COUNSELING4KIDS: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
COUNSELING4KIDS (EIN 95-4628412)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-01-15
IRS object ID
201340159349300834
Schema version
2011v1.2
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)
Timestamp2013-01-15T11:23:09-06:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN951777440EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1GREEN HASSON & JANKS LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line110990 WILSHIRE BLVD 16TH FLOORAddressLine1
CityLOS ANGELESCity
StateCAState
ZIP Code900243929ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN954628412EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1COUNSELING4KIDS INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCOUNNameControl
Phone8184417800Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1601 SOUTH GLENOAKS NO 200AddressLine1
CityBURBANKCity
StateCAState
ZIP Code91502ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameRICHARD BURRELLName
TitleEXECUTIVE DIRECTORTitle
Phone8184417800Phone
Date Signed2013-01-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameRICHARD L RUVELSONName
PTINP00234075PTIN
Phone3108731600Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonRICHARD BURRELLNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1601 SOUTH GLENOAKSAddressLine1
CityBURBANKCity
StateCAState
ZIP Code91502ZIPCode
FieldValueIRS element (for citing)
Gross Receipts5981207GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.COUNSELING4KIDS.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1997YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionDELIVERS HEALING AND ADVOCACY TO AT-RISK CHILDREN AND FAMILIES.ActivityOrMissionDescription
Nbr Voting Members Governing Body7NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees30TotalNbrEmployees
Total Nbr Volunteers50TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year4944060ContributionsGrantsPriorYear
Contributions Grants Current Year5980829ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year1063InvestmentIncomePriorYear
Investment Income Current Year346InvestmentIncomeCurrentYear
Other Revenue Prior Year1437OtherRevenuePriorYear
Other Revenue Current Year32OtherRevenueCurrentYear
Total Revenue Prior Year4946560TotalRevenuePriorYear
Total Revenue Current Year5981207TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year1641359SalariesEtcPriorYear
Salaries Etc Current Year1940140SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year42960TotalFundrsngExpCurrentYear
Other Expense Prior Year3282562OtherExpensePriorYear
Other Expenses Current Year4019287OtherExpensesCurrentYear
Total Expenses Prior Year4923921TotalExpensesPriorYear
Total Expenses Current Year5959427TotalExpensesCurrentYear
Revenues Less Expenses Prior Year22639RevenuesLessExpensesPriorYear
Revenues Less Expenses CY21780RevenuesLessExpensesCY
Total Assets BOY727992TotalAssetsBOY
Total Assets EOY1522507TotalAssetsEOY
Total Liabilities BOY743850TotalLiabilitiesBOY
Total Liabilities EOY1516585TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-15858NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY5922NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionDELIVER HEALING AND ADVOCACY TO AT RISK CHILDREN AND FAMILIES TO IMPROVE THE QUALITY OF LIFE FOR ALL. IT IS A CHILD-CENTERED AGENCY THAT FOSTERS HEALING FOR CHILDREN, FAMILIES, SYSTEMS AND COMMUNITIES. WE LEAD THE WAY IN HEALING AND PREVENTING FAMILY DISRUPTION TO STABILIZE CHILDREN'S ATTACHMENTS IN THEIR FAMILY AND COMMUNITY.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense3063662Expense
DescriptionPREVENTION AND EARLY INTERVENTION PROGRAM:UTILIZES EMPIRICALLY BASED RESEARCH PROVEN MENTAL HEALTH TREATMENT TO ADDRESS SPECIFIC SYMPTOMS AND BEHAVIORAL PROBLEMS IN CHILDREN AND YOUTH. THE EVIDENCE BASED TREATMENT MODELS WE USE ADDRESS SPECIFIC, TYPICAL PROBLEMS REPORTED IN OUR POPULATION OF FOSTER CARE AND DCFS-INVOLVED CHILDREN, INCLUDING PTSD, DEPRESSION, ANXIETY, BEHAVIOR PROBLEMS, INADEQUATE PARENTING SKILLS AND ATTACHMENT ISSUES. WE STRIVE TO BRING EFFECTIVE BASED TREATMENT TO THE CHILDREN, YOUTH AND CAREGIVERS WE SERVE. AS A CLINIC WITHOUT WALLS, OUR SERVICE DELIVERY MODEL AIMS TO INCREASE THE CONTINUITY OF MENTAL HEALTH TREATMENT TO FOSTER CHILDREN AND THEIR FAMILIES BY PROVIDING IN-HOME THERAPY AND THE ABILITY TO FOLLOW A CHILD WHO IS MOVED. WE USE ONLY LICENSED THERAPISTS AND MAINTAIN HIGH STANDARDS OF TREATMENT AND MODEL FIDELITY.THE PARENT CHILD INTERACTION THERAPY (PCIT) PROGRAM: IT IS AN EARLY INTERVENTION PROGRAM FOR PARENTS OF YOUNG CHILDREN, AGES 2 TO 7 YEARS, WITH BEHAVIORAL PROBLEMS. THE PROGRAM WORKS WITH PARENTS AND CHILDREN TOGETHER TO TEACH PARENTS HOW TO EFFECTIVELY REDUCE THEIR CHILD'S PROBLEM BEHAVIORS, INCLUDING AGGRESSION, DISOBEDIENCE, DEFIANCE, AND TEMPER TANTRUMS. PCIT IS A PROVEN TREATMENT PROGRAM THAT CREATES POSITIVE PARENT-CHILD RELATIONSHIPS WHILE IMPROVING PARENTING SKILLS. THROUGH TEACHING PARENTS ABOUT HEALTHY ATTACHMENT, EFFECTIVE DISCIPLINE AND CHILD MANAGEMENT SKILLS, C4K'S (COUNSELING4KIDS) PCIT PROGRAM WILL HELP IMPROVE THEIR CHILD'S BEHAVIOR. PARENTS RECEIVE LIVE COACHING ON PARENTING, COMMUNICATION AND DISCIPLINE SKILLS WHILE THEY INTERACT WITH THEIR CHILDREN. WHILE PARENTS AND CHILDREN HAVE "SPECIAL PLAY TIME," A PCIT THERAPIST IS SITTING BEHIND A ONE-WAY MIRROR GUIDING THE PARENT ON WHAT TO SAY AND DO THROUGH AN "EAR BUG" AUDIO DEVICE. THIS LIVE COACHING AND GUIDANCE TEACHES PARENTS HOW TO RESPOND TO THEIR CHILDREN'S BEHAVIORS IN THE MOMENT. PARENTS WILL LEARN AND PRACTICE SKILLS SUCH AS GIVING PRAISE TO INCREASE POSITIVE BEHAVIORS, SETTING LIMITS ON PROBLEM BEHAVIORS, AND GIVING TIME OUTS. PCIT SERVES CHILDREN AND FAMILIES IN THE BURBANK CLINIC LOCATION.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense1362343Expense
DescriptionGENERAL OUTPATIENT PROGRAM:IS FOR CLIENTS WHO MEET MEDICAL NECESSITY AS DEFINED BY THE DEPARTMENT OF MENTAL HEALTH AND WOULD NOT BE APPROPRIATELY SERVED BY OUR PREVENTION AND EARLY INTERVENTION PROGRAM. THE TARGET POPULATION IS CHILDREN AND YOUTH AGE 2 - 21 WHO ARE ELIGIBLE FOR MEDI-CAL AND SHOW SIGNIFICANT IMPAIRMENT IN HOME, SCHOOL, AND/OR COMMUNITY FUNCTIONING.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense866468Expense
DescriptionMULTIDISCIPLINARY ASSESSMENT TEAM (MAT) PROGRAM: IS TO PROVIDE A COMPREHENSIVE ASSESSMENT OF THE MENTAL HEALTH NEEDS OF CHILDREN WHO HAVE ENTERED THE FOSTER CARE SYSTEM. PROVIDING ENHANCED EARLY ASSESSMENT OF THE MENTAL HEALTH NEEDS OF CHILDREN IN FOSTER CARE WILL DECREASE THE AMOUNT OF TIME THOSE CHILDREN WAIT WITHOUT RECEIVING TREATMENT FOR THEIR ONGOING MENTAL HEALTH PROBLEMS. CHILDREN RECEIVING MAT ASSESSMENT WILL BENEFIT FROM A REDUCTION IN THEIR MENTAL HEALTH SYMPTOMS AND AN INCREASE IN THEIR ABILITY TO MEET THEIR DEVELOPMENTAL MILESTONES THROUGH COMPREHENSIVE ASSESSMENT AND EXPEDITED ENROLLMENT IN TREATMENT SERVICES. THE ASSESSMENT PROVIDES REFERRALS TO THE FAMILY FOR SUPPORT SERVICES AIMED TO INCREASE THEIR ABILITY TO PROVIDE AN APPROPRIATE ENVIRONMENT FOR THE CHILD. THEREFORE, IN ADDITION TO ADDRESSING THE SPECIFIC MENTAL HEALTH NEEDS OF THE CHILD, THE MAT ASSESSMENT PROCESS ALSO FACILITATES STRIDES TOWARDS EITHER REUNIFICATION OR MORE SECURE/PERMANENT PLACEMENTS FOR THE CLIENTS.Description
FieldValueIRS element (for citing)
Total Program Service Expense5292473TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109681NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees30NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Form8899 Filed0Form8899Filed
Form1098 C Filed0Form1098CFiled
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members7NbrVotingGoverningBodyMembers
Number Independent Voting Members7NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Own WebsiteXOwnWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1DONNA R ZUNIGABusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8184417800TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1601 SOUTH GLENOAKS BLVD 200AddressLine1
CityBURBANKCity
StateCAState
ZIP Code91502ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (10 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
CINDY CHEW
BOARD MEMBER0.20X000
SHELDON BRACKETT
BOARD MEMBER0.20X000
JOHN B FRALEY
BOARD MEMBER0.20X000
ART CHAPARRO
PRESIDENT0.20X000X
DANNY LY
VICE - PRESIDENT0.20X000X
AMBER MACMILLER
SECRETARY0.20X000X
MARCIA GOULD
TREASURER0.20X000X
RICHARD BURRELL
EXECUTIVE DIRECTOR40.00139006033487X
DONNA R ZUNIGA
FINANCE DIRECTOR40.00110615020431X
MARIANNE CALLAHAN
CLINICAL DIRECTOR40.00110282026963X
FieldValueIRS element (for citing)
Total Reportable Comp From Org359903TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation80881TotalOtherCompensation
Number Individuals GT100 K3NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
STEPHANIE A MACHADO
601 SOUTH GLENOAKS BLVD STE 200BURBANKCA91502CLINICIAN/THERAPIST120284
JOHN TREMBLAY
601 SOUTH GLENOAKS BLVD STE 200BURBANKCA91502PSYCHIATRIST115123
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
Government Grants5916087GovernmentGrants
All Other Contributions64742AllOtherContributions
Total Contributions5980829TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column346TotalRevenueColumn
Exclusion$346ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUS INCOMEDescription
Business Code900099BusinessCode
Total Revenue Column32TotalRevenueColumn
Exclusion$32ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue32TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column5981207TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$378ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total268073Total
Program Services202903ProgramServices
Management And General64486ManagementAndGeneral
Fundraising684Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total1355792Total
Program Services1026194ProgramServices
Management And General326140ManagementAndGeneral
Fundraising3458Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total45997Total
Program Services34815ProgramServices
Management And General11065ManagementAndGeneral
Fundraising117Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total135211Total
Program Services102341ProgramServices
Management And General32525ManagementAndGeneral
Fundraising345Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total135067Total
Program Services102231ProgramServices
Management And General32491ManagementAndGeneral
Fundraising345Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total20761Total
Program Services16852ProgramServices
Management And General3874ManagementAndGeneral
Fundraising35Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total3332729Total
Program Services3323981ProgramServices
Management And General8669ManagementAndGeneral
Fundraising79Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total20189Total
Program Services15265ProgramServices
Management And General4537ManagementAndGeneral
Fundraising387Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total117230Total
Program Services88638ProgramServices
Management And General28335ManagementAndGeneral
Fundraising257Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total81206Total
Program Services61400ProgramServices
Management And General19628ManagementAndGeneral
Fundraising178Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total331871Total
Program Services250927ProgramServices
Management And General80215ManagementAndGeneral
Fundraising729Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total32837Total
Program Services24828ProgramServices
Management And General7938ManagementAndGeneral
Fundraising71Fundraising

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalFundraisingFundraisingProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
FUNDRAISING3623736237
TRAINING32035631369660
PROF. ASSOCIATION DUES111332484172692

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total3059Total
Program Services2312ProgramServices
Management And General739ManagementAndGeneral
Fundraising8Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total5959427Total
Program Services5292473ProgramServices
Management And General623994ManagementAndGeneral
Fundraising42960Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY400BOY
EOY400EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY562788BOY
EOY1360907EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY103482BOY
EOY92184EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY20913BOY
EOY28964EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis20522LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec20522LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY357BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY40052BOY
EOY40052EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY727992BOY
EOY1522507EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY743850BOY
EOY1516585EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY743850BOY
EOY1516585EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-15858BOY
EOY5922EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-15858BOY
EOY5922EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY727992BOY
EOY1522507EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses21780ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4229972CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4380231CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4447915CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4944060CurrentTaxYearMinus1Year
Current Tax Year5980829CurrentTaxYear
Total23983007Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4229972CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4380231CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4447915CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4944060CurrentTaxYearMinus1Year
Current Tax Year5980829CurrentTaxYear
Total23983007Total
FieldValueIRS element (for citing)
Public Support Total17023983007PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years12184CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1740CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1977CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1063CurrentTaxYearMinus1Year
Current Tax Year346CurrentTaxYear
Total17310Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years787CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1437CurrentTaxYearMinus1Year
Current Tax Year32CurrentTaxYear
Total2256Total
FieldValueIRS element (for citing)
Total Support24002573TotalSupport
Gross Receipts From Admissions Etc140GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.99920PublicSupportPertcentage170
Public Support Pertcent Prior Year0.99860PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Investment Cost Or Other Basis12847InvestmentCostOrOtherBasis
Depreciation12847Depreciation
Book Value0BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis7675InvestmentCostOrOtherBasis
Depreciation7675Depreciation
Book Value0BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings0TotalOfBookValueLandBuildings
Total Revenue5981207TotalRevenue
Total Expenses5959427TotalExpenses
Excess Or Deficit For Year21780ExcessOrDeficitForYear
Excess Or Deficit Per FS21780ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt5981207TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal5981207RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9905981207TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt5959427TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal5959427ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9905959427TotalExpensesPerForm990

Schedule J IRS990ScheduleJ

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

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonRICHARD BURRELLNamePerson
Base Compensation Filing Org139006BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org22000DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org11487NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org172493TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11FORM 990 IS REVIEWED BY THE BOARD PRESIDENT AND TREASURER. A COPY OF THE FORM IS PROVIDED TO THE BOARD MEMBERS PRIOR TO BEING FILED.
FORM 990, PART VI, SECTION B, LINE 12CTHE CONFLICT OF INTEREST POLICY IS SIGNED ANNUALLY BY ALL BOARD MEMBERS. THE EXECUTIVE DIRECTOR COLLECTS THE POLICY STATEMENTS AND REVIEWS THEM.
FORM 990, PART VI, SECTION B, LINE 15THE BOARD OF DIRECTORS DETERMINES/REVIEWS THE COMPENSATION FOR THE EXECUTIVE DIRECTOR. THE BOARD BASES THE COMPENSATION ON AN ANNUAL SALARY SURVEY AND ANNUAL PERFORMANCE/ACHIEVEMENTS. THE EXECUTIVE DIRECTOR DETERMINES/REVIEWS THE COMPENSATION FOR THE CLINICAL DIRECTOR AND THE FINANCE DIRECTOR. THE EXECUTIVE DIRECTOR BASES THE COMPENSATION ON AN ANNUAL SALARY SURVEY AND ANNUAL PERFORMANCE/ACHIEVEMENTS.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST.
FORM 990, PART XII, LINE 2CNO CHANGES WERE MADE TO THE OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR, AS COMPARED TO THE PRIOR TAX YEAR.FINANCIAL STATEMENTS AND REPORTING

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