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SCREENING FOR MENTAL HEALTH INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
SCREENING FOR MENTAL HEALTH INC (EIN 04-3221069)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-09-29
IRS object ID
201742729349301354
Schema version
2016v3.0
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

FieldValueIRS element (for citing)
Return2017-09-29T15:08:30-05:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN111986323PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Marcum LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line153 State StreetAddressLine1Txt
CityBostonCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02109ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN043221069EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SCREENING FOR MENTAL HEALTH INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSCREBusinessNameControlTxt
Phone7812390071PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE WASHINGTON ST No 304AddressLine1Txt
CityWELLESLEY HILLSCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02481ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDOUGLAS JAcOBS MDPersonNm
Person TitleMED DIR/PRES OF BOARD/TREAS/FOUNDERPersonTitleTxt
Phone7812390071PhoneNum
Signature2017-09-20SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDonald ZidikPreparerPersonNm
PTINP00080352PTIN
Phone6178075000PhoneNum
Preparation2017-09-12PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address47.19.127.190IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-09-20IPDt
IP Tm07:46:19IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device Id8F3D8A7E117716E042E5BC9D47685EF3938B73D4AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDOUGLAS JACOBS MDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE WASHINGTON ST No 304AddressLine1Txt
CityWELLESLEY HILLSCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02481ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$2,470,506GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.mentalhealthscreening.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1994FormationYr
Legal Domicile StateMALegalDomicileStateCd
Activity Or MissionSCREENING FOR MENTAL HEALTH'S MISSION IS TO PROVIDE INNOVATIVE MENTAL HEALTH AND SUBSTANCE USE RESOURCES, LINKING THOSE IN NEED TO QUALITY TREATMENT OPTIONS.THE ORGANIZATION RECRUITS EACH OF THE SCREENING SITES, PROVIDES THE MODEL FOR THE EVENT AND MAKES MATERIALS AVAILABLE FOR SITES IMPLEMENTING THE PROGRAM. ADDITIONALLY, ONLINE SCREENINGS ARE AVAILABLE TO COMMUNITY-BASED ORGANIZATIONS, HOSPITALS, COLLEGES AND UNIVERSITIES, WORKPLACES, AND MILITARY INSTALLATIONS WORLDWIDE, THUS BRINGING THE PROGRAM AND SERVICES TO AN EVEN LARGER AUDIENCE.ActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee23TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$191,739PYContributionsGrantsAmt
CY Contributions Grants$233,650CYContributionsGrantsAmt
PY Program Service Revenue$2,379,032PYProgramServiceRevenueAmt
CY Program Service Revenue$2,090,481CYProgramServiceRevenueAmt
PY Investment Income$155,740PYInvestmentIncomeAmt
CY Investment Income$146,375CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$2,726,511PYTotalRevenueAmt
CY Total Revenue$2,470,506CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,460,215PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,350,789CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,710,125PYOtherExpensesAmt
CY Other Expenses$1,580,558CYOtherExpensesAmt
PY Total Expenses$3,170,340PYTotalExpensesAmt
CY Total Expenses$2,931,347CYTotalExpensesAmt
PY Revenues Less Expenses-$443,829PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$460,841CYRevenuesLessExpensesAmt
Total Assets BOY$4,302,549TotalAssetsBOYAmt
Total Assets EOY$4,037,740TotalAssetsEOYAmt
Total Liabilities BOY$283,203TotalLiabilitiesBOYAmt
Total Liabilities EOY$593,250TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$4,019,346NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$3,444,490NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionThe mission of Screening for Mental Health is to promote the improvement of mental health by providing the public with education, screening, and treatment resources.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$893,108ExpenseAmt
Revenue$856,729RevenueAmt
DescNATIONAL DEPRESSION SCREENING DAY IS AN ANNUAL MENTAL HEALTH EDUCATIONAND SCREENING EVENT CONDUCTED BY HOSPITALS, MENTAL HEALTH CENTERS,SOCIAL SERVICE AGENCIES, AND OLDER ADULT FACILITIES. EVENT KITS PROVIDEREADY-TO-USE MATERIALS FOR CONDUCTING A PUBLIC, EDUCATIONAL SCREENINGEVENT FOR DEPRESSION, BIPOLAR DISORDER, GENERALIZED ANXIETY DISORDER,AND POSTTRAUMATIC STRESS DISORDER. ADDITIONALLY, THE EVENT ISCOMPLEMENTED BY A YEAR-ROUND ONLINE SCREENING PROGRAM, THROUGH WHICHORGANIZATIONS CAN OFFER MEMBERS OF THEIR COMMUNITY 24/7 ACCESS TOSCREENING TOOLS, AS WELL AS CUSTOMIZED REFERRAL INFORMATION, ON THEIR WEBSITEDesc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$352,931ExpenseAmt
Revenue$354,677RevenueAmt
DescCollege Programs- offers programs to promote prevention, early detection and treatment of prevalent, under-diagnosed and treatable mental health disorders and alcohol problems affecting college students. Through online and in-person screening tools, College Response provides confidential and effective programs for: depression, bipolar disorder, anxiety, post-traumatic stress disorder, eating disorders, and alcohol problems. This program services approximately 650 colleges.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$590,782ExpenseAmt
Revenue$603,276RevenueAmt
DescYouth Programs-The program's primary objectives are to educate youth that depression is a treatable illness and to equip them to respond to a potential suicide in a friend or family member using the SOS technique. SOS is an action-oriented approach instructing students how to ACT (Acknowledge, Care and Tell) in the face of a mental health emergency. The SOS programs also provide education materials for youth, parents, and school staff.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (3 entries)

ExpenseExpenseAmtDescDesc
$394,167
Suicide Research Program-Screening for Mental Health provides suicide prevention programs across the lifecycle. Prevention programs can be implemented on a state-wide, community-wide, or individual facility basis.
WORKPLACE RESPONSE PROGRAM-SCREENING FOR MENTAL HEALTH OFFERS employers A NATIONALLY UTILIZED PROGRAM OF MENTAL HEALTH EDUCATION AND ANONYMOUS SCREENING FOR COMMON MENTAL HEALTH CONCERNS INCLUDING DEPRESSION.
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$394,167TotalOtherProgSrvcExpenseAmt
Total Program Service Expenses$2,230,988TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (1)BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document6IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee23EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members8GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMAStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1The OrganizationBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7812390071PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE WASHINGTON ST No 304AddressLine1Txt
CityWELLESLEY HILLSCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02481ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (10 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
DOUGLAS G JACOBS MD
MED DIR/PRES OF BOARD/TREA20.00Yes (X)Yes (X)$60,000$0$13,352
Saul Levin MD
DIRECTOR1.00Yes (X)$0$0$0
MATTHEW ANTHESBA
DIRECTOR1.00Yes (X)$0$0$0
JEFFERSON BRUCE PRINCE MD
DIRECTOR1.00Yes (X)$0$0$0
LEONARD FREEDBERG MD
DIRECTOR1.00Yes (X)$0$0$0
SHARI I LUSSKIN MD
DirectOR1.00Yes (X)$0$0$0
DARYL DEKARSKEMPH
dIRECTOR1.00Yes (X)$0$0$0
GEORGE KIMBALL
DIRECTOR1.00Yes (X)$0$0$0
CANDICE PORTER
EXECUTIVE DIRECTOR40.00$112,908$0$25,005Yes (X)
YVONNE BAYLISS
DIRECTOR40.00$103,572$0$13,896Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$276,480TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$52,253TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K2IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Advanced Kiosks
20 Canal StreetFranklinNH03235Build the kiosks$140,749
Connected Technology Solutions
45 Research Way Suite 15East SetauketNY11733Build privacy booths and phones that con$139,431
Visual Chefs DBA Foster Made
404 East Grace StreetRichmondVA23219IT Contractors that maintain our screeni$135,790
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
All Other Contributions$233,650AllOtherContributionsAmt
Total Contributions$233,650TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NATIONAL DEPRESSION SC900099$856,729$856,729
YOUTH PROGRAMS900099$603,276$603,276
COLLEGE Programs900099$354,677$354,677
WORKPLACE RESPONSE900099$268,513$268,513
suicide prevention900099$4,535$4,535

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,751TotalRevenueColumnAmt
Related Or Exempt Func Income$2,751RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$2,090,481TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$146,375TotalRevenueColumnAmt
Exclusion$146,375ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,470,506TotalRevenueColumnAmt
Related Or Exempt Func Income$2,090,481RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$146,375ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$328,733TotalAmt
Program Services$234,218ProgramServicesAmt
Management And General$94,515ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$737,816TotalAmt
Program Services$541,652ProgramServicesAmt
Management And General$196,164ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$3,166TotalAmt
Program Services$2,295ProgramServicesAmt
Management And General$871ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$217,549TotalAmt
Program Services$158,186ProgramServicesAmt
Management And General$59,363ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$63,525TotalAmt
Program Services$46,036ProgramServicesAmt
Management And General$17,489ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$49,768TotalAmt
Management And General$49,768ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$60,000TotalAmt
Program Services$40,000ProgramServicesAmt
Management And General$20,000ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$122,201TotalAmt
Program Services$121,497ProgramServicesAmt
Management And General$704ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$60,982TotalAmt
Program Services$43,233ProgramServicesAmt
Management And General$17,749ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$206,417TotalAmt
Program Services$152,609ProgramServicesAmt
Management And General$53,808ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$83,835TotalAmt
Program Services$73,190ProgramServicesAmt
Management And General$10,645ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$26,683TotalAmt
Program Services$18,764ProgramServicesAmt
Management And General$7,919ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$36,338TotalAmt
Program Services$26,865ProgramServicesAmt
Management And General$9,473ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Consultants$320,238$230,550$89,688
KIOSK DEVELOPMENT$295,207$295,180$27
Kit design$158,917$158,474$443
Bank and administrative$148,380$83,028$65,352

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$11,592TotalAmt
Program Services$5,211ProgramServicesAmt
Management And General$6,381ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,931,347TotalAmt
Program Services$2,230,988ProgramServicesAmt
Management And General$700,359ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,040,179BOYAmt
EOY$773,604EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$126,161BOYAmt
EOY$84,886EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$51,948BOYAmt
EOY$36,682EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$147,681LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$118,359LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$56,005BOYAmt
EOY$29,322EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$3,028,256BOYAmt
EOY$3,113,246EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$4,302,549BOYAmt
EOY$4,037,740EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$140,509BOYAmt
EOY$153,918EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$95,835BOYAmt
EOY$410,620EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$46,859BOYAmt
EOY$28,712EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$283,203BOYAmt
EOY$593,250EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,977,346BOYAmt
EOY$3,422,441EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$42,000BOYAmt
EOY$22,049EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,019,346BOYAmt
EOY$3,444,490EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,302,549BOYAmt
EOY$4,037,740EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$460,841ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$114,015NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$37,000CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$109,093CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$167,181CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$191,739CurrentTaxYearMinus1YearAmt
Current Tax Year$233,650CurrentTaxYearAmt
Total$738,663TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$37,000CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$109,093CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$167,181CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$191,739CurrentTaxYearMinus1YearAmt
Current Tax Year$233,650CurrentTaxYearAmt
Total$738,663TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$202,137SubstantialContributorsTotAmt
Public Support Total170$536,526PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$96,694CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$97,718CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$132,083CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$155,740CurrentTaxYearMinus1YearAmt
Current Tax Year$146,375CurrentTaxYearAmt
Total$628,610TotalAmt
FieldValueIRS element (for citing)
Total Support$1,367,273TotalSupportAmt
Gross Receipts Rltd Activities$12,602,679GrossReceiptsRltdActivitiesAmt
Public Support CY1700.39240PublicSupportCY170Pct
Public Support PY1700.42790PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$22,082OtherCostOrOtherBasisAmt
Depreciation$19,349DepreciationAmt
Book Value$2,733BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$125,599OtherCostOrOtherBasisAmt
Depreciation$99,010DepreciationAmt
Book Value$26,589BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$29,322TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescOBLIGATION UNDER CAPITAL LEASEDesc
Amt$28,712Amt
FieldValueIRS element (for citing)
Total Liability$28,712TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$2,356,491TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$114,015NetUnrealizedGainsInvstAmt
Revenue Not Reported-$114,015RevenueNotReportedAmt
Revenue Subtotal$2,470,506RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$2,470,506TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$2,931,347TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$2,931,347ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$2,931,347TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X, Line 2:FormAndLineReferenceDesc
ExplanationThe Organization evaluates all significant tax positions as required by accounting principles generally accepted in the United States of America. As of December 31, 2016 and 2015, the Organization does not believe that it has taken any tax positions that would require the recording of any additional tax liability nor does it believe that there are any unrealized tax benefits that would either increase or decrease within the next twelve months.ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonDR DOUGLAS JACOBSPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionMEDICAL DIRECTOR/PRESIDENT OF BOARD/TREASURER/FOUNDERRelationshipDescriptionTxt
Transaction$60,000TransactionAmt
TransactionDR. DOUGLAS JACOBS IS THE SOLE OWNER OF PROFESSIONAL PSYCHIATRIC ASSOCIATES (PPA). PPA PAYS DR. JACOBS SALARY, and Dr. jacobs devotes 1/2 of his salaried time to the organIZation. DR. JACOBS PERFORMS ADMINISTRATIVE TASKS FOR THE ORGANIZATION. PPA also SUB-LEASES SPACE TO THE ORGANIZATION. THE ORGANIZATION PAYS RENT FOR THE SUB-LEASED SPACE, AND REIMBURSES PPA FOR THE AMOUNT OF DR. JACOBS' TIME DEVOTED TO THE ORGANIZATION.TransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section B, line 11bTHE FINANCIAL CONSULTANT, INTERIM EXECUTIVE DIRECTOR AND PRESIDENT OF BOARD REVIEW THE TAX RETURN DRAFT BEFORE IT IS FILED.
Form 990, Part VI, Section B, line 12cTHE ORGANIZATION REVIEWS ALL OF THE INFORMATION PROVIDED IN THE ANNUAL DISCLOSURES.
Form 990, Part VI, Section B, line 15aIn an effort to benchmark the compensation for these, the Medical Director and EXECUTIVE DIRECTOR gathered information from comparable non-profit organizations. When collecting this data, they looked first to the Guidestar Compensation report noting comparable industry sectors, organizations budgets, number of employees and locations for consistencies with SMH. A compensation recommendation was made to, and approved by the Board of Directors. Based on the data gathered, SMH's proposed compensation was at or below those being offered at similar size organizations.
Form 990, Part VI, Section C, line 19ALL GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST IN ADDITION TO BEING AVAILABLE ON THE MA ATTORNEY GENERAL'S WEBSITE AND VIA INFORMATIONAL WEBSITES SUCH AS GUIDESTAR.
FORM 990 PART XII LINE 2(C)THERE HAVE BEEN NO CHANGES FROM THE PRIOR YEAR.