STRATEGY STUDIO / PUBLIC DATA EXPLORER

FOUR COUNTY MENTAL HEALTH CENTER INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
FOUR COUNTY MENTAL HEALTH CENTER INC (EIN 48-0697159)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-02-17
IRS object ID
201410489349301396
Schema version
2012v2.3
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-02-17T15:33:36-06:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1JARRED GILMORE & PHILLIPS PABusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 779AddressLine1
CityCHANUTECity
StateKSState
ZIP Code66720ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN480697159EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1FOUR COUNTY MENTAL HEALTH CENTERBusinessNameLine1
Business Name Line2INCBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlFOURNameControl
Phone6203311748Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line13751 W MAINAddressLine1
CityINDEPENDENCECity
StateKSState
ZIP Code67301ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameGREG HENNENName
TitleEXECUTIVE DIRECTORTitle
Phone6203311748Phone
Date Signed2014-01-31DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NamePHILIP A JARRED CPAName
Phone6204316342Phone
Date Prepared2014-02-14DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonGREG HENNENNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line13751 W MAINAddressLine1
CityINDEPENDENCECity
StateKSState
ZIP Code67301ZIPCode
FieldValueIRS element (for citing)
Gross Receipts16718491GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.FOURCOUNTY.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1964YearFormation
State Legal DomicileKSStateLegalDomicile
Activity Or Mission DescriptionFOUR COUNTY MENTAL HEALTH CENTER IS DEDICATED TO PROVIDING ACCESSIBLE, INNOVATIVE SERVICES IN PARTNERSHIP WITH INDIVIDUALS, FAMILIES AND OUR COMMUNITIES.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees555TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year5066820ContributionsGrantsPriorYear
Contributions Grants Current Year4188947ContributionsGrantsCurrentYear
Program Service Revenue Prior Year10901772ProgramServiceRevenuePriorYear
Program Service Revenue CY12484507ProgramServiceRevenueCY
Investment Income Prior Year40029InvestmentIncomePriorYear
Investment Income Current Year45037InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year16008621TotalRevenuePriorYear
Total Revenue Current Year16718491TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year11299197SalariesEtcPriorYear
Salaries Etc Current Year11113533SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year126410TotalFundrsngExpCurrentYear
Other Expense Prior Year3075511OtherExpensePriorYear
Other Expenses Current Year3077111OtherExpensesCurrentYear
Total Expenses Prior Year14374708TotalExpensesPriorYear
Total Expenses Current Year14190644TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1633913RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2527847RevenuesLessExpensesCY
Total Assets BOY21437798TotalAssetsBOY
Total Assets EOY23940391TotalAssetsEOY
Total Liabilities BOY1001043TotalLiabilitiesBOY
Total Liabilities EOY975790TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY20436755NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY22964601NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionFOUR COUNTY MENTAL HEALTH CENTER IS DEDICATED TO PROVIDING ACCESSIBLE, INNOVATIVE SERVICES IN PARTNERSHIP WITH INDIVIDUALS, FAMILIES AND OUR COMMUNITIES.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangetrueSignificantChange
Expense3197839Expense
Revenue5200620Revenue
DescriptionCOMMUNITY BASED SERVICES FOR CHILDREN - SERVICES DESIGNATED TO MEET THE INDIVIDUALIZED NEEDS OF CHILDREN AND YOUTH WHO EXPERIENCE SPECIAL MENTAL HEALTH CHALLENGES. APPROXIMATELY 567 CLIENTS SERVED.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense2602267Expense
Revenue4051284Revenue
DescriptionCOMMUNITY SUPPORT SERVICES - PROVIDES THOSE SERVICES AND SUPPORTS WHICH ENABLE PEOPLE WITH SEVERE AND PERSISTENT MENTAL ILLNESS TO REMAIN IN THEIR HOME COMMUNITY. APPROXIMATELY 772 CLIENTS SERVED.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense1147239Expense
Revenue1168603Revenue
DescriptionOUTPATIENT MENTAL HEALTH SERVICES - PROVIDES HELP FOR PROBLEMS RANGING FROM FAMILY ISSUES TO SEVERE MENTAL DISORDERS. APPROXIMATELY 3,234 CLIENTS SERVED.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense2994688Expense
Revenue2064000Revenue
DescriptionCRISIS DIVERSION SERVICES - PROVIDES 24-HOUR EMERGENCY ON CALL SYSTEM FOR PSYCHIATRIC EMERGENCIES. APPROXIMATELY 815 PEOPLE SERVED. MEDICAL SERVICES - HERE AT FOUR COUNTY MENTAL HEALTH CENTER, MEDICAL SERVICES ARE PROVIDED BY A QUALITY TEAM OF PSYCHIATRISTS, ADVANCED REGISTERED NURSE PRACTITIONERS (ARNPS), AND SPECIALIZED NURSES. THEY PROVIDE ONGOING EVALUATIONS AND MEDICATION MANAGEMENT TO PATIENTS. APPROXIMATELY 2,536 CLIENTS SERVED. HOME HEALTH - IMPROVING QUALITY OF HOME CARE TO THE CITIZENS OF SOUTHEAST KANSAS. WE PROVIDE SERVICES TO PEOPLE WHO HAVE THE DESIRE TO REMAIN IN THEIR HOMES. WE COLLABORATE WITH OTHER RESOURCES IN THE COMMUNITY TO ENSURE THAT THE SUPPORT NEEDED IS MADE AVAILABLE. APPROXIMATELY 123 PEOPLE SERVED. TRANSPORTATION SERVICES - TRANSPORTATION SERVICES IS USED TO TRANSPORT CLIENTS TO AND FROM VARIOUS ACTIVITIES. THE MOST COMMON ACTIVITIES ARE DOCTOR'S APPOINTMENTS, THERAPY SESSIONS AND OUT OF TOWN SEMINARS OR CLASSES. IT IS ALSO USED TO TRANSPORT CHILDREN FROM SCHOOL OR THEIR HOMES TO OUR AFTER SCHOOL AND SUMMER PROGRAM. APPROXIMATELY 1,588 CLIENTS SERVED. OTHER GRANT PROGRAMS - MISCELLANEOUS GRANTS THAT ARE SMALL. THESE ARE ALL EITHER ONE-TIME OR PILOT GRANTS.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp2994688TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev2064000TotalOfOtherProgramServiceRev
Total Program Service Expense9942033TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109617NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees555NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementfalseRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1FOUR COUNTY MENTAL HEALTH CENTERBusinessNameLine1
Business Name Line2INCBusinessNameLine2
FieldValueIRS element (for citing)
Telephone Number6203311748TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13751 W MAINAddressLine1
CityINDEPENDENCECity
StateKSState
ZIP Code67301ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (13 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
DAVID BUMGARNER DC
CHAIRMAN1.00XX000
STEVE FIELDER
VICE-CHAIR1.00XX000
JANET POSTIER
TREASURER/SE1.00XX000
MARY ANN BAUMAN
DIRECTOR1.00X000
DIANE HULL
DIRECTOR1.00X000
CARL EDWARDS
DIRECTOR1.00X000
MARJORIE LAMPSON
DIRECTOR1.00X000
TIM EMERT
DIRECTOR1.00X000
GREG MEARS DO
DIRECTOR1.00X000
SHIRLEY SWEET
DIRECTOR1.00X000
PERRY RUSSELL
DIRECTOR1.00X000
GREGORY T HENNEN
EXECUTIVE DI40.00X9151400
RICK PURYEAR
CONTROLLER40.00X4211700
FieldValueIRS element (for citing)
Total Reportable Comp From Org133631TotalReportableCompFromOrg
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Government Grants788821GovernmentGrants
All Other Contributions3400126AllOtherContributions
Total Contributions4188947TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CMNTY BASED SERV. FOR CHIILDR52006205200620
COMMUNITY SUPPORT SERVICES40512844051284
OUTPATIENT MENTAL HEALTH SERV11686031168603
CRISIS DIVERSION SERVICES654649654649
HOME HEALTH SERVICES544391544391

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column864960TotalRevenueColumn
Related Or Exempt Function Income864960RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue12484507TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column45037TotalRevenueColumn
Exclusion$45,037ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column16718491TotalRevenueColumn
Related Or Exempt Function Income12484507RelatedOrExemptFunctionIncome
Exclusion$45,037ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total133631Total
Management And General133631ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total8371770Total
Program Services6853856ProgramServices
Management And General1418867ManagementAndGeneral
Fundraising99047Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2608132Total
Program Services1893949ProgramServices
Management And General688969ManagementAndGeneral
Fundraising25214Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total36565Total
Program Services4195ProgramServices
Management And General32370ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total206867Total
Program Services141902ProgramServices
Management And General64965ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total231063Total
Program Services140930ProgramServices
Management And General90133ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total254503Total
Program Services68577ProgramServices
Management And General184770ManagementAndGeneral
Fundraising1156Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total264093Total
Program Services249571ProgramServices
Management And General14522ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total531662Total
Management And General530837ManagementAndGeneral
Fundraising825Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total169415Total
Program Services20378ProgramServices
Management And General148869ManagementAndGeneral
Fundraising168Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
VEHICLE EXPENSE520892258917261975
REPAIRS AND SMALL EQUIPME22268915310207379
COMMUNICATIONS22042171565148856
OTHER EXPENSES1533231489144409

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total265618Total
Program Services73969ProgramServices
Management And General191649ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total14190644Total
Program Services9942033ProgramServices
Management And General4122201ManagementAndGeneral
Fundraising126410Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY5574991BOY
EOY6897993EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY7638839BOY
EOY8512582EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY148282BOY
EOY202376EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY991613BOY
EOY1455495EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY27330BOY
EOY30092EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis11456297LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec4654444LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY7016743BOY
EOY6801853EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY40000BOY
EOY40000EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY21437798BOY
EOY23940391EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1001043BOY
EOY975790EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1001043BOY
EOY975790EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY20272925BOY
EOY22682789EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY163830BOY
EOY281812EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY20436755BOY
EOY22964601EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY21437798BOY
EOY23940391EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses2527847ReconcilationRevenueExpenses
Reconcilation Other Changes-1ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4604668CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5066232CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4840496CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4701672CurrentTaxYearMinus1Year
Current Tax Year3907823CurrentTaxYear
Total23120891Total

Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years295280CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years437587CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years445415CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year365148CurrentTaxYearMinus1Year
Current Tax Year281124CurrentTaxYear
Total1824554Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4899948CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5503819CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5285911CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5066820CurrentTaxYearMinus1Year
Current Tax Year4188947CurrentTaxYear
Total24945445Total
FieldValueIRS element (for citing)
Public Support Total17024945445PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years209429CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years166819CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years89095CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year40029CurrentTaxYearMinus1Year
Current Tax Year45037CurrentTaxYear
Total550409Total
FieldValueIRS element (for citing)
Total Support25495854TotalSupport
Gross Receipts From Admissions Etc12484507GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.97840PublicSupportPertcentage170
Public Support Pertcent Prior Year0.96320PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis178186OtherCostOrOtherBasis
Book Value178186BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis7459519OtherCostOrOtherBasis
Depreciation1769102Depreciation
Book Value5690417BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1931602OtherCostOrOtherBasis
Depreciation1659561Depreciation
Book Value272041BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1886990OtherCostOrOtherBasis
Depreciation1225781Depreciation
Book Value661209BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings6801853TotalOfBookValueLandBuildings
Tot Revenue Etc Audited Fincl Stmt16718491TotRevenueEtcAuditedFinclStmt
Revenue Subtotal16718491RevenueSubtotal
Total Revenue Per Form99016718491TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt14190645TotExpensesEtcAuditedFinclStmt
Other Expenses Included1OtherExpensesIncluded
Expenses Not Rptd F9901ExpensesNotRptdF990
Expenses Subtotal14190644ExpensesSubtotal
Total Expenses Per Form99014190644TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierEXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHERIdentifier
Return ReferenceSCHEDULE D, PAGE 4, PART XII, LINE 2DReturnReference
ExplanationBOOK / TAX DEPRECIATION DIFFERENCE 1Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
JENNIFER FOREAKER
FAMILY OF CHAIR37586THERAPIST WAGESfalse
WILLIAM CASHERO
FAMILY OF SECRE27553CASE MANAGER WAGESfalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ANY SIGNIFICANT CHANGES IN CONDUCT FOR PROGRAM SERVICESFORM 990, PAGE 2, PART III, LINE 3LAST YEAR TRANSPORTATION WAS INCLUDED AS PART OF COMMUNITY SUPPORT SERVICES, THIS YEAR IT IS CONSIDERED ITS OWN PROGRAM. LAST YEAR ALCOHOL/DRUG SERVICES WAS CONSIDERED ITS OWN PROGRAM, THIS YEAR IT IS INCLUDED AS PART OF OUTPATIENT MENTAL HEALTH SERVICES.
ALL OTHER ACCOMPLISHMENT DESCRIPTIONFORM 990, PAGE 2, PART III, LINE 4DCRISIS DIVERSION SERVICES - PROVIDES 24-HOUR EMERGENCY ON CALL SYSTEM FOR PSYCHIATRIC EMERGENCIES. APPROXIMATELY 815 PEOPLE SERVED. MEDICAL SERVICES - HERE AT FOUR COUNTY MENTAL HEALTH CENTER, MEDICAL SERVICES ARE PROVIDED BY A QUALITY TEAM OF PSYCHIATRISTS, ADVANCED REGISTERED NURSE PRACTITIONERS (ARNPS), AND SPECIALIZED NURSES. THEY PROVIDE ONGOING EVALUATIONS AND MEDICATION MANAGEMENT TO PATIENTS. APPROXIMATELY 2,536 CLIENTS SERVED. HOME HEALTH - IMPROVING QUALITY OF HOME CARE TO THE CITIZENS OF SOUTHEAST KANSAS. WE PROVIDE SERVICES TO PEOPLE WHO HAVE THE DESIRE TO REMAIN IN THEIR HOMES. WE COLLABORATE WITH OTHER RESOURCES IN THE COMMUNITY TO ENSURE THAT THE SUPPORT NEEDED IS MADE AVAILABLE. APPROXIMATELY 123 PEOPLE SERVED. TRANSPORTATION SERVICES - TRANSPORTATION SERVICES IS USED TO TRANSPORT CLIENTS TO AND FROM VARIOUS ACTIVITIES. THE MOST COMMON ACTIVITIES ARE DOCTOR'S APPOINTMENTS, THERAPY SESSIONS AND OUT OF TOWN SEMINARS OR CLASSES. IT IS ALSO USED TO TRANSPORT CHILDREN FROM SCHOOL OR THEIR HOMES TO OUR AFTER SCHOOL AND SUMMER PROGRAM. APPROXIMATELY 1,588 CLIENTS SERVED. OTHER GRANT PROGRAMS - MISCELLANEOUS GRANTS THAT ARE SMALL. THESE ARE ALL EITHER ONE-TIME OR PILOT GRANTS.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BTHE 990 IS REVIEWED BY THE CONTROLLER AND THE BOARD OF DIRECTORS.
COMPENSATION PROCESS FOR TOP OFFICIALFORM 990, PAGE 6, PART VI, LINE 15ATHE BOARD OF DIRECTORS UTILIZED A STATE-WIDE SALARY SURVEY COMPILED BY THE ASSOCIATION OF COMMUNITY MENTAL HEALTH CENTERS IN DETERMINING EXECUTIVE DIRECTORS COMPENSATION. BOARD MEETING MINUTES REGARDING DISCUSSION AND DECISION WERE KEPT.
COMPENSATION PROCESS FOR OFFICERSFORM 990, PAGE 6, PART VI, LINE 15BTHE EXECUTIVE DIRECTOR UTILIZED STATE-WIDE SALARY SURVEY DATA COMPILED AND DISSEMINATED BY THE ASSOCIATION OF COMMUNITY MENTAL HEALTH CENTERS OF KANSAS.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19THESE DOCUMENTS ARE MADE AVAILABLE UPON REQUEST.
RECONCILIATION OF CHANGES - OTHERFORM 990, PART XI, LINE 9BOOK / TAX DEPRECIATION DIFFERENCE -1