BEHAVIORAL HEALTH RESOURCES: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- BEHAVIORAL HEALTH RESOURCES (EIN 91-0666889)
- Tax period
- 2015-07-01 to 2016-06-30
- Filed
- 2017-05-15
- IRS object ID
- 201721359349312757
- 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 | 2017-05-15T17:38:14-05:00 | ReturnTs |
| Tax Period End | 2016-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 911194016 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLARK NUBER PS | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10900 NE 4TH STREET SUITE 1700 | AddressLine1Txt |
| City | BELLEVUE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98004 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 910666889 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BEHAVIORAL HEALTH RESOURCES | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BEHA | BusinessNameControlTxt |
| Phone | 3607047170 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3857 MARTIN WAY EAST | AddressLine1Txt |
| City | OLYMPIA | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98506 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LAURIE TEBO | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 3607047170 | PhoneNum |
| Signature | 2017-05-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | SARA ELIZABETH J HYRE | PreparerPersonNm |
| PTIN | P00235495 | PTIN |
| Phone | 4254544919 | PhoneNum |
| Preparation | 2017-05-15 | PreparationDt |
| 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 | LAURIE TEBO | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3857 MARTIN WAY EAST | AddressLine1Txt |
| City | OLYMPIA | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98506 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $21,671,315 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.BHR.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1956 | FormationYr |
| Legal Domicile State | WA | LegalDomicileStateCd |
| Activity Or Mission | MENTAL HEALTH AND CHEMICAL DEPENDENCY RECOVERY | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 339 | TotalEmployeeCnt |
| Total Volunteers | 12 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,124,877 | PYContributionsGrantsAmt |
| CY Contributions Grants | $434,617 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $20,873,748 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $21,119,816 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,967 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,072 | CYInvestmentIncomeAmt |
| PY Other Revenue | $96,962 | PYOtherRevenueAmt |
| CY Other Revenue | $115,810 | CYOtherRevenueAmt |
| PY Total Revenue | $22,098,554 | PYTotalRevenueAmt |
| CY Total Revenue | $21,671,315 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $35,735 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $17,340,525 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $16,371,956 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $4,785,077 | PYOtherExpensesAmt |
| CY Other Expenses | $5,084,193 | CYOtherExpensesAmt |
| PY Total Expenses | $22,125,602 | PYTotalExpensesAmt |
| CY Total Expenses | $21,491,884 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$27,048 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $179,431 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $14,675,453 | TotalAssetsBOYAmt |
| Total Assets EOY | $14,249,609 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $10,203,926 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $9,598,651 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $4,471,527 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $4,650,958 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO ENHANCE PEOPLE'S ABILITIES TO LEAD HEALTHY LIVES THROUGH EDUCATION, ADVOCACY AND COMPREHENSIVE MENTAL HEALTH AND CHEMICAL DEPENDENCY SERVICES. BHR COMMITS ITSELF TO A LASTING RELATIONSHIP WITH OUR PUGET SOUND NEIGHBORS AND EFFECTIVE CARE FOR INDIVIDUALS AND FAMILIES. DURING THE YEAR BEHAVIORAL HEALTH RESOURCES PROVIDED APPROXIMATELY $58,000 OF CHARITY CARE SERVICES TO ITS PATIENTS. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $7,079,109 | ExpenseAmt |
| Grant | $35,735 | GrantAmt |
| Revenue | $7,908,665 | RevenueAmt |
| Desc | OUTPATIENT AND RECOVERY SERVICES - THURSTON/MASON COUNTIES ADULT AND CHILDREN SERVICES PROVIDE AN ARRAY OF OUTPATIENT SERVICES INCLUDING A NUMBER OF EVIDENCED BASED PRACTICES (EBP) TO ASSIST INDIVIDUALS WITH MENTAL HEALTH AND SUBSTANCE ABUSE ISSUES. THURSTON/MASON SERVES APPROXIMATELY 3,000 CLIENTS PER MONTH. RECOVERY SERVICES INCLUDE A VARIETY OF CONTRACTS FOR ADDICTION AND CHEMICAL DEPENDENCY TREATMENT, INCLUDING THE HARVEST PROGRAM FOR PREGNANT WOMEN. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $6,275,144 | ExpenseAmt |
| Revenue | $7,580,707 | RevenueAmt |
| Desc | EVALUATION & TREATMENT CENTER - BHR OPERATES ACUTE PSYCHIATRIC SERVICES IN THE THURSTON COUNTY TREATMENT CENTER. THE CENTER INCLUDES A 10 BED STABILIZATION UNIT, MOBILE CRISIS OUTREACH AND A 15 BED INPATIENT UNIT. RECOVERY SERVICES INCLUDE A VARIETY OF CONTRACTS FOR ADDICTION AND CHEMICAL DEPENDENCY TREATMENT. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $3,657,759 | ExpenseAmt |
| Revenue | $4,575,904 | RevenueAmt |
| Desc | GRAYS HARBOR SERVICES - GRAYS HARBOR COUNTY ADULT AND CHILDREN OUTPATIENT PROGRAM EXPANDED INTO THE ABERDEEN/HOQUIAM AREA IN OCTOBER 2007. THIS INCLUDES OPERATION OF A 10 BED STABILIZATION UNIT AND CRISIS SERVICES TO ASSIST INDIVIDUALS WITH MENTAL HEALTH AND SUBSTANCE ABUSE ISSUES. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $883,814 | ExpenseAmt |
| Revenue | $1,054,540 | RevenueAmt |
| Desc | RESIDENTIAL & PACT PROGRAMS - RESIDENTIAL SERVICES PROGRAM AND PROGRAM FOR ASSERTIVE COMMUNITY TREATMENT TREAT THE ACUTE AND CHRONICALLY MENTALLY ILL IN A RESIDENTIAL SETTING. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $883,814 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $1,054,540 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $17,895,826 | 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 | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | 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 | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| 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 | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 339 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 339 | 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 | 0 | 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 | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MICHAEL COLLINS-WOLAVER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3602367123 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3857 MARTIN WAY EAST | AddressLine1Txt |
| City | OLYMPIA | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98506 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| DANA PETERSEN | ||||||||
| PRESIDENT | 2.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| CAROL ACHATZ | ||||||||
| VICE PRESIDENT | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| BILL SOUTHWICK | ||||||||
| TREASURER - FROM 3/18/16 | 2.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| VICKI KIRKPATRICK | ||||||||
| TREASURER - THRU 3/17/16 | 2.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| NENA SUENO | ||||||||
| SECRETARY | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| ANGELA WOLLE | ||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| ERIN KUHN | ||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| ALEX TAFT | ||||||||
| BOARD MEMBER | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| PATRICK FARWELL | ||||||||
| BOARD MEMBER | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| JOSEPH WHEELER | ||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| JOHN SNAZA | ||||||||
| BOARD MEMBER - THRU 6/8/16 | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| DAVID PENNER | ||||||||
| BOARD MEMBER - THRU 11/30/15 | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| JOHN MASTERSON | ||||||||
| CEO - THRU 10/15/15 | 34.00 | 6.00 | Yes (X) | $169,214 | $0 | $16,701 | ||
| LAURIE TEBO | ||||||||
| CEO - FROM 10/16/15 | 34.00 | 6.00 | Yes (X) | $119,389 | $0 | $5,969 | ||
| MARGARET TAYLOR | ||||||||
| CFO - THRU 11/6/15 | 34.00 | 6.00 | Yes (X) | $114,217 | $0 | $16,730 | ||
| IAN HARREL | ||||||||
| COO | 40.00 | 0.00 | Yes (X) | $109,589 | $0 | $16,536 | ||
| BERNADETTE HUARD | ||||||||
| CHIEF MEDICAL OFFICER | 40.00 | 0.00 | $202,685 | $0 | $20,205 | Yes (X) | ||
| JOHN HOLTUM | ||||||||
| MEDICAL DIRECTOR | 40.00 | 0.00 | $173,075 | $0 | $15,063 | Yes (X) | ||
| REBECCA JO RENN | ||||||||
| PSYCHIATRIST | 40.00 | 0.00 | $226,367 | $0 | $22,337 | Yes (X) | ||
| LISA CORTHELL | ||||||||
| PSYCHIATRIST | 40.00 | 0.00 | $173,024 | $0 | $18,208 | Yes (X) | ||
| LAURA HOEMAN | ||||||||
| PSYCHIATRIST | 40.00 | 0.00 | $134,850 | $0 | $13,355 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,422,410 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $145,104 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 7 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| LOCUM TENENS | |||||
| PO BOX 405547 | ATLANTA | GA | 30384 | HEALTHCARE STAFFING | $330,762 |
| NETSMART TECHNOLOGIES | |||||
| PO BOX 823519 | PHILADELPHIA | PA | 19182 | SOFTWARE MAINT & SUPPORT | $243,615 |
| MEDICAL DOCTOR ASSOCIATES | |||||
| PO BOX 277185 | ATLANTA | GA | 30384 | HEALTHCARE STAFFING | $138,770 |
| OPEN WORKS | |||||
| 4742 N 24TH ST SUITE 450 | PHOENIX | AZ | 85016 | JANITORIAL SERVICES | $138,385 |
| XPIO | |||||
| 3118 JUDSON STREET 498 | GIG HARBOR | WA | 98335 | IT SUPPORT | $107,675 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $319,317 | RelatedOrganizationsAmt |
| All Other Contributions | $115,300 | AllOtherContributionsAmt |
| Noncash Contributions | $11,307 | NoncashContributionsAmt |
| Total Contributions | $434,617 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE FEES | 621400 | $19,977,176 | $19,977,176 |
| CLIENT SERVICE FEES | 621400 | $431,817 | $431,817 |
| MEDICARE/MEDICAID PMTS | 621400 | $427,894 | $427,894 |
| RENTAL INCOME | 623990 | $204,904 | $204,904 |
| OTHER PROGRAM FEES | 621400 | $78,025 | $78,025 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $21,119,816 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $322 | TotalRevenueColumnAmt |
| Exclusion | $322 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $750 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $750 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $750 | TotalRevenueColumnAmt |
| Exclusion | $750 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| INSURANCE REIMB | 900099 | $58,463 | $58,463 |
| MEDICAL RECORD COPYING | 624100 | $48,746 | $48,746 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,601 | TotalRevenueColumnAmt |
| Exclusion | $8,601 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $115,810 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $21,671,315 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $21,119,816 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $116,882 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,735 | TotalAmt |
| Program Services | $35,735 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $568,345 | TotalAmt |
| Management And General | $568,345 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,970,465 | TotalAmt |
| Program Services | $10,924,262 | ProgramServicesAmt |
| Management And General | $1,046,203 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $507,707 | TotalAmt |
| Program Services | $444,796 | ProgramServicesAmt |
| Management And General | $62,911 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,249,265 | TotalAmt |
| Program Services | $2,065,183 | ProgramServicesAmt |
| Management And General | $184,082 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,076,174 | TotalAmt |
| Program Services | $944,527 | ProgramServicesAmt |
| Management And General | $131,647 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $65,471 | TotalAmt |
| Program Services | $2,500 | ProgramServicesAmt |
| Management And General | $62,971 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $112,873 | TotalAmt |
| Program Services | $15,528 | ProgramServicesAmt |
| Management And General | $97,345 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,344 | TotalAmt |
| Management And General | $11,344 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $558,625 | TotalAmt |
| Program Services | $491,578 | ProgramServicesAmt |
| Management And General | $67,047 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $174,665 | TotalAmt |
| Program Services | $94,703 | ProgramServicesAmt |
| Management And General | $79,962 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $805,155 | TotalAmt |
| Program Services | $568,032 | ProgramServicesAmt |
| Management And General | $237,123 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $475,470 | TotalAmt |
| Program Services | $69,684 | ProgramServicesAmt |
| Management And General | $405,786 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $701,963 | TotalAmt |
| Program Services | $563,266 | ProgramServicesAmt |
| Management And General | $138,697 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $207,295 | TotalAmt |
| Program Services | $190,243 | ProgramServicesAmt |
| Management And General | $17,052 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $64,994 | TotalAmt |
| Program Services | $34,906 | ProgramServicesAmt |
| Management And General | $30,088 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $339,272 | TotalAmt |
| Program Services | $197,278 | ProgramServicesAmt |
| Management And General | $141,994 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $444,847 | TotalAmt |
| Program Services | $302,249 | ProgramServicesAmt |
| Management And General | $142,598 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $315,814 | TotalAmt |
| Program Services | $162,763 | ProgramServicesAmt |
| Management And General | $153,051 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| CHARITY CARE/BAD DEBT | $678,948 | $678,948 | |
| CLIENT SERVICES | $99,043 | $96,293 | $2,750 |
| DUES & SUBSCRIPTIONS | $10,058 | $10,058 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,356 | TotalAmt |
| Program Services | $13,352 | ProgramServicesAmt |
| Management And General | $5,004 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,491,884 | TotalAmt |
| Program Services | $17,895,826 | ProgramServicesAmt |
| Management And General | $3,596,058 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $927,743 | BOYAmt |
| EOY | $304,204 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $642,526 | BOYAmt |
| EOY | $481,470 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $200 | BOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,604,436 | BOYAmt |
| EOY | $2,333,171 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $136,531 | BOYAmt |
| EOY | $146,827 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $13,652,566 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $2,684,981 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,335,477 | BOYAmt |
| EOY | $10,967,585 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,540 | BOYAmt |
| EOY | $16,352 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,675,453 | BOYAmt |
| EOY | $14,249,609 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,591,526 | BOYAmt |
| EOY | $2,536,284 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,396,539 | BOYAmt |
| EOY | $6,918,492 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $215,861 | BOYAmt |
| EOY | $143,875 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,203,926 | BOYAmt |
| EOY | $9,598,651 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,471,527 | BOYAmt |
| EOY | $3,076,064 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $1,574,894 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,471,527 | BOYAmt |
| EOY | $4,650,958 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,675,453 | BOYAmt |
| EOY | $14,249,609 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $179,431 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| 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) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| 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) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $525,621 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $225,417 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $365,273 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,124,877 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $434,617 | CurrentTaxYearAmt |
| Total | $2,675,805 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $23,029,895 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $21,559,914 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $21,743,786 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $20,955,724 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $21,168,562 | CurrentTaxYearAmt |
| Total | $108,457,881 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $23,555,516 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $21,785,331 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $22,109,059 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $22,080,601 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $21,603,179 | CurrentTaxYearAmt |
| Total | $111,133,686 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $8,582 | CurrentTaxYearMinus3YearsAmt |
| Total | $8,582 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $8,582 | CurrentTaxYearMinus3YearsAmt |
| Total | $8,582 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $111,125,104 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,510 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,534 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $730 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year | $322 | CurrentTaxYearAmt |
| Total | $9,096 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,510 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,534 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $730 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year | $322 | CurrentTaxYearAmt |
| Total | $9,096 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $10,051 | CurrentTaxYearMinus1YearAmt |
| Total | $10,051 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $55,137 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $16,946 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $30,520 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,935 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $67,064 | CurrentTaxYearAmt |
| Total | $174,602 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $23,614,163 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $21,806,811 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $22,140,309 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $22,095,587 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $21,670,565 | CurrentTaxYearAmt |
| Total | $111,327,435 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99820 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99830 | PublicSupportPY509Pct |
| Investment Income CY | 0.00010 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00010 | 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 | SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | MISCELLANEOUS - 2011 AMOUNT: $ 18,122. 2012 AMOUNT: $ 10,367. 2013 AMOUNT: $ 15,027. 2015 AMOUNT: $ 6,993. CRISIS TRAININGS - 2011 AMOUNT: $ 24,924. 2012 AMOUNT: $ 6,579. REIMBURSEMENTS - 2013 AMOUNT: $ 13,856. 2014 AMOUNT: $ 4,935. 2015 AMOUNT: $ 60,071. TESTIMONY FEE - 2013 AMOUNT: $ 915. JURY DUTY - 2013 AMOUNT: $ 154. PROPERTY REFINANCE - 2011 AMOUNT: $ 12,091. DEPOSITION - 2013 AMOUNT: $ 568. | ExplanationTxt |
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) |
|---|---|---|
| Other Cost Or Other Basis | $2,764,893 | OtherCostOrOtherBasisAmt |
| Book Value | $2,764,893 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,315,629 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,228,365 | DepreciationAmt |
| Book Value | $7,087,264 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,550,792 | OtherCostOrOtherBasisAmt |
| Depreciation | $456,616 | DepreciationAmt |
| Book Value | $1,094,176 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $21,252 | OtherCostOrOtherBasisAmt |
| Book Value | $21,252 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $10,967,585 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CONSUMER FUNDS HELD IN TRUSTS | Desc |
| Amt | $143,875 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $143,875 | TotalLiabilityAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | 0 | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY MENTAL HEALTH FOUNDATION OF SOUTH PUGET SOUND | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3857 MARTIN WAY EAST | AddressLine1Txt |
| City | OLYMPIA | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98506 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 911707209 | RecipientEIN |
| IRC Section | 501(C)(3) | IRCSectionDesc |
| Cash Grant | $35,735 | CashGrantAmt |
| Purpose Of Grant | FOR GENERAL SUPPORT | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | 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 | 0 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JOHN MASTERSON | ||||||||||||||
| CEO - THRU 10/15/15 | $169,214 | $0 | $0 | $0 | $0 | $0 | $8,461 | $0 | $8,240 | $0 | $185,915 | $0 | $0 | $0 |
| BERNADETTE HUARD | ||||||||||||||
| CHIEF MEDICAL OFFICER | $202,685 | $0 | $0 | $0 | $0 | $0 | $10,134 | $0 | $10,071 | $0 | $222,890 | $0 | $0 | $0 |
| JOHN HOLTUM | ||||||||||||||
| MEDICAL DIRECTOR | $173,075 | $0 | $0 | $0 | $0 | $0 | $8,654 | $0 | $6,409 | $0 | $188,138 | $0 | $0 | $0 |
| REBECCA JO RENN | ||||||||||||||
| PSYCHIATRIST | $226,367 | $0 | $0 | $0 | $0 | $0 | $11,318 | $0 | $11,019 | $0 | $248,704 | $0 | $0 | $0 |
| LISA CORTHELL | ||||||||||||||
| PSYCHIATRIST | $173,024 | $0 | $0 | $0 | $0 | $0 | $7,151 | $0 | $11,057 | $0 | $191,232 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FROM 990, PART I, LINE 6: | TWELVE VOLUNTEER BOARD MEMBERS SERVED DURING THE YEAR. |
| FORM 990, PART IV, LINE 12B & PART XII, LINE 2B | THE ORGANIZATION HAS ENGAGED AN INDEPENDENT ACCOUNTANT TO AUDIT THE FINANCIAL STATEMENTS. AT THE TIME OF FILING THE FORM 990, THE AUDITED FINANCIAL STATEMENTS WERE NOT FINAL. IF AT THE TIME OF COMPLETION THE AUDITED FINANCIAL STATEMENTS HAVE HAD SIGNIFICANT CHANGES, THE ORGANIZATION WILL RESTATE THE FORM 990. |
| FORM 990, PART VI, SECTION B, LINE 11 | THE BOARD WILL RECEIVE A COPY OF THE RETURN AFTER FILING WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE CONFLICT OF INTEREST FORM IS FILLED OUT BY EACH BOARD MEMBER AND MANAGEMENT STAFF ANNUALLY OR WHEN A NEW MEMBER OR EMPLOYEE IS HIRED. CONFLICTS INCLUDE DOING BUSINESS WITH THE MEMBER OR A PERSONAL RELATIONSHIP. A BUSINESS RELATIONSHIP IS REVIEWED TO DETERMINE MATERIALITY, IF ANY. IF A MEMBER OF THE BOARD HAS A CONFLICT OF INTEREST, THAT MEMBER CANNOT VOTE ON ANY ISSUE THAT AFFECTS THE CONFLICT. CONFLICTS OF INTEREST ARE CONSIDERED BY THE FULL BOARD BEFORE A PARTY IS ELECTED TO BECOME A MEMBER. IF A CONFLICT IS TOO GREAT AN ISSUE, THAT PARTY IS NOT ELECTED TO BECOME A MEMBER OF THE BOARD. |
| FORM 990, PART VI, SECTION B, LINE 15A | CEO COMPENSATION IS REVIEWED BY THE FULL BOARD ON A BIANNUAL BASIS. THE BOARD IS GIVEN COMPARATIVE DATA FOR OUR AREA. OTHER HIGHLY COMPENSATED EMPLOYEES ARE COMPENSATED AT RATES COMPARABLE TO OUR AREA. CEO COMPENSATION WAS LAST REVIEWED IN MAY 2016. OTHER POSITIONS ARE REVIEWED AT THE DATE OF HIRE. |
| FORM 990, PART VI, SECTION C, LINE 19 | FINANCIAL AUDITS ARE MAILED TO EACH INDIVIDUAL CONTRACTOR THAT REQUIRES IT. FINANCIAL STATEMENTS ARE MAILED ON A QUARTERLY BASIS TO THE BANK THAT CARRIES THE MORTGAGE. OTHER FINANCIALS ARE PROVIDED FOR GRANT APPLICATIONS UPON REQUEST. THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| BHR HOUSING PROPERTIES | ||||||||||
| 3857 MARTIN WAY E | OLYMPIA | WA | 98506 | 478184602 | LOW COST HOUSING TO MENTALLY ILL | WA | 501(C)(3) | LINE 7 | BEHAVIORAL HEALTH RESOURCES | 0 |
| BHR RESIDENTIAL PROPERTIES | ||||||||||
| 3857 MARTIN WAY E | OLYMPIA | WA | 98506 | 911579542 | HOUSING FOR MENTALLY ILL | WA | 501(C)(2) | BEHAVIORAL HEALTH RESOURCES | Yes (1) | |
| COMMUNITY MENTAL HEALTH FOUNDATION OF SOUTH PUGET SOUND | ||||||||||
| 3857 MARTIN WAY E | OLYMPIA | WA | 98506 | 911707209 | PROVIDE FUNDING OF VARIOUS MENTAL HEALTH PROGRAMS TO BHR | WA | 501(C)(3) | LINE 7 | BEHAVIORAL HEALTH RESOURCES | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| BHR HOUSING PROPERTIES | ||
| C | $135,270 | COST |
| BHR RESIDENTIAL PROPERTIES | ||
| C | $173,407 | COST |