| FORM 990, PAGE 2, PART III, LINE 4D |
MENTAL HEALTH SERVICES - TO PROVIDE DIAGNOSTIC, TREATMENT, AND SUPPORT SERVICES TO INDIVIDUALS WITH MENTAL HEALTH SUPPORT NEEDS THAT PROMOTE AND FACILITATE PERSONAL RECOVERY AND ADJUSTMENT. REV 2,479,748 EXP 2,828,720 DIAGNOSTIC & TREATMENT CENTER - TO PROVIDE DIAGNOSTIC AND TREATMENT PRIMARY CARE, DENTAL, AND ANCILLARY SERVICES FOR INDIVIDUALS WITH DISBLING CONDITIONS AND THE GENERAL PUBLIC. REV 4,256,235 EXP 4,822,513 OTHER PROGRAMS - INCLUDE PHARMACY, HEALTH HOMES, SOCIAL SERVICES, AND ACCES-VR SERVICES, AMONG OTHERS. REV 1,351,749 EXP 2,135,981 |
| FORM 990, PAGE 6, PART VI, LINE 6 |
THE ORGANIZATION IS A NON-STOCK, NOT-FOR-PROFIT ASSOCIATION WITH MEMBERS. THE CLASSES OF MEMBERS CONSIST OF ACTIVE, LIFE AND ASSOCIATE MEMBERS. MEMBERS PAY AN ANNUAL FEE DEPENDING ON THEIR LEVEL OF MEMBERSHIP. |
| FORM 990, PAGE 6, PART VI, LINE 7A |
ALL ACTIVE MEMBERS ELECT THE BOARD OF DIRECTORS AT THE ANNUAL MEMBERSHIP MEETING. |
| FORM 990, PAGE 6, PART VI, LINE 7B |
ANY REVISIONS OF THE BY-LAWS OR THE CERTIFICATE OF ORGANIZATION ARE SUBJECT TO THE APPROVAL OF MEMBERSHIP. |
| FORM 990, PAGE 6, PART VI, LINE 11B |
THE 990 REVIEW COMMITTEE (A SUB-COMMITTEE OF THE BOARD OF DIRECTORS COMPRISED OF THE BOARD PRESIDENT, BOARD TREASURER, EXECUTIVE DIRECTOR (CEO), AND THE CHIEF FINANCIAL OFFICER), MEETS TO REVIEW, APPROVE, AND SIGN THE FORM 990 AND REQUIRED SUPPLEMENTARY SCHEDULES PRIOR TO ITS FILING WITH THE IRS. THE SUB-COMMITTEE ALSO PROVIDES A FULL REPORT OF THIS ACTIVITY TO THE FULL BOARD OF DIRECTORS AND A COPY IS MADE AVAILABLE FOR REVIEW PRIOR TO FILING. |
| FORM 990, PAGE 6, PART VI, LINE 12C |
DESIGNATED STAFF (DESIGNATED STAFF SHALL MEAN ALL MEMBERS OF THE EXECUTIVE MANAGEMENT TEAM AS WELL AS ANY EMPLOYEE WHO IS IN THE POSITION TO MAKE DECISIONS THAT INVOLVE PURCHASING GOODS OR SERVICES, OR THAT OTHERWISE MAY ENCUMBER THE ORGANIZATION), BOARD ADVISORY COMMITTEES AND THE BOARD OF DIRECTORS COMPLETE A CONFLICT OF INTEREST FORM ANNUALLY. THE ORGANIZATION'S CORPORATE COMPLIANCE OFFICER REVIEWS ALL FORMS AND REPORTS RESULTS TO THE BOARD OF DIRECTORS AND THE AUDIT COMMITTEE. |
| FORM 990, PAGE 6, PART VI, LINE 15A |
CEO EMPLOYMENT CONTRACT IS REVIEWED BY THE EXECUTIVE COMMITTEE. COMPARATIVE SALARY STUDIES ARE PROVIDED FROM BUSINESS FIRST PUBLICATIONS AND OTHER LOCAL COMPETITORS FOR THE EXECUTIVE COMMITTEE TO CONSIDER. THE EXECUTIVE COMMITTEE MAKES A RECOMMENDATION TO THE BOARD OF DIRECTORS FOR APPROVAL. |
| FORM 990, PAGE 6, PART VI, LINE 15B |
ALL OTHER SALARY RANGES ARE REVIEWED BY THE SALARY ADVISORY COMMITTEE, THE PERSONNEL DEPARTMENTS AND ULTIMATELY THE BOARD OF DIRECTORS. |
| FORM 990, PAGE 6, PART VI, LINE 19 |
THE ORGANIZATION'S GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE ON FILE WITH STATE REGULATORY AGENCIES REGULATING THE ORGANIZATION'S ACTIVITIES. |
| FORM 990, PART XI, LINE 9 |
CHANGE IN FAIR VALUE OF DERIVATIVE INSTRUMENT 40,296 COGS INCLUDED ON F/S STMT OF FUNCTIONAL EXP 14,805,915 COGS INCLUDED ON F/S STMT OF FUNCTIONAL EXP -14,805,915 TOTAL 40,296 |
Attach to Form 990 or 990-EZ.