FURP.ORG / PUBLIC DATA EXPLORER

ASSURED FAMILY SERVICES: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
ASSURED FAMILY SERVICES (EIN 76-0709231)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-10-25
IRS object ID
201222999349300142
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)
Timestamp2012-10-25T15:08:49-05:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

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 Line127400 NORTHWESTERN HIGHWAYAddressLine1
CitySOUTHFIELDCity
StateMIState
ZIP Code48034ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

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 Signed2012-10-11DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameROBERT DERY CPAName
PTINP00048464PTIN
Phone2482233635Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

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 Receipts12399664GrossReceipts
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 Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees110TotalNbrEmployees
Total Nbr Volunteers12TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year217473ContributionsGrantsPriorYear
Contributions Grants Current Year353497ContributionsGrantsCurrentYear
Program Service Revenue Prior Year12726447ProgramServiceRevenuePriorYear
Program Service Revenue CY12008984ProgramServiceRevenueCY
Investment Income Prior Year8685InvestmentIncomePriorYear
Investment Income Current Year8158InvestmentIncomeCurrentYear
Other Revenue Prior Year22263OtherRevenuePriorYear
Other Revenue Current Year29025OtherRevenueCurrentYear
Total Revenue Prior Year12974868TotalRevenuePriorYear
Total Revenue Current Year12399664TotalRevenueCurrentYear
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 Year5410598SalariesEtcPriorYear
Salaries Etc Current Year5343886SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year6815836OtherExpensePriorYear
Other Expenses Current Year6783724OtherExpensesCurrentYear
Total Expenses Prior Year12226434TotalExpensesPriorYear
Total Expenses Current Year12127610TotalExpensesCurrentYear
Revenues Less Expenses Prior Year748434RevenuesLessExpensesPriorYear
Revenues Less Expenses CY272054RevenuesLessExpensesCY
Total Assets BOY5025507TotalAssetsBOY
Total Assets EOY5072991TotalAssetsEOY
Total Liabilities BOY1923730TotalLiabilitiesBOY
Total Liabilities EOY1699160TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY3101777NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY3373831NetAssetsOrFundBalancesEOY
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
Expense10919881Expense
Revenue12038009Revenue
DescriptionTHE ORGANIZATION PROVIDES ASSESSMENT SERVICES IN THE AREA OF JUVENILE JUSTICE AND CHILD WELFARE.Description
Total Program Service Expense10919881TotalProgramServiceExpense
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 Required0ScheduleJRequired
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 With109651NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees110NumberOfEmployees
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 Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
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 (16 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
DEBRA USHER
BOARD MEMBER1.00X000
JAMES HINES
BOARD MEMBER1.00X000
HENRY WELLS III
BOARD MEMBER1.00X000
THOMAS HARDIMAN
BOARD MEMBER1.00X000
MICHELLE PALMER
TREASURER1.00X000X
MARGARET HUGGARD
SECRETARY1.00X000X
REVEREND LOUIS FORSYTHE II
CHAIRPERSON1.00X000X
DEBORAH BROUWER
BOARD MEMBER1.00X000
VICKIE STAMPS
BOARD MEMBER1.00X000
COMMANDER ROBERT ENNIS
BOARD MEMBER1.00X000
PASTOR CHISTOPHER BROOKS SR
BOARD MEMBER1.00X000
FRANCESA PERNICE-DUCA PHD
BOARD MEMBER1.00X000
CYNTHIA J SMITH
CEO40.0011654808922X
SALLIE SMITH-BROWN
COO40.0084073019998X
SHAUN COOPER
CLINICAL DIRECTOR40.00114485016339X
RENEE HARRIS
PSYCHIATRIST40.001088270736X
FieldValueIRS element (for citing)
Total Reportable Comp From Org423933TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation45995TotalOtherCompensation
Number Individuals GT100 K3NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
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 DRIVEFARMINGTONMI48331COUNSELING637573
SPAN CORPORATION
1505 WHITE STANN ARBORMI48104DRUG TESTING458865
ST FRANCIS FAMILY CENTER
17500 WEST EIGHT MILESOUTHFIELDMI48075COUNSELING423045
JOYCE ALEXANDER
29260 FRANKLIN ROAD SUITE 128SOUTHFIELDMI48034COUNSELING392140
PPRCS
10138 WEST MCNICHOLSDETROITMI48221COUNSELING346638
FieldValueIRS element (for citing)
Number Of Contractors GT100 K15NumberOfContractorsGT100K
Government Grants353497GovernmentGrants
Total Contributions353497TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionCONTRACTED SERVICESDescription
Business Code624100BusinessCode
Total Revenue Column12008984TotalRevenueColumn
Related Or Exempt Function Income12008984RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue12008984TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column8141TotalRevenueColumn
Exclusion$8,141ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other17Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other0Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other17Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column17TotalRevenueColumn
Exclusion$17ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMANAGEMENT FEESDescription
Business Code561000BusinessCode
Total Revenue Column29025TotalRevenueColumn
Related Or Exempt Function Income29025RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue29025TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column12399664TotalRevenueColumn
Related Or Exempt Function Income12038009RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$8,158ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total229541Total
Program Services183633ProgramServices
Management And General45908ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total3650878Total
Program Services3103246ProgramServices
Management And General547632ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total71929Total
Program Services53947ProgramServices
Management And General17982ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total996067Total
Program Services796853ProgramServices
Management And General199214ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total395471Total
Program Services336150ProgramServices
Management And General59321ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total89770Total
Management And General89770ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total30000Total
Management And General30000ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total5406164Total
Program Services5352102ProgramServices
Management And General54062ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total8196Total
Management And General8196ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total194485Total
Program Services150790ProgramServices
Management And General43695ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total17887Total
Program Services17708ProgramServices
Management And General179ManagementAndGeneral

Occupancy Occupancy

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

Travel Travel

FieldValueIRS element (for citing)
Total107911Total
Program Services107911ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total4003Total
Program Services4003ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total63261Total
Program Services53772ProgramServices
Management And General9489ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total37460Total
Program Services31841ProgramServices
Management And General5619ManagementAndGeneral

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
SUPPLIES36885635041318443
MISCELLANEOUS657314601219719

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total12127610Total
Program Services10919881ProgramServices
Management And General1207729ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY45137BOY
EOY79184EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1879615BOY
EOY2229128EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2895003BOY
EOY2614292EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY85000BOY
EOY85000EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY600BOY
EOY600EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis621830LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec572277LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY104918BOY
EOY49553EOY

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)
BOY5025507BOY
EOY5072991EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1917672BOY
EOY1696930EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY6058BOY
EOY2230EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1923730BOY
EOY1699160EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY3101777BOY
EOY3373831EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3101777BOY
EOY3373831EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5025507BOY
EOY5072991EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses272054ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement BothXFinancialStatementBoth
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 Years269922CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years259023CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years200370CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year217473CurrentTaxYearMinus1Year
Current Tax Year353497CurrentTaxYear
Total1300285Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10550209CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11472931CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11948741CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12726447CurrentTaxYearMinus1Year
Current Tax Year12008984CurrentTaxYear
Total58707312Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1323CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years100000CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years14393CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year22263CurrentTaxYearMinus1Year
Current Tax Year29025CurrentTaxYear
Total167004Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10821454CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11831954CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12163504CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12966183CurrentTaxYearMinus1Year
Current Tax Year12391506CurrentTaxYear
Total60174601Total

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 Total50960174601PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years48865CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years27362CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8836CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8072CurrentTaxYearMinus1Year
Current Tax Year8141CurrentTaxYear
Total101276Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years48865CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years27362CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8836CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8072CurrentTaxYearMinus1Year
Current Tax Year8141CurrentTaxYear
Total101276Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1323CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years137CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years150CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year613CurrentTaxYearMinus1Year
Current Tax Year17CurrentTaxYear
Total2240Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10871642CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11859453CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12172490CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12974868CurrentTaxYearMinus1Year
Current Tax Year12399664CurrentTaxYear
Total60278117Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99830PublicSupportPercentage509
Prior Year Support Percentage0.99740PriorYearSupportPercentage
Investment Income Percentage0.00170InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00240PriorYrInvestIncomePercentage
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 Basis185443OtherCostOrOtherBasis
Depreciation185443Depreciation
Book Value0BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis397422OtherCostOrOtherBasis
Depreciation352118Depreciation
Book Value45304BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis38965OtherCostOrOtherBasis
Depreciation34716Depreciation
Book Value4249BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings49553TotalOfBookValueLandBuildings
Total Revenue12399664TotalRevenue
Total Expenses12127610TotalExpenses
Excess Or Deficit For Year272054ExcessOrDeficitForYear
Excess Or Deficit Per FS272054ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt12399664TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal12399664RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99012399664TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt12127610TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal12127610ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99012127610TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X: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, 2011 AND 2010, 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 2008.Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
ALEXIS HARDIMAN
FAMILY OF BOARD MEMBER THOMAS HARDIMAN36467EMPLOYMENT0
SHANNON FORSYTHE
FAMILY OF BOARD MEMBER REVEREND LOUIS FORSYTHE19022EMPLOYMENT0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

Return ReferenceReturnReferenceExplanationExplanation
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.
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 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
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 Orgs0PerformOfServicesForOtherOrgs
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
D85000CASH TRANSACTION
COMMUNITY HEALTH OUTREACH INTERVENTION & CLINICAL ENGAGEMENT SERVICES
N493430CASH TRANSACTION
COMMUNITY HEALTH OUTREACH INTERVENTION & CLINICAL ENGAGEMENT SERVICES
L580506CASH TRANSACTION
COMMUNITY HEALTH OUTREACH INTERVENTION & CLINICAL ENGAGEMENT SERVICES
P522455CASH TRANSACTION