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Nonprofiteer
← BLACK HAWK-GRUNDY MENTAL HEALTH CENTER INC

Form 990 for tax year 2022

Filed by BLACK HAWK-GRUNDY MENTAL HEALTH CENTER INC.

Totals

Total revenue
$6,886,561
Total expenses
$6,757,634
Contributions and grants received
$2,265,898
Grants paid
$16,582
Program service revenue
$4,580,795
Investment income
$39,586
Other revenue
$282
Total assets, end of year
$3,827,402
Total liabilities, end of year
$1,018,702
Net assets or fund balances, end of year
$2,808,700
Program services expenses (Part IX)
$5,562,095
Management and general expenses
$1,195,539
Fundraising expenses
$0
Program service expenses (Part III)
$5,562,095

Program services were 82.3% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • TROY BELMER

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • JENA BURCH

    BOARD MEMBER

    Total calculated
    $163,151
    From this org
    $0
    From related orgs
    $128,193
    Other
    $34,958
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $117,229 related
    Bonus
    $0 + $10,592 related
    Other
    $0 + $372 related
    Deferred
    $0 + $6,741 related
    Nontaxable benefits
    $0 + $28,217 related
    Filer's total
    $0 + $163,151 related

  • PAMELA DELAGARDELLE

    BOARD MEMBER & PRESIDENT/CEO- AMHC

    Total calculated
    $776,773
    From this org
    $0
    From related orgs
    $671,810
    Other
    $104,963
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $497,754 related
    Bonus
    $0 + $155,204 related
    Other
    $0 + $18,852 related
    Deferred
    $0 + $88,702 related
    Nontaxable benefits
    $0 + $16,261 related
    Filer's total
    $0 + $776,773 related

  • SHARON DROSTE

    BOARD SECRETARY

    Total calculated
    $0
    Hours/week
    1

  • DENITA GADSON

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • SANDI HASAN

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • SARA LAURES

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • LINDA LAYLIN

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • MARK LITTLE

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • JOHN MILLER

    BOARD CHAIR

    Total calculated
    $0
    Hours/week
    1

  • HEIDI NEDERHOFF

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • HEMANSHU PATEL

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • WES PILKINGTON

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • ERICH PRIEBE

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • SUSAN ROLINGER

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • SHANE SCHELLHORN

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • DAPHNE SCHLAMPP FR 622

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • MICHAEL SCHRECK

    BOARD TREASURER

    Total calculated
    $0
    Hours/week
    1

  • JEAN SEELAND

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • MICHAELA VANDERSEE

    BOARD VICE CHAIR

    Total calculated
    $0
    Hours/week
    1

  • JESSICA WEBER

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • THOMAS EACHUS

    EXECUTIVE DIRECTOR

    Total calculated
    $183,968
    From this org
    $0
    From related orgs
    $150,281
    Other
    $33,687
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $127,815 related
    Bonus
    $0 + $19,504 related
    Other
    $0 + $2,962 related
    Deferred
    $0 + $8,038 related
    Nontaxable benefits
    $0 + $25,649 related
    Filer's total
    $0 + $183,968 related

  • ZACHARY FRENCH

    VP FINANCE

    Total calculated
    $207,372
    From this org
    $0
    From related orgs
    $192,459
    Other
    $14,913
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $182,277 related
    Bonus
    $0 + $1,977 related
    Other
    $0 + $8,205 related
    Deferred
    $0 + $5,791 related
    Nontaxable benefits
    $0 + $9,122 related
    Filer's total
    $0 + $207,372 related

  • STEVEN PALMERSHEIM TO 1221

    CFO UPC & ACO

    Total calculated
    $480,408
    From this org
    $0
    From related orgs
    $404,542
    Other
    $75,866
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $311,515 related
    Bonus
    $0 + $90,666 related
    Other
    $0 + $2,361 related
    Deferred
    $0 + $47,718 related
    Nontaxable benefits
    $0 + $28,148 related
    Filer's total
    $0 + $480,408 related

  • DAN CARPENTER VP CSO CFO TO 117

    SENIOR VP & CFO-UPH CORP (FR 02/17)

    Total calculated
    $999,529
    From this org
    $0
    From related orgs
    $836,068
    Other
    $163,461
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $619,854 related
    Bonus
    $0 + $198,606 related
    Other
    $0 + $17,608 related
    Deferred
    $0 + $140,839 related
    Nontaxable benefits
    $0 + $22,622 related
    Filer's total
    $0 + $999,529 related

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

  • 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

The filer's explanations (Part III)

PART I, LINE 4B
NONQUALIFIED RETIREMENT PLAN CONTRIBUTIONS: THE FOLLOWING INDIVIDUAL(S) PARTICIPATED IN AND RECEIVED CONTRIBUTIONS IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN: DAN CARPENTER $125,589, PAMELA DELAGARDELLE $ 73,452, & STEVEN PALMERSHEIM $ 32,468.

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.

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 partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

Provenance

Return type
form_990
Tax year
2022
Filed
8 November 2023
IRS schema version
2022v5.0
Source object
202303189349307410

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