Civic Intelligence

Nassau County Mental Health Alcoholism DBA Starting Point Behavioral Healthcare

EIN 59-3029469 • 501(c)3 • Yulee, FL

Profile

To deliver unmatched behavioral health services. The organization will be a vital part of our community, committed to world class service and the provider of choice for first coast residents and referrers. Our motto is "healing begins here."

463142 Sr 200Yulee, FL 32097

www.spbh.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

70th percentile

0.41x

Higher debt load relative to assets than 70% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2025

Liabilities / Revenue

59th percentile

0.32x

Higher debt load relative to revenue than 59% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2025

Net Margin

68th percentile

15%

Higher net margin than 68% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2025

Top Officer Pay

53rd percentile

$195,040

Higher top officer pay than 53% of similar nonprofits.

Top officer pay equals 1.6% of source-year revenue.

501(c)3 • $10M-$25M nonprofits • Source year 2025

Asset Growth

78th percentile

16%

Faster asset growth than 78% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2024 to 2025

Revenue Growth

66th percentile

16%

Faster revenue growth than 66% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2024 to 2025

Assets

Up

$9,731,173

Up $1,351,449 (+16%) from 2024

Liabilities

Down

$3,950,069

Down $460,472 (-10%) from 2024

Net Assets

Up

$5,781,104

Up $1,811,921 (+46%) from 2024

Revenue

Up

$12,494,010

Up $1,728,156 (+16%) from 2024

Expenses

Down

$10,682,089

Down $87,450 (-0.8%) from 2024

Net Income

Up

$1,811,921

Up $1,815,606 (+49270%) from 2024

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$10M$5.0M$0Assets 2011: $890,898Liabilities 2011: $367,390Net Assets 2011: $523,5082011Assets 2012: $955,868Liabilities 2012: $366,193Net Assets 2012: $589,6752012Assets 2013: $1,068,177Liabilities 2013: $469,633Net Assets 2013: $598,5442013Assets 2014: $2,974,348Liabilities 2014: $2,433,050Net Assets 2014: $541,2982014Assets 2015: $2,937,908Liabilities 2015: $2,297,314Net Assets 2015: $640,5942015Assets 2016: $3,236,064Liabilities 2016: $2,497,805Net Assets 2016: $738,2592016Assets 2017: $3,289,177Liabilities 2017: $2,458,091Net Assets 2017: $831,0862017Assets 2018: $3,766,809Liabilities 2018: $2,721,102Net Assets 2018: $1,045,7072018Assets 2019: $4,059,653Liabilities 2019: $2,648,811Net Assets 2019: $1,410,8422019Assets 2020: $5,191,019Liabilities 2020: $3,430,594Net Assets 2020: $1,760,4252020Assets 2021: $5,324,449Liabilities 2021: $2,808,414Net Assets 2021: $2,516,0352021Assets 2022: $6,476,974Liabilities 2022: $2,668,171Net Assets 2022: $3,808,8032022Assets 2023: $7,344,264Liabilities 2023: $3,371,396Net Assets 2023: $3,972,8682023Assets 2024: $8,379,724Liabilities 2024: $4,410,541Net Assets 2024: $3,969,1832024Assets 2025: $9,731,173Liabilities 2025: $3,950,069Net Assets 2025: $5,781,1042025

Highlighted filing

2025

Assets$9,731,173
Liabilities$3,950,069
Net Assets$5,781,104

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$15M$10M$5.0M$0-$5.0MRevenue 2011: $3,624,898Expenses 2011: $3,596,375Net Income 2011: $28,5232011Expenses 2012: $3,731,9992012Revenue 2013: $3,699,779Expenses 2013: $3,690,910Net Income 2013: $8,8692013Revenue 2014: $3,404,679Expenses 2014: $3,461,925Net Income 2014: -$57,2462014Revenue 2015: $3,447,478Expenses 2015: $3,348,182Net Income 2015: $99,2962015Revenue 2016: $3,403,352Expenses 2016: $3,305,687Net Income 2016: $97,6652016Revenue 2017: $3,648,462Expenses 2017: $3,555,635Net Income 2017: $92,8272017Revenue 2018: $4,283,670Expenses 2018: $4,069,049Net Income 2018: $214,6212018Revenue 2019: $5,034,651Expenses 2019: $4,667,409Net Income 2019: $367,2422019Revenue 2020: $5,530,253Expenses 2020: $5,180,670Net Income 2020: $349,5832020Revenue 2021: $6,549,425Expenses 2021: $5,793,815Net Income 2021: $755,6102021Revenue 2022: $9,196,226Expenses 2022: $7,903,458Net Income 2022: $1,292,7682022Revenue 2023: $10,783,749Expenses 2023: $10,616,510Net Income 2023: $167,2392023Revenue 2024: $10,765,854Expenses 2024: $10,769,539Net Income 2024: -$3,6852024Revenue 2025: $12,494,010Expenses 2025: $10,682,089Net Income 2025: $1,811,9212025

Highlighted filing

2025

Revenue$12,494,010
Expenses$10,682,089
Net Income$1,811,921

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2025Detailed filing. Detailed filing data is available for this year.$9.73$3.95$5.78$12.5$10.7$1.81
2024Detailed filing. Detailed filing data is available for this year.$8.38$4.41$3.97$10.8$10.8$0.00
2023Detailed filing. Detailed filing data is available for this year.$7.34$3.37$3.97$10.8$10.6$0.17
2022Detailed filing. Detailed filing data is available for this year.$6.48$2.67$3.81$9.20$7.90$1.29
2021Facts available. Structured filing facts are available, but richer extracted sections are limited.$5.32$2.81$2.52$6.55$5.79$0.76
2020Detailed filing. Detailed filing data is available for this year.$5.19$3.43$1.76$5.53$5.18$0.35
2019Detailed filing. Detailed filing data is available for this year.$4.06$2.65$1.41$5.03$4.67$0.37
2018Detailed filing. Detailed filing data is available for this year.$3.77$2.72$1.05$4.28$4.07$0.21
2017Detailed filing. Detailed filing data is available for this year.$3.29$2.46$0.83$3.65$3.56$0.09
2016Detailed filing. Detailed filing data is available for this year.$3.24$2.50$0.74$3.40$3.31$0.10
2015Detailed filing. Detailed filing data is available for this year.$2.94$2.30$0.64$3.45$3.35$0.10
2014Detailed filing. Detailed filing data is available for this year.$2.97$2.43$0.54$3.40$3.46$0.06
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.07$0.47$0.60$3.70$3.69$0.01
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.96$0.37$0.59$3.73
2011Summary only. Only limited summary data is available for this year.$0.89$0.37$0.52$3.62$3.60$0.03
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2024 to Jun 30, 2025
Signed
Mar 5, 2026
Return Version
2024v5.5
Gross Receipts
$12,494,010
Mission and Program Overview

Mission

To deliver unmatched behavioral health services. The organization will be a vital part of our community, committed to world class service and the provider of choice for first coast residents and referrers. Our motto is "healing begins here."

To promote emotional wellness through psychiatric, mental health and substance abuse services.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$3,562,075$3,796,817▲ $234,742
Cash and Non-Interest-Bearing Accounts$694,113$2,140,927▲ $1,446,814
Pledges and Grants Receivable$1,690,508$1,174,915▼ $515,593
Accounts Receivable$576,504$753,631▲ $177,127
Prepaid Expenses and Deferred Charges$228,731$373,210▲ $144,479
Investments Other Securities$91,879$86,879▼ $5,000
Total Assets$8,379,724$9,731,173▲ $1,351,449
Other Assets Total$1,535,914$1,404,794▼ $131,120
Liabilities
Other Liabilities$2,361,623$1,792,319▼ $569,304
Unsecured Notes Loans Payable$1,852,694$1,733,963▼ $118,731
Accounts Payable and Accrued Expenses$181,357$239,011▲ $57,654
Deferred Revenue$14,867$184,776▲ $169,909
Total Liabilities$4,410,541$3,950,069▼ $460,472
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$3,969,183$5,781,104▲ $1,811,921
Total Net Assets Fund Balance$3,969,183$5,781,104▲ $1,811,921
Total Liabilities and Net Assets / Fund Balance$8,379,724$9,731,173▲ $1,351,449

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$1,161,607$767,530$1,929,137
Land$1,469,269-$1,469,269
Leasehold Improvements$1,088,908$133,971$1,222,879
Equipment$5,777$799,352$805,129
Other Land Buildings$71,256$409,497$480,753
Other Assets Org$15,128--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseTotal
Akua OwusuMedical DirectorFT$195,040$195,040
Laureen PagelCEOFT$149,056$149,056
Alexandra JohnsonDirector of Advanced Nursing & AdministrationFT$148,572$148,572
Valerie Michelle RayDirector of ComplianceFT$107,269$107,269
John MosleyCFOFT$106,690$106,690
Candece TierneyCOOFT$104,435$104,435
Angela McclellanCIOFT$92,522$92,522

Board Members and Trustees

NameTitle
Damon SchneiderPresident
Cherie BillingsVice President
Byron MccutchenDirector
Ceedee MorrisDirector
Gregory L FosterDirector
Kellene SaulsDirector
Leilia BrownDirector
Mishonda FelixDirector
Trina MederDirector
Maureen PaschkeSecretary
Garry BlackallTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$9,919,096
Program Service Revenue
$2,538,353
Investment Income
$22,045
Other Revenue
$14,516
All Other Contributions
$6,953,090
Change in Net Assets
$1,811,921
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$7,063,297
Other Expenses$3,618,792
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Comp Disqual Persons$5,167,671$762,829-$5,930,500
Pension Plan Contributions$985,744$147,053-$1,132,797
Fees for Services Other$588,453$25,982-$614,435
All Other Expenses$412,501$116,857-$529,358
Occupancy$462,637$19,674-$482,311
Other Expenses$211,207$1,255-$212,462
Insurance$143,539$20,273-$163,812
Travel$106,783$39,885-$146,668
Interest$88,132$9,230-$97,362
Fees for Services Accounting-$44,734-$44,734
Total Functional Expenses$9,483,697$1,198,392$0$10,682,089
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Lease Liabilities$1,394,953
Accrued Compensated Absenses$397,366
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section B, Line 11B

Management reviews and approves form 990 prepared by the organization's independent accountant prior to submission to the irs. The board of directors are provided a copy of the form 990 to review, but the organization does not require director approval.

Form 990, Part VI, Section B, Line 12C

The organization requires officers, directors, and key employees to immediately disclose interests that could give rise to conflicts.

Form 990, Part VI, Section B, Line 15

The board of directors determines the chief executive officer's compensation upon thorough review of all pertinent facts and circumstances. The chief executive officer determines other officers and key employees' compensation based upon thorough review of all pertinent facts and circumstances.

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 request.

Filing and Contact Details

Filer

Filer Name
Nassau County Mental Health Alcoholism
EIN
59-3029469
Phone
9042258280
Address
463142 SR 200, YULEE, FL 32097
Doing Business As
Starting Point Behavioral Health

Signing Officer

Name
Laureen Pagel
Title
CEO
Phone
9042258280
Signed
2026-03-05
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Laureen Pagel
Formed
1986
Legal Domicile
Fl
Voting Board Members
11
Independent Board Members
11
Employees
147
Volunteers
12

Preparer

Firm
Abare Kresge & Associates Cpas
Address
1200 PLANTATION ISLAND DRIVE, ST AUGUSTINNE, FL 32080
Preparer
Bill Abare
Phone
9044600747
Supplemental Narrative

Additional Explanations

Part XII, Line 2C

NO CHANGES NOTED.

Financial Statement Notes

PART X, LINE 2:

The organization has adopted fasb asc 740-10, accounting for income taxes, which clarifies the accounting for uncertainty in income taxes recognized in an entity's financial statements. The interpretation prescribes a recognition threshold and measurement attribute for the financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. Based on analyses of various federal and state filing positions of the organization, management believes that its income tax filing positions and deductions are well documented and supported. As of june 30, 2025, the organization had no temporary differences relating to the recognition of income and expenses for financial and tax reporting purposes. Accordingly, no deferred tax assets or liabilities are recorded. Additionally, as of june 30, 2025, the organization had no uncertain tax positions that would qualify for either recognition or disclosure in the financial statements. Therefore, no reserves for uncertain income tax positions have been recorded pursuant to fasb asc 740-10. In addition, no cumulative effect adjustment related to the adoption of fasb asc 740-10 was recorded. There have been no increases or decreases in unrecognized tax benefits for current or prior years since the date of adoption. Furthermore, no interest or penalties have been included since no reserves were recorded and no significant increases or decreases are expected to occur within the next 12 months. When applicable, such interest and penalties will be reported as income tax expense. Since tax matters are subject to some degree of uncertainty, there can be no assurance that the organization's tax returns will not be challenged by the taxing authorities and that the organization will not be subject to additional tax, penalties, and interest as a result of such challenge. At june 30, 2025, the periods that remain open to examination under federal statute are for the fiscal years ended june 30, 2022 through 2024.

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This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Form990PartVIISectionAGrp/TitleTxt0PRESIDENT
IRS990/Form990PartVIISectionAGrp/TitleTxt1SECRETARY
IRS990/Form990PartVIISectionAGrp/TitleTxt2DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt3DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt4DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt5DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt6VICE PRESIDENT
IRS990/Form990PartVIISectionAGrp/TitleTxt7TREASURER
IRS990/Form990PartVIISectionAGrp/TitleTxt8DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt9DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt10DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt11CEO
IRS990/Form990PartVIISectionAGrp/TitleTxt12CFO
IRS990/Form990PartVIISectionAGrp/TitleTxt13CIO
IRS990/Form990PartVIISectionAGrp/TitleTxt14COO
IRS990/Form990PartVIISectionAGrp/TitleTxt15DIRECTOR OF COMPLIANCE
IRS990/Form990PartVIISectionAGrp/TitleTxt16DIRECTOR OF ADVANCED NURSING & ADMINISTRATION
IRS990/Form990PartVIISectionAGrp/TitleTxt17MEDICAL DIRECTOR
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IRS990/MissionDesc0TO DELIVER UNMATCHED BEHAVIORAL HEALTH SERVICES. THE ORGANIZATION WILL BE A VITAL PART OF OUR COMMUNITY, COMMITTED TO WORLD CLASS SERVICE AND THE PROVIDER OF CHOICE FOR FIRST COAST RESIDENTS AND REFERRERS. OUR MOTTO IS "HEALING BEGINS HERE."
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IRS990/Organization501c3Ind0X
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IRS990/OtherExpensesGrp/Desc0CLIENT ASSISTANCE & INC
IRS990/OtherExpensesGrp/Desc1BAD DEBT
IRS990/OtherExpensesGrp/Desc2EQUIPMENT & MAINTENENCE
IRS990/OtherExpensesGrp/Desc3VEHICLE EXPENSES
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IRS990/OtherExpensesGrp/ManagementAndGeneralAmt11255
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IRS990/OtherExpensesGrp/ProgramServicesAmt1446244
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IRS990/PrincipalOfficerNm0LAUREEN PAGEL
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IRS990/ProgramServiceRevenueGrp/BusinessCd1623990
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IRS990/ProgramServiceRevenueGrp/Desc0MEDICAID AND MEDICARE
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IRS990/ProgSrvcAccomActy2Grp/Desc0TO PROVIDE ADULT SUBSTANCE ABUSE PROGRAM CONSISTING OF INTERVENTION AND TREATMENT SERVICES FOR ADULT RESIDENTS OF NASSAU COUNTY WHO HAVE AN IDENTIFIED SUBSTANCE ABUSE PROBLEM OR WHO MAY BE AT-RISK FOR SUBSTANCE ABUSE. PROGRAMMING INCLUDES INDIVIDUAL AND GROUP COUNSELING (ANGER MANAGEMENT, PARENTING, WOMEN'S EMPOWERMENT, RELAPSE PREVENTION, DBT SKILLS, WOMEN'S SUBSTANCE ABUSE, MRT GROUP, CO-OCCURRING, AND WORKING IN RECOVERY), OUTREACH, HIV TESTING AND PRE AND POST-TEST COUNSELING. APPROXIMATELY 1,250 CLIENTS ARE SERVED ANNUALLY.
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IRS990/ProgSrvcAccomActy3Grp/Desc0TO PROVIDE CHILDREN MENTAL HEALTH SERVICES WHICH WILL EQUIP FAMILIES WITH THE NECESSARY TOOLS TO MEET A CHILD'S SPECIAL NEEDS, WHILE AT THE SAME TIME PROVIDING THE CHILD WITH THE COPING STRATEGIES NEEDED TO LEAD A HEALTHY, PRODUCTIVE LIFE. SERVICES INCLUDE ASSESSMENT, OUTPATIENT INDIVIDUAL THERAPY, OP GROUP THERAPY, CASE MANAGEMENT, AND MEDICAL SERVICES. APPROXIMATELY 650 CLIENTS ARE SERVED ANNUALLY.
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IRS990ScheduleC/SupplementalInformationDetail/ExplanationTxt0LOBBYING ACTIVITIES: IN ORDER TO DEVELOP AND IMPLEMENT STRATEGIES TO ATTAIN CERTAIN PUBLIC FUNDING GOALS AND TO FOSTER MUTUALLY BENEFICIAL AND ONGOING RELATIONSHIPS, THE ORGANIZATION COMMUNICATES WITH ELECTED OFFICIALS TO STAY APPRISED OF IMPORTANT STATE OF FLORIDA LEGISLATIVE, GOVERNANCE, AND POLICY ISSUES THAT MAY SPECIFICALLY AFFECT THE ORGANIZATION'S MISSION AND PROGRAM SERVICES.

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