NORTH CENTRAL MENTAL HEALTH SERVICES: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: NORTH CENTRAL MENTAL HEALTH SERVICES (EIN 31-0847283)
Tax period: 2011-07-01 to 2012-06-30
Filed: 2013-05-15
IRS object ID: 201341359349303064
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
Form 990
Schedule A
Schedule D
Schedule J
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-05-15T08:28:55-00:00	Timestamp
Tax Period End Date	2012-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Parms and Company LLC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	585 S Front St Ste 220	AddressLine1
City	Columbus	City
State	OH	State
ZIP Code	43215	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	310847283	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	North Central Mental Health Services	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	NORT	NameControl
Phone	6142996600	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1301 N High Street	AddressLine1
City	Columbus	City
State	OH	State
ZIP Code	43201	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Joseph Niedzwiedski	Name
Title	Chief Financial Officer	Title
Phone	6142996600	Phone
Date Signed	2013-05-15	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Theodore W Johnson CPA	Name
Phone	6142243078	Phone
Date Prepared	2013-05-15	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Joseph Niedzwiedski	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	1301 N High St	AddressLine1
City	Columbus	City
State	OH	State
ZIP Code	43201	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	15003731	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	www.ncmhs.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1973	YearFormation
State Legal Domicile	OH	StateLegalDomicile
Activity Or Mission Description	To provide mental health services.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	12	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	12	NbrIndependentVotingMembers
Total Nbr Employees	241	TotalNbrEmployees
Total Nbr Volunteers	100	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	2886856	ContributionsGrantsPriorYear
Contributions Grants Current Year	3442353	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	11347969	ProgramServiceRevenuePriorYear
Program Service Revenue CY	11053432	ProgramServiceRevenueCY
Investment Income Prior Year	98699	InvestmentIncomePriorYear
Investment Income Current Year	45657	InvestmentIncomeCurrentYear
Other Revenue Prior Year	343456	OtherRevenuePriorYear
Other Revenue Current Year	462289	OtherRevenueCurrentYear
Total Revenue Prior Year	14676980	TotalRevenuePriorYear
Total Revenue Current Year	15003731	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	10479000	SalariesEtcPriorYear
Salaries Etc Current Year	10852743	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	3094570	OtherExpensePriorYear
Other Expenses Current Year	3266859	OtherExpensesCurrentYear
Total Expenses Prior Year	13573570	TotalExpensesPriorYear
Total Expenses Current Year	14119602	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	1103410	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	884129	RevenuesLessExpensesCY
Total Assets BOY	13662609	TotalAssetsBOY
Total Assets EOY	13904941	TotalAssetsEOY
Total Liabilities BOY	4399885	TotalLiabilitiesBOY
Total Liabilities EOY	3770105	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	9262724	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	10134836	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	To provide mental health services	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	6364315	Expense
Description	Counseling, medical and community support	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	2234846	Expense
Description	Residential/transistional services	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	3590514	Expense
Description	Medical services	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	500007	TotalOfOtherProgramServiceExp
Total Program Service Expense	12689682	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	false	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	true	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	true	ReportFin48Footnote
Independent Audit Financial Stmt	true	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	false	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	false	Hospital
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	false	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transaction Related Entity	false	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Info In Schedule O Part V	X	InfoInScheduleOPartV
Number Forms Transmitted With1096	114	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	241	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Excess Business Holdings	false	ExcessBusinessHoldings
Taxable Distributions	false	TaxableDistributions
Distribution To Donor	false	DistributionToDonor
Licensed More Than One State	false	LicensedMoreThanOneState
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	12	NbrVotingGoverningBodyMembers
Number Independent Voting Members	12	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
States Where Copy Of Return Is Filed	OH	StatesWhereCopyOfReturnIsFiled
Other Website	X	OtherWebsite
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	Joseph Niedzwiedski CFO	NamePerson
Telephone Number	6142996600	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1301 N High St	AddressLine1
City	Columbus	City
State	OH	State
ZIP Code	43201	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (22 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Highest Compensated EmployeeHighestCompensatedEmployee
Donald R Wood
Pres/CEO	040.00	X	283361	0	0
Joseph J Niedzwiedski
CFO	040.00	X	201251	0	0
Robert M Loar
Assoc Dir of Oper Supp	040.00		165120	0	0	X
Prasad K Potaraju
Med Dir	040.00		138900	0	0	X
Daniel P Bridgeo
Comm Serv Dir	040.00		117156	0	0	X
William R Silliman
Clinical Dir	040.00		187963	0	0	X
Melinda Blakie
Board Member	001.00		0	0	0		X
Jeanne Clement
Board Member	001.00		0	0	0		X
David Fais
Board Member	001.00		0	0	0		X
Gilbert Greene
Board Member	001.00		0	0	0		X
Melvin Harris
Board Member	001.00		0	0	0		X
John Krimm
Board Member	001.00		0	0	0		X
Marcee McCreary
Board Member	001.00		0	0	0		X
Michael O'Grady
Board Member	001.00		0	0	0		X
Aron Ross
Board Member	001.00		0	0	0		X
Charles Schneider
Board Member	001.00		0	0	0		X
Philip Tieman
Board Member	001.00		0	0	0		X
Greta Winbush
Board Member	001.00		0	0	0		X
Radhika Gollapudy
Employee	040.00		231669	0	0			X
Bela Agabalyan
Employee	040.00		227688	0	0			X
Stephen Busch
Employee	040.00		103601	0	0			X
Ajay Bhatia
Employee	040.00		103208	0	0			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	1759917	TotalReportableCompFromOrg
Number Individuals GT100 K	10	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
Sharda Bobba
4849 Aberdeen Avenue	Dublin	OH	43016	Contract doctor	202000
McCormick & Reimuth Ins
PO Box 660	Worthington	OH	43085	Insurance	163725
Allied Barton Security
PO Box 828854	Philadelphia	PA	19182	Security Guard Svc	160257

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	3	NumberOfContractorsGT100K
All Other Contributions	3442353	AllOtherContributions
Total Contributions	3442353	TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescription	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Client insurance fees	158718	158718
ADAMH	1783232	1783232
Title XIX	9111482	9111482

Field	Value	IRS element (for citing)
Total Program Service Revenue	11053432	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	45657	TotalRevenueColumn
Related Or Exempt Function Income	45657	RelatedOrExemptFunctionIncome

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	264449	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	264449	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	264449	TotalRevenueColumn
Related Or Exempt Function Income	264449	RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc

Field	Value	IRS element (for citing)
Description	Other Income	Description
Total Revenue Column	197840	TotalRevenueColumn
Related Or Exempt Function Income	197840	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	197840	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	15003731	TotalRevenueColumn
Related Or Exempt Function Income	11561378	RelatedOrExemptFunctionIncome

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	0	Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	1759916	Total
Program Services	1693392	ProgramServices
Management And General	66524	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	9092827	Total
Program Services	8131469	ProgramServices
Management And General	961358	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	0	Total

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	0	Total

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total

Field	Value	IRS element (for citing)
Fees For Services Prof Fundraising		FeesForServicesProfFundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	804390	Total
Program Services	751737	ProgramServices
Management And General	52653	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	0	Total

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	261610	Total
Program Services	230277	ProgramServices
Management And General	31333	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	0	Total

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	399645	Total
Program Services	371221	ProgramServices
Management And General	28424	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	588697	Total
Program Services	552890	ProgramServices
Management And General	35807	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	0	Total

Interest Interest

Field	Value	IRS element (for citing)
Total	0	Total

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	198281	Total
Program Services	143754	ProgramServices
Management And General	54527	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	0	Total

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
Operating Supplies	136057	131671	4386
Operating Expenses	691668	548406	143262
Equipment and Improvements	174838	134865	39973
Other	11673		11673

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	0	Total

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	14119602	Total
Program Services	12689682	ProgramServices
Management And General	1429920	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	7425953	BOY
EOY	7465447	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	1067348	BOY
EOY	921448	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	1150760	BOY
EOY	1386973	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	240923	BOY
EOY	269916	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	8318263	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	4457106	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	3777625	BOY
EOY	3861157	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	13662609	BOY
EOY	13904941	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	2264046	BOY
EOY	2120791	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	481328	BOY
EOY	40669	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	1654511	BOY
EOY	1608645	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	4399885	BOY
EOY	3770105	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	9262724	BOY
EOY	10134836	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	9262724	BOY
EOY	10134836	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	13662609	BOY
EOY	13904941	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	884129	ReconcilationRevenueExpenses
Reconcilation Other Changes	-12017	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Separate	X	FinancialStatementSeparate
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org170b1 Avi	X	PubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	12314373	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	13255967	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	14171394	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	14234825	CurrentTaxYearMinus1Year
Current Tax Year	14495785	CurrentTaxYear
Total	68472344	Total

Total170 Total170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	12314373	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	13255967	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	14171394	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	14234825	CurrentTaxYearMinus1Year
Current Tax Year	14495785	CurrentTaxYear
Total	68472344	Total

Field	Value	IRS element (for citing)
Public Support Total170	68472344	PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	109657	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	49577	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	156373	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	98699	CurrentTaxYearMinus1Year
Current Tax Year	45657	CurrentTaxYear
Total	459963	Total

Other Income170 OtherIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	341794	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	443890	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	382839	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	343456	CurrentTaxYearMinus1Year
Current Tax Year	462289	CurrentTaxYear
Total	1974268	Total

Field	Value	IRS element (for citing)
Total Support	70906575	TotalSupport
Public Support Pertcentage170	0.96570	PublicSupportPertcentage170
Public Support Pertcent Prior Year	0.96460	PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170	X	ThirtyThreePercntTestsCY170
Public Support Percentage509	0.00000	PublicSupportPercentage509
Investment Income Percentage	0.00000	InvestmentIncomePercentage

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Agent Trustee Etc	true	AgentTrusteeEtc
Beginning Balance	279316	BeginningBalance
Additions During Year	1908043	AdditionsDuringYear
Distributions During Year	1988438	DistributionsDuringYear
Ending Balance	198921	EndingBalance
Included On FS	false	IncludedOnFS

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	271873	OtherCostOrOtherBasis
Book Value	271873	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	6623886	OtherCostOrOtherBasis
Depreciation	3245201	Depreciation
Book Value	3378685	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	941446	OtherCostOrOtherBasis
Depreciation	921191	Depreciation
Book Value	20255	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	481058	OtherCostOrOtherBasis
Depreciation	290714	Depreciation
Book Value	190344	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	3861157	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescription	AmountAmount
Advanced from State of Ohio-Current	$83,706
Other Liabilities	$111,671
Medicaid Payback	$399,430
Advances-Non Current	$1,013,838

Field	Value	IRS element (for citing)
Total Of Amounts	1608645	TotalOfAmounts
Total Revenue	15003731	TotalRevenue
Total Expenses	14119602	TotalExpenses
Excess Or Deficit For Year	884129	ExcessOrDeficitForYear
Net Unrealized GL On Investments	-12017	NetUnrealizedGLOnInvestments
Total Adjustments	-12017	TotalAdjustments
Excess Or Deficit Per FS	872112	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	14991714	TotRevenueEtcAuditedFinclStmt
Revenue Subtotal	14991714	RevenueSubtotal
Investment Expenses Not Included	12017	InvestmentExpensesNotIncluded
Revenue Not Rptd On Fin Stmt	12017	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	15003731	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	14119602	TotExpensesEtcAuditedFinclStmt
Expenses Subtotal	14119602	ExpensesSubtotal
Total Expenses Per Form990	14119602	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Identifier	X	Identifier
Return Reference	2	ReturnReference
Explanation	NCHMS has adopted provisions of FASB ASC 740-10-25, which requires tax positions be recognized or derecognized based on a more likely than not threshold. This applies to positions taken or expected to be taken in a tax return. NCHMS doesnt believe that its financial statements include any uncertain tax positions. NCHMSs open tax periods are 2009 through 2011 based on filed 990 forms.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Written Employment Contract	X	WrittenEmploymentContract
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	false	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException
Rebuttable Presumption Procedure	false	RebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Bonus Filing OrgBonusFilingOrg	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Total Compensation Filing OrgTotalCompensationFilingOrg
Donald R Wood
233121	33461	6755	273337
Joseph J Niedzwiedski
170921	6587	20688	198196
Robert M Loar
139287	4992	14990	159269
William R Silliman
163544	6653	14990	185187
Radhika Gollapudy
208892	2089	20688	231669
Bela Agabalyan
204944	7754	14990	227688
Daniel Bridgeo
97834	3674	11799	113307
Prasad K Potaraju
128454	4722	5724	138900
Stephen Busch
93590	3985		97575
Ajay Bhatia
100616		2592	103208

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Form 990 Part X	5	Unrealized loss of 12,017
Form 990 Part VI	11b	E-mail prior to filing and approved at a subsequent board meeting.
Form 990 Part VI	12c	Board members prepare an annual conflict of interest form.
Form 990 Part VI	15	Reviewed by the board of trustees. The CEo reviews other officers and key employees.
Form 990 Part V	19	The agency services plan and budget are filed each year with the Franklin County ADAMH Board. Annual financial audits are also filed with the Franklin County ADAMH Board and with the Ohio Department of Mental Health and the Ohio Department of Alcohol and Drug Services.
Form 990 Part III Program Service Accomplishments	Line 4d Other Activities	Program Service Expenses 279,190, Grants and allocations 0, Revenue 0 IDDT Program
Form 990 Part III Program Service Accomplishments	Line 4d Other Activities	Program Service Expenses 220,817, Grants and allocations 0, Revenue 0 Suicide Prevention
		Form 990, Part III, Line 4d Program Service Expenses 279,190, Grants and allocations 0, Revenue 0 IDDT Program Form 990, Part III, Line 4d Program Service Expenses 220,817, Grants and allocations 0, Revenue 0 Suicide Prevention Form 990 Part X Line 5 Unrealized loss of 12,017 Form 990 Part VI Section B Line 11b E-mail prior to filing and approved at a subsequent board meeting. Form 990 Part VI Section B Line 12c Board members prepare an annual conflict of interest form. Form 990 Part VI Section B Line 15 Reviewed by the board of trustees. The CEo reviews other officers and key employees. Form 990 Part V Section C Line 19 The agency services plan and budget are filed each year with the Franklin County ADAMH Board. Annual financial audits are also filed with the Franklin County ADAMH Board and with the Ohio Department of Mental Health and the Ohio Department of Alcohol and Drug Services.