TY 2021 Form 990 Schedule O

efile Public Visual Render ObjectId: 202321359349307417 - Submission: 2023-05-15 TIN: 59-3153549

SCHEDULE O
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization

PERSONAL ENRICHMENT THROUGH MENTAL
HEALTH SERVICES INC

Employer identification number

59-3153549

Return Reference	Explanation
FORM 990, PART VI, SECTION A, LINE 6	BOLEY-PAR, INC. IS THE SOLE MEMBER OF PERSONAL ENRICHMENT THROUGH MENTAL HEALTH SERVICES, INC.
FORM 990, PART VI, SECTION A, LINE 7A	BOLEY-PAR, INC. IS THE SOLE MEMBER OF PERSONAL ENTRICHMENT THROUGH MENTAL HEALTH SERVICES, INC.. THE BYLAWS PROVIDE THAT BOLEY-PAR HAS THE POWER TO ELECT, REMOVE, AND/OR REPLACE THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 11B	THE CHIEF FINANCIAL OFFICER AND CHIEF EXECUTIVE OFFICER REVIEW THE FORM 990 WITH THE EXECUTIVE COMMITTEE OF THE BOARD PRIOR TO THE FILING DATE. COPIES OF THE 990 ARE MADE AVAILABLE TO THE FULL BOARD AT THE FOLLOWING BOARD MEETING.
FORM 990, PART VI, SECTION B, LINE 12C	EACH BOARD MEMBER IS PROVIDED WITH A WRITTEN MONITORING TOOL THAT COVERS A WIDE RANGE OF BOARD FUNCTIONS INCLUDING CONFLICTS OF INTEREST.
FORM 990, PART VI, SECTION B, LINE 15	THE EXECUTIVE COMMITTEE, CONSISTING OF THE OFFICERS OF THE BOARD OF DIRECTORS, DETERMINE COMPENSATION FOR THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER. THE EXECUTIVE COMMITTEE REQUIRES COPIES OF THE COMPENSATION SURVEY CONDUCTED BY THE NATIONAL COUNCIL FOR COMMUNITY MENTAL HEALTH CENTERS AND THE FLORIDA COUNCIL FOR COMMUNITY MENTAL HEALTH. IN ADDITION, THE COMMITTEE MAY REQUIRE A SURVEY OF LOCAL COMMUNITY MENTAL HEALTH CENTERS. THE COMMITTEE ALSO TAKES INTO CONSIDERATION JOB PERFORMANCE UTILIZING A PERFORMANCE EVALUATION BY THE BOARD PRESIDENT AS WELL AS THE AVAILIBILITY OF FUNDS AND TOTAL AGENCY FUNDING.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON VERBAL OR WRITTEN REQUEST.
FORM 990, PART IX, LINE 11G	PHYSICIAN & PSYCHIATRIST FEES: PROGRAM SERVICE EXPENSES 145,046. MANAGEMENT AND GENERAL EXPENSES 24,454. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 169,500. OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 789,419. MANAGEMENT AND GENERAL EXPENSES 133,093. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 922,512. SUBCONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 1,422,681. MANAGEMENT AND GENERAL EXPENSES 281,837. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,704,518.
FORM 990, PART XI, LINE 9:	BOOK/TAX DEPRECIATION DIFFERENCE -91,796. RECLASS BAD DEBT EXPENSE -75,000. ROUNDING 1.

Return Reference

Explanation

FORM 990, PART VI, SECTION A, LINE 6

BOLEY-PAR, INC. IS THE SOLE MEMBER OF PERSONAL ENRICHMENT THROUGH MENTAL HEALTH SERVICES, INC.

FORM 990, PART VI, SECTION A, LINE 7A

BOLEY-PAR, INC. IS THE SOLE MEMBER OF PERSONAL ENTRICHMENT THROUGH MENTAL HEALTH SERVICES, INC.. THE BYLAWS PROVIDE THAT BOLEY-PAR HAS THE POWER TO ELECT, REMOVE, AND/OR REPLACE THE BOARD OF DIRECTORS.

FORM 990, PART VI, SECTION B, LINE 11B

THE CHIEF FINANCIAL OFFICER AND CHIEF EXECUTIVE OFFICER REVIEW THE FORM 990 WITH THE EXECUTIVE COMMITTEE OF THE BOARD PRIOR TO THE FILING DATE. COPIES OF THE 990 ARE MADE AVAILABLE TO THE FULL BOARD AT THE FOLLOWING BOARD MEETING.

FORM 990, PART VI, SECTION B, LINE 12C

EACH BOARD MEMBER IS PROVIDED WITH A WRITTEN MONITORING TOOL THAT COVERS A WIDE RANGE OF BOARD FUNCTIONS INCLUDING CONFLICTS OF INTEREST.

FORM 990, PART VI, SECTION B, LINE 15

THE EXECUTIVE COMMITTEE, CONSISTING OF THE OFFICERS OF THE BOARD OF DIRECTORS, DETERMINE COMPENSATION FOR THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER. THE EXECUTIVE COMMITTEE REQUIRES COPIES OF THE COMPENSATION SURVEY CONDUCTED BY THE NATIONAL COUNCIL FOR COMMUNITY MENTAL HEALTH CENTERS AND THE FLORIDA COUNCIL FOR COMMUNITY MENTAL HEALTH. IN ADDITION, THE COMMITTEE MAY REQUIRE A SURVEY OF LOCAL COMMUNITY MENTAL HEALTH CENTERS. THE COMMITTEE ALSO TAKES INTO CONSIDERATION JOB PERFORMANCE UTILIZING A PERFORMANCE EVALUATION BY THE BOARD PRESIDENT AS WELL AS THE AVAILIBILITY OF FUNDS AND TOTAL AGENCY FUNDING.

FORM 990, PART VI, SECTION C, LINE 19

THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON VERBAL OR WRITTEN REQUEST.

FORM 990, PART IX, LINE 11G

PHYSICIAN & PSYCHIATRIST FEES: PROGRAM SERVICE EXPENSES 145,046. MANAGEMENT AND GENERAL EXPENSES 24,454. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 169,500. OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 789,419. MANAGEMENT AND GENERAL EXPENSES 133,093. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 922,512. SUBCONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 1,422,681. MANAGEMENT AND GENERAL EXPENSES 281,837. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,704,518.

FORM 990, PART XI, LINE 9:

BOOK/TAX DEPRECIATION DIFFERENCE -91,796. RECLASS BAD DEBT EXPENSE -75,000. ROUNDING 1.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990) 2021

Software ID:
Software Version: