NORTH CENTRAL MENTAL HEALTH SERVICES: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- NORTH CENTRAL MENTAL HEALTH SERVICES (EIN 31-0847283)
- Tax period
- 2012-07-01 to 2013-06-30
- Filed
- 2014-05-15
- IRS object ID
- 201401359349301245
- Schema version
- 2012v2.2
- 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) |
|---|---|---|
| Timestamp | 2014-05-15T09:41:16-00:00 | Timestamp |
| Tax Period End Date | 2013-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Parms and Company LLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 585 S Front St Ste 220 | AddressLine1 |
| City | Columbus | City |
| State | OH | State |
| ZIP Code | 43215 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 310847283 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | North Central Mental Health Services | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | NORT | NameControl |
| Phone | 6142996600 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1301 N High Street | AddressLine1 |
| City | Columbus | City |
| State | OH | State |
| ZIP Code | 43201 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Joseph Niedzwiedski | Name |
| Title | Chief Financial Officer | Title |
| Phone | 6142996600 | Phone |
| Date Signed | 2014-05-15 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Theodore W Johnson CPA | Name |
| Phone | 6142243078 | Phone |
| Date Prepared | 2014-05-15 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Joseph Niedzwiedski | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1301 N High St | AddressLine1 |
| City | Columbus | City |
| State | OH | State |
| ZIP Code | 43201 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 14088552 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.ncmhs.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1973 | YearFormation |
| State Legal Domicile | OH | StateLegalDomicile |
| Activity Or Mission Description | To provide mental health services. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 12 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 12 | NbrIndependentVotingMembers |
| Total Nbr Employees | 236 | TotalNbrEmployees |
| Total Nbr Volunteers | 100 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 3442353 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 3026325 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 11053432 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 10707464 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 45657 | InvestmentIncomePriorYear |
| Investment Income Current Year | 34387 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 462289 | OtherRevenuePriorYear |
| Other Revenue Current Year | 320376 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 15003731 | TotalRevenuePriorYear |
| Total Revenue Current Year | 14088552 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 10852743 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 10615276 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 3266859 | OtherExpensePriorYear |
| Other Expenses Current Year | 3279810 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 14119602 | TotalExpensesPriorYear |
| Total Expenses Current Year | 13895086 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 884129 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 193466 | RevenuesLessExpensesCY |
| Total Assets BOY | 13904941 | TotalAssetsBOY |
| Total Assets EOY | 13482810 | TotalAssetsEOY |
| Total Liabilities BOY | 3770105 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 3140746 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 10134836 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 10342064 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | To provide mental health services. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 6473400 | Expense |
| Description | Counseling, medical and community support. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 2187599 | Expense |
| Description | Residential/transitional services. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 3366953 | Expense |
| Description | Medical services. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 401963 | TotalOfOtherProgramServiceExp |
| Total Program Service Expense | 12429915 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | true | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | true | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | false | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | false | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 114 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 236 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Excess Business Holdings | false | ExcessBusinessHoldings |
| Taxable Distributions | false | TaxableDistributions |
| Distribution To Donor | false | DistributionToDonor |
| Licensed More Than One State | false | LicensedMoreThanOneState |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 12 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 12 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | OH | StatesWhereCopyOfReturnIsFiled |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | Joseph Niedzwiedski CFO | NamePerson |
| Telephone Number | 6142996600 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1301 N High St | AddressLine1 |
| City | Columbus | City |
| State | OH | State |
| ZIP Code | 43201 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (22 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| Melinda Blakie | ||||||||
| Board Member | 001.00 | X | 0 | 0 | 0 | |||
| Jeanne Clement | ||||||||
| Board Member | 001.00 | X | 0 | 0 | 0 | |||
| David Fais | ||||||||
| Board Member | 001.00 | X | 0 | 0 | 0 | |||
| Gilbert Greene | ||||||||
| Board Member | 001.00 | X | 0 | 0 | 0 | |||
| Melvin Harris | ||||||||
| Board Member | 001.00 | X | 0 | 0 | 0 | |||
| John Krimm | ||||||||
| Board Member | 001.00 | X | 0 | 0 | 0 | |||
| Marcee McCreary | ||||||||
| Board Member | 001.00 | X | 0 | 0 | 0 | |||
| Michael O'Grady | ||||||||
| Board Member | 001.00 | X | 0 | 0 | 0 | |||
| Aron Ross | ||||||||
| Board Member | 001.00 | X | 0 | 0 | 0 | |||
| Charles Schneider | ||||||||
| Board Member | 001.00 | X | 0 | 0 | 0 | |||
| Philip Tieman | ||||||||
| Board Member | 001.00 | X | 0 | 0 | 0 | |||
| Greta Winbush | ||||||||
| Board Member | 001.00 | X | 0 | 0 | 0 | |||
| Donald R Wood | ||||||||
| Pres/CEO | 040.00 | 273406 | 0 | 0 | X | |||
| Joseph J Niedzwiedski | ||||||||
| CFO | 040.00 | 182988 | 0 | 0 | X | |||
| Robert M Loar | ||||||||
| Assoc Dir of Oper Supp | 040.00 | 152290 | 0 | 0 | X | |||
| Prasad K Potaraju | ||||||||
| Med Dir | 040.00 | 132331 | 0 | 0 | X | |||
| Daniel P Bridgeo | ||||||||
| Comm Serv Dir | 040.00 | 107067 | 0 | 0 | X | |||
| William R Silliman | ||||||||
| Clinical Dir | 040.00 | 174683 | 0 | 0 | X | |||
| Radhika Gollapudy | ||||||||
| Employee | 040.00 | 215748 | 0 | 0 | X | |||
| Bela Agabalyan | ||||||||
| Employee | 040.00 | 212365 | 0 | 0 | X | |||
| Stephen Busch | ||||||||
| Employee | 040.00 | 103921 | 0 | 0 | X | |||
| Ajay Bhatia | ||||||||
| Employee | 040.00 | 156142 | 0 | 0 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1710941 | TotalReportableCompFromOrg |
| Number Individuals GT100 K | 9 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (4 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Sharda Bobba | |||||
| 4849 Aberdeen Avenue | Dublin | OH | 43016 | Contract doctor | 179500 |
| McCormick & Reinmuth Ins | |||||
| PO Box 660 | Worthington | OH | 43085 | Insurance | 164509 |
| Allied Barton Security | |||||
| PO Box 828854 | Philadelphia | PA | 19182 | Security Guard Svc | 158493 |
| Procomp Software Consultants | |||||
| 555 Cincinnati-Batavia Pike | Cincinnati | OH | 45224 | Software Consultants | 185580 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 4 | NumberOfContractorsGT100K |
| All Other Contributions | 3026325 | AllOtherContributions |
| Total Contributions | 3026325 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Total Revenue ColumnTotalRevenueColumn |
|---|---|
| Client insurance fees | 151942 |
| ADAMH | 1922867 |
| Title XIX | 8632655 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 10707464 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 34387 | TotalRevenueColumn |
| Related Or Exempt Function Income | 34387 | RelatedOrExemptFunctionIncome |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 228953 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 228953 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 228953 | TotalRevenueColumn |
| Related Or Exempt Function Income | 228953 | RelatedOrExemptFunctionIncome |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Other Income | Description |
| Total Revenue Column | 91423 | TotalRevenueColumn |
| Related Or Exempt Function Income | 91423 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 91423 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 14088552 | TotalRevenueColumn |
| Related Or Exempt Function Income | 354763 | RelatedOrExemptFunctionIncome |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1710941 | Total |
| Program Services | 1553192 | ProgramServices |
| Management And General | 157749 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8904335 | Total |
| Program Services | 7974339 | ProgramServices |
| Management And General | 929996 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fees For Services Prof Fundraising | FeesForServicesProfFundraising |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 800690 | Total |
| Program Services | 750840 | ProgramServices |
| Management And General | 49850 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 275207 | Total |
| Program Services | 242462 | ProgramServices |
| Management And General | 32745 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 390563 | Total |
| Program Services | 361143 | ProgramServices |
| Management And General | 29420 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 597565 | Total |
| Program Services | 563370 | ProgramServices |
| Management And General | 34195 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 249848 | Total |
| Program Services | 212286 | ProgramServices |
| Management And General | 37562 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Operating Supplies | 138315 | 134105 | 4210 |
| Operating Expenses | 636917 | 502650 | 134267 |
| Equipment and Improvements | 178898 | 135528 | 43370 |
| Other Expenses | 11807 | 11807 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13895086 | Total |
| Program Services | 12429915 | ProgramServices |
| Management And General | 1465171 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7465447 | BOY |
| EOY | 6213989 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 921448 | BOY |
| EOY | 1882239 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1386973 | BOY |
| EOY | 1518319 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 269916 | BOY |
| EOY | 132658 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 8442559 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 4706954 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3861157 | BOY |
| EOY | 3735605 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13904941 | BOY |
| EOY | 13482810 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2120791 | BOY |
| EOY | 1769188 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 40669 | BOY |
| EOY | 1318 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1608645 | BOY |
| EOY | 1370240 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3770105 | BOY |
| EOY | 3140746 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10134836 | BOY |
| EOY | 10342064 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10134836 | BOY |
| EOY | 10342064 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13904941 | BOY |
| EOY | 13482810 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 193466 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 13762 | ReconciliationUnrealizedInvest |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 13255967 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 14171394 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 14234825 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 14495785 | CurrentTaxYearMinus1Year |
| Current Tax Year | 13733789 | CurrentTaxYear |
| Total | 69891760 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 13255967 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 14171394 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 14234825 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 14495785 | CurrentTaxYearMinus1Year |
| Current Tax Year | 13733789 | CurrentTaxYear |
| Total | 69891760 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 69891760 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 49577 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 156373 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 98699 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 45657 | CurrentTaxYearMinus1Year |
| Current Tax Year | 34387 | CurrentTaxYear |
| Total | 384693 | Total |
Other Income170 OtherIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 443890 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 382839 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 343456 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 462289 | CurrentTaxYearMinus1Year |
| Current Tax Year | 320376 | CurrentTaxYear |
| Total | 1952850 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 72229303 | TotalSupport |
| Public Support Pertcentage170 | 0.96760 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.96570 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
| Public Support Percentage509 | 0.00000 | PublicSupportPercentage509 |
| Investment Income Percentage | 0.00000 | InvestmentIncomePercentage |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | true | AgentTrusteeEtc |
| Beginning Balance | 198920 | BeginningBalance |
| Additions During Year | 1896636 | AdditionsDuringYear |
| Distributions During Year | 1907236 | DistributionsDuringYear |
| Ending Balance | 188320 | EndingBalance |
| Included On FS | false | IncludedOnFS |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 271873 | OtherCostOrOtherBasis |
| Book Value | 271873 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 6724443 | OtherCostOrOtherBasis |
| Depreciation | 3446884 | Depreciation |
| Book Value | 3277559 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 958185 | OtherCostOrOtherBasis |
| Depreciation | 928918 | Depreciation |
| Book Value | 29267 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 488058 | OtherCostOrOtherBasis |
| Depreciation | 331152 | Depreciation |
| Book Value | 156906 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 3735605 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities (2 entries)
| DescriptionDescription |
|---|
| Financial derivatives and other financial products |
| Closely-held equity interests |
Other Liabilities OtherLiabilities (5 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Federal income taxes | |
| Advanced from State of Ohio-Current | $83,706 |
| Other Liabilities | $256,403 |
| Medicaid Payback | $100,000 |
| Advances-Non Current | $930,131 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 1370240 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 14102314 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 13762 | NetUnrealizedGainsInvestments |
| Revenue Not Rptd F990 | 13762 | RevenueNotRptdF990 |
| Revenue Subtotal | 14088552 | RevenueSubtotal |
| Total Revenue Per Form990 | 14088552 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 13895086 | TotExpensesEtcAuditedFinclStmt |
| Expenses Subtotal | 13895086 | ExpensesSubtotal |
| Total Expenses Per Form990 | 13895086 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| X | 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 likely 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 2012 based on filed Forms 990. |
| IV | 1b | North Central is an Organizational Representative 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. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | X | WrittenEmploymentContract |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
| Rebuttable Presumption Procedure | false | RebuttablePresumptionProcedure |
Form990 Schedule J Part II Form990ScheduleJPartII (7 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Other Compensation Filing OrgOtherCompensationFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg |
|---|---|---|---|---|
| Donald R Wood | ||||
| Pres/CEO | 238442 | 34964 | 16257 | 289663 |
| Joseph J Niedzwiedski | ||||
| CFO | 179989 | 2999 | 29901 | 212889 |
| Robert M Loar | ||||
| Assoc Dir of Oper Supp | 146443 | 5847 | 21435 | 173725 |
| William R Silliman | ||||
| Clinical Dir | 171908 | 2775 | 23328 | 198011 |
| Radhika Gollapudy | ||||
| Employee | 215748 | 24739 | 240487 | |
| Bela Agabalyan | ||||
| Employee | 212365 | 24151 | 236516 | |
| Ajay Bhatia | ||||
| Employee | 156142 | 9193 | 165335 | |
Schedule M IRS990ScheduleM
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| ExplanationExplanation |
|---|
| Form 990, Part III, Line 4d Program Service Expenses 165,069, Grants and allocations 0, Revenue 0 IDDT Program |
| Form 990, Part III, Line 4d Program Service Expenses 236,894, Grants and allocations 0, Revenue 0 Suicide Prevention |
| Form 990 Part VI Section B Line 11b E-mail prior to filing and approved at a subsequent board meeting. |
| Form 990 Part VI Section B Line 12c Board members prepare an annual conflict of interest form. |
| Form 990 Part VI Section B Line 15 Reviewed by the board of trustees. The CEO reviews other officers and key employees. |
| Form 990 Part VI Section C Line 19 The agency services plan and budget are filed with the Franklin County ADAMH board and with the Ohio Department of Mental Health and the Ohio Department of Alcohol and Drug Services. |
| Form 990 Part XI Line 5 Unrealized gain loss on investment of 13,762. |
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