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
TEAMBUILDERS COUNSELING SERVICES INC
Employer identification number
85-0433171
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.") ....
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) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(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 2013 (line 6, column (f) divided by line 11, column (f))
.........
14
15
Public support percentage for 2012 Schedule A, Part II, line 14
...............
15
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.") .
281,897
510,643
1,057,885
803,653
99,376
2,753,454
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......
21,538,257
23,305,928
24,722,045
26,582,068
2,525,730
98,674,028
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
48,774
116,479
165,253
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..
24,828
24,828
3,270
52,926
6
Total. Add lines 1 through 5.
21,868,928
23,933,050
25,804,758
27,410,549
2,628,376
101,645,661
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
0
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.
0
c
Add lines 7a and 7b..
0
8
Public support (Subtract line 7c from line 6.)
101,645,661
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...
21,868,928
23,933,050
25,804,758
27,410,549
2,628,376
101,645,661
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
18,664
81,883
161,862
11,648
68,790
342,847
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
18,664
81,883
161,862
11,648
68,790
342,847
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.)
..
755,663
897,217
150,750
1,803,630
13
Total support. (Add lines 9, 10c, 11, and 12.)..
21,887,592
24,014,933
26,722,283
28,319,414
2,847,916
103,792,138
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
97.930 %
16
Public support percentage from 2012 Schedule A, Part III, line 15
...............
16
98.360 %
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f))
......
17
0.330 %
18
Investment income percentage from 2012 Schedule A, Part III, line 17
.............
18
0.240 %
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
TEAMBUILDERS COUNSELING SERVICES INC
Employer identification number
85-0433171
Return Reference
Explanation
FORM 990, PART III, LINE 3
IN FEBRUARY, 2013 THE NEW MEXICO HUMAN SERVICES DEPARTMENT ENGAGED PUBLIC CONSULTING GROUP (PCG) TO CONDUCT A PROGRAM INTEGRITY AUDIT OF 15 AGENCIES COMPRISING 85% OF THE STATE'S BEHAVIORAL HEALTH SERVICE CAPACITY. ALL 15 AGENCIES WERE NOTIFIED OF STOP PAYMENT ON FUNDING DUE TO FINDINGS OF "CREDIBLE ALLEGATIONS OF FRAUD". ON JUNE 24, 2013, THE TEAMBUILDERS WAS FORMALLY NOTIFIED THAT THE NEW MEXICO MEDICAID AGENCY, THE HUMAN SERVICES DEPARTMENT (HSD), WOULD SUSPEND MEDICAID, NON- MEDICAID, AND STATE COVERAGE INSURANCE PAYMENTS PAID TO THE TEAMBUILDERS THROUGH OPTUMHEALTH NEW MEXICO AND/OR THE NEW MEXICO MEDICAID PROGRAM, INCLUDING ITS SCI MANAGED CARE TEAMBUILDERSS, EFFECTIVE IMMEDIATELY. THE NEW MEXICO ATTORNEY GENERAL HAS BEGUN THE PROCESS OF REVIEWING EACH AGENCY BUT , AS OF THE COMPLETION DATE OF THIS FORM, HAS NOT MADE A DETERMINATION OF THE LEGITIMACY OF THE ACCUSATION AGAINST TEAMBUILDERS. TEAMBUILDERS CEASED SERVICE DELIVERY ON AUGUST 18, 2013 AND HAS BEEN WINDING DOWN OPERATIONS SINCE THAT TIME. HOWEVER, IT CONTINUES TO CHALLENGE THE AUDIT RESULTS AND TO PURSUE LEGAL REMEDIES.
FORM 990, PART VI, SECTION A, LINE 2
TWO OF THE OFFICERS (AND CO-FOUNDERS) OF THE ORGANIZATION ARE MARRIED - SHANNON FREEDLE, CEO AND DR. LORRAINE FREEDLE, PHD, CCO.
FORM 990, PART VI, SECTION A, LINE 6
TEAMBUILDERS IS ORGANIZED AS A NON-STOCK NOT-FOR-PROFIT CORPORATION THAT HAS NO MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7A
THE BOARD OF DIRECTORS ARE RESPONSIBLE TO APPOINT NEW, REPLACEMENT, OR ADDITIONAL BOARD MEMBERS.
FORM 990, PART VI, SECTION B, LINE 11
THE 990 IS DISTRIBUTED TO AND REVIEWED BY THE BOARD OF DIRECTORS UPON FILING.
FORM 990, PART VI, SECTION B, LINE 12C
THE CEO MONITORS FOR CONFLICTS OF INTEREST IN HIRING PRACTICES AND BUSINESS RELATIONSHIPS, EXCEPT THAT WHEN A POTENTIAL CONFLICT OF INTEREST ARISES THAT INVOLVES A MEMBER OF THE EXECUTIVE TEAM, THE GOVERNING BOARD IS DIRECTLY INVOLVED IN DETERMINING WHETHER A CONFLICT OF INTEREST ACTUALLY EXISTS, AND WHETHER IT POSES A RISK TO THE BEST INTEREST OF THE AGENCY. CONFLICTS OF INTEREST IN HIRING PRACTICES PRIMARILY ARISE WHEN EMPLOYING MORE THAN ONE MEMBER OF A FAMILY. TEAMBUILDERS DOES THE BULK OF ITS WORK IN RURAL AND FRONTIER COMMUNITIES WHERE THE AVAILABLE POOL OF QUALIFIED INDIVIDUALS IS OFTEN LIMITED. IN INSTANCES WHERE A RELATED INDIVIDUAL MAY BE THE BEST CANIDATE FOR THE JOB, THE CEO ENSURES THAT SUCH INDIVIDUALS ARE NOT DIRECTLY SUPERVISED BY RELATED PARTIES. IN THE CASE OF BUSINESS RELATIONSHIPS, THE CEO IS RESPONSIBLE FOR IDENTIFYING POTENTIAL CONFLICTS, AND INFORMING THE GOVERNING BOARD WHEN ONE COULD POTENTIALLY ARISE. TOGETHER, THE CEO AND THE GOVERNING BOARD ENSURE THAT ALL BUSINESS RELATIONSHIPS ARE COMMERCIALLY REASONABLE, ARE MAINTAINED AT ARM'S LENGTH, AND ARE IN THE BEST INTEREST OF THE AGENCY TO ENGAGE AND/OR CONTINUE.
FORM 990, PART VI, SECTION B, LINE 15
PERIODICALLY, TEAMBUILDERS' GOVERNING BOARD ENGAGES AN INDEPENDENT FIRM TO CONDUCT A COMPENSATION STUDY WHICH PROVIDES A FAIR MARKET RANGE OF COMPENSATION AND BENEFITS FOR KEY EMPLOYEES. THE ANALYSIS INCLUDES CONSIDERATION FOR THE SIZE AND SCOPE OF THE ORGANIZATION, INCLUDING ITS GROSS REVENUE, NUMBER OF EMPLOYEES, RANGE OF SERVICES, REGIONAL COST OF LIVING CONSIDERATION, AND EXPERIENCE, EDUCATION AND SCOPE OF AUTHORITY OF THE KEY EMPLOYEES. MEMBERS OF THE EXECUTIVE TEAM, INCLUDING THE CEO AND CFO, ANALYZE INDUSTRY COMPENSATION AND BENEFIT INFORMATION AVAILABLE FROM THE BUREAU OF LABOR STATISTICS, GUIDESTAR, AND THE CHILD WELFARE LEAGUE OF AMERICA TO DEVELOP AND PERIODICALLY ADJUST COMPENSATION STRUCTURE FOR NON-EXECUTIVE POSITIONS. WHEN SETTING COMPENSATION FOR NON-EXECUTIVE EMPLOYEES, THE AGENCY CONSIDERS THE LOCATION OF EMPLOYMENT, THE DEPARTMENT IN WHICH THE EMPLOYEE WILL BE EMPLOYED AND CREDENTIAL LEVEL REQUIRED TO HOLD THE POSITION OFFERED.
FORM 990, PART VI, SECTION C, LINE 18
FORM 990 IS AVAILABLE AT WWW.GUIDESTAR.COM, AND IS ALWAYS AVAILABLE UPON REQUEST. THE IRS DETERMINATION LETTER IS AVAILABLE UPON REQUEST. FORM 990 IS POSTED ON THE NEW MEXICO ATTORNEY GENERAL'S NON-PROFIT WEBSITE.
FORM 990, PART VI, SECTION C, LINE 19
AUDITED FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AND ARE POSTED ON THE NEW MEXICO ATTORNEY GENERAL'S NON-PROFIT WEBSITE.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.