Department of the Treasury Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
Attach to Form 990 or Form 990-EZ. See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
GEORGE WEST MENTAL HEALTH FOUNDATION INC
Employer identification number
58-1489941
Part I
Reason for Public Charity Status
(All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).
f
If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supporting organization, check this box
..................................................
g
Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons?
(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the supported organization?
................
11g(i)
(ii)
A family member of a person described in (i) above?
......................
11g(ii)
(iii)
A 35% controlled entity of a person described in (i) or (ii) above?
................
11g(iii)
h
Provide the following information about the supported organization(s).
(i) Name of supported organization
(ii) EIN
(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions))
(iv) Is the organization in col. (i) listed in your governing document?
(v) Did you notify the organization in col. (i) of your support?
(vi) Is the organization in col. (i) organized in the U.S.?
(vii) Amount of monetary support
Yes
No
Yes
No
Yes
No
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the
organization failed to qualify under Part III. If the organization fails to
qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in)
(a) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
4
Total. Add lines 1 through 3
5
The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included
on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6
Public support. Subtract line 5 from line 4.
Section B. Total Support
Calendar year
(or fiscal year beginning in)
(a) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f) Total
7
Amounts from line 4..
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
10
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
11
Total support (Add lines 7 through 10).
12
Gross receipts from related activities, etc. (see instructions)
..................
12
13
First five years.
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here........................................
Section C. Computation of Public Support Percentage
14
Public support percentage for 2012 (line 6, column (f) divided by line 11, column (f))
.........
14
15
Public support percentage for 2011 Schedule A, Part II, line 14
...............
15
16a
33 1/3% support test—2012.
If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization
.......................
b
33 1/3% support test—2011.
If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization
.....................
17a
10%-facts-and-circumstances test—2012.
If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization
.....................................................
b
10%-facts-and-circumstances test—2011.
If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization
................................................
18
Private foundation.
If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions
.....................................................
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization
failed to qualify under Part II. If the organization fails to qualify under
the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in)
(a) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
4,239,511
1,711,035
2,158,847
1,846,016
1,513,378
11,468,787
2
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
6,080,917
6,003,301
4,404,104
5,188,620
6,458,696
28,135,638
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
247,607
131,123
378,730
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5
The value of services or facilities furnished by a governmental unit to the organization without charge..
6
Total. Add lines 1 through 5.
10,320,428
7,714,336
6,562,951
7,282,243
8,103,197
39,983,155
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
2,566,454
540,225
241,681
901,879
350,318
4,600,557
b
Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
48,042
130,455
178,497
c
Add lines 7a and 7b..
2,614,496
670,680
241,681
901,879
350,318
4,779,054
8
Public support (Subtract line 7c from line 6.)
35,204,101
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f) Total
9
Amounts from line 6...
10,320,428
7,714,336
6,562,951
7,282,243
8,103,197
39,983,155
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
169,365
100,719
106,909
144,619
151,277
672,889
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
169,365
100,719
106,909
144,619
151,277
672,889
11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
114,497
114,497
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
..
13,981
35,085
27,012
20,097
12,098
108,273
13
Total support. (Add lines 9, 10c, 11, and 12.)..
10,618,271
7,850,140
6,696,872
7,446,959
8,266,572
40,878,814
14
First five years.
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.............................................
Section C. Computation of Public Support Percentage
15
Public support percentage for 2012 (line 8, column (f) divided by line 13, column (f))
.........
15
86.120 %
16
Public support percentage from 2011 Schedule A, Part III, line 15
...............
16
83.680 %
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2012 (line 10c, column (f) divided by line 13, column (f))
......
17
2.000 %
18
Investment income percentage from 2011 Schedule A, Part III, line 17
.............
18
2.000 %
19a
33 1/3% support tests—2012.
If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
........
b
33 1/3% support tests—2011.
If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
.....
20
Private foundation.
If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions
.....
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 4
Part IV
Supplemental Information.
Complete this part to provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
Explanation
PER THE INSTRUCTIONS FOR SCHEDULE A, LINE 1 FOR 2009 HAS BEEN REDUCED BY THE LOSS ON AN UNCOLLECTIBLE MULTIYEAR PLEDGE FROM THAT YEAR. SUBSEQUENTLY, LINE 1 FOR 2011, THE YEAR WHEN THE LOSS WAS RECOGNIZED, HAS BEEN INCREASED BY THIS SAME MULTIYEAR PLEDGE.
Schedule A (Form 990 or 990-EZ) 2012
Additional Data
Software ID:
Software Version:
-
TIN:
SCHEDULE O (Form 990 or 990-EZ)
Department of the Treasury Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ
Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
GEORGE WEST MENTAL HEALTH FOUNDATION INC
Employer identification number
58-1489941
Identifier
Return Reference
Explanation
ADDITIONAL INFORMATION
FORM 990
SKYLAND TRAIL IS AN ATLANTA BASED 501(C)(3) NONPROFIT SERVING ADULTS AGED 18 AND OLDER WITH SERIOUS MENTAL ILLNESS THAT IMPAIRS THEIR THINKING, BEHAVIOR, RELATIONSHIPS, AND ABILITY TO HOLD EMPLOYMENT. THE MISSION OF SKYLAND TRAIL IS TO PROMOTE RECOVERY FROM MENTAL ILLNESS. OUR PROGRAMS FOSTER COMMUNITY REINTEGRATION AND EMPOWER ADULTS TO LIVE INDEPENDENTLY WITH DIGNITY. IN PARTNERSHIP WITH FAMILIES, CLINICIANS, AND THE COMMUNITY, WE DELIVER EXCELLENCE IN TREATMENT AND EDUCATION, AND PROVIDE A MODEL FOR REPLICATION (SEE FORM 990, PART I, LINE 1 AND PART III, LINE 1)
EXPLANATION ON VOLUNTEERS AND TYPES OF SERVICES OR BENEFITS
FORM 990, PAGE 1, PART I, LINE 6
25 COMMUNITY VOLUNTEERS WHO MAY HELP WITH VARIOUS PROGRAMS AND SERVICES, LIKE HORTICULTURE, ART, WOOD-WORKING, ETC.; 23 BOARD OF DIRECTOR VOLUNTEERS; 39 ADVISORY BOARD MEMBERS WHO PARTICIPATE IN VARIOUS COMMITTEES OF THE BOARD AND ARE "FRIEND-RAISERS" FOR SKYLAND TRAIL; 48 ASSOCIATES; 11 INTERNS
ALL OTHER ACCOMPLISHMENT DESCRIPTION
FORM 990, PAGE 2, PART III, LINE 4D
INTEREST IN NEW FRIENDSHIPS, ACTIVITIES, AND SOCIAL ENGAGEMENT IS A MAJOR MILESTONE IN RECOVERY. SKYLAND TRAIL'S LIFE ENRICHMENT ADULT PROGRAM (LEAP) PROVIDES A VARIETY OF OPPORTUNITIES FOR CLIENTS TO FORM RELATIONSHIPS, LEARN SKILLS AND CULTIVATE HOBBIES AND INTERESTS. LEAP ACTIVITIES INCLUDE THE ARTS, RECREATION, EXERCISE, SUPPORT GROUPS AND STIMULATING COMMUNITY OUTINGS. TOTAL EXPENSES- 236,783 TOTAL REVENUE- 183,842 RESEARCH SHOWS THAT PERSONS WITH MENTAL ILLNESS EXPERIENCE MUCH HIGHER RATES OF MORBIDITY AND MORTALITY THAN THE GENERAL POPULATION. SKYLAND TRAIL'S CLIENTS RECEIVE PRIMARY MEDICAL CARE AS AN INTEGRAL PART OF THEIR HOLISTIC TREATMENT FOR MENTAL ILLNESS, STARTING WITH A PHYSICAL EXAM AT ADMISSION AND FOLLOWED BY ONGOING MONITORING FOR THE DURATION OF TREATMENT. THIS INNOVATION BY SKYLAND TRAIL REFLECTS THE DIRECT LINKAGE OF MENTAL, EMOTIONAL AND PHYSICAL HEALTH. TOTAL EXPENSES- 203,473 TOTAL REVENUE- 91,133 NEARLY EVERY CLIENT THAT COMES TO SKYLAND TRAIL FOR TREATMENT EXPRESSES THAT A KEY GOAL IS FINDING A JOB AND MEANINGFUL REINTEGRATION INTO THE COMMUNITY. THE VOCATIONAL SERVICES PROGRAM PROVIDES THE FOUNDATION AND BASIC TOOLS FOR CLIENTS TO DEVELOP A SENSE OF PURPOSE AND SELF-WORTH. CURRENTLY, MOST CLIENTS WHO ARE ACTIVELY RECOVERING AND NO LONGER IN AN ACUTE PHASE OF MENTAL ILLNESS ARE WORKING WITH THE PROGRAM, TAKING ADVANTAGE OF SERVICES WHICH INCLUDE CAREER TESTING, COMPUTER SKILLS TRAINING AND EDUCATIONAL AND CAREER RESEARCH. TOTAL EXPENSES- 73,662 TOTAL REVENUE- 347,357 SKYLAND TRAIL BRINGS KNOWLEDGE TO THE LARGER COMMUNITY, WITH THE GOALS OF ENHANCING TREATMENT AND REDUCING THE STIGMA OF MENTAL ILLNESS. SKYLAND TRAIL'S COMMUNITY EDUCATION INITIATIVE OFFERS PERIODIC LUNCH-AND-LEARN PROGRAMS FOR MENTAL HEALTH PROFESSIONALS AS WELL AS COMMUNITY EDUCATION SERIES, OPEN TO THE GENERAL PUBLIC. ADDITIONALLY, A VARIETY OF INTERNSHIPS ARE OFFERED IN PSYCHOLOGY, SOCIAL WORK, COUNSELING, AND OTHER RELATED FIELDS. TOTAL EXPENSES- 17,454 TOTAL REVENUE- 4,409
RELATED PARTY INFORMATION AMONG OFFICERS
FORM 990, PAGE 6, PART VI, LINE 2
MARJORIE WYNNE MARK WEST BOARD MEMBER CHAIRMAN FAMILY RELATIONSHIP
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990
FORM 990, PAGE 6, PART VI, LINE 11B
THE BOARD OF DIRECTORS RECEIVES ACCESS TO AN ELECTRONIC COPY OF THE FORM 990 ONE WEEK PRIOR TO FILING THE FORM. BOARD MEMBERS ARE ASKED TO REVIEW AND ASK QUESTIONS, ASK FOR CLARIFICATIONS, AND CAN RECOMMEND MODIFICATIONS TO THE FORM 990, PRIOR TO ITS FILING. MEMBERS ARE ALSO INFORMED THAT UNLESS THERE IS AN OBJECTION, THE FORM 990 WILL BE FILED ONE WEEK AND ONE DAY AFTER ACCESS TO THE COPY IS MADE AVAILABLE TO THEM.
ENFORCEMENT OF CONFLICTS POLICY
FORM 990, PAGE 6, PART VI, LINE 12C
BOARD MEMBERS AND ALL STAFF SIGN A CONFLICT OF INTEREST POLICY ANNUALLY. AFTER INITIAL REVIEW BY HR AND MEMBERS OF SENIOR MANAGEMENT, ANY DISCLOSURES THAT REQUIRE BOARD OR EXECUTIVE COMMITTEE REVIEW ARE FORWARDED TO THE EXECUTIVE COMMITTEE CHAIRPERSON, AS DICTATED BY POLICY.
COMPENSATION PROCESS FOR TOP OFFICIAL
FORM 990, PAGE 6, PART VI, LINE 15A
AN EXECUTIVE COMPENSATION COMMITTEE CONDUCTS A REVIEW OF THE SALARY OF THE PRESIDENT. THE PRESIDENT REVIEWS AND APPROVES THE SALARIES OF THE SENIOR MANAGEMENT TEAM. IN ADDITION, THE BOARD RETAINS AN OUTSIDE CONSULTANT TO PERFORM A SALARY SURVEY FOR THE ENTIRE ORGANIZATION BIANNUALLY. THIS SURVEY INCLUDES A REVIEW OF EXECUTIVE SALARIES. THE SALARY SURVEY INCLUDES COMPARABLE DATA.
COMPENSATION PROCESS FOR OFFICERS
FORM 990, PAGE 6, PART VI, LINE 15B
AN EXECUTIVE COMPENSATION COMMITTEE CONDUCTS A REVIEW OF THE SALARY OF THE PRESIDENT. THE PRESIDENT REVIEWS AND APPROVES THE SALARIES OF THE SENIOR MANAGEMENT TEAM. IN ADDITION, THE BOARD RETAINS AN OUTSIDE CONSULTANT TO PERFORM A SALARY SURVEY FOR THE ENTIRE ORGANIZATION BIANNUALLY. THIS SURVEY INCLUDES A REVIEW OF EXECUTIVE SALARIES. THE SALARY SURVEY INCLUDES COMPARABLE DATA.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION
FORM 990, PAGE 6, PART VI, LINE 19
THE FOUNDATION WILL MAKE THE FOLLOWING DOCUMENTS AVAILABLE TO THE PUBLIC, THROUGH EITHER ITS WEBSITE OR BY REQUEST IN WRITING: THE IRS DETERMINATION LETTERS, INCLUDING FORM 1023, THE FORM 990, AUDITED FINANCIAL STATEMENTS, MISSION AND VISION STATEMENTS, CONFLICT OF INTEREST POLICY, CORPORATE COMPLIANCE POLICY, AND PRIVACY POLICY.
RECONCILIATION OF CHANGES - OTHER
FORM 990, PART XI, LINE 9
SPECIAL EVENT IN-KIND EXPENSE NOT INCLUDED WITH DIRECT EXP 58,382
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.