2012-10-24T10:19:15-05:00 2011-12-31 SVA CERTIFIED PUBLIC ACCOUNTANTS 1221 JOHN Q HAMMONS DRIVE MADISON WI 53717 990 2011-01-01 391482987 Tellurian UCAN Inc % STEPHEN LAWRENCE TELL 6082227311 300 FEMRITE DR MONONA WI 537163716 KEVIN FLOREK 2012-10-23 true DOUGLAS K BERRY 6088318181 2011 2016-02-24 21:20:13Z KEVIN FLOREK 300 FEMRITE DR STE 200 MONONA WI 537163716 8686101 false X WWW.TELLURIAN.ORG X 1985 WI TELLURIAN U.C.A.N., INC. PERFORMS AN ARRAY OF SERVICES TO INDIVIDUALS SUFFERING FROM SUBSTANCE ABUSE, MENTAL ILLNESS AND HOMELESSNESS. 12 11 236 23 0 6101434 6886566 2082387 1575042 27501 185 97294 192547 8308616 8654340 2939 1190 0 0 5265642 5757163 0 0 0 2866128 2885830 8134709 8644183 173907 10157 2099292 2078986 2161859 2131396 -62567 -52410 X ADDRESS PROBLEMS RELATING TO SUBSTANCE ABUSE AND ADDICTIONS, MENTAL ILLNESSES AND HOMELESSNESS. false true 1533149 0 172483 THE ORGANIZATION PROVIDES TRANSITIONAL HOUSING SERVICES TO THE CHRONICALLY MENTALLY ILL AND HOMELESS. IN 2011, THIS PROGRAM PROVIDED SERVICES TO 135 DIFFERENT INDIVIDUALS. TWO CBRF PROGRAMS IN DANE COUNTY SERVE CHRONICALLY MENTALlY ILL INDIVIDUALS ON EITHER A CRISIS BASIS OR A LONG-TERM SUPPORTIVE BASIS. EACH FACILITY SERVES EIGHT INDIVIDUALS AT A TIME. THE ORGANIZATION ALSO PROVIDES TRANSITIONAL HOUSING TO HOMELESS ADULTS SUFFERING FROM MENTAL ILLNESS AND/OR SUBSTANCE ABUSE. IN 2011, THIS PROGRAM PROVIDED SERVICES TO 114 DIFFERENT INDIVIDUALS WITH AN AVERAGE STAY OF 2 1/2 MONTHS. IN ADDITION, THE ORGANIZATION PROVIDES INDEPENDENT LIVING ARRANGEMENTS TO MENTALLY ILL CLIENTS AND HOMELESS INDIVIDUALS WHO HAVE REACHED AN ABILITY TO LIVE INDEPENDENTLY BUT WHO MAY ALSO REQUIRE CASE MANAGEMENT AND SUPPORTIVE SERVICES. ONE FACILITY SERVES SIX INDIVIDUALS IN A HOME-LIKE ENVIRONMENT AND ANOTHER FACILITY SERVES FOUR, AS WELL AS EIGHT RENTAL APARTMENTS. 1486963 0 365635 THE ORGANIZATION PROVIDES ALCOHOL AND DRUG DETOXIFICATION SERVICES IN DANE COUNTY, WISCONSIN. THIS PROGRAM SERVED AN ESTIMATED 3,500 INDIVIDUALS IN 2011, FOR A TOTAL OF 4,555 DAYS OF CARE. THOSE PERSONS COMPLETING SERVICE ARE REFERRED, IF APPROPRIATE, TO CONTINUING CARE PROGRAMS AT AN APPROPRIATE LEVEL OF CARE TO ADDRESS THEIR SUBSTANCE ABUSE PROBLEMS. 1323815 0 767373 THE ORGANIZATION PROVIDES RESIDENTIAL crisis stabilization services TO ADULTS SUFFERING FROM MENTAL ILLNESS, SUBSTANCE ABUSE AND ADDICTIONS. RESIDENTS ARE PROVIDED SUPPORTIVE SERVICES ON AN INDIVIDUAL BASIS AND IN GROUP SETTINGS. IN 2011, AN ESTIMATED 2,389 units of service WERE provided IN THIS PROGRAM. 4057557 1190 462098 OTHER PROGRAM SERVICES - SEE SCHEDULE O 4057557 1190 462098 8401484 true true false false false false false false false false true false false false false true true true false false false false false false true false false false false false false false false false false false false false false false false false false true false false false false true 18 0 236 true false false false false false true true false false false false X 12 11 false false false false false false false true true false false false true true true true true false false false WI X STEPHEN LAWRENCE 6082227311 300 FEMRITE DR MONONA WI 53716 X ROBERT KASDORF 1.0 X X 3000 0 MICHAEL FLOREK 32.0 X X 96058 0 0 DAVID JORANSON 1.0 X X 4000 0 JAMES HALIKAS 1.0 X 0 0 0 CATHERINE ZDEBLICK 1.0 X 0 0 0 TOMMI THOMPSON 1.0 X 0 0 0 FATHER LARRY BAKKE 1.0 X 0 0 0 MARCI KATZ 1.0 X 0 0 0 JUDY MCGUIRE 1.0 X X 0 0 0 JENNY SIMON 1.0 X 0 0 0 BETH MIEKCARAEK 1.0 X 0 0 0 MIKE CROOKS 1.0 X 0 0 0 KEVIN FLOREK 40.0 X 143844 0 0 246902 0 0 1 false false false DIVERSIFIED PHYSICIANS 1102 MOHICAN PASS MADISON WI 537112842 MEDICAL DIRECTOR 153665 BETH BLAKESLEE 911 LEXINGTON WAY WAUNAKEE WI 53597 PSYCHIATRIST 113850 SCHWENNS 76 SERVICE 5601 MONONA DRIVE MONONA WI 53716 MAINTENANCE 118638 3 24000 54636 6766855 41075 6886566 CLIENT SERVICE FEES 624310 1544129 1544129 MISCELLANEOUS PROGRAM SERVICE REVENUE 624310 30913 30913 1575042 185 185 0 0 0 31761 54636 31761 0 0 0 0 MISC. REVENUE 900099 59202 59202 WRITE-OFF OF PROVISION FOR CONTRACT REPAYMENT 900099 92064 92064 MISC. REVENUE - LOAN FORGIVENESS 900099 10927 10927 30354 30354 192547 8654340 1767589 185 0 0 1190 1190 0 0 0 0 246902 246902 0 0 0 0 4508774 4475462 33312 38175 37585 590 515849 511246 4603 447463 444753 2710 0 0 0 0 5879 3219 2660 27021 27021 0 0 0 0 0 0 0 0 0 501367 499689 1678 64643 5157 59486 776528 771424 5104 5340 5340 0 0 0 0 907164 818766 88398 190809 190196 613 0 0 0 0 41386 38617 2769 0 0 0 0 0 0 0 0 106396 97656 8740 0 166890 166625 265 CLIENT ACTIVITIES 13003 13003 LAUNDRY 5752 5752 PUBLIC RELATIONS 3237 1129 2108 PROGRAM/CORPORATE DVLPMNT 16528 6389 10139 53887 34363 19524 8644183 8401484 242699 0 59788 31728 0 0 325639 337960 128932 128597 0 0 0 0 0 0 0 0 16075 20874 2451576 911378 1551685 1540198 0 0 0 0 0 0 0 0 17173 19629 2099292 2078986 784920 746419 0 0 0 0 0 0 0 0 0 0 1284875 1384977 0 0 92064 0 2161859 2131396 X -62567 -52410 0 0 0 0 -62567 -52410 2099292 2078986 10157 X false true true X true true X 5907080 5758397 6086293 6101434 6886566 30739770 5907080 5758397 6086293 6101434 6886566 30739770 30739770 3201 2438 2617 533 185 8974 159364 56416 12541 97294 0 325615 31074359 7705692 0.98923 0.98733 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 79258 79258 1725527 630552 1094975 337026 90645 246381 309765 190181 119584 1540198 0 0 8654340 8644183 10157 10157 8686101 31761 31761 8654340 8654340 8675944 31761 31761 8644183 8644183 FORM 990 SCHEDULE D PART X ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 The organization's income tax filings are subject to audit by various taxing authorities. Open periods subject to audit for federal and Wisconsin purposes are generally the previous three and four years of tax returns filed, respectively. There were no interest or penalties recorded for the years ended December 31, 2011 and 2010. FORM 990 SCHEDULE D PART XII LINE 2D RECONCILIATION OF REVENUE - AMOUNTS INCLUDED ON BOOKS, NOT ON RETURN GOLF OUTING INCOME - $31,761 FORM 990 SCHEDULE D PART XIII LINE 2D RECONCILIATION OF EXPENSES - AMOUNTS INCLUDED ON BOOKS, NOT ON RETURN GOLF OUTING EXPENSES - $31,761 GOLF OUTING 86397 54636 31761 31761 0 86397 54636 31761 31761 31761 FORM 990 PART VI LINE 11B PROCESS USED TO REVIEW FORM 990 THE PREPARED FORM 990 IS REVIEWED AND APPROVED BY THE CONTROLLER AND CEO PRIOR TO ITS FILING WITH THE IRS. FORM 990 PART VI LINE 12C CONFLICT OF INTEREST POLICY CONFLICTS OF INTEREST ARE DISCLOSED AT LEAST ANNUALLY BY COMPLETION OF A CONFLICT OF INTEREST STATEMENT BY EACH OF THE DIRECTORS AND OFFICERS. AN INDIVIDUAL WITH A CONFLICT OF INTEREST IS PROHIBITED FROM PARTICIPATING IN THE GOVERNING BODY'S DISCUSSIONS AND DECISIONS REGARDING THE RESPECTIVE TRANSACTIONS. FORM 990 PART VI LINE 19 DESCRIBE HOW THE ORG. MAKES GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990 PART X LINE 23 SECURED MORTGAGES AND NOTES PAYABLE - REPAYMENT TERMS LENDER: CITY OF MADISON REPAYMENT TERMS: NON-INTEREST BEARING LOAN ($141,000) OF WHICH REPAYMENT IS NOT REQUIRED AS LONG AS THE ASSETS PURCHASED ARE USED FOR THEIR INTENDED PURPOSES. UPON SALE, TRANSFER, OR CHANGE IN USE OF THE PROPERTY, 68.8% OF THE FAIR MARKET VALUE OF THE PROPERTY IS DUE. LENDER: COMMUNITY DEVELOPMENT BLOCK GRANT REPAYMENT TERMS: NON-INTEREST BEARING LOAN ($56,697) OF WHICH REPAYMENT IS NOT REQUIRED AS LONG AS THE ASSETS PURCHASED ARE USED FOR THEIR INTENDED PURPOSES. UPON SALE, TRANSFER, OR CHANGE IN USE OF THE PROPERTY, THE FAIR MARKET VALUE OF THE PROPERTY LESS THE PRORATED FAIR SHARE OF OTHER SOURCE FUNDED IMPROVEMENTS OR ACQUISITION COSTS IS DUE. LENDER: COMMUNITY DEVELOPMENT BLOCK GRANT - HOME REPAYMENT TERMS: NON-INTEREST BEARING LOAN ($408,000) OF WHICH REPAYMENT IS NOT REQUIRED AS LONG AS THE ASSETS PURCHASED ARE USED FOR THEIR INTENDED PURPOSES. UPON SALE, TRANSFER, OR CHANGE IN USE OF THE PROPERTY, THE GREATER OF $408,000 OR 41% OF THE CURRENT FAIR MARKET VALUE OF THE PROPERTY IS DUE. LENDER: COMMUNITY DEVELOPMENT BLOCK GRANT REPAYMENT TERMS: NON-INTEREST BEARING LOAN ($12,857) OF WHICH REPAYMENT IS NOT REQUIRED AS LONG AS THE ASSETS PURCHASED ARE USED FOR THEIR INTENDED PURPOSES. UPON SALE, TRANSFER, OR CHANGE IN USE OF THE PROPERTY, THE GREATER OF $12,857 OR 4% OF THE CURRENT FAIR MARKET VALUE OF THE PROPERTY IS DUE. FORM 990 PART III LINE 4D DESCRIPTION OF OTHER PROGRAM SERVICES THE ORGANIZATION PROVIDES A VARIETY OF OTHER SERVICES AND HOUSING FOR ADULTS, CHILDREN, AND FAMILIES INCLUDING: -CASE MANAGEMENT -START ON SUCCESS -MEDICAL PSYCHIATRIC SERVICES -CRISIS STABILIZATION -OUTPATIENT -SYNERGY -ROLO -CHARM FORM 990 PART III LINE 3 PROGRAM SERVICE ACTIVITIES NO LONGER CONDUCTED IN 2011, THE ORGANIZATION CEASED CONDUCTING ITS NETWORK PROGRAM SERVICES. HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ROBERT KASDORF TITLE:CHAIRMAN HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MICHAEL FLOREK TITLE:PRESIDENT HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:DAVID JORANSON TITLE:SECRETARY HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JAMES HALIKAS TITLE:DIRECTOR HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JUDY MCGUIRE TITLE:TREASURER HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:KEVIN FLOREK TITLE:CEO HOURS:1 TELLURIAN INC 300 FEMRITE DRIVE STE 200 MONONA WI 53716 391225145 LEASING SRVCS WI 501(C)(3) 9 NA false false false false false false false false false false true false false false false false true false false