TRI-COUNTY MENTAL HEALTH SERVICES INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
TRI-COUNTY MENTAL HEALTH SERVICES INC (EIN 43-1556416)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-01-29
IRS object ID
201410299349300901
Schema version
2012v2.3
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)
Timestamp2014-01-29T08:53:06-06:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11201 Walnut Suite 1700AddressLine1
CityKansas CityCity
StateMOState
ZIP Code641062246ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN431556416EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1TRI-COUNTY MENTAL HEALTH SERVICES INCBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% DONNA DOUTHIT CFOInCareOfName
Name ControlTRI-NameControl
Phone8164680400Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line13100 NE 83RD STREETAddressLine1
Address Line2Suite 1001AddressLine2
CityKANSAS CITYCity
StateMOState
ZIP Code64119ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameTOM PETRIZZOName
TitleCEOTitle
Phone8164680400Phone
Date Signed2014-02-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameMichael J EngleName
Phone8162216300Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonTHOMAS CRANSHAWNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line13100 NE 83RD ST STE 1001AddressLine1
CityKANSAS CITYCity
StateMOState
ZIP Code64119ZIPCode
FieldValueIRS element (for citing)
Gross Receipts14750873GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteTRI-COUNTYMHS.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1990YearFormation
State Legal DomicileMOStateLegalDomicile
Activity Or Mission DescriptionOUR MISSION IS TO PROVIDE PREVENTION AND RECOVERY-ORIENTED MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES WHICH ARE QUALITY ASSURED AND CONSUMER-CENTERED.ActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members15NbrIndependentVotingMembers
Total Nbr Employees104TotalNbrEmployees
Total Nbr Volunteers15TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year622851ContributionsGrantsPriorYear
Contributions Grants Current Year836682ContributionsGrantsCurrentYear
Program Service Revenue Prior Year12938442ProgramServiceRevenuePriorYear
Program Service Revenue CY13068384ProgramServiceRevenueCY
Investment Income Prior Year32840InvestmentIncomePriorYear
Investment Income Current Year99681InvestmentIncomeCurrentYear
Other Revenue Prior Year393635OtherRevenuePriorYear
Other Revenue Current Year218122OtherRevenueCurrentYear
Total Revenue Prior Year13987768TotalRevenuePriorYear
Total Revenue Current Year14222869TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year7022GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY6919GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year4891901SalariesEtcPriorYear
Salaries Etc Current Year5115228SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year9876TotalFundrsngExpCurrentYear
Other Expense Prior Year8883268OtherExpensePriorYear
Other Expenses Current Year8799300OtherExpensesCurrentYear
Total Expenses Prior Year13782191TotalExpensesPriorYear
Total Expenses Current Year13921447TotalExpensesCurrentYear
Revenues Less Expenses Prior Year205577RevenuesLessExpensesPriorYear
Revenues Less Expenses CY301422RevenuesLessExpensesCY
Total Assets BOY9145335TotalAssetsBOY
Total Assets EOY9335136TotalAssetsEOY
Total Liabilities BOY1516406TotalLiabilitiesBOY
Total Liabilities EOY1192798TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY7628929NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY8142338NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionSEE SCHEDULE OMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense4254539Expense
Grants0Grants
Revenue5213724Revenue
DescriptionSEE SCHEDULE ODescription

Activity2 Activity2

FieldValueIRS element (for citing)
Expense2504344Expense
Grants0Grants
Revenue2459860Revenue
DescriptionPSYCHIATRIC SERVICES - TRI-COUNTY OFFERS REGULAR MEDICATION APPOINTMENTS AT 5 SITES IN OUR 3 COUNTY COVERAGE AREA. OVER 4,800 CONSUMERS RECEIVED MEDICATION SERVICES IN FY 2013. PHYSICIAN VISITS IN FY 2013 TOTALED 17,800. AN AVERAGE OF 13% OF ALL MEDICATION SERVICES ARE BEING PROVIDED AT SATELLITE CLINIC LOCATIONS. THE AGENCY ENSURES URGENT MEDICATION VISITS (I.E. PERSONS DISCHARGED FROM THE HOSPITAL) WITHIN 7 DAYS. CRISIS PHYSICIAN APPOINTMENTS ARE AVAILABLE DAILY. MEDICATION SERVICES ARE PROVIDED BY 6 EXPERIENCED PSYCHIATRISTS, AN ADVANCED NURSE PRACTITIONER, AND 6 NURSING STAFF.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense2532803Expense
Grants6919Grants
Revenue2414504Revenue
DescriptionSEE SCHEDULE ODescription
FieldValueIRS element (for citing)
Total Of Other Program Service Exp2461657TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt0TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev2980296TotalOfOtherProgramServiceRev
Total Program Service Expense11753343TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109675NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees104NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members15NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledMOStatesWhereCopyOfReturnIsFiled
Own WebsiteXOwnWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonDONNA DOUTHIT CFONamePerson
Telephone Number8164680400TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13100 NE 83RD STREET STE 1001AddressLine1
CityKANSAS CITYCity
StateMOState
ZIP Code64119ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (21 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
JIM SCHMIDT
BOARD CHAIR1.0XX000
JEANNE PYLAND
BOARD VICE CHAIR1.0XX000
ROSEMARY GRAVES
SECRETARY1.0XX000
BRIAN RICE
TREASURER1.0XX000
ALLEN DILLINGHAM
BOARD MEMBER1.0X000
DR MIKE CRIM
BOARD MEMBER1.0X000
DOUG ERVIN
BOARD MEMBER1.0X000
JO STUEVE
BOARD MEMBER1.0X000
MIKE O'NEAL
BOARD MEMBER1.0X000
GABRIELLE PFEIFER
BOARD MEMBER1.0X000
SARA SEIDEL
BOARD MEMBER1.0X000
DEANNE TOWNSEND
BOARD MEMBER1.0X000
TRACY ZAHND
BOARD MEMBER1.0X000
RALPH REID
BOARD MEMBER1.0X000
KEVIN TRIMBLE
BOARD MEMBER1.0X000
TOM CRANSHAW
CEO40.0X21485108215
JOANN WERNER
ASSOCIATE DIRECTOR40.0X10296705484
DONNA DOUTHIT
CFO40.0X70055016812
DR GRANT PIEPERGERDES
SR PSYCHIATRIST35.0188528030773X
DR ZAFAR MAHMOOD
STAFF PSYCHIATRIST35.019638504043X
DR PARIMAL PUROHIT
STAFF PSYCHIATRIST40.0174179027200X
FieldValueIRS element (for citing)
Total Reportable Comp From Org946965TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation92527TotalOtherCompensation
Number Individuals GT100 K5NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Description Of ServicesDescriptionOfServicesCompensationCompensation
MENTAL HEALTH RESOURCES KANSAS CIT
ADULT COMM SUPPORT1281489
SKYLANDER PSYCH SERV KANSAS CITY
ADULT COMM SUPPORT561165
ADDICTION RECOVERY SERV KANSAS CIT
ADDICTION COUNSELING1189801
WILLOWBROOK KANSAS CITY MO
YOUTH COMM SUPPORT561752
HEARTLAND RESIDENTIAL ST JOSEPH
ADULT COMM SUPPORT562124
FieldValueIRS element (for citing)
Number Of Contractors GT100 K12NumberOfContractorsGT100K
Federated Campaigns55770FederatedCampaigns
Fundraising Events12090FundraisingEvents
Government Grants31854GovernmentGrants
All Other Contributions736968AllOtherContributions
Total Contributions836682TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
DEPARTMENT MENTAL HEALTH62111034776143477614
COUNTY MENTAL HEALTH62111036984383698438
MEDICARE/MEDICAID62111051104545110454
INCOME FROM THIRD PARTY PAYERS621110781878781878
FieldValueIRS element (for citing)
Total Program Service Revenue13068384TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column56828TotalRevenueColumn
Exclusion$56,828ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real27386Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real27386Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column27386TotalRevenueColumn
Exclusion$27,386ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities540092Securities
Other10150Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities507389Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities32703Securities
Other10150Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column42853TotalRevenueColumn
Exclusion$42,853ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events14665GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events12090CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses20615FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-5950TotalRevenueColumn
Exclusion-$5,950ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUSDescription
Business Code900099BusinessCode
Total Revenue Column196686TotalRevenueColumn
Exclusion$196,686ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue196686TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column14222869TotalRevenueColumn
Related Or Exempt Function Income13068384RelatedOrExemptFunctionIncome
Exclusion$317,803ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total6919Total
Program Services6919ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total672382Total
Program Services511070ProgramServices
Management And General161312ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total3708337Total
Program Services2818663ProgramServices
Management And General889674ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total93624Total
Program Services67061ProgramServices
Management And General26563ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total348085Total
Program Services258378ProgramServices
Management And General89707ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total292800Total
Program Services195289ProgramServices
Management And General97511ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total15969Total
Management And General15969ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total54674Total
Management And General54674ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total25416Total
Management And General25416ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total15461Total
Management And General7035ManagementAndGeneral
Fundraising8426Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total48680Total
Program Services1197ProgramServices
Management And General46033ManagementAndGeneral
Fundraising1450Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total174120Total
Program Services44142ProgramServices
Management And General129978ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total26875Total
Program Services23711ProgramServices
Management And General3164ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total136286Total
Program Services124653ProgramServices
Management And General11633ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total2071Total
Program Services517ProgramServices
Management And General1554ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total306534Total
Program Services22659ProgramServices
Management And General283875ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total100273Total
Program Services30132ProgramServices
Management And General70141ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
REPAIRS AND MAINTENANCE17825164919113332
TRAINING1607476108464
DUES AND SUBSCRIPTION2157960820971
GENERAL CLINICAL75650657565065

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total111972Total
Program Services10750ProgramServices
Management And General101222ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total13921447Total
Program Services11753343ProgramServices
Management And General2158228ManagementAndGeneral
Fundraising9876Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1821146BOY
EOY2504583EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY3335005BOY
EOY2709209EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY95588BOY
EOY107041EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis4510321LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec2879001LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1781881BOY
EOY1631320EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY1723595BOY
EOY1983981EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY388120BOY
EOY399002EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY9145335BOY
EOY9335136EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1516406BOY
EOY1192798EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1516406BOY
EOY1192798EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY7291156BOY
EOY7808412EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY210209BOY
EOY206362EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY127564BOY
EOY127564EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7628929BOY
EOY8142338EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY9145335BOY
EOY9335136EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses301422ReconcilationRevenueExpenses
Reconciliation Unrealized Invest211987ReconciliationUnrealizedInvest
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years353366CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years902614CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1027974CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year622851CurrentTaxYearMinus1Year
Current Tax Year836682CurrentTaxYear
Total3743487Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7706221CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8476093CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8717340CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9520522CurrentTaxYearMinus1Year
Current Tax Year9369946CurrentTaxYear
Total43790122Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Total0Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3621125CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3253674CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2969621CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3417920CurrentTaxYearMinus1Year
Current Tax Year3698438CurrentTaxYear
Total16960778Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

FieldValueIRS element (for citing)
Total0Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11680712CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12632381CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12714935CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year13561293CurrentTaxYearMinus1Year
Current Tax Year13905066CurrentTaxYear
Total64494387Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Total0Total
FieldValueIRS element (for citing)
Public Support Total50964494387PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years65088CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years77941CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years73128CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year69067CurrentTaxYearMinus1Year
Current Tax Year84214CurrentTaxYear
Total369438Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years65088CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years77941CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years73128CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year69067CurrentTaxYearMinus1Year
Current Tax Year84214CurrentTaxYear
Total369438Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years84211CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years74375CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years84066CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year374463CurrentTaxYearMinus1Year
Current Tax Year196686CurrentTaxYear
Total813801Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11830011CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12784697CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12872129CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year14004823CurrentTaxYearMinus1Year
Current Tax Year14185966CurrentTaxYear
Total65677626Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98198PublicSupportPercentage509
Prior Year Support Percentage0.98276PriorYearSupportPercentage
Investment Income Percentage0.00562InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00580PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteerstrueVolunteers
Paid Staff Or ManagementtruePaidStaffOrManagement
Media AdvertisementstrueMediaAdvertisements
Media Advertisements$4,752MediaAdvertisementsAmount
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorstrueDirectContactLegislators
Direct Contact Legislators$5,075DirectContactLegislatorsAmount
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiesfalseOtherActivities
Total Lobbying Expenditures IIB9827TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance207574BeginningOfYearBalance
Investment Earnings Or Losses15319InvestmentEarningsOrLosses
Grants Or Scholarships500GrantsOrScholarships
Other Expenditures23913OtherExpenditures
Administrative Expenses2171AdministrativeExpenses
End Of Year Balance196309EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance202473BeginningOfYearBalance
Investment Earnings Or Losses8128InvestmentEarningsOrLosses
Grants Or Scholarships1000GrantsOrScholarships
Administrative Expenses2027AdministrativeExpenses
End Of Year Balance207574EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance182319BeginningOfYearBalance
Investment Earnings Or Losses23113InvestmentEarningsOrLosses
Grants Or Scholarships1000GrantsOrScholarships
Administrative Expenses1959AdministrativeExpenses
End Of Year Balance202473EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance164937BeginningOfYearBalance
Investment Earnings Or Losses19175InvestmentEarningsOrLosses
Administrative Expenses1793AdministrativeExpenses
End Of Year Balance182319EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance172464BeginningOfYearBalance
Investment Earnings Or Losses-5930InvestmentEarningsOrLosses
Administrative Expenses1597AdministrativeExpenses
End Of Year Balance164937EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.00000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.65000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.35000TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis154712OtherCostOrOtherBasis
Book Value154712BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2402573OtherCostOrOtherBasis
Depreciation1464238Depreciation
Book Value938335BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1598681OtherCostOrOtherBasis
Depreciation1138365Depreciation
Book Value460316BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis354355OtherCostOrOtherBasis
Depreciation276398Depreciation
Book Value77957BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1631320TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability
Total Of Amounts0TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt14455471TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments211987NetUnrealizedGainsInvestments
Other Revenues20615OtherRevenues
Revenue Not Rptd F990232602RevenueNotRptdF990
Revenue Subtotal14222869RevenueSubtotal
Total Revenue Per Form99014222869TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt13942062TotExpensesEtcAuditedFinclStmt
Other Expenses Included20615OtherExpensesIncluded
Expenses Not Rptd F99020615ExpensesNotRptdF990
Expenses Subtotal13921447ExpensesSubtotal
Total Expenses Per Form99013921447TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
INTENDED USES OF THE ORGANIZATION'S ENDOWMENT FUNDSSCHEDULE D, PART V, LINE 4THE ENDOWMENT FUNDS ARE USED TO PAY SCHOLARSHIPS FOR STAFF WHO ARE PURSUING ADVANCED EDUCATION IN MENTAL HEALTH SERVICES AND FOR GENERAL CLINICAL PROGRAM SERVICES.
FIN 48 DISCLOSURESCHEDULE D, PART X, LINE 2MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.
RECONCILIATION OF REVENUESCHEDULE D, PART XI, LINE 2DFUNDRAISING EXPENSES $20,615
RECONCILIATION OF EXPENSESSCHEDULE D, PART XII, LINE 2DFUNDRAISING EXPENSES $20,615

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1PHEONIX GALANameOfEvent1
Gross Receipts Event126755GrossReceiptsEvent1
Charitable Contributions Event112090CharitableContributionsEvent1
Gross Revenue Event114665GrossRevenueEvent1
Rent Facility Costs Event11300RentFacilityCostsEvent1
Food And Beverage Event110700FoodAndBeverageEvent1
Entertainment Event13272EntertainmentEvent1
Other Direct Expenses Event15343OtherDirectExpensesEvent1
Total Number Of Other Events0TotalNumberOfOtherEvents
Gross Receipts Total26755GrossReceiptsTotal
Charitable Contributions Total12090CharitableContributionsTotal
Gross Revenue Total Events14665GrossRevenueTotalEvents
Rent Facility Costs Total Events1300RentFacilityCostsTotalEvents
Food And Beverage Total Events10700FoodAndBeverageTotalEvents
Entertainment Total Events3272EntertainmentTotalEvents
Other Direct Expenses Total Events5343OtherDirectExpensesTotalEvents
Direct Expense Summary Events20615DirectExpenseSummaryEvents
Net Income Summary-5950NetIncomeSummary

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCESS FOR MONITORING THE USE OF GRANTS IN THE U.S.Identifier
Return ReferenceSCHEDULE I, PART 1, LINE 1ReturnReference
ExplanationTHE ORGANIZATION MAKES SEVERAL SMALL DONATION'S THROUGH THEIR FISCAL YEAR TO OTHER 501(C)(3) TAX-EXEMPT ORGANIZATION'S. THE DONATION'S ARE REVIEWED TO INSURE THAT THE FUNDS ARE USED FOR CHAIRITABLE PURPOSES.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
TOM CRANSHAW
CEO2021160001273505682025330223066000
DR GRANT PIEPERGERDES
SR PSYCHIATRIST17530801322000057950249780219301000
DR ZAFAR MAHMOOD
STAFF PSYCHIATRIST182783013603000320008430200428000
DR PARIMAL PUROHIT
STAFF PSYCHIATRIST16171901246000053220218780201379000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSUPPLEMENTAL NONQUALIFIED RETIREMENT PLANIdentifier
Return ReferenceSCHEDULE J, PART I, LINE 4BReturnReference
ExplanationTHOMAS CRANSHAW $12,735Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
MISSION STATEMENTFORM 990, PART III, LINE 1OUR MISSION IS TO PROVIDE PREVENTION AND RECOVERY-ORIENTED MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES WHICH ARE QUALITY ASSURED AND CONSUMER-CENTERED. OUR COMMITMENT IS TO OFFER HOPE TO NURTURE VITALITY THAT KEEPS LIFE AND LIVING MEANINGFUL, TO BEHAVE WITH INTEGRITY IN HARMONY WITH OUR MISSION AND OUR PERSONAL VALUES AND TO BE RESPONSIVE BY "BEING THERE" FOR OUR CONSUMERS AND ASSOCIATES.
PRIMARY EXEMPT PURPOSEFORM 990, PART IIITri-County Mental Health Services is committed to combating hopelessness in challenging times through behavioral health services for the Kansas City Northland community, with prevention, assessment and treatment services for individuals and families throughout Clay, Platte and Ray counties. Tri-County is committed to providing a comprehensive array of behavioral health services. We subscribe to the philosophy that the best consumer outcomes are achieved by providing services as close to the consumer's home and community as possible. Service sites include Kansas City, North Kansas City, Richmond, Excelsior Springs, and Platte City, as well as through our network of 93 contract providers. During Fiscal Year 2013, Tri-County provided mental health and substance abuse services to over 8,000 consumers in our 3 county service area. We provided over 222,000 services to those consumers, including assessments, physician evaluation and medication management, community support, day treatment, and crisis services. In addition, we provided almost 500 prevention program activities in our schools to promote a healthy future which had approximately 51,000 participants. Our drug courts and other outpatient substance abuse treatment programs continued to increase with a growing focus on integrated treatment for those with co-occurring mental disorders and substance abuse diagnoses. Also during Fiscal Year 2013, Tri-County provided almost $350,000 in community benefit. This includes $100,000 in uncompensated services and charity care write-offs and $200,000 in support activities; including support for our Employment Services and Prevention Department, support for our consumer run Drop-In Center, contributions to community partners providing necessary community services, and medical record copies provided without charge. In addition, our staff provided $40,000 worth of community building activities in our 3 county area.
PROGRAM SERVICESFORM 990, PART III, LINE 4AADULT COMMUNITY SUPPORT - COMMUNITY SUPPORT CASE MANAGERS SUPPORT CONSUMERS AND PROMOTE AVENUES TO HELP EACH INDIVIDUAL FUNCTION AS INDEPENDENTLY AS POSSIBLE. THEY ACCOMPLISH THIS THROUGH THE PROVISION OF SERVICES DESIGNED TO LINK INDIVIDUALS WITH COMMUNITY RESOURCES THAT BEST MEET THEIR NEEDS (INCLUDING HOUSING, FINANCIAL, HEALTH CARE AND TRANSPORTATION) AND THROUGH PROVISION OF DIRECT SKILLS TRAINING AND SUPPORTIVE COUNSELING. TRANSITIONAL CASE MANAGEMENT CONSISTS OF ASSESSING ACUITY LEVEL AND NEED, ENSURING LINKAGE TO COMMUNITY RESOURCES AND ENTITLEMENTS, AND MOST IMPORTANTLY, THAT AN INDIVIDUAL'S IMMEDIATE NEEDS ARE ADDRESSED. DAY TREATMENT PROGRAMS PROVIDE A VARIETY OF GROUP ACTIVITIES WHICH ALLOW CONSUMERS TO FEEL PRODUCTIVE, EMPHASIZE SOCIAL SKILLS, AND AUGMENTS DEXTERITY AND INDIVIDUAL EXPERTISE. TRI-COUNTY PROVIDED APPROXIMATELY 163,100 HOURS OF ADULT COMMUNITY SUPPORT SERVICES IN FY 2013. PROGRAM SERVICE EXPENSES: $4,254,539 GRANTS: NONE REVENUES: $5,213,724
PROGRAM SERVICESFORM 990, PART III, LINE 4COUTPATIENT SERVICES - CONSUMERS BEING SEEN FOR THE FIRST TIME RECEIVE ASSESSMENT AND CRISIS INTERVENTION BY STAFF MEMBERS HOLDING MASTERS DEGREES IN APPROPRIATE MENTAL HEALTH AND SUBSTANCE ABUSE TREATMENT DISCIPLINES. INFORMATION OBTAINED FROM THESE INTERVIEWS IS USED TO DIAGNOSE, RECOMMEND TREATMENT AND MEASURE EACH CONSUMER'S PROGRESS. BRIEF, INTENSIVE THERAPY - INDIVIDUAL, GROUP AND FAMILY - IS PROVIDED DIRECTLY BY THE TRI-COUNTY STAFF OR IS COORDINATED THROUGH REFERRAL TO A TRI-COUNTY PROVIDER. INTENSIVE OUTPATIENT SERVICES ARE DESIGNED FOR CONSUMERS EXPERIENCING SERIOUS ACUTE DISTRESS WHO ARE AT RISK OF FURTHER PSYCHIATRIC DETERIORATION OR HOSPITALIZATION. TRI-COUNTY PROVIDED APPROXIMATELY 19,000 TREATMENT CONTACTS IN FY 2013. PROGRAM SERVICE EXPENSES: $2,532,803 GRANTS: $6,919 REVENUES: $2,414,504
OTHER PROGRAM SERVICESFORM 990, PART III, LINE 4DSUBSTANCE ABUSE SERVICES - SUBSTANCE ABUSE TREATMENT SERVICES ARE OFFERED TO MALE AND FEMALE CONSUMERS, ADOLESCENTS AND ADULTS. COMPREHENSIVE SUBSTANCE ABUSE ASSESSMENT AND A COMBINATION OF INDIVIDUALIZED TREATMENT SERVICES INCLUDING INDIVIDUAL COUNSELING, GROUP EDUCATION, GROUP COUNSELING, FAMILY EDUCATION AND COUNSELING, RELAPSE PREVENTION COUNSELING, MANAGEMENT OF CO-OCCURRING DISORDERS, AND A VARIETY OF COMMUNITY SUPPORT SERVICES MAKE UP THE SERVICE COMPONENTS OF TRI-COUNTY'S SUBSTANCE ABUSE PROGRAMS. TRI-COUNTY PROVIDED APPROXIMATELY 60,200 HOURS OF SERVICE IN FY 2013. PROGRAM SERVICE EXPENSES: $2,461,657 GRANTS: NONE REVENUES: $2,980,296
FORM 990 REVIEW PROCESSFORM 990, PART VI, SECTION B, LINE 11BAN INDEPENDENT ACCOUNTING FIRM PREPARES AND REVIEWS THE 990. THE 990 IS THEN REVIEWED BY THE ORGANIZATION'S CFO AND CEO. ANY QUESTIONS OR CONCERNS THE CFO OR CEO HAVE ARE ADDRESSED AND ANY CORRECTIONS OR CLARIFICATIONS ARE MADE. THE 990 IS THEN PROVIDED TO THE MEMBERS OF THE BOARD FOR THEIR REVIEW PRIOR TO FILING THE 990. ANY QUESTIONS OR CONCERNS THE BOARD HAVE ARE ADDRESSED AND ANY CORRECTIONS OR CLARIFICATIONS ARE MADE PRIOR TO FILING THE 990.
CONFLICT OF INTEREST POLICYFORM 990, PART VI, SECTION B, LINE 12CEMPLOYEES OF TRI-COUNTY ARE INSTRUCTED UPON BEING HIRED TO REPORT ALL POTENTIAL CONFLICTS TO THE EMPLOYEE'S SUPERVISOR, DEPARTMENT HEAD, COMPLIANCE OFFICER, ASSOCIATE DIRECTOR OR CEO. IT IS THE RESPONSIBILITY OF TRI-COUNTY'S COMPLIANCE COMMITTEE TO DETERMINE WHETHER A CONFLICT OR POTENTIAL CONFLICT EXISTS. KEY EMPLOYEES OF TRI-COUNTY AND TRI-COUNTY'S BOARD OF DIRECTORS REVIEW THE AGENCY'S CONFLICT OF INTEREST POLICY FOR BOARD MEMBERS AND KEY EMPLOYEES AND COMPLETE A DISCLOSURE STATEMENT ANNUALLY. IN ADDITION, ON AN ANNUAL BASIS, THE COMPLIANCE OFFICER NOTIFIES OTHER TRI-COUNTY EMPLOYEES CONCERNING THE PURPOSES AND INTENT OF THIS POLICY SO THAT THEY MAY HAVE THE OPPORTUNITY TO DISCLOSE ANY POTENTIAL CONFLICT OF INTEREST. ANY EMPLOYEE DISCLOSING A POTENTIAL CONFLICT IS REQUIRED TO COMPLETE THE CONFLICT OF INTEREST DISCLOSURE STATEMENT FOR EMPLOYEES. EMPLOYEES WHO HAVE QUESTIONS ABOUT WHETHER THEY SHOULD COMPLETE A QUESTIONNAIRE ARE INSTRUCTED TO DIRECT THOSE QUESTIONS TO THE COMPLIANCE OFFICER OR CEO. COMPLETED QUESTIONNAIRES ARE SUBMITTED TO THE COMPLIANCE COMMITTEE FOR REVIEW. QUESTIONNAIRES COMPLETED BY STAFF ARE KEPT IN THE EMPLOYEE'S PERSONNEL FILE AND QUESTIONNAIRES COMPLETED BY MEMBERS OF THE BOARD OF DIRECTORS ARE RETAINED BY THE EXECUTIVE ASSISTANT TO THE CEO.
COMPENSATION REVIEWFORM 990, PART VI, SECTION B, LINES 15A & 15BTHE EXECUTIVE COMMITTEE OF THE BOARD DETERMINES THE TOTAL COMPENSATION PACKAGE FOR THE CEO. THE HR MANAGER OBTAINS COMPARABLE DATA ON PEER AGENCIES FROM THEIR FORM 990 POSTED ON GUIDESTAR AND FORWARDS THIS INFORMATION TO THE BOARD CHAIR FOR REVIEW. THE EXECUTIVE COMMITTEE OF THE BOARD REPORTS THE COMPENSATION PACKAGE FOR THE CEO TO THE BOARD OF DIRECTORS FOR APPROVAL. THE COMPENSATION PAY RANGES FOR OTHER EMPLOYEES OF THE AGENCY ARE REVIEWED ANNUALLY BY THE HR DIRECTOR. THEY ARE COMPARED TO VARIOUS SALARY SURVEYS TO DETERMINE IF SALARY RANGES ARE APPROPRIATE. RECOMMENDATIONS FOR CHANGES IN SALARY RANGES ARE SUBMITTED TO THE EXECUTIVE TEAM OF THE AGENCY FOR REVIEW AND APPROVAL. SALARY INCREASES ARE REVIEWED WITH THE BOARD ANNUALLY AS PART OF THE REVIEW PROCESS FOR THE AGENCY BUDGET. A MAXIMUM ALLOWABLE SALARY PERCENTAGE INCREASE AMOUNT IS DETERMINED DURING THE BUDGET PROCESS AND APPROVED BY THE BOARD. IN ADDITION, COMPENSATION FOR STAFF PSYCHIATRISTS ARE REVIEWED BY THE BOARD AS PART OF THE ANNUAL FMV REVIEW OF PAYMENTS TO CONTRACT PROVIDERS AND OTHER CONTRACTORS.
AVAILABILITY OF DOCUMENTSFORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMETNS AVAILABLE TO THE PUBLIC.

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