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PAVILLON INTERNATIONAL: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
PAVILLON INTERNATIONAL (EIN 38-3102731)
Tax period
2010-07-01 to 2011-06-30
Filed
2011-10-05
IRS object ID
201102789349300425
Schema version
2010v3.4
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)
Timestamp2011-10-05T14:16:09-05:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

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 Date2010-07-01TaxPeriodBeginDate

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 Signed2011-10-04DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBERT DAVISName
Phone3362276283Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

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 Receipts10600266GrossReceipts
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 SERVICES THAT ARE ACCESSIBLE, EFFECTIVE, AND PROMOTE HOPE IN RECOVERY FOR INDIVIDUALS, FAMILIES, AND COMMUNITIES AFFECTED BY SUBSTANCE-USE DISORDERS.ActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees132TotalNbrEmployees
Total Nbr Volunteers12TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year157477ContributionsGrantsPriorYear
Contributions Grants Current Year427012ContributionsGrantsCurrentYear
Program Service Revenue Prior Year9193880ProgramServiceRevenuePriorYear
Program Service Revenue CY10071877ProgramServiceRevenueCY
Investment Income Prior Year52900InvestmentIncomePriorYear
Investment Income Current Year35921InvestmentIncomeCurrentYear
Other Revenue Prior Year62493OtherRevenuePriorYear
Other Revenue Current Year24699OtherRevenueCurrentYear
Total Revenue Prior Year9466750TotalRevenuePriorYear
Total Revenue Current Year10559509TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year918974GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY828796GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year4825927SalariesEtcPriorYear
Salaries Etc Current Year5870062SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year169273TotalFundrsngExpCurrentYear
Other Expense Prior Year3004819OtherExpensePriorYear
Other Expenses Current Year2797495OtherExpensesCurrentYear
Total Expenses Prior Year8749720TotalExpensesPriorYear
Total Expenses Current Year9496353TotalExpensesCurrentYear
Revenues Less Expenses Prior Year717030RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1063156RevenuesLessExpensesCY
Total Assets BOY10494203TotalAssetsBOY
Total Assets EOY12101415TotalAssetsEOY
Total Liabilities BOY2717668TotalLiabilitiesBOY
Total Liabilities EOY3261724TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY7776535NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY8839691NetAssetsOrFundBalancesEOY
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
Expense4174159Expense
Revenue8234947Revenue
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)
Expense828652Expense
Revenue1516773Revenue
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)
Expense334413Expense
Revenue341073Revenue
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
FieldValueIRS element (for citing)
Total Program Service Expense5337224TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
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 DQP1LoanToOfficerOrDQP
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
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109648NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees132NumberOfEmployees
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
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
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

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1DAVID TRUSCOTTBusinessNameLine1
FieldValueIRS element (for citing)
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 EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
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
SCOTT MANSFIELD
DIRECTOR - BOARD1.00X000
PAT MARRIOTT
DIRECTOR - BOARD1.00X000
CHERYL KAYNARD
DIRECTOR - BOARD1.00X000
ROBERT TOOMEY
DIRECTOR - BOARD1.00X000
ANNE VANCE
CEO40.00X241890053175X
DAVID TRUSCOTT
DIRECTOR OF FINANCE40.00X90272018665
SUSAN HOLMAN
MEDICAL DIRECTOR40.00187470026998X
JOHN ROBERTS
PSYCHIATRIST40.00269858014227X
STEVE MILLETTE
EXECDIR TREATMENT SERVICES40.00120252013208X
LILIANE DESJARDINS
FORMER5000000X
GILLES DESJARDINS
FORMER5000000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1009742TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation126273TotalOtherCompensation
Number Individuals GT100 K4NumberIndividualsGT100K
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
COOPER CONSTRUCTION COMPANY
PO BOX 806HENDERSONVILLENC287930806CONTRACTING691531
BCBS OF NC
PO BOX 30071DURHAMNC27702INSURANCE645759
SODEXO INC & AFFILIATES
PO BOX 536922ATLANTAGA30353FOOD SERVICE232361
SYSCO FOOD SERVICE
PO BOX 96CONCORD NCNC28026FOOD SERVICE182590
AMERICAN EXPRESS
PO BOX 36001FT LAUDERDALEFL33336CREDIT CARD122069
FieldValueIRS element (for citing)
Number Of Contractors GT100 K7NumberOfContractorsGT100K
All Other Contributions427012AllOtherContributions
Total Contributions427012TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT FEESDescription
Business Code623990BusinessCode
Total Revenue Column10071877TotalRevenueColumn
Related Or Exempt Function Income10071877RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue10071877TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column35921TotalRevenueColumn
Exclusion$35,921ExclusionAmount
FieldValueIRS element (for citing)
Gross Sales Of Inventory61673GrossSalesOfInventory
Cost Of Goods Sold40757CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column20916TotalRevenueColumn
Related Or Exempt Function Income20916RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
FOOD, ALUMNI & RETREAT90009932817$32,817
MISCELLANEOUS INCOME9000991743$1,743
INSURANCE ADJUSTMENT900099-30777-$30,777
FieldValueIRS element (for citing)
Total Other Revenue3783TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column10559509TotalRevenueColumn
Related Or Exempt Function Income10092793RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$39,704ExclusionAmount

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total828796Total
Program Services828796ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total902554Total
Program Services862154ProgramServices
Management And General40400ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total3828103Total
Program Services2089229ProgramServices
Management And General1628492ManagementAndGeneral
Fundraising110382Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total127116Total
Program Services59660ProgramServices
Management And General62838ManagementAndGeneral
Fundraising4618Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total610269Total
Program Services286419ProgramServices
Management And General301679ManagementAndGeneral
Fundraising22171Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total402020Total
Program Services254714ProgramServices
Management And General138411ManagementAndGeneral
Fundraising8895Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total15900Total
Management And General15900ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total41616Total
Management And General41616ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total485551Total
Program Services194701ProgramServices
Management And General279990ManagementAndGeneral
Fundraising10860Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total41361Total
Management And General41361ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total169078Total
Program Services25088ProgramServices
Management And General138064ManagementAndGeneral
Fundraising5926Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total245937Total
Program Services82003ProgramServices
Management And General163934ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total194263Total
Program Services40613ProgramServices
Management And General149120ManagementAndGeneral
Fundraising4530Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total48699Total
Program Services1669ProgramServices
Management And General47030ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total133497Total
Program Services17980ProgramServices
Management And General115517ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total464448Total
Program Services71550ProgramServices
Management And General392898ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total66452Total
Management And General66452ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
FOOD SUPPLIES & SERVICE35572022970412598828
REPAIRS & MAINTENANCE22025955065165194
SUPPLIES219554175402429641188
PATIENT CARE5841858418
MISCELLANEOUS2040920409

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total16333Total
Program Services4059ProgramServices
Management And General11599ManagementAndGeneral
Fundraising675Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total9496353Total
Program Services5337224ProgramServices
Management And General3989856ManagementAndGeneral
Fundraising169273Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2891779BOY
EOY3144006EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY283019BOY
EOY355672EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY101281EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY107338BOY
EOY165386EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY16319BOY
EOY13375EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY76871BOY
EOY113680EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis12389853LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec4189934LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY7105034BOY
EOY8199919EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY13843BOY
EOY8096EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY10494203BOY
EOY12101415EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY593983BOY
EOY596282EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY352079BOY
EOY516936EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY439255BOY
EOY414207EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY804358BOY
EOY1273016EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY527993BOY
EOY461283EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2717668BOY
EOY3261724EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY7754442BOY
EOY8740844EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY22093BOY
EOY98847EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7776535BOY
EOY8839691EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY10494203BOY
EOY12101415EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses1063156ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
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 Years101939CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years374408CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years109403CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year157477CurrentTaxYearMinus1Year
Current Tax Year427012CurrentTaxYear
Total1170239Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6120648CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6113733CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8060216CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9243344CurrentTaxYearMinus1Year
Current Tax Year10133550CurrentTaxYear
Total39671491Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6222587CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6488141CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8169619CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9400821CurrentTaxYearMinus1Year
Current Tax Year10560562CurrentTaxYear
Total40841730Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years53900CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years60000CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year57650CurrentTaxYearMinus1Year
Current Tax Year91975CurrentTaxYear
Total263525Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years53900CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years60000CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year57650CurrentTaxYearMinus1Year
Current Tax Year91975CurrentTaxYear
Total263525Total
FieldValueIRS element (for citing)
Public Support Total50940578205PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years120638CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years34630CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years53965CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year52900CurrentTaxYearMinus1Year
Current Tax Year35921CurrentTaxYear
Total298054Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years120638CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years34630CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years53965CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year52900CurrentTaxYearMinus1Year
Current Tax Year35921CurrentTaxYear
Total298054Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years27057CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years46521CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years35182CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year45283CurrentTaxYearMinus1Year
Current Tax Year3783CurrentTaxYear
Total157826Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6370282CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6569292CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8258766CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9499004CurrentTaxYearMinus1Year
Current Tax Year10600266CurrentTaxYear
Total41297610Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98260PublicSupportPercentage509
Prior Year Support Percentage0.98030PriorYearSupportPercentage
Investment Income Percentage0.00720InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00820PriorYrInvestIncomePercentage
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 Basis680399OtherCostOrOtherBasis
Book Value680399BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis8979252OtherCostOrOtherBasis
Depreciation3158546Depreciation
Book Value5820706BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis702879OtherCostOrOtherBasis
Depreciation494985Depreciation
Book Value207894BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2027323OtherCostOrOtherBasis
Depreciation536403Depreciation
Book Value1490920BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings8199919TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDEFERRED COMPENSATION OBLIGATIONDescription
Amount$461,283Amount
FieldValueIRS element (for citing)
Total Of Amounts461283TotalOfAmounts
Total Revenue10559509TotalRevenue
Total Expenses9496353TotalExpenses
Excess Or Deficit For Year1063156ExcessOrDeficitForYear
Total Adjustments0TotalAdjustments
Excess Or Deficit Per FS1063156ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt10559509TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal10559509RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99010559509TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt9496353TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal9496353ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9909496353TotalExpensesPerForm990

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 AID143097REDUCTION IN TOTAL FEE FUNDED FROM SCHOLARSHIP FUND.
FULL SCHOLARSHIP365002FREE SERVICE PROVIDES & NOT FUNDED.
TREATMENT DISCOUNTS320697REDUCE 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 (5 entries)

Base 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
2418900000038500014675029506502463660
SUSAN HOLMAN
187470000002019006808021446801896530
JOHN ROBERTS
269858000009829043980284085000
LILIANE DESJARDINS
50000000000000500000500000
GILLES DESJARDINS
50000000000000500000500000

Schedule L IRS990ScheduleL

Loan Table LoanTable

FieldValueIRS element (for citing)
Name PersonDALE PATRICIA HOLLNamePerson
Purpose Of LoanTO FINANCE THE EXTENDED CARE HOMEPurposeOfLoan
Loan To OrganizationXLoanToOrganization
Original Principal$475,000OriginalPrincipalAmount
Balance Due414207BalanceDue
Default0Default
Approved By Board1ApprovedByBoard
Written Agreement1WrittenAgreement
FieldValueIRS element (for citing)
Total Balance Due414207TotalBalanceDue

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
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.
AS 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 12C
THE 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 B, LINE 15
GOVERNING 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.FORM 990, PART VI, SECTION C, LINE 19
PRIOR YEAR COMPENSATIONNO PRIOR YEAR COMPENSATION IS REPORTED FOR JOHN ROBERTS. HE WAS A NEW EMPLOYEE FOR THIS ORGANIZATION, WITH A HIRE DATE OF 1/7/2010. SINCE HE WAS NOT EMPLOYED BY THE ORGANIZATION IN THE PRIOR YEAR, HIS SALARY IS NOT DISCLOSED.SCHEDULE J, PART II, LINE 3, COLUMN F