2018-11-08T08:30:45-06:00 2017-12-31 111986323 MARCUM LLP 53 STATE STREET BOSTON MA 02109 990 2017-01-01 043221069 SCREENING FOR MENTAL HEALTH INC SCRE 7813290909 270 BRIDGE STREET NO 301 DEDHAM MA 02026 NORMAN GORIN CEO/PRES OF BOARD/TREAS 7812390071 2018-11-05 1 DONALD ZIDIK P00080352 6178075000 2018-11-05 47.19.127.190 2018-11-05 09:36:25 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 A78DADE91358E8A6EB234267DE911D18B2A3F1F9 2017 2019-02-21 02:37:17Z X NORMAN GORIN 270 BRIDGE STREET NO 301 DEDHAM MA 02026 2210806 0 X WWW.MENTALHEALTHSCREENING.ORG X 1994 MA SCREENING FOR MENTAL HEALTH'S MISSION IS TO PROVIDE INNOVATIVE MENTAL HEALTH AND SUBSTANCE USE RESOURCES, LINKING THOSE IN NEED TO QUALITY TREATMENT OPTIONS.THE ORGANIZATION RECRUITS EACH OF THE SCREENING SITES, PROVIDES THE MODEL FOR THE EVENT AND MAKES MATERIALS AVAILABLE FOR SITES IMPLEMENTING THE PROGRAM. ADDITIONALLY, ONLINE SCREENINGS ARE AVAILABLE TO COMMUNITY-BASED ORGANIZATIONS, HOSPITALS, COLLEGES AND UNIVERSITIES, WORKPLACES, AND MILITARY INSTALLATIONS WORLDWIDE, THUS BRINGING THE PROGRAM AND SERVICES TO AN EVEN LARGER AUDIENCE. 8 8 30 0 0 0 233650 162097 2090481 1961705 146375 87004 0 0 2470506 2210806 0 0 0 0 1350789 1622586 0 0 272367 1580558 1559829 2931347 3182415 -460841 -971609 4037740 2885211 593250 434990 3444490 2450221 X THE MISSION OF SCREENING FOR MENTAL HEALTH IS TO PROMOTE THE IMPROVEMENT OF MENTAL HEALTH BY PROVIDING THE PUBLIC WITH EDUCATION, SCREENING, AND TREATMENT RESOURCES. 0 0 712416 758538 NATIONAL DEPRESSION SCREENING DAY IS AN ANNUAL MENTAL HEALTH EDUCATIONAND SCREENING EVENT CONDUCTED BY HOSPITALS, MENTAL HEALTH CENTERS,SOCIAL SERVICE AGENCIES, AND OLDER ADULT FACILITIES. EVENT KITS PROVIDEREADY-TO-USE MATERIALS FOR CONDUCTING A PUBLIC, EDUCATIONAL SCREENINGEVENT FOR DEPRESSION, BIPOLAR DISORDER, GENERALIZED ANXIETY DISORDER,AND POSTTRAUMATIC STRESS DISORDER. ADDITIONALLY, THE EVENT ISCOMPLEMENTED BY A YEAR-ROUND ONLINE SCREENING PROGRAM, THROUGH WHICHORGANIZATIONS CAN OFFER MEMBERS OF THEIR COMMUNITY 24/7 ACCESS TOSCREENING TOOLS, AS WELL AS CUSTOMIZED REFERRAL INFORMATION, ON THEIR WEBSITE 390434 280694 COLLEGE PROGRAMS- OFFERS PROGRAMS TO PROMOTE PREVENTION, EARLY DETECTION AND TREATMENT OF PREVALENT, UNDER-DIAGNOSED AND TREATABLE MENTAL HEALTH DISORDERS AND ALCOHOL PROBLEMS AFFECTING COLLEGE STUDENTS. THROUGH ONLINE AND IN-PERSON SCREENING TOOLS, COLLEGE RESPONSE PROVIDES CONFIDENTIAL AND EFFECTIVE PROGRAMS FOR: DEPRESSION, BIPOLAR DISORDER, ANXIETY, POST-TRAUMATIC STRESS DISORDER, EATING DISORDERS, AND ALCOHOL PROBLEMS. THIS PROGRAM SERVICES APPROXIMATELY 650 COLLEGES. 591663 650631 YOUTH PROGRAMS-THE PROGRAM'S PRIMARY OBJECTIVES ARE TO EDUCATE YOUTH THAT DEPRESSION IS A TREATABLE ILLNESS AND TO EQUIP THEM TO RESPOND TO A POTENTIAL SUICIDE IN A FRIEND OR FAMILY MEMBER USING THE SOS TECHNIQUE. SOS IS AN ACTION-ORIENTED APPROACH INSTRUCTING STUDENTS HOW TO ACT (ACKNOWLEDGE, CARE AND TELL) IN THE FACE OF A MENTAL HEALTH EMERGENCY. THE SOS PROGRAMS ALSO PROVIDE EDUCATION MATERIALS FOR YOUTH, PARENTS, AND SCHOOL STAFF. 286993 205140 SUICIDE RESEARCH PROGRAM-SCREENING FOR MENTAL HEALTH PROVIDES SUICIDE PREVENTION PROGRAMS ACROSS THE LIFECYCLE. PREVENTION PROGRAMS CAN BE IMPLEMENTED ON A STATE-WIDE, COMMUNITY-WIDE, OR INDIVIDUAL FACILITY BASIS. 40656 66702 WORKPLACE RESPONSE PROGRAM-SCREENING FOR MENTAL HEALTH OFFERS EMPLOYERS A NATIONALLY UTILIZED PROGRAM OF MENTAL HEALTH EDUCATION AND ANONYMOUS SCREENING FOR COMMON MENTAL HEALTH CONCERNS INCLUDING DEPRESSION. 327649 271842 2022162 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 16 0 30 1 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 MA X X THE ORGANIZATION 7813299009 270 BRIDGE STREET NO 301 DEDHAM MA 02026 NORMAN GORIN CEO/PRESIDENT/TREASURY 40.00 X X 76882 0 6552 JOSEPH H MATZKIN CLERK 1.00 X 0 0 0 DOUGLAS G JACOBS MD DIRECTOR 20.00 X X 52500 0 13352 MATTHEW ANTHESBA DIRECTOR 1.00 X 0 0 0 GEORGE KIMBALL DIRECTOR 1.00 X X 0 0 0 JEFFERSON BRUCE PRINCE MD DIRECTOR 1.00 X 0 0 0 LEONARD FREEDBERG MD DIRECTOR 1.00 X 0 0 0 SHARI I LUSSKIN MD DIRECTOR 1.00 X 0 0 0 DARYL DEKARSKEMPH DIRECTOR 1.00 X 0 0 0 SAUL LEVIN MD DIRECTOR 1.00 X 0 0 0 YVONNE BAYLISS FORMER DIRECTOR OF OPERATIONS 40.00 X 109676 0 14892 239058 0 34796 1 0 0 0 ADVANCED KIOSKS 20 CANAL STREET FRANKLIN NH 03235 BUILD THE KIOSKS 157721 ADK GROUP INC 11 BEACON ST SUITE 1200 BOSTON MA 02108 BUILD PRIVACY BOOTHS AND IT/TECH CONSULT 109500 2 162097 162097 NATIONAL DEPRESSION SC 900099 758537 758537 YOUTH PROGRAMS 900099 650631 650631 COLLEGE PROGRAMS 900099 280695 280695 SUICIDE PREVENTION 900099 205140 205140 WORKPLACE RESPONSE 900099 66702 66702 1961705 87004 87004 2210806 1961705 0 87004 149286 92699 47118 9469 1115210 640093 336636 138481 1037 604 316 117 279861 161772 84812 33277 77192 44944 23488 8760 19803 11911 7327 565 35456 21326 13119 1011 52500 35175 17325 82398 73012 380 9006 64137 32833 24501 6803 204274 117290 63081 23903 82079 69126 12739 214 23206 13287 7193 2726 36001 20614 11159 4228 CONSULTANTS 416177 250316 153995 11866 BANK AND ADMINISTRATIVE 212016 108737 82324 20955 KIOSK DEVELOPMENT 205485 205485 KIT DESIGN 121054 121054 5243 1884 2373 986 3182415 2022162 887886 272367 773604 1138272 84886 77518 36682 33511 130190 33016 29322 97174 3113246 1538736 4037740 2885211 153918 156312 410620 184757 28712 93921 593250 434990 X 3422441 2450221 22049 0 3444490 2450221 4037740 2885211 -971609 -22660 0 X X 0 1 X 1 0 X 109093 167181 191739 233650 162097 863760 109093 167181 191739 233650 162097 863760 205818 657942 97718 132083 155740 146375 87004 618920 1482680 9510903 0.44380 0.39240 X 22082 22082 0 108108 10934 97174 97174 OBLIGATION UNDER CAPITAL LEASE 93921 93921 X 2188146 -22660 -22660 2210806 0 2210806 3182415 0 3182415 0 3182415 PART X, LINE 2: THE ORGANIZATION EVALUATES ALL SIGNIFICANT TAX POSITIONS AS REQUIRED BY ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA. AS OF DECEMBER 31, 2017 AND 2016, THE ORGANIZATION DOES NOT BELIEVE THAT IT HAS TAKEN ANY TAX POSITIONS THAT WOULD REQUIRE THE RECORDING OF ANY ADDITIONAL TAX LIABILITY NOR DOES IT BELIEVE THAT THERE ARE ANY UNREALIZED TAX BENEFITS THAT WOULD EITHER INCREASE OR DECREASE WITHIN THE NEXT TWELVE MONTHS. DR DOUGLAS JACOBS MEDICAL DIRECTOR/PRESIDENT OF BOARD/TREASURER/FOUNDER 52500 DR. DOUGLAS JACOBS IS THE SOLE OWNER OF PROFESSIONAL PSYCHIATRIC ASSOCIATES (PPA). PPA PAYS DR. JACOBS SALARY, AND DR. JACOBS DEVOTES 1/2 OF HIS SALARIED TIME TO THE ORGANIZATION. DR. JACOBS PERFORMS ADMINISTRATIVE TASKS FOR THE ORGANIZATION. PPA ALSO SUB-LEASES SPACE TO THE ORGANIZATION. THE ORGANIZATION PAYS RENT FOR THE SUB-LEASED SPACE, AND REIMBURSES PPA FOR THE AMOUNT OF DR. JACOBS' TIME DEVOTED TO THE ORGANIZATION. 0 FORM 990, PART VI, SECTION B, LINE 11B THE FINANCIAL CONSULTANT, INTERIM EXECUTIVE DIRECTOR AND PRESIDENT OF BOARD REVIEW THE TAX RETURN DRAFT BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REVIEWS ALL OF THE INFORMATION PROVIDED IN THE ANNUAL DISCLOSURES. FORM 990, PART VI, SECTION B, LINE 15A IN AN EFFORT TO BENCHMARK THE COMPENSATION FOR THESE, THE MEDICAL DIRECTOR AND EXECUTIVE DIRECTOR GATHERED INFORMATION FROM COMPARABLE NON-PROFIT ORGANIZATIONS. WHEN COLLECTING THIS DATA, THEY LOOKED FIRST TO THE GUIDESTAR COMPENSATION REPORT NOTING COMPARABLE INDUSTRY SECTORS, ORGANIZATIONS BUDGETS, NUMBER OF EMPLOYEES AND LOCATIONS FOR CONSISTENCIES WITH SMH. A COMPENSATION RECOMMENDATION WAS MADE TO, AND APPROVED BY THE BOARD OF DIRECTORS. BASED ON THE DATA GATHERED, SMH'S PROPOSED COMPENSATION WAS AT OR BELOW THOSE BEING OFFERED AT SIMILAR SIZE ORGANIZATIONS. FORM 990, PART VI, SECTION C, LINE 19 ALL GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST IN ADDITION TO BEING AVAILABLE ON THE MA ATTORNEY GENERAL'S WEBSITE AND VIA INFORMATIONAL WEBSITES SUCH AS GUIDESTAR. FORM 990 PART XII LINE 2(C) THERE HAVE BEEN NO CHANGES FROM THE PRIOR YEAR.