WESTERN MENTAL HEALTH CENTER INC: Form 990, tax year 2025
View the entire original 990 at ProPublica ↗
- Organization
- WESTERN MENTAL HEALTH CENTER INC (EIN 41-0877940)
- Tax period
- 2025-01-01 to 2025-12-31
- Filed
- 2026-07-21
- IRS object ID
- 202632029349301478
- Schema version
- 2025v4.2
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2026-07-21T14:44:38-05:00 | ReturnTs |
| Tax Period End | 2025-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 410746749 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2689 COMMERCE DRIVE NW SUITE 201 | AddressLine1Txt |
| City | ROCHESTER | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55901 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2025-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 410877940 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WESTERN MENTAL HEALTH CENTER INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | WEST | BusinessNameControlTxt |
| Phone | 5075323236 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1212 E COLLEGE DRIVE | AddressLine1Txt |
| City | MARSHALL | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 56258 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SARAH ACKERMAN | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 5075323236 | PhoneNum |
| Signature | 2026-07-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | KATHERINE LUTZKE CPA | PreparerPersonNm |
| PTIN | P01760889 | PTIN |
| Phone | 5072802300 | PhoneNum |
| Preparation | 2026-07-15 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2025 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | SARAH ACKERMAN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1212 E COLLEGE DRIVE | AddressLine1Txt |
| City | MARSHALL | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 56258 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $11,699,304 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.WMHCINC.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1965 | FormationYr |
| Legal Domicile State | MN | LegalDomicileStateCd |
| Activity Or Mission | OPERATION AND ADMINISTRATION OF MENTAL HEALTH PROGRAMS | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 124 | TotalEmployeeCnt |
| Total Volunteers | 10 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,121,363 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,045,648 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $8,188,743 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $8,476,787 | CYProgramServiceRevenueAmt |
| PY Investment Income | $248,289 | PYInvestmentIncomeAmt |
| CY Investment Income | $167,158 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $157,621 | CYOtherRevenueAmt |
| PY Total Revenue | $9,558,395 | PYTotalRevenueAmt |
| CY Total Revenue | $9,847,214 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $7,286,620 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $7,625,048 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,038,492 | PYOtherExpensesAmt |
| CY Other Expenses | $2,084,824 | CYOtherExpensesAmt |
| PY Total Expenses | $9,325,112 | PYTotalExpensesAmt |
| CY Total Expenses | $9,709,872 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $233,283 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $137,342 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $14,402,568 | TotalAssetsBOYAmt |
| Total Assets EOY | $14,684,263 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,351,220 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,453,966 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $12,051,348 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $12,230,297 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO PROMOTE AND ADVANCE MENTAL HEALTH, TO TREAT PERSON WITH MENTAL HEALTH OR RELATED NEEDS, AND TO PROVIDE COLLABORATIVE AND EDUCATIONAL SERVICES TO THE COMMUNITY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $2,440,895 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $3,120,726 | RevenueAmt |
| Desc | OUTPATIENT - PROVIDES MENTAL HEALTH AND RELATED SERVICES TO SURROUNDING FIVE COUNTY AREA. A CRISIS HOTLINE IS AVAILABLE 24 HOURS A DAY. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,111,989 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $919,015 | RevenueAmt |
| Desc | COMMUNITY SUPPORT SERVICES - COMMUNITY BASED SERVICES TO ASSIST INDIVIDUALS WHO HAVE LONG-TERM MENTAL HEALTH PROBLEMS LIVE AS INDEPENDENTLY AS POSSIBLE IN THEIR OWN COMMUNITY. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,856,304 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $1,689,730 | RevenueAmt |
| Desc | PSYCHIATRIC - PROVIDED PSYCHIATRIC SERVICES TO THE SURROUNDING FIVE COUNTY AREA. CONSULTATION AND EDUCATION ARE AVAILABLE THROUGH COMMUNITY GROUPS AND AGENCIES. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $4,153,549 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $2,747,316 | RevenueAmt |
| Desc | FAMILY COMMUNITY SUPPORT - PROVIDING IN HOME, COMMUNITY BASED SUPPORT AND OTHER TREATMENT FOR THE CARE AND AID OF SEVERELY EMOTIONALLY DISTURED CHILDREN AND THEIR FAMILIES.MOBILE CRISIS - THE MOBILE CRISIS PROGRAM IS AVAILABLE 24/7 TO PROVIDE SHORT TERM CRISIS SERVICES TO ANY ADULT OR CHILD THAT IS EXPERIENCING A BEHAVIORAL OR MENTAL HEALTH CRISIS. MOBILE CRISIS RESPONSE SERVICES (MCRS) IS INTENDED TO DE-ESCALATE CRISIS SITUATIONS THROUGH CRISIS ASSESSMENT, INTERVENTION AND STABILIZATION.IN-HOME THERAPY - BRIED SPECIFICALLY FOCUSED FAMILY THERAPY PROVIDED IN HOME FOR FAMILIES REFERRED BY LLM HUMAN SERVICES.SCHOOL LINKED MENTAL HEALTH SERVICES - SERVICES DESIGNED TO LOCATE MENTAL HEALTH SERVICES WITHIN THE SCHOOL SETTING. SLMH ALLOWS FOR THE MINIMAL DISRUPTION FROM THE CHILD'S SCHOOL DAY TO RECEIVE MENTAL HEALTH SERVICES AND ALLOWS TEACHERS, PARENTS, AND OTHERS INVOLVED IN THE CHILD'S CARE TO COLLABORATE SO THE CHILD CAN BE SUCCESSFUL IN THE SCHOOL, HOME AND COMMUNITY SETTING.BOARD AND LODGE - PROVIDES LONG TERM HOUSING SERVICE TO ADULT INDIVIDUALS WHO HAVE A MENTAL ILLNESS.BIRTH TO FIVE MENTAL HEALTH SERVICES - PROVIDES CULTURALLY AND DEVELOPMENTALLY APPROPRIATE MENTAL HEALTH SERVICES TO YOUNG CHILDREN AGES BIRTH TO FIVE WHO ARE UNINSURED AND UNDERINSURED.ADULT DRUG COURT - INCLUDES VARIOUS SERVICES AS A PART OF THE JUSTICE ASSISTANCE TEAMS IN LYON AND REDWOOD COUNTIES. THE PRIMARY SERVICES WILL INCLUDE HAVING A MENTAL HEALTH PROFESSIONAL BE A MEMBER OF THE JUSTICE TEAM TO CONDUCT A MENTAL HEALTH ASSESSMENT FOR DRUG COURT PARTICIPANTS WITH A RECOMMENDATION FOR MENTAL HEALTH SERVICES AS APPROPRIATE. THESE RECOMMENDATIONS MAY INCLUDE: PSYCHIATRIC EVALUATION AND MEDICATION MANAGEMENT; THERAPY INCLUDING DIAGNOSTIC ASSESSMENTS; INDIVIDUAL/GROUP THERAPY; AND PEER SUPPORT. INTEGRATED DUAL DIAGNOSTIC TREATMENT SERVES INDIVIDUALS WITH SUBSTANCE USE DISORDERS AND MENTAL ILLNESS TO PRODUCE BETTER OUTCOMES FOR DUALLY DIAGNOSED CLIENTS. THE TEAM APPROACH FOR SERVICES ASSISTS INDIVIDUALS WITH MEDICATION MANAGEMENT (IF NEEDED), INDIVIDUAL THERAPY, OUTREACH COMMUNITY-BASED SKILLS, AND SUBSTANCE USE TREATMENT.ASSERTIVE COMMUNITY TREATMENT (ACT) - DESIGNED FOR PERSON WITH SERIOUS MENTAL ILLNESS. THE SEVERITY OF THEIR SYMPTOMS AND FUNCTIONAL ISSUES CAUSES THE MOST SUBSTANTIAL LEVELS OF DISABILITY. ACT TEAMS HELP PERSONS DEVELOP THE SKILLS THEY NEED FOR LIFE IN THE COMMUNITY, USING THE PRINCIPLES AND METHODS OF ILLNESS MANAGEMENT AND RECOVERY (IRM), INTEGRATED DUAL DISORDERS TREATMENT (IDDT), SUPPORTED EMPLOYMENT (SE), PSYCHIATRIC REHABILITATION, AND OTHER BEST PRACTICES.BEHAVIOR HEALTH HOME - TEAM-BASED APPROACH TO PROVIDING COMPREHENSIVE QUALITY OF CARE WORKING WITH INDIVIDUALS ON THEIR OWN PERSONAL HEALTH NEEDS CERTIFIED COMMUNITY BEHAVIOR HEALTH CLINIC - A COMPREHENSIVE, WHOLISTIC APPROACH TO CARE FOCUSING ON MENTAL HEALTH, SUBSTANCE ABUSE AND PRIMARY CARE BY PROVIDING SERVICES TO CLIENTS AT THE RIGHT TIME AND PLACE THROUGH THE UTILIZATION OF CARE COORDINATION.SUBSTANCE USE DISORDER - PROVIDES ASSISTANCE TO THOSE THAT SUFFER SHORT AND LONG TERM ABUSE WITH ALCOHOL OR DRUGS. DESIGNED FOR PEOPLE WHO NEED A MEDICATION MANAGEMENT PROGRAM FOR SUBSTANCE ABUSE.AND ANY OTHER MISCELLANEOUS PROGRAMS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $4,153,549 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $0 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $2,747,316 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $9,562,737 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 27 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 124 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | 0 | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MN | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MELISSA LOUWAGIE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5075323236 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1212 E COLLEGE DRIVE | AddressLine1Txt |
| City | MARSHALL | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 56258 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| MAYDRA MAAS | |||||||
| PRESIDENT | 1.00 | Yes (X) | Yes (X) | $1,000 | $0 | $0 | |
| JIM SALFER | |||||||
| VICE PRESIDENT | 1.00 | Yes (X) | Yes (X) | $850 | $0 | $0 | |
| AUDREY MILLER | |||||||
| SECRETARY/TREASURER | 1.00 | Yes (X) | Yes (X) | $875 | $0 | $0 | |
| JOAN JAGT | |||||||
| DIRECTOR | 1.00 | Yes (X) | $900 | $0 | $0 | ||
| SUSAN KAMRATH | |||||||
| DIRECTOR | 1.00 | Yes (X) | $625 | $0 | $0 | ||
| TODD DRAPER | |||||||
| DIRECTOR | 1.00 | Yes (X) | $900 | $0 | $0 | ||
| GLEN KACK | |||||||
| DIRECTOR | 1.00 | Yes (X) | $900 | $0 | $0 | ||
| GAYLE BOFFERDING | |||||||
| DIRECTOR | 1.00 | Yes (X) | $925 | $0 | $0 | ||
| STEVE HAUSEWEDELL | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| ROGER ZINS | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| SARAH ACKERMAN | |||||||
| EXECUTIVE DIRECTOR | 40.00 | Yes (X) | $210,193 | $0 | $52,205 | ||
| ERIN KLETSCHER | |||||||
| PSYCHIATRIST | 40.00 | $155,478 | $0 | $41,657 | Yes (X) | ||
| DARCI VAN DYKE | |||||||
| PSYCHIATRIST | 36.00 | $106,548 | $0 | $46,658 | Yes (X) | ||
| JORY DOVE | |||||||
| CLINICAL DIRECTOR | 40.00 | $114,765 | $0 | $34,651 | Yes (X) | ||
| TALICIA JARCHO | |||||||
| PSYCHIATRIST | 32.00 | $112,294 | $0 | $3,959 | Yes (X) | ||
| JULIE PETERSEN | |||||||
| PSYCHIATRIST | 40.00 | $100,195 | $0 | $18,925 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $806,448 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $198,055 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 7 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | IRIS TELEHEALTH MEDICAL GROUP PA | BusinessNameLine1Txt |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 13740 N HIGHWAY 183 STE L2 221 | AddressLine1Txt |
| City | AUSTIN | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 78750 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | TELEHEALTH PROVIDERS | ServicesDesc |
| Compensation | $373,203 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $1,040,408 | GovernmentGrantsAmt |
| All Other Contributions | $5,240 | AllOtherContributionsAmt |
| Total Contributions | $1,045,648 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| FEES REVENUE | 621400 | $6,415,492 | $6,415,492 |
| CONTRACT REVENUE | 621400 | $2,061,295 | $2,061,295 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $8,476,787 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $222,359 | TotalRevenueColumnAmt |
| Exclusion | $222,359 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $16,874 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $16,874 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $16,874 | TotalRevenueColumnAmt |
| Exclusion | $16,874 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,790,000 | SecuritiesAmt |
| Other | $6,889 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,736,917 | SecuritiesAmt |
| Other | $115,173 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $53,083 | SecuritiesAmt |
| Other | -$108,284 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$55,201 | TotalRevenueColumnAmt |
| Exclusion | -$55,201 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS INCOME | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $140,747 | TotalRevenueColumnAmt |
| Exclusion | $140,747 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $140,747 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,847,214 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $8,476,787 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $324,779 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $269,373 | TotalAmt |
| Program Services | $268,061 | ProgramServicesAmt |
| Management And General | $1,312 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,678,775 | TotalAmt |
| Program Services | $5,652,384 | ProgramServicesAmt |
| Management And General | $26,391 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $241,593 | TotalAmt |
| Program Services | $240,385 | ProgramServicesAmt |
| Management And General | $1,208 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,001,402 | TotalAmt |
| Program Services | $996,395 | ProgramServicesAmt |
| Management And General | $5,007 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $433,905 | TotalAmt |
| Program Services | $431,325 | ProgramServicesAmt |
| Management And General | $2,580 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,660 | TotalAmt |
| Management And General | $13,660 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $730,461 | TotalAmt |
| Program Services | $729,873 | ProgramServicesAmt |
| Management And General | $588 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,535 | TotalAmt |
| Management And General | $32,535 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $163,325 | TotalAmt |
| Program Services | $162,962 | ProgramServicesAmt |
| Management And General | $363 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $126,479 | TotalAmt |
| Program Services | $126,175 | ProgramServicesAmt |
| Management And General | $304 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $63,889 | TotalAmt |
| Program Services | $63,772 | ProgramServicesAmt |
| Management And General | $117 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,179 | TotalAmt |
| Management And General | $51,179 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $282,798 | TotalAmt |
| Program Services | $282,190 | ProgramServicesAmt |
| Management And General | $608 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $62,096 | TotalAmt |
| Program Services | $61,937 | ProgramServicesAmt |
| Management And General | $159 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| TELEPHONE | $206,867 | $206,725 | $142 |
| REPAIRS & MAINTENANCE | $74,013 | $73,891 | $122 |
| SUPPLIES | $64,322 | $64,234 | $88 |
| DUES & SUBSCRIPTIONS | $57,746 | $57,618 | $128 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $155,454 | TotalAmt |
| Program Services | $144,810 | ProgramServicesAmt |
| Management And General | $10,644 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,709,872 | TotalAmt |
| Program Services | $9,562,737 | ProgramServicesAmt |
| Management And General | $147,135 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,002,943 | BOYAmt |
| EOY | $1,391,295 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,951,768 | BOYAmt |
| EOY | $2,005,583 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $775,966 | BOYAmt |
| EOY | $882,945 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $48,554 | BOYAmt |
| EOY | $64,440 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $7,486,320 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $2,409,242 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,208,603 | BOYAmt |
| EOY | $5,077,078 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,377,424 | BOYAmt |
| EOY | $5,158,401 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,310 | BOYAmt |
| EOY | $104,521 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,402,568 | BOYAmt |
| EOY | $14,684,263 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $654,590 | BOYAmt |
| EOY | $870,499 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,337 | BOYAmt |
| EOY | $8,161 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,671,853 | BOYAmt |
| EOY | $1,470,473 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,440 | BOYAmt |
| EOY | $104,833 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,351,220 | BOYAmt |
| EOY | $2,453,966 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,894,355 | BOYAmt |
| EOY | $12,073,304 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $156,993 | BOYAmt |
| EOY | $156,993 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,051,348 | BOYAmt |
| EOY | $12,230,297 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,402,568 | BOYAmt |
| EOY | $14,684,263 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $137,342 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $41,607 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,571,924 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,824,077 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,672,956 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,121,363 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,045,648 | CurrentTaxYearAmt |
| Total | $7,235,968 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,686,187 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,989,695 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,400,150 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $8,188,743 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,476,787 | CurrentTaxYearAmt |
| Total | $38,741,562 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $8,258,111 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,813,772 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,073,106 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,310,106 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,522,435 | CurrentTaxYearAmt |
| Total | $45,977,530 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $1,332,307 | CurrentTaxYearAmt |
| Total | $1,332,307 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $1,332,307 | CurrentTaxYearAmt |
| Total | $1,332,307 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $44,645,223 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $32,917 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,374 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $166,962 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $179,163 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $239,233 | CurrentTaxYearAmt |
| Total | $623,649 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $32,917 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,374 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $166,962 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $179,163 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $239,233 | CurrentTaxYearAmt |
| Total | $623,649 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $46,595 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $46,765 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $53,236 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year | $140,747 | CurrentTaxYearAmt |
| Total | $287,343 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $8,337,623 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,865,911 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,293,304 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,489,269 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,902,415 | CurrentTaxYearAmt |
| Total | $46,888,522 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.95220 | PublicSupportCY509Pct |
| Public Support PY509 | 0.98740 | PublicSupportPY509Pct |
| Investment Income CY | 0.01330 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00900 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | OTHER INCOME - 2021 AMOUNT: $ 46,595. 2022 AMOUNT: $ 46,765. 2023 AMOUNT: $ 53,236. 2025 AMOUNT: $ 140,747. | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $800,492 | OtherCostOrOtherBasisAmt |
| Book Value | $800,492 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,171,518 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,415,313 | DepreciationAmt |
| Book Value | $3,756,205 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $853,651 | OtherCostOrOtherBasisAmt |
| Depreciation | $625,010 | DepreciationAmt |
| Book Value | $228,641 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $660,659 | OtherCostOrOtherBasisAmt |
| Depreciation | $368,919 | DepreciationAmt |
| Book Value | $291,740 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $5,077,078 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| OPERATING LEASE LIABILITY | $104,762 |
| UNCLAIMED REFUNDS | $71 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $104,833 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $9,875,162 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $41,608 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $41,608 | RevenueNotReportedAmt |
| Revenue Subtotal | $9,833,554 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $13,660 | InvestmentExpensesNotIncldAmt |
| Revenue Not Reported Fincl Stmt | $13,660 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $9,847,214 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $9,696,212 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $9,696,212 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $13,660 | InvestmentExpensesNotIncld2Amt |
| Expenses Not Rpt Fincl Stmt | $13,660 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $9,709,872 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION IS ORGANIZED AS A MINNESOTA NONPROFIT CORPORATION AND HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE (IRS) AS EXEMPT FROM FEDERAL INCOME TAXES UNDER IRC SECTION 501(A) AS ORGANIZATIONS DESCRIBED IN INTERNAL REVENUE CODE (IRC) SECTION 501(C)(3), QUALIFY FOR THE CHARITABLE CONTRIBUTION DEDUCTION UNDER IRC SECTIONS 170(B)(1)(A)(VI) AND (VIII), AND HAS BEEN DETERMINED NOT TO BE A PRIVATE FOUNDATION UNDER IRC SECTIONS 509(A)(1). THE ENTITY IS ANNUALLY REQUIRED TO FILE A RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX (FORM 990) WITH THE IRS. IN ADDITION, THE ENTITY IS SUBJECT TO INCOME TAX ON NET INCOME THAT IS DERIVED FROM BUSINESS ACTIVITIES THAT ARE UNRELATED TO THEIR EXEMPT PURPOSES. WE HAVE DETERMINED THAT THE ENTITY IS NOT SUBJECT TO UNRELATED BUSINESS INCOME TAX AND HAS NOT FILED AN EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURN (FORM 990-T) WITH THE IRS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SARAH ACKERMAN | ||||||||||||||
| EXECUTIVE DIRECTOR | $210,193 | $0 | $0 | $0 | $0 | $0 | $17,772 | $0 | $34,433 | $0 | $262,398 | $0 | $0 | $0 |
| ERIN KLETSCHER | ||||||||||||||
| PSYCHIATRIST | $155,478 | $0 | $0 | $0 | $0 | $0 | $11,887 | $0 | $29,770 | $0 | $197,135 | $0 | $0 | $0 |
| DARCI VAN DYKE | ||||||||||||||
| PSYCHIATRIST | $106,548 | $0 | $0 | $0 | $0 | $0 | $8,362 | $0 | $38,296 | $0 | $153,206 | $0 | $0 | $0 |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CITY OF CANBY MINNESOTA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 416005031 | BondIssuerEIN |
| Bond Issued | 2015-12-15 | BondIssuedDt |
| Issue Price | $3,941,400 | IssuePriceAmt |
| Purpose | CONSTRUCTION OF FACILITY | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $2,470,927 | RetiredAmt |
| Total Proceeds | $3,941,400 | TotalProceedsAmt |
| Issuance Costs From Proceeds | $78,828 | IssuanceCostsFromProceedsAmt |
| Capital Expenditures | $3,862,572 | CapitalExpendituresAmt |
| Substantial Completion | 2017 | SubstantialCompletionYr |
| Refunding Tax Exempt Bonds | 0 | RefundingTaxExemptBondsInd |
| Refunding Taxable Bonds | 0 | RefundingTaxableBondsInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | 0 | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | Yes (1) | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Private Bus Use By Others | 0.10000 | PrivateBusUseByOthersPct |
| Total Private Business Use | 0.10000 | TotalPrivateBusinessUsePct |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | 0 | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | Yes (1) | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | Yes (1) | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | 0 | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (1) | ProceduresCorrectiveActionInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 1A | THE COMMITTEES OF THE BOARD MEET AS NEEDED TO REVIEW VARIOUS POLICES, FINANCES, ETC., IN DEPTH AND THEN THEY VOTE ON A RECOMMENDATION TO THEN BRING FORWARD TO THE FULL BOARD FOR REVIEW AND FINAL APPROVAL. THE COMMITTEE CHAIR WILL PROVIDE AN OVERVIEW OF THE COMMITTEE MEETING WHILE PRESENTING THE RECOMMENDATION FOR APPROVAL AND A MOTION TO THE FULL BOARD FOR REVIEW. THE COMMITTEE MEETING AS WELL AS THE BOARD MEETING ARE BOTH DOCUMENTED WITH WRITTEN NOTES BEING KEPT. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS PREPARED BY THE AUDITORS AND REVIEWED AND SIGNED BY THE EXECUTIVE DIRECTOR. |
| FORM 990, PART VI, SECTION B, LINE 12 | EXECUTIVE DIRECTOR ANNUALLY OBTAINS AND REVIEWS CONFLICT OF INTEREST STATEMENTS FROM BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE EXECUTIVE COMMITTEE MEETS WITH THE ED TO REVIEW PERFORMANCE, INDUSTRY STANDARDS USING AREA AND REGIONAL BENCHMARKS AS WELL AS OVERALL PERFORMANCE TO DETERMINE THE COMPENSATION FOR THE ED. THEY ALSO REVIEW THE AGENCY'S BUDGET IN COMPARISON TO WHAT WAS CALCULATED AS AN ANNUAL RAISE PERCENTAGE FOR THE EMPLOYEES FOR THE YEAR. THE PROCESS DESCRIBED HERE WAS LAST COMPLETED IN 2025. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE BALANCE SHEET IS PUBLISHED IN THE ANNUAL REPORT. THE COMPLETE FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. |