CHILDRENS HOME OF JEFFERSON: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
CHILDRENS HOME OF JEFFERSON (EIN 15-0532089)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-02-12
IRS object ID
201340439349301269
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)
Timestamp2013-02-12T13:55:45-06:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN201317788EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BOWERS & COMPANY CPAS PLLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1167 POLK STREET SUITE 340AddressLine1
CityWATERTOWNCity
StateNYState
ZIP Code13601ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN150532089EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CHILDREN'S HOME OF JEFFERSON COUNTYBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCHILNameControl
Phone3157887430Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1253 STATE STREETAddressLine1
CityWATERTOWNCity
StateNYState
ZIP Code13601ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameROBERT GEFELLName
TitlePRESIDENTTitle
Phone3157887430Phone
Date Signed2013-02-05DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NamePETER J SOVIEName
PTINP00266822PTIN
Phone3157887690Phone
Date Prepared2013-02-05DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonROBERT GEFELLNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1253 STATE STREETAddressLine1
CityWATERTOWNCity
StateNYState
ZIP Code13601ZIPCode
FieldValueIRS element (for citing)
Gross Receipts9636312GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
All Affiliates Included1AllAffiliatesIncluded
Organization501c3XOrganization501c3
Web SiteNNYCHILDRENSHOME.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1859YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionCHILD CARE, OUTPATIENT CLINIC SPECIALIZING IN TREATMENT OF BEHAVIORAL HEALTH ISSUES.ActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees218TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year300244ContributionsGrantsPriorYear
Contributions Grants Current Year471096ContributionsGrantsCurrentYear
Program Service Revenue Prior Year7271454ProgramServiceRevenuePriorYear
Program Service Revenue CY8069548ProgramServiceRevenueCY
Investment Income Prior Year225794InvestmentIncomePriorYear
Investment Income Current Year53177InvestmentIncomeCurrentYear
Other Revenue Prior Year20734OtherRevenuePriorYear
Other Revenue Current Year12960OtherRevenueCurrentYear
Total Revenue Prior Year7818226TotalRevenuePriorYear
Total Revenue Current Year8606781TotalRevenueCurrentYear
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 Year5348845SalariesEtcPriorYear
Salaries Etc Current Year5441676SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year42786TotalFundrsngExpCurrentYear
Other Expense Prior Year2890573OtherExpensePriorYear
Other Expenses Current Year3302870OtherExpensesCurrentYear
Total Expenses Prior Year8239418TotalExpensesPriorYear
Total Expenses Current Year8744546TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-421192RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-137765RevenuesLessExpensesCY
Total Assets BOY4874105TotalAssetsBOY
Total Assets EOY5473707TotalAssetsEOY
Total Liabilities BOY677955TotalLiabilitiesBOY
Total Liabilities EOY1463537TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY4196150NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY4010170NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionCHILD CARE, OUTPATIENT CLINIC SPECIALIZING IN TREATMENT OF BEHAVIORAL HEALTH ISSUES.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change1SignificantChange
Expense2548256Expense
Revenue2235519Revenue
DescriptionFOSTER CARE257 CHILDREN SERVEDDescription

Activity2 Activity2

FieldValueIRS element (for citing)
Expense1910022Expense
Revenue2171823Revenue
DescriptionRESIDENTIAL CHILD CARE81 CHILDREN SERVEDDescription

Activity3 Activity3

FieldValueIRS element (for citing)
Expense1604739Expense
Revenue790002Revenue
DescriptionCOMMUNITY CLINIC1,754 CLIENTS SERVEDDescription

Activity Other ActivityOther (5 entries)

DescriptionDescriptionExpenseExpenseRevenueRevenue
COMMUNITY BASED SERVICES 856 CHILDREN SERVED
NON SECURE145 CHILDREN SERVED
CASE MANAGEMENT74 CLIENTS SERVED
TANF PREVENTION16 CHILDREN SERVED
17336592087861
FieldValueIRS element (for citing)
Total Of Other Program Service Exp1733659TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev2087861TotalOfOtherProgramServiceRev
Total Program Service Expense7796676TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
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 Activities1FundraisingActivities
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 With109615NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees218NumberOfEmployees
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
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
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 FiledNYStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1KAREN RICHMONDBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3157887430TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1253 STATE STAddressLine1
CityWATERTOWNCity
StateNYState
ZIP Code13601ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (15 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployee
MARK WATERBURY
DIRECTOR1.00X000
DAVID VANEENENAAM MD
DIRECTOR1.00X000
MARIE ROCHE
DIRECTOR1.00X000
KENNETH BAKER
DIRECTOR1.00X000
MARK PURCELL
DIRECTOR1.00X000
DAVID CONKLIN
SECRETARY1.00X000X
LINDA PETRIE
TREASURER1.00X000X
WILLIAM STOODLEY
DIRECTOR1.00X000
KATE COUCH
DIRECTOR1.00X000
JAMES WIDRICK
DIRECTOR1.00X000
JOSEPH LACLAIR
DIRECTOR1.00X000
ROBERT JOHNSON
VICE PRESIDENT1.00X000X
ROBERT GEFELL
PRESIDENT1.00X000X
EUGENE RENZI
DIRECTOR1.00X000
KAREN Y RICHMOND
EXECUTIVE DIREC40.00150481038878X
FieldValueIRS element (for citing)
Total Reportable Comp From Org150481TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation38878TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Federated Campaigns21605FederatedCampaigns
Fundraising Events36375FundraisingEvents
Government Grants250045GovernmentGrants
All Other Contributions163071AllOtherContributions
Total Contributions471096TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
ROOM AND BOARD62410024595192459519
FOSTER CARE62410022355192235519
MEDICAID REIMBURSEMENT62410012585961258596
COMMUNITY BASED SERVIC62410010394531039453
CLINIC REVENUE624100790002790002

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column286459TotalRevenueColumn
Related Or Exempt Function Income286459RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue8069548TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column56571TotalRevenueColumn
Exclusion$56,571ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities999108Securities
Other5500Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities1008002Securities
Other0Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-8894Securities
Other5500Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-3394TotalRevenueColumn
Related Or Exempt Function Income-3394RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Gross Income Fundraising Events24596GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events36375CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses21529FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column3067TotalRevenueColumn
Exclusion$3,067ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUS INCOMEDescription
Business Code621400BusinessCode
Total Revenue Column9893TotalRevenueColumn
Exclusion$9,893ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue9893TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column8606781TotalRevenueColumn
Related Or Exempt Function Income8066154RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$69,531ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total150481Total
Management And General150481ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total4242768Total
Program Services3768744ProgramServices
Management And General464574ManagementAndGeneral
Fundraising9450Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total39081Total
Program Services33165ProgramServices
Management And General5471ManagementAndGeneral
Fundraising445Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total682515Total
Program Services584395ProgramServices
Management And General95550ManagementAndGeneral
Fundraising2570Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total326831Total
Program Services280520ProgramServices
Management And General45756ManagementAndGeneral
Fundraising555Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total20560Total
Program Services14742ProgramServices
Management And General5818ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total21000Total
Program Services21000ProgramServices

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total17184Total
Program Services17184ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1595564Total
Program Services1582342ProgramServices
Management And General2796ManagementAndGeneral
Fundraising10426Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total10605Total
Program Services7888ProgramServices
Management And General1484ManagementAndGeneral
Fundraising1233Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total52698Total
Program Services45321ProgramServices
Management And General7377ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total78906Total
Program Services78906ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total189836Total
Program Services162909ProgramServices
Management And General26576ManagementAndGeneral
Fundraising351Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total1400Total
Program Services1204ProgramServices
Management And General196ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total19391Total
Program Services19391ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total223521Total
Program Services192229ProgramServices
Management And General31292ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total83758Total
Program Services72032ProgramServices
Management And General11726ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesFundraisingFundraisingManagement And GeneralManagementAndGeneral
PURCHASE OF HEALTH SERV263175263175
MEDICAL SUPPLIES146962146962
FOOD1028841016541230
REPAIRS & MAINTENANCE80243760744169

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total395183Total
Program Services326839ProgramServices
Management And General51818ManagementAndGeneral
Fundraising16526Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total8744546Total
Program Services7796676ProgramServices
Management And General905084ManagementAndGeneral
Fundraising42786Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY150255BOY
EOY137775EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY79476BOY
EOY150418EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY825822BOY
EOY1843894EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY15262BOY
EOY10726EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY19017BOY
EOY6000EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis3492700LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1792233LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1790484BOY
EOY1700467EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY1988436BOY
EOY1550113EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY5353BOY
EOY74314EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY4874105BOY
EOY5473707EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY644655BOY
EOY865997EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY8113BOY
EOY73897EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY25187BOY
EOY523643EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY677955BOY
EOY1463537EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY3140085BOY
EOY2954105EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1056065BOY
EOY1056065EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4196150BOY
EOY4010170EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4874105BOY
EOY5473707EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-137765ReconcilationRevenueExpenses
Reconcilation Other Changes-48215ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited0FSAudited
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years178839CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years490592CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years470239CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year300244CurrentTaxYearMinus1Year
Current Tax Year471096CurrentTaxYear
Total1911010Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7644344CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6704978CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7247416CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7271454CurrentTaxYearMinus1Year
Current Tax Year8069545CurrentTaxYear
Total36937737Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7823183CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7195570CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7717655CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7571698CurrentTaxYearMinus1Year
Current Tax Year8540641CurrentTaxYear
Total38848747Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50938848747PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years71919CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years47098CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years57405CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year69151CurrentTaxYearMinus1Year
Current Tax Year56571CurrentTaxYear
Total302144Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years71919CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years47098CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years57405CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year69151CurrentTaxYearMinus1Year
Current Tax Year56571CurrentTaxYear
Total302144Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years28628CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years85789CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years-40792CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year20734CurrentTaxYearMinus1Year
Current Tax Year12960CurrentTaxYear
Total107319Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7923730CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7328457CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7734268CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7661583CurrentTaxYearMinus1Year
Current Tax Year8610172CurrentTaxYear
Total39258210Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98960PublicSupportPercentage509
Investment Income Percentage0.00770InvestmentIncomePercentage
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

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance2067912BeginningOfYearBalance
Investment Earnings Or Losses-1303InvestmentEarningsOrLosses
Other Expenditures348894OtherExpenditures
Administrative Expenses17184AdministrativeExpenses
End Of Year Balance1700531EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance1895890BeginningOfYearBalance
Investment Earnings Or Losses374978InvestmentEarningsOrLosses
Other Expenditures183000OtherExpenditures
Administrative Expenses19956AdministrativeExpenses
End Of Year Balance2067912EndOfYearBalance
FieldValueIRS element (for citing)
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis27170OtherCostOrOtherBasis
Book Value27170BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2203536OtherCostOrOtherBasis
Depreciation996597Depreciation
Book Value1206939BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis411447OtherCostOrOtherBasis
Depreciation168781Depreciation
Book Value242666BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis383346OtherCostOrOtherBasis
Depreciation285957Depreciation
Book Value97389BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis467201OtherCostOrOtherBasis
Depreciation340898Depreciation
Book Value126303BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1700467TotalOfBookValueLandBuildings
Total Revenue8606781TotalRevenue
Total Expenses8744546TotalExpenses
Excess Or Deficit For Year-137765ExcessOrDeficitForYear
Net Unrealized GL On Investments-48215NetUnrealizedGLOnInvestments
Total Adjustments-48215TotalAdjustments
Excess Or Deficit Per FS-185980ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt8558566TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-48215NetUnrealizedGainsInvestments
Revenue Not Rptd F990-48215RevenueNotRptdF990
Revenue Subtotal8606781RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9908606781TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt8744546TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal8744546ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9908744546TotalExpensesPerForm990

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1TRIATHLONNameOfEvent1
Gross Receipts Event120651GrossReceiptsEvent1
Charitable Contributions Event13775CharitableContributionsEvent1
Gross Revenue Event116876GrossRevenueEvent1
Other Direct Expenses Event15753OtherDirectExpensesEvent1
Name Of Event2GOLF TOURNAMENTNameOfEvent2
Gross Receipts Event240220GrossReceiptsEvent2
Charitable Contributions Event232600CharitableContributionsEvent2
Gross Revenue Event27620GrossRevenueEvent2
Rent Facility Costs Event22382RentFacilityCostsEvent2
Food And Beverage Event21796FoodAndBeverageEvent2
Other Direct Expenses Event211598OtherDirectExpensesEvent2
Total Number Of Other Events1TotalNumberOfOtherEvents
Gross Receipts Other Events100GrossReceiptsOtherEvents
Gross Revenue Other Events100GrossRevenueOtherEvents
Gross Receipts Total60971GrossReceiptsTotal
Charitable Contributions Total36375CharitableContributionsTotal
Gross Revenue Total Events24596GrossRevenueTotalEvents
Rent Facility Costs Total Events2382RentFacilityCostsTotalEvents
Food And Beverage Total Events1796FoodAndBeverageTotalEvents
Other Direct Expenses Total Events17351OtherDirectExpensesTotalEvents
Direct Expense Summary Events21529DirectExpenseSummaryEvents
Net Income Summary3067NetIncomeSummary

Schedule J IRS990ScheduleJ

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

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonKAREN Y RICHMONDNamePerson
Base Compensation Filing Org150481BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org0DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org38878NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org189359TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
CHANGES IN PROGRAM SERVICESFORM 990, PART III, LINE 3THE ORGANIZATION OPENED THE COMMUNITY CLINIC OF JEFFERSON COUNTY (CCJC) IN JULY 2011. IT IS THE COUNTY'S ONLY ARTICLE 31 CLINIC AND SPECIALIZES IN THE TREATMENT OF BEHAVIORAL HEALTH ISSUES ENSURING A CONTINUITY OF CARE FOR BOTH ADULTS AND SHILDREN AS THEY ARE DISCHARGED FROM IMPATIENT PSYCHIATRIC HOSPITALIZATIONS.
FORM 990, PART VI, SECTION A, LINE 2LINE 2 EXPLANATION - MARK WATERBURY AND MARK PURCELL ARE PARTNERS IN WATERBURY JEWELERS. MARK WATERBURY AND ROBERT GEFELL ARE RELATED BY MARRIAGE.
FORM 990, PART VI, SECTION B, LINE 11LINE 11A EXPLANATION - FORM 990 IS MADE AVAILABLE TO BOARD MEMBERS FOR THEIR REVIEW BEFORE IT IS FILED.
FORM 990, PART VI, SECTION B, LINE 12CCORPORATE COMPLIANCE COMMITTEE MEETS QUARTERLY. THE COMMITTEE CONSISTS OF BOARD MEMBERS AND EMPLOYEES.
FORM 990, PART VI, SECTION B, LINE 15THE EXECUTIVE COMMITTEE REVIEWS SALARIES OF KEY EMPLOYEES ON AN ANNUAL BASIS AND COMPARED TO OTHER LOCAL NON PROFIT ORGANIZATIONS. EXECUTIVE DIRECTOR'S SALARY IS REVIEWED ANNUALLY BY THE EXECUTIVE COMMITTEE AND COMPARED TO POSITIONS IN LIKE ORGANIZATIONS STATEWIDE.
FORM 990, PART VI, SECTION C, LINE 19THE FORM 990 IS AVAILABLE UPON REQUEST AND ALSO IS ON GUIDESTAR. COPIES OF THE 990 AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT THE ADMINISTRATIVE OFFICES.
CHANGES IN NET ASSETS OR FUND BALANCES:FORM 990, PART XI, LINE 5:NET UNREALIZED LOSSES ON INVESTMENTS: -48,215.

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