WASHINGTON COUNTY MENTAL HEALTH ASSOCIATION: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
WASHINGTON COUNTY MENTAL HEALTH ASSOCIATION (EIN 25-1213784)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-02-06
IRS object ID
201310379349300301
Schema version
2011v1.5
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)
Timestamp2013-02-06T08:33:18-06:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1GUTHRIE BELCZYK & ASSOCIATES PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11024 ROUTE 519 SUITE 200AddressLine1
CityEIGHTY FOURCity
StatePAState
ZIP Code153302866ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN251213784EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MENTAL HEALTH ASSOCIATION OFBusinessNameLine1
Business Name Line2WASHINGTON COUNTYBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlMENTNameControl
Phone7242252061Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1575 N MAIN STAddressLine1
CityWASHINGTONCity
StatePAState
ZIP Code15301ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameLYNNE LORESCHName
TitleEXECUTIVE DIRECTORTitle
Phone7242252061Phone
Date Signed2013-01-21DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameR CARLYN BELCZYK CPAName
Phone7242239000Phone
Date Prepared2013-01-29DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonLYNNE LORESCHNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1575 N MAIN STREETAddressLine1
CityWASHINGTONCity
StatePAState
ZIP Code15301ZIPCode
FieldValueIRS element (for citing)
Gross Receipts2296135GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.MHAWASHCO.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1965YearFormation
State Legal DomicilePAStateLegalDomicile
Activity Or Mission DescriptionTHE MISSION OF THE M.H.A IS TO PROMOTE AN ENVIRONMENT OF EMPOWERMENT AND ACCEPTANCE FOR ALL PEOPLE DEALING WITH MENTAL HEALTH ISSUES THROUGH ADVOCACY, EDUCATION, AND COMPREHENSIVE SUPPORT SERVICESActivityOrMissionDescription
Nbr Voting Members Governing Body18NbrVotingMembersGoverningBody
Nbr Independent Voting Members17NbrIndependentVotingMembers
Total Nbr Employees86TotalNbrEmployees
Total Nbr Volunteers25TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year21081ContributionsGrantsPriorYear
Contributions Grants Current Year49894ContributionsGrantsCurrentYear
Program Service Revenue Prior Year2144830ProgramServiceRevenuePriorYear
Program Service Revenue CY2147598ProgramServiceRevenueCY
Investment Income Prior Year2387InvestmentIncomePriorYear
Investment Income Current Year8548InvestmentIncomeCurrentYear
Other Revenue Prior Year35633OtherRevenuePriorYear
Other Revenue Current Year64039OtherRevenueCurrentYear
Total Revenue Prior Year2203931TotalRevenuePriorYear
Total Revenue Current Year2270079TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year1585918SalariesEtcPriorYear
Salaries Etc Current Year1569013SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year1227TotalFundrsngExpCurrentYear
Other Expense Prior Year694047OtherExpensePriorYear
Other Expenses Current Year697158OtherExpensesCurrentYear
Total Expenses Prior Year2279965TotalExpensesPriorYear
Total Expenses Current Year2266171TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-76034RevenuesLessExpensesPriorYear
Revenues Less Expenses CY3908RevenuesLessExpensesCY
Total Assets BOY4291874TotalAssetsBOY
Total Assets EOY4248874TotalAssetsEOY
Total Liabilities BOY3265773TotalLiabilitiesBOY
Total Liabilities EOY3218865TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1026101NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1030009NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE MISSION OF THE M.H.A IS TO PROMOTE AN ENVIRONMENT OF EMPOWERMENT AND ACCEPTANCE FOR ALL PEOPLE DEALING WITH MENTAL HEALTH ISSUES THROUGH ADVOCACY, EDUCATION, AND COMPREHENSIVE SUPPORT SERVICESMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense1369666Expense
DescriptionLONG TERM STRUCTURED RESIDENCE (L.T.S.R.) IS A RESIDENCE FOR 16 RESIDENTS WITH SERIOUS MENTAL ILLNESS AND PROVIDES 24 HOUR AWAKE STAFF WHICH INCLUDES NURSING CARE AND ON-SITE PSYCHIATRIC CARE WITH A BOARD CERTIFIED PSYCHIATRIST. WITH A 2:1 STAFF TO RESIDENT RATIO. THERE IS A HIGH LEVEL OF PROFESSIONALISM AS WELL AS SECURTIY. THIS FACILITY IS LOCKED AT ALL TIMES AND PROVIDES OPTIMAL SAFETY AND REHALILITATION SERVICES FOR ITS RESIDENTS. A VERY STURCTURED THERAPEAUTIC DAY FEATURES PSYCHOEDUCATIONAL GROUPS;PSYCHIATRIC REHABILITATION RECOVERY ACTIVITIES AND COMMUNITY INTEGRATION SKILLS TRAINING. IN ADDITION THE PROGRAM PROVIDES A FULL RANGE OF CULTURALLY COMPETENT SOCIAL ACTIVIITES BOTH ON AND OFF SITE. PHYSICAL MEDICAL ISSUES OF RESIDENTS ARE ALSO ADDRESSED BY ON-SITE STAFF AND TRANSPORTATION IS PROVIDED FOR MEDICAL APPOINTEMENTS.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense523119Expense
DescriptionTHE ENHANCED PERSONAL CARE HOME(E.P.C.H.) SERVES 12 INDIVIDUALS WITH SEVERE MENTAL HEALTH ISSUES. RESIDENTS RECEIVE ASSISTANCE WITH MEDICATION MANAGEMENT, FINANCIAL BUDGETING, MEAL PREPARATION, LAUNDRY, AND SOCIALIZATION. DAILY GROUPS PROVIDE COUNSELING AND PSYCHIATRIC REHABILITATION. THIS FACILITY IS UNLOCKED AND OFFERS PERSONAL LIVING SUPPORT. WITH ALL STAFF TRAINED IN MENTAL HEALTH ISSUES AND A M.S.W. AS ON-SITE PROGRAM DIRECTOR THE FACILITY PROVIDES A HIGHLY SKILLED LEVEL OF MILIEU THERAPY. IN ADDITION RESIDENTS RECEIVE DAILY GROUP ACTIVITIES. RESIDENTS ARE ACTIVELY ENCOURAGED TO PARTICIPATE IN COMMUNITY ACTIVITIES. SEVERAL ARE MEMBERS OF THE BENTLEYVILLE SENIOR CITIZENS CENTER, NEW HOPE CLUBHOUSE AND VOLUNTEER TO ASSIST WITH MEALS-ON-WHEELS FOOD DELIVERY TO SENIOR CITIZENS.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense82677Expense
DescriptionTHE CIRCLE CENTER DROP-IN-CENTER OFFERS PEER SUPPORT AND FELLOWSHIP TO IT'S OVER 800 MEMBERS. OPEN SEVEN DAYS A WEEK THE CENTER OFFERS SUPPORT GROUPS AS WELL AS SOCIALIZATION ACTIVITIES SUCH AS GAMES, POOL, CRAFTS, AND HOLIDAY CELEBRATIONS. INSTRUCTION IN COMPUTER OPERATIONS IS AVAILABLE IN THE COMPUTER LAB AND CLASSES IN YOGA AND PHYSICAL FITNESS ARE HELD IN THE EXERCISE ROOM. SEVEN EVENINGS A WEEK THE PEER RUN WARMLINE ANSWERS CALLS FROM THOSE WHO NEED SUPPORT TO SUCCEED IN THE COMMUNITY. CALLS COME FROM WASHINGTON, FAYETTE, GREENE AS WELL AS ALLEGHENY COUNTY. THE ALL CONSUMER STAFF SERVES AS SUCCESS MODELS AND OFFERS ASSISTANCE AND HOPE TO ALL THE MEMBERS ON THEIR RECOVERY JOURNEY.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense246773Expense
DescriptionOTHER PROGRAMS INCLUDE THE PARENT ADVOCATE PROGRAM, THE REPRESENTATIVE PAYEE PROGRAM, AND THE MOBILE PSYCHIATRIC REHABILITATION PROGRAM.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp246773TotalOfOtherProgramServiceExp
Total Program Service Expense2222235TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
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 LiabilitiestrueReportOtherLiabilities
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 OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
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 RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10962NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees86NumberOfEmployees
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
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members18NbrVotingGoverningBodyMembers
Number Independent Voting Members17NumberIndependentVotingMembers
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 PolicyfalseWhistleblowerPolicy
Document Retention PolicyfalseDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledPAStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1LYNNE LORESCHBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7242252061TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1575 N MAIN STAddressLine1
CityWASHINGTONCity
StatePAState
ZIP Code15301ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (19 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
STEVE CYPHER
DIRECTOR1.00X000
LISA NEIL
2ND VICE-PRE2.00X000X
MARY LYNN SPILAK
TREASURER2.00X000X
J BRACKEN BURNS
1ST VICE-PRE2.00X000X
LISA BARBOSKY
SECRETARY2.00X000X
WILLIAM A FETCKO
PRESIDENT2.00X000X
MICHAEL CRUNY
DIRECTOR1.00X000
DAVID J DICARLO
DIRECTOR1.00X000
JIM MEDVED
DIRECTOR1.00X000
PATRICIA BRICKNER
DIRECTOR1.00X000
RUEBEN BROCK
DIRECTOR1.00X000
MARK WORLEY
DIRCTOR1.00X000
JEFF FONDELIER
DIRECTOR1.00X000
ED HARRIS
DIRECTOR1.00X000
RHONA SNOW KRANTZ
DIRECTOR1.00X000
LESLIE DAVIS GILL
DIRECTOR1.00X000
JERRY SERRINO
DIRECTOR1.00X000
MARYANN WEINSTEIN
DIRECTOR1.00X000
LYNNE LORESCH
EXE DIRECTOR40.0062320012040X
FieldValueIRS element (for citing)
Total Reportable Comp From Org62320TotalReportableCompFromOrg
Total Other Compensation12040TotalOtherCompensation
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Federated Campaigns1508FederatedCampaigns
Government Grants3999GovernmentGrants
All Other Contributions44387AllOtherContributions
Total Contributions49894TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MH/MR GRANTS90009919345601934560
PROGRAM FEES900099156436156436
VALUE REIMBURSEMENTS9000995660256602
FieldValueIRS element (for citing)
Total Program Service Revenue2147598TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1548TotalRevenueColumn
Related Or Exempt Function Income1548RelatedOrExemptFunctionIncome

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real4560Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real4560Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column4560TotalRevenueColumn
Related Or Exempt Function Income4560RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other7000Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other7000Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column7000TotalRevenueColumn
Related Or Exempt Function Income7000RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Gross Income Fundraising Events66036GrossIncomeFundraisingEvents
Fundraising Direct Expenses26056FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column39980TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER INCOMEDescription
Business Code900099BusinessCode
Total Revenue Column19499TotalRevenueColumn
Related Or Exempt Function Income19499RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue19499TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column2270079TotalRevenueColumn
Related Or Exempt Function Income2180205RelatedOrExemptFunctionIncome

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total62317Total
Program Services62317ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total1112449Total
Program Services1102628ProgramServices
Management And General8840ManagementAndGeneral
Fundraising981Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total35393Total
Program Services35188ProgramServices
Management And General184ManagementAndGeneral
Fundraising21Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total254833Total
Program Services253355ProgramServices
Management And General1329ManagementAndGeneral
Fundraising149Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total104021Total
Program Services103418ProgramServices
Management And General542ManagementAndGeneral
Fundraising61Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total56560Total
Program Services56560ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total82334Total
Program Services81269ProgramServices
Management And General1065ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total136050Total
Program Services136050ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total127361Total
Program Services117198ProgramServices
Management And General10163ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
TREATMENT SUPPLIES9623996051188
MISC OPERATING648475017014677
REPAIRS AND IMPROVEMENTS53207484984709
TRANSPORTATION3047130471

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total50089Total
Program Services49062ProgramServices
Management And General1012ManagementAndGeneral
Fundraising15Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total2266171Total
Program Services2222235ProgramServices
Management And General42709ManagementAndGeneral
Fundraising1227Fundraising
FieldValueIRS element (for citing)
Joint CostsXJointCosts

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY384703BOY
EOY455271EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY171950BOY
EOY170479EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY57546BOY
EOY70580EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis4325939LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec790171LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY3677675BOY
EOY3535768EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
EOY16776EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY4291874BOY
EOY4248874EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY117671BOY
EOY106081EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY3126177BOY
EOY3091338EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY21925BOY
EOY21446EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3265773BOY
EOY3218865EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY515415BOY
EOY544518EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY510686BOY
EOY485491EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1026101BOY
EOY1030009EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4291874BOY
EOY4248874EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses3908ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years61997CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years62153CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years70132CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year21081CurrentTaxYearMinus1Year
Current Tax Year49894CurrentTaxYear
Total265257Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1986035CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2156771CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2157619CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2157489CurrentTaxYearMinus1Year
Current Tax Year2194578CurrentTaxYear
Total10652492Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2048032CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2218924CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2227751CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2178570CurrentTaxYearMinus1Year
Current Tax Year2244472CurrentTaxYear
Total10917749Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10000CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10000CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10000CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10000CurrentTaxYearMinus1Year
Current Tax Year10000CurrentTaxYear
Total50000Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10000CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10000CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10000CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10000CurrentTaxYearMinus1Year
Current Tax Year10000CurrentTaxYear
Total50000Total
FieldValueIRS element (for citing)
Public Support Total50910867749PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years138261CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years134765CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years140133CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10787CurrentTaxYearMinus1Year
Current Tax Year6108CurrentTaxYear
Total430054Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years138261CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years134765CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years140133CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10787CurrentTaxYearMinus1Year
Current Tax Year6108CurrentTaxYear
Total430054Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year14574CurrentTaxYearMinus1Year
Current Tax Year19499CurrentTaxYear
Total34073Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2186293CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2353689CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2367884CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2203931CurrentTaxYearMinus1Year
Current Tax Year2270079CurrentTaxYear
Total11381876Total
FieldValueIRS element (for citing)
Public Support Percentage5090.95480PublicSupportPercentage509
Prior Year Support Percentage0.94190PriorYearSupportPercentage
Investment Income Percentage0.04000InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.05000PriorYrInvestIncomePercentage
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 D IRS990ScheduleD

FieldValueIRS element (for citing)
Disclosed Orgs Legal ControlfalseDisclosedOrgsLegalControl
Disclosed For Charitable PurposesfalseDisclosedForCharitablePurposes
Written Policy MonitoringfalseWrittenPolicyMonitoring
Sect170h Requirements SatisfiedfalseSect170hRequirementsSatisfied
Solicited Assets For SalefalseSolicitedAssetsForSale
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FSfalseIncludedOnFS

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance268213BeginningOfYearBalance
Contributions51444Contributions
End Of Year Balance319657EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance223241BeginningOfYearBalance
Contributions44972Contributions
End Of Year Balance268213EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance214998BeginningOfYearBalance
Contributions8243Contributions
End Of Year Balance223241EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance1.00000BoardDesignatedEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis63000OtherCostOrOtherBasis
Book Value63000BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis125195OtherCostOrOtherBasis
Depreciation101363Depreciation
Book Value23832BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis4137744OtherCostOrOtherBasis
Depreciation688808Depreciation
Book Value3448936BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings3535768TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionESCROW FUNDSDescription
Amount$21,446Amount
FieldValueIRS element (for citing)
Total Of Amounts21446TotalOfAmounts
Total Revenue2270079TotalRevenue
Total Expenses2266171TotalExpenses
Excess Or Deficit For Year3908ExcessOrDeficitForYear
Excess Or Deficit Per FS3908ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt2298635TotRevenueEtcAuditedFinclStmt
Donated Srvc And Use Of Facilities2500DonatedSrvcAndUseOfFacilities
Other Revenues26056OtherRevenues
Revenue Not Rptd F99028556RevenueNotRptdF990
Revenue Subtotal2270079RevenueSubtotal
Total Revenue Per Form9902270079TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt2294727TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities2500DonatedServicesUseOfFacilities
Other Expenses Included26056OtherExpensesIncluded
Expenses Not Rptd F99028556ExpensesNotRptdF990
Expenses Subtotal2266171ExpensesSubtotal
Total Expenses Per Form9902266171TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
LIABILITY UNDER FIN 48 FOOTNOTESCHEDULE D, PAGE 3, PART XTHE ORGANIZATION HAS REVIEWED THE IMPACT OF FINANCIAL ACCOUNTING STANDARDS BOARD ACCOUNTING STANDARDS CODIFICATION (ASC) 740-10 (FORMERLY FIN 48), ACCOUNTING FOR UNCERTAINTITY IN INCOME TAXES, ON THE ACCOMPANYING FINANCIAL STATEMENTS AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS OR UNRECOGNIZED TAX BENEFITS, AND THERE IS NO MATERIAL IMPACT ON THE ORGANIZATION'S FINANCIAL POSITION, RESULTS OF OPERATIONS, OR CASH FLOWS. THIS EVALUATION WAS PERFORMED FOR THE TAX YEARS 2008 THROUGH 2011, WHICH ARE THE YEARS THAT REMAIN SUBJECT TO FEDERAL AND STATE EXAMINATIONS AS OF JUNE 30, 2012
RECONCILIATION OF CHANGES - OTHERSCHEDULE D, PAGE 4, PART XI, LINE 8SPECIAL EVENTS EXPENSES 26,056 SPECIAL EVENTS EXPENSES -26,056
REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHERSCHEDULE D, PAGE 4, PART XII, LINE 2DSPECIAL EVENTS EXPENSES 26,056
EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHERSCHEDULE D, PAGE 4, PART XIII, LINE 2DSPECIAL EVENTS EXPENSES 26,056

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1WINE & JAZZ FESNameOfEvent1
Gross Receipts Event147111GrossReceiptsEvent1
Gross Revenue Event147111GrossRevenueEvent1
Other Direct Expenses Event124022OtherDirectExpensesEvent1
Name Of Event2COVERED BRIDGENameOfEvent2
Gross Receipts Event218925GrossReceiptsEvent2
Gross Revenue Event218925GrossRevenueEvent2
Other Direct Expenses Event22034OtherDirectExpensesEvent2
Gross Receipts Total66036GrossReceiptsTotal
Gross Revenue Total Events66036GrossRevenueTotalEvents
Other Direct Expenses Total Events26056OtherDirectExpensesTotalEvents
Direct Expense Summary Events26056DirectExpenseSummaryEvents
Net Income Summary39980NetIncomeSummary

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1WASHINGTON FINANCIALBusinessNameLine1
FieldValueIRS element (for citing)
RelationshipDIRECTORRelationship
Amount Of Transaction136050AmountOfTransaction
Description Of TransactionMORTGAGE INTERESTDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FIRST ACCOMPLISHMENT DESCRIPTIONFORM 990, PAGE 2, PART III, LINE 4ATRAINING. IN ADDITION THE PROGRAM PROVIDES A FULL RANGE OF CULTURALLY COMPETENT SOCIAL ACTIVIITES BOTH ON AND OFF SITE. PHYSICAL MEDICAL ISSUES OF RESIDENTS ARE ALSO ADDRESSED BY ON-SITE STAFF AND TRANSPORTATION IS PROVIDED FOR MEDICAL APPOINTEMENTS.
SECOND ACCOMPLISHMENT DESCRIPTIONFORM 990, PAGE 2, PART III, LINE 4BPARTICIPATE IN COMMUNITY ACTIVITIES. SEVERAL ARE MEMBERS OF THE BENTLEYVILLE SENIOR CITIZENS CENTER, NEW HOPE CLUBHOUSE AND VOLUNTEER TO ASSIST WITH MEALS-ON-WHEELS FOOD DELIVERY TO SENIOR CITIZENS.
THIRD ACCOMPLISHMENT DESCRIPTIONFORM 990, PAGE 2, PART III, LINE 4CSUCCESS MODELS AND OFFERS ASSISTANCE AND HOPE TO ALL THE MEMBERS ON THEIR RECOVERY JOURNEY.
ALL OTHER ACCOMPLISHMENT DESCRIPTIONFORM 990, PAGE 2, PART III, LINE 4DOTHER PROGRAMS INCLUDE THE PARENT ADVOCATE PROGRAM, THE REPRESENTATIVE PAYEE PROGRAM, AND THE MOBILE PSYCHIATRIC REHABILITATION PROGRAM.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BFORM 990 IS PREPARED BY EXTERNAL AUDITORS AND SUBMITTED TO THE EXEC. DIRECTOR FOR REVIEW. UPON APPROVAL BY THE EXEC. DIRECTOR, THE FORM 990 IS SUBMITTED TO A PREDETERMINED REPRESENTATIVE FROM THE BOARD OF DIRECTORS FOR REVIEW. THIS BOARD MEMBER THEN PROVIDES A SUMMARY OF THE 990 TO THE ENTIRE BOARD FOR THEIR REVIEW AND APPROVAL.
ENFORCEMENT OF CONFLICTS POLICYFORM 990, PAGE 6, PART VI, LINE 12CTHE BY-LAWS OF THE ORGANIZATION REQUIRE THAT ALL BOARD MEMBERS DISCLOSE ANY CONFLICT OF INTEREST. MEMBERS ABSTAIN FROM VOTING ON ANY ISSUE THAT MAY BE CONSTRUED AS A CONFLICT OF INTEREST. IN THE PAST MEMBERS HAVE SELF-MONITORED ON ANY POTENTIAL AREA OF CONCERN. WE RECENTLY INVESTIGATED THE UTILIZATION OF A CONFLICT OF INTEREST FORM TO BE EXECUTED ANNUALLY BY EACH BOARD MEMBER IN THE FALL OF EACH YEAR AT A BOARD MEETING. IT WAS FIRST USED ON OCTOBER 27, 2009
COMPENSATION PROCESS FOR TOP OFFICIALFORM 990, PAGE 6, PART VI, LINE 15AALL SALARIES AT THE MENTAL HEALTH ASSOCIATION ARE APPROVED IN ACCORDANCE WITH THE WASHINGTON COUNTY PERSONNEL CLASSIFICATIONS POLICY AND SALARY GRID. UPDATES TO THE SALARY GRID ARE FORWARDED ANNUALLY TO AGENCIES. AS A PROGRAM FUNDED AGENCY OF THE WASHINGTON MH/MR ADMINISTRATION THE M.H.A. WAGE AND SALARY SCALE IS THEN VOTED UPON BY THE M.H.A. BOARD OF DIRECTORS
COMPENSATION PROCESS FOR OFFICERSFORM 990, PAGE 6, PART VI, LINE 15BALL SALARIES AT THE MENTAL HEALTH ASSOCIATION ARE APPROVED IN ACCORDANCE WITH THE WASHINGTON COUNTY PERSONNEL CLASSIFICATIONS POLICY AND SALARY GRID. UPDATES TO THE SALARY GRID ARE FORWARDED ANNUALLY TO AGENCIES. AS A PROGRAM FUNDED AGENCY OF THE WASHINGTON MH/MR ADMINISTRATION THE M.H.A. WAGE AND SALARY SCALE IS THEN VOTED UPON BY THE M.H.A. BOARD OF DIRECTORS
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19THE GOVERNING DOCUMENTS ARE MADE AVALIABLE TO THE PUBLIC UPON REQUEST.

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