ASSOCIATION FOR MENTAL HEALTH AND WELLNESS INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization: ASSOCIATION FOR MENTAL HEALTH AND WELLNESS INC (EIN 11-3012392)
Tax period: 2013-01-01 to 2013-12-31
Filed: 2014-11-07
IRS object ID: 201403119349300145
Schema version: 2013v3.0
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule G
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2014-11-07T10:51:34-06:00	ReturnTs
Tax Period End	2013-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	113066459	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	CERINI AND ASSOCIATES LLP	BusinessNameLine1

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	3340 VETERANS MEMORIAL HIGHWAY	AddressLine1
City	BOHEMIA	City
State	NY	State
ZIP Code	11716	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2013-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	113012392	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CLUBHOUSE OF SUFFOLK INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Business Name Control	CLUB	BusinessNameControlTxt
Phone	6314717242	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 373	AddressLine1
City	RONKONKOMA	City
State	NY	State
ZIP Code	11779	ZIPCode

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	MICHAEL STOLTZ LCSW	PersonNm
Person Title	CEO	PersonTitleTxt
Phone	6314717242	PhoneNum
Signature	2014-10-31	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	MATTHEW BURKE	PreparerPersonNm
PTIN	P00760659	PTIN
Phone	6315821600	PhoneNum
Preparation	2014-10-31	PreparationDt

Field	Value	IRS element (for citing)
Tax	2013	TaxYr
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 373	AddressLine1
City	RONKONKOMA	City
State	NY	State
ZIP Code	11779	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	$7,740,132	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.CLUBHOUSEOFSUFFOLK.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1990	FormationYr
Legal Domicile State	NY	LegalDomicileStateCd
Activity Or Mission	TO PROVIDE PSYCHOSOCIAL AND VOCATIONAL REHABILITATION TO PERSONS WITH PSYCHIATRIC ILLNESSES.	ActivityOrMissionDesc
Voting Members Governing Body	19	VotingMembersGoverningBodyCnt
Voting Members Independent	19	VotingMembersIndependentCnt
Total Employee	153	TotalEmployeeCnt
Total Volunteers	0	TotalVolunteersCnt
Total Gross UBI	$9,900	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$2,964	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$150,361	PYContributionsGrantsAmt
CY Contributions Grants	$1,167,246	CYContributionsGrantsAmt
PY Program Service Revenue	$5,620,260	PYProgramServiceRevenueAmt
CY Program Service Revenue	$6,287,104	CYProgramServiceRevenueAmt
PY Investment Income	$69	PYInvestmentIncomeAmt
CY Investment Income	$30	CYInvestmentIncomeAmt
PY Other Revenue	$197,771	PYOtherRevenueAmt
CY Other Revenue	$279,335	CYOtherRevenueAmt
PY Total Revenue	$5,968,461	PYTotalRevenueAmt
CY Total Revenue	$7,733,715	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$4,345,777	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$5,267,195	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$1,840,447	PYOtherExpensesAmt
CY Other Expenses	$2,251,283	CYOtherExpensesAmt
PY Total Expenses	$6,186,224	PYTotalExpensesAmt
CY Total Expenses	$7,518,478	CYTotalExpensesAmt
PY Revenues Less Expenses	-$217,763	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$215,237	CYRevenuesLessExpensesAmt
Total Assets BOY	$5,802,576	TotalAssetsBOYAmt
Total Assets EOY	$5,992,366	TotalAssetsEOYAmt
Total Liabilities BOY	$3,830,741	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$3,805,294	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$1,971,835	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$2,187,072	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO ASSIST PEOPLE WHOSE LIVES ARE AFFECTED BY SERIOUS MENTAL ILLNESSES TO LEAD HEALTHY, PRODUCTIVE AND SATISFYING ROLES AND LIFESTYLES. CLUBHOUSE OF SUFFOLK'S SERVICES AND PROGRAMS SHARE A BELIEF IN THE POTENTIAL AND PRODUCTIVITY OF ALL PEOPLE IN RECOVERY.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$3,069,801	ExpenseAmt
Revenue	$3,608,135	RevenueAmt
Desc	PERSONALIZED RECOVERY ORIENTED SERVICES: INDIVIDUAL, GROUP, AND CLASSROOM EXPERIENCES GEARED TO HELP PARTICIPANTS IDENTIFY AND ACHIEVE PERSONAL GOALS AND VALUED LIFE ROLES WHILE IMPROVING ONE'S MANAGEMENT OF THE IMPACT, EFFECTS, AND CHALLENGES OF PSYCHIATRIC DISABILITY.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$1,831,697	ExpenseAmt
Revenue	$2,199,889	RevenueAmt
Desc	SUPPORTIVE CASE/CARE MANAGEMENT: INDIVIDUALIZED, GOAL-DIRECTED CASEWORK SERVICES TO HELP PEOPLE NEGOTIATE THE MAZE OF GOVERNMENT AND PRIVATE RESOURCES IN ORDER TO OBTAIN CRITICAL SERVICES INCLUDING TREATMENT, PUBLIC ENTITLEMENT PROGRAM BENEFITS, MEDICAL CARE, HOUSING, FINANCIAL ASSISTANCE AND SPECIALIZED SERVICES.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$368,552	ExpenseAmt
Revenue	$413,452	RevenueAmt
Desc	SUPPORTED HOUSING PROGRAM: OWNS HOUSES OR LEASES APARTMENTS NECESSARY TO HOUSE 23 PEOPLE WITH PSYCHIATRIC DISABILTIES. RESIDENTS WILL HAVE THEIR OWN BEDROOMS IN EACH OF THESE SITES AND SHARE THE DWELLING WITH ONE OR TWO OTHER PROGRAM PARTICIPANTS.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$1,123,310	ExpenseAmt
Revenue	$231,845	RevenueAmt
Desc	CLUBHOUSE OF SUFFOLK IS A PRIVATE, NOT-FOR-PROFIT PSYCHIATRIC REHABILITATION AGENCY THAT SEEKS TO INCREASE THE RANGE OF OPPORTUNITIES FOR WORKING, LEARNING, AND SOCIALIZING FOR PEOPLE WHOSE LIVES HAVE BEEN DISRUPTED BY SERIOUS FORMS OF MENTAL ILLNESS THROUGH ITS VARIOUS PROGRAMS. OTHER PROGRAMS INCLUDE PSYCHOSOCIAL SERVICES, THE ADULT HOME INITIATIVE, AND SMOKING CESSATION.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$1,123,310	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue	$231,845	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$6,393,360	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	0	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (1)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	Yes (1)	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	0	OperateHospitalInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	0	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	22	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	153	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	19	GoverningBodyVotingMembersCnt
Independent Voting Member	19	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	NY	StatesWhereCopyOfReturnIsFldCd
Other Website	Yes (X)	OtherWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	KIM KOSTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Phone	6314717242	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2127 LAKELAND AVE	AddressLine1
City	RONKONKOMA	City
State	NY	State
ZIP Code	11779	ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt
DAVIS POLLACK DDS
MEMBER	1.00	Yes (X)	Yes (X)	$0	$0	$0
KRISTIE GOLDEN
FIRST VICE PRESIDENT	1.00	Yes (X)	Yes (X)	$0	$0	$0
CYNTHIA MASON MS
PRESIDENT	1.00	Yes (X)	Yes (X)	$0	$0	$0
ROSEMARY SPECIALE BS
TREASURER	1.00	Yes (X)	Yes (X)	$0	$0	$0
EMILY SUSSMAN
MEMBER	1.00	Yes (X)		$0	$0	$0
ROBERT DETOR CSW
MEMBER	1.00	Yes (X)		$0	$0	$0
LOIS LOGAN
MEMBER	1.00	Yes (X)		$0	$0	$0
HELEN POLLACKCSW
MEMBER	1.00	Yes (X)		$0	$0	$0
ALAN WOLINSKY ESQ
MEMBER	1.00	Yes (X)		$0	$0	$0
ELVIRA LOVAGLIO-DUNCAN
MEMBER	1.00	Yes (X)		$0	$0	$0
ELIZABETH HAUSNER
MEMBER	1.00	Yes (X)		$0	$0	$0
JOSEPH CANTWELL
MEMBER	1.00	Yes (X)		$0	$0	$0
DR FRANK DOWLING
GUEST MEMBER	1.00	Yes (X)		$0	$0	$0
SHARON GARCIA
MEMBER	1.00	Yes (X)		$0	$0	$0
CHRIS PODGUS
MEMBER	1.00	Yes (X)		$0	$0	$0
KEN MITCHKO
MEMBER	1.00	Yes (X)		$0	$0	$0
WSCOTT BRADLEY
MEMBER	1.00	Yes (X)		$0	$0	$0
JOHN LYNCH
GUEST MEMBER	1.00	Yes (X)		$0	$0	$0
VIRGINIA CAVOTTA
SECRETARY	1.00	Yes (X)	Yes (X)	$0	$0	$0
MARNI ERCHLICH
MEMBER	1.00	Yes (X)		$0	$0	$0
JAMES MULIN
MEMBER	1.00	Yes (X)		$0	$0	$0
MICHAEL STOLTZ CSW
EXECUTIVE DIRECTOR	32.00		Yes (X)	$131,538	$0	$3,863	8.00
KIM KOSTER
CONTROLLER	28.00		Yes (X)	$105,231	$0	$3,091	12.00

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$236,769	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$6,954	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	2	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	0	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	LONG ISLAND BEHAVIORAL MEDICINE PC	BusinessNameLine1

Contractor Address ContractorAddress

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	515 ROUTE 111 SUITE 3B	AddressLine1
City	HAUPPAUGE	City
State	NY	State
ZIP Code	11788	ZIPCode

Field	Value	IRS element (for citing)
Services	MEDICAL	ServicesDesc
Compensation	$132,720	CompensationAmt

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	1	CntrctRcvdGreaterThan100KCnt
Fundraising	$12,869	FundraisingAmt
Government Grants	$1,019,202	GovernmentGrantsAmt
All Other Contributions	$135,175	AllOtherContributionsAmt
Total Contributions	$1,167,246	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PERSONALIZED RECOVERY	624100	$3,608,135	$3,608,135
CASE AND CARE MANAGEME	624100	$2,199,889	$2,199,889
SUPPORTED HOUSING SERV	624100	$413,452	$413,452
OTHER PROGRAMS	624100	$65,628	$65,628

Field	Value	IRS element (for citing)
Total Program Service Revenue	$6,287,104	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$30	TotalRevenueColumnAmt
Exclusion	$30	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$9,900	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$9,900	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$9,900	TotalRevenueColumnAmt
Unrelated Business Revenue	$9,900	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$13,840	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$12,869	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$6,417	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,423	TotalRevenueColumnAmt
Exclusion	$7,423	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MANAGEMENT SERVICES	900099	$131,235	$131,235
OTHER REVENUE	900099	$130,777	$130,777

Field	Value	IRS element (for citing)
Other Revenue Total	$262,012	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,733,715	TotalRevenueColumnAmt
Related Or Exempt Func Income	$6,549,116	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$9,900	UnrelatedBusinessRevenueAmt
Exclusion	$7,453	ExclusionAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$227,762	TotalAmt
Program Services	$1,400	ProgramServicesAmt
Management And General	$226,362	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$3,974,949	TotalAmt
Program Services	$3,576,318	ProgramServicesAmt
Management And General	$398,631	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$160,154	TotalAmt
Program Services	$129,397	ProgramServicesAmt
Management And General	$30,757	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$458,993	TotalAmt
Program Services	$363,430	ProgramServicesAmt
Management And General	$95,563	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$445,337	TotalAmt
Program Services	$381,202	ProgramServicesAmt
Management And General	$64,135	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$114,840	TotalAmt
Program Services	$94,962	ProgramServicesAmt
Management And General	$19,878	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$368,641	TotalAmt
Program Services	$327,691	ProgramServicesAmt
Management And General	$40,950	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$26,704	TotalAmt
Program Services	$23,057	ProgramServicesAmt
Management And General	$3,647	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$37,137	TotalAmt
Program Services	$37,137	ProgramServicesAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$67,302	TotalAmt
Program Services	$56,559	ProgramServicesAmt
Management And General	$10,743	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$147,920	TotalAmt
Program Services	$121,606	ProgramServicesAmt
Management And General	$26,314	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$74,690	TotalAmt
Program Services	$57,406	ProgramServicesAmt
Management And General	$17,284	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
OUTSIDE SERVICES	$648,961	$599,109	$49,852
SUPPLIES AND EDUCATION	$224,933	$211,073	$13,860
REPAIRS AND MAINTENANCE	$114,111	$108,936	$5,175
SERVICE DOLLARS	$113,230	$113,230

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$312,814	TotalAmt
Program Services	$190,847	ProgramServicesAmt
Management And General	$121,967	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$7,518,478	TotalAmt
Program Services	$6,393,360	ProgramServicesAmt
Management And General	$1,125,118	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$57,178	BOYAmt
EOY	$82,184	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$343	BOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$1,617,161	BOYAmt
EOY	$1,822,635	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$219,071	BOYAmt
EOY	$80,536	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$5,213,193	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$1,445,442	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$3,839,881	BOYAmt
EOY	$3,767,751	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$68,942	BOYAmt
EOY	$239,260	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$5,802,576	BOYAmt
EOY	$5,992,366	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$954,543	BOYAmt
EOY	$856,924	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$924,586	BOYAmt
EOY	$1,143,335	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$1,664,058	BOYAmt
EOY	$1,436,134	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$287,554	BOYAmt
EOY	$368,901	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$3,830,741	BOYAmt
EOY	$3,805,294	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,971,290	BOYAmt
EOY	$2,186,017	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$545	BOYAmt
EOY	$1,055	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,971,835	BOYAmt
EOY	$2,187,072	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$5,802,576	BOYAmt
EOY	$5,992,366	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$215,237	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

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	$8,690	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$24,752	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$52,261	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$160,612	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,167,246	CurrentTaxYearAmt
Total	$1,413,561	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$8,690	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$24,752	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$52,261	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$160,612	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,167,246	CurrentTaxYearAmt
Total	$1,413,561	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total170	$1,413,561	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,162	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$588	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$196	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$69	CurrentTaxYearMinus1YearAmt
Current Tax Year	$30	CurrentTaxYearAmt
Total	$2,045	TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$25,415	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$20,593	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$18,078	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$13,200	CurrentTaxYearMinus1YearAmt
Current Tax Year	$9,900	CurrentTaxYearAmt
Total	$87,186	TotalAmt

Other Income170 OtherIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$6,604	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$27,804	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$60,122	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$174,320	CurrentTaxYearMinus1YearAmt
Current Tax Year	$262,012	CurrentTaxYearAmt
Total	$530,862	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$2,033,654	TotalSupportAmt
Gross Receipts Rltd Activities	$28,640,993	GrossReceiptsRltdActivitiesAmt
Public Support CY170	0.69510	PublicSupportCY170Pct
Public Support PY170	0.44560	PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170	Yes (X)	ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$965,000	OtherCostOrOtherBasisAmt
Book Value	$965,000	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,490,441	OtherCostOrOtherBasisAmt
Depreciation	$933,453	DepreciationAmt
Book Value	$2,556,988	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$535,687	OtherCostOrOtherBasisAmt
Depreciation	$340,280	DepreciationAmt
Book Value	$195,407	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$222,065	OtherCostOrOtherBasisAmt
Depreciation	$171,709	DepreciationAmt
Book Value	$50,356	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$3,767,751	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
LINE OF CREDIT	$278,500
CAPITAL LEASE OBLIGATION	$61,029
DUE TO AFFILIATE	$29,372

Field	Value	IRS element (for citing)
Total Liability	$368,901	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$7,733,715	TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported	$0	RevenueNotReportedAmt
Revenue Subtotal	$7,733,715	RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$7,733,715	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$7,518,478	TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$7,518,478	ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$7,518,478	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART X, LINE 2:	FormAndLineReferenceDesc
Explanation	CLUBHOUSE OF SUFFOLK, INC. BELIEVES THAT TAX FILING POSITIONS WILL BE SUSTAINED UPON EXAMINATION AND DOES NOT ANTICIPATE ANY ADJUSTMENTS THAT WOULD RESULT IN A MATERIAL ADVERSE AFFECT ON THE CLUBHOUSE'S FINANCIAL CONDITION, RESULTS OF OPERATIONS, OR CASH FLOWS. ACCORDINGLY, CLUBHOUSE OF SUFFOLK, INC. HAS NOT RECORDED ANY RESERVES, OR RELATED ACCRUALS FOR INTEREST AND PENALTIES FOR UNCERTAIN TAX POSITIONS AT DECEMBER 31, 2013 AND 2012.	ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Name Of Event1	MENTAL ILLNESS AWARENESS DAY	NameOfEvent1Amt
Gross Receipts Event1	$16,510	GrossReceiptsEvent1Amt
Charitable Contri Event1	$12,504	CharitableContriEvent1Amt
Gross Revenue Event1	$4,006	GrossRevenueEvent1Amt
Other Direct Expenses Event1	$4,006	OtherDirectExpensesEvent1Amt
Name Of Event2	CHILI COOK OFF	NameOfEvent2Amt
Gross Receipts Event2	$10,199	GrossReceiptsEvent2Amt
Charitable Contri Event2	$365	CharitableContriEvent2Amt
Gross Revenue Event2	$9,834	GrossRevenueEvent2Amt
Non Cash Prizes Event2	$534	NonCashPrizesEvent2Amt
Food And Beverage Event2	$477	FoodAndBeverageEvent2Amt
Entertainment Event2	$199	EntertainmentEvent2Amt
Other Direct Expenses Event2	$1,201	OtherDirectExpensesEvent2Amt
Gross Receipts Total	$26,709	GrossReceiptsTotalAmt
Charitable Contributions Tot	$12,869	CharitableContributionsTotAmt
Gross Revenue Total Events	$13,840	GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events	$534	NonCashPrizesTotalEventsAmt
Food And Beverage Total Events	$477	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$199	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$5,207	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$6,417	DirectExpenseSummaryEventsAmt
Net Income Summary	$7,423	NetIncomeSummaryAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2	THE PRESIDENT OF THE BOARD OF DIRECTORS, DAVID POLLACK, IS MARRIED TO A MEMBER OF THE BOARD, HELEN POLLACK.
FORM 990, PART VI, SECTION B, LINE 11	THE ORGANIZATION WILL DISTRIBUTE THE DRAFT OF FORM 990 TO THE BOARD FOR ITS REVIEW AND APPROVAL. BOARD MEMBERS WILL RESPOND BACK WITH ANY QUESTIONS OR COMMENTS WHICH WILL THEN BE CONSIDERED IN THE FINAL, FILED COPY.
FORM 990, PART VI, SECTION B, LINE 12C	THE ORGANIZATION DISTRIBUTES THE CONFLICT OF INTEREST POLICIES ANNUALLY, TO THE BOARD OF DIRECTORS AND KEY EMPLOYEES.
FORM 990, PART VI, SECTION B, LINE 15	THE PERSONNEL POLICIES COMMITTEE SHALL BE RESPONSIBLE FOR THE FORMULATION AND REVISION OF ALL POLICIES AND PROCEDURES RELATIVE TO THE CORPORATION'S EMPLOYMENT PRACTICES. THESE SHALL INCLUDE, BUT ARE NOT LIMITED TO ISSUES OF COMPENSATION, WAGES, AND INCREMENTS; FRINGE BENEFITS; ALL FORMS OF EMPLOYEE LEAVES; HIRING AND DISCHARGE; TO ENSURE COMPLIANCE WITH EXISTING STATUTES AND REGULATIONS. THE COMPENSATION PACKAGE FOR THE EXECUTIVE DIRECTOR IS REVIEWED, SET, AND APPROVED BY AN EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. THE COMMITTEE UTILIZES PUBLISH SALARY REPORTS/SURVEYS OF COMPARABLE SIZED NON-PROFIT AGENCIES AS A BASIS FOR THE COMPENSATION PACKAGE.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE ALL AVAILABLE UPON REQUEST AT THE ORGANIZATION'S OFFICE DURING BUSINESS HOURS.
FORM 990, PART XII, LINE 2C	THE FINANCE COMMITTEE IS RESPONSIBLE FOR THE REVIEW OF THE AUDITED FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd
CLUBHOUSE COLLECTIVE INC
939 JOHNSON AVE	RONKONKOMA	NY	11779	061698368	TO HOLD REAL PROPERTY FOR USE IN THE CLUBHOUSE OF SUFFOLK'S PROGRAMS	NY	501(C)(3)	LINE 7	N/A	0
SUFFOLK COUNTY UNITED VETERANS HALFWAY HOUSE PROJECT INC
PO BOX 1045	RIVERHEAD	NY	11901	113025901	TO ASSIST HOMELESS VETERANS REGAIN THEIR DIGNITY AND INDEPENDENCE	NY	501(C)(3)	LINE 9	N/A	0
MENTAL HEALTH ASSOCIATION IN SUFFOLK COUNTY INC
2000 ARCTIC AVE	BOHEMIA	NY	11716	111949966	PROVIDE SERVICES RELATING TO MENTAL HEALTH CONCERNS	NY	501(C)(3)	LINE 9	N/A	0

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	0	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (6 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
CLUBHOUSE COLLECTIVE INC
K	$112,131	DIRECT COST
SUFFOLK COUNTY UNITED VETERANS HALFWAY HOUSE PROJECT INC
L	$97,235	DIRECT COST
SUFFOLK COUNTY UNITED VETERANS HALFWAY HOUSE PROJECT INC
B	$161,775	DIRECT COST
SUFFOLK COUNTY UNITED VETERANS HALFWAY HOUSE PROJECT INC
Q	$9,900	DIRECT COST
MENTAL HEALTH ASSOCIATION IN SUFFOLK COUNTY INC
L	$34,000	DIRECT COST
MENTAL HEALTH ASSOCIATION IN SUFFOLK COUNTY INC
B	$11,783	DIRECT COST