Form 990 for tax year 2022
Filed by JANE ADDAMS COMMUNITY MENTAL HEALTH CENTER.
Totals
- Total revenue
- $2,731,168
- Total expenses
- $3,282,895
- Contributions and grants received
- $807,228
- Grants paid
- $0
- Program service revenue
- $1,922,201
- Investment income
- $1,739
- Other revenue
- $0
- Total assets, end of year
- $658,613
- Total liabilities, end of year
- $2,287,586
- Net assets or fund balances, end of year
- -$1,628,973
- Program services expenses (Part IX)
- $2,706,730
- Management and general expenses
- $576,165
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $2,706,730
Program services were 82.4% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Line items
Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.
Revenue
Part VIII, the statement of revenue.
-
1e · Government grants (contributions)
$803,096
-
1f · All other contributions, gifts and grants
$4,132
-
2a · Program service revenue: PATIENT REVENUE
total $1,906,290 · related or exempt $1,906,290
-
2b · Program service revenue: MISCELLANOUS
total $15,911 · related or exempt $15,911
-
3 · Investment income
total $1,739 · excluded $1,739
Functional expenses
Part IX, the statement of functional expenses.
-
5 · Compensation of officers, directors and key employees
total $16,200 · management and general $16,200
-
7 · Other salaries and wages
total $1,799,923 · program services $1,378,009 · management and general $421,914
-
9 · Other employee benefits
total $490,814 · program services $398,224 · management and general $92,590
-
10 · Payroll taxes
total $132,372 · program services $100,725 · management and general $31,647
-
16 · Occupancy
total $202,830 · program services $193,647 · management and general $9,183
-
17 · Travel
total $4,469 · program services $4,148 · management and general $321
-
19 · Conferences, conventions and meetings
total $2,604 · program services $2,604
-
23 · Insurance
total $11,578 · program services $11,578
-
24a · Other expenses: MEDICAL SPECIALIST FEES
total $335,623 · program services $335,623
-
24b · Other expenses: CORPORATE ALLOCATIONS
total $189,398 · program services $189,398
-
24c · Other expenses: CONTRACTED SERVICES
total $54,126 · program services $54,126
-
24d · Other expenses: MISCELLANEOUS
total $26,710 · program services $26,710
-
24e · All other expenses
total $16,248 · program services $11,938 · management and general $4,310
Balance sheet
Part X, book values.
-
2 · Savings and temporary cash investments
beginning of year $382,436 · end of year $118,833
-
4 · Accounts receivable
beginning of year $721,157 · end of year $539,350
-
9 · Prepaid expenses and deferred charges
end of year $430
-
10a · Land, buildings and equipment: cost or other basis
$0
-
10c · Land, buildings and equipment, net
beginning of year $0
-
17 · Accounts payable and accrued expenses
beginning of year $63,832 · end of year $21,470
-
19 · Deferred revenue
beginning of year $338,240 · end of year $363,766
-
25 · Other liabilities
beginning of year $1,773,086 · end of year $1,902,350
-
27 · Net assets without donor restrictions
beginning of year -$1,071,565 · end of year -$1,628,973
Mission and programs · 2022
Mission
TO IMPROVE THE HEALTH OF OUR COMMUNITIES, WORKING TOGETHER WITH THOSE WE SERVE. JAI COORDINATES AND INTERGRATES BEHAVIORAL HEALTH SERVICES AND PROVIDES IMPARTIAL ACCESS TO BEHAVIORAL HEALTH SERVICES REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, OR SOURCE OF PAYMENT.
Activities or mission (Part I)
TO PROVIDE AND PROMOTE SOCIAL, PSYCHOLOGICAL, AND PSYCHIATRIC SERVICES.
-
ADULT OUTPATIENT SERVICES PROVIDES ASSESSMENT AND COUNSELING FOR INDIVIDUALS, COUPLES, FAMILIES, AND GROUPS. TYPICAL ISSUES WORKED WITH ENCOMPASS GRIEF, DEPRESSION, ANXIETY, MARITAL AND FAMILY CONFLICT, DIVORCE MEDIATION, AND EDUCATION CLASSES. THE OBJECTIVE OF THIS SERVICE IS TO ADDRESS AND CHALLENGE DYSFUNCTIONAL PATTERNS OF COPING WITH STRESSORS AND REALIGN STRENGTHS TOWARD ACHIEVING INDIVIDUAL GOALS. IN 2022 SERVICES WERE PROVIDED TO 2996 PEOPLE.
Expenses $881,026 · Revenue $515,086
-
FHN FAMILY COUSELING CENTER'S CASE MANAGEMENT SERVICES HELP PLAN, COORDINATE AND ADVOCATE FOR CLIENTS WHO NEED MULTIPLE SERVICES AND REQUIRE ASSISTANCE IN GAINING ACCESS TO AND IN USING MEDICAL, MENTAL HEALTH, SOCIAL, VOCATIONAL, EDUCATIONAL,HOUSING, PUBLIC INCOME AND OTHER COMMUNITY SERVICES TO ASSIST THE CLIENT IN THE COMMUNITY.IN 2022, SERVICES WERE PROVIDED TO 1621 PEOPLE.
Expenses $1,301,966 · Revenue $1,745,315
-
OUTPATIENT CRISIS SERVICES ARE PROVIDED 24/7/365 TO CHILDREN, ADOLESCENTS, ADULTS AND INCLUDE ASSESSMENTS, LINKAGE AND REFERRAL & REPLACEMENT SERVICES FOR THOSE REQUIRING EMERGENCY INTERVENTION. THE OBJECTIVE OF THIS SERVICE IS TO AMELIORATE THE EMERGENCY NATURE OF THE MENTAL HEALTH ISSUE AND ENHANCE STABILITY IN THE LIVES OF THOSE SERVED. IN 2022, SERVICES WERE PROVIDED TO 282 PEOPLE.
Expenses $286,819 · Revenue $273,797
-
THE SUBSTANCE USE PREVENTION TEAM WORKS WITH MIDDLE SCHOOL AND HIGH SCHOOL YOUTH TO MAKE DECISIONS THAT DO NOT TURN TO DRUG AND ALCOHOL USE THROUGH EDUCATIONAL CURRICULUMS. THE TEAM SUPPORTS THE SCHOOLS IN STEPHENSON AND JO DAVIESS COUNTIES IN COMPLETING THE ILLINOIS YOUTH SURVEY EVERY TWO YEARS. THEY COORDINATE AND PROVIDE CUMMUNICATION CAMPAIGNS WITHIN BOTH COUNTIES TO EDUCATE ON MAKING GOOD CHOICES.
Expenses $236,919 · Revenue $196,970
As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.
Listed in Part VII
-
Neal RichardsonNEAL RICHARDSON
CHAIRMEN
- Total calculated
- $0
- Hours/week
- 0.3
-
Heather McPhersonHEATHER MCPHERSON
VICE CHAIRMAN
- Total calculated
- $0
- Hours/week
- 0.3
-
Mark WrightMARK WRIGHT
TREASURER
- Total calculated
- $0
- Hours/week
- 0.3
-
Rich ChangRICH CHANG
SECRETARY
- Total calculated
- $0
- Hours/week
- 0.3
-
Steven KneubuehlSTEVEN KNEUBUEHL
PAST CHAIRMEN
- Total calculated
- $0
- Hours/week
- 0.3
-
Gary QuinnGARY QUINN
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 0.3
-
Shokry Tawfik MDSHOKRY TAWFIK MD
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 0.3
-
Bruce BaldwinBRUCE BALDWIN
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 0.3
-
Amy BakerAMY BAKER
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 0.3
-
Glenda KoellerGLENDA KOELLER
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 0.3
-
Dan SchmittDAN SCHMITT
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 0.3
-
Beth Kalnins MDBETH KALNINS MD
MEDICAL STAFF
- Total calculated
- $347,566
- From this org
- $0
- From related orgs
- $318,276
- Other
- $29,290
- Hours/week
- 4 + 36 related
Schedule J breakdown matched by us
- Base
- $0 + $277,207 related
- Bonus
- $0 + $34,378 related
- Other
- $0 + $6,691 related
- Deferred
- $0
- Nontaxable benefits
- $0 + $29,290 related
- Filer's total
- $0 + $347,566 related
-
Mark S GridleyMARK S GRIDLEY
CHIEF EXECUTIVE OFFICER
- Total calculated
- $806,248
- From this org
- $7,385
- From related orgs
- $731,092
- Other
- $67,771
- Hours/week
- 4 + 36 related
Schedule J breakdown matched by us
- Base
- $5,215 + $516,264 related
- Bonus
- $0
- Other
- $2,170 + $214,828 related
- Deferred
- $205 + $20,295 related
- Nontaxable benefits
- $473 + $46,798 related
- Filer's total
- $8,063 + $798,185 related
-
Michael C ClarkMICHAEL C CLARK
CHIEF FINANCIAL OFFICER
- Total calculated
- $484,062
- From this org
- $4,199
- From related orgs
- $415,714
- Other
- $64,149
- Hours/week
- 4 + 36 related
Schedule J breakdown matched by us
- Base
- $2,834 + $280,574 related
- Bonus
- $0
- Other
- $1,365 + $135,140 related
- Deferred
- $205 + $20,295 related
- Nontaxable benefits
- $436 + $43,213 related
- Filer's total
- $4,840 + $479,222 related
-
Leonard CarterLEONARD CARTER
CHIEF HUMAN RESOURCES OFFI
- Total calculated
- $329,753
- From this org
- $2,890
- From related orgs
- $286,238
- Other
- $40,625
- Hours/week
- 4 + 36 related
Schedule J breakdown matched by us
- Base
- $2,052 + $203,193 related
- Bonus
- $0
- Other
- $838 + $83,045 related
- Deferred
- $0
- Nontaxable benefits
- $406 + $40,219 related
- Filer's total
- $3,296 + $326,457 related
-
Clarence Parks MDCLARENCE PARKS MD
PRESIDENT MEDICAL STAFF
- Total calculated
- $564,860
- From this org
- $0
- From related orgs
- $562,609
- Other
- $2,251
- Hours/week
- 4 + 36 related
Schedule J breakdown matched by us
- Base
- $0 + $454,366 related
- Bonus
- $0 + $35,156 related
- Other
- $0 + $73,087 related
- Deferred
- $0
- Nontaxable benefits
- $0 + $2,251 related
- Filer's total
- $0 + $564,860 related
-
Timothy Jessen MDTIMOTHY JESSEN MD
CHAIR PHYSICIAN COUNCIL
- Total calculated
- $303,448
- From this org
- $0
- From related orgs
- $253,178
- Other
- $50,270
- Hours/week
- 4 + 36 related
Schedule J breakdown matched by us
- Base
- $0 + $204,088 related
- Bonus
- $0 + $36,426 related
- Other
- $0 + $12,664 related
- Deferred
- $0 + $17,524 related
- Nontaxable benefits
- $0 + $32,746 related
- Filer's total
- $0 + $303,448 related
-
Rebecca L Pederson MDREBECCA L PEDERSON MD
CHIEF QUALITY OFFICER
- Total calculated
- $472,127
- From this org
- $0
- From related orgs
- $432,650
- Other
- $39,477
- Hours/week
- 4 + 36 related
Schedule J breakdown matched by us
- Base
- $0 + $388,242 related
- Bonus
- $0 + $43,142 related
- Other
- $0 + $1,266 related
- Deferred
- $0
- Nontaxable benefits
- $0 + $39,477 related
- Filer's total
- $0 + $472,127 related
-
Robert Geller MDROBERT GELLER MD
HEAD OF INFECTIOUS DISEASES
- Total calculated
- $316,596
- From this org
- $0
- From related orgs
- $284,881
- Other
- $31,715
- Hours/week
- 4 + 36 related
Schedule J breakdown matched by us
- Base
- $0 + $228,696 related
- Bonus
- $0 + $36,234 related
- Other
- $0 + $19,951 related
- Deferred
- $0
- Nontaxable benefits
- $0 + $31,715 related
- Filer's total
- $0 + $316,596 related
-
Kathryn MartinezKATHRYN MARTINEZ
COO/CNO
- Total calculated
- $375,097
- From this org
- $0
- From related orgs
- $338,247
- Other
- $36,850
- Hours/week
- 4 + 36 related
Schedule J breakdown matched by us
- Base
- $0 + $260,021 related
- Bonus
- $0
- Other
- $0 + $78,226 related
- Deferred
- $0
- Nontaxable benefits
- $0 + $36,850 related
- Filer's total
- $0 + $375,097 related
-
Clayton CunninghamCLAYTON CUNNINGHAM
EXECUTIVE DIRECTOR
- Total calculated
- $180,910
- From this org
- $151,654
- From related orgs
- $0
- Other
- $29,256
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $146,334
- Bonus
- $0
- Other
- $5,320
- Deferred
- $0
- Nontaxable benefits
- $29,256
- Filer's total
- $180,910
-
Misty DehavenMISTY DEHAVEN
EMPLOYEE
- Total calculated
- $153,885
- From this org
- $117,250
- From related orgs
- $0
- Other
- $36,635
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $110,042
- Bonus
- $5,836
- Other
- $1,372
- Deferred
- $0
- Nontaxable benefits
- $36,635
- Filer's total
- $153,885
Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.
Schedule J
Answered yes
- 2 · Substantiation required before reimbursing expenses
- 3 · Compensation committee
- 3 · Independent compensation consultant
- 3 · Written employment contract
- 3 · Compensation survey or study
- 3 · Approval by the board or compensation committee
- 4b · Supplemental nonqualified retirement plan
Answered no
- 4a · Severance or change-of-control payment
- 4c · Equity-based compensation arrangement
- 5a · Pay contingent on this organization's revenues
- 5b · Pay contingent on a related organization's revenues
- 6a · Pay contingent on this organization's net earnings
- 6b · Pay contingent on a related organization's net earnings
- 7 · Other non-fixed payments
- 8 · Paid under the initial-contract exception
Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.
Grants on this return
No itemized grants to organizations on this return.
Related organizations on this return
Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.
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FREEPORT REGIONAL HEALTH CARE FOUNDATION
501(C)(3) · HEALTH CARE · IL
-
501(C)(3) · HEALTH CARE · IL
Directly controlled by FREEPORT REGIONAL HEALTH CARE FOUNDATION
-
FREEPORT REGIONAL MANAGEMENT SERVICES
501(C)(3) · HEALTH CARE · IL
Directly controlled by FREEPORT REGIONAL HEALTH CARE FOUNDATION
-
FREEPORT REGIONAL HEALTHCARE SERVICES
501(C)(3) · HEALTH CARE · IL
Directly controlled by FREEPORT REGIONAL HEALTH CARE FOUNDATION
-
JANE ADDAMS HEALTHCARE SERVICES INC
501(C)(3) · HEALTH CARE · IL
Directly controlled by FREEPORT REGIONAL HEALTH CARE FOUNDATION
Taxable family on this return
Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.
Related corporations and trusts
Part IV: related organizations taxable as a corporation or trust.
-
MEMORIAL ENTERPRISES IN
C · HEALTH CARE · IL
Directly controlled by FREEPORT REGIONAL HEALTH CARE FOUNDATION
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 2 August 2023
- IRS schema version
- 2022v5.0
- Source object
- 202332149349300313
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