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,706,322 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $10,664,477 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $13,535,232 | CYProgramServiceRevenueAmt |
| PY Investment Income | $71,696 | PYInvestmentIncomeAmt |
| CY Investment Income | $30,693 | CYInvestmentIncomeAmt |
| PY Other Revenue | $263,526 | PYOtherRevenueAmt |
| CY Other Revenue | $325,526 | CYOtherRevenueAmt |
| PY Total Revenue | $13,993,004 | PYTotalRevenueAmt |
| CY Total Revenue | $15,597,773 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $10,697,429 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $11,830,284 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,056,198 | PYOtherExpensesAmt |
| CY Other Expenses | $3,430,869 | CYOtherExpensesAmt |
| PY Total Expenses | $13,753,627 | PYTotalExpensesAmt |
| CY Total Expenses | $15,261,153 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $239,377 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $336,620 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $13,196,779 | TotalAssetsBOYAmt |
| Total Assets EOY | $13,638,536 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,602,477 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,699,292 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $10,594,302 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $10,939,244 | NetAssetsOrFundBalancesEOYAmt |
| Mission | To provide mental health and drug addiction services. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $7,024,679 | ExpenseAmt |
| Desc | Counseling and Community Support. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $3,675,781 | ExpenseAmt |
| Desc | Medical Services. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,167,390 | ExpenseAmt |
| Desc | Residential and Transitional Services. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (2 entries)
| ExpenseExpenseAmt | DescDesc |
|---|---|
| $582,075 | North Central Integrated Dual Diagnosis Program. |
| $259,423 | North Central Suicide Prevention Program. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $841,498 | TotalOtherProgSrvcExpenseAmt |
| Total Program Service Expenses | $13,709,348 | 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 | Yes (true) | CreditCounselingInd |
| Temp Or Permanent Endowments | false | 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 | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | 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 | 63 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 300 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| 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 |
| DAF Excess Business Holdings | false | DAFExcessBusinessHoldingsInd |
| Taxable Distributions | false | TaxableDistributionsInd |
| Distribution To Donor | false | DistributionToDonorInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | 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 | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | OH | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Joseph Niedzwiedski | PersonNm |
| Phone | 6142996600 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1301 N High Street | AddressLine1Txt |
| City | Columbus | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43201 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (25 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 | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| Melinda Blakie | |||||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Jeanne Clement | |||||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| David Fais | |||||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Gilbert Greene | |||||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Melvin Harris | |||||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| John Krimm | |||||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Marcee McCreary | |||||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Michael OGrady | |||||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Aron Ross | |||||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Charles Schneider | |||||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Philip Tieman | |||||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Greta Winbush | |||||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Stephen Weed | |||||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Donald Wood | |||||||||
| PresCEO | 40.00 | 0.00 | $276,347 | $0 | $17,573 | Yes (X) | |||
| Joseph Niedzwiedski | |||||||||
| CFO | 40.00 | 0.00 | $197,839 | $0 | $33,462 | Yes (X) | |||
| William R Silliman | |||||||||
| Clinical Dir | 40.00 | 0.00 | $188,992 | $0 | $25,976 | Yes (X) | |||
| Robert M Loar | |||||||||
| Assoc Dir of Oper Sup | 40.00 | 0.00 | $164,160 | $0 | $23,856 | Yes (X) | |||
| Daniel Bridgeo | |||||||||
| Comm Serv Dir | 40.00 | 0.00 | $114,785 | $0 | $18,316 | Yes (X) | |||
| Prasad Potaraju | |||||||||
| Med Dir | 20.00 | 0.00 | $137,815 | $0 | $12,107 | Yes (X) | |||
| Radhika Gollapudy | |||||||||
| Employee | 40.00 | 0.00 | $226,022 | $0 | $27,809 | Yes (X) | |||
| Bela Agabalyan | |||||||||
| Employee | 40.00 | 0.00 | $229,032 | $0 | $26,588 | Yes (X) | |||
| Ajay Bhatia | |||||||||
| Employee | 40.00 | 0.00 | $219,487 | $0 | $13,524 | Yes (X) | |||
| Stephen Busch | |||||||||
| Employee | 40.00 | 0.00 | $108,510 | $0 | $4,340 | Yes (X) | |||
| Kimberly Yates | |||||||||
| Employee | 40.00 | 0.00 | $102,380 | $0 | $4,917 | Yes (X) | |||
| Ayesha Haq | |||||||||
| Employee | 40.00 | 0.00 | $166,614 | $0 | $6,377 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,131,983 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $214,845 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 12 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Sharda Bobba | |||||
| 4849 Aberdeen Ave | Dublin | OH | 43016 | Contract Doctor | $199,800 |
| McCormick Reimuth Ins | |||||
| PO Box 660 | Columbus | OH | 43085 | Insurance | $335,948 |
| Allied Barton Security | |||||
| PO Box 828854 | Philadelphia | PA | 19182 | Security Guard Svc | $165,308 |
| ATT | |||||
| PO Box 5080 | Carol Stream | IL | 60197 | Telephone | $200,679 |
| Office Team | |||||
| 2613 Camino Ramon | San Ramon | CA | 94583 | Temp Service | $121,789 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $1,706,322 | AllOtherContributionsAmt |
| Total Contributions | $1,706,322 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Client and Ins Fees | 900099 | $132,308 | $132,308 |
| Franklin County ADAMH | 900099 | $3,282,983 | $3,282,983 |
| Title XIX | 900099 | $10,119,941 | $10,119,941 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $13,535,232 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $30,693 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $30,693 | RelatedOrExemptFuncIncomeAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $185,491 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $185,491 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $185,491 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $185,491 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Other Income | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $140,035 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $140,035 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $140,035 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $15,597,773 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $13,891,451 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,830,284 | TotalAmt |
| Program Services | $10,685,379 | ProgramServicesAmt |
| Management And General | $1,144,905 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $769,657 | TotalAmt |
| Program Services | $722,225 | ProgramServicesAmt |
| Management And General | $47,432 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $329,180 | TotalAmt |
| Program Services | $292,805 | ProgramServicesAmt |
| Management And General | $36,375 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $314,024 | TotalAmt |
| Program Services | $279,947 | ProgramServicesAmt |
| Management And General | $34,077 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $555,472 | TotalAmt |
| Program Services | $536,313 | ProgramServicesAmt |
| Management And General | $19,159 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $238,722 | TotalAmt |
| Program Services | $199,588 | ProgramServicesAmt |
| Management And General | $39,134 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Operating Supplies | $138,499 | $130,644 | $7,855 |
| Operating Expenses | $866,246 | $694,101 | $172,145 |
| Equipment and Improvements | $214,669 | $168,346 | $46,323 |
| Other | $4,400 | $4,400 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,261,153 | TotalAmt |
| Program Services | $13,709,348 | ProgramServicesAmt |
| Management And General | $1,551,805 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,615,822 | BOYAmt |
| EOY | $6,292,639 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,985,656 | BOYAmt |
| EOY | $3,139,018 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,437,127 | BOYAmt |
| EOY | $1,237,708 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $176,217 | BOYAmt |
| EOY | $180,066 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $7,887,128 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $5,098,023 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,981,957 | BOYAmt |
| EOY | $2,789,105 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,196,779 | BOYAmt |
| EOY | $13,638,536 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,576,375 | BOYAmt |
| EOY | $2,113,621 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,250 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,004,852 | BOYAmt |
| EOY | $585,671 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,602,477 | BOYAmt |
| EOY | $2,699,292 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,594,302 | BOYAmt |
| EOY | $10,939,244 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,594,302 | BOYAmt |
| EOY | $10,939,244 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,196,779 | BOYAmt |
| EOY | $13,638,536 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $336,620 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $8,322 | NetUnrlzdGainsLossesInvstAmt |
| 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 | false | FederalGrantAuditRequiredInd |
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 | $14,234,825 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $14,495,785 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $13,733,789 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $13,657,782 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $15,241,554 | CurrentTaxYearAmt |
| Total | $71,363,735 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $14,234,825 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $14,495,785 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $13,733,789 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $13,657,782 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $15,241,554 | CurrentTaxYearAmt |
| Total | $71,363,735 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $71,363,735 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $98,699 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $45,657 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $34,387 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $71,696 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $30,693 | CurrentTaxYearAmt |
| Total | $281,132 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $71,644,867 | TotalSupportAmt |
| Public Support CY170 | 0.99610 | PublicSupportCY170Pct |
| Public Support PY170 | 0.99420 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | Yes (true) | AgentTrusteeEtcInd |
| Incl Escrow Custodial Acct Liab | false | InclEscrowCustodialAcctLiabInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $271,873 | OtherCostOrOtherBasisAmt |
| Book Value | $271,873 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,157,653 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,733,432 | DepreciationAmt |
| Book Value | $2,424,221 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $967,045 | OtherCostOrOtherBasisAmt |
| Depreciation | $950,907 | DepreciationAmt |
| Book Value | $16,138 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $490,557 | OtherCostOrOtherBasisAmt |
| Depreciation | $413,684 | DepreciationAmt |
| Book Value | $76,873 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $2,789,105 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| Advances from State of Ohio Current | $66,327 |
| Other Current | $25,792 |
| Medicaid Payback Non Current | $100,000 |
| Advances from State of Ohio Non Cur | $393,552 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $585,671 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $15,606,095 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $8,322 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $8,322 | RevenueNotReportedAmt |
| Revenue Subtotal | $15,597,773 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $15,597,773 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $15,261,153 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $15,261,153 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $15,261,153 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Agent not reporting amounts on 990 (Part IV, line 1b) | North Central is an Organizational Respresentative Payee, appointed by the Social Security Administration to receive and manage the Social Security and/or Social Security Disability funds for some beneficiaries who are patients of North Central. North Central maintains a custodial bank account on behalf of these patients as instructed by the Social Security Administrations guidelines. Total yearly activity and cash on hand at end of year held on behalf of patients is as follows: Beginning balance.....................$ 258,444 Additions during the year............. 1,798,359 Distributions during the year......... 1,772,851 Ending balance........................$ 283,952 |
| Footnote for uncertain tax position under FIN 48 (Part X) | Part X Line 1 North Central Mental Health Services, Inc. has adopted provisions of FASB ASC 740-10-25, which requires that a tax position be recognized or derecognized based on a more than likey than not threshold. This applies to positions taken or expected to be taken in a tax return. North Central Mental Health Services, Inc. does not believe its financial statements include any uncertain tax positions. North Central Mental Health Services, Inc.s open tax periods are 2010 through 2013 based on filed Forms 990. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| 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 (8 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|---|
| Donald Wood | ||||
| PresCEO | $276,347 | $9,248 | $8,325 | $293,920 |
| Joseph Niedzwiedski | ||||
| CFO | $197,839 | $7,913 | $25,549 | $231,301 |
| William R Silliman | ||||
| Clinical Dir | $188,992 | $7,560 | $18,416 | $214,968 |
| Robert M Loar | ||||
| Assoc Dir of Oper Sup | $164,160 | $5,440 | $18,416 | $188,016 |
| Radhika Gollapudy | ||||
| Employee | $226,022 | $2,260 | $25,549 | $253,831 |
| Bela Agabalyan | ||||
| Employee | $229,032 | $8,172 | $18,416 | $255,620 |
| Ajay Bhatia | ||||
| Employee | $219,487 | $5,199 | $8,325 | $233,011 |
| Ayesha Haq | ||||
| Employee | $166,614 | $6,377 | $172,991 | |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990 governing body review Part VI line 11 | E-mail prior to filing; and approved at a subsequent board meeting. |
| Conflict of interest policy compliance Part VI line 12c | Board Members prepare an annual Conflict of Interest form. |
| CEO executive director top management comp Part VI line 15a | Reviewed by the Board of Trustees. The CEO reviews top management compensation. |
| Other officer or key employee compensation Part VI line 15b | Reviewed by the Board of Trustees. The CEO reviews other officers and key employees. |
| Governing documents etc available to public Part VI line 19 | The Agency Services Plan and Budget are filled annually with the Franklin County ADAMH Board. |
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