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SCREENING FOR MENTAL HEALTH INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
SCREENING FOR MENTAL HEALTH INC (EIN 04-3221069)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-07-16
IRS object ID
201241999349300029
Schema version
2011v1.2
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)
Timestamp2012-07-16T13:37:26-05:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

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 Date2011-01-01TaxPeriodBeginDate

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 Signed2012-07-17DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameERIC SAUNDERSName
PTINP00039212PTIN
Phone6179693300Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
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 Receipts3853581GrossReceipts
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 Employees26TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year43285ContributionsGrantsPriorYear
Contributions Grants Current Year60134ContributionsGrantsCurrentYear
Program Service Revenue Prior Year4164205ProgramServiceRevenuePriorYear
Program Service Revenue CY3736777ProgramServiceRevenueCY
Investment Income Prior Year43449InvestmentIncomePriorYear
Investment Income Current Year18391InvestmentIncomeCurrentYear
Other Revenue Prior Year11815OtherRevenuePriorYear
Other Revenue Current Year20739OtherRevenueCurrentYear
Total Revenue Prior Year4262754TotalRevenuePriorYear
Total Revenue Current Year3836041TotalRevenueCurrentYear
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 Year1540472SalariesEtcPriorYear
Salaries Etc Current Year1509882SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2576200OtherExpensePriorYear
Other Expenses Current Year1956812OtherExpensesCurrentYear
Total Expenses Prior Year4116672TotalExpensesPriorYear
Total Expenses Current Year3466694TotalExpensesCurrentYear
Revenues Less Expenses Prior Year146082RevenuesLessExpensesPriorYear
Revenues Less Expenses CY369347RevenuesLessExpensesCY
Total Assets BOY5342385TotalAssetsBOY
Total Assets EOY5627947TotalAssetsEOY
Total Liabilities BOY213958TotalLiabilitiesBOY
Total Liabilities EOY130173TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY5128427NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY5497774NetAssetsOrFundBalancesEOY
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
Expense1858804Expense
Revenue2869110Revenue
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)
Expense88872Expense
Revenue87356Revenue
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)
Expense219302Expense
Revenue320306Revenue
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
254406189271COLLEGE 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.
837810SUICIDE 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.
131720270734INTERACTIVE SCREENING 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 Exp469907TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev460005TotalOfOtherProgramServiceRev
Total Program Service Expense2636885TotalProgramServiceExpense
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 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 Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees26NumberOfEmployees
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
Excess Business Holdings0ExcessBusinessHoldings
Taxable Distributions0TaxableDistributions
Distribution To Donor0DistributionToDonor
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 (8 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
DOUGLAS JACOBS MD
PRESIDENT/CEO/TREASURER20.00XX010000022486
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 DIRECTOR40.00X147827023368X
FieldValueIRS element (for citing)
Total Reportable Comp From Org147827TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs100000TotalReportableCompFrmRltdOrgs
Total Other Compensation45854TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
BOSTON DIGITAL PRODUCTIONS
316 STUART STREETBOSTONMA02116PSA, VIDEO AND DVD PRODUCTION227580
BARRETT DISTRIBUTION
15 FREEDOM WAYFRANKLINMA02038KIT STORAGE183982
STATELINE GRAPHICS
6 VICTORIA STREETEVERETTMA02149PRINTING131272
MORGAN PRESS
60 BUCKLEY CIRCLEMANCHESTERNH031095233PRINTING122332
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K
All Other Contributions60134AllOtherContributions
Total Contributions60134TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MILITARY PROGRAM90009928691102869110
YOUTH PROGRAMS900099320306320306
INTERACTIVE SCREENING900099270734270734
COLLEGE PROGRAMS900099189271189271
NATIONAL DEPRESSION SC9000998735687356
FieldValueIRS element (for citing)
Total Program Service Revenue3736777TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column30803TotalRevenueColumn
Exclusion$30,803ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities5128Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities17540Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-12412Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-12412TotalRevenueColumn
Exclusion-$12,412ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUS INCOMEDescription
Business Code900099BusinessCode
Total Revenue Column20739TotalRevenueColumn
Exclusion$20,739ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue20739TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column3836041TotalRevenueColumn
Related Or Exempt Function Income3736777RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$39,130ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total293681Total
Program Services207209ProgramServices
Management And General86472ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total922669Total
Program Services753048ProgramServices
Management And General169621ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total27178Total
Program Services22182ProgramServices
Management And General4996ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total148078Total
Program Services120855ProgramServices
Management And General27223ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total118276Total
Program Services96533ProgramServices
Management And General21743ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total6054Total
Management And General6054ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total41231Total
Management And General41231ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total384778Total
Program Services343650ProgramServices
Management And General41128ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total85214Total
Program Services47750ProgramServices
Management And General37464ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total181152Total
Management And General181152ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total72352Total
Program Services65918ProgramServices
Management And General6434ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total83342Total
Management And General83342ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total33052Total
Management And General33052ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
KIT DESIGN548372548222150
VIDEO PRODUCTION225216225216
COMMUNICATION19045113771352738
CONSULTANTS50898449465952

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total54700Total
Program Services23643ProgramServices
Management And General31057ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total3466694Total
Program Services2636885ProgramServices
Management And General829809ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY37717BOY
EOY41635EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY4637553BOY
EOY2923474EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY507330BOY
EOY590377EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY35018BOY
EOY35952EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis231393LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec189968LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY124767BOY
EOY41425EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY1995084EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY5342385BOY
EOY5627947EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY107558BOY
EOY96566EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY77186BOY
EOY13329EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY29214BOY
EOY20278EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY213958BOY
EOY130173EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY5127227BOY
EOY5470774EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1200BOY
EOY27000EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5128427BOY
EOY5497774EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5342385BOY
EOY5627947EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses369347ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
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 Years2950959CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3361889CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3904941CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3496193CurrentTaxYearMinus1Year
Current Tax Year3075945CurrentTaxYear
Total16789927Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years755544CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years841908CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years792158CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year718597CurrentTaxYearMinus1Year
Current Tax Year727967CurrentTaxYear
Total3836174Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3706503CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4203797CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4697099CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4214790CurrentTaxYearMinus1Year
Current Tax Year3803912CurrentTaxYear
Total20626101Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years376483CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years197735CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years75000CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year25000CurrentTaxYearMinus1Year
Total674218Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years376483CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years197735CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years75000CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year25000CurrentTaxYearMinus1Year
Total674218Total
FieldValueIRS element (for citing)
Public Support Total50919951883PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years107632CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years94986CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years71682CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year46947CurrentTaxYearMinus1Year
Current Tax Year30803CurrentTaxYear
Total352050Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years107632CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years94986CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years71682CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year46947CurrentTaxYearMinus1Year
Current Tax Year30803CurrentTaxYear
Total352050Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7865CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3196CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8678CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1017CurrentTaxYearMinus1Year
Current Tax Year1326CurrentTaxYear
Total22082Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3822000CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4301979CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4777459CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4262754CurrentTaxYearMinus1Year
Current Tax Year3836041CurrentTaxYear
Total21000233Total
FieldValueIRS element (for citing)
Public Support Percentage5090.95010PublicSupportPercentage509
Prior Year Support Percentage0.97930PriorYearSupportPercentage
Investment Income Percentage0.01680InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01970PriorYrInvestIncomePercentage
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
Depreciation119207Depreciation
Book Value17029BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis95157OtherCostOrOtherBasis
Depreciation70761Depreciation
Book Value24396BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings41425TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionOBLIGATION UNDER CAPITAL LEASEDescription
Amount$20,278Amount
FieldValueIRS element (for citing)
Total Of Amounts20278TotalOfAmounts
Total Revenue3836041TotalRevenue
Total Expenses3466694TotalExpenses
Excess Or Deficit For Year369347ExcessOrDeficitForYear
Excess Or Deficit Per FS369347ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt3836041TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal3836041RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9903836041TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt3466694TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal3466694ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9903466694TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X:ReturnReference
ExplanationTHE ORGANIZATION EVALUATES ALL SIGNIFICANT TAX POSITIONS AS REQUIRED BY GENERALLY ACCEPTED ACCOUNTING PRINCIPLES IN THE UNITED STATES. AS OF DECEMBER 31, 2011 AND 2010, 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
Base Compensation Filing Org147827BaseCompensationFilingOrg
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 Org23368NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org171195TotalCompensationFilingOrg
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 Transaction122486AmountOfTransaction
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.LIST TOTAL $122,486DescriptionOfTransaction
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.