SPECTRUM HEALTHCARE GROUP INC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- SPECTRUM HEALTHCARE GROUP INC (EIN 86-0207499)
- Tax period
- 2015-10-01 to 2016-09-30
- Filed
- 2017-08-14
- IRS object ID
- 201712279349301001
- Schema version
- 2015v3.0
- 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 | 2017-08-14T17:41:18-05:00 | ReturnTs |
| Tax Period End | 2016-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 341884125 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CBIZ MHM LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3101 N CENTRAL AVE STE 300 | AddressLine1Txt |
| City | PHOENIX | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 85012 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 860207499 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SPECTRUM HEALTHCARE GROUP INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SPEC | BusinessNameControlTxt |
| Phone | 9286342236 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8 EAST COTTONWOOD STREET | AddressLine1Txt |
| City | COTTONWOOD | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 86326 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | APRIL RAZO | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 9286342236 | PhoneNum |
| Signature | 2017-08-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | AMY A O'LOUGHLIN | PreparerPersonNm |
| PTIN | P00869687 | PTIN |
| Phone | 6022646835 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | APRIL RAZO | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8 E COTTONWOOD ST | AddressLine1Txt |
| City | COTTONWOOD | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 86326 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $19,652,045 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | SPECTRUMHEALTHCARE-GROUP.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1965 | FormationYr |
| Legal Domicile State | AZ | LegalDomicileStateCd |
| Activity Or Mission | SPECTRUM HEALTHCARE PROVIDES COMPASSIONATE CARE FOR MIND, BODY, FOR ALL OF U. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 227 | TotalEmployeeCnt |
| Total Volunteers | 9 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $15,719,307 | PYContributionsGrantsAmt |
| CY Contributions Grants | $15,370,343 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $1,747,782 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $1,589,679 | CYProgramServiceRevenueAmt |
| PY Investment Income | $746,073 | PYInvestmentIncomeAmt |
| CY Investment Income | $258,398 | CYInvestmentIncomeAmt |
| PY Other Revenue | $21,842 | PYOtherRevenueAmt |
| CY Other Revenue | $45,995 | CYOtherRevenueAmt |
| PY Total Revenue | $18,235,004 | PYTotalRevenueAmt |
| CY Total Revenue | $17,264,415 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $10,637,921 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $11,280,603 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $7,805,428 | PYOtherExpensesAmt |
| CY Other Expenses | $8,005,582 | CYOtherExpensesAmt |
| PY Total Expenses | $18,443,349 | PYTotalExpensesAmt |
| CY Total Expenses | $19,286,185 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$208,345 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$2,021,770 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $17,075,163 | TotalAssetsBOYAmt |
| Total Assets EOY | $15,372,978 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $5,362,837 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $5,361,006 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $11,712,326 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $10,011,972 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO OFFER TO THOSE WE SERVE AN OPPORTUNITY FOR RECOVERY THROUGH HOPE, EMPOWERMENT, PARTNERSHIP AND COMPASSION. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $7,938,818 | ExpenseAmt |
| Revenue | $716,000 | RevenueAmt |
| Desc | SERIOUSLY MENTALLY ILL PROGRAM: PSYCHIATRIC SERVICE, MEDICATIONMANAGEMENT SERVICES, CASE MANAGEMENT, CRISIS SERVICES, INDIVIDUAL,FAMILY AND GROUP THERAPY, LIVING SKILLS TRAINING, PERSONALASSISTANCE, PEER SUPPORT, VOCATIONAL REHABILITATION SERVICES &INDEPENDENT APARTMENT LIVING (9 APARTMENTS). | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $3,753,933 | ExpenseAmt |
| Revenue | $450,000 | RevenueAmt |
| Desc | CHILDREN'S PROGRAM: PSYCHIATRIC SERVICES, MEDICATION MANAGEMENTSERVICES, CASE MANAGEMENT, CRISIS SERVICES, INDIVIDUAL, FAMILY ANDGROUP THERAPY, LIVING SKILLS TRAINING, FAMILY SUPPORT SERVICES,PERSONAL ASSISTANCE, BEHAVIOR MANAGEMENT AND IN-HOME SERVICES. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $3,494,650 | ExpenseAmt |
| Revenue | $412,000 | RevenueAmt |
| Desc | ADULT MENTAL HEALTH PROGRAM: PSYCHIATRIC SERVICES, MEDICATIONMANAGEMENT SERVICES, CRISIS SERVICES, LIVING SKILLS TRAINING,INDIVIDUAL AND GROUP THERAPY, AND VOCATIONAL REHABILITATIONSERVICES. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $3,361,216 | ExpenseAmt |
| Revenue | $11,879 | RevenueAmt |
| Desc | THE ORGANIZATION'S FAMILY PHYSICIANS PROVIDE FAMILY-CENTERED PRIMARY CARE FOR PATIENTS OF ALL AGES, FROM INFANTS TO THE ELDERLY. THEY PLACE AN EMPHASIS ON PREVENTION AND EARLY DETECTION AND OFFER A WIDE RANGE OF PRIMARY CARE SERVICES. THE PEDIATRIC CARE CENTER IS DEDICATED TO CHILD AND OFFERS A FULL-RANGE OF PEDIATRIC SERVICES. THE ORGANIZATION ALSO OFFERS SUBSTANCE ABUSE COUNSELING AND CRISIS MANAGEMENT. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $3,361,216 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $11,879 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $18,548,617 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 22 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 227 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | AZ | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TIM SCHUEPPERT CFO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9286342236 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8 E COTTONWOOD STREET | AddressLine1Txt |
| City | COTTONWOOD | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 86326 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (17 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 |
|---|---|---|---|---|---|---|---|
| ROSE BOERNER | |||||||
| CHAIRPERSON | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| ROB OLSON | |||||||
| VICE PRESIDENT | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| CARMEN GRIFFIN | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| TYLER HESS | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| STEPHANIE VNUK | |||||||
| TREASURER | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| HOWARD KIMEL | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| CHRISTINE ECKELS | |||||||
| SECRETARY | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| LAWRENCE CORBITT | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| RANDY TAYLOR | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| APRIL RAZO | |||||||
| CEO | 40.00 | Yes (X) | $107,601 | $0 | $17,041 | ||
| TIM SCHUEPPERT | |||||||
| CFO | 40.00 | Yes (X) | $124,573 | $0 | $10,514 | ||
| ROBERT CARTIA | |||||||
| PRIOR CEO | 40.00 | Yes (X) | $372,719 | $0 | $23,781 | ||
| COURTNEY KEKICH | |||||||
| CHIEF MEDICAL OFFICER | 40.00 | $208,406 | $0 | $18,235 | Yes (X) | ||
| BOHDAN HRECZNYJ | |||||||
| MEDICAL DOCTOR | 40.00 | $244,573 | $0 | $16,444 | Yes (X) | ||
| KAMIL JURA | |||||||
| MEDICAL DOCTOR | 40.00 | $174,562 | $0 | $18,082 | Yes (X) | ||
| CHRISTINE NUEZ | |||||||
| PSYCHIATRIST | 40.00 | $238,474 | $0 | $9,512 | Yes (X) | ||
| JOHN MOTI | |||||||
| MEDICAL DOCTOR | 40.00 | $134,587 | $0 | $5,544 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,605,495 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $119,153 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 10 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| NETSMART TECHNOLOGIES INC | |||||
| 4950 COLLEGE BLVD | OVERLAND PARK | KS | 66211 | INFORMATION TECHNOLOGY | $240,894 |
| WELLSPRING MEDICAL SERVICES | |||||
| PO BOX 488 | GILBERT | AZ | 85299 | MEDICAL SERVICES | $226,109 |
| ZUMASYS | |||||
| 9245 RESEARCH DRIVE | IRVINE | CA | 92618 | COMPUTER CONSULTING | $223,098 |
| ARCADIA MANAGEMENT GROUP | |||||
| 3550 N CENTRAL AVE | PHOENIX | AZ | 85012 | PROPERTY MANAGEMENT | $100,538 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $15,336,601 | GovernmentGrantsAmt |
| All Other Contributions | $33,742 | AllOtherContributionsAmt |
| Noncash Contributions | $25,000 | NoncashContributionsAmt |
| Total Contributions | $15,370,343 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT AND CLIENT FEE | 900099 | $1,578,883 | $1,578,883 |
| PHARMACY RENT | 531120 | $10,570 | $10,570 |
| GRANTS & CONTRACTS | 900099 | $226 | $226 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $1,589,679 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $256,749 | TotalRevenueColumnAmt |
| Exclusion | $256,749 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,968 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,968 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,968 | TotalRevenueColumnAmt |
| Exclusion | $1,968 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,372,936 | SecuritiesAmt |
| Other | $16,343 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,376,439 | SecuritiesAmt |
| Other | $11,191 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$3,503 | SecuritiesAmt |
| Other | $5,152 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,649 | TotalRevenueColumnAmt |
| Exclusion | $1,649 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| CAFE REVENUE | 900099 | $43,084 | $43,084 | |
| VENDING MACHINE | 900099 | $699 | $699 | |
| TRAINING REVENUE | 900099 | $200 | $200 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $44 | TotalRevenueColumnAmt |
| Exclusion | $44 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $44,027 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $17,264,415 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,589,879 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $304,193 | 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 | $657,061 | TotalAmt |
| Program Services | $637,349 | ProgramServicesAmt |
| Management And General | $19,712 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,687,022 | TotalAmt |
| Program Services | $7,470,437 | ProgramServicesAmt |
| Management And General | $216,585 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $334,624 | TotalAmt |
| Program Services | $325,326 | ProgramServicesAmt |
| Management And General | $9,298 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,992,267 | TotalAmt |
| Program Services | $1,936,911 | ProgramServicesAmt |
| Management And General | $55,356 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $609,629 | TotalAmt |
| Program Services | $592,690 | ProgramServicesAmt |
| Management And General | $16,939 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $152,868 | TotalAmt |
| Program Services | $148,320 | ProgramServicesAmt |
| Management And General | $4,548 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,699 | TotalAmt |
| Program Services | $37,548 | ProgramServicesAmt |
| Management And General | $1,151 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,580 | TotalAmt |
| Program Services | $38,402 | ProgramServicesAmt |
| Management And General | $1,178 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $65,544 | TotalAmt |
| Program Services | $63,594 | ProgramServicesAmt |
| Management And General | $1,950 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,678,275 | TotalAmt |
| Program Services | $4,539,090 | ProgramServicesAmt |
| Management And General | $139,185 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $163,532 | TotalAmt |
| Program Services | $159,296 | ProgramServicesAmt |
| Management And General | $4,236 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $118,349 | TotalAmt |
| Program Services | $115,283 | ProgramServicesAmt |
| Management And General | $3,066 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $188,739 | TotalAmt |
| Program Services | $183,850 | ProgramServicesAmt |
| Management And General | $4,889 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $754,494 | TotalAmt |
| Program Services | $738,462 | ProgramServicesAmt |
| Management And General | $16,032 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $228,807 | TotalAmt |
| Program Services | $224,232 | ProgramServicesAmt |
| Management And General | $4,575 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $58,047 | TotalAmt |
| Program Services | $56,543 | ProgramServicesAmt |
| Management And General | $1,504 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $140,706 | TotalAmt |
| Management And General | $140,706 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $520,958 | TotalAmt |
| Program Services | $511,306 | ProgramServicesAmt |
| Management And General | $9,652 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $97,166 | TotalAmt |
| Program Services | $94,649 | ProgramServicesAmt |
| Management And General | $2,517 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| TELEPHONE | $108,197 | $105,394 | $2,803 |
| FOOD | $74,227 | $72,304 | $1,923 |
| BAD DEBT EXPENSE | $66,530 | $0 | $66,530 |
| POSTAGE | $14,220 | $13,852 | $368 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $496,644 | TotalAmt |
| Program Services | $483,779 | ProgramServicesAmt |
| Management And General | $12,865 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,286,185 | TotalAmt |
| Program Services | $18,548,617 | ProgramServicesAmt |
| Management And General | $737,568 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,026,492 | BOYAmt |
| EOY | $377,326 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $499,768 | BOYAmt |
| EOY | $678,570 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $365,981 | BOYAmt |
| EOY | $826,530 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $354,481 | BOYAmt |
| EOY | $302,533 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $160,087 | BOYAmt |
| EOY | $142,736 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $10,793,549 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $4,446,137 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,727,121 | BOYAmt |
| EOY | $6,347,412 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,843,549 | BOYAmt |
| EOY | $6,604,579 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $97,684 | BOYAmt |
| EOY | $93,292 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,075,163 | BOYAmt |
| EOY | $15,372,978 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,631,507 | BOYAmt |
| EOY | $2,047,723 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,982,361 | BOYAmt |
| EOY | $1,792,270 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,748,969 | BOYAmt |
| EOY | $1,521,013 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,362,837 | BOYAmt |
| EOY | $5,361,006 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,712,326 | BOYAmt |
| EOY | $10,011,972 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,712,326 | BOYAmt |
| EOY | $10,011,972 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,075,163 | BOYAmt |
| EOY | $15,372,978 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$2,021,770 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $321,416 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | 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 (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | 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 | $12,950,893 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $13,341,689 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,391,116 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $15,719,307 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $15,370,569 | CurrentTaxYearAmt |
| Total | $60,773,574 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $12,950,893 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $13,341,689 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,391,116 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $15,719,307 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $15,370,569 | CurrentTaxYearAmt |
| Total | $60,773,574 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $60,773,574 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $254,663 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $232,215 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $38,710 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $284,040 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $258,717 | CurrentTaxYearAmt |
| Total | $1,068,345 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,554 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $25,005 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,728 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $16,031 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $43,827 | CurrentTaxYearAmt |
| Total | $97,145 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $61,939,064 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $5,902,808 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.98120 | PublicSupportCY170Pct |
| Public Support PY170 | 0.98210 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: | VENDING MACHINE - 2011 AMOUNT: $ 860. 2012 AMOUNT: $ 945. 2013 AMOUNT: $ 260. 2014 AMOUNT: $ 59. 2015 AMOUNT: $ 699. OTHER REVENUE - 2011 AMOUNT: $ 1,694. 2012 AMOUNT: $ 3,000. 2013 AMOUNT: $ 8,600. 2014 AMOUNT: $ 6. 2015 AMOUNT: $ 44. INSURANCE REFUND - 2012 AMOUNT: $ 21,060. 2013 AMOUNT: $ 868. 2015 AMOUNT: $ 0. CAFE REVENUE - 2014 AMOUNT: $ 15,966. 2015 AMOUNT: $ 43,084. |
| SCHEDULE A, PART II, SECTION A AND B, COLUMN C | 7/1/2014 TO 9/30/2014 SHORT YEAR; THE SHORT YEAR RESULTS FROM A CHANGE IN THE ORGANIZATION'S FISCAL YEAR END FROM JUNE 30 TO SEPTEMBER 30. |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $66,297 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $447,046 | OtherCostOrOtherBasisAmt |
| Book Value | $513,343 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,123,844 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,825,877 | DepreciationAmt |
| Book Value | $5,297,967 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $133,606 | OtherCostOrOtherBasisAmt |
| Depreciation | $126,796 | DepreciationAmt |
| Book Value | $6,810 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,022,756 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,493,464 | DepreciationAmt |
| Book Value | $529,292 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $6,347,412 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $17,262,766 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $3,503 | OtherRevenueAmt |
| Revenue Not Reported | $3,503 | RevenueNotReportedAmt |
| Revenue Subtotal | $17,259,263 | RevenueSubtotalAmt |
| Other Revenues Not Included | $5,152 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $5,152 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $17,264,415 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $19,286,185 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $19,286,185 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $19,286,185 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | THE ORGANIZATION EVALUATES ITS UNCERTAIN TAX POSITIONS, IF ANY, ON A CONTINUAL BASIS THROUGH REVIEW OF ITS POLICIES AND PROCEDURES, REVIEW OF ITS REGULAR TAX FILINGS, AND DISCUSSIONS WITH OUTSIDE EXPERTS. MANAGEMENT DOES NOT BELIEVE THE ORGANIZATION HAS ANY UNRELATED BUSINESS TAXABLE INCOME FOR THE YEAR ENDING SEPTEMBER 30, 2016. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | LOSS ON SALE OF SECURITIES 3,503. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | GAIN ON SALE OF FIXED ASSET 5,152. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ROBERT CARTIA | ||||||||||||||
| PRIOR CEO | $115,946 | $0 | $251,048 | $0 | $5,725 | $0 | $14,894 | $0 | $8,887 | $0 | $396,500 | $0 | $0 | $0 |
| COURTNEY KEKICH | ||||||||||||||
| CHIEF MEDICAL OFFICER | $191,717 | $0 | $12,438 | $0 | $4,251 | $0 | $7,738 | $0 | $10,497 | $0 | $226,641 | $0 | $0 | $0 |
| BOHDAN HRECZNYJ | ||||||||||||||
| MEDICAL DOCTOR | $225,227 | $0 | $13,362 | $0 | $5,984 | $0 | $0 | $0 | $16,444 | $0 | $261,017 | $0 | $0 | $0 |
| KAMIL JURA | ||||||||||||||
| MEDICAL DOCTOR | $162,242 | $0 | $8,936 | $0 | $3,384 | $0 | $9,002 | $0 | $9,080 | $0 | $192,644 | $0 | $0 | $0 |
| CHRISTINE NUEZ | ||||||||||||||
| PSYCHIATRIST | $225,460 | $0 | $12,230 | $0 | $784 | $0 | $9,512 | $0 | $0 | $0 | $247,986 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 4A | THE PRIOR CEO RECEIVED A SEVERANCE PAYMENT OF $251,048. |
| PART I, LINE 8 | BONUS PAYMENTS ARE MADE BASED ON MEETING ORGANIZATIONAL GOALS AND ARE AT THE DISCRETION OF THE BOARD OF DIRECTORS. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE INDUSTRIAL DEVELOP AUTHORITY OF COTTONWOOD AZ | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 860718770 | BondIssuerEIN |
| CUSIP | NONEAVAIL | CUSIPNum |
| Bond Issued | 2010-06-30 | BondIssuedDt |
| Issue Price | $2,930,585 | IssuePriceAmt |
| Purpose | FACILITY CONSTRUCTION | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Total Proceeds | $2,930,585 | TotalProceedsAmt |
| Refunding Escrow | $565,724 | RefundingEscrowAmt |
| Issuance Costs From Proceeds | $60,000 | IssuanceCostsFromProceedsAmt |
| Capital Expenditures | $2,366,740 | CapitalExpendituresAmt |
| Substantial Completion | 2009 | SubstantialCompletionYr |
| Current Refunding | Yes (1) | CurrentRefundingInd |
| Advance Refunding | 0 | AdvanceRefundingInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | 0 | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | 0 | RebateNotDueYetInd |
| Exception To Rebate | Yes (1) | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | Yes (1) | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | 0 | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | 0 | ProceduresCorrectiveActionInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | THE COMPLETED 990 WILL BE REVIEWED BY THE CEO AND THE DIRECTOR OF FINANCE FOR ACCURACY BEFORE IT IS FILED AND THEN THE FILED 990 WILL BE PRESENTED AT THE NEXT REGULARLY SCHEDULED BOARD MEETING. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION (SHG) WILL VALIDATE THAT ALL CONTRACTS ARE IN COMPLIANCE WITH APPLICABLE LAWS, REGULATIONS, AND ACCREDITATION STANDARDS. THE SHG HAS A RESPONSIBILITY TO NOT ENTER INTO CONTRACTS OR AGREEMENTS WITH OUTSIDE INDIVIDUALS OR AGENCIES WHEN SUCH A RELATIONSHIP CREATES A CLEAR CONFLICT OF INTEREST, WHICH MAY NEGATIVELY IMPACT CLIENT CARE OR COMMUNITY INTERESTS. THE SHG'S MANAGEMENT TEAM REVIEWS ALL CONTRACT ARRANGEMENTS THAT THE AGENCY CONSIDERS ENTERING INTO, TO ASSESS THE FOLLOWING: - WHETHER A CONFLICT OF INTEREST EXISTS OR MAY POTENTIALLY EXIST. THIS IS ESPECIALLY TRUE FOR CONTRACTS THAT THE AGENCY ESTABLISHES WITH OUTSIDE PROVIDERS TO PROVIDE SERVICES ON BEHALF OF THE SHG. - IN THOSE CASES WHERE THE SHG CONTRACTS WITH ANOTHER PROVIDER TO PROVIDE TREATMENT SERVICES FOR SHG REFERRALS, THE MANAGEMENT TEAM REVIEWS THE CREDENTIALS OF THE PROVIDER TO VALIDATE THAT THE PROVIDER IS QUALIFIED TO PROVIDE THE DESIRED SERVICES. - REVIEW CONTRACTS THAT ARE AVAILABLE TO THE SHG TO DETERMINE WHETHER THE CONTACT REQUIREMENTS ARE ACCEPTABLE IN TERMS OF ETHICAL TREATMENT OF CONSUMERS. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE GOVERNING BOARD OF DIRECTORS REVIEWS THE MOST CURRENTLY AVAILABLE SALARY SURVEYS AND OTHER COMPENSATION DATA, TO SET THE SALARY OF THE CEO. THE DATE OF THE LAST REVIEW WAS OCTOBER 2015. THE CEO SETS THE COMPENSATION FOR OTHER KEY EMPLOYEES AND WAS LAST REVIEWED OCTOBER 2015. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S ARTICLES OF INCORPORATION, BY-LAWS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 2,458,122. MANAGEMENT AND GENERAL EXPENSES 75,375. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,533,497. MEDICATIONS: PROGRAM SERVICE EXPENSES 1,709,716. MANAGEMENT AND GENERAL EXPENSES 52,426. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,762,142. MISC. ADMIN SERVICES: PROGRAM SERVICE EXPENSES 20,836. MANAGEMENT AND GENERAL EXPENSES 639. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 21,475. COMPUTER SUPPORT: PROGRAM SERVICE EXPENSES 245,279. MANAGEMENT AND GENERAL EXPENSES 7,521. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 252,800. HCIC SUPPORT: PROGRAM SERVICE EXPENSES 8,344. MANAGEMENT AND GENERAL EXPENSES 256. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,600. OTHER EMPLOYEE SERVICES: PROGRAM SERVICE EXPENSES 96,793. MANAGEMENT AND GENERAL EXPENSES 2,968. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 99,761. |