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. Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
MENTAL HEALTH RESOURCES INC
Employer identification number
41-1273885
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) 2013
Schedule A (Form 990 or 990-EZ) 2013
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) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
134,792
74,766
107,384
178,038
664,074
1,159,054
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
134,792
74,766
107,384
178,038
664,074
1,159,054
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)..
246,400
6
Public support. Subtract line 5 from line 4.
912,654
Section B. Total Support
Calendar year
(or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
7
Amounts from line 4..
134,792
74,766
107,384
178,038
664,074
1,159,054
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
4,216
9,422
12,160
12,826
9,644
48,268
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.)..
15,151
18,755
33,906
11
Total support (Add lines 7 through 10).
1,241,228
12
Gross receipts from related activities, etc. (see instructions)
..................
12
21,587,077
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 2013 (line 6, column (f) divided by line 11, column (f))
.........
14
73.530 %
15
Public support percentage for 2012 Schedule A, Part II, line 14
...............
15
85.630 %
16a
33 1/3% support test—2013.
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—2012.
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—2013.
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—2012.
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) 2013
Schedule A (Form 990 or 990-EZ) 2013
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) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
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......
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
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.
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
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.
c
Add lines 7a and 7b..
8
Public support (Subtract line 7c from line 6.)
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
9
Amounts from line 6...
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
..
13
Total support. (Add lines 9, 10c, 11, and 12.)..
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 2013 (line 8, column (f) divided by line 13, column (f))
.........
15
16
Public support percentage from 2012 Schedule A, Part III, line 15
...............
16
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f))
......
17
18
Investment income percentage from 2012 Schedule A, Part III, line 17
.............
18
19a
33 1/3% support tests—2013.
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—2012.
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) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 4
Part IV
Supplemental Information.
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
Schedule A (Form 990 or 990-EZ) 2013
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.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
MENTAL HEALTH RESOURCES INC
Employer identification number
41-1273885
Return Reference
Explanation
FORM 990, PAGE 2, PART III, LINE 4A
REFERRALS FOR VOCATIONAL INVOLVEMENT, AND SUPPORT TO SOLVE EVERYDAY LIFE PROBLEMS. THERE IS NO COST TO MOST INDIVIDUALS WHO RECEIVE THE SERVICES. FEES ARE PAID EITHER THROUGH MEDICAL ASSISTANCE OR THROUGH THE COUNTY. ASSERTIVE COMMUNITY TREATMENT (ACT) - FOR PEOPLE WHO HAVE SYMPTOMS OF SEVERE MENTAL ILLNESS AND WHO ARE EXPERIENCING MULTIPLE RISK FACTORS THAT MAY INCLUDE CO-OCCURRING SUBSTANCE ABUSE, FREQUENT HOSPITALIZATIONS, HOMELESSNESS, POTENTIAL TO HARM SELF OR OTHERS OR INVOLVEMENT IN THE CRIMINAL JUSTICE SYSTEM. PEOPLE WHO RECEIVE ACT SERVICES OFTEN HAVE NEEDS THAT HAVE NOT BEEN EFFECTIVELY ADDRESSED BY TRADITIONAL, LESS INTENSIVE SERVICES. TEAM MEMBERS WORK WITH CLIENTS IN THEIR HOMES, WORK SETTINGS, OR PLACES IN THE COMMUNITY WHERE SUPPORT MIGHT BE NEEDED. WE SERVE RESIDENTS OF RAMSEY, DAKOTA, AND HENNEPIN COUNTIES WHO ARE AGE 18 OR OLDER AND NEED ACT SERVICES, REFERRED BY COUNTY SOCIAL SERVICES. ACT OFFERS A TEAM-BASED APPROACH TO DELIVERING COMPREHENSIVE AND FLEXIBLE TREATMENT, SUPPORT AND SERVICES. AN ACT TEAM HELPS INDIVIDUALS TO MAINTAIN STABILITY, AVOID LONG HOSPITAL STAYS AS MUCH AS POSSIBLE AND CREATE MEANINGFUL LIVES. ACT TEAMS PROVIDE A LOW RATIO OF ONE STAFF TO TEN CLIENTS WHICH ALLOWS TEAM MEMBERS TO SEE CLIENTS SEVERAL TIMES EACH WEEK AND RESPOND TO NEEDS AS THEY DEVELOP. AREAS ADDRESSED INCLUDE: SYMPTOM MANAGEMENT, HELP WITH CRISIS SITUATIONS; HELP WITH FINDING AND KEEPING HOUSING; ASSISTANCE WITH RECEIVING DISABILITY OR OTHER INCOME; INFO ABOUT AND MONITORING MEDICATIONS; RELAPSE PREVENTION, BUDGETING, SHOPPING, COOKING AND NUTRITION; CREATING A HEALTHY LIFESTYLE; TRANSPORTATION; MONITORING PHYSICAL AND MENTAL HEALTH; VOCATIONAL ACTIVITIES; INTERPERSONAL COMMUNICATION; DEVELOPING HEALTH CARE DIRECTIVES; AND SOLVING EVERYDAY LIFE PROBLEMS. THERE IS NO COST TO MOST INDIVIDUALS WHO RECEIVE THESE SERVICES. FEES ARE PAID THROUGH MEDICAL ASSISTANCE OR THROUGH COUNTY FUNDING. SUPPORTIVE HOUSING PROGRAMS - CONCEPTS OF "SUPPORTIVE HOUSING" AND "HOUSING FIRST" MEAN THAT CLIENTS ARE MORE LIKELY TO SUCCEED IN THEIR RECOVERY AND ABILITY TO LIVE IN THE COMMUNITY IF THEY CAN SECURE HOUSING WITH SUPPORTIVE AVAILABLE, OFTEN ON SITE. MHR HAS STEADILY INCREASED ITS SUPPORTIVE HOUSING PROGRAMS SINCE 1996. HOUSING IS AMONG THE GREATEST NEEDS IN THE POPULATION WE SERVE. SUPPORTIVE HOUSING PROGRAMS AT MHR REFLECT A VARIETY OF MODELS. RAMSEY HILL APARTMENTS INCLUDES 13 EFFICIENCY AND ONE-BEDROOM APARTMENTS FOR INDIVIDUALS RECOVERING FROM MENTAL ILLNESS AND WHO MEET THE DEFINITION OF HOMELESSNESS. DAKOTA COUNTY SUPPORTIVE HOUSING OFFERS 13 ONE-BEDROOM APARTMENTS TO INDIVIDUALS RECOVERING FROM MENTAL ILLNESS, CHEMICAL DEPENDENCY, AND/OR HIV/AIDS WHO MEET THE DEFINITION OF HOMELESSNESS. PROJECT HOMEWARD, FUNDED BY HEARTH CONNECTION, PROVIDES SUPPORTIVE HOUSING TO INDIVIDUALS WHO ARE AMONG THE MOST UNDERSERVED AND MULTI-NEED ADULT CLIENTS IN RAMSEY AND HENNEPIN COUNTIES. TENANTS HAVE EXPERIENCED HOMELESSNESS, MENTAL ILLNESS AND CHEMICAL DEPENDENCY AND HAVE NOT RECEIVED SERVICES PREVIOUSLY OR RECEIVED SERVICES THAT DID NOT HAVE AN ADEQUATE IMPACT. TRINITY ON LAKE APARTMENTS SERVES ADULTS WITH MENTAL ILLNESS IN 8 ONE-BEDROOM APARTMENTS OF A 24-UNIT, MIXED-USE BUILDING IN SOUTH MINNEAPOLIS. HARALSON APARTMENTS SERVES INDIVIDUALS WITH MENTAL ILLNESS IN 16 ONE-BEDROOM APARTMENTS WITHIN A 36-UNIT MIXED-USE BUILDING OPENED IN MAY 2006. 4 OF THE UNITS ARE DESIGNATED FOR PEOPLE EXPERIENCING LONG-TERM HOMELESSNESS. PROJECT RESTORE, WITH ASSISTANCE FROM HUD, PROVIDES AFFORDABLE HOUSING AND SUPPORTIVE SERVICES TO 10 HOMELESS ADULTS DIAGNOSED WITH MENTAL ILLNESS IN BURNSVILLE. THESE PARTICIPANTS ARE MAINSTREAMED INTO THREE BUILDINGS CONSISTING OF 220 UNITS. HOUSING VOUCHER PROGRAM ADMINISTERS 550 HOUSING VOUCHERS FROM A VARIETY OF SOURCES INCLUDING HUD, MN HOUSING, AND RAMSEY COUNTY FOR INDIVIDUALS LIVING WITH MENTAL ILLNESS, CHEMICAL DEPENDENCY AND OTHER DISABILITIES. THE MAJORITY OF PERSONS WHO PARTICIPATE SUCCESSFULLY MAINTAIN THEIR HOUSING DUE TO OUR COMMITMENT TO PROVIDING CREATIVE SUPPORTIVE SERVICES. SEWARD CSP PROVIDES COMMUNITY-BASED REHABILITATIVE SERVICES, HOUSING, VOCATIONAL ASSISTANCE AND RECREATIONAL OPTIONS FOR PEOPLE WITH MENTAL ILLNESS. SEWARD CSP HELPS PEOPLE MINIMIZE TIME SPENT IN HOSPITALS, RESIDENTIAL TREATMENT PROGRAMS OR JAILS. TO PARTICIPATE A PERSON MUST HAVE A SERIOUS AND PERSISTENT MENTAL ILLNESS AND BE A HENNEPIN COUNTY RESIDENT. MEMBERSHIP IS VOLUNTARY AND BASED ON EACH PERSON'S DESIRE TO BE INVOLVED IN SERVICES. PROGRAM SERVICES ARE FREE OF CHARGE. SPECIAL NEEDS BASIC CARE (SNBC)-PROVIDES CARE COORDENATION TO OVER 1500 CONSUMERS WHO HAVE A DIAGNOSI OF A MENTAL HEALTH, PHYSICAL HEALTH OR DEVELOPMENTAL DISABILITY. THE CARE COORDINATOR (CC) CONDUCTS AN ASSESSMENT, THEN ESTABLISHES, CARRIES OUT, AND MAINTAINS A CARE PLAN THAT MEETS THE MEMBERS' NEEDS AND MAINTAINS THEIR HEALTH WHILE HELPING THEM NAVIGATE COMPLEX SOCIAL SERVICE AND HEALTH CARE DELIVERY SYSTEMS. OTHER PROGRAM SERVICES INCLUDING A COMMUNITY SUPPORT PROGRAM DROP-IN CENTER THAT OFFERS A SAFE, RESPECTFUL, AND WELCOMING COMMUNITY WHERE ADULTS WITH PSYCHIATRIC DISABILITIES CAN: MEET INFORMALLY AND CREATE FRIENDSHIPS, SHARE RESOURCES AND IDEAS, GIVE AND RECEIVE SUPPORT, AND PARTICIPATE IN A WIDE VARIETY OF ACTIVITIES.
FORM 990, PAGE 6, PART VI, LINE 11B
THE RETURN IS REVIEWED BY THE ORGANIZATION'S BOARD OF DIRECTORS PRIOR TO FILING WITH THE IRS.
FORM 990, PAGE 6, PART VI, LINE 12C
ANNUALLY BOARD MEMBERS, OFFICERS AND KEY EMPLOYEES DISCLOSE, IF ANY, POTENTIAL CONFLICTS TO THE BOARD OF DIRECTORS.
FORM 990, PAGE 6, PART VI, LINE 15A
COMPARABLE MARKET DATA IS USED TO DETERMINE THE COMPENSATION OF THE EXECUTIVE DIRECTOR.
FORM 990, PAGE 6, PART VI, LINE 15B
COMPARABLE MARKET DATA IS USED TO DETERMINE THE COMPENSATION OF THE MANAGEMENT TEAM.
FORM 990, PAGE 6, PART VI, LINE 19
THE GOVERNING DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.