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Nonprofiteer
← JANE ADDAMS COMMUNITY MENTAL HEALTH CENTER

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 Richardson

    CHAIRMEN

    Total calculated
    $0
    Hours/week
    0.3
  • Heather McPherson

    VICE CHAIRMAN

    Total calculated
    $0
    Hours/week
    0.3
  • Mark Wright

    TREASURER

    Total calculated
    $0
    Hours/week
    0.3
  • Rich Chang

    SECRETARY

    Total calculated
    $0
    Hours/week
    0.3
  • Steven Kneubuehl

    PAST CHAIRMEN

    Total calculated
    $0
    Hours/week
    0.3
  • Gary Quinn

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.3
  • Shokry Tawfik MD

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.3
  • Bruce Baldwin

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.3
  • Amy Baker

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.3
  • Glenda Koeller

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.3
  • Dan Schmitt

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.3
  • Beth 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 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 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 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 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 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 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 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 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 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 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.

  • FREEPORT REGIONAL HEALTH CARE FOUNDATION

    501(C)(3) · HEALTH CARE · IL

  • FREEPORT MEMORIAL HOSPITAL

    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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