STRATEGY STUDIO / PUBLIC DATA EXPLORER

ST LOUIS INTEGRATED HEALTH NETWORK: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
ST LOUIS INTEGRATED HEALTH NETWORK (EIN 20-3288245)
Tax period
2018-09-01 to 2019-08-31
Filed
2020-07-15
IRS object ID
202001979349303590
Schema version
2018v3.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2020-07-15T13:37:38-05:00ReturnTs
Tax Period End2019-08-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN430765316PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1RUBINBROWN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1ONE NORTH BRENTWOODAddressLine1Txt
CitySAINT LOUISCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63105ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-09-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN203288245EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ST LOUIS INTEGRATED HEALTH NETWORKBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSTLOBusinessNameControlTxt
Phone3146571483PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11520 MARKET STREET NO 4034AddressLine1Txt
CityST LOUISCityNm
State AbbreviationMOStateAbbreviationCd
ZIP631032625ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonANGELA ARCHIBALD-CLABONPersonNm
Person TitleTREASURERPersonTitleTxt
Phone3146571483PhoneNum
Signature2020-07-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKIMBERLY A RYANPreparerPersonNm
PTINP00829977PTIN
Phone3142903300PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address73.243.38.72IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-07-15IPDt
IP Tm13:30:19IPTm
IP TimezoneMDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device IdDA2A61144641BC7479ACD83DF5BDC5B005B79A14AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerBETHANY JOHNSON-JAVOISPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11520 MARKET STREET NO 4034AddressLine1Txt
CityST LOUISCityNm
State AbbreviationMOStateAbbreviationCd
ZIP631032625ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$2,207,165GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.STLOUISIHN.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2004FormationYr
Legal Domicile StateMOLegalDomicileStateCd
Activity Or MissionQUALITY AFFORDABLE ACCESSIBLE HEALTHCARE, ESPECIALLY FOR MEDICALLY UNDERSERVED.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee28TotalEmployeeCnt
Total Volunteers225TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,819,087PYContributionsGrantsAmt
CY Contributions Grants$1,041,812CYContributionsGrantsAmt
PY Program Service Revenue$933,933PYProgramServiceRevenueAmt
CY Program Service Revenue$1,141,070CYProgramServiceRevenueAmt
PY Investment Income$13,740PYInvestmentIncomeAmt
CY Investment Income$24,283CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$2,766,760PYTotalRevenueAmt
CY Total Revenue$2,207,165CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,409,202PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,734,707CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$5,125CYTotalFundraisingExpenseAmt
PY Other Expenses$525,568PYOtherExpensesAmt
CY Other Expenses$615,102CYOtherExpensesAmt
PY Total Expenses$1,934,770PYTotalExpensesAmt
CY Total Expenses$2,349,809CYTotalExpensesAmt
PY Revenues Less Expenses$831,990PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$142,644CYRevenuesLessExpensesAmt
Total Assets BOY$2,178,312TotalAssetsBOYAmt
Total Assets EOY$2,069,512TotalAssetsEOYAmt
Total Liabilities BOY$158,543TotalLiabilitiesBOYAmt
Total Liabilities EOY$192,387TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,019,769NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,877,125NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE ST. LOUIS INTEGRATED HEALTH NETWORK, THROUGH COLLABORATION AND PARTNERSHIP, STRIVES FOR QUALITY, ACCESSIBLE AND AFFORDABLE HEALTHCARE SERVICES FOR ALL RESIDENTS OF METROPOLITAN ST. LOUIS, WITH AN EMPHASIS ON THE MEDICALLY UNDERSERVED. OUR GUIDING PRINCIPLES REFLECT OUR MOST IMPORTANT ORGANIZATIONAL COMMITMENTS: HEALTH EQUITY, PATIENT-CENTERED ORIENTATION, ACCOUNTABILITY, OUTCOME-FOCUSED DECISION MAKING, AND INNOVATION. OUR STRATEGIC PRIORITIES INCLUDE GROWING OUR CHARITABLE PROGRAMS AND INITIATIVES, STABILIZING AND DEVELOPING WORKFORCE, AND ACCELERATING EQUITY IN HEALTHCARE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$966,073ExpenseAmt
Grant$17,974GrantAmt
Revenue$1,134,000RevenueAmt
DescTHE P.U.L.S.E. FRAMEWORK (FORMERLY KNOWN AS COMMUNITY REFERRAL COORDINATOR (CRC) PROGRAM) IS USED TO ASSIST PATIENTS/COMMUNITY MEMBERS TO UNDERSTAND THE LEVELS OF CARE AVAILABLE IN THE COMMUNITY AND WHEN AND HOW TO ENGAGE. IT IS A TIERED, COMMUNITY INTERVENTION PROGRAM AT THE PATIENT LEVEL THROUGH THE COMMUNITY REFERRAL COORDINATOR PROGRAM AND THE SYSTEMS LEVEL THROUGH THE TRANSITIONS OF CARE (TOC) TASK FORCE. THE CRC PROGRAM USES COMMUNITY REFERRAL COORDINATORS TO CONNECT PATIENTS IN INPATIENT UNITS AND/OR EMERGENCY DEPARTMENTS OF HOSPITALS WITH A PRIMARY CARE PROVIDER FOR FOLLOW-UP AND PREVENTATIVE CARE. CRCS WORK TO ENSURE ESTABLISHED COMMUNITY HEALTH CENTER PATIENTS ARE RECONNECTED TO THEIR PRIMARY CARE HOMES AS WELL AS HELPING THOSE IDENTIFIED PATIENTS WITH CHRONIC DISEASES ESTABLISH PCP CARE FOLLOWING A HOSPITALIZATION. THE GOALS OF THE PROGRAM ARE TO (1) ENHANCE ACCESS TO A PRIMARY CARE HOME AND HEALTH RESOURCES FOR ALL PATIENTS REGARDLESS OF ABILITY TO PAY, (2) REDUCE NON-EMERGENT USE OF EMERGENCY DEPARTMENTS AND LOW ACUITY READMISSIONS, (3) ENHANCE CONTINUITY OF CARE, AND (4) STRENGTHEN COMMUNICATIONS/PROCESSES AMONG SAFETY NET PROVIDERS. THE TOC TASK FORCE IS A CROSS-FUNCTIONAL AND COLLABORATIVE GROUP THAT WORKS TO FOSTER EFFECTIVE TRANSITIONS OF CARE FOR PATIENTS. THE TOC TASK FORCE IS CHARGED WITH OVERSIGHT OF THE CRC PROGRAM.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$330,726ExpenseAmt
DescRE-ENTRY COMMUNITY LINKAGES (RE-LINK) PROGRAM - THE PURPOSE OF THIS INITIATIVE IS TO IMPROVE THE HEALTH OUTCOMES FOR MINORITY REENTRANTS IN TRANSITION FROM JAIL TO THEIR COMMUNITIES UTILIZING COLLABORATIVE COMMUNITY EFFORTS THROUGH A HEALTH AND SOCIAL SERVICES NETWORK COMPRISED OF PHYSICAL HEALTH, BEHAVIORAL HEALTH, AND SOCIAL SUPPORT SERVICE PARTNERS. THE GOALS ARE TO (1) IMPROVE COORDINATION AND LINKAGES AMONG CRIMINAL JUSTICE, PUBLIC HEALTH, SOCIAL SERVICE, AND PRIVATE ENTITIES TO ADDRESS HEALTH CARE AND HEALTH CARE ACCESS OF COMMUNITY RE-ENTRANTS, (2) REDUCE HEALTH DISPARITIES EXPERIENCED BY THE REENTRY AND JUSTICE-INVOLVED POPULATION, (3) INCREASE ACCESS TO NEEDED PUBLIC HEALTH, BEHAVIORAL HEALTH, HEALTH CARE COVERAGE, AND SOCIAL SERVICES, AND (4) REDUCED RECIDIVISM.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$143,221ExpenseAmt
Revenue$7,070RevenueAmt
DescENHANCED CENTERING PREGNANCY CARE DELIVERY - THE PRIMARY GOAL IS TO ENHANCE CENTERING PREGNANCY TO INTEGRATE BEHAVIORAL HEALTH COMPONENTS TO COMBAT TRAUMA AND TOXIC STRESS AND IMPROVE THE OUTCOMES FOR PREGNANT WOMAN IN THE ST. LOUIS REGION.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$682,036ExpenseAmt
DescSAFETY NET STRATEGIC COORDINATION - THE GOALS OF THIS PROGRAM INCLUDE (1) ADVANCING HEALTH EQUITY AND (2) IMPROVING WORKFORCE STABILIZATION AND DEVELOPMENT IN THE HEALTHCARE SAFETY-NET AND (3) REDUCING CHALLENGERS CAUSED BY TRANSPORTATION BARRIERS AND (4) PARTICIPATION IN THE ST. LOUIS PARTNERSHIP FOR A HEALTHY COMMUNITY (STLPHC) AND (5) PROVIDING OPPORTUNITIES FOR PARTNERSHIP BETWEEN COMMUNITY HEALTH CENTERS AND ACADEMIC INSTITUTIONS TO INCREASE THE USE AND AVAILABILITY OF FUNDING OPPORTUNITIES WHICH REQUIRE DEMONSTRATED COLLABORATION NETWORK COMMUNITY ACADEMIC PARTNERSHIP (NCAP). IN ADDITION, THESE EFFORTS FOCUS ON PUBLIC COMMUNICATIONS THAT ENGAGE KEY AUDIENCES TO UNDERSTAND AND VALUE THE SAFETY NET AND ATTRACT INVESTMENT TO ST. LOUIS INTEGRATED HEALTH MEMBER ORGANIZATIONS.COMMUNITY HEALTH WORKER (CHW) MODEL AND REGIONAL COLLABORATION - THE PURPOSE OF THE CHW STRATEGY IS TO SUPPORT THE SCALE AND SUSTAINABILITY OF A REGIONAL CHW MODEL. THE GOALS OF THIS INITIATIVE ARE TO (1) ALIGN AND COORDINATE EXISTING REGIONAL EFFORTS AND (2) EXPLORE THE VALUE OF ADDITIONAL CHW WORKFORCE AND HOW THE ORGANIZATION IS STRATEGICALLY POSITIONED TO ALIGN AND SUPPORT THESE EFFORTS.EFFORTS TO OUTCOMES (ETO) - ETO IS A WEB-BASED, CUSTOMIZABLE DATA MANAGEMENT SOFTWARE. THE ORGANIZATION CURRENTLY USES ETO TO MANAGE OUTCOMES ACROSS IHN PROGRAMS AND INITIATIVES. ETO IS A HIPAA COMPLIANT TOOL THAT HELPS CRCS AND COMMUNITY HEALTH WORKERS TO TRACK PATIENT/CLIENTS OUTREACH AND FOLLOW-UP EFFORTS TO IMPROVE UTILIZATION OF HEALTHCARE SERVICES, PROMOTE WELLNESS AND REDUCE RECIDIVISM FOR THE RE-LINK REGIONAL INITIATIVE.BEHAVIOR HEALTH NETWORK PARTNERSHIP - THE BEHAVIOR HEALTH NETWORK (BHN) CONTRACTS THE ORGANIZATION TO DESIGN AND IMPLEMENT THE WEB-BASED DATA TRACKING SYSTEM FOR THE BHN'S HOSPITAL-COMMUNITY LINKAGES PROGRAMS PATTERNED AFTER THE CRC PROGRAM.PIPELINE TO COMPASSIONATE CARE - A TWO-YEAR PARTNERSHIP (FORMERLY KNOWN AS SAINT LOUIS UNIVERSITY INSTITUTE FOR MEDICAL EDUCATION RESEARCH) FUNDED BY THE INSTITUTE FOR MEDICAL EDUCATION AND RESEARCH WITH THREE PRIMARY GOALS: (1) FURTHER INTEGRATE TOPICS ON CARE DELIVERY TO THE UNDERSERVED INTO MS1 CURRICULUM AS APPROPRIATE AND FEASIBLE, (2) ADD AN INTER-PROFESSIONAL EDUCATION COMPONENT SO STUDENTS FROM MULTIPLE HEALTH PROFESSIONS CAN EXPLORE TEAM BASED CARE TOGETHER, AND (3) PROVIDE LONGITUDINAL APPLIED LEARNING OPPORTUNITIES FOR STUDENTS OF HEALTH PROFESSIONS WHO ARE INTERESTED IN UNDERSERVED POPULATIONS.SAFETY NET MARKETING - SAFETY NET MARKETING ARE DESIGNATED FUNDS REMAINING FROM THE 2011-2012 MARKETING EFFORTS. THE FUNDING IS AVAILABLE TO PROMOTE IHN, THE NETWORK OF PROVIDERS WITHIN IHN AND INCREASE PUBLIC AWARENESS OF AVAILABLE HEALTH RESOURCES AND THE WAY TO NAVIGATE THESE RESOURCES. IHN BROCHURE, PATIENT HEALTH LITERACY TOOLS, AND SUPPORT OF NATIONAL HEALTH CENTER WEEK ARE PRODUCTS OF THIS FUNDING SOURCE.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$682,036TotalOtherProgSrvcExpenseAmt
Total Program Service Expenses$2,122,056TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document24IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee28EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMOStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonANGELA ARCHIBALD-CLABONPersonNm
Phone3146571483PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11520 MARKET STREET SUITE 4034AddressLine1Txt
CityST LOUISCityNm
State AbbreviationMOStateAbbreviationCd
ZIP631032625ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
ROBERT MASSIE
CHAIR1.00Yes (X)Yes (X)$0$0$0
DR FAISAL KAHN
SECRETARY1.00Yes (X)Yes (X)$0$0$0
ANGELA ARCHIBALD-CLABON
TREASURER1.00Yes (X)Yes (X)$0$0$0
KATE BECKER
DIRECTOR1.00Yes (X)$0$0$0
DWAYNE BUTLER
DIRECTOR1.00Yes (X)$0$0$0
JAMES P CRANE
DIRECTOR1.00Yes (X)$0$0$0
MELODIE DONATELLI
DIRECTOR1.00Yes (X)$0$0$0
KENDRA HOLMES
DIRECTOR1.00Yes (X)$0$0$0
DR CHRISTINE JACOBS
DIRECTOR1.00Yes (X)$0$0$0
DR CHARLES REHM
DIRECTOR1.00Yes (X)$0$0$0
BETHANY JOHNSON-JAVOIS
CEO40.00Yes (X)$192,513$0$17,365
FieldValueIRS element (for citing)
Total Reportable Comp From Org$192,513TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$17,365TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Related Organizations$270,000RelatedOrganizationsAmt
Government Grants$546,818GovernmentGrantsAmt
All Other Contributions$224,994AllOtherContributionsAmt
Total Contributions$1,041,812TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescREFERRAL COORDINATORDesc
Business621400BusinessCd
Total Revenue Column$1,141,070TotalRevenueColumnAmt
Related Or Exempt Func Income$1,141,070RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$1,141,070TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$24,283TotalRevenueColumnAmt
Exclusion$24,283ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,207,165TotalRevenueColumnAmt
Related Or Exempt Func Income$1,141,070RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$24,283ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$221,972TotalAmt
Program Services$180,586ProgramServicesAmt
Management And General$37,624ManagementAndGeneralAmt
Fundraising$3,762FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,173,924TotalAmt
Program Services$1,159,338ProgramServicesAmt
Management And General$13,470ManagementAndGeneralAmt
Fundraising$1,116FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$25,037TotalAmt
Program Services$24,512ProgramServicesAmt
Management And General$508ManagementAndGeneralAmt
Fundraising$17FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$211,264TotalAmt
Program Services$206,829ProgramServicesAmt
Management And General$4,290ManagementAndGeneralAmt
Fundraising$145FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$102,510TotalAmt
Program Services$100,354ProgramServicesAmt
Management And General$2,082ManagementAndGeneralAmt
Fundraising$74FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$16,946TotalAmt
Program Services$14,176ProgramServicesAmt
Management And General$2,770ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$76,400TotalAmt
Management And General$76,400ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$348,715TotalAmt
Program Services$316,200ProgramServicesAmt
Management And General$32,515ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$970TotalAmt
Program Services$970ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$50,275TotalAmt
Program Services$40,784ProgramServicesAmt
Management And General$9,491ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$7,924TotalAmt
Management And General$7,924ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$7,863TotalAmt
Management And General$7,863ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$14,462TotalAmt
Program Services$12,757ProgramServicesAmt
Management And General$1,705ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$34,501TotalAmt
Program Services$27,447ProgramServicesAmt
Management And General$7,049ManagementAndGeneralAmt
Fundraising$5FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$256TotalAmt
Management And General$256ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$3,638TotalAmt
Program Services$3,638ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$10,918TotalAmt
Program Services$2,935ProgramServicesAmt
Management And General$7,983ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
PATIENT SERVICES$17,974$17,974
OTHER EXPENSES$13,316$4,356$8,960
STAFF DEVELOPMENT$9,397$9,200$191$6
UBIT$1,547$1,547

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,349,809TotalAmt
Program Services$2,122,056ProgramServicesAmt
Management And General$222,628ManagementAndGeneralAmt
Fundraising$5,125FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$25,000BOYAmt
EOY$25,000EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,147,361BOYAmt
EOY$856,299EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$913,851BOYAmt
EOY$1,058,933EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$72,372BOYAmt
EOY$110,271EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,564BOYAmt
EOY$4,483EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$36,937LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$22,411LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$18,164BOYAmt
EOY$14,526EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,178,312BOYAmt
EOY$2,069,512EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$158,543BOYAmt
EOY$192,387EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$158,543BOYAmt
EOY$192,387EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$731,962BOYAmt
EOY$1,059,595EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,287,807BOYAmt
EOY$817,530EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,019,769BOYAmt
EOY$1,877,125EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,178,312BOYAmt
EOY$2,069,512EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$142,644ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$427,079CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$356,292CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,197,787CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,819,087CurrentTaxYearMinus1YearAmt
Current Tax Year$1,041,812CurrentTaxYearAmt
Total$4,842,057TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$427,079CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$356,292CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,197,787CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,819,087CurrentTaxYearMinus1YearAmt
Current Tax Year$1,041,812CurrentTaxYearAmt
Total$4,842,057TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$1,035,627SubstantialContributorsTotAmt
Public Support Total170$3,806,430PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$320CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$738CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,566CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$13,740CurrentTaxYearMinus1YearAmt
Current Tax Year$24,283CurrentTaxYearAmt
Total$42,647TotalAmt
FieldValueIRS element (for citing)
Total Support$4,884,704TotalSupportAmt
Gross Receipts Rltd Activities$4,502,571GrossReceiptsRltdActivitiesAmt
Public Support CY1700.77930PublicSupportCY170Pct
Public Support PY1700.76870PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$36,937OtherCostOrOtherBasisAmt
Depreciation$22,411DepreciationAmt
Book Value$14,526BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$14,526TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$2,237,405TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts$30,240DonatedServicesAndUseFcltsAmt
Revenue Not Reported$30,240RevenueNotReportedAmt
Revenue Subtotal$2,207,165RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$2,207,165TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$2,380,049TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$30,240DonatedServicesUseFcltsAmt
Expenses Not Reported$30,240ExpensesNotReportedAmt
Expenses Subtotal$2,349,809ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$2,349,809TotalExpensesPerForm990Amt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonBETHANY JOHNSON-JAVOISPersonNm
TitleCEOTitleTxt
Base Compensation Filing Org$192,513BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$0CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$0BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$5,781DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$11,584NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$0NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$209,878TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$0TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 IS PREPARED BY AN ACCOUNTING FIRM, REVIEWED BY MANAGEMENT AND PROVIDED TO THE BOARD OF DIRECTORS ELECTRONICALLY PRIOR TO THE FORM BEING FILED WITH THE IRS BY MANAGEMENT.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION COLLECTS CONFLICT OF INTEREST STATEMENTS FROM ALL MEMBERS OF THE BOARD OF DIRECTORS ON AN ANNUAL BASIS. THE STATEMENTS ARE REVIEWED BY THE CEO OF THE ORGANIZATION AND THE CHAIRMAN OF THE BOARD OF DIRECTORS. IF A CONFLICT OF INTEREST IS PRESENT, THE APPLICABLE BOARD MEMBER(S) IS/ARE EXCUSED FROM ANY DECISIONS MADE BY THE ORGANIZATION AS RELATED TO THE NOTED CONFLICT OF INTEREST.
FORM 990, PART VI, SECTION B, LINE 15ATHE ORGANIZATION DOES NOT HAVE ANY KEY EMPLOYEES OR HIGHLY COMPENSATED EMPLOYEES. THE BOARD OF DIRECTORS APPROVED THE SALARY OF THE ORGANIZATION'S CEO BASED ON COMPARISONS FOR SIMILAR POSITIONS IN SIMILAR NOT-FOR-PROFIT ORGANIZATIONS. THE COMPARATIVE INFORMATION WAS ACCUMULATED BY THE ORGANIZATION DURING THE SEARCH FOR A NEW CEO DURING A PREVIOUS FISCAL YEAR. ON AN ANNUAL BASIS, THE BOARD OF DIRECTORS REVIEWS THE CEO'S PERFORMANCE TO DETERMINE IF A CHANGE IN COMPENSATION IS WARRANTED.
FORM 990, PART VI, SECTION C, LINE 19THE VARIOUS DOCUMENTS ARE AVAILABLE UPON WRITTEN REQUEST ADDRESSED TO THE ORGANIZATION'S OFFICE.
FORM 990, PART VI, LINE 8BTHE ORGANIZATION HAS AN EXECUTIVE COMMITTEE THAT HAS THE AUTHORITY TO ACT ON BEHALF OF THE BOARD OF DIRECTORS.
FORM 990, PART IX, LINE 11GHUMAN RESOURCES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 24,828. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 24,828. LICENSING: PROGRAM SERVICE EXPENSES 71,962. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 71,962. PROGRAM CONSULTANTS: PROGRAM SERVICE EXPENSES 244,238. MANAGEMENT AND GENERAL EXPENSES 7,687. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 251,925.
FORM 990, PART XII, LINE 2C:NO CHANGE FROM PRIOR YEAR PROCESS.