NEW HORIZONS MENTAL HEALTH SERVICES INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- NEW HORIZONS MENTAL HEALTH SERVICES INC (EIN 31-0846860)
- Tax period
- 2021-07-01 to 2022-06-30
- Filed
- 2023-05-15
- IRS object ID
- 202311359349311751
- Schema version
- 2021v4.2
- 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 | 2023-05-15T14:11:45-05:00 | ReturnTs |
| Tax Period End | 2022-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 310800053 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLARK SCHAEFER HACKETT & CO | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4449 EASTON WAY SUITE 400 | AddressLine1Txt |
| City | COLUMBUS | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43219 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 310846860 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NEW HORIZONS MENTAL HEALTH SERVICES INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | NEWH | BusinessNameControlTxt |
| Phone | 7406870835 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 230 NORTH COLUMBUS ST SUITE 2 | AddressLine1Txt |
| City | LANCASTER | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43130 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | PHILLIP E PACK | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 7406870835 | PhoneNum |
| Signature | 2023-02-28 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | PHILLIP | PersonFirstNm |
| Person Last | PACK | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | NATOSHA CARR | PreparerPersonNm |
| PTIN | P01225377 | PTIN |
| Phone | 6148852208 | PhoneNum |
| Preparation | 2023-02-28 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | PHILLIP E PACK | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 230 NORTH COLUMBUS ST SUITE 2 | AddressLine1Txt |
| City | LANCASTER | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43130 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $7,554,089 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.NEWHORIZONSMENTALHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1974 | FormationYr |
| Legal Domicile State | OH | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE MENTAL HEALTH CARE TO THE PEOPLE OF THE FAIRFIELD COUNTY AND OTHER AREAS IN OHIO | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 114 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,728,506 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,097,884 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $5,013,829 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $5,452,836 | CYProgramServiceRevenueAmt |
| PY Investment Income | $3,475 | PYInvestmentIncomeAmt |
| CY Investment Income | $3,369 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $7,745,810 | PYTotalRevenueAmt |
| CY Total Revenue | $7,554,089 | 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 | $4,220,940 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $4,814,527 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,262,131 | PYOtherExpensesAmt |
| CY Other Expenses | $2,833,265 | CYOtherExpensesAmt |
| PY Total Expenses | $6,483,071 | PYTotalExpensesAmt |
| CY Total Expenses | $7,647,792 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,262,739 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$93,703 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $3,312,624 | TotalAssetsBOYAmt |
| Total Assets EOY | $3,304,053 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $874,631 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $962,914 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,437,993 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $2,341,139 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO PROVIDE MENTAL HEALTH CARE TO CHILDREN, ADULTS, AND FAMILIES OF THE FAIRFIELD COUNTY AREA AND OCCASIONALLY TO OTHER COUNTIES IN THE STATE OF OHIO | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $3,155,312 | ExpenseAmt |
| Revenue | $3,122,716 | RevenueAmt |
| Desc | COUNSELING/PSYCHOTHERAPY (C/P): THIS IS SOMETIMES CALLED "THERAPY OR "COUNSELING." INDIVIDUAL THERAPY INVOLVES ONLY THE CLIENT AND THE THERAPIST. IN GROUP THERAPY, SEVERAL CLIENTS PARTICIPATE IN THERAPY AT THE SAME TIME. CLIENTS ARE ABLE TO SHARE EXPERIENCES AND LEARN THAT OTHERS FEEL THE SAME WAY AND HAVE SOME OF THE SAME EXPERIENCES. MARITAL OR COUPLES THERAPY HELPS PARTNERS AND SPOUSES WORK TOGETHER ON RELATIONSHIPS AND MENTAL HEALTH ISSUES. FAMILY THERAPY OFTEN INVOLVES SEVERAL FAMILY MEMBERS SO THAT THE FAMILY SYSTEM CAN FUNCTION BETTER FOR EACH OF THE FAMILY MEMBERS. IN ALL FORMS OF THERAPY FOR MENTAL HEALTH AND/OR ALCOHOL OR DRUG ISSUES, THE THERAPIST WORKS WITH THE CLIENTS TO IDENTIFY AND THEN RESOLVE ISSUES THAT ARE LEADING TO CURRENT LIFE DIFFICULTIES. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,918,804 | ExpenseAmt |
| Revenue | $1,614,017 | RevenueAmt |
| Desc | PSYCHIATRIC CARE: THIS STARTS WITH AN EVALUATION BY A PSYCHIATRIST, WHO IS A MEDICAL DOCTOR. SHOULD THE DOCTOR RECOMMEND THAT THE CLIENT TAKE A SPECIFIC MEDICATION, AND THE CLIENT DECIDES TO TAKE THAT MEDICATION, THE CLIENT WILL THEN BE SEEN PERIODICALLY BY THE DOCTOR OR MENTAL HEALTH NURSE PRACTITIONER TO HELP MANAGE THE MEDICATION. AN AGENCY NURSE OR MEDICAL ASSISTANT WILL HELP WITH MEDICATION MANAGEMENT AS WELL. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,130,070 | ExpenseAmt |
| Revenue | $641,151 | RevenueAmt |
| Desc | CASE MANAGEMENT: WE SEEK TO MAKE A CASE MANAGER AVAILABLE TO THOSE CHILDREN AND ADULTS WHO HAVE SEVERE AND CHRONIC MENTAL HEALTH DISORDERS AND/OR ALCOHOL AND OTHER DRUG DISORDERS. THE PURPOSE IS TO ASSIST IN RECOVERY BY HELPING TO COORDINATE ALL HEALTH CARE NEEDS, TO LEARN DAILY LIVING SKILLS, TO MANAGE THE ILLNESS, TO SEEK ASSISTANCE IN OTHER PLACES, AND TO FIND EMPLOYMENT OR INITIATE OTHER MEANINGFUL LIFE ACTIVITIES. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Revenue | $74,953 | RevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Revenue | $74,953 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $6,204,186 | 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 | Yes (1) | 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 | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | 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 | 0 | TaxExemptBondsInd |
| 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 | 55 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 114 | 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 | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | 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 | Yes (1) | 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 |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SHANDA WYRICK CFO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7406870835 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 230 NORTH COLUMBUS ST SUITE 2 | AddressLine1Txt |
| City | LANCASTER | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43130 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd |
|---|---|---|---|---|---|---|
| NIKKI DELEON | ||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | |
| DAN KEMP | ||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | |
| JAMEY BINKLEY | ||||||
| TREASURER | 0.50 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| MARILYN STEINER | ||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | |
| MARY ANN BOONE | ||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | |
| BRANDY CONLEY | ||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | |
| CATHY ELY PHD | ||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | |
| GARY ADAM | ||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | |
| ERICA KIM | ||||||
| CHAIR | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| WES OSBORN | ||||||
| VICE CHAIR | 0.50 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| KATE ELLSWORTH | ||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | |
| PHILLIP E PACK | ||||||
| CEO | 40.00 | $161,717 | $0 | $591 | Yes (X) | |
| SHANDA WYRICK | ||||||
| CFO | 40.00 | $88,410 | $0 | $5,197 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $250,127 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $5,788 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| MY PSYCHIATRIC PARTNER | |||||
| 8483 TORWOODLEE COURT | DUBLIN | OH | 43017 | TELEPSYCHIATRY SERVICES | $775,670 |
| CODING ADVANTAGE | |||||
| PO BOX 691 | CHARDON | OH | 44024 | BILLING SERVICES | $159,434 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $60,000 | FederatedCampaignsAmt |
| Government Grants | $2,034,075 | GovernmentGrantsAmt |
| All Other Contributions | $3,809 | AllOtherContributionsAmt |
| Total Contributions | $2,097,884 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| TITLE XIX AND TITLE XX | 621420 | $2,714,859 | $2,714,859 |
| OTHER CONTRACTS | 621420 | $1,499,233 | $1,499,233 |
| PATIENT FEES/INSURANCE | 621420 | $542,572 | $542,572 |
| SCHOOL CONTRACTS | 621420 | $371,628 | $371,628 |
| MEDICARE | 621420 | $324,544 | $324,544 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $5,452,836 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,659 | TotalRevenueColumnAmt |
| Exclusion | $2,659 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $710 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $710 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $710 | TotalRevenueColumnAmt |
| Exclusion | $710 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,554,089 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $5,452,836 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $3,369 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $255,915 | TotalAmt |
| Program Services | $194,570 | ProgramServicesAmt |
| Management And General | $61,345 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,694,315 | TotalAmt |
| Program Services | $2,808,757 | ProgramServicesAmt |
| Management And General | $885,558 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $73,570 | TotalAmt |
| Program Services | $54,841 | ProgramServicesAmt |
| Management And General | $18,729 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $503,671 | TotalAmt |
| Program Services | $375,798 | ProgramServicesAmt |
| Management And General | $127,873 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $287,056 | TotalAmt |
| Program Services | $214,193 | ProgramServicesAmt |
| Management And General | $72,863 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $83,985 | TotalAmt |
| Program Services | $52,005 | ProgramServicesAmt |
| Management And General | $31,980 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,648 | TotalAmt |
| Program Services | $3,113 | ProgramServicesAmt |
| Management And General | $1,535 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $564,542 | TotalAmt |
| Program Services | $520,805 | ProgramServicesAmt |
| Management And General | $43,737 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $489,454 | TotalAmt |
| Program Services | $438,946 | ProgramServicesAmt |
| Management And General | $50,508 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,180 | TotalAmt |
| Program Services | $38,438 | ProgramServicesAmt |
| Management And General | $2,742 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,244 | TotalAmt |
| Program Services | $5,579 | ProgramServicesAmt |
| Management And General | $1,665 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,522 | TotalAmt |
| Program Services | $25,042 | ProgramServicesAmt |
| Management And General | $7,480 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| CONTRACT SERVICES - PSY | $877,670 | $877,670 | |
| CONTRACT SERVICES - MIS | $201,972 | $158,664 | $43,308 |
| HOME BASED TREATMENT PR | $162,182 | $162,182 | |
| CONTRACT SERVICES - BIL | $149,637 | $117,551 | $32,086 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $218,229 | TotalAmt |
| Program Services | $156,032 | ProgramServicesAmt |
| Management And General | $62,197 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,647,792 | TotalAmt |
| Program Services | $6,204,186 | ProgramServicesAmt |
| Management And General | $1,443,606 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,028,544 | BOYAmt |
| EOY | $2,064,826 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $317,721 | BOYAmt |
| EOY | $318,560 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $859,605 | BOYAmt |
| EOY | $778,160 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,754 | BOYAmt |
| EOY | $78,802 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $226,698 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $195,943 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,998 | BOYAmt |
| EOY | $30,755 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,652 | BOYAmt |
| EOY | $13,600 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,350 | BOYAmt |
| EOY | $19,350 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,312,624 | BOYAmt |
| EOY | $3,304,053 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $608,316 | BOYAmt |
| EOY | $565,223 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $117,056 | BOYAmt |
| EOY | $248,432 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $149,259 | BOYAmt |
| EOY | $149,259 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $874,631 | BOYAmt |
| EOY | $962,914 | 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 | $2,367,993 | BOYAmt |
| EOY | $2,281,139 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $70,000 | BOYAmt |
| EOY | $60,000 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,437,993 | BOYAmt |
| EOY | $2,341,139 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,312,624 | BOYAmt |
| EOY | $3,304,053 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$93,703 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$3,151 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| 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 | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
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 | $881,940 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,451,105 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,777,884 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,728,506 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,097,884 | CurrentTaxYearAmt |
| Total | $8,937,319 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,957,966 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,282,491 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,421,380 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,013,829 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,452,836 | CurrentTaxYearAmt |
| Total | $26,128,502 | TotalAmt |
Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $106,369 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $106,369 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,864 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $221,602 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,946,275 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,839,965 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,208,128 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,742,335 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,550,720 | CurrentTaxYearAmt |
| Total | $35,287,423 | 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) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $35,287,423 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,943 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,422 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,620 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,855 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,659 | CurrentTaxYearAmt |
| Total | $14,499 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,943 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,422 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,620 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,855 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,659 | CurrentTaxYearAmt |
| Total | $14,499 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,948,218 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,842,387 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,212,748 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,745,190 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,553,379 | CurrentTaxYearAmt |
| Total | $35,301,922 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99960 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99960 | PublicSupportPY509Pct |
| Investment Income CY | 0.00040 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00040 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
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
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $15,652 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$1,954 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $97 | AdministrativeExpensesAmt |
| End Year Balance | $13,601 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $12,208 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $3,542 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $98 | AdministrativeExpensesAmt |
| End Year Balance | $15,652 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $10,508 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $1,777 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $77 | AdministrativeExpensesAmt |
| End Year Balance | $12,208 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $11,328 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$745 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $75 | AdministrativeExpensesAmt |
| End Year Balance | $10,508 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $10,653 | BeginningYearBalanceAmt |
| Contributions | $40 | ContributionsAmt |
| Investment Earnings Or Losses | $710 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $75 | AdministrativeExpensesAmt |
| End Year Balance | $11,328 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 1.00000 | BoardDesignatedBalanceEOYPct |
| Endowments Held Unrelated Org | Yes (1) | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $26,319 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,123 | DepreciationAmt |
| Book Value | $23,196 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $200,379 | OtherCostOrOtherBasisAmt |
| Depreciation | $192,820 | DepreciationAmt |
| Book Value | $7,559 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $30,755 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $7,550,938 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$3,151 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | -$3,151 | RevenueNotReportedAmt |
| Revenue Subtotal | $7,554,089 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $7,554,089 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $7,647,792 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $7,647,792 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $7,647,792 | TotalExpensesPerForm990Amt |
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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | PHILLIP E PACK | PersonNm |
| Title | CEO | TitleTxt |
| Base Compensation Filing Org | $156,217 | BaseCompensationFilingOrgAmt |
| Compensation Based On Rltd Orgs | $0 | CompensationBasedOnRltdOrgsAmt |
| Bonus Filing Organization | $5,500 | BonusFilingOrganizationAmount |
| Bonus Related Organizations | $0 | BonusRelatedOrganizationsAmt |
| Other Compensation Filing Org | $0 | OtherCompensationFilingOrgAmt |
| Other Compensation Rltd Orgs | $0 | OtherCompensationRltdOrgsAmt |
| Deferred Compensation Flng Org | $0 | DeferredCompensationFlngOrgAmt |
| Deferred Comp Rltd Orgs | $0 | DeferredCompRltdOrgsAmt |
| Nontaxable Benefits Filing Org | $591 | NontaxableBenefitsFilingOrgAmt |
| Nontaxable Benefits Rltd Orgs | $0 | NontaxableBenefitsRltdOrgsAmt |
| Total Compensation Filing Org | $162,308 | TotalCompensationFilingOrgAmt |
| Total Compensation Rltd Orgs | $0 | TotalCompensationRltdOrgsAmt |
| Comp Report Prior990 Filing Org | $0 | CompReportPrior990FilingOrgAmt |
| Comp Report Prior990 Rltd Orgs | $0 | CompReportPrior990RltdOrgsAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS REVIEWED AND APPROVED BY THE FINANCE COMMITTEE ON BEHALF OF THE FULL BOARD. THE APPROVED COPY IS THEN PROVIDED TO EACH MEMBER BEFORE IT IS FILED. |
| FORM 990, PART VI, SECTION B, LINE 12C | IT IS THE POLICY OF THE THE CORPORATION THAT EACH DIRECTOR AND OFFICER SHALL MAKE A FULL DISCLOSURE OF ANY INTEREST WHICH IS IN CONFLICT WITH, OR MAY CONFLICT WITH, THE OFFICIAL DUTIES OF SUCH PERSON. FOR THIS PURPOSE, EACH PERSON SHALL ANNUALLY BE FURNISHED A COPY OF THIS STATEMENT OF POLICY AND ANOTHER STATEMENT TO BE SIGNED BY HIM/HER IN WHICH HE/SHE IS TO DISCLOSE ANY SITUATION HE/SHE IS INVOLVED WHICH COULD BE CONSTRUED AS PLACING HIM/HER IN A POSITION OF HAVING A CONFLICT OF INTEREST. THIS STATEMENT OF POLICY SHALL ALSO BE REVIEWED ANNUALLY WITH ALL PERSONS REQUIRED TO SIGN A RELATED PARTY QUESTIONNAIRE. IF A CONFLICT OF INTEREST IS IDENTIFIED, THE DIRECTOR OR OFFICER SHALL NOT PARTICIPATE IN ANY DECISIONS, THE SUBJECT OF WHICH IS THE MAKING OF A CONTRACT OR ARRANGEMENT BETWEEN THE CORPORATION AND ANY FIRM WITH WHICH HE/SHE HAS SUCH MATERIAL INTEREST RESPONSIBILITIES. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE CHIEF EXECUTIVE OFFICER'S COMPENSATION IS SET BY THE BOARD BASED ON PERFORMANCE EVALUATION AND WITHIN THE BOARD-APPROVED SALARY SCHEDULE. THE CHIEF EXECUTIVE OFFICER DETERMINES THE COMPENSATION OF KEY PERSONNEL BASED ON PERFORMANCE EVALUATION AND WITHIN THE BOARD-APPROVED SALARY SCHEDULE. THE KEY PERSONNEL INCLUDES THE CHIEF FINANCIAL OFFICER, CLINICAL DIRECTOR, MEDICAL DIRECTOR, AND THE DIRECTOR OF INFORMATION TECHNOLOGY. |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART XII, LINE 2C: | THE PROCESS HAS NOT CHANGED. |