HUDSON VALLEY MENTAL HEALTH INC: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- HUDSON VALLEY MENTAL HEALTH INC (EIN 20-3842923)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-10-08
- IRS object ID
- 201812819349301051
- 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 | 2018-10-08T14:59:13-04:00 | ReturnTs |
| Tax Period End | 2017-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 141604297 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RBT CPAS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 11 RACQUET RD | AddressLine1Txt |
| City | NEWBURGH | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 12550 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 203842923 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HUDSON VALLEY MENTAL HEALTH INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HUDS | BusinessNameControlTxt |
| Phone | 8454521110 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 29 NORTH HAMILTON STREET | AddressLine1Txt |
| City | POUGHKEEPSIE | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 12601 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARK SASVARY | PersonNm |
| Person Title | INTERIM PRESIDENT | PersonTitleTxt |
| Phone | 8454521110 | PhoneNum |
| Signature | 2018-09-28 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DAVIDE DIGENOVA CPA | PreparerPersonNm |
| PTIN | P00955704 | PTIN |
| Phone | 8455679000 | PhoneNum |
| Preparation | 2018-09-28 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 71.169.2.122 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2018-10-08 | IPDt |
| IP Tm | 13:59:13 | IPTm |
| IP Timezone | CD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | AB2EE020BE5C2C1BBB6EEB822B5280B3120E6E47 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 7407711984FA7865C665A8E3F4485A530CB171D0 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2018-06-14 16:35:46Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MARK SASVARY | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 29 NORTH HAMILTON STREET | AddressLine1Txt |
| City | POUGHKEEPSIE | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 12601 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $9,141,085 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.HVMH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2005 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | HUDSON VALLEY MENTAL HEALTH, INC. PROVIDES CLINICAL TREATMENT SERVICES TO APPROXIMATELY 5,000 CLIENTS ON AN ANNUAL BASIS IN DUTCHESS AND ULSTER COUNTIES. OUR OUTPATIENT CLINIC SERVICES ARE UNDER THE NYS OFFICE OF MENTAL HEALTH LICENSURE AS ARTICLE 31 OUTPATIENT CLINIC SERVICES. TREATMENT SERVICES INCLUDE ASSESSMENT, INDIVIDUAL THERAPY, GROUP THERAPY, PSYCHIATRIC ASSESSMENT, MEDICATION MANAGEMENT AND COMPLEX CARE MANAGEMENT. ALL INDIVIDUALS RECEIVING TREATMENT AT HVMH CLINICS HAVE A BEHAVIORAL HEALTH RELATED DIAGNOSIS AND MANY HAVE CONCOMITANT SUBSTANCE ABUSE DISORDERS. CLIENTS RECEIVING SERVICES AT HVMH ARE PROVIDED INDIVIDUAL AND/OR GROUP THERAPY SESSIONS BY A LICENSED CLINICIAN AND ARE FOLLOWED BY THE PRESCRIBER (PSYCHIATRIST AND/OR NURSE PRACTITIONER) FOR EVALUATION, MEDICATION, AND MEDICATION MANAGEMENT. EACH CLIENT HAS AN INDIVIDUALIZED SERVICE PLAN WHICH IS REVIEWED IN COLLABORATION WITH THE TREATMENT TEAM. AS A CONTRACT AGENCY OF DUTCHESS AND ULSTER COUNTIES HVMH MEETS COUNTY AS | ActivityOrMissionDesc |
| Voting Members Governing Body | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 106 | TotalEmployeeCnt |
| Total Volunteers | 2 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $2,225,613 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,464,387 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $6,575,012 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $6,463,033 | CYProgramServiceRevenueAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $119,059 | PYOtherRevenueAmt |
| CY Other Revenue | $213,665 | CYOtherRevenueAmt |
| PY Total Revenue | $8,919,684 | PYTotalRevenueAmt |
| CY Total Revenue | $9,141,085 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $5,566,902 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $5,201,915 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,443,797 | PYOtherExpensesAmt |
| CY Other Expenses | $3,710,737 | CYOtherExpensesAmt |
| PY Total Expenses | $9,010,699 | PYTotalExpensesAmt |
| CY Total Expenses | $8,912,652 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$91,015 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $228,433 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $2,115,281 | TotalAssetsBOYAmt |
| Total Assets EOY | $2,199,482 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,019,342 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $890,179 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,095,939 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,309,303 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | HUDSON VALLEY MENTAL HEALTH, INC. PROVIDES CLINICAL TREATMENT SERVICES TO APPROXIMATELY 5,000 CLIENTS ON AN ANNUAL BASIS IN DUTCHESS AND ULSTER COUNTIES. OUR OUTPATIENT CLINIC SERVICES ARE UNDER THE NYS OFFICE OF MENTAL HEALTH LICENSURE AS ARTICLE 31 OUTPATIENT CLINIC SERVICES. TREATMENT SERVICES INCLUDE ASSESSMENT, INDIVIDUAL THERAPY, GROUP THERAPY, PSYCHIATRIC ASSESSMENT, MEDICATION MANAGEMENT AND COMPLEX CARE MANAGEMENT. ALL INDIVIDUALS RECEIVING TREATMENT AT HVMH CLINICS HAVE A BEHAVIORAL HEALTH RELATED DIAGNOSIS AND MANY HAVE CONCOMITANT SUBSTANCE ABUSE DISORDERS. CLIENTS RECEIVING SERVICES AT HVMH ARE PROVIDED INDIVIDUAL AND/OR GROUP THERAPY SESSIONS BY A LICENSED CLINICIAN AND ARE FOLLOWED BY THE PRESCRIBER (PSYCHIATRIST AND/OR NURSE PRACTITIONER) FOR EVALUATION, MEDICATION, AND MEDICATION MANAGEMENT. EACH CLIENT HAS AN INDIVIDUALIZED SERVICE PLAN WHICH IS REVIEWED IN COLLABORATION WITH THE TREATMENT TEAM. AS A CONTRACT AGENCY OF DUTCHESS AND ULSTER COUNTIES HVMH MEETS COUNTY AS | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $8,151,267 | ExpenseAmt |
| Revenue | $6,463,033 | RevenueAmt |
| Desc | HUDSON VALLEY MENTAL HEALTH, INC. PROVIDES CLINICAL TREATMENT SERVICES TO APPROXIMATELY 5,000 CLIENTS ON AN ANNUAL BASIS IN DUTCHESS AND ULSTER COUNTIES. OUR OUTPATIENT CLINIC SERVICES ARE UNDER THE NYS OFFICE OF MENTAL HEALTH LICENSURE AS ARTICLE 31 OUTPATIENT CLINIC SERVICES. TREATMENT SERVICES INCLUDE ASSESSMENT, INDIVIDUAL THERAPY, GROUP THERAPY, PSYCHIATRIC ASSESSMENT, MEDICATION MANAGEMENT AND COMPLEX CARE MANAGEMENT. ALL INDIVIDUALS RECEIVING TREATMENT AT HVMH CLINICS HAVE A BEHAVIORAL HEALTH RELATED DIAGNOSIS AND MANY HAVE CONCOMITANT SUBSTANCE ABUSE DISORDERS. CLIENTS RECEIVING SERVICES AT HVMH ARE PROVIDED INDIVIDUAL AND/OR GROUP THERAPY SESSIONS BY A LICENSED CLINICIAN AND ARE FOLLOWED BY THE PRESCRIBER (PSYCHIATRIST AND/OR NURSE PRACTITIONER) FOR EVALUATION, MEDICATION, AND MEDICATION MANAGEMENT. EACH CLIENT HAS AN INDIVIDUALIZED SERVICE PLAN WHICH IS REVIEWED IN COLLABORATION WITH THE TREATMENT TEAM. AS A CONTRACT AGENCY OF DUTCHESS AND ULSTER COUNTIES HVMH MEETS COUNTY AS WELL AS STATE REQUIRED QUALITY OF SERVICES TARGETS AND WE PARTICIPATE IN RECOGNIZED QUALITY IMPROVEMENT INITIATIVES. HVMH PROVIDES SERVICES IN ACCORDANCE WITH BEST PRACTICES. DURING 2017 HVMH CONTINUED WITH ITS DIALECTICAL BEHAVIORAL THERAPY TRAINING TO ITS CLINICAL STAFF. THIS TRAINING WAS PROVIDED BY THE LINEHAN INSTITUTE. HVMH WORKS COLLABORATIVELY WITH OTHER COMMUNITY AGENCIES TO ENHANCE THE SERVICES OFFERED AT ITS SITES AND TO IMPROVE CLIENT ENGAGEMENT AND OVERALL EXPERIENCE. HVMH IS A MEMBER OF THE CBHS IPA. CBHS IS COMPRISED OF 10 NOT FOR PROFIT AGENCIES PROVIDING BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITY SERVICES. IT HELPS MORE THAN 60,000 INDIVIDUALS ANNUALLY AND IS PREPARING AGENCIES INDIVIDUALLY AND COLLECTIVELY TO MEET THE NEEDS OF THE CHANGING HEALTH CARE SYSTEM. AS PART OF THE CONTRACT WITH DUTCHESS COUNTY, HVMH CONTINUES PROVIDING CLINICAL SUPPORT TO THE RE-ENTRY SUPPORTIVE TRANSITION AND REINTEGRATION TRACK (RESTART) IN THE DUTCHESS COUNTY JAIL. THE RESTART PROGRAM IS AN INNOVATIVE PROGRAM TARGETING HIGH RECIDIVISM RATES FOR INCARCERATION AND IS COMPRISED OF STAFF FROM HVMH, PROJECT MORE, & DCDBCH. IN 2017 HVMH BEGAN PROVIDING SERVICES AS PART OF THE TRANSITION OF CARE WELLNESS PROJECT WITH ACCESS SUPPORTS FOR LIVING, OUR CBHS PARTNER AND WITH WESTCHESTER MEDICAL CENTER (WMC). HVMH IS TARGETING CLIENTS WHO ARE BEING DISCHARGED FROM THE WMC POUGHKEEPSIE CAMPUS. THIS PROJECT AIMS TO IMPROVE CLIENT ENGAGEMENT WITHIN 48 HOURS OF HOSPITAL DISCHARGE. | Desc |
| Total Program Service Expenses | $8,151,267 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | 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 | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | 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 | Yes (true) | 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 | false | 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 | Yes (true) | 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 | 26 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 106 | 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 | 8 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | 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 | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | 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 | Yes (true) | 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 |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | NATALIE BORQUIST | PersonNm |
| Phone | 8454521110 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 29 NORTH HAMILTON STREET | AddressLine1Txt |
| City | POUGHKEEPSIE | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 12601 | 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 | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| PETER LUMB | |||||||
| CHAIR | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JONATHAN CILLEY | |||||||
| VICE CHAIR | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| SAM LAGANARO | |||||||
| SECRETARY | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| SANDY LUDLUM | |||||||
| TREASURER | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| DENISE GEORGE | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| CHERYL JENKINS | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| MAY L MAMIYA | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| ADRIAN CRUZ JR | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| ADAM LICHTENBERG | |||||||
| RESIGNED SEP | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| KEVIN HAZUCHA | |||||||
| PRESIDENT | 35.00 | Yes (X) | $128,670 | $0 | $27,761 | ||
| YOUNG J SHIN | |||||||
| PSYCHIATRIST | 28.00 | $156,301 | $0 | $27,465 | Yes (X) | ||
| CHRISTINE SLOCUM | |||||||
| NURSE PRACTI | 37.50 | $126,040 | $0 | $27,689 | Yes (X) | ||
| JEFFREY CORBIN | |||||||
| PSYCHIATRIST | 16.00 | $115,390 | $0 | $5,390 | Yes (X) | ||
| KATHERINE G MCDONALD | |||||||
| NURSE PRACTI | 35.00 | $112,822 | $0 | $24,997 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $639,223 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $113,302 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 5 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| JACKSON COKER LOCUMTENENS LLC | |||||
| PO BOX 277638 | ATLANTA | GA | 303847638 | STAFFING | $847,971 |
| MVP NETWORK CONSULTING LLC | |||||
| 1297 HERTEL AVE | BUFFALO | NY | 14216 | IT CONSULTING | $324,838 |
| BARTON ASSOCIATES | |||||
| PO BOX 417844 | BOSTON | MA | 022417844 | STAFFING | $206,071 |
| NETSMART | |||||
| 4950 COLLEGE BLVD | OVERLAND PARK | KS | 66211 | BILLING | $168,962 |
| CERNER | |||||
| PO BOX 959156 | ST LOUIS | MO | 631959156 | BILLING | $128,934 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 6 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $2,464,387 | GovernmentGrantsAmt |
| Total Contributions | $2,464,387 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CLIENT SERVICE FEES | Desc |
| Total Revenue Column | $6,463,033 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $6,463,033 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $6,463,033 | TotalProgramServiceRevenueAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $23,412 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $23,412 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $23,412 | TotalRevenueColumnAmt |
| Exclusion | $23,412 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS REVENUE | Desc |
| Total Revenue Column | $190,253 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $190,253 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $190,253 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,141,085 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $6,653,286 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $23,412 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $156,431 | TotalAmt |
| Program Services | $154,789 | ProgramServicesAmt |
| Management And General | $1,642 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,005,729 | TotalAmt |
| Program Services | $3,963,673 | ProgramServicesAmt |
| Management And General | $42,056 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $113,421 | TotalAmt |
| Program Services | $112,231 | ProgramServicesAmt |
| Management And General | $1,190 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $509,496 | TotalAmt |
| Program Services | $504,151 | ProgramServicesAmt |
| Management And General | $5,345 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $416,838 | TotalAmt |
| Program Services | $412,465 | ProgramServicesAmt |
| Management And General | $4,373 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $670,761 | TotalAmt |
| Management And General | $670,761 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,048 | TotalAmt |
| Management And General | $11,048 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,500 | TotalAmt |
| Management And General | $21,500 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,484,116 | TotalAmt |
| Program Services | $1,484,116 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,226 | TotalAmt |
| Program Services | $12,226 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $177,760 | TotalAmt |
| Program Services | $176,825 | ProgramServicesAmt |
| Management And General | $935 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $329,953 | TotalAmt |
| Program Services | $329,953 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $382,750 | TotalAmt |
| Program Services | $382,750 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,586 | TotalAmt |
| Program Services | $12,586 | ProgramServicesAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,132 | TotalAmt |
| Program Services | $24,132 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,878 | TotalAmt |
| Program Services | $6,878 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,645 | TotalAmt |
| Program Services | $44,645 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $74,866 | TotalAmt |
| Program Services | $72,331 | ProgramServicesAmt |
| Management And General | $2,535 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| BAD DEBT EXPENSE | $383,860 | $383,860 |
| REPAIRS AND MAINTENANCE | $61,252 | $61,252 |
| PROGRAM EXPENSES | $12,404 | $12,404 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,912,652 | TotalAmt |
| Program Services | $8,151,267 | ProgramServicesAmt |
| Management And General | $761,385 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,100 | BOYAmt |
| EOY | $1,100 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $839,858 | BOYAmt |
| EOY | $120,216 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,037,868 | BOYAmt |
| EOY | $987,598 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $73,005 | BOYAmt |
| EOY | $83,740 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $839,086 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $557,120 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $152,335 | BOYAmt |
| EOY | $281,966 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,115 | BOYAmt |
| EOY | $724,862 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,115,281 | BOYAmt |
| EOY | $2,199,482 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $815,909 | BOYAmt |
| EOY | $875,110 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $15,069 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $203,433 | BOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,019,342 | BOYAmt |
| EOY | $890,179 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,027,932 | BOYAmt |
| EOY | $1,269,858 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $68,007 | BOYAmt |
| EOY | $39,445 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,095,939 | BOYAmt |
| EOY | $1,309,303 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,115,281 | BOYAmt |
| EOY | $2,199,482 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $228,433 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$15,069 | OtherChangesInNetAssetsAmt |
| 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 | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $648,628 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,506,119 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,089,961 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,225,613 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,464,387 | CurrentTaxYearAmt |
| Total | $8,934,708 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,552,273 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,215,249 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,057,531 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,575,012 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,653,286 | CurrentTaxYearAmt |
| Total | $31,053,351 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,200,901 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,721,368 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,147,492 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $8,800,625 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,117,673 | CurrentTaxYearAmt |
| Total | $39,988,059 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $39,988,059 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $83,846 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $82,198 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $54 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $75,868 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $23,412 | CurrentTaxYearAmt |
| Total | $265,378 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $83,846 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $82,198 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $54 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $75,868 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $23,412 | CurrentTaxYearAmt |
| Total | $265,378 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,821 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,554 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $19,881 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $43,191 | CurrentTaxYearMinus1YearAmt |
| Total | $76,447 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,290,568 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,811,120 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,167,427 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $8,919,684 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,141,085 | CurrentTaxYearAmt |
| Total | $40,329,884 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99150 | PublicSupportCY509Pct |
| Public Support PY509 | 0.98900 | PublicSupportPY509Pct |
| Investment Income CY | 0.01000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.01000 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART III, LINE 12 | FormAndLineReferenceDesc |
| Explanation | MISCELLANEOUS INCOME 76,447 | ExplanationTxt |
Schedule B IRS990ScheduleB
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $29,213 | OtherCostOrOtherBasisAmt |
| Depreciation | $8,643 | DepreciationAmt |
| Book Value | $20,570 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $809,873 | OtherCostOrOtherBasisAmt |
| Depreciation | $548,477 | DepreciationAmt |
| Book Value | $261,396 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $281,966 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DUE FROM RELATED PARTIES | $713,747 |
| SECURITY DEPOSIT | $11,115 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $724,862 | TotalBookValueOtherAssetsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $10,034,542 | TotalRevEtcAuditedFinclStmtAmt |
| Donated Services And Use Fclts | $908,526 | DonatedServicesAndUseFcltsAmt |
| Other Revenue | -$15,069 | OtherRevenueAmt |
| Revenue Not Reported | $893,457 | RevenueNotReportedAmt |
| Revenue Subtotal | $9,141,085 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $9,141,085 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $9,821,178 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $908,526 | DonatedServicesUseFcltsAmt |
| Expenses Not Reported | $908,526 | ExpensesNotReportedAmt |
| Expenses Subtotal | $8,912,652 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $8,912,652 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PAGE 3, PART X | THE ORGANIZATION FILES AN ANNUAL FORM 990 AS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. AS SUCH, NO FEDERAL OR NEW YORK STATE TAXES ARE PAID BY THE ORGANIZATION. THE ORGANIZATION HAS BEEN CLASSIFIED AS AN ENTITY THAT IS NOT A PRIVATE FOUNDATION WITHIN THE MEANING OF SECTION 509 (A) AND QUALIFIES FOR DEDUCTIBLE CONTRIBUTIONS AS PROVIDED IN SECTION 170 (B)(1)(A)(VI). THE ORGANIZATION ADOPTED THE PROVISIONS OF ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REGARDING ACCOUNTING FOR UNCERTAIN TAX POSITIONS. MANAGEMENT EVALUATED THE ORGANIZATIONS TAX POSITIONS AND CONCLUDED THAT THE ORGANIZATION HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS IN ORDER TO COMPLY WITH THE PROVISIONS OF THIS GUIDANCE. WITH FEW EXCEPTIONS, THE ORGANIZATION IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY THE U.S. FEDERAL, STATE OR LOCAL TAX AUTHORITIES FOR YEARS PRIOR TO 2014. |
| SCHEDULE D, PAGE 4, PART XI, LINE 2D | REFUND OF CONTRACT -15,069 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|---|
| KEVIN HAZUCHA | ||||
| PRESIDENT | $128,670 | $7,674 | $20,087 | $156,431 |
| YOUNG J SHIN | ||||
| PSYCHIATRIST | $156,301 | $3,063 | $24,402 | $183,766 |
| CHRISTINE SLOCUM | ||||
| NURSE PRACTITIONER | $126,040 | $8,012 | $19,677 | $153,729 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990 - ORGANIZATION'S MISSION | HUDSON VALLEY MENTAL HEALTH, INC. PROVIDES CLINICAL TREATMENT SERVICES TO APPROXIMATELY 5,000 CLIENTS ON AN ANNUAL BASIS IN DUTCHESS AND ULSTER COUNTIES. OUR OUTPATIENT CLINIC SERVICES ARE UNDER THE NYS OFFICE OF MENTAL HEALTH LICENSURE AS ARTICLE 31 OUTPATIENT CLINIC SERVICES. TREATMENT SERVICES INCLUDE ASSESSMENT, INDIVIDUAL THERAPY, GROUP THERAPY, PSYCHIATRIC ASSESSMENT, MEDICATION MANAGEMENT AND COMPLEX CARE MANAGEMENT. ALL INDIVIDUALS RECEIVING TREATMENT AT HVMH CLINICS HAVE A BEHAVIORAL HEALTH RELATED DIAGNOSIS AND MANY HAVE CONCOMITANT SUBSTANCE ABUSE DISORDERS. CLIENTS RECEIVING SERVICES AT HVMH ARE PROVIDED INDIVIDUAL AND/OR GROUP THERAPY SESSIONS BY A LICENSED CLINICIAN AND ARE FOLLOWED BY THE PRESCRIBER (PSYCHIATRIST AND/OR NURSE PRACTITIONER) FOR EVALUATION, MEDICATION, AND MEDICATION MANAGEMENT. EACH CLIENT HAS AN INDIVIDUALIZED SERVICE PLAN WHICH IS REVIEWED IN COLLABORATION WITH THE TREATMENT TEAM. AS A CONTRACT AGENCY OF DUTCHESS AND ULSTER COUNTIES HVMH MEETS COUNTY AS WELL AS STATE REQUIRED QUALITY OF SERVICES TARGETS AND WE PARTICIPATE IN RECOGNIZED QUALITY IMPROVEMENT INITIATIVES. HVMH PROVIDES SERVICES IN ACCORDANCE WITH BEST PRACTICES. DURING 2017 HVMH CONTINUED WITH ITS DIALECTICAL BEHAVIORAL THERAPY TRAINING TO ITS CLINICAL STAFF. THIS TRAINING WAS PROVIDED BY THE LINEHAN INSTITUTE. HVMH WORKS COLLABORATIVELY WITH OTHER COMMUNITY AGENCIES TO ENHANCE THE SERVICES OFFERED AT ITS SITES AND TO IMPROVE CLIENT ENGAGEMENT AND OVERALL EXPERIENCE. HVMH IS A MEMBER OF THE CBHS IPA. CBHS IS COMPRISED OF 10 NOT FOR PROFIT AGENCIES PROVIDING BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITY SERVICES. IT HELPS MORE THAN 60,000 INDIVIDUALS ANNUALLY AND IS PREPARING AGENCIES INDIVIDUALLY AND COLLECTIVELY TO MEET THE NEEDS OF THE CHANGING HEALTH CARE SYSTEM. AS PART OF THE CONTRACT WITH DUTCHESS COUNTY, HVMH CONTINUES PROVIDING CLINICAL SUPPORT TO THE RE-ENTRY SUPPORTIVE TRANSITION AND REINTEGRATION TRACK (RESTART) IN THE DUTCHESS COUNTY JAIL. THE RESTART PROGRAM IS AN INNOVATIVE PROGRAM TARGETING HIGH RECIDIVISM RATES FOR INCARCERATION AND IS COMPRISED OF STAFF FROM HVMH, PROJECT MORE, & DCDBCH. IN 2017 HVMH BEGAN PROVIDING SERVICES AS PART OF THE TRANSITION OF CARE WELLNESS PROJECT WITH ACCESS SUPPORTS FOR LIVING, OUR CBHS PARTNER AND WITH WESTCHESTER MEDICAL CENTER (WMC). HVMH IS TARGETING CLIENTS WHO ARE BEING DISCHARGED FROM THE WMC POUGHKEEPSIE CAMPUS. THIS PROJECT AIMS TO IMPROVE CLIENT ENGAGEMENT WITHIN 48 HOURS OF HOSPITAL DISCHARGE. |
| FORM 990, PAGE 2, PART III, LINE 4A | MEDICATION, AND MEDICATION MANAGEMENT. EACH CLIENT HAS AN INDIVIDUALIZED SERVICE PLAN WHICH IS REVIEWED IN COLLABORATION WITH THE TREATMENT TEAM. AS A CONTRACT AGENCY OF DUTCHESS AND ULSTER COUNTIES HVMH MEETS COUNTY AS WELL AS STATE REQUIRED QUALITY OF SERVICES TARGETS AND WE PARTICIPATE IN RECOGNIZED QUALITY IMPROVEMENT INITIATIVES. HVMH PROVIDES SERVICES IN ACCORDANCE WITH BEST PRACTICES. DURING 2017 HVMH CONTINUED WITH ITS DIALECTICAL BEHAVIORAL THERAPY TRAINING TO ITS CLINICAL STAFF. THIS TRAINING WAS PROVIDED BY THE LINEHAN INSTITUTE. HVMH WORKS COLLABORATIVELY WITH OTHER COMMUNITY AGENCIES TO ENHANCE THE SERVICES OFFERED AT ITS SITES AND TO IMPROVE CLIENT ENGAGEMENT AND OVERALL EXPERIENCE. HVMH IS A MEMBER OF THE CBHS IPA. CBHS IS COMPRISED OF 10 NOT FOR PROFIT AGENCIES PROVIDING BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITY SERVICES. IT HELPS MORE THAN 60,000 INDIVIDUALS ANNUALLY AND IS PREPARING AGENCIES INDIVIDUALLY AND COLLECTIVELY TO MEET THE NEEDS OF THE CHANGING HEALTH CARE SYSTEM. AS PART OF THE CONTRACT WITH DUTCHESS COUNTY, HVMH CONTINUES PROVIDING CLINICAL SUPPORT TO THE RE-ENTRY SUPPORTIVE TRANSITION AND REINTEGRATION TRACK (RESTART) IN THE DUTCHESS COUNTY JAIL. THE RESTART PROGRAM IS AN INNOVATIVE PROGRAM TARGETING HIGH RECIDIVISM RATES FOR INCARCERATION AND IS COMPRISED OF STAFF FROM HVMH, PROJECT MORE, & DCDBCH. IN 2017 HVMH BEGAN PROVIDING SERVICES AS PART OF THE TRANSITION OF CARE WELLNESS PROJECT WITH ACCESS SUPPORTS FOR LIVING, OUR CBHS PARTNER AND WITH WESTCHESTER MEDICAL CENTER (WMC). HVMH IS TARGETING CLIENTS WHO ARE BEING DISCHARGED FROM THE WMC POUGHKEEPSIE CAMPUS. THIS PROJECT AIMS TO IMPROVE CLIENT ENGAGEMENT WITHIN 48 HOURS OF HOSPITAL DISCHARGE. |
| FORM 990, PAGE 6, PART VI, LINE 6 | FAMILY SERVICES, INC. IS THE PARENT COMPANY OF HUDSON VALLEY MENTAL HEALTH, INC. THIS AFFILIATE IS INCORPORATED AS A MEMBER CORPORATION WITH FAMILY SERVICES, INC. AS ITS SOLE MEMBER. FAMILY SERVICES, INC. PROVIDES ADMINISTRATIVE SUPPORT TO THE AFFILIATE AS PART OF THIS LEGAL RELATIONSHIP. SERVICE FEES ARE PAID TO THE PARENT COMPANY FOR THE PROVISION OF THESE FUNCTIONS, INCLUDING ACCOUNTING, FINANCIAL MANAGEMENT, HUMAN RESOURCES, AND INFORMATION TECHNOLOGY. SOME OF THESE DUTIES WOULD CUSTOMARILY BE PERFORMED OR SUPERVISED BY THE AFFILIATE PRESIDENT OR KEY EMPLOYEE. |
| FORM 990, PAGE 6, PART VI, LINE 7A | AT THE ANNUAL MEETING OF THE SOLE MEMBER (FAMILY SERVICES, INC.), THE BOARD OF DIRECTORS OF THE SOLE MEMBER WILL ELECT THE DIRECTORS OF HVMH FROM THE APPROVED SLATE, AS PROVIDED BY HVMH BOARD MEMBER(S) SERVING ON THE JOINT GOVERNANCE COMMITTEE. |
| FORM 990, PAGE 6, PART VI, LINE 7B | HUDSON VALLEY MENTAL HEALTH WAS INCORPORATED AS A MEMBER ORGANIZATION, WITH FAMILY SERVICES, INC. AS THE SOLE MEMBER. THE GOVERNING BODY OF FAMILY SERVICES, INC. HAS AUTHORITY OVER THE FOLLOWING AREAS OF BUSINESS: SALE OF REAL PROPERTY OR FACILITIES, CAPITAL EXPENDITURES, AMENDMENT OF CERTIFICATE OF INCORPORATION, AMENDMENT OF BY-LAWS, TRUSTEE ELECTION AND REPLACEMENT, TERMINATION OF FAMILY SERVICES, INC. AS SOLE MEMBER, ABANDONMENT OF MATERIAL DIMINUTION OF SERVICES OR PROGRAMS, REORGANIZATIONS OF SUBSTANTIALLY ALL THE ASSETS, ASSUMPTION OF DEBT, OPERATING AND CAPITAL BUDGETS, ALLOCATION OF FUNDS, NEW AFFILIATED AGENCIES AND JOINT VENTURES. VARIOUS DECISIONS OF THE HVMH GOVERNING BOARD ARE SUBJECT TO RATIFICATION BY THE FAMILY SERVICES INC. BOARD, I.E. BUDGETS, BY-LAW AMENDMENTS, ASSUMPTION OF DEBT, DISSOLUTION OF ASSETS, ETC. |
| FORM 990, PAGE 6, PART VI, LINE 11B | DURING THE ENGAGEMENT AND CONTRACTING PROCESS WITH AN AUDITING FIRM, HVMH INCLUDES THE STIPULATION THAT THE FORM 990 BE ELECTRONICALLY SUBMITTED BY THE AUDITORS TO THE ORGANIZATION PRIOR TO FILING WITH THE IRS. ONCE RECEIVED, THE ORGANIZATION'S PRESIDENT, CFO AND AUDIT COMMITTEE OF THE BOARD CONVENE TO REVIEW AND APPROVE THE DRAFT VERSION. THE REVIEW CONSISTS OF COMPREHENSIVE EVALUATION OF BOTH NARRATIVE AND FINANCIAL INFORMATION. AFTER THIS REVIEW, HVMH DISTRIBUTES THE FORM 990 TO THE ORGANIZATION'S ENTIRE GOVERNING BODY PRIOR TO FILING WITH THE IRS. |
| FORM 990, PAGE 6, PART VI, LINE 12C | PRIOR TO INITIAL ELECTION, AND ANNUALLY THEREAFTER, EACH DIRECTOR SHALL BE REQUIRED TO COMPLETE, SIGN AND SUBMIT TO THE SECRETARY, OR AN AUTHORIZED DESIGNEE, AS APPROPRIATE, A WRITTEN STATEMENT IDENTIFYING, TO THE BEST OF THE DIRECTOR'S KNOWLEDGE, ANY ENTITY OF WHICH SUCH DIRECTOR IS AN OFFICER, DIRECTOR, TRUSTEE, MEMBER, OWNER (EITHER AS A SOLE PROPRIETOR OR A PARTNER), OR EMPLOYEE AND WITH WHICH THE CORPORATION HAS A RELATIONSHIP, AND ANY TRANSACTION IN WHICH THE CORPORATION IS A PARTICIPANT, AND IN WHICH THE DIRECTOR MIGHT HAVE A CONFLICTING INTEREST. THE SECRETARY SHALL PROVIDE A COPY OF ALL COMPLETED DISCLOSURE STATEMENTS TO THE CHAIR OF THE AFFILIATED PARTNERS AUDIT COMMITTEE. A COPY OF EACH DISCLOSURE STATEMENT SHALL BE AVAILABLE TO ANY DIRECTOR ON REQUEST. IF AT ANY TIME DURING HIS OR HER TERM OF SERVICE, A DIRECTOR, OFFICER OR KEY EMPLOYEE ACQUIRES AN INTEREST, OR CIRCUMSTANCES OTHERWISE ARISE, WHICH COULD GIVE RISE TO A REAL OR POTENTIAL RELATED PARTY TRANSACTION, OR ANY OTHER CONFLICTED MATTER, HE OR SHE SHALL PROMPTLY DISCLOSE, IN GOOD-FAITH, TO THE BOARD OF DIRECTORS, OR AN AUTHORIZED COMMITTEE THEREOF, AS APPROPRIATE, THE MATERIAL FACTS CONCERNING SUCH INTEREST. THE AFFILIATED PARTNERS AUDIT COMMITTEE SHALL REVIEW ANY REAL, OR POTENTIAL, RELATED PARTY TRANSACTION, OR ANY OTHER MATTER WHICH MIGHT BE CONSIDERED TO CONSTITUTE A CONFLICT OF INTEREST FOR A PARTICULAR RELATED PARTY. IN ANY INSTANCE WHERE A RELATED PARTY TRANSACTION, OR OTHER CONFLICTED MATTER, IS BEING REVIEWED, AND IS SO MATERIAL THAT IT WOULD CUSTOMARILY WARRANT FORMAL APPROVAL BY THE AFFILIATED PARTNERS AUDIT COMMITTEE, SAID COMMITTEE SHALL THOROUGHLY REVIEW THE TRANSACTION OR MATTER AND SUBMIT TO THE BOARD OF DIRECTORS, A RECOMMENDATION AS WHETHER OR NOT IT SHOULD BE TO APPROVED. |
| FORM 990, PAGE 6, PART VI, LINE 15A | AT LEAST ANNUALLY, THE BOARD OF DIRECTORS AND/OR THE EXECUTIVE COMMITTEE SHALL ENGAGE IN A COMPENSATION ANALYSIS OF THE CEO AND OTHER KEY EMPLOYEE (S) TO RUN CONCURRENTLY WITH THE ANNUAL PERFORMANCE EVALUATION OF SUCH EMPLOYEE(S). THE BOARD OF DIRECTORS AND/OR THE EXECUTIVE COMMITTEE, SHALL, AFTER DUE DELIBERATION AND DISCUSSION REGARDING THE TOTAL COMPENSATION, RENDER A DETERMINATION REGARDING WHETHER THE COMPENSATION IS REASONABLE AND WHETHER SUFFICIENT, COMPARATIVE INFORMATION EXISTED FROM LIKE, OR SIMILAR ENTITIES, TO CONCLUDE THAT THE TOTAL COMPENSATION OF THE CEO, OR ANY OTHER KEY EMPLOYEE(S), IS REASONABLE. |
| FORM 990, PAGE 6, PART VI, LINE 15B | AT LEAST ANNUALLY, THE BOARD OF DIRECTORS AND/OR THE EXECUTIVE COMMITTEE SHALL ENGAGE IN A COMPENSATION ANALYSIS OF THE CEO AND OTHER KEY EMPLOYEE (S) TO RUN CONCURRENTLY WITH THE ANNUAL PERFORMANCE EVALUATION OF SUCH EMPLOYEE(S). THE BOARD OF DIRECTORS AND/OR THE EXECUTIVE COMMITTEE, SHALL, AFTER DUE DELIBERATION AND DISCUSSION REGARDING THE TOTAL COMPENSATION, RENDER A DETERMINATION REGARDING WHETHER THE COMPENSATION IS REASONABLE AND WHETHER SUFFICIENT, COMPARATIVE INFORMATION EXISTED FROM LIKE, OR SIMILAR ENTITIES, TO CONCLUDE THAT THE TOTAL COMPENSATION OF THE CEO, OR ANY OTHER KEY EMPLOYEE(S), IS REASONABLE. |
| FORM 990, PAGE 6, PART VI, LINE 19 | HVMH MAKES ITS FORM 990 AVAILABLE FOR PUBLIC INSPECTION AS REQUIRED UNDER SECTION 6104 OF THE IRS CODE BY MAKING IT AVAILABLE UPON REQUEST. FORMS 990 AND 1023, AS WELL AS FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY, ARE AVAILABLE BY CALLING THE ORGANIZATION DIRECTLY AT 845-452-1110. FORMS ARE ALSO AVAILABLE ON GUIDESTAR.ORG AND OTHER SIMILAR WEBSITES. |
| FORM 990, PART IX, LINE 11G | CONSULTING AND HIRED SERVICES 1,274,264 0 0 CONTRACT SERVICES 209,852 0 0 TOTAL 1,484,116 0 0 |
| FORM 990, PART XI, LINE 9 | REFUND OF CONTRACT -15,069 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| FAMILY SERVICES INC | |||||||||||
| 29 NORTH HAMILTON STREET | POUGHKEEPSIE | NY | 12601 | 141338399 | ASSISTANCE | NY | 501C3 | 7 | N/A | false | |
| BIG BROTHERS BIG SISTERS OF ULSTER | |||||||||||
| 29 NORTH HAMILTON STREET | POUGHKEEPSIE | NY | 12601 | 510222946 | INACTIVE | NY | 501C3 | 10 | false | FAMILY SER | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (true) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (3 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| FAMILY SERVICES INC | ||
| D | $682,605 | CASH |
| FAMILY SERVICES INC | ||
| K | $33,583 | CASH |
| FAMILY SERVICES INC | ||
| P | $670,761 | CASH |