FURP.ORG / PUBLIC DATA EXPLORER

ASSURED FAMILY SERVICES: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
ASSURED FAMILY SERVICES (EIN 76-0709231)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-10-30
IRS object ID
201343039349300014
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-10-30T15:10:40-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN381357951EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1PLANTE & MORAN PLLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 307AddressLine1
CitySOUTHFIELDCity
StateMIState
ZIP Code480370307ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN760709231EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1JUVENILE ASSESSMENT CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlJUVENameControl
Phone3138961444Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line17310 WOODWARD AVE NO 601AddressLine1
CityDETROITCity
StateMIState
ZIP Code48202ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameCYNTHIA J SMITHName
TitleCEOTitle
Phone3138961444Phone
Date Signed2013-10-28DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameROBERT DERYName
PTINP00048464PTIN
Phone2483522500Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1JACBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonCYNTHIA J SMITHNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line17310 WOODWARD AVE NO 601AddressLine1
CityDETROITCity
StateMIState
ZIP Code48202ZIPCode
FieldValueIRS element (for citing)
Gross Receipts12403670GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.ASSUREDFAMILYSERVICES.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2002YearFormation
State Legal DomicileMIStateLegalDomicile
Activity Or Mission DescriptionOUR MISSION IS TO BE THE SOURCE OF ACCURATE INFORMATION AND COMPETENT RECOMMENDATIONS THAT IDENTIFY THE UNIQUE NEEDS OF REFERRED YOUTH AND FAMILIES IN WAYNE COUNTY, AND ENABLE COMMUNITY ORGANIZATIONS TO RESTORE SUCCESSFUL LIVING, INCREASE HEALTHY DEVELOPMENT AND PROMOTE SAFER COMMUNITIES.ActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees121TotalNbrEmployees
Total Nbr Volunteers10TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year353497ContributionsGrantsPriorYear
Contributions Grants Current Year393253ContributionsGrantsCurrentYear
Program Service Revenue Prior Year12008984ProgramServiceRevenuePriorYear
Program Service Revenue CY11970294ProgramServiceRevenueCY
Investment Income Prior Year8158InvestmentIncomePriorYear
Investment Income Current Year8228InvestmentIncomeCurrentYear
Other Revenue Prior Year29025OtherRevenuePriorYear
Other Revenue Current Year31895OtherRevenueCurrentYear
Total Revenue Prior Year12399664TotalRevenuePriorYear
Total Revenue Current Year12403670TotalRevenueCurrentYear
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 Year5343886SalariesEtcPriorYear
Salaries Etc Current Year5807326SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year6783724OtherExpensePriorYear
Other Expenses Current Year6350428OtherExpensesCurrentYear
Total Expenses Prior Year12127610TotalExpensesPriorYear
Total Expenses Current Year12157754TotalExpensesCurrentYear
Revenues Less Expenses Prior Year272054RevenuesLessExpensesPriorYear
Revenues Less Expenses CY245916RevenuesLessExpensesCY
Total Assets BOY5072991TotalAssetsBOY
Total Assets EOY5130279TotalAssetsEOY
Total Liabilities BOY1699160TotalLiabilitiesBOY
Total Liabilities EOY1510532TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY3373831NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY3619747NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionOUR MISSION IS TO BE THE SOURCE OF ACCURATE INFORMATION AND COMPETENT RECOMMENDATIONS THAT IDENTIFY THE UNIQUE NEEDS OF REFERRED YOUTH AND FAMILIES IN WAYNE COUNTY, AND ENABLE COMMUNITY ORGANIZATIONS TO RESTORE SUCCESSFUL LIVING, INCREASE HEALTHY DEVELOPMENT AND PROMOTE SAFER COMMUNITIES.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense10828802Expense
Revenue12002189Revenue
DescriptionTHE ORGANIZATION PROVIDES ASSESSMENT SERVICES IN THE AREA OF JUVENILE JUSTICE AND CHILD WELFARE.Description
Total Program Service Expense10828802TotalProgramServiceExpense
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 Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
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 Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109643NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees121NumberOfEmployees
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
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
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 Policy0DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledMIStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1CYNTHIA J SMITHBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3138961444TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line17310 WOODWARD AVE NO 601AddressLine1
CityDETROITCity
StateMIState
ZIP Code48202ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (14 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
DEBRA USHER
BOARD MEMBER1.001.00X000
JAMES HINES
BOARD MEMBER1.001.00X000
HENRY WELLS III
BOARD MEMBER1.001.00X000
THOMAS HARDIMAN
BOARD MEMBER1.001.00X000
MICHELLE PALMER
TREASURER1.001.00X000X
REVEREND LOUIS FORSYTHE II
CHAIRPERSON1.001.00X000X
DEBORAH BROUWER
BOARD MEMBER1.001.00X000
VICKIE STAMPS
SECRETARY1.001.00X000X
COMMANDER ROBERT ENNIS
BOARD MEMBER1.001.00X000
FRANCESA PERNICE-DUCA PHD
BOARD MEMBER1.001.00X000
CYNTHIA J SMITH
CEO40.005.0012242709491X
SALLIE SMITH-BROWN
COO40.000.0084768020643X
SHAUN COOPER
CLINICAL DIRECTOR40.00112137017805X
CURTIS LONGS
PSYCHIATRIST40.00224287026044X
FieldValueIRS element (for citing)
Total Reportable Comp From Org543619TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation73983TotalOtherCompensation
Number Individuals GT100 K3NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
ALPHA FAMILY COUNSELING
34556 BUNKER HILL DRIVEFARMINGTON HILLSMI48331COUNSELING562048
JOYCE ALEXANDER
29260 FRANKLIN ROAD SUITE 128SOUTHFIELDMI48034COUNSELING474335
PPRCS
10138 WEST MCNICHOLSDETROITMI48221COUNSELING423515
ST FRANCIS FAMILY CENTER
17500 WEST EIGHT MILESOUTHFIELDMI48075COUNSELING406118
SPAN CORPORATION
1505 WHITE STANN ARBORMI48104DRUG TESTING398615
FieldValueIRS element (for citing)
Number Of Contractors GT100 K14NumberOfContractorsGT100K
Government Grants393253GovernmentGrants
Total Contributions393253TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionCONTRACTED SERVICESDescription
Business Code624100BusinessCode
Total Revenue Column11970294TotalRevenueColumn
Related Or Exempt Function Income11970294RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue11970294TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column6955TotalRevenueColumn
Exclusion$6,955ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other1273Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other0Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other1273Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1273TotalRevenueColumn
Exclusion$1,273ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMANAGEMENT FEESDescription
Business Code561000BusinessCode
Total Revenue Column31895TotalRevenueColumn
Related Or Exempt Function Income31895RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue31895TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column12403670TotalRevenueColumn
Related Or Exempt Function Income12002189RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$8,228ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total237329Total
Program Services189863ProgramServices
Management And General47466ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total3951057Total
Program Services3358398ProgramServices
Management And General592659ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total72211Total
Program Services54158ProgramServices
Management And General18053ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1137719Total
Program Services910175ProgramServices
Management And General227544ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total409010Total
Program Services347659ProgramServices
Management And General61351ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total103385Total
Management And General103385ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total31750Total
Management And General31750ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total5004557Total
Program Services4922471ProgramServices
Management And General82086ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total14677Total
Management And General14677ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total245477Total
Program Services194126ProgramServices
Management And General51351ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total76814Total
Program Services76046ProgramServices
Management And General768ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total390000Total
Program Services331500ProgramServices
Management And General58500ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total152775Total
Program Services152775ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total168Total
Program Services168ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total45984Total
Program Services39086ProgramServices
Management And General6898ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total43765Total
Program Services37200ProgramServices
Management And General6565ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
SUPPLIES1857001764159285
PAYROLL SERVICE FEES1257688033773
MOBILE DATA CARDS856959982571
TRAINING EXPENSE536437551609

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total28867Total
Program Services20206ProgramServices
Management And General8661ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total12157754Total
Program Services10828802ProgramServices
Management And General1328952ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY79184BOY
EOY70817EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2229128BOY
EOY3103296EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2614292BOY
EOY1558326EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY85000BOY
EOY50000EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY600BOY
EOY6826EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis694042LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec618262LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY49553BOY
EOY75780EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY250000EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY1000BOY
EOY1000EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY14234BOY
EOY14234EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY5072991BOY
EOY5130279EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1696930BOY
EOY1510532EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY2230BOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1699160BOY
EOY1510532EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY3373831BOY
EOY3619747EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3373831BOY
EOY3619747EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5072991BOY
EOY5130279EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses245916ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement BothXFinancialStatementBoth
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
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 Years259023CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years200370CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years217473CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year353497CurrentTaxYearMinus1Year
Current Tax Year393253CurrentTaxYear
Total1423616Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11472931CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11948741CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12726447CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12008984CurrentTaxYearMinus1Year
Current Tax Year11970294CurrentTaxYear
Total60127397Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years100000CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years14393CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years22263CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year29025CurrentTaxYearMinus1Year
Current Tax Year31895CurrentTaxYear
Total197576Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11831954CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12163504CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12966183CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12391506CurrentTaxYearMinus1Year
Current Tax Year12395442CurrentTaxYear
Total61748589Total

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 Total50961748589PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years27362CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8836CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8072CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8141CurrentTaxYearMinus1Year
Current Tax Year6955CurrentTaxYear
Total59366Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years27362CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8836CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8072CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8141CurrentTaxYearMinus1Year
Current Tax Year6955CurrentTaxYear
Total59366Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years137CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years150CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years613CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year17CurrentTaxYearMinus1Year
Current Tax Year1273CurrentTaxYear
Total2190Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11859453CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12172490CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12974868CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12399664CurrentTaxYearMinus1Year
Current Tax Year12403670CurrentTaxYear
Total61810145Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99900PublicSupportPercentage509
Prior Year Support Percentage0.99830PriorYearSupportPercentage
Investment Income Percentage0.00100InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00170PriorYrInvestIncomePercentage
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

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis225379OtherCostOrOtherBasis
Depreciation189208Depreciation
Book Value36171BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis429698OtherCostOrOtherBasis
Depreciation390089Depreciation
Book Value39609BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis38965OtherCostOrOtherBasis
Depreciation38965Depreciation
Book Value0BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings75780TotalOfBookValueLandBuildings
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt12403670TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal12403670RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99012403670TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt12157754TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal12157754ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99012157754TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X, LINE 2:ReturnReference
ExplanationACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE ORGANIZATION AND RECOGNIZE A TAX LIABILITY IF THE ORGANIZATION HAS TAKEN AN UNCERTAIN TAX POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS OR OTHER APPLICABLE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE ORGANIZATION AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2012 AND 2011, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE ORGANIZATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. MANAGEMENT BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATION FOR YEARS PRIOR TO 2009.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
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 PersonCURTIS LONGSNamePerson
TitlePSYCHIATRISTTitle
Base Compensation Filing Org224287BaseCompensationFilingOrg
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 Org26044NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org250331TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonALEXIS HARDIMANNamePerson
FieldValueIRS element (for citing)
RelationshipFAMILY OF BOARD MEMBER THOMAS HARDIMANRelationship
Amount Of Transaction36372AmountOfTransaction
Description Of TransactionEMPLOYMENTDescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 IS REVIEWED BY THE FINANCE DIRECTOR. A PDF OF THE FORM 990 WAS SENT TO ALL BOARD MEMBERS AND THEY WERE PROVIDED A DEADLINE OF ONE WEEK TO ASK ANY QUESTIONS OR DISCUSS ANY CONCERNS REGARDING THE FORM.
FORM 990, PART VI, SECTION B, LINE 12CBOARD MEMBERS COMPLETE ANNUAL QUESTIONNAIRES WHICH ADDRESS CONFLICTS OF INTEREST. THE QUESTIONNAIRES ARE REVIEWED BY THE FINANCE DIRECTOR. IN ANY SITUATION WHERE THERE IS A CONFLICT OF INTEREST BY A BOARD MEMBER OR DIRECTOR, THE BOARD MEMBER MAY NOT VOTE OR PARTICIPATE IN THE DISCUSSION SURROUNDING THE MATTER.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S BYLAWS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART IX, LINE 11GCOMPUTER SERVICE CONSULTING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 32,364. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 32,364. CONTRACTED ASSESSMENT SERVICES: PROGRAM SERVICE EXPENSES 4,386,370. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,386,370. PSYCHOLOGIST: PROGRAM SERVICE EXPENSES 24,680. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 24,680. TEMPORARY EMPLOYEES: PROGRAM SERVICE EXPENSES 56,705. MANAGEMENT AND GENERAL EXPENSES 49,722. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 106,427. DRUG TESTING: PROGRAM SERVICE EXPENSES 361,141. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 361,141. PSYCHOLOGICAL TESTING: PROGRAM SERVICE EXPENSES 93,575. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 93,575.OTHER FEES
FORM 990, PART XII, LINE 2CTHE OVERSIGHT AND SELECTION PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY HEALTH OUTREACH INTERVENTION & CLINICAL ENG SVSBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line17310 WOODWARD AVE STE 601AddressLine1
CityDETROITCity
StateMIState
ZIP Code48202ZIPCode
FieldValueIRS element (for citing)
EIN262036918EIN
Primary ActivitiesMENTAL HEALTH AND SUBSTANCE ABUSE TREATMENTPrimaryActivities
Legal Domicile StateMILegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity StatusLINE 9PublicCharityStatus
Direct Controlling Entity NAN/ADirectControllingEntityNA
Controlled Org1ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org1LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
COMMUNITY HEALTH OUTREACH INTERVENTION & CLINICAL ENGAGEMENT SERVICES
D50000CASH TRANSACTION
COMMUNITY HEALTH OUTREACH INTERVENTION & CLINICAL ENGAGEMENT SERVICES
O574152CASH TRANSACTION
COMMUNITY HEALTH OUTREACH INTERVENTION & CLINICAL ENGAGEMENT SERVICES
M637902CASH TRANSACTION
COMMUNITY HEALTH OUTREACH INTERVENTION & CLINICAL ENGAGEMENT SERVICES
Q606047CASH TRANSACTION