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SCREENING FOR MENTAL HEALTH INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
SCREENING FOR MENTAL HEALTH INC (EIN 04-3221069)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-10-23
IRS object ID
201302969349300130
Schema version
2012v2.1
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)
Timestamp2013-10-23T14:15:54-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN042894325EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BRAVER PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1117 KENDRICK STREET SUITE 800AddressLine1
CityNEEDHAMCity
StateMAState
ZIP Code02494ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN043221069EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SCREENING FOR MENTAL HEALTH INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSCRENameControl
Phone7812390071Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE WASHINGTON ST NO 304AddressLine1
CityWELLESLEY HILLSCity
StateMAState
ZIP Code02481ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDOUGLAS JACOBS MDName
TitleFOUNDER AND PRESIDENTTitle
Phone7812390071Phone
Date Signed2013-10-15DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameERIC SAUNDERSName
PTINP00039212PTIN
Phone6179693300Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDOUGLAS JACOBS MDNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1ONE WASHINGTON ST NO 304AddressLine1
CityWELLESLEY HILLSCity
StateMAState
ZIP Code02481ZIPCode
FieldValueIRS element (for citing)
Gross Receipts3544855GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.MENTALHEALTHSCREENING.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1994YearFormation
State Legal DomicileMAStateLegalDomicile
Activity Or Mission DescriptionSCREENING FOR MENTAL HEALTH, INC. ("THE ORGANIZATION") IS A UNIQUE NON-PROFIT ORGANIZATION WHOSE MISSION IS TO PROMOTE THE IMPROVEMENT OF MENTAL HEALTH BY PROVIDING THE PUBLIC WITH EDUCATION, SCREENING, AND TREATMENT RESOURCES. THE ORGANIZATION PROVIDES THESE SERVICES TO MORE THAN A HALF A MILLION PEOPLE EACH YEAR. TO DO THIS, THE ORGANIZATION COORDINATES ACTIVITIES OF THOUSANDS OF UNIQUE SCREENING SITES LOCATED IN EVERY STATE ACROSS THE COUNTRY AND APPROXIMATELY 30 LARGE EMPLOYERS AND HEALTH CARE COMPANIES. 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.ActivityOrMissionDescription
Nbr Voting Members Governing Body6NbrVotingMembersGoverningBody
Nbr Independent Voting Members5NbrIndependentVotingMembers
Total Nbr Employees27TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year60134ContributionsGrantsPriorYear
Contributions Grants Current Year37000ContributionsGrantsCurrentYear
Program Service Revenue Prior Year3736777ProgramServiceRevenuePriorYear
Program Service Revenue CY3105550ProgramServiceRevenueCY
Investment Income Prior Year18391InvestmentIncomePriorYear
Investment Income Current Year40094InvestmentIncomeCurrentYear
Other Revenue Prior Year20739OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year3836041TotalRevenuePriorYear
Total Revenue Current Year3182644TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year1509882SalariesEtcPriorYear
Salaries Etc Current Year1388764SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year1956812OtherExpensePriorYear
Other Expenses Current Year1567992OtherExpensesCurrentYear
Total Expenses Prior Year3466694TotalExpensesPriorYear
Total Expenses Current Year2956756TotalExpensesCurrentYear
Revenues Less Expenses Prior Year369347RevenuesLessExpensesPriorYear
Revenues Less Expenses CY225888RevenuesLessExpensesCY
Total Assets BOY5627947TotalAssetsBOY
Total Assets EOY5828792TotalAssetsEOY
Total Liabilities BOY130173TotalLiabilitiesBOY
Total Liabilities EOY105130TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY5497774NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY5723662NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE MISSION OF SCREENING FOR MENTAL HEALTH IS TO PROMOTE THE IMPROVEMENT OF MENTAL HEALTH BY PROVIDING THE PUBLIC WITH EDUCATION, SCREENING, AND TREATMENT RESOURCES.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense1312848Expense
Revenue2191761Revenue
DescriptionTHE MILITARY PATHWAYS PROGRAM PROVIDES ANONYMOUS MENTAL HEALTH AND ALCOHOL SELF-ASSESSMENTS AND RELATED EDUCATIONAL MATERIALS FOR FAMILY MEMBERS AND SERVICE PERSONNEL IN ALL BRANCHES INCLUDING THE NATIONAL GUARD AND RESERVE. THE SELF-ASSESSMENTS ARE AVAILABLE ONLINE,24/7 AND AT FAMILY EVENTS HELD WORLDWIDE. THE PRIMARY GOALS OF THE PROGRAM ARE TO REDUCE STIGMA, RAISE AWARENESS ABOUT MENTAL HEALTH, AND CONNECT THOSE IN NEED TO AVAILABLE RESOURCES. THE SELF-ASSESSMENTS ADDRESS DEPRESSION, POSTTRAUMATIC STRESS DISORDER (PTSD), GENERALIZED ANXIETY DISORDER, ALCOHOL USE AND BIPOLAR DISORDER. THE SOS SIGNS OF SUICIDE PREVENTION PROGRAM IS ALSO OFFERED THROUGH MILITARY PATHWAYS FOR MILITARY CHILDREN IN THE U.S. AND OVERSEAS THROUGH DEPARTMENT OF DEFENSE AND MILITARY IMPACTED SCHOOLS.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense115284Expense
Revenue131884Revenue
DescriptionNATIONAL DEPRESSION SCREENING DAY IS AN ANNUAL MENTAL HEALTH EDUCATION AND SCREENING EVENT CONDUCTED BY HOSPITALS, MENTAL HEALTH CENTERS, SOCIAL SERVICE AGENCIES, AND OLDER ADULT FACILITIES. EVENT KITS PROVIDE READY-TO-USE MATERIALS FOR CONDUCTING A PUBLIC, EDUCATIONAL SCREENING EVENT FOR DEPRESSION, BIPOLAR DISORDER, GENERALIZED ANXIETY DISORDER, AND POSTTRAUMATIC STRESS DISORDER. ADDITIONALLY, THE EVENT IS COMPLEMENTED BY A YEAR-ROUND ONLINE SCREENING PROGRAM, THROUGH WHICH ORGANIZATIONS CAN OFFER MEMBERS OF THEIR COMMUNITY 24/7 ACCESS TO SCREENING TOOLS, AS WELL AS CUSTOMIZED REFERRAL INFORMATION, ON THEIR WEBSITEDescription

Activity3 Activity3

FieldValueIRS element (for citing)
Expense268876Expense
Revenue305240Revenue
DescriptionYOUTH 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.Description

Activity Other ActivityOther (3 entries)

ExpenseExpenseRevenueRevenueDescriptionDescription
279212331765COLLEGE 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, COLLEGERESPONSE 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.
72829SUICIDE 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.
153039144900WORKPLACE 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 Of Other Program Service Exp505080TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev476665TotalOfOtherProgramServiceRev
Total Program Service Expense2202088TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees27NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members6NbrVotingGoverningBodyMembers
Number Independent Voting Members5NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledMAStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1THE ORGANIZATIONBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7812390071TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1ONE WASHINGTON ST NO 304AddressLine1
CityWELLESLEY HILLSCity
StateMAState
ZIP Code02481ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (9 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
DOUGLAS JACOBS MD
PRESIDENT/CEO/TREASURER20.00XX09000010000
JERROLD ROSENBAUM MD
DIRECTOR1.00X000
JAMES HENRY SCULLY JR MD
DIRECTOR1.00X000
JEFFERSON BRUCE PRINCE MD
DIRECTOR1.00X000
LEONARD FREEDBERG MD
DIRECTOR1.00X000
MATTHEW NOCK PHD
DIRECTOR1.00X000
JOSEPH MATZKIN
CLERK1.00X000
CONNIE DICOCCO
EXECUTIVE DIRECTOR40.00101163015480X
KATHERINE CRUISE
DIRECTOR OF COMMUNICATION AND MARKETING32.00109070020416X
FieldValueIRS element (for citing)
Total Reportable Comp From Org210233TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs90000TotalReportableCompFrmRltdOrgs
Total Other Compensation45896TotalOtherCompensation
Number Individuals GT100 K2NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1BOSTON DIGITAL PRODUCTIONSBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1316 STUART STREETAddressLine1
CityBOSTONCity
StateMAState
ZIP Code02116ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesPSA, VIDEO AND DVD PRODUCTIONDescriptionOfServices
Compensation103333Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
All Other Contributions37000AllOtherContributions
Total Contributions37000TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MILITARY PROGRAM90009921917612191761
COLLEGE PROGRAMS900099331765331765
YOUTH PROGRAMS900099305240305240
WORKPLACE RESPONSE900099144900144900
NATIONAL DEPRESSION SC900099131884131884
FieldValueIRS element (for citing)
Total Program Service Revenue3105550TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column90246TotalRevenueColumn
Exclusion$90,246ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities312059Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities362211Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-50152Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-50152TotalRevenueColumn
Exclusion-$50,152ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column3182644TotalRevenueColumn
Related Or Exempt Function Income3105550RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$40,094ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total201163Total
Program Services158038ProgramServices
Management And General43125ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total929821Total
Program Services730487ProgramServices
Management And General199334ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total24795Total
Program Services19480ProgramServices
Management And General5315ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total135380Total
Program Services106358ProgramServices
Management And General29022ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total97605Total
Program Services76681ProgramServices
Management And General20924ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total8971Total
Program Services546ProgramServices
Management And General8425ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total40691Total
Management And General40691ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total212967Total
Program Services212306ProgramServices
Management And General661ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total90774Total
Program Services25266ProgramServices
Management And General65508ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total173380Total
Program Services167ProgramServices
Management And General173213ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total53256Total
Program Services53239ProgramServices
Management And General17ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total32217Total
Management And General32217ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total31735Total
Management And General31735ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
KIT DESIGN4603254603178
COMMUNICATION TECHNOLOG16548911345652033
VIDEO PRODUCTION145537145537
CONSULTANTS997017735822343

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total52949Total
Program Services22852ProgramServices
Management And General30097ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total2956756Total
Program Services2202088ProgramServices
Management And General754668ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY41635BOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2923474BOY
EOY3235703EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY590377BOY
EOY546370EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY35952BOY
EOY21159EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis219075LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec195592LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY41425BOY
EOY23483EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY1995084BOY
EOY2002077EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY5627947BOY
EOY5828792EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY96566BOY
EOY87255EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY13329BOY
EOY7969EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY20278BOY
EOY9906EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY130173BOY
EOY105130EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY5470774BOY
EOY5710464EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY27000BOY
EOY13198EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5497774BOY
EOY5723662EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5627947BOY
EOY5828792EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses225888ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3361889CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3904941CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3496193CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3075945CurrentTaxYearMinus1Year
Current Tax Year2402102CurrentTaxYear
Total16241070Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years841908CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years792158CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years718597CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year727967CurrentTaxYearMinus1Year
Current Tax Year690296CurrentTaxYear
Total3770926Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4203797CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4697099CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4214790CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3803912CurrentTaxYearMinus1Year
Current Tax Year3092398CurrentTaxYear
Total20011996Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years197735CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years75000CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years25000CurrentTaxYearMinus2Years
Total297735Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years197735CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years75000CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years25000CurrentTaxYearMinus2Years
Total297735Total
FieldValueIRS element (for citing)
Public Support Total50919714261PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years94986CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years71682CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years46947CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year30803CurrentTaxYearMinus1Year
Current Tax Year90246CurrentTaxYear
Total334664Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years94986CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years71682CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years46947CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year30803CurrentTaxYearMinus1Year
Current Tax Year90246CurrentTaxYear
Total334664Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3196CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8678CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1017CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1326CurrentTaxYearMinus1Year
Total14217Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4301979CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4777459CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4262754CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3836041CurrentTaxYearMinus1Year
Current Tax Year3182644CurrentTaxYear
Total20360877Total
FieldValueIRS element (for citing)
Public Support Percentage5090.96820PublicSupportPercentage509
Prior Year Support Percentage0.95010PriorYearSupportPercentage
Investment Income Percentage0.01640InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01680PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis136236OtherCostOrOtherBasis
Depreciation136236Depreciation
Book Value0BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis82839OtherCostOrOtherBasis
Depreciation59356Depreciation
Book Value23483BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings23483TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionOBLIGATION UNDER CAPITAL LEASEDescription
Amount$9,906Amount
FieldValueIRS element (for citing)
Total Of Amounts9906TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt3182644TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal3182644RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9903182644TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt2956756TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal2956756ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9902956756TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X, LINE 2:ReturnReference
ExplanationTHE ORGANIZATION EVALUATES ALL SIGNIFICANT TAX POSITIONS AS REQUIRED BY ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA. AS OF DECEMBER 31, 2012 AND 2011, 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.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Compensation SurveyXCompensationSurvey
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonCONNIE DICOCCONamePerson
TitleEXECUTIVE DIRECTORTitle
Base Compensation Filing Org101163BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org0DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org15480NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org116643TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonDR DOUGLAS JACOBSNamePerson
FieldValueIRS element (for citing)
RelationshipBOARD MEMBER AND FOUNDER/PRESIDENT OF THE ORGANIZATIONRelationship
Amount Of Transaction100000AmountOfTransaction
Description Of 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.DescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION B, LINE 11THE FINANCIAL CONSULTANT, EXECUTIVE DIRECTOR AND PRESIDENT 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 PRESIDENT 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.