MID-ERIE MENTAL HEALTH SERVICES INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
MID-ERIE MENTAL HEALTH SERVICES INC (EIN 16-1017709)
Tax period
2014-01-01 to 2014-12-31
Filed
2015-06-01
IRS object ID
201511529349300336
Schema version
2014v5.0
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

FieldValueIRS element (for citing)
Return2015-06-01T12:21:52-05:00ReturnTs
Tax Period End2014-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN160765486PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1LUMSDEN & MCCORMICK LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1369 FRANKLIN STREETAddressLine1Txt
CityBUFFALOCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14202ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN161017709EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MID-ERIE MENTAL HEALTH SERVICES INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMID-BusinessNameControlTxt
Phone7168957167PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11526 WALDEN AVENUE SUITE 400AddressLine1Txt
CityCHEEKTOWAGACityNm
State AbbreviationNYStateAbbreviationCd
ZIP14225ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonELIZABETH L MAUROPersonNm
Person TitleCEOPersonTitleTxt
Phone7168957167PhoneNum
Signature2015-05-26SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDONNA M GONSERPreparerPersonNm
PTINP01448922PTIN
Phone7168563300PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1MID ERIE COUNSELING AND TREATMENT SEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerELIZABETH L MAUROPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11526 WALDEN AVENUE SUITE 400AddressLine1Txt
CityCHEEKTOWAGACityNm
State AbbreviationNYStateAbbreviationCd
ZIP14225ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$8,420,883GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MID-ERIE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1972FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionTHE MISSION OF MID-ERIE COUNSELING AND TREATMENT SERVICES IS TO COLLABORATE WITH CONSUMERS, FAMILIES AND COMMUNITIES TO PROMOTE WELLNESS AND RECOVERY THROUGH AN ARRAY OF MENTAL HEALTH AND CHEMICAL DEPENDENCY TREATMENT, EDUCATION AND SUPPORT SERVICES.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee177TotalEmployeeCnt
Total Volunteers12TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,131,989PYContributionsGrantsAmt
CY Contributions Grants$2,688,940CYContributionsGrantsAmt
PY Program Service Revenue$5,529,936PYProgramServiceRevenueAmt
CY Program Service Revenue$5,683,822CYProgramServiceRevenueAmt
PY Investment Income$1,112PYInvestmentIncomeAmt
CY Investment Income$1,107CYInvestmentIncomeAmt
PY Other Revenue$68,074PYOtherRevenueAmt
CY Other Revenue$47,014CYOtherRevenueAmt
PY Total Revenue$8,731,111PYTotalRevenueAmt
CY Total Revenue$8,420,883CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$5,412,229PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$5,536,718CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,653,478PYOtherExpensesAmt
CY Other Expenses$2,662,532CYOtherExpensesAmt
PY Total Expenses$8,065,707PYTotalExpensesAmt
CY Total Expenses$8,199,250CYTotalExpensesAmt
PY Revenues Less Expenses$665,404PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$221,633CYRevenuesLessExpensesAmt
Total Assets BOY$2,396,522TotalAssetsBOYAmt
Total Assets EOY$2,548,345TotalAssetsEOYAmt
Total Liabilities BOY$1,733,908TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,664,098TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$662,614NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$884,247NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE MISSION OF MID-ERIE COUNSELING AND TREATMENT SERVICES IS TO COLLABORATE WITH CONSUMERS, FAMILIES AND COMMUNITIES TO PROMOTE WELLNESS AND RECOVERY THROUGH AN ARRAY OF MENTAL HEALTH AND CHEMICAL DEPENDENCY TREATMENT, EDUCATION AND SUPPORT SERVICES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$2,878,539ExpenseAmt
Revenue$3,009,587RevenueAmt
DescADULT MENTAL HEALTH SERVICES - ADULT MENTAL HEALTH SERVICES ARE BASED ON THE PROMISE THAT INDIVIDUALS WHO SUFFER FROM SEVERE AND PERSISTENT MENTAL ILLNESS CAN, AND DO RECOVER THROUGH THE USE OF TREATMENT AND PSYCHIATRIC REHABILITATION INTERVENTIONS. INDIVIDUALS EXPERIENCING ACUTE MENTAL ILLNESS OR SITUATIONAL DIFFICULTIES UTILIZE SOLUTION-FOCUSED THERAPIES TO ACHIEVE PROBLEM RESOLUTION. ADULT MENTAL HEALTH PROGRAMMING FOCUSES ON THE FOLLOWING SERVICES: CLINIC TREATMENT, PERSONALIZED RECOVERY ORIENTED SERVICES (PROS), CASE MANAGEMENT, FORENSIC. (TOTAL 2014 VISITS - 27,926 PROS PARTICIPATION UNIT 16,959/92 AVERAGE CLIENTS PER MONTH)Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$1,140,850ExpenseAmt
Revenue$993,213RevenueAmt
DescCHEMICAL DEPENDENCY SERVICES - SERVICES ARE DESIGNED FOR ADULTS AND ADOLESCENTS WHOSE BASIC ATTACHMENTS (FAMILY, WORK, SCHOOL, ETC.) AND MANAGEMENT OF DAILY ACTIVITIES ARE IMPAIRED THROUGH THE ABUSIVE USE OF ALCOHOL AND/OR OTHER DRUGS. SERVICES INCLUDE: COUNSELING FOR INDIVIDUALS, FAMILIES AND GROUPS, CHEMICAL DEPENDENCY EDUCATION, AFTERCARE, MEDICAL EVALUATION, LINKING WITH OTHER SOCIAL AND COMMUNITY RESOURCES, AND SPECIALTY GROUPS. (TOTAL 2014 VISITS - 15,787)Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$3,067,036ExpenseAmt
Revenue$1,728,036RevenueAmt
DescCHILD MENTAL HEALTH SERVICES - THE CHILD MENTAL HEALTH PROGRAM PROVIDES A COMPREHENSIVE ARRAY OF COMMUNITY BASED TREATMENT AND SUPPORT SERVICES TO FAMILIES WITH CHILDREN AND/OR ADOLESCENTS WHO HAVE SERIOUS EMOTIONAL AND BEHAVIORAL DISORDERS. THROUGH THEIR INVOLVEMENT IN SERVICES, CHILDREN AND ADOLESCENTS STRIVE TO REACH THEIR OPTIMAL POTENTIAL WHILE REMAINING IN THE SAFEST AVAILABLE ENVIRONMENT. SERVICES INCLUDE: CLINIC TREATMENT, ENHANCED TREATMENT CENTER, ENHANCEMENT STEP DOWN/DIVERSION, CHILD INTENSIVE CARE COORDINATION, SCHOOL-BASED MENTAL HEALTH PROGRAM, HOME AND COMMUNITY BASED SERVICES WAIVER PROGRAM/CARE COORDINATION, CASE MANAGEMENT, GRANDPARENT ADVOCACY PROJECT, AND FAMILY SUPPORT. (TOTAL 2014 VISITS - 7,943)Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$110,614ExpenseAmt
DescPROGRAMS FUNDED BY TRAINING AND SERVICE GRANTS. SHORT TERM PROGRAMS INCLUDE "ASSERTIVE & ADOLESCENT FAMILY TREATMENT," AND TRAINING FOR "CLIENT DIRECTED OUTCOME INFORMED TREATMENT."Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$110,614TotalOtherProgSrvcExpenseAmt
Total Program Service Expenses$7,197,039TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (1)BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document30IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee177EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PATRICK MCINERNEYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7168957167PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11520 WALDEN AVENUEAddressLine1Txt
CityCHEEKTOWAGACityNm
State AbbreviationNYStateAbbreviationCd
ZIP14225ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt
BRIAN MURPHY
PRESIDENT2.00Yes (X)Yes (X)$0$0$0
FREDERIC COOK
VICE PRESIDENT2.00Yes (X)Yes (X)$0$0$0
STEVEN UMSTEAD
TREASURER2.00Yes (X)Yes (X)$0$0$0
JOCELYN BOS
SECRETARY2.00Yes (X)Yes (X)$0$0$0
VICTORIA BROOKS
DIRECTOR2.00Yes (X)$0$0$0
BARBARA CHMIELEWSKI
DIRECTOR2.00Yes (X)$0$0$0
ANDREW DONOVAN
DIRECTOR2.00Yes (X)$0$0$0
PAMELA GERMAIN
DIRECTOR2.00Yes (X)$0$0$0
JOHN GILEWICZ
DIRECTOR2.00Yes (X)$0$0$0
DEIDRA TURNBULL
DIRECTOR2.00Yes (X)$0$0$0
NATHAN WAY
DIRECTOR2.00Yes (X)$0$0$0
STEVEN RUBINSTEIN
DIRECTOR2.00Yes (X)$0$0$0
ELIZABETH MAURO
CEO40.00Yes (X)$113,399$0$13,5002.00
PATRICK MCINERNEY
CFO40.00Yes (X)$112,893$0$5,2502.00
FieldValueIRS element (for citing)
Total Reportable Comp From Org$226,292TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$18,750TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K2IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
RANDAL BENDERSON 1993-1 TRUST
570 DELAWARE AVEBUFFALONY14202BUILDING OWNER$236,606
AMHERST PSYCHIATRY PC
65 VIA FORESTA LANEWILLIAMSVILLENY14221CONSULTANT$125,738
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
Government Grants$2,494,308GovernmentGrantsAmt
All Other Contributions$194,632AllOtherContributionsAmt
Total Contributions$2,688,940TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICAID624100$3,931,566$3,931,566
THIRD PARTY INSURANCE624100$1,346,647$1,346,647
PATIENT FEES624100$289,369$289,369
MEDICARE624100$116,240$116,240
FieldValueIRS element (for citing)
Total Program Service Revenue$5,683,822TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,107TotalRevenueColumnAmt
Exclusion$1,107ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUSDesc
Business900099BusinessCd
Total Revenue Column$47,014TotalRevenueColumnAmt
Related Or Exempt Func Income$47,014RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$47,014OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,420,883TotalRevenueColumnAmt
Related Or Exempt Func Income$5,730,836RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,107ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$253,266TotalAmt
Management And General$253,266ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$4,356,530TotalAmt
Program Services$3,994,928ProgramServicesAmt
Management And General$361,602ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$111,705TotalAmt
Program Services$99,183ProgramServicesAmt
Management And General$12,522ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$477,027TotalAmt
Program Services$440,501ProgramServicesAmt
Management And General$36,526ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$338,190TotalAmt
Program Services$293,934ProgramServicesAmt
Management And General$44,256ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$66,592TotalAmt
Management And General$66,592ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$193,452TotalAmt
Program Services$169,752ProgramServicesAmt
Management And General$23,700ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$352,329TotalAmt
Program Services$295,253ProgramServicesAmt
Management And General$57,076ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$548,777TotalAmt
Program Services$470,833ProgramServicesAmt
Management And General$77,944ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$90,001TotalAmt
Program Services$77,978ProgramServicesAmt
Management And General$12,023ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$35,660TotalAmt
Program Services$27,198ProgramServicesAmt
Management And General$8,462ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$70,579TotalAmt
Program Services$40,002ProgramServicesAmt
Management And General$30,577ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$38,017TotalAmt
Program Services$35,018ProgramServicesAmt
Management And General$2,999ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
CONSULTANTS$531,947$531,947
TENANT DEPOSIT/WRAP EXP$485,323$485,323
BUILDING MAINTENANCE AN$144,647$134,918$9,729
PROGRAM SUPPLIES$54,745$54,745

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$50,463TotalAmt
Program Services$45,526ProgramServicesAmt
Management And General$4,937ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$8,199,250TotalAmt
Program Services$7,197,039ProgramServicesAmt
Management And General$1,002,211ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,278,052BOYAmt
EOY$1,281,017EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$29,845BOYAmt
EOY$1,872EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$663,643BOYAmt
EOY$641,087EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$41,888BOYAmt
EOY$59,743EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,365,838LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$808,841LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$375,465BOYAmt
EOY$556,997EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$7,629BOYAmt
EOY$7,629EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,396,522BOYAmt
EOY$2,548,345EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$703,303BOYAmt
EOY$770,109EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$10,914BOYAmt
EOY$67,342EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,019,691BOYAmt
EOY$826,647EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,733,908BOYAmt
EOY$1,664,098EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$662,614BOYAmt
EOY$884,247EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$662,614BOYAmt
EOY$884,247EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,396,522BOYAmt
EOY$2,548,345EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$221,633ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,849,911CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,155,595CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,192,755CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,131,989CurrentTaxYearMinus1YearAmt
Current Tax Year$2,688,940CurrentTaxYearAmt
Total$12,019,190TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,849,911CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,155,595CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,192,755CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,131,989CurrentTaxYearMinus1YearAmt
Current Tax Year$2,688,940CurrentTaxYearAmt
Total$12,019,190TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$12,019,190PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,376CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,082CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,023CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,112CurrentTaxYearMinus1YearAmt
Current Tax Year$1,107CurrentTaxYearAmt
Total$5,700TotalAmt
FieldValueIRS element (for citing)
Total Support$12,024,890TotalSupportAmt
Gross Receipts Rltd Activities$25,520,689GrossReceiptsRltdActivitiesAmt
Public Support CY1700.99950PublicSupportCY170Pct
Public Support PY1700.99960PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$342,537OtherCostOrOtherBasisAmt
Depreciation$134,718DepreciationAmt
Book Value$207,819BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$846,088OtherCostOrOtherBasisAmt
Depreciation$674,123DepreciationAmt
Book Value$171,965BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$177,213OtherCostOrOtherBasisAmt
Book Value$177,213BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$556,997TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescREFUNDABLE ADVANCES AND AMOUNTS DUE TO FUNDING SOURCESDesc
Amt$826,647Amt
FieldValueIRS element (for citing)
Total Liability$826,647TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION BELIEVES IT IS NO LONGER SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES FOR YEARS PRIOR TO 2011.ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonSTEVEN RUBINSTEINPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionMEMBER OF BOARD OF DIRECTORS OF MID-ERIE, PARTNER OF DAMON & MOREY LAW FIRMRelationshipDescriptionTxt
Transaction$66,592TransactionAmt
TransactionMID-ERIE UTILIZES DAMON & MOREY AS THEIR PRINCIPAL LEGAL COUNCIL.TransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11THE IRS FORM 990 IS REVIEWED IN DETAIL BY THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS. THE FINANCE COMMITTEE THEN REPORTS TO THE FOLLOWING DIRECTORS MEETING WHERE A COPY IS AVAILABLE FOR INSPECTION. IF NO MEETING IS SCHEDULED BETWEEN THE PREPARATION DATE AND THE DUE DATE, THE COMPLETE FORM IS DISTRIBUTED THROUGH EMAIL TO ALL DIRECTORS FOR COMMENT.
FORM 990, PART VI, SECTION B, LINE 12CCONFLICT OF INTEREST DISCLOSURES ARE SIGNED ANNUALLY BY ALL DIRECTORS AS WELL AS NEW MEMBERS JOINING THE BOARD DURING INTERIM PERIODS. THIS PROCEDURE IS A REGULAR AGENDA ITEM AT THE ANNUAL MEETING.
FORM 990, PART VI, SECTION B, LINE 15THE CEO'S COMPENSATION IS COMPARED TO OTHER LOCAL ORGANIZATIONS, SCALED FOR APPROPRIATE SIZE, AND ADJUSTED ACCORDING TO PERFORMANCE REVIEWS. ALL OTHER EMPLOYEE SALARIES ARE AT THE DISCRETION OF THE EXECUTIVE DIRECTOR.
FORM 990, PART VI, SECTION C, LINE 19DOCUMENTS ARE MADE AVAILABLE FOR INSPECTIONS AT THE ADMINISTRATIVE OFFICES. COPIES CAN BE OBTAINED AT THE REQUESTING PARTY'S EXPENSE.
FORM 990, PART XII, LINE 2C:THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1MID-ERIE FOUNDATION INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11520 WALDEN AVENUEAddressLine1Txt
CityCHEEKTOWAGACityNm
State AbbreviationNYStateAbbreviationCd
ZIP14225ZIPCd
FieldValueIRS element (for citing)
EIN161578172EIN
Primary ActivitiesTO SUPPORT THE PROGRAMS OF MID-ERIE MENTAL HEALTH SERVICES, INC.PrimaryActivitiesTxt
Legal Domicile StateNYLegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity Status11 TYPE IIPublicCharityStatusTxt
Direct Controlling NAN/ADirectControllingNACd
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

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