MID-ERIE MENTAL HEALTH SERVICES INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- MID-ERIE MENTAL HEALTH SERVICES INC (EIN 16-1017709)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-05-10
- IRS object ID
- 201301309349300510
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-05-10T07:39:34-05:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 160765486 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LUMSDEN & MCCORMICK LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 369 FRANKLIN STREET | AddressLine1 |
| City | BUFFALO | City |
| State | NY | State |
| ZIP Code | 14202 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 161017709 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MID-ERIE MENTAL HEALTH SERVICES INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MID- | NameControl |
| Phone | 7168957167 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1526 WALDEN AVENUE SUITE 400 | AddressLine1 |
| City | CHEEKTOWAGA | City |
| State | NY | State |
| ZIP Code | 14225 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | ELIZABETH L MAURO | Name |
| Title | EXECUTIVE DIRECTOR | Title |
| Phone | 7168957167 | Phone |
| Date Signed | 2013-05-03 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DONNA M GONSER | Name |
| PTIN | P01448922 | PTIN |
| Phone | 7168563300 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MID ERIE COUNSELING AND TREATMENT SE | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | ELIZABETH L MAURO | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1526 WALDEN AVENUE SUITE 400 | AddressLine1 |
| City | CHEEKTOWAGA | City |
| State | NY | State |
| ZIP Code | 14225 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 7276750 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.MID-ERIE.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1972 | YearFormation |
| State Legal Domicile | NY | StateLegalDomicile |
| Activity Or Mission Description | THE MISSION OF MID-ERIE COUNSELING AND TREATMENT SERVICES IS TO COLLABORATE WITH CONSUMERS, FAMILIES AND COMMUNITIES TO PROMOTE WELLNESS AND RECOVERY THROUGH AN ARRAY OF MENTAL HEALTH AND CHEMICAL DEPENDENCY TREATMENT, EDUCATION AND SUPPORT SERVICES. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 11 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 10 | NbrIndependentVotingMembers |
| Total Nbr Employees | 157 | TotalNbrEmployees |
| Total Nbr Volunteers | 9 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 2155594 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 2192755 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 4802987 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 5044533 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1082 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1023 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 12409 | OtherRevenuePriorYear |
| Other Revenue Current Year | 38439 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 6972072 | TotalRevenuePriorYear |
| Total Revenue Current Year | 7276750 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 4440610 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 4771643 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 2140120 | OtherExpensePriorYear |
| Other Expenses Current Year | 2443926 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 6580730 | TotalExpensesPriorYear |
| Total Expenses Current Year | 7215569 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 391342 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 61181 | RevenuesLessExpensesCY |
| Total Assets BOY | 1525127 | TotalAssetsBOY |
| Total Assets EOY | 1704724 | TotalAssetsEOY |
| Total Liabilities BOY | 1589098 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 1707514 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -63971 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -2790 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | THE MISSION OF MID-ERIE COUNSELING AND TREATMENT SERVICES IS TO COLLABORATE WITH CONSUMERS, FAMILIES AND COMMUNITIES TO PROMOTE WELLNESS AND RECOVERY THROUGH AN ARRAY OF MENTAL HEALTH AND CHEMICAL DEPENDENCY TREATMENT, EDUCATION AND SUPPORT SERVICES. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 2341784 | Expense |
| Revenue | 2582884 | Revenue |
| Description | ADULT MENTAL HEALTH SERVICES - ADULT MENTAL HEALTH SERVICES ARE BASED ON THE PROMISE THAT INDIVIDUALS WHO SUFFER FROM SEVERE AND PERSISTENT MENTAL ILLNESS CAN, AND DO RECOVER THROUGH THE USE OF TREATMENT AND PSYCHIATRIC REHABILITATION INTERVENTIONS. INDIVIDUALS EXPERIENCING ACUTE MENTAL ILLNESS OR SITUATIONAL DIFFICULTIES UTILIZE SOLUTION-FOCUSED THERAPIES TO ACHIEVE PROBLEM RESOLUTION. ADULT MENTAL HEALTH PROGRAMMING FOCUSES ON THE FOLLOWING SERVICES: CLINIC TREATMENT, PERSONALIZED RECOVERY ORIENTED SERVICES (PROS), CASE MANAGEMENT, FORENSIC. (TOTAL 2012 VISITS - 20,857 PROS PARTICIPATION UNIT 21,373/100 AVERAGE CLIENTS PER MONTH) | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 1016126 | Expense |
| Revenue | 807968 | Revenue |
| Description | CHEMICAL DEPENDENCY SERVICES - SERVICES ARE DESIGNED FOR ADULTS AND ADOLESCENTS WHOSE BASIC ATTACHMENTS (FAMILY, WORK, SCHOOL, ETC.) AND MANAGEMENT OF DAILY ACTIVITIES ARE IMPAIRED THROUGH THE ABUSIVE USE OF ALCOHOL AND/OR OTHER DRUGS. SERVICES INCLUDE: COUNSELING FOR INDIVIDUALS, FAMILIES AND GROUPS, CHEMICAL DEPENDENCY EDUCATION, AFTERCARE, MEDICAL EVALUATION, LINKING WITH OTHER SOCIAL AND COMMUNITY RESOURCES, AND SPECIALTY GROUPS. (TOTAL 2012 VISITS - 13,143) | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 2868901 | Expense |
| Revenue | 1692120 | Revenue |
| Description | CHILD MENTAL HEALTH SERVICES - THE CHILD MENTAL HEALTH PROGRAM PROVIDES A COMPREHENSIVE ARRAY OF COMMUNITY BASED TREATMENT AND SUPPORT SERVICES TO FAMILIES WITH CHILDREN AND/OR ADOLESCENTS WHO HAVE SERIOUS EMOTIONAL AND BEHAVIORAL DISORDERS. THROUGH THEIR INVOLVEMENT IN SERVICES, CHILDREN AND ADOLESCENTS STRIVE TO REACH THEIR OPTIMAL POTENTIAL WHILE REMAINING IN THE SAFEST AVAILABLE ENVIRONMENT. SERVICES INCLUDE: CLINIC TREATMENT, ENHANCED TREATMENT CENTER, ENHANCEMENT STEP DOWN/DIVERSION, CHILD INTENSIVE CARE COORDINATION, SCHOOL-BASED MENTAL HEALTH PROGRAM, HOME AND COMMUNITY BASED SERVICES WAIVER PROGRAM/CARE COORDINATION, CASE MANAGEMENT, GRANDPARENT ADVOCACY PROJECT, AND FAMILY SUPPORT. (TOTAL 2012 VISITS - 6,786) | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 186501 | Expense |
| Description | PROGRAMS FUNDED BY TRAINING AND SERVICE GRANTS. SHORT TERM PROGRAMS INCLUDE "ASSERTIVE & ADOLESCENT FAMILY TREATMENT," AND TRAINING FOR "CLIENT DIRECTED OUTCOME INFORMED TREATMENT." | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 186501 | TotalOfOtherProgramServiceExp |
| Total Program Service Expense | 6413312 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 0 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 18 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 157 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 11 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 10 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | NY | StatesWhereCopyOfReturnIsFiled |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PATRICK MCINERNEY | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 7168957167 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1520 WALDEN AVENUE | AddressLine1 |
| City | CHEEKTOWAGA | City |
| State | NY | State |
| ZIP Code | 14225 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (14 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|---|
| BRIAN MURPHY | ||||||
| VICE PRESIDENT | 2.00 | X | X | 0 | 0 | 0 |
| PAMELA GERMAIN | ||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |
| FREDERIC COOK | ||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |
| SANDRA SCHOFIELD | ||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |
| ANDREW DONOVAN | ||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |
| JOHN BOS | ||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |
| DR VICTORIA BROOKS | ||||||
| PRESIDENT | 2.00 | X | X | 0 | 0 | 0 |
| BARBARA CHMIELEWSKI | ||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |
| STEVEN RUBINSTEIN | ||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |
| JOCELYN BOS | ||||||
| SECRETARY | 2.00 | X | X | 0 | 0 | 0 |
| STEVEN UMSTEAD | ||||||
| TREASURER | 2.00 | X | X | 0 | 0 | 0 |
| JOHN GILEWICZ | ||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |
| ELIZABETH MAURO | ||||||
| EXECUTIVE DIRECTOR | 40.00 | X | 104522 | 0 | 19802 | |
| PATRICK MCINERNEY | ||||||
| CFO | 40.00 | X | 99265 | 0 | 11563 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 203787 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 31365 | TotalOtherCompensation |
| Number Individuals GT100 K | 2 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 0 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (3 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| RANDAL BENDERSON 1993-1 TRUST | |||||
| 570 DELAWARE AVE | BUFFALO | NY | 14202 | BUILDING OWNER | 189596 |
| UNIVERSITY PSYCHIATRIC PRACTICE | |||||
| ECMC - 462 GRIDER STREET 11TH FLOO | BUFFALO | NY | 14215 | CONSULTANT | 142010 |
| AMHERST PSYCHIATRY PC | |||||
| 65 VIA FORESTA LANE | WILLIAMSVILLE | NY | 14221 | CONSULTANT | 113165 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 3 | NumberOfContractorsGT100K |
| Government Grants | 2122952 | GovernmentGrants |
| All Other Contributions | 69803 | AllOtherContributions |
| Total Contributions | 2192755 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| MEDICAID | 624100 | 3689830 | 3689830 |
| THIRD PARTY INSURANCE | 624100 | 1042438 | 1042438 |
| PATIENT FEES | 624100 | 221955 | 221955 |
| MEDICARE | 624100 | 90310 | 90310 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 5044533 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1023 | TotalRevenueColumn |
| Exclusion | $1,023 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MISCELLANEOUS | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 38439 | TotalRevenueColumn |
| Related Or Exempt Function Income | 38439 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 38439 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 7276750 | TotalRevenueColumn |
| Related Or Exempt Function Income | 5082972 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $1,023 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 235152 | Total |
| Management And General | 235152 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3764718 | Total |
| Program Services | 3494532 | ProgramServices |
| Management And General | 270186 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 100919 | Total |
| Program Services | 95615 | ProgramServices |
| Management And General | 5304 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 400526 | Total |
| Program Services | 369409 | ProgramServices |
| Management And General | 31117 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 270328 | Total |
| Program Services | 249805 | ProgramServices |
| Management And General | 20523 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 33184 | Total |
| Program Services | 2909 | ProgramServices |
| Management And General | 30275 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 126923 | Total |
| Program Services | 84560 | ProgramServices |
| Management And General | 42363 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 218662 | Total |
| Program Services | 176448 | ProgramServices |
| Management And General | 42214 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 409591 | Total |
| Program Services | 347508 | ProgramServices |
| Management And General | 62083 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 89901 | Total |
| Program Services | 74664 | ProgramServices |
| Management And General | 15237 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 107267 | Total |
| Program Services | 99996 | ProgramServices |
| Management And General | 7271 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 49620 | Total |
| Program Services | 24603 | ProgramServices |
| Management And General | 25017 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 27142 | Total |
| Program Services | 25292 | ProgramServices |
| Management And General | 1850 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| TENANT DEPOSIT/WRAP EXP | 673517 | 673517 | |
| CONSULTANTS | 467966 | 467966 | |
| BUILDING MAINTENANCE AN | 109119 | 98146 | 10973 |
| MISCELLANEOUS | 80241 | 77549 | 2692 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 50793 | Total |
| Program Services | 50793 | ProgramServices |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7215569 | Total |
| Program Services | 6413312 | ProgramServices |
| Management And General | 802257 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 743861 | BOY |
| EOY | 759335 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 38613 | BOY |
| EOY | 23391 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 388339 | BOY |
| EOY | 573765 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 25840 | BOY |
| EOY | 35208 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 1108989 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 803593 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 320845 | BOY |
| EOY | 305396 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7629 | BOY |
| EOY | 7629 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1525127 | BOY |
| EOY | 1704724 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 487740 | BOY |
| EOY | 562324 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 126865 | BOY |
| EOY | 82285 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 974493 | BOY |
| EOY | 1062905 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1589098 | BOY |
| EOY | 1707514 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -63971 | BOY |
| EOY | -2790 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -63971 | BOY |
| EOY | -2790 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1525127 | BOY |
| EOY | 1704724 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 61181 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1712944 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1738029 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1849911 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2155595 | CurrentTaxYearMinus1Year |
| Current Tax Year | 2192755 | CurrentTaxYear |
| Total | 9649234 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1712944 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1738029 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1849911 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2155595 | CurrentTaxYearMinus1Year |
| Current Tax Year | 2192755 | CurrentTaxYear |
| Total | 9649234 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 9649234 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 3619 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 305 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1376 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1082 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1023 | CurrentTaxYear |
| Total | 7405 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 9656639 | TotalSupport |
| Gross Receipts From Admissions Etc | 23559115 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.99920 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.99910 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 233635 | OtherCostOrOtherBasis |
| Depreciation | 105238 | Depreciation |
| Book Value | 128397 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 847639 | OtherCostOrOtherBasis |
| Depreciation | 698355 | Depreciation |
| Book Value | 149284 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 27715 | OtherCostOrOtherBasis |
| Book Value | 27715 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 305396 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | REFUNDABLE ADVANCES AND AMOUNTS DUE TO FUNDING SOURCES | Description |
| Amount | $1,062,905 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 1062905 | TotalOfAmounts |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | STEVEN RUBINSTEIN | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | MEMBER OF BOARD OF DIRECTORS OF MID-ERIE, PARTNER OF DAMON & MOREY LAW FIRM | Relationship |
| Amount Of Transaction | 33184 | AmountOfTransaction |
| Description Of Transaction | MID-ERIE UTILIZES DAMON & MOREY AS THEIR PRINCIPAL LEGAL COUNCIL. | DescriptionOfTransaction |
| Sharing Of Revenues | 0 | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | THE IRS FORM 990 IS REVIEWED IN DETAIL BY THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS. THE FINANCE COMMITTEE THEN REPORTS TO THE FOLLOWING DIRECTORS MEETING WHERE A COPY IS AVAILABLE FOR INSPECTION. IF NO MEETING IS SCHEDULED BETWEEN THE PREPARATION DATE AND THE DUE DATE, THE COMPLETE FORM IS DISTRIBUTED THROUGH EMAIL TO ALL DIRECTORS FOR COMMENT. |
| FORM 990, PART VI, SECTION B, LINE 12C | CONFLICT OF INTEREST DISCLOSURES ARE SIGNED ANNUALLY BY ALL DIRECTORS AS WELL AS NEW MEMBERS JOINING THE BOARD DURING INTERIM PERIODS. THIS PROCEDURE IS A REGULAR AGENDA ITEM AT THE ANNUAL MEETING. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE EXECUTIVE DIRECTOR'S COMPENSATION IS COMPARED TO OTHER LOCAL ORGANIZATIONS, SCALED FOR APPROPRIATE SIZE, AND ADJUSTED ACCORDING TO PERFORMANCE REVIEWS. ALL OTHER EMPLOYEE SALARIES ARE AT THE DISCRETION OF THE EXECUTIVE DIRECTOR. |
| FORM 990, PART VI, SECTION C, LINE 19 | DOCUMENTS ARE MADE AVAILABLE FOR INSPECTIONS AT THE ADMINISTRATIVE OFFICES. COPIES CAN BE OBTAINED AT THE REQUESTING PARTY'S EXPENSE. |
| FORM 990, PART XII, LINE 2C: | THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MID-ERIE FOUNDATION INC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1520 WALDEN AVENUE | AddressLine1 |
| City | CHEEKTOWAGA | City |
| State | NY | State |
| ZIP Code | 14225 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 161578172 | EIN |
| Primary Activities | TO SUPPORT THE PROGRAMS OF MID-ERIE MENTAL HEALTH SERVICES, INC. | PrimaryActivities |
| Legal Domicile State | NY | LegalDomicileState |
| Exempt Code Section | 501(C)(3) | ExemptCodeSection |
| Public Charity Status | 11 TYPE II | PublicCharityStatus |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Controlled Org | 0 | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 1 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
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