2012-04-27T10:01:11-05:00 2011-06-30 BKD LLP 1201 Walnut Suite 1700 Kansas City MO 641062246 990 2010-07-01 431556416 TRI-COUNTY MENTAL HEALTH SERVICES INC TRI- 8164680400 3100 NE 83RD STREET KANSAS CITY MO 64119 THOMAS CRANSHAW 8164680400 2012-05-15 true Michael J Engle 8162216300 2010 2016-02-24 21:20:13Z THOMAS CRANSHAW 3100 NE 83RD ST STE 1001 KANSAS CITY MO 64119 13069068 false X TRI-COUNTYMHS.ORG X 1990 MO OUR MISSION IS TO PROVIDE PREVENTION AND RECOVERY-ORIENTED MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES WHICH ARE QUALITY ASSURED AND CONSUMER-CENTERED. 15 15 100 0 0 0 902614 1027974 11718417 11686961 71990 60799 93522 103515 12786543 12879249 8392 6470 0 0 4153386 4305261 0 0 4485 8112027 8147769 12273805 12459500 512738 419749 7641838 8306990 909734 903955 6732104 7403035 X SEE SCHEDULE O false false 4254261 0 5273342 SEE SCHEDULE O 2416817 0 2312375 PSYCHIATRIC SERVICES - TRI-COUNTY OFFERS REGULAR MEDICATION APPOINTMENTS AT 5 SITES IN OUR 3 COUNTY COVERAGE AREA. OVER 4,900 CONSUMERS RECEIVED MEDICATION SERVICES IN FY 2011. PHYSICIAN VISITS IN FY 2011 TOTALED 17,500. AN AVERAGE OF 13% OF ALL MEDICATION SERVICES ARE BEING PROVIDED AT SATELLITE CLINIC LOCATIONS. THE AGENCY ENSURES URGENT MEDICATION VISITS (I.E. PERSONS DISCHARGED FROM THE HOSPITAL) WITHIN 7 DAYS. CRISIS PHYSICIAN APPOINTMENTS ARE AVAILABLE DAILY. MEDICATION SERVICES ARE PROVIDED BY 6 EXPERIENCED PSYCHIATRISTS, AND ADVANCED NURSE PRACTITIONER, AND 6 NURSING STAFF. 2085747 6470 1929215 SEE SCHEDULE O 1903658 0 2172029 10660483 true true false true false false false false true true false false true false true true false false false false false false false true false false true false true false false false false false false false false false false false false false false false false false false true 74 0 true 100 true false false false false false true true false false false false X 15 15 false false false false false false false true true false false true true true true true true true false false MO X X DONNA DOUTHIT CFO 8164680400 3100 NE 83RD STREET STE 1001 KANSAS CITY MO 64119 TERRY EDWARDS 1.0 X X 0 0 0 JIM SCHMIDT 1.0 X X 0 0 0 ROSEMARY GRAVES 1.0 X X 0 0 0 BRIAN RICE 1.0 X X 0 0 0 ALLEN DILLINGHAM 1.0 X 0 0 0 LOYD GENTRY 1.0 X 0 0 0 JOHN MILLER 1.0 X 0 0 0 SALLY NANCE 1.0 X 0 0 0 MIKE O'NEAL 1.0 X 0 0 0 JEANNE PYLAND 1.0 X 0 0 0 SARA SEIDEL 1.0 X 0 0 0 DEANNE TOWNSEND 1.0 X 0 0 0 PHIL WILLOUGHBY 1.0 X 0 0 0 MALCOLM T WILSON 1.0 X 0 0 0 JAN ZIMMERMAN 1.0 X 0 0 0 TOM CRANSHAW 40.0 X 162050 0 13444 JOANN WERNER 40.0 X 97419 0 5262 DOANNA DOUTHIT 40.0 X 67839 0 20614 DR GRANT PIEPERGERDES 35.0 X 169178 0 26325 DR ZAFAR MAHMOOD 35.0 X 173382 0 5996 DR PARIMAL PUROHIT 40.0 X 170117 0 22261 839985 0 93902 4 false true false MENTAL HEALTH RESOURCES KANSAS CIT ADULT COMM SUPPORT 1363838 SKYLANDER PSYCH SERV KANSAS CITY ADULT COMM SUPPORT 648344 ADDICTION RECOVERY SERV KANSAS CIT ADDICTION COUNSELING 875575 WILLOWBROOK KANSAS CITY MO YOUTH COMM SUPPORT 667414 CRITTENTON CENTER KANSAS CITY MO YOUTH COMM SUPPORT 374823 15 10000 1017974 1027974 DEPARTMENT MENTAL HEALTH 621110 2967563 2967563 COUNTY MENTAL HEALTH 621110 2969621 2969621 MEDICARE/MEDICAID 621110 5029286 5029286 INCOME FROM THIRD PARTY PAYERS 621110 720491 720491 11686961 47748 47748 0 0 25380 25380 25380 25380 180904 23340 167853 13051 23340 13051 13051 16035 10000 21966 -5931 -5931 0 0 MISCELLANEOUS 900099 84066 84066 84066 12879249 11686961 0 164314 6470 6470 0 0 0 591877 447055 144822 0 3152553 2381179 771374 80616 57781 22835 227626 168693 58933 252589 177279 75310 0 3516 3516 44437 44437 0 0 9585 9585 17964 10780 4614 2570 14955 13040 1915 162432 70999 91433 0 0 28822 26045 2777 119897 111317 8580 0 2718 240 2478 0 0 284606 22659 261947 89467 16503 72964 REPAIRS AND MAINT 151150 50916 100234 TRAINING 9194 4413 4781 DUES AND SUBSCRIPTION 19851 602 19249 GENERAL CLINICAL 7058775 7058775 . 130400 48777 81623 12459500 10660483 1794532 4485 1846810 1430861 1854301 2753229 74026 70774 4294097 2378699 2063990 1915398 1298257 1581517 504454 555211 7641838 8306990 909734 903955 909734 903955 X 6254603 6884637 349937 390834 127564 127564 6732104 7403035 7641838 8306990 X 419749 251182 X false true true X true true X 311379 764181 353366 902614 1027974 3359514 6830649 6993377 7706221 8476093 8717340 38723680 3421700 3660771 3621125 3253674 2969621 16926891 10563728 11418329 11680712 12632381 12714935 59010085 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 59010085 86688 80885 65088 77941 73128 383730 86688 80885 65088 77941 73128 383730 142602 104794 84211 74375 84066 490048 10793018 11604008 11830011 12784697 12872129 59883863 0.98541 0.98629 0.00641 0.00616 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED true true false true false false true 4982 false false 4982 false 182319 23113 1000 1959 202473 164937 19175 1793 182319 172464 -5930 1597 164937 0.00000 0.63000 0.37000 false false 0 154712 154712 0 2371386 1248785 1122601 0 0 0 0 0 1456510 881448 575062 0 311489 248466 63023 1915398 DEFERRED COMP PLAN FUND 36813 ASSETS LIMITED AS TO USE 518398 555211 0 0 12879249 12459500 419749 251182 251182 670931 13152397 251182 21966 273148 12879249 12879249 12481466 21966 21966 12459500 12459500 INTENDED USES OF THE ORGANIZATION'S ENDOWMENT FUNDS SCHEDULE D, PART V, LINE 4 THE ENDOWMENT FUNDS ARE USED TO PAY SCHOLARSHIPS FOR STAFF WHO ARE PURSUING ADVANCED EDUCATION IN MENTAL HEALTH SERVICES AND FOR GENERAL CLINICAL PROGRAM SERVICES. FIN 48 DISCLOSURE SCHEDULE D, PART X, LINE 2 MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. RECONCILIATION OF REVENUE SCHEDULE D, PART XII, LINE 2D FUNDRAISING EXPENSES $21,966 RECONCILIATION OF EXPENSES SCHEDULE D, PART XIII, LINE 2D FUNDRAISING EXPENSES $21,966 PHEONIX GALA 26035 10000 16035 13421 500 8045 0 26035 10000 16035 13421 500 8045 21966 -5931 true X PROCESS FOR MONITORING THE USE OF GRANTS IN THE U.S. SCHEDULE I, PART 1, LINE 1 THE ORGANIZATION MAKES SEVERAL SMALL DONATION'S THROUGH THEIR FISCAL YEAR TO OTHER 501(C)(3) TAX-EXEMPT ORGANIZATION'S. THE DONATION'S ARE REVIEWED TO INSURE THAT THE FUNDS ARE USED FOR CHAIRITABLE PURPOSES. X X X X false true false false false false false false false TOM CRANSHAW 155350 0 0 0 6700 0 10906 0 2538 0 175494 0 0 0 DR GRANT PIEPERGERDES 155294 0 13884 0 0 0 5121 0 21204 0 195503 0 0 0 DR ZAFAR MAHMOOD 172290 0 1092 0 0 0 5146 0 850 0 179378 0 0 0 DR PARIMAL PUROHIT 154257 0 15860 0 0 0 4988 0 17273 0 192378 0 0 0 SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN SCHEDULE J, PART I, LINE 4B THOMAS CRANSHAW $6,212 MISSION STATEMENT FORM 990, PART III, LINE 1 OUR MISSION IS TO PROVIDE PREVENTION AND RECOVERY-ORIENTED MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES WHICH ARE QUALITY ASSURED AND CONSUMER-CENTERED. OUR COMMITMENT IS TO OFFER HOPE TO NURTURE VITALITY THAT KEEPS LIFE AND LIVING MEANINGFUL, TO BEHAVE WITH INTERGRITY IN HARMONY WITH OUR MISSION AND OUR PERSONAL VALUES AND TO BE RESPONSIVE BY "BEING THERE" FOR OUR CONSUMERS AND ASSOCIATES. PRIMARY EXEMPT PURPOSE FORM 990, PART III TRI-COUNTY MENTAL HEALTH SERVICES IS COMMITTED TO COMBATING HOPELESSNESS IN CHALLENGING TIMES THROUGH BEHAVIORAL HEALTH SERVICES FOR THE KANSAS CITY NORTHLAND COMMUNITY, WITH PREVENTION, ASSESSMENT AND TREATMENT SERVICES FOR INDIVIDUALS AND FAMILIES THROUGHOUT CLAY, PLATTE AND RAY COUNTIES. TRI-COUNTY IS COMMITTED TO PROVIDING A COMPREHENSIVE ARRAY OF BEHAVIORAL HEALTH SERVICES. WE SUBSCRIBE TO THE PHILOSOPHY THAT THE BEST CONSUMER OUTCOMES ARE ACHIEVED BY PROVIDING SERVICES AS CLOSE TO THE CONSUMER'S HOME AND COMMUNITY AS POSSIBLE. SERVICE SITES INCLUDE KANSAS CITY, NORTH KANSAS CITY, RICHMOND, EXCELSIOR SPRINGS, AND PLATTE CITY, AS WELL AS THROUGH OUR NETWORK OF 93 CONTRACT PROVIDERS. DURING FISCAL YEAR 2011, TRI-COUNTY PROVIDED MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES TO OVER 8,300 CONSUMERS IN OUR 3 COUNTY SERVICE AREA. WE PROVIDED OVER 208,000 SERVICES TO THOSE CONSUMERS, INCLUDING ASSESSMENTS, PHYSICIAN EVALUATION AND MEDICATION MANAGEMENT, COMMUNITY SUPPORT, DAY TREATMENT, AND CRISIS SERVICES. IN ADDITION, WE PROVIDED 650 PREVENTION PROGRAM ACTIVITIES IN OUR SCHOOLS TO PROMOTE A HEALTHY FUTURE WHICH HAD APPROXIMATELY 36,000 PARTICIPANTS. OUR DRUG COURTS AND OTHER OUTPATIENT SUBSTANCE ABUSE TREATMENT PROGRAMS CONTINUED TO INCREASE WITH A GROWING FOCUS ON INTEGRATED TREATMENT FOR THOSE WITH CO-OCCURRING MENTAL DISORDERS AND SUBSTANCE ABUSE DIAGNOSES. DUE TO OUR CONTINUED OUTREACH, THE NUMBER OF OLDER ADULTS ACCESSING CARE THROUGH TRI-COUNTY CONTINUES TO INCREASE. A DIALECTICAL BEHAVIOR THERAPY PROGRAM CONTINUES TO PROVIDE SERVICES FOR A UNIQUE AT RISK POPULATION OF ADULTS AND YOUTH. THE JOHNSON & JOHNSON DARTMOUTH PROJECT ON EVIDENCE BASED VOCATIONAL SERVICES TO PERSONS DIAGNOSED WITH A SERIOUS MENTAL ILLNESS HAS CONTRIBUTED TO INCREASED PARTICIPATION IN BY OUR CONSUMERS IN EMPLOYMENT SERVICES. ALSO DURING FISCAL YEAR 2011, TRI-COUNTY PROVIDED $486,000 IN COMMUNITY BENEFIT. THIS INCLUDES $335,000 IN UNCOMPENSATED SERVICES AND CHARITY CARE WRITE-OFFS AND $107,000 IN SUPPORT ACTIVITIES; INCLUDING SUPPORT FOR OUR EMPLOYMENT SERVICES AND PREVENTION DEPARTMENT, SUPPORT FOR OUR CONSUMER RUN DROP-IN CENTER, CONTRIBUTIONS TO COMMUNITY PARTNERS PROVIDING NECESSARY COMMUNITY SERVICES, AND MEDICAL RECORD COPIES PROVIDED WITHOUT CHARGE. IN ADDITION, OUR STAFF PROVIDED $44,000 WORTH OF COMMUNITY BUILDING ACTIVITIES IN OUR 3 COUNTY AREA. PROGRAM SERVICES FORM 990, PART III, LINE 4A ADULT COMMUNITY SUPPORT - COMMUNITY SUPPORT CASE MANAGERS SUPPORT CONSUMERS AND PROMOTE AVENUES TO HELP EACH INDIVIDUAL FUNCTION AS INDEPENDENTLY AS POSSIBLE. THEY ACCOMPLISH THIS THROUGH THE PROVISION OF SERVICES DESIGNED TO LINK INDIVIDUALS WITH COMMUNITY RESOURCES THAT BEST MEET THEIR NEEDS (INCLUDING HOUSING, FINANCIAL, HEALTH CARE AND TRANSPORTATION) AND THROUGH PROVISION OF DIRECT SKILLS TRAINING AND SUPPORTIVE COUNSELING. TRANSITIONAL CASE MANAGEMENT CONSISTS OF ASSESSING ACUITY LEVEL AND NEED, ENSURING LINKAGE TO COMMUNITY RESOURCES AND ENTITLEMENTS, AND MOST IMPORTANTLY, THAT AN INDIVIDUAL'S IMMEDIATE NEEDS ARE ADDRESSED. DAY TREATMENT PROGRAMS PROVIDE A VARIETY OF GROUP ACTIVITIES WHICH ALLOW CONSUMERS TO FEEL PRODUCTIVE, EMPHASIZE SOCIAL SKILLS, AND AUGMENTS DEXTERITY AND INDIVIDUAL EXPERTISE. TRI-COUNTY PROVIDED APPROXIMATELY 168,500 HOURS OF ADULT COMMUNITY SUPPORT SERVICES IN FY 2011. PROGRAM SERVICE EXPENSES: $4,254,261 GRANTS: NONE REVENUES: $5,273,342 PROGRAM SERVICES FORM 990, PART III, LINE 4C OUTPATIENT SERVICES - CONSUMERS BEING SEEN FOR THE FIRST TIME RECEIVE ASSESSMENT AND CRISIS INTERVENTION BY STAFF MEMBERS HOLDING MASTERS DEGREES IN APPROPRIATE MENTAL HEALTH AND SUBSTANCE ABUSE TREATMENT DISCIPLINES. INFORMATION OBTAINED FROM THESE INTERVIEWS IS USED TO DIAGNOSE, RECOMMEND TREATMENT AND MEASURE EACH CONSUMER'S PROGRESS. BRIEF, INTENSIVE THERAPY - INDIVIDUAL, GROUP AND FAMILY - IS PROVIDED DIRECTLY BY THE TRI-COUNTY STAFF OR IS COORDINATED THROUGH REFERRAL TO A TRI-COUNTY PROVIDER. INTENSIVE OUTPATIENT SERVICES ARE DESIGNED FOR CONSUMERS EXPERIENCING SERIOUS ACUTE DISTRESS WHO ARE AT RISK OF FURTHER PSYCHIATRIC DETERIORATION OR HOSPITALIZATION. TRI-COUNTY PROVIDED APPROXIMATELY 13,200 TREATMENT CONTACTS IN FY 2011. PROGRAM SERVICE EXPENSES: $2,085,747 GRANTS: $6,470 REVENUES: $1,929,215 OTHER PROGRAM SERVICES FORM 990, PART III, LINE 4D SUBSTANCE ABUSE SERVICES - SUBSTANCE ABUSE TREATMENT SERVICES ARE OFFERED TO MALE AND FEMALE CONSUMERS, ADOLESCENTS AND ADULTS. COMPREHENSIVE SUBSTANCE ABUSE ASSESSMENT AND A COMBINATION OF INDIVIDUALIZED TREATMENT SERVICES INCLUDING INDIVIDUAL COUNSELING, GROUP EDUCATION, GROUP COUNSELING, FAMILY EDUCATION AND COUNSELING, RELAPSE PREVENTION COUNSELING, MANAGEMENT OF CO-OCCURRING DISORDERS, AND A VARIETY OF COMMUNITY SUPPORT SERVICES MAKE UP THE SERVICE COMPONENTS OF TRI-COUNTY'S SUBSTANCE ABUSE PROGRAMS. TRI-COUNTY PROVIDED APPROXIMATELY 48,700 HOURS OF SERVICE IN FY 2011. PROGRAM SERVICE EXPENSES: $1,903,658 GRANTS: NONE REVENUES: $2,172,029 FORM 990 REVIEW PROCESS FORM 990, PART VI, SECTION B, LINE 11A AN INDEPENDENT ACCOUNTING FIRM PREPARES AND REVIEWS THE 990. THE 990 IS THEN REVIEWED BY THE ORGANIZATION'S CFO AND CEO. ANY QUESTIONS AND CONCERNS THE CFO OR CEO HAVE ARE ADDRESSED AND ANY CORRECTIONS OR CLARIFICATIONS THAT NEED TO BE MADE ARE MADE. THE 990 IS THEN PROVIDED TO THE MEMBERS OF THE BOARD FOR THEIR REVIEW PRIOR TO FILING THE 990. ANY QUESTIONS AND CONCERNS THE BOARD HAVE ARE ADDRESSED AND ANY CORRECTIONS OR CLARIFICATIONS THAT NEED TO BE MADE ARE MADE PRIOR TO FILING THE 990. CONFLICT OF INTEREST POLICY FORM 990, PART VI, SECTION B, LINE 12C EMPLOYEES OF TRI-COUNTY ARE INSTRUCTED UPON BEING HIRED TO REPORT ALL POTENTIAL CONFLICTS TO THE EMPLOYEE'S SUPERVISOR, DEPARTMENT HEAD, COMPLIANCE OFFICER, ASSOCIATE DIRECTOR OR CEO. IT IS THE RESPONSIBILITY OF TRI-COUNTY'S COMPLIANCE COMMITTEE TO DETERMINE WHETHER A CONFLICT OR POTENTIAL CONFLICT EXISTS. KEY EMPLOYEES OF TRI-COUNTY AND TRI-COUNTY'S BOARD OF DIRECTORS REVIEW THE AGENCY'S CONFLICT OF INTEREST POLICY FOR BOARD MEMBERS AND KEY EMPLOYEES AND COMPLETE A DISCLOSURE STATEMENT ANNUALLY. IN ADDITION, ON AN ANNUAL BASIS, THE COMPLIANCE OFFICER NOTIFIES OTHER TRI-COUNTY EMPLOYEES CONCERNING THE PURPOSES AND INTENT OF THIS POLICY SO THAT THEY MAY HAVE THE OPPORTUNITY TO DISCLOSE ANY POTENTIAL CONFLICT OF INTEREST. ANY EMPLOYEE DISCLOSING A POTENTIAL CONFLICT IS REQUIRED TO COMPLETE THE CONFLICT OF INTEREST DISCLOSURE STATEMENT FOR EMPLOYEES. EMPLOYEES WHO HAVE QUESTIONS ABOUT WHETHER THEY SHOULD COMPLETE A QUESTIONNAIRE ARE INSTRUCTED TO DIRECT THOSE QUESTIONS TO THE COMPLIANCE OFFICER OR CEO. COMPLETED QUESTIONNAIRE ARE SUBMITTED TO THE COMPLIANCE COMMITTEE FOR REVIEW. QUESTIONNAIRES COMPLETED BY STAFF ARE KEPT IN THE EMPLOYEE'S PERSONNEL FILE AND QUESTIONNAIRES COMPLETED BY MEMBERS OF THE BOARD OF DIRECTORS ARE RETAINED BY THE EXECUTIVE ASSISTANT TO THE CEO. COMPENSATION REVIEW FORM 990, PART VI, SECTION B, LINES 15A & B THE EXECUTIVE COMMITTEE OF THE BOARD DETERMINES THE TOTAL COMPENSATION PACKAGE FOR THE CEO. THE CFO OBTAINS COMPARABLE DATA ON PEER AGENCIES FROM THEIR FORM 990 POSTED ON GUIDESTAR AND FORWARDS THIS INFORMATION TO THE BOARD CHAIR FOR REVIEW. THE EXECUTIVE COMMITTEE OF THE BOARD REPORTS THE COMPENSATION PACKAGE FOR THE CEO TO THE BOARD OF DIRECTORS FOR APPROVAL. THE COMPENSATION PAY RANGES FOR OTHER EMPLOYEES OF THE AGENCY ARE REVIEWED ANNUALLY BY THE HR DIRECTOR. THEY ARE COMPARED TO VARIOUS SALARY SURVEYS TO DETERMINE IF SALARY RANGES ARE APPROPRIATE. RECOMMENDATIONS FOR CHANGES IN SALARY RANGES ARE SUBMITTED TO THE EXECUTIVE TEAM OF THE AGENCY FOR REVIEW AND APPROVAL. SALARY INCREASES ARE REVIEWED WITH THE BOARD ANNUALLY AS PART OF THE REVIEW PROCESS FOR THE AGENCY BUDGET. A MAXIMUM ALLOWABLE SALARY PERCENTAGE INCREASE AMOUNT IS DETERMINED DURING THE BUDGET PROCESS AND APPROVED BY THE BOARD. AVAILABILITY OF DOCUMENTS FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMETNS AVAILABLE TO THE PUBLIC. RECONCILIATION OF NET ASSETS FORM 990, PART XI, LINE 5 UNREALIZED GAIN $251,182