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PAVILLON INTERNATIONAL: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
PAVILLON INTERNATIONAL (EIN 38-3102731)
Tax period
2012-07-01 to 2013-06-30
Filed
2013-10-09
IRS object ID
201332829349300133
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)
Timestamp2013-10-09T13:41:59-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN560587953EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1GILLIAM COBLE & MOSER LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 621AddressLine1
CityBURLINGTONCity
StateNCState
ZIP Code272160621ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN383102731EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1PAVILLON INTERNATIONALBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlPAVINameControl
Phone8286258210Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1241 PAVILLON PLACEAddressLine1
CityMILL SPRINGCity
StateNCState
ZIP Code28756ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameANNE VANCEName
TitleCHIEF EXECUTIVE OFFICERTitle
Phone8286258210Phone
Date Signed2013-10-04DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameSCOTT WILLIAMSName
PTINP00024567PTIN
Phone3362276283Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonANNE VANCENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1241 PAVILLON PLACEAddressLine1
CityMILL SPRINGCity
StateNCState
ZIP Code28756ZIPCode
FieldValueIRS element (for citing)
Gross Receipts12292515GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.PAVILLON.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1993YearFormation
State Legal DomicileMIStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE TREATMENT EDUCATION AND RECOVERY SERVICESActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees145TotalNbrEmployees
Total Nbr Volunteers3TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year241650ContributionsGrantsPriorYear
Contributions Grants Current Year114476ContributionsGrantsCurrentYear
Program Service Revenue Prior Year11714228ProgramServiceRevenuePriorYear
Program Service Revenue CY12054741ProgramServiceRevenueCY
Investment Income Prior Year10339InvestmentIncomePriorYear
Investment Income Current Year25141InvestmentIncomeCurrentYear
Other Revenue Prior Year215589OtherRevenuePriorYear
Other Revenue Current Year48060OtherRevenueCurrentYear
Total Revenue Prior Year12181806TotalRevenuePriorYear
Total Revenue Current Year12242418TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year881382GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY755516GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year6050269SalariesEtcPriorYear
Salaries Etc Current Year6634461SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year77084TotalFundrsngExpCurrentYear
Other Expense Prior Year2957649OtherExpensePriorYear
Other Expenses Current Year3071631OtherExpensesCurrentYear
Total Expenses Prior Year9889300TotalExpensesPriorYear
Total Expenses Current Year10461608TotalExpensesCurrentYear
Revenues Less Expenses Prior Year2292506RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1780810RevenuesLessExpensesCY
Total Assets BOY14291230TotalAssetsBOY
Total Assets EOY14392680TotalAssetsEOY
Total Liabilities BOY3159033TotalLiabilitiesBOY
Total Liabilities EOY1479673TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY11132197NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY12913007NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO PROVIDE TREATMENT EDUCATION AND RECOVERY SERVICES THAT ARE ACCESSIBLE, EFFECTIVE, AND PROMOTE HOPE IN RECOVERY FOR INDIVIDUALS, FAMILIES, AND COMMUNITIES AFFECTED BY SUBSTANCE-USE DISORDERS.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense4529247Expense
Grants685436Grants
Revenue8883432Revenue
DescriptionPRIMARY RESIDENTIAL: PAVILLON IS EFFECTIVE IN THE FIELD OF TWELVE-STEP RESIDENTIAL TREATMENT, RESEARCH-BASED RECOVERY SERVICES AND EDUCATION FOR CHEMICAL DEPENDENCY AND RELATED DISORDERS. SOME KEY COMPONENTS OF THE PROGRAM CONSIST OF (1) THE TWELVE STEPS, (2) INDIVIDUAL BIO-PSYCHO-SOCIAL ASSESSMENTS, (3) MEDICAL CARE AND DETOXIFICATION, (4) SPECIALTY GROUPS & SERVICES, (5) INDIVIDUAL TREATMENT PLANNING, (6) A FAMILY PROGRAM, AND (7) CONTINUING CARE/CASE MANAGEMENT. BREAKING THE ADDICTION TO DRUGS AND ALCOHOL INVOLVES A DEEP COMMITMENT IN FOSTERING RECLAMATION TO A HEALTHY AND STABLE LIFE WHERE PATIENTS EMERGE WITH HOPE AND A DEEPER UNDERSTANDING OF THEMSELVES AND THE REQUIREMENTS FOR A SUSTAINED RECOVERY.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense852335Expense
Grants57311Grants
Revenue2605597Revenue
DescriptionEXTENDED CARE: THIS IS A PROFESSIONAL'S PROGRAM DESIGNED FOR ANY PROFESSIONAL CAUGHT UP IN ADDICTION'S COMPLEX WEB OF NEUROLOGICAL AND BEHAVORIAL SYMPTOMS. PAVILLON'S MULTI-DISCIPLINARY TEAM OF ADDICTION SPECIALISTS, PHYSICIANS, PSYCHIATRISTS, PSYCHOLOGISTS, AND THERAPISTS CONDUCTS DETAILED EVALUATIONS OF THE CLIENT'S PHYSICAL, PSYCHOLOGICAL AND SPIRITUAL HEALTH. KEY ELEMENTS OF THE PROGRAMS CONSIST OF (1) 12-STEP FACILITATION, (2) COGNITIVE AND RELAPSE PREVENTION THERAPIES, (3) RECOVERY FOCUSED EDUCATIONAL GROUPS, (4) SPIRITUAL GROWTH GROUPS, AND (5) FAMILY EDUCATION AND COUNSELING.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense651097Expense
Grants12769Grants
Revenue613772Revenue
DescriptionOUTPATIENT SERVICES: ALL PROGRAMS ARE DESIGNED TO ADDRESS PROBLEMS ASSOCIATED WITH CHEMICAL DEPENDENCIES AND, IF APPLICABLE, RELATED MENTAL HEALTH DISORDERS. THE GOAL IS TO HELP CLIENTS INTEGRATE A WORKABLE RECOVERY PROGRAM INTO DAILY LIFE BY COMBINING THE CONVENIENCE OF WEEKLY OUTPATIENT SERVICES WITH THE DEDICATED APPROACH NECESSARY TO ONGOING RECOVERY EFFORTS. FAMILIES ARE ALSO ENCOURAGED TO PARTICIPATE IN OUR OUTPATIENT PROGRAMS BY UTILIZING INDIVIDUAL AND FAMILY COUNSELING SESSIONS.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense54903Expense
DescriptionCHILDREN'S PROGRAM: THIS PROGRAM IS DESIGNED FOR CHILDREN OR TEENS BETWEEN THE AGES OF 6-14 WHO HAVE A FAMILY HISTORY OF SUBSTANCE ABUSE OR ARE CURRENTLY LIVING IN AN AT-RISK ENVIRONMENT. THE PROGRAM PROVIDES SUPPORT TO THE CHILD OR TEEN'S EMOTIONAL SELF. COPING SKILLS AND TOOLS THAT CAN BE USED WITHIN THE FAMILY AND MANY OTHER AREAS OF THEIR LIFE ARE PROVIDED.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp54903TotalOfOtherProgramServiceExp
Total Program Service Expense6087582TotalProgramServiceExpense
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 Footnote0ReportFin48Footnote
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 Individuals1GrantsToIndividuals
Schedule J Required1ScheduleJRequired
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 Rltnshp0OfficerEntityWithBsnssRltnshp
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 With109650NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees145NumberOfEmployees
Employment Tax Returns Filed0EmploymentTaxReturnsFiled
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 Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
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 Chapters1LocalChapters
Policies Reference Chapters1PoliciesReferenceChapters
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 Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledNCStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonREGGIE SILVERNamePerson
Telephone Number8286942300TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1241 PAVILLON PLACEAddressLine1
CityMILL SPRINGSCity
StateNCState
ZIP Code28756ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (17 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeFormerFormer
ROBERT HAYES JR
CHAIR2.00XX000
WILLIAM AUSTIN
VICE CHAIR2.00XX000
PETER BUDKO
TREASURER/SECRETARY2.00XX000
TOM COVINGTON
DIRECTOR - BOARD1.00X000
ROBERT GOODALE
DIRECTOR - BOARD1.00X000
OLSON HUFF
DIRECTOR - BOARD1.00X000
LAKE JAMESON JR
DIRECTOR - BOARD1.00X000
JAMES LANGDON
DIRECTOR - BOARD1.00X000
SCOTT MANSFIELD
DIRECTOR - BOARD1.00X000
PAT MARRIOTT
DIRECTOR - BOARD1.00X000
CHERYL MCMURRY KAYNARD
DIRECTOR - BOARD1.00X000
WILLIAM PRINCE
DIRECTOR - BOARD1.00X000
MARK BUTHMAN
DIRECTOR - BOARD1.00X000
ROBERT TOOMEY
DIRECTOR - BOARD1.00X000
ANNE VANCE
CEO40.00XX223882015681
JOHN ROBERTS
MEDICAL DIRECTOR40.0030633706843X
LILIANE DESJARDINS
FORMER ADMINISTRATOR0.005000000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org580219TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation22524TotalOtherCompensation
Number Individuals GT100 K2NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
BCBS OF NC
PO BOX 30071DURHAMNC27702INSURANCE580530
AMERICAN EXPRESS
PO BOX 360001FORT LAUDERDALEFL333360001CREDIT CARD305794
US FOOD SERVICE
PO BOX 602292CHARLOTTENC28266FOOD296422
TREHEL CORPORATION
PO BOX 1707CLEMSONSC29633CONTRACTING205842
RUTHERFORD ELECTRIC
PO BOX 1569FOREST CITYNC28043UTILITY160031
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
All Other Contributions114476AllOtherContributions
Total Contributions114476TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT FEESDescription
Business Code623990BusinessCode
Total Revenue Column12054741TotalRevenueColumn
Related Or Exempt Function Income12054741RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue12054741TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column25141TotalRevenueColumn
Exclusion$25,141ExclusionAmount
FieldValueIRS element (for citing)
Gross Sales Of Inventory81014GrossSalesOfInventory
Cost Of Goods Sold50097CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column30917TotalRevenueColumn
Related Or Exempt Function Income30917RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
FOOD - MEAL REVENUE90009971947194
ALUMNI EVENT90009967726772
WORKSHOPS90009931173117

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column60TotalRevenueColumn
Related Or Exempt Function Income60RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue17143TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column12242418TotalRevenueColumn
Related Or Exempt Function Income12102801RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$25,141ExclusionAmount

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total755516Total
Program Services755516ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total530219Total
Program Services510015ProgramServices
Management And General20204ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total4839542Total
Program Services2641525ProgramServices
Management And General2129256ManagementAndGeneral
Fundraising68761Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total135567Total
Program Services78235ProgramServices
Management And General57037ManagementAndGeneral
Fundraising295Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total667374Total
Program Services385138ProgramServices
Management And General280784ManagementAndGeneral
Fundraising1452Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total461759Total
Program Services234687ProgramServices
Management And General220698ManagementAndGeneral
Fundraising6374Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total19436Total
Management And General19436ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total44318Total
Management And General44318ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total396471Total
Program Services298433ProgramServices
Management And General98038ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total51375Total
Management And General51375ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total462194Total
Program Services218604ProgramServices
Management And General243514ManagementAndGeneral
Fundraising76Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total264908Total
Program Services155173ProgramServices
Management And General109735ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total214394Total
Program Services34082ProgramServices
Management And General180186ManagementAndGeneral
Fundraising126Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total51028Total
Program Services5391ProgramServices
Management And General45637ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total47270Total
Program Services18908ProgramServices
Management And General28362ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total567766Total
Program Services170330ProgramServices
Management And General397436ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total58708Total
Program Services10783ProgramServices
Management And General47925ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
FOOD SUPPLIES & SERVICE35362225852795095
REPAIRS & MAINTENANCE286865110443176422
PATIENT CARE201792201792
MISCELLANEOUS5148451484

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total10461608Total
Program Services6087582ProgramServices
Management And General4296942ManagementAndGeneral
Fundraising77084Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY4952152BOY
EOY4116738EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY428695BOY
EOY850707EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY66667BOY
EOY61338EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY110383BOY
EOY114228EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY13438BOY
EOY33744EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY129213BOY
EOY157030EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis14333123LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec5275794LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY8576900BOY
EOY9057329EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY13782BOY
EOY1566EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY14291230BOY
EOY14392680EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY556388BOY
EOY733319EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY530212BOY
EOY558296EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY388138BOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY1458858BOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY225437BOY
EOY188058EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3159033BOY
EOY1479673EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY11022517BOY
EOY12802274EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY109680BOY
EOY110733EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY11132197BOY
EOY12913007EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY14291230BOY
EOY14392680EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses1780810ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
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 Years109403CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years157477CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years427012CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year241650CurrentTaxYearMinus1Year
Current Tax Year114476CurrentTaxYear
Total1050018Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8060216CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9243344CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10133550CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11738880CurrentTaxYearMinus1Year
Current Tax Year12085658CurrentTaxYear
Total51261648Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8169619CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9400821CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10560562CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11980530CurrentTaxYearMinus1Year
Current Tax Year12200134CurrentTaxYear
Total52311666Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years60000CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years57650CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years91975CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year109258CurrentTaxYearMinus1Year
Current Tax Year66833CurrentTaxYear
Total385716Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years60000CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years57650CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years91975CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year109258CurrentTaxYearMinus1Year
Current Tax Year66833CurrentTaxYear
Total385716Total
FieldValueIRS element (for citing)
Public Support Total50951925950PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years53965CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years52900CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years35921CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10339CurrentTaxYearMinus1Year
Current Tax Year25141CurrentTaxYear
Total178266Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years53965CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years52900CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years35921CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10339CurrentTaxYearMinus1Year
Current Tax Year25141CurrentTaxYear
Total178266Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years35182CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years45283CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3783CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year190937CurrentTaxYearMinus1Year
Current Tax Year17143CurrentTaxYear
Total292328Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8258766CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9499004CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10600266CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12181806CurrentTaxYearMinus1Year
Current Tax Year12242418CurrentTaxYear
Total52782260Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98380PublicSupportPercentage509
Prior Year Support Percentage0.98130PriorYearSupportPercentage
Investment Income Percentage0.00340InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00400PriorYrInvestIncomePercentage
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

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis711849OtherCostOrOtherBasis
Book Value711849BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis11538356OtherCostOrOtherBasis
Depreciation3977858Depreciation
Book Value7560498BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis880703OtherCostOrOtherBasis
Depreciation567858Depreciation
Book Value312845BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis896675OtherCostOrOtherBasis
Depreciation633331Depreciation
Book Value263344BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis305540OtherCostOrOtherBasis
Depreciation96747Depreciation
Book Value208793BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings9057329TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDEFERRED COMPENSATION OBLIGATIONDescription
Amount$188,058Amount
FieldValueIRS element (for citing)
Total Of Amounts188058TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt12238793TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal12238793RevenueSubtotal
Other Revenues Not Included3625OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt3625RevenueNotRptdOnFinStmt
Total Revenue Per Form99012242418TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt10457983TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal10457983ExpensesSubtotal
Other Expenses Not Included3625OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt3625ExpensesNotRptdOnFinStmt
Total Expenses Per Form99010461608TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifierExplanationExplanation
PART XI, LINE 4B - OTHER ADJUSTMENTS:EXPENSES NETTED WITH REVENUE ON FINANCIAL STATEMENTS 3,625.
PART XII, LINE 4B - OTHER ADJUSTMENTS:EXPENSES NETTED WITH REVENUE ON FINANCIAL STATEMENTS 3,625.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Form990 Schedule I Part III Form990ScheduleIPartIII (3 entries)

Type Of GrantTypeOfGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistanceDescription Of Non Cash AssistanceDescriptionOfNonCashAssistance
FINANCIAL AID131197REDUCTION IN TOTAL FEE FUNDED FROM SCHOLARSHIP FUND.
FULL SCHOLARSHIP311127FREE SERVICE PROVIDES & NOT FUNDED.
TREATMENT DISCOUNTS313192REDUCE FEES CHARGED AND NOT FUNDED.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
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 (3 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ANNE VANCE
CEO2238820000000156810239563000
JOHN ROBERTS
MEDICAL DIRECTOR306337000000068430313180000
LILIANE DESJARDINS
FORMER ADMINISTRATOR5000000000000050000000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION B, LINE 11A COPY OF THE FORM 990 WILL BE REVIEWED BY THE GOVERNING BOARD AT THEIR OCTOBER BOARD MEETING. ALL OUTSTANDING QUESTIONS WILL BE DISCUSSED AND RESOLVED BEFORE FILING THE FINAL FORM 990 TO THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CAS A RESULT OF CARF ACCREDITATION, A CORPORATE COMPLIANCE PROGRAM HAS BEEN ESTABLISHED PROVIDING TRAINING TO ALL EMPLOYEES REGARDING COMPLIANCE ISSUES, REPORTING AND INVESTIGATIONS.
FORM 990, PART VI, SECTION B, LINE 15THE COMPENSATION OF THE CEO IS DETERMINED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. THE COMPENSATION OF KEY EMPLOYEES ARE DETERMINED BY THE CEO. NO OTHER OFFICERS ARE COMPENSATED. THE PROCESS CONSISTS OF REVIEWING THE SALARY AND BENEFITS PROVIDED AT SIMILAR TREATMENT CENTERS' POSITIONS COUPLED WITH THE EXPERIENCE AND CREDENTIALS.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE AVAILABLE ON THE INTRANET FOR ALL EMPLOYEES. THE FORM 990 IS AVAILABLE TO THE PUBLIC, AS REQUESTED.