SANDHILLS CENTER FOR MENTAL HEALTH DEVELOPMENTAL DISABILITIES & SUBST: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
SANDHILLS CENTER FOR MENTAL HEALTH DEVELOPMENTAL DISABILITIES & SUBST (EIN 56-0789563)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-02-11
IRS object ID
201420429349300617
Schema version
2012v2.1
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)
Timestamp2014-02-11T11:17:58-06:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN560747981EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1DIXON HUGHES GOODMAN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1130 TURNBERRY WAYAddressLine1
CityPINEHURSTCity
StateNCState
ZIP Code28374ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN560789563EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SANDHILLS CENTER FOR MENTAL HEALTHBusinessNameLine1
Business Name Line2DEVELOPMENTAL DISABILITIES & SUBSTANCEBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlSANDNameControl
Phone9106739111Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1P O BOX 9AddressLine1
CityWEST ENDCity
StateNCState
ZIP Code27376ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameVICTORIA WHITTName
TitleCEOTitle
Phone9106739111Phone
Date Signed2014-01-31DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameSCOTT BREWERName
PTINP00004789PTIN
Phone9106928555Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonVICTORIA WHITTNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO BOX 9AddressLine1
CityWEST ENDCity
StateNCState
ZIP Code27376ZIPCode
FieldValueIRS element (for citing)
Gross Receipts152606467GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.SANDHILLSCENTER.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1963YearFormation
State Legal DomicileNCStateLegalDomicile
Activity Or Mission DescriptionTHE CENTER WAS ORGANIZED TO PROVIDE SERVICES TO A NINE-COUNTY AREA IN NORTH CAROLINA WHICH CONSISTS OF MOORE, HOKE, RICHMOND, MONTGOMERY, ANSON, RANDOLPH, LEE, GUILFORD AND HARNETT COUNTIES. THE CENTER OPERATES UNITS IN EACH OF THESE COUNTIES TO PROVIDE SERVICES TO RESIDENTS WHO ARE IN NEED OF ASSISTANCE FOR EITHER MENTAL HEALTH DEVELOPMENTAL DISABILITIES, ALCOHOL OR DRUG RELATED PROBLEMS.ActivityOrMissionDescription
Nbr Voting Members Governing Body27NbrVotingMembersGoverningBody
Nbr Independent Voting Members27NbrIndependentVotingMembers
Total Nbr Employees153TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year30143931ContributionsGrantsPriorYear
Contributions Grants Current Year149901797ContributionsGrantsCurrentYear
Program Service Revenue Prior Year6258818ProgramServiceRevenuePriorYear
Program Service Revenue CY2703694ProgramServiceRevenueCY
Investment Income Prior Year2704InvestmentIncomePriorYear
Investment Income Current Year976InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year36405453TotalRevenuePriorYear
Total Revenue Current Year152606467TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year5689451SalariesEtcPriorYear
Salaries Etc Current Year9946326SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year34255104OtherExpensePriorYear
Other Expenses Current Year133178244OtherExpensesCurrentYear
Total Expenses Prior Year39944555TotalExpensesPriorYear
Total Expenses Current Year143124570TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-3539102RevenuesLessExpensesPriorYear
Revenues Less Expenses CY9481897RevenuesLessExpensesCY
Total Assets BOY12645022TotalAssetsBOY
Total Assets EOY39296187TotalAssetsEOY
Total Liabilities BOY2888313TotalLiabilitiesBOY
Total Liabilities EOY19595913TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY9756709NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY19700274NetAssetsOrFundBalancesEOY
Mission DescriptionSEE PART I, LINE 1.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense34708766Expense
Revenue2704670Revenue
DescriptionPROVIDE MENTAL HEALTH, DEVELOPMENTAL, DISABILITY AND SUBSTANCE ABUSE SERVICES TO A NINE-COUNTY AREA.Description
Total Program Service Expense34708766TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096181NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees153NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Form8899 Filed0Form8899Filed
Form1098 C Filed0Form1098CFiled
Excess Business Holdings0ExcessBusinessHoldings
Taxable Distributions0TaxableDistributions
Distribution To Donor0DistributionToDonor
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members27NbrVotingGoverningBodyMembers
Number Independent Voting Members27NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledNCStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1MARTHA ROGERSBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number9106739111TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1P O BOX 9AddressLine1
CityWEST ENDCity
StateNCState
ZIP Code27376ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (29 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
GARY HOUSE
DIRECTOR0.50X000
ANTHONY COPELAND
DIRECTOR0.50X000
THAD USSERY
CHAIR0.50X000X
JEAN POWELL
SECRETARY0.50X000X
PAT CAMERON
DIRECTOR0.50X000
DARRELL FRYE
DIRECTOR0.50X000
HAROLD HOLMES
VICE CHAIR0.50X000X
SHIRLEY HART
DIRECTOR0.50X000
MAZIE FLEETWOOD
DIRECTOR0.50X000
DR DAVID DERMOTT
DIRECTOR0.50X000
BOB CROMER
DIRECTOR0.50X000
LOIS JONES
DIRECTOR0.50X000
CAROL WHITAKER
DIRECTOR0.50X000
MICHELE WEATHERLY
DIRECTOR0.50X000
NANCY REDDING
DIRECTOR0.50X000
ROSS STREATER
DIRECTOR0.50X000
REVEREND MICHAEL BYE
DIRECTOR0.50X000
KAY CASHION
DIRECTOR0.50X000
WALTER GARTH EVANS
DIRECTOR0.50X000
DIANNE WALTON-MUNDEN
DIRECTOR0.50X000
LISA GUNTHER-LAVERGNE
DIRECTOR0.50X000
TROY CHISOLM
DIRECTOR0.50X000
FRANK CLEARY
DIRECTOR0.50X000
KIRK SMITH
DIRECTOR0.50X000
MARILYN GILLIAM
DIRECTOR0.50X000
OTIS RITTER
DIRECTOR0.50X000
DR WENDI CARLTON
DIRECTOR0.50X000
VICTORIA WHITT
CEO40.0012334800X
ANTHONY G CARRAWAY
CHIEF CLINICAL OFFICER/MEDICAL DIRECTOR40.0020117400X
FieldValueIRS element (for citing)
Total Reportable Comp From Org324522TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K2NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
DAYMARK RECOVERY SERVICES
2129 STATESVILLE BLVDSALISBURYNC28147MEDICAL6670743
NC MENTOR
3125 POPLARWOOD COURTRALEIGHNC27609MEDICAL2727840
MONARCH
350 PEE DEE AVE SUITE AALBEMARLENC28001MEDICAL2691739
THERAPEUTIC ALTERNATIVES
4270 HEATH DAIRY ROADRANDLEMANNC27317MEDICAL2476238
ROBESON HEALTHCARE CORPORATION
302 EAST 3RD STREETPEMBROKENC28372MEDICAL1030161
FieldValueIRS element (for citing)
Number Of Contractors GT100 K41NumberOfContractorsGT100K
Government Grants149643688GovernmentGrants
All Other Contributions258109AllOtherContributions
Total Contributions149901797TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT FEESDescription
Business Code624100BusinessCode
Total Revenue Column2703694TotalRevenueColumn
Related Or Exempt Function Income2703694RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue2703694TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column976TotalRevenueColumn
Related Or Exempt Function Income976RelatedOrExemptFunctionIncome

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column152606467TotalRevenueColumn
Related Or Exempt Function Income2704670RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total324522Total
Management And General324522ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total7256002Total
Management And General7256002ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total675948Total
Management And General675948ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1107849Total
Management And General1107849ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total582005Total
Management And General582005ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total40677558Total
Program Services34708766ProgramServices
Management And General5968792ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total262209Total
Management And General262209ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total765405Total
Management And General765405ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total377042Total
Management And General377042ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total141154Total
Management And General141154ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total23837Total
Management And General23837ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total339210Total
Management And General339210ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneral
MEDICAID8943280389432803
CAPITAL OUTLAY924446924446
EQUIPMENT RENTAL179223179223
REPAIRS & MAINTENANCE5535755357

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total143124570Total
Program Services34708766ProgramServices
Management And General108415804ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY4299673BOY
EOY34379155EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY3724086BOY
EOY523657EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY848867BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY174786BOY
EOY207831EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis8862122LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec4676578LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY3597610BOY
EOY4185544EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY12645022BOY
EOY39296187EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2888313BOY
EOY4095913EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY15500000EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2888313BOY
EOY19595913EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1586146BOY
EOY17552477EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY4572953BOY
EOY2147797EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY3597610BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY9756709BOY
EOY19700274EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY12645022BOY
EOY39296187EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses9481897ReconcilationRevenueExpenses
Reconcilation Other Changes461668ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting OtherXMethodOfAccountingOther
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee0AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Governmental Unit170b1 AvXGovernmentalUnit170b1Av

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis28147OtherCostOrOtherBasis
Book Value28147BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis5834806OtherCostOrOtherBasis
Depreciation2785398Depreciation
Book Value3049408BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2999169OtherCostOrOtherBasis
Depreciation1891180Depreciation
Book Value1107989BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings4185544TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
INCURRED BUT NOT REPORTED - MEDICAID CLAIMS$15,350,000
INCURRED BUT NOT REPORTED - OTHER CLAIMS$150,000
FieldValueIRS element (for citing)
Total Of Amounts15500000TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt152606467TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal152606467RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form990152606467TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt142662902TotExpensesEtcAuditedFinclStmt
Other Expenses Included-461668OtherExpensesIncluded
Expenses Not Rptd F990-461668ExpensesNotRptdF990
Expenses Subtotal143124570ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form990143124570TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierPART XII, LINE 2D - OTHER ADJUSTMENTS:Identifier
ExplanationADJUSTMENT FOR C/Y GASB 34 REQUIREMENTSExplanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonANTHONY G CARRAWAYNamePerson
TitleCHIEF CLINICAL OFFICER/MEDICAL DIRECTitle
Base Compensation Filing Org201174BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org0DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org0NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org201174TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11A COPY OF THE FORM 990 WAS PROVIDED TO EACH VOTING BOARD MEMBER AT A RECENT BOARD MEETING. PRIOR TO THE FILING DATE OF THE FORM 990, THE VOTING BOARD REVIEWED THE 990. AFTER A DISCUSSION AND QUESTION & ANSWER PERIOD, THE BOARD VOTED TO APPROVE AND ACCEPT THE FORM 990 AS PRESENTED.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY WHICH IS REVIEWED, ACCEPTED AND SIGNED BY EACH VOTING BOARD MEMBER ON AN ANNUAL BASIS. PURSUANT TO THIS POLICY, EACH OFFICER AND BOARD MEMBER WILL RECUSE HIMSELF/HERSELF FROM ANY DISCUSSION AND VOTE FOR WHICH A CONFLICT EXISTS FOR HIMSELF/HERSELF OR THEIR FAMILY. DETERMINATIONS OF WHETHER A CONFLICT EXISTS ARE MADE AT A MANAGEMENT, BOARD MEMBER, OFFICER, OR INDIVIDUAL LEVEL.
FORM 990, PART VI, SECTION B, LINE 15THE ORGANIZATION ANNUALLY REVIEWS THE SALARY OF ITS CEO AND KEY EMPLOYEES IN ACCORDANCE WITH NC STATE PERSONNEL RULES AND GUIDELINES USING EMPLOYEE CLASSES AND SALARY RANGES.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES THESE DOCUMENTS AVAILABLE UPON REQUEST AT THE ADMINISTRATION OFFICES AND AT BOARD MEETINGS WHICH ARE OPEN TO THE PUBLIC.
FORM 990, PART IX, LINE 11GMENTAL HEALTH & OTHER CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 34,708,766. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 34,708,766. PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 948,441. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 948,441. OTHER CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 5,020,351. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,020,351.OTHER FEES
FORM 990, PART XI, LINE 9:ADJUSTMENT FOR C/Y GASB 34 REQUIREMENTS 461,668.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XI, QUESTION 1IN ACCORDANCE WITH THE GENERAL STATUTES OF THE STATE OF NORTH CAROLINA, ALL FUNDS ARE MAINTAINED DURING THE YEAR USING THE MODIFIED ACCRUAL BASIS OF ACCOUNTING.ACCOUNTING METHOD USED TO PREPARE THE FORM 990

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