2022-11-15T16:59:57-06:00 2021-12-31 221478099 COHNREZNICK LLP 14 SYLVAN WAY PARSIPPANY NJ 070543801 990 2021-01-01 833504845 ONEFIFTEEN RECOVERY ONEF 6142863365 6636 LONGSHORE STREET 200 DUBLIN OH 43017 MARTHA TAYLOR CHIEF EXECUTIVE OFFICER 6142863365 2022-11-15 1 MARTHA TAYLOR 999009999 LORI ROTHE YOKOBOSKY CPA P01273422 9732283500 2022-11-14 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z MARTHA TAYLOR 6636 LONGSHORE STREET 200 DUBLIN OH 43017 3139695 0 X WWW.ONEFIFTEEN.ORG X 2019 OH OUR MISSION IS TO HEAL PEOPLE EXPERIENCING SUBSTANCE USE DISORDERS THROUGH LEARNING, SCIENCE, AND PARTNERSHIP. OUR VISION IS TO LEAD A MOVEMENT THAT GIVES PEOPLE HOPE FOR TODAY AND OFFERS COMMUNITIES A BETTER TOMORROW. ONEFIFTEEN RECOVERY IS A NON-PROFIT DEDICATED TO REVERSING THE COURSE OF ADDICTION THROUGH PARTNERSHIPS WITH OTHER ORGANIZATIONS THAT COLLECTIVELY FORM A TECH-ENABLED ECOSYSTEM OFFERING A FULL CONTINUUM OF CARE.ONEFIFTEEN TAKES A HOLISTIC APPROACH TO RECOVERY, AND OFFERS COMPLETE WRAP AROUND SERVICES TO ALL PATIENTS. THESE SERVICES INCLUDE SOCIAL SERVICES, RECOVERY COACHING, COMMUNITY EVENTS, ECONOMIC REVITALIZATION, EDUCATIONAL SUPPORT, HOUSING SUPPORT, EDUCATION AROUND SUBSTANCE USE DISORDER, JOB TRAINING, JOB OPPORTUNITIES, AND ADDICTION SCIENCE RESEARCH. 6 6 0 0 187678 0 4655050 2834464 70000 303898 1495 1333 0 0 4726545 3139695 2366528 3006247 0 0 516475 0 0 0 46411 2073604 3034575 4956607 6040822 -230062 -2901127 25582926 21481679 2370331 2451547 23212595 19030132 X OUR MISSION IS TO HEAL PEOPLE EXPERIENCING SUBSTANCE USE DISORDERS THROUGH LEARNING, SCIENCE, AND PARTNERSHIP. OUR VISION IS TO LEAD A MOVEMENT THAT GIVES PEOPLE HOPE FOR TODAY AND OFFERS COMMUNITIES A BETTER TOMORROW. ONEFIFTEEN RECOVERY IS A NON-PROFIT DEDICATED TO REVERSING THE COURSE OF ADDICTION THROUGH PARTNERSHIPS WITH OTHER ORGANIZATIONS THAT COLLECTIVELY FORM A TECH-ENABLED ECOSYSTEM OFFERING A FULL CONTINUUM OF CARE.ONEFIFTEEN TAKES A HOLISTIC APPROACH TO RECOVERY, AND OFFERS COMPLETE WRAP AROUND SERVICES TO ALL PATIENTS. THESE SERVICES INCLUDE SOCIAL SERVICES, RECOVERY COACHING, COMMUNITY EVENTS, ECONOMIC REVITALIZATION, EDUCATIONAL SUPPORT, HOUSING SUPPORT, EDUCATION AROUND SUBSTANCE USE DISORDER, JOB TRAINING, JOB OPPORTUNITIES, AND ADDICTION SCIENCE RESEARCH. 0 0 4135702 2209354 ONEFIFTEEN GRANTED $2,688,202 TO SAMARITAN BEHAVIORAL HEALTH INC. (SBHI) IN 2021; OF THIS $2,688,202, $2,209,354 WAS USED TO SUBSIDIZE OUTPATIENT SERVICES, INCLUDING BUT NOT LIMITED TO OUTPATIENT SERVICES, INTENSIVE OUTPATIENT SERVICES, DIAGNOSTIC BEHAVIORAL HEALTH EVALUATIONS, CRISIS STABILIZATION AND INPATIENT SERVICES. THE BALANCE OF THE INITIAL $2,688,202 GRANTED CARRIES OVER INTO CY2022 AND WILL BE USED FOR SIMILAR SERVICES THAT TREAT THOSE PEOPLE SUFFERING FROM OPIOID ADDICTION AND OTHER SUBSTANCE USE DISORDERS. SBHI REPORTS, MONTHLY, TO ONEFIFTEEN THE AMOUNT EXPENSED THAT IS USED TO SUBSIDIZE AND CONTINUE TO CARRY OUT BOTH THE OUTPATIENT AND INPATIENT PROGRAMMATIC SERVICES. IN ADDITION TO SUBSIDIZING THESE OUTPATIENT AND INPATIENT PROGRAMMATIC ACTIVITIES, ONEFIFTEEN MAINTAINS OPERATIONAL EXPENSES IN SUPPORT OF THE PROGRAMMATIC SERVICES THAT SBHI CARRIES OUT, INCLUDING BUT NOT LIMITED TO SALARIES, PROPERTY TAXES, LEASE PAYMENTS, SECURITY SERVICES, INFRASTRUCTURE TECHNOLOGY ASSETS, SOFTWARE SUPPORT, ETC. 229848 229848 303898 ONEFIFTEEN GRANTED $229,848 TO RECOVERY INNOVATIONS INTERNATIONAL (RI) IN 2021; OF THIS $229,848, $229,848 WAS USED AS START-UP FUNDING FOR CLINICALLY-MANAGED LOW INTENSITY RESIDENTIAL TREATMENT SERVICES, INCLUDING AND LIMITED TO SALARIES AND WAGES, REGISTRY SERVICES AND RECRUITMENT, TRAVEL, PROGRAM SUPPLIES, INSURANCE, TELEPHONE, LICENSING, ETC. 567045 567045 ONEFIFTEEN GRANTED $743,030 TO SAMARITAN BEHAVIORAL HEALTH INC. (SBHI) IN 2021; OF THIS $743,030, $567,045 WAS USED FOR PROFESSIONAL SERVICES AS IT RELATED TO THE IMPLEMENTATION OF A NEW ELECTRONIC HEALTH RECORD (EHR) FOR SUBSTANCE USE DISORDER SERVICES. THIS WAS A CAPITAL GRANT TO SBHI FOR THE ONBOARDING OF NEW EHR SOFTWARE. THE BALANCE OF THE INITIAL $743,030 GRATED CARRIES OVER INTO CY2022 AND WILL BE USED FOR SIMILAR SERVICES IN EFFORTS TO FINALIZE EHR IMPLEMENTATION. 4932595 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 15 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 X 6 6 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 0 1 1 0 OH X NICHOLAS MILLS 2162121267 6636 LONGSHORE STREET STE 200 DUBLIN OH 43017 X DR ROBERT CALIFF DIRECTOR/CHAIRPERSON 1.00 X X 0 0 0 DR ERIC SPINA DIRECTOR/TRUSTEE 1.00 X X 0 0 0 GWENDOLYN BUCHANAN DIRECTOR 1.00 X 0 0 0 TERRY BURNS DIRECTOR 1.00 X 0 0 0 DR JESSICA MEGA DIRECTOR 1.00 X 0 0 0 LAINIE DEAN DIRECTOR/SECRETARY 1.00 X X 0 0 0 MARTHA TAYLOR PRESIDENT & CHIEF EXECUTIV 16.00 X 0 0 0 0 0 0 0 0 0 0 ALLIED UNIVERSAL SECURITY SERVICES EIGHT TOWER BRIDGE 161 WASHINGTON CONSHOHOCKEN PA 19428 SECURITY SERVICES 786921 SQUIRE PATTON BOGGS LLP 4900 KEY TOWER 127 PUBLIC SQUARE CLEVELAND OH 44114 LEGAL SERVICES 242482 NEXIGEN COMMUNICATIONS LLC 16 E 11TH STREET NEWPORT KY 41071 MANAGED NETWORK / IT SERVICES 178643 3 2834464 10529 2834464 SECURITY SERVICES INCO 900099 175000 175000 RENTAL AND PROPERTY MA 900099 116220 116220 IT SERVICES INCOME 900099 12678 12678 303898 1333 1333 3139695 116220 187678 1333 X 3006247 3006247 508053 492130 15923 140159 140159 149448 149448 995861 925310 70244 307 66913 20658 24145 22110 75073 58249 16824 24370 17511 5073 1786 72361 70984 1377 1600 26 1172 402 87194 87194 406508 406508 54760 54760 BUILDING MAINTENANCE 199986 199986 PROPERTY TAXES 151439 151439 OTHER EXPENSES 59997 35324 18790 5883 PATIENT INCENTIVES 40853 40353 500 6040822 4932595 1061816 46411 4249497 3463616 4683946 5613836 70316 166784 163753 2807523 850922 2239014 1956601 14173369 10283873 25582926 21481679 342098 214838 16270 137552 2011963 2099157 2370331 2451547 X 1703073 0 21509522 19030132 23212595 19030132 25582926 21481679 -2901127 -1281336 0 X X 1 X 0 1 0 X 21318614 4655050 2834464 28808128 21318614 4655050 2834464 28808128 21089951 7718177 110 1495 1333 2938 28811066 373898 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1752021 573667 1178354 175929 43233 132696 879573 234022 645551 1956601 CONTRIBUTIONS RECEIVABLE, NET 6919808 CONTRIBUTIONS RECEIVABLE - IN-KIND RENT, NET 3364065 10283873 X 3399212 259517 259517 3139695 0 3139695 7581675 1540854 1540854 6040821 0 6040821 PART X, LINE 2: THE ORGANIZATION WAS ORGANIZED AS A NONSTOCK, NONPROFIT CORPORATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND AS SUCH IS NOT SUBJECT TO FEDERAL AND STATE CORPORATE INCOME TAXES. THE ORGANIZATION HAS NO UNRECOGNIZED TAX BENEFITS AT DECEMBER 31, 2021 AND 2020. THE ORGANIZATION'S FEDERAL AND STATE INFORMATION RETURNS FOR 2019 AND 2020 ARE OPEN AND MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS. IF THE ORGANIZATION HAS UNRELATED BUSINESS INCOME TAXES, THE ORGANIZATION WILL RECOGNIZE INTEREST AND PENALTIES ASSOCIATED WITH UNCERTAIN TAX POSITIONS AS PART OF THE INCOME TAX PROVISION AND INCLUDE ACCRUED INTEREST AND PENALTIES WITH THE RELATED TAX LIABILITY IN THE STATEMENTS OF FINANCIAL POSITION. 1 SAMARITAN BEHAVIORAL HEALTH INC 110 N MAIN STREET DAYTON OH 45402 020633634 501(C)(3) 2209354 0 ENHANCED CLINICAL CARE OPERATIONAL GRANT SAMARITAN BEHAVIORAL HEALTH INC 110 N MAIN STREET DAYTON OH 45402 020633634 501(C)(3) 567045 0 IMPLEMENTATION OF NEW ELECTRONIC HEALTH RECORD CAPITAL GRANT RECOVERY INNOVATIONS INTERNATIONAL 2701 N 16TH ST STE 316 PHOENIX AZ 85006 711018775 501(C)(3) 229848 0 START-UP FUNDING OPERATIONAL GRANT 3 PART I, LINE 2: ONEFIFTEEN RECOVERY ACTIVELY MONITORS ALL GRANTS FUNDED TO GRANTEES AND REQUIRES THAT ALL GRANTEES ARE PUBLIC CHARITIES EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE IRS CODE. FOR OPERATIONAL GRANTS, ONEFIFTEEN OBTAINS: BUDGET FOR THE PERIOD, WHICH IS APPROVED BY THE BOARD, PRIOR TO FUNDING. MONTHLY ACTUAL VERSUS BUDGET REPORTS. INTERIM AND FINAL REPORTS, AGGREGATING THE MONTHLY REPORTS, CAPTURING RECONCILIATION, IF ANY. SCHEDULING DETAIL, GRANTEE'S COSTS, VARIATIONS FROM THE BUDGET, SERVICES/SCOPE OF WORK DELIVERED, OPERATIONS REVENUE RECOGNIZED IN EFFORTS OF THE PROGRAMMATIC ACTIVITY AND AMOUNTS RECEIVED FROM ADDITIONAL FUNDING, THAT OFFSETS THE NEED FOR SUBSEQUENT FUNDING OR WITHIN THE PERIOD. ASSOCIATED QUALITY METRICS, IF APPLICABLE, TO ENSURE THE FUNDS ARE BEING USED TOWARDS HIGH-QUALITY PROGRAMMING. FOR CAPITAL GRANTS, ONEFIFTEEN OBTAINS: BUDGET FOR THE PERIOD, WHICH IS APPROVED BY THE BOARD, PRIOR TO FUNDING. MONTHLY ACTUAL VERSUS BUDGET REPORTS - ACTUALS IS INCLUSIVE OF PROOF OF INVOICES AND PAYMENT FOR THE CAPITAL PROCUREMENT. INTERIM AND FINAL REPORTS, AGGREGATING THE MONTHLY REPORTS, CAPTURING RECONCILIATION, IF ANY. SCHEDULING DETAIL, GRANTEE'S COSTS, VARIATIONS FROM THE BUDGET, SERVICES/SCOPE OF WORK DELIVERED/MILESTONES REACHED. ADDITIONALLY, EACH GRANTEE MUST CONFIRM AND REPRESENT THAT THEIR ORGANIZATION IS A U.S. CORPORATION THAT IS A PUBLIC CHARITY EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE IRS CODE. THE GRANTEE'S ATTEST THAT THEY WILL INFORM ONEFIFTEEN RECOVERY IMMEDIATELY IF THERE IS ANY CHANGE TO THEIR ORGANIZATION'S EXEMPT STATUS DURING THE TERM OF THEIR GRANT. LASTLY, ONEFIFTEEN RECOVERY MAY REVOKE ANY GRANT TO ANY GRANTEE IF THE TERMS AND CONDITIONS OF THE GRANT ARE NOT FULFILLED AS DESCRIBED WITHIN THE SPECIFIC GRANT AGREEMENT. FORM 990, PART VI, SECTION A, LINE 1A THERE ARE TWO CLASSES OF DIRECTORS: FOUNDING DIRECTORS AND AT-LARGE DIRECTORS. DIRECTORS OF THE CORPORATION SHALL BE ELECTED AT AN ANNUAL MEETING OF THE BOARD BY A PLURALITY OF VOTES OF THE BOARD AND, EXCEPT AS PROVIDED IN THE CODE OF REGULATIONS, SHALL SERVE UNTIL THE ELECTION AND QUALIFICATION OF THEIR RESPECTIVE SUCCESSORS. OTHER THAN THE INITIAL DIRECTORS, ONLY PERSONS NOMINATED SHALL BE ELIGIBLE FOR ELECTION AS DIRECTORS. THE TERM OF EACH FOUNDING DIRECTOR IS 4 YEARS, AND THE TERM OF AT-LARGE DIRECTORS IS 3 YEARS. FOUNDING DIRECTORS AND AT-LARGE DIRECTORS MAINTAIN THE SAME VOTING PRIVILEGES. FORM 990, PART VI, SECTION A, LINE 1A GOVERNANCE DECISIONS RESIDE SOLELY WITH THE BOARD OF DIRECTORS, THE CORPORATION'S GOVERNING BODY. NO CLASS OR CLASSES OF INDIVIDUALS HAVE THE RIGHT TO APPROVE OR RATIFY THE DECISIONS OF THE BOARD OF DIRECTORS. THERE ARE TWO CLASSES OF DIRECTORS ON THE BOARD OF DIRECTORS: FOUNDING DIRECTORS AND AT-LARGE DIRECTORS, WHO MAINTAIN EQUALLY WEIGHTED VOTING RIGHTS ON THE BOARD OF DIRECTORS. CERTAIN ACTIONS OF THE BOARD REQUIRE UNANIMOUS VOTES (AMENDING THE ARTICLES OF INCORPORATION, AMENDING THE CODE OF REGULATIONS, AND MERGER, CONSOLIDATION, DISSOLUTION OR LIQUIDATION) AND CERTAIN ACTIONS OF THE BOARD REQUIRE SUPERMAJORITY VOTES (APPOINTING OR REMOVING THE CHAIRPERSON OR PRESIDENT, PURCHASE AND DISPOSAL OF ASSETS OTHER THAN IN THE ORDINARY COURSE, APPROVAL OF THE ANNUAL STRATEGIC PLAN AND OPERATING AND CAPITAL BUDGETS, AND INCURRENCE OF DEBT OTHER THAN IN THE ORDINARY COURSE). FORM 990, PART VI, SECTION A, LINE 3 MARTHA C. TAYLOR, EMPLOYED BY VERILY LIFE SCIENCES ("VERILY"), OPERATES AS THE PRESIDENT AND CEO OF ONEFIFTEEN RECOVERY AND ONEFIFTEEN HEALTH. THROUGH THIS ASSIGNMENT MS. TAYLOR IS DELEGATED MANAGEMENT DUTIES AND AUTHORITY. NO AMOUNTS ARE CHARGED TO ONEFIFTEEN RECOVERY FROM VERILY FOR THESE SERVICES. THIS ARRANGEMENT IS A DONATION OF SERVICES. FORM 990, PART VI, SECTION B, LINE 11B WITHIN THE CURRENT YEAR, THE PRECEDING YEAR'S DRAFT FORM 990 IS REVIEWED, IN DETAIL, BY MANAGEMENT. THE DRAFT FORM 990 IS THEN SOCIALIZED WITH THE BOARD LEADING UP TO A BOARD MEETING. AT SUCH BOARD MEETING, THE BOARD IS PRESENTED THE FORM 990, AND ANY AND ALL QUESTIONS ARE ANSWERED PRIOR TO THE FINAL FORM 990 SUBMISSION. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY - THE CONFLICT OF INTEREST POLICY IS SOCIALIZED AND SHARED WITH ALL BOARD DIRECTORS, OFFICERS AND KEY EMPLOYEES. QUESTIONS AND CLARIFICATIONS ARE ANSWERED BY MANAGEMENT, AND THE BOARD DIRECTORS, OFFICERS AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE ANY POTENTIAL CONFLICTS OF INTEREST IF ANY, AND THEN EXECUTE THE CONFLICT OF INTEREST POLICY AS INDIVIDUALS. THE CONFLICT OF INTEREST POLICY REQUIRES DIRECTORS, OFFICERS AND EMPLOYEES TO COMPLY WITH THE POLICY THROUGHOUT THE YEAR AND DISCLOSE POTENTIAL CONFLICTS OF INTEREST AS THEY ARISE. FORM 990, PART VI, SECTION B, LINE 15 ONEFIFTEEN RECOVERY DOES NOT COMPENSATE DIRECTLY OR INDIRECTLY ITS CEO. INSTEAD, THE CEO'S TIME IS RECOGNIZED AS AN IN-KIND DONATION ON THE ORGANIZATION'S FINANCIAL STATEMENTS. THE IN-KIND VALUE ASSIGNED IS BASED ON 2021 COMPARABLE NOT FOR PROFIT ORGANIZATION'S COMPENSATION OF A CEO. ADDITIONALLY, THE ORGANIZATION DOES NOT EMPLOY ANY KEY EMPLOYEES AS DEFINED BY THE IRS FOR THE FORM 990. FORM 990, PART VI, SECTION C, LINE 19 ONEFIFTEEN RECOVERY WILL MAKE THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS AND FORM 990 AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G BANK FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,383. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,383. PAYROLL SERVICE FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 5,628. FUNDRAISING EXPENSES 307. TOTAL EXPENSES 5,935. CONSULTANTS: PROGRAM SERVICE EXPENSES 9,203. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,203. IT CONSULTING: PROGRAM SERVICE EXPENSES 106,361. MANAGEMENT AND GENERAL EXPENSES 52,088. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 158,449. SECUIRTY SERVICES: PROGRAM SERVICE EXPENSES 809,746. MANAGEMENT AND GENERAL EXPENSES 1,145. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 810,891. PROFESSIONAL FEES OTHER: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 10,000. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,000. FORM 990, PART XII, LINE 2C: THERE WERE NO CHANGES AS A RESULT OF ANY FEDERAL OR OTHER AUDITS.