Liabilities / Assets
14th percentile
Higher debt load relative to assets than 14% of similar nonprofits.
EIN 43-1020989 • 501(c)3 • Hannibal, MO
Profile
Provide outpatient mental health and substance use disorder services and education to residents living in the 9 northeastern counties of missouri.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
14th percentile
Higher debt load relative to assets than 14% of similar nonprofits.
Liabilities / Revenue
10th percentile
Higher debt load relative to revenue than 10% of similar nonprofits.
Net Margin
77th percentile
Higher net margin than 77% of similar nonprofits.
Top Officer Pay
65th percentile
Higher top officer pay than 65% of similar nonprofits.
Top officer pay equals 1.2% of source-year revenue.
Asset Growth
71st percentile
Faster asset growth than 71% of similar nonprofits.
Revenue Growth
23rd percentile
Faster revenue growth than 23% of similar nonprofits.
Assets
Up$82,485,870
Up $8,830,844 (+12%) from 2024
Liabilities
Up$1,241,890
Up $114,224 (+10%) from 2024
Net Assets
Up$81,243,980
Up $8,716,620 (+12%) from 2024
Revenue
Down$38,911,982
Down $1,266,855 (-3.2%) from 2024
Expenses
Up$30,307,585
Up $3,264,856 (+12%) from 2024
Net Income
Down$8,604,397
Down $4,531,711 (-34%) from 2024
Most recent year
2025 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.
Provide outpatient mental health and substance use disorder services and education to residents living in the 9 northeastern counties of missouri.
To provide outpatient mental health and substance use disorder services and education to residents living in the 9 northeastern counties of missouri.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Cash and Non-Interest-Bearing Accounts | $54,470,773 | $63,934,578 | ▲ $9,463,805 |
| Land, Buildings, and Equipment, Net | $18,220,372 | $17,507,779 | ▼ $712,593 |
| Savings and Temporary Cash Investments | $691,185 | $803,407 | ▲ $112,222 |
| Prepaid Expenses and Deferred Charges | $145,404 | $149,106 | ▲ $3,702 |
| Accounts Receivable | $127,292 | $91,000 | ▼ $36,292 |
| Total Assets | $73,655,026 | $82,485,870 | ▲ $8,830,844 |
| Liabilities | |||
| Accounts Payable and Accrued Expenses | $1,127,666 | $1,241,890 | ▲ $114,224 |
| Total Liabilities | $1,127,666 | $1,241,890 | ▲ $114,224 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $72,527,360 | $81,243,980 | ▲ $8,716,620 |
| Total Net Assets Fund Balance | $72,527,360 | $81,243,980 | ▲ $8,716,620 |
| Total Liabilities and Net Assets / Fund Balance | $73,655,026 | $82,485,870 | ▲ $8,830,844 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $15,581,825 | $4,204,393 | $19,786,218 |
| Equipment | $1,100,424 | $2,806,921 | $3,907,345 |
| Land | $825,149 | - | $825,149 |
| Leasehold Improvements | $381 | $894 | $1,275 |
| Name | Title | Full / Part Time | Base | Total |
|---|---|---|---|---|
| David Goldman | Medical Director | FT | $465,694 | $465,694 |
| Michael Cantrell | CEO | FT | $406,276 | $406,276 |
| Angela Caraway | COO | FT | $334,500 | $334,500 |
| Jenny Haught | CFO | FT | $334,500 | $334,500 |
| Name | Title |
|---|---|
| Gaylah Sublette | President |
| Loretta Feldkamp | Vice President |
| David Pulliam | Board Member |
| Deana Ball | Board Member |
| Eileen Dawkins | Board Member |
| Lori Moots-clair | Board Member |
| Wendy Nelson | Board Member |
| Cindy Ayers | Secretary |
| Donna Lawson | Treasurer |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $24,685,452 |
| Other Expenses | $5,622,133 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $17,507,211 | $3,089,508 | - | $20,596,719 |
| Other Employee Benefits | $1,632,453 | $288,079 | - | $1,920,532 |
| Payroll Taxes | $1,268,300 | $223,818 | - | $1,492,118 |
| Depreciation Depletion | $861,067 | $151,953 | - | $1,013,020 |
| Pension Plan Contributions | $574,671 | $101,412 | - | $676,083 |
| All Other Expenses | $433,962 | $57,630 | - | $491,592 |
| Insurance | $292,882 | $51,685 | - | $344,567 |
| Travel | $279,886 | $49,392 | - | $329,278 |
| Office Expenses | $248,399 | $43,835 | - | $292,234 |
| Occupancy | $214,016 | $37,767 | - | $251,783 |
| Other Expenses | $210,696 | $0 | - | $210,696 |
| Advertising | $50,217 | $8,862 | - | $59,079 |
| Total Functional Expenses | $26,153,789 | $4,153,796 | $0 | $30,307,585 |
| Line Item | Amount |
|---|---|
| Expenses per Audited Statements | $30,307,585 |
| Total Expenses per Audited Statements | $30,307,585 |
| Total Expenses per Form 990 | $30,307,585 |
| Expenses Not Reported on Financial Statements | $0 |
| Expenses Not Reported on Form 990 | $0 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
“Form 990 is made available to board members in committee before the return is filed.”
“Policy is reviewed annual during a regularly scheduled monthly board meeting.”
“State wide salary surveys were reviewed along with salary history of previous ceo's before determining compensation.”
“AVAILABLE UPON REQUEST”
“The agency makes these available upon request and also posts documents in the waiting room for public view.”
“No changes to the oversight process.”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
| Path | # | Value |
|---|---|---|
| IRS990/AccountantCompileOrReviewInd | 0 | 0 |
| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 1127666 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 1241890 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 127292 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 91000 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | TO PROVIDE OUTPATIENT MENTAL HEALTH AND SUBSTANCE USE DISORDER SERVICES AND EDUCATION TO RESIDENTS LIVING IN THE 9 NORTHEASTERN COUNTIES OF MISSOURI. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 8862 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 50217 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 59079 |
| IRS990/AllOtherContributionsAmt | 0 | 2168 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 57630 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 433962 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 491592 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/PersonNm | 0 | JENNY HAUGHT |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 5732212120 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 154 FORREST DRIVE |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | HANNIBAL |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | MO |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 63401 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 0 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 54470773 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 63934578 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 0 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 1 |
| IRS990/CompensationProcessOtherInd | 0 | 0 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 0 |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 154411 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 1507649 |
| IRS990/CYOtherExpensesAmt | 0 | 5622133 |
| IRS990/CYOtherRevenueAmt | 0 | 23320 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 37226602 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 8604397 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 24685452 |
| IRS990/CYTotalExpensesAmt | 0 | 30307585 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 38911982 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 0 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 151953 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 861067 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 1013020 |
| IRS990/Desc | 0 | ALL SALARIES, BENEFITS, SUPPLIES, TRAVEL, BUILDINGS AND EQUIPMENT WERE DIRECTLY RELATED TO PROVIDING A COMPREHENSIVE ARRAY OF OUTPATIENT COMMUNITY BEHAVIORAL HEALTH SERVICES AND EDUCATION TO APPROXIMATELY 9300 RESIDENTS OF NORTHEAST MISSOURI. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 0 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 0 |
| IRS990/ElectionOfBoardMembersInd | 0 | 0 |
| IRS990/EmployeeCnt | 0 | 0 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 26153789 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 0 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | GAYLAH SUBLETTE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | LORETTA FELDKAMP |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | CINDY AYERS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | DONNA LAWSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | DEANA BALL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | EILEEN DAWKINS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | LORI MOOTS-CLAIR |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | WENDY NELSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | DAVID PULLIAM |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | MICHAEL CANTRELL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | JENNY HAUGHT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | ANGELA CARAWAY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | DAVID GOLDMAN |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 406276 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 334500 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 334500 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 465694 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | VICE PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | COO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | MEDICAL DIRECTOR |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1972 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedInd | 0 | 0 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 9 |
| IRS990/GovernmentGrantsAmt | 0 | 152243 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossReceiptsAmt | 0 | 38911982 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 0 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 1 |
| IRS990/IndependentVotingMemberCnt | 0 | 9 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 30 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIIInd | 0 | X |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 51685 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 292882 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 344567 |
| IRS990/InvestmentIncomeGrp/RelatedOrExemptFuncIncomeAmt | 0 | 1507649 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 1507649 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/IRPDocumentCnt | 0 | 0 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 7012208 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 18220372 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 17507779 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 24519987 |
| IRS990/LegalDomicileStateCd | 0 | MO |
| IRS990/LoanOutstandingInd | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | 0 |
| IRS990/LocalChaptersInd | 0 | 0 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 0 |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 1 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MissionDesc | 0 | PROVIDE OUTPATIENT MENTAL HEALTH AND SUBSTANCE USE DISORDER SERVICES AND EDUCATION TO RESIDENTS LIVING IN THE 9 NORTHEASTERN COUNTIES OF MISSOURI. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 72527360 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 81243980 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | 112223 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 72527360 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 81243980 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 37767 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 214016 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 251783 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 43835 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 248399 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 292234 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 0 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 0 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 288079 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 1632453 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 1920532 |
| IRS990/OtherExpensesGrp/Desc | 0 | PROFESSIONAL & TECHNICA |
| IRS990/OtherExpensesGrp/Desc | 1 | PROGRAM ACTIVITIES |
| IRS990/OtherExpensesGrp/Desc | 2 | REPAIRS & MAINTENANCE |
| IRS990/OtherExpensesGrp/Desc | 3 | FOOD SERVICE |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 0 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 0 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 2 | 49855 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 3 | 0 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 1304246 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 993271 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 282512 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 210696 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 1304246 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 993271 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 332367 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 210696 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 0 | 624100 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 1 | 624100 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 2 | 624100 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | RENTAL INCOME |
| IRS990/OtherRevenueMiscGrp/Desc | 1 | GAIN ON SALE OF ASSETS |
| IRS990/OtherRevenueMiscGrp/Desc | 2 | MISCELLANEOUS REVENUE |
| IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt | 0 | 12697 |
| IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt | 1 | 10425 |
| IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt | 2 | 198 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 0 | 12697 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 1 | 10425 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 2 | 198 |
| IRS990/OtherRevenueTotalAmt | 0 | 23320 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 3089508 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 17507211 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 20596719 |
| IRS990/PartialLiquidationInd | 0 | 0 |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 223818 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 1268300 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 1492118 |
| IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt | 0 | 101412 |
| IRS990/PensionPlanContributionsGrp/ProgramServicesAmt | 0 | 574671 |
| IRS990/PensionPlanContributionsGrp/TotalAmt | 0 | 676083 |
| IRS990/PoliticalCampaignActyInd | 0 | 0 |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 145404 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 149106 |
| IRS990/PrincipalOfficerNm | 0 | MICHAEL CANTRELL |
| IRS990/ProfessionalFundraisingInd | 0 | 0 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 624100 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | CONTRACTED SERVICES |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 37226602 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 37226602 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | 0 |
| IRS990/PYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/PYContributionsGrantsAmt | 0 | 517426 |
| IRS990/PYExcessBenefitTransInd | 0 | 0 |
| IRS990/PYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/PYInvestmentIncomeAmt | 0 | 1337527 |
| IRS990/PYOtherExpensesAmt | 0 | 5031104 |
| IRS990/PYOtherRevenueAmt | 0 | 322388 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 38001496 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | 13136108 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 22011625 |
| IRS990/PYTotalExpensesAmt | 0 | 27042729 |
| IRS990/PYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/PYTotalRevenueAmt | 0 | 40178837 |
| IRS990/QuidProQuoContributionsInd | 0 | 0 |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | 8604397 |
| IRS990/RegularMonitoringEnfrcInd | 0 | 1 |
| IRS990/RelatedEntityInd | 0 | 0 |
| IRS990/RelatedOrganizationCtrlEntInd | 0 | 0 |
| IRS990/ReportInvestmentsOtherSecInd | 0 | 0 |
| IRS990/ReportLandBuildingEquipmentInd | 0 | 1 |
| IRS990/ReportOtherAssetsInd | 0 | 0 |
| IRS990/ReportOtherLiabilitiesInd | 0 | 0 |
| IRS990/ReportProgramRelatedInvstInd | 0 | 0 |
| IRS990/RevenueAmt | 0 | 38757571 |
| IRS990/SavingsAndTempCashInvstGrp/BOYAmt | 0 | 691185 |
| IRS990/SavingsAndTempCashInvstGrp/EOYAmt | 0 | 803407 |
| IRS990ScheduleA/HospitalInd | 0 | X |
| IRS990/ScheduleBRequiredInd | 0 | 0 |
| IRS990ScheduleD/BuildingsGrp/BookValueAmt | 0 | 15581825 |
| IRS990ScheduleD/BuildingsGrp/DepreciationAmt | 0 | 4204393 |
| IRS990ScheduleD/BuildingsGrp/OtherCostOrOtherBasisAmt | 0 | 19786218 |
| IRS990ScheduleD/EquipmentGrp/BookValueAmt | 0 | 1100424 |
| IRS990ScheduleD/EquipmentGrp/DepreciationAmt | 0 | 2806921 |
| IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt | 0 | 3907345 |
| IRS990ScheduleD/ExpensesNotReportedAmt | 0 | 0 |
| IRS990ScheduleD/ExpensesNotRptFinclStmtAmt | 0 | 0 |
| IRS990ScheduleD/ExpensesSubtotalAmt | 0 | 30307585 |
| IRS990ScheduleD/LandGrp/BookValueAmt | 0 | 825149 |
| IRS990ScheduleD/LandGrp/OtherCostOrOtherBasisAmt | 0 | 825149 |
| IRS990ScheduleD/LeaseholdImprovementsGrp/BookValueAmt | 0 | 381 |
| IRS990ScheduleD/LeaseholdImprovementsGrp/DepreciationAmt | 0 | 894 |
| IRS990ScheduleD/LeaseholdImprovementsGrp/OtherCostOrOtherBasisAmt | 0 | 1275 |
| IRS990ScheduleD/NetUnrealizedGainsInvstAmt | 0 | 112223 |
| IRS990ScheduleD/RevenueNotReportedAmt | 0 | 112223 |
| IRS990ScheduleD/RevenueNotReportedFinclStmtAmt | 0 | 0 |
| IRS990ScheduleD/RevenueSubtotalAmt | 0 | 38911982 |
| IRS990ScheduleD/TotalBookValueLandBuildingsAmt | 0 | 17507779 |
| IRS990ScheduleD/TotalExpensesPerForm990Amt | 0 | 30307585 |
| IRS990ScheduleD/TotalRevenuePerForm990Amt | 0 | 38911982 |
| IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt | 0 | 39024205 |
| IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt | 0 | 30307585 |
| IRS990ScheduleJ/AnyNonFixedPaymentsInd | 0 | 0 |
| IRS990ScheduleJ/BoardOrCommitteeApprovalInd | 0 | X |
| IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd | 0 | 0 |
| IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd | 0 | 0 |
| IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd | 0 | 0 |
| IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd | 0 | 0 |
| IRS990ScheduleJ/CompensationCommitteeInd | 0 | X |
| IRS990ScheduleJ/EquityBasedCompArrngmInd | 0 | 0 |
| IRS990ScheduleJ/InitialContractExceptionInd | 0 | 0 |
| IRS990/ScheduleJRequiredInd | 0 | 1 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt | 0 | 465694 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt | 1 | 406276 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt | 2 | 334500 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt | 3 | 334500 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount | 1 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount | 2 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount | 3 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt | 1 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt | 2 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt | 3 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt | 1 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt | 2 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt | 3 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt | 1 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt | 2 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt | 3 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt | 1 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt | 2 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt | 3 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt | 1 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt | 2 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt | 3 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt | 1 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt | 2 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt | 3 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt | 1 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt | 2 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt | 3 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt | 1 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt | 2 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt | 3 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt | 1 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt | 2 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt | 3 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt | 1 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt | 2 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt | 3 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm | 0 | DAVID GOLDMAN |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm | 1 | MICHAEL CANTRELL |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm | 2 | JENNY HAUGHT |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm | 3 | ANGELA CARAWAY |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt | 0 | MEDICAL DIRECTOR |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt | 1 | CEO |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt | 2 | CFO |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt | 3 | COO |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt | 0 | 465694 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt | 1 | 406276 |
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