FOUR COUNTY MENTAL HEALTH CENTER INC: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- FOUR COUNTY MENTAL HEALTH CENTER INC (EIN 48-0697159)
- Tax period
- 2017-07-01 to 2018-06-30
- Filed
- 2018-11-08
- IRS object ID
- 201843129349303324
- Schema version
- 2017v2.3
- 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 | 2018-11-08T16:38:28-06:00 | ReturnTs |
| Tax Period End | 2018-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 203906022 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JARRED GILMORE & PHILLIPS PA | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 779 | AddressLine1Txt |
| City | CHANUTE | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 66720 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 480697159 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FOUR COUNTY MENTAL HEALTH CENTER | BusinessNameLine1Txt |
| Business Name Line2 | INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | FOUR | BusinessNameControlTxt |
| Phone | 6203311748 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3751 W MAIN | AddressLine1Txt |
| City | INDEPENDENCE | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 67301 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DANA SCHLORHOLTZ | PersonNm |
| Person Title | CF FINANCIAL OFFICER | PersonTitleTxt |
| Phone | 6203321911 | PhoneNum |
| Signature | 2018-10-31 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | PHILIP A JARRED CPA | PreparerPersonNm |
| PTIN | P00012189 | PTIN |
| Phone | 6204316342 | PhoneNum |
| Preparation | 2018-10-31 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 199.96.168.138 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2018-11-08 | IPDt |
| IP Tm | 16:38:28 | IPTm |
| IP Timezone | CS | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | BB5336B3227C733679363812981D48350B581DE9 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 154F101CED43FB36DC3C0D613ABC0EC19BC19534 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DANA SCHLORHOLTZ | PrincipalOfficerNm |
| Gross Receipts | $15,971,717 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.FOURCOUNTY.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1964 | FormationYr |
| Legal Domicile State | KS | LegalDomicileStateCd |
| Activity Or Mission | FOUR COUNTY MENTAL HEALTH CENTER IS DEDICATED TO PROVIDING ACCESSIBLE, INNOVATIVE SERVICES IN PARTNERSHIP WITH INDIVIDUALS, FAMILIES AND OUR COMMUNITIES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 542 | TotalEmployeeCnt |
| Total Volunteers | 216 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $4,470,458 | PYContributionsGrantsAmt |
| CY Contributions Grants | $4,783,012 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $10,871,582 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $10,969,611 | CYProgramServiceRevenueAmt |
| PY Investment Income | $168,521 | PYInvestmentIncomeAmt |
| CY Investment Income | $219,094 | CYInvestmentIncomeAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $15,510,561 | PYTotalRevenueAmt |
| CY Total Revenue | $15,971,717 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $13,322,416 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $12,465,477 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $83,699 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,521,849 | PYOtherExpensesAmt |
| CY Other Expenses | $3,563,870 | CYOtherExpensesAmt |
| PY Total Expenses | $16,844,265 | PYTotalExpensesAmt |
| CY Total Expenses | $16,029,347 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$1,333,704 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$57,630 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $28,756,787 | TotalAssetsBOYAmt |
| Total Assets EOY | $28,630,853 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,312,179 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,243,875 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $27,444,608 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $27,386,978 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | FOUR COUNTY MENTAL HEALTH CENTER IS DEDICATED TO PROVIDING ACCESSIBLE, INNOVATIVE SERVICES IN PARTNERSHIP WITH INDIVIDUALS, FAMILIES AND OUR COMMUNITIES. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $3,304,841 | ExpenseAmt |
| Revenue | $4,045,526 | RevenueAmt |
| Desc | COMMUNITY BASED SERVICES FOR CHILDREN - SERVICES DESIGNATED TO MEET THE INDIVIDUALIZED NEEDS OF CHILDREN AND YOUTH WHO EXPERIENCE SPECIAL MENTAL HEALTH CHALLENGES. APPROXIMATELY 640 CLIENTS SERVED. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,055,522 | ExpenseAmt |
| Revenue | $2,904,952 | RevenueAmt |
| Desc | COMMUNITY SUPPORT SERVICES - PROVIDES THOSE SERVICES AND SUPPORTS WHICH ENABLE PEOPLE WITH SEVERE AND/OR PERSISTENT MENTAL ILLNESS TO REMAIN IN THEIR HOME COMMUNITY. APPROXIMATELY 731 CLIENTS SERVED. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,514,375 | ExpenseAmt |
| Revenue | $1,687,437 | RevenueAmt |
| Desc | OUTPATIENT MENTAL HEALTH SERVICES - PROVIDES HELP FOR PROBLEMS RANGING FROM FAMILY ISSUES TO SEVERE MENTAL DISORDERS. APPROXIMATELY 3,528 CLIENTS SERVED. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $4,267,406 | ExpenseAmt |
| Revenue | $2,331,696 | RevenueAmt |
| Desc | CRISIS DIVERSION SERVICES - PROVIDES 24-HOUR EMERGENCY ON CALL SYSTEM FOR BEHAVIOR HEALTH AND PSYCHIATRIC EMERGENCIES. APPROXIMATELY 1,050 PEOPLE SERVED. MEDICAL SERVICES - HERE AT FOUR COUNTY MENTAL HEALTH CENTER, MEDICAL SERVICES ARE PROVIDED BY A QUALITY TEAM OF PSYCHIATRISTS, PHYSICIAN ASSISTANTS, ADVANCED PRACTICE REGISTERED NURSES (APRNS), AND SPECIALIZED NURSES. THEY PROVIDE ONGOING EVALUATIONS AND MEDICATION MANAGEMENT TO PATIENTS. APPROXIMATELY 3,013 CLIENTS SERVED. HOME HEALTH - IMPROVING QUALITY OF HOME CARE TO THE CITIZENS OF SOUTHEAST KANSAS. WE PROVIDE SERVICES TO PEOPLE WHO HAVE THE DESIRE TO REMAIN IN THEIR HOMES. WE COLLABORATE WITH OTHER RESOURCES IN THE COMMUNITY TO ENSURE THAT THE SUPPORT NEEDED IS MADE AVAILABLE. APPROXIMATELY 185 PEOPLE SERVED. TRANSPORTATION SERVICES - TRANSPORTATION SERVICES IS USED TO TRANSPORT CLIENTS TO AND FROM VARIOUS ACTIVITIES. THE MOST COMMON ACTIVITIES ARE DOCTOR'S APPOINTMENTS, THERAPY SESSIONS AND OUT OF TOWN SEMINARS OR CLASSES. IT IS ALSO USED TO TRANSPORT CHILDREN FROM SCHOOL OR THEIR HOMES TO OUR AFTER SCHOOL AND SUMMER PROGRAM. APPROXIMATELY 1,728 CLIENTS SERVED. OTHER GRANT PROGRAMS - MISCELLANEOUS GRANTS THAT ARE SMALL. THESE ARE ALL EITHER ONE-TIME OR PILOT GRANTS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $4,267,406 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $2,331,696 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $11,142,144 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | false | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 50 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 542 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | false | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FOUR COUNTY MENTAL HEALTH CENTER | BusinessNameLine1Txt |
| Business Name Line2 | INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6203311748 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3751 W MAIN | AddressLine1Txt |
| City | INDEPENDENCE | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 67301 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| DAVID BUMGARNER DC | ||||||
| CHAIRMAN | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| STEVE FIELDER | ||||||
| VICE-CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| GREG MEARS DO | ||||||
| TREASURER/SE | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| MARY ANN BAUMAN | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| DIANE HULL | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| CARL EDWARDS | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MICHELLE WEBER | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| TIM EMERT | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| JANE ANN HOFMEISTER | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MICHAEL KNAPP | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| KAREN EVERHART | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| RICHARD NEWBY | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| GREGORY T HENNEN | ||||||
| EXECUTIVE DI | 40.00 | Yes (X) | $121,350 | $0 | $0 | |
| DANA SCHLORHOLTZ | ||||||
| CF FINANCIAL | 40.00 | Yes (X) | $63,465 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $184,815 | TotalReportableCompFromOrgAmt |
| Indiv Rcvd Greater Than100 K | 1 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | FALCON ROOFING LLC | PersonNm |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3963 CR 5200 | AddressLine1Txt |
| City | INDEPENDENCE | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 67301 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | CONSTRUCTION | ServicesDesc |
| Compensation | $128,820 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $799,162 | GovernmentGrantsAmt |
| All Other Contributions | $3,983,850 | AllOtherContributionsAmt |
| Total Contributions | $4,783,012 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|
| CMNTY BASED SERV. FOR CHIILDR | $4,045,526 | $4,045,526 |
| COMMUNITY SUPPORT SERVICES | $2,904,952 | $2,904,952 |
| OUTPATIENT MENTAL HEALTH SERV | $1,687,437 | $1,687,437 |
| TRANSPORTATION | $726,704 | $726,704 |
| MEDICAL SERVICES | $606,801 | $606,801 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $998,191 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $998,191 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $10,969,611 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $219,094 | TotalRevenueColumnAmt |
| Exclusion | $219,094 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $15,971,717 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $10,969,611 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $219,094 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $184,815 | TotalAmt |
| Management And General | $184,815 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,467,568 | TotalAmt |
| Program Services | $7,744,817 | ProgramServicesAmt |
| Management And General | $1,656,081 | ManagementAndGeneralAmt |
| Fundraising | $66,670 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,813,094 | TotalAmt |
| Program Services | $2,081,052 | ProgramServicesAmt |
| Management And General | $718,825 | ManagementAndGeneralAmt |
| Fundraising | $13,217 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,541 | TotalAmt |
| Program Services | $6,660 | ProgramServicesAmt |
| Management And General | $33,881 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $353,090 | TotalAmt |
| Program Services | $292,680 | ProgramServicesAmt |
| Management And General | $60,410 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $183,019 | TotalAmt |
| Program Services | $96,666 | ProgramServicesAmt |
| Management And General | $86,353 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $477,001 | TotalAmt |
| Program Services | $84,909 | ProgramServicesAmt |
| Management And General | $389,741 | ManagementAndGeneralAmt |
| Fundraising | $2,351 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $227,700 | TotalAmt |
| Program Services | $205,406 | ProgramServicesAmt |
| Management And General | $22,294 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $696,867 | TotalAmt |
| Management And General | $695,673 | ManagementAndGeneralAmt |
| Fundraising | $1,194 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $222,469 | TotalAmt |
| Program Services | $30,126 | ProgramServicesAmt |
| Management And General | $192,343 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| VEHICLE EXPENSE | $432,462 | $199,554 | $232,908 |
| REPAIRS AND SMALL EQUIPME | $327,523 | $67,416 | $260,107 |
| COMMUNICATIONS | $154,773 | $82,364 | $72,409 |
| OTHER EXPENSES | $130,939 | $123,969 | $6,970 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $317,486 | TotalAmt |
| Program Services | $126,525 | ProgramServicesAmt |
| Management And General | $190,694 | ManagementAndGeneralAmt |
| Fundraising | $267 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,029,347 | TotalAmt |
| Program Services | $11,142,144 | ProgramServicesAmt |
| Management And General | $4,803,504 | ManagementAndGeneralAmt |
| Fundraising | $83,699 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,500,881 | BOYAmt |
| EOY | $2,321,849 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,321,201 | BOYAmt |
| EOY | $17,372,379 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $226,060 | BOYAmt |
| EOY | $272,306 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $676,546 | BOYAmt |
| EOY | $820,796 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,260 | BOYAmt |
| EOY | $29,724 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $14,670,356 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $6,896,557 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,951,839 | BOYAmt |
| EOY | $7,773,799 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,000 | BOYAmt |
| EOY | $40,000 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,756,787 | BOYAmt |
| EOY | $28,630,853 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,312,179 | BOYAmt |
| EOY | $1,243,875 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,312,179 | BOYAmt |
| EOY | $1,243,875 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,073,262 | BOYAmt |
| EOY | $27,158,349 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $371,346 | BOYAmt |
| EOY | $228,629 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,444,608 | BOYAmt |
| EOY | $27,386,978 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,756,787 | BOYAmt |
| EOY | $28,630,853 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$57,630 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | 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 (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,371,297 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,371,651 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,809,886 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,156,496 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,467,032 | CurrentTaxYearAmt |
| Total | $22,176,362 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $319,495 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $317,254 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $320,381 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $313,962 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $315,980 | CurrentTaxYearAmt |
| Total | $1,587,072 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,690,792 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,688,905 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,130,267 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,470,458 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,783,012 | CurrentTaxYearAmt |
| Total | $23,763,434 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $23,763,434 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $35,767 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $78,745 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $141,636 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $168,521 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $219,094 | CurrentTaxYearAmt |
| Total | $643,763 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $24,407,197 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $10,969,611 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.97360 | PublicSupportCY170Pct |
| Public Support PY170 | 0.98010 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $254,236 | OtherCostOrOtherBasisAmt |
| Book Value | $254,236 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,126,184 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,848,883 | DepreciationAmt |
| Book Value | $6,277,301 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,530,226 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,997,816 | DepreciationAmt |
| Book Value | $532,410 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,759,710 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,049,858 | DepreciationAmt |
| Book Value | $709,852 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $7,773,799 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $15,971,717 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $15,971,717 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $15,971,717 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $16,029,347 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $16,029,347 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $16,029,347 | TotalExpensesPerForm990Amt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JENNIFER FOREAKER | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | FAMILY OF CHAIR | RelationshipDescriptionTxt |
| Transaction | $50,262 | TransactionAmt |
| Transaction | THERAPIST WAGES | TransactionDesc |
| Sharing Of Revenues | false | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 2, PART III, LINE 4D | CRISIS DIVERSION SERVICES - PROVIDES 24-HOUR EMERGENCY ON CALL SYSTEM FOR BEHAVIOR HEALTH AND PSYCHIATRIC EMERGENCIES. APPROXIMATELY 1,050 PEOPLE SERVED. MEDICAL SERVICES - HERE AT FOUR COUNTY MENTAL HEALTH CENTER, MEDICAL SERVICES ARE PROVIDED BY A QUALITY TEAM OF PSYCHIATRISTS, PHYSICIAN ASSISTANTS, ADVANCED PRACTICE REGISTERED NURSES (APRNS), AND SPECIALIZED NURSES. THEY PROVIDE ONGOING EVALUATIONS AND MEDICATION MANAGEMENT TO PATIENTS. APPROXIMATELY 3,013 CLIENTS SERVED. HOME HEALTH - IMPROVING QUALITY OF HOME CARE TO THE CITIZENS OF SOUTHEAST KANSAS. WE PROVIDE SERVICES TO PEOPLE WHO HAVE THE DESIRE TO REMAIN IN THEIR HOMES. WE COLLABORATE WITH OTHER RESOURCES IN THE COMMUNITY TO ENSURE THAT THE SUPPORT NEEDED IS MADE AVAILABLE. APPROXIMATELY 185 PEOPLE SERVED. TRANSPORTATION SERVICES - TRANSPORTATION SERVICES IS USED TO TRANSPORT CLIENTS TO AND FROM VARIOUS ACTIVITIES. THE MOST COMMON ACTIVITIES ARE DOCTOR'S APPOINTMENTS, THERAPY SESSIONS AND OUT OF TOWN SEMINARS OR CLASSES. IT IS ALSO USED TO TRANSPORT CHILDREN FROM SCHOOL OR THEIR HOMES TO OUR AFTER SCHOOL AND SUMMER PROGRAM. APPROXIMATELY 1,728 CLIENTS SERVED. OTHER GRANT PROGRAMS - MISCELLANEOUS GRANTS THAT ARE SMALL. THESE ARE ALL EITHER ONE-TIME OR PILOT GRANTS. |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE 990 IS REVIEWED BY THE CHIEF FINANCIAL OFFICER AND THE BOARD OF DIRECTORS. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE BOARD OF DIRECTORS UTILIZED A STATE-WIDE SALARY SURVEY COMPILED BY THE ASSOCIATION OF COMMUNITY MENTAL HEALTH CENTERS IN DETERMINING EXECUTIVE DIRECTORS COMPENSATION. BOARD MEETING MINUTES REGARDING DISCUSSION AND DECISION WERE KEPT. |
| FORM 990, PAGE 6, PART VI, LINE 15B | THE EXECUTIVE DIRECTOR UTILIZED STATE-WIDE SALARY SURVEY DATA COMPILED AND DISSEMINATED BY THE ASSOCIATION OF COMMUNITY MENTAL HEALTH CENTERS OF KANSAS. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THESE DOCUMENTS ARE MADE AVAILABLE UPON REQUEST. |