LOGAN-MINGO AREA MENTAL HEALTH INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
LOGAN-MINGO AREA MENTAL HEALTH INC (EIN 55-0523103)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-04-30
IRS object ID
201431209349300618
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)
Timestamp2014-04-30T10:21:06-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1GIBBONS & KAWASH ACBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1707 VIRGINIA ST E STE 300AddressLine1
CityCHARLESTONCity
StateWVState
ZIP Code253012724ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN550523103EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1LOGAN-MINGO AREA MENTAL HEALTH INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlLOGANameControl
Phone3047927130Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 176AddressLine1
CityLOGANCity
StateWVState
ZIP Code256010176ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDONNA COOKEName
TitleEXECUTIVE DIRECTORTitle
Phone3047927130Phone
Date Signed2014-04-28DateSigned
Authorize Third PartyfalseAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameROBERT R DENYERName
Phone3043458400Phone
Date Prepared2014-04-29DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDONNA COOKENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO BOX 176AddressLine1
CityLOGANCity
StateWVState
ZIP Code256010176ZIPCode
FieldValueIRS element (for citing)
Gross Receipts7186370GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1970YearFormation
State Legal DomicileWVStateLegalDomicile
Activity Or Mission DescriptionPROVIDE BEHAVIORAL HEALTHCARE SERVICESActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees166TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year2304241ContributionsGrantsPriorYear
Contributions Grants Current Year2287324ContributionsGrantsCurrentYear
Program Service Revenue Prior Year4597732ProgramServiceRevenuePriorYear
Program Service Revenue CY4859834ProgramServiceRevenueCY
Investment Income Prior Year7494InvestmentIncomePriorYear
Investment Income Current Year4926InvestmentIncomeCurrentYear
Other Revenue Prior Year46517OtherRevenuePriorYear
Other Revenue Current Year34286OtherRevenueCurrentYear
Total Revenue Prior Year6955984TotalRevenuePriorYear
Total Revenue Current Year7186370TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year4176657SalariesEtcPriorYear
Salaries Etc Current Year4081815SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2347922OtherExpensePriorYear
Other Expenses Current Year2921619OtherExpensesCurrentYear
Total Expenses Prior Year6524579TotalExpensesPriorYear
Total Expenses Current Year7003434TotalExpensesCurrentYear
Revenues Less Expenses Prior Year431405RevenuesLessExpensesPriorYear
Revenues Less Expenses CY182936RevenuesLessExpensesCY
Total Assets BOY2941771TotalAssetsBOY
Total Assets EOY3154320TotalAssetsEOY
Total Liabilities BOY306789TotalLiabilitiesBOY
Total Liabilities EOY464794TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2634982NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY2689526NetAssetsOrFundBalancesEOY
Mission DescriptionPROVIDE BEHAVIORAL HEALTHCARE SERVICESMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense6104004Expense
Revenue4859843Revenue
DescriptionMENTAL HEALTH, MENTAL RETARDATION/DEVELOPMENTALLY DELAYED,AND SUBSTANCE ABUSE SERVICES WERE PROVIDED TO PATIENTS RESIDING IN LOGAN AND MINGO COUNTIES IN WEST VIRGINIADescription
Total Program Service Expense6104004TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
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 ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
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 With109695NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingfalseComplianceWithBackupWitholding
Number Of Employees166NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
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 BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementfalseRegularMonitoringEnforcement
Whistleblower PolicyfalseWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledWVStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonDONNA COOKENamePerson
Telephone Number3047927130TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 176AddressLine1
CityLOGANCity
StateWVState
ZIP Code25601ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (18 entries)

TitleTitleIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationAverage Hours Per WeekAverageHoursPerWeekHighest Compensated EmployeeHighestCompensatedEmployee
MAE STALLARD
VICE PRESIDEXX000
ROGER BRYANT
PRESIDENTXX000
NORMA THOMPSON
SECRETARY/TRXX000
ART KIRKENDOLL
BOARD MEMBERX000
REV GERALD F DOTSON
BOARD MEMBERX000
JIM HATFIELD
BOARD MEMBERX000
JOSEPH HATFIELD
BOARD MEMBERX000
BERNICE JOHNSON
BOARD MEMBERX000
REV THOMAS SCHULER
BOARD MEMBERX000
REV REX THOMPSON
2ND VICE PREX000
ORVILLE ELLIS JR
BOARD MEMBERX000
ANN ATHEY
BOARD MEMBERX000
JOHN MARK HUBBARD
BOARD MEMBERX000
DEBBIE ROLEN
BOARD MEMBERX000
ROBERT R MAYS
EXEC DIR 7/1X999400498835.00
JOHN B MAYS
ACTING EXECX666670829535.00
DONNA COOKE
EXEC DIR 4/1X00035.00
JOHN D JUSTICE
PSYCHIATRIST24984101330035.00X
FieldValueIRS element (for citing)
Total Reportable Comp From Org416448TotalReportableCompFromOrg
Total Other Compensation26583TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Government Grants2287324GovernmentGrants
Total Contributions2287324TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNET CLIENT REVENUESDescription
Total Revenue Column4859834TotalRevenueColumn
Related Or Exempt Function Income4859834RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue4859834TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column4926TotalRevenueColumn
Exclusion$4,926ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionCONTRACTED SERVICESDescription
Total Revenue Column34286TotalRevenueColumn
Related Or Exempt Function Income34286RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue34286TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column7186370TotalRevenueColumn
Related Or Exempt Function Income4894120RelatedOrExemptFunctionIncome
Exclusion$4,926ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total162761Total
Management And General162761ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total2942938Total
Program Services2706347ProgramServices
Management And General236591ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total73488Total
Program Services67792ProgramServices
Management And General5696ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total612225Total
Program Services545621ProgramServices
Management And General66604ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total290403Total
Program Services254277ProgramServices
Management And General36126ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total3402Total
Management And General3402ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total54253Total
Management And General54253ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1800425Total
Program Services1576452ProgramServices
Management And General223973ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total193Total
Program Services169ProgramServices
Management And General24ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total103289Total
Program Services90440ProgramServices
Management And General12849ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total204878Total
Program Services179391ProgramServices
Management And General25487ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total143771Total
Program Services125886ProgramServices
Management And General17885ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total99858Total
Program Services87436ProgramServices
Management And General12422ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total40925Total
Program Services35834ProgramServices
Management And General5091ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MISCELLANEOUS14517112711218059
PROVIDER TAXES9703997039
BAD DEBT EXPENSE8205282052
FOOD EXPENSE37955332334722

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total108408Total
Program Services94923ProgramServices
Management And General13485ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total7003434Total
Program Services6104004ProgramServices
Management And General899430ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY662229BOY
EOY1060231EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY252666BOY
EOY182001EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY422682BOY
EOY502155EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis3539432LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec2669791LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1066848BOY
EOY869641EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY537346BOY
EOY540292EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY2941771BOY
EOY3154320EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY306789BOY
EOY464794EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY306789BOY
EOY464794EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY2634982BOY
EOY2689526EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2634982BOY
EOY2689526EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2941771BOY
EOY3154320EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses182936ReconcilationRevenueExpenses
Reconcilation Other Changes-128392ReconcilationOtherChanges
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 RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2159856CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2649344CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2419232CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2304241CurrentTaxYearMinus1Year
Current Tax Year2287324CurrentTaxYear
Total11819997Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2159856CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2649344CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2419232CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2304241CurrentTaxYearMinus1Year
Current Tax Year2287324CurrentTaxYear
Total11819997Total
FieldValueIRS element (for citing)
Public Support Total17011819997PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years18333CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years15522CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8560CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7494CurrentTaxYearMinus1Year
Current Tax Year4926CurrentTaxYear
Total54835Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years72954CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years32742CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years42662CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year46517CurrentTaxYearMinus1Year
Current Tax Year34286CurrentTaxYear
Total229161Total
FieldValueIRS element (for citing)
Total Support12103993TotalSupport
Gross Receipts From Admissions Etc4894120GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.97650PublicSupportPertcentage170
Public Support Pertcent Prior Year0.97250PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis143633OtherCostOrOtherBasis
Book Value143633BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2406126OtherCostOrOtherBasis
Depreciation1915316Depreciation
Book Value490810BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis527586OtherCostOrOtherBasis
Depreciation328798Depreciation
Book Value198788BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis462087OtherCostOrOtherBasis
Depreciation425677Depreciation
Book Value36410BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings869641TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
CERTIFICATES OF DEPOSIT532162
PREPAIDS & DEPOSITS8130
FieldValueIRS element (for citing)
Total Book Value Other Assets540292TotalBookValueOtherAssets
Tot Revenue Etc Audited Fincl Stmt7186370TotRevenueEtcAuditedFinclStmt
Revenue Subtotal7186370RevenueSubtotal
Total Revenue Per Form9907186370TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt7003434TotExpensesEtcAuditedFinclStmt
Expenses Subtotal7003434ExpensesSubtotal
Total Expenses Per Form9907003434TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierLIABILITY UNDER FIN 48 FOOTNOTEIdentifier
Return ReferenceSCHEDULE D, PAGE 3, PART XReturnReference
ExplanationTHE CENTER IS GENERALLY EXEMPT FROM FEDERAL INCOME TAXES UNDER THE PROVISIONS OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. IN ADDITION, THE CENTER QUALIFIES FOR CHARITABLE CONTRIBUTIONS DEDUCTIONS UNDER SECTION 170(B)(1)(A) AND HAS BEEN CLASSIFIED AS AN ORGANIZATION THAT IS NOT A PRIVATE FOUNDATION UNDER SECTION 509(A)(1). THE CENTER IS GENERALLY NO LONGER SUBJECT TO EXAMINATIONS BY TAXING AUTHORITIES FOR YEARS PRIOR TO JUNE 30, 2010.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
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

FieldValueIRS element (for citing)
Name PersonJOHN D JUSTICENamePerson
TitlePSYCHIATRISTTitle
Base Compensation Filing Org249841BaseCompensationFilingOrg
Nontaxable Benefits Filing Org13300NontaxableBenefitsFilingOrg
Total Compensation Filing Org263141TotalCompensationFilingOrg

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BMANAGEMENT REVIEWS THE FORM 990 AND REPORTS THE FINDINGS AND RESULTS TO THE BOARD OF DIRECTORS
COMPENSATION PROCESS FOR TOP OFFICIALFORM 990, PAGE 6, PART VI, LINE 15ATHE BOARD OF DIRECTORS SETS THE COMPENSATION FOR THESE INDIVIDUALS.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST
OTHER FEES FOR SERVICESFORM 990, PART IX, LINE 11GOTHER FEES 1,576,452 223,973 0
OTHER CHANGES IN NET ASSETS EXPLANATIONFORM 990, PART XI, LINE 9PRIOR PERIOD ADJUSTMENT 128,392 THE CENTER RESTATED ITS FINANCIAL STATEMENTS FOR THE YEAR ENDING JUNE 30, 2012, TO REFLECT CERTAIN ADJUSTMENTS WHICH MANAGEMENT HAS DETERMINED ARE NECESSARY TO PRESENT THE FINANCIAL STATEMETNS IN ACCORDANCE WITH ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA.

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