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
RECOVERY INNOVATIONS INC
Employer identification number
71-1018775
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.") .
20
1,118
48,492
400
6,006
56,036
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......
7,639,992
14,261,160
21,831,840
27,603,341
34,932,693
106,269,026
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.
7,640,012
14,262,278
21,880,332
27,603,741
34,938,699
106,325,062
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.
3,496,491
3,298,924
3,122,983
3,019,583
1,951,879
14,889,860
c
Add lines 7a and 7b..
3,496,491
3,298,924
3,122,983
3,019,583
1,951,879
14,889,860
8
Public support (Subtract line 7c from line 6.)
91,435,202
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...
7,640,012
14,262,278
21,880,332
27,603,741
34,938,699
106,325,062
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
211
262,121
1,174,935
1,344,500
821,068
3,602,835
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
211
262,121
1,174,935
1,344,500
821,068
3,602,835
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.)
..
44,171
44,171
13
Total support. (Add lines 9, 10c, 11, and 12.)..
7,684,394
14,524,399
23,055,267
28,948,241
35,759,767
109,972,068
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
83.140 %
16
Public support percentage from 2012 Schedule A, Part III, line 15
...............
16
79.840 %
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f))
......
17
3.280 %
18
Investment income percentage from 2012 Schedule A, Part III, line 17
.............
18
3.560 %
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
RECOVERY INNOVATIONS INC
Employer identification number
71-1018775
Return Reference
Explanation
FORM 990, PART I, LINE 1, DESCRIPTION OF ORGANIZATION MISSION:
...PROGRAMS WITH THE CREATION OF A SERVICE DELIVERY MODEL THAT HIGHLIGHTS PEER SUPPORT AS THE DEMONSTRATION THAT RECOVERY FROM MENTAL ILLNESS AND/OR ADDICTION IS POSSIBLE. IN ORDER TO STAY ON TRACK WITH RECOVERY AND WELLNESS VALUES, THE ORGANIZATION USES A WELLNESS BASED APPROACH INSTEAD OF THE TRADITIONAL ILLNESS BASED APPROACH. THE FOCUS IS ON STRENGTHS AND IS PERSON-CENTERED. THE FOLLOWING PRINCIPLES, "PATHWAYS TO RECOVERY", GUIDE THE DEVELOPMENT OF ALL RECOVERY INNOVATIONS SERVICES: - HOPE. HOPE IS THE BEGINNING. IT'S A THOUGHT THAT THINGS CAN GET BETTER, A FEELING OF COURAGE WITH A SPARK OF NEW ENERGY. HOPE CREATES A "TURNING POINT" AND MEANS, "I CAN HAVE DREAMS". IT'S A VISION OF A BETTER FUTURE; LEARNING TO FOCUS ON THE POSITIVE. - CHOICE. RECOVERY IS A CHOICE. MAKING CHOICES IS HOW WE CAN DISCOVER WHO WE ARE. WE HAVE THE RIGHT TO MAKE CHOICES EVEN IF IT INVOLVES TAKING RISKS. THIS IS HOW WE LEARN; FROM OUR OWN EXPERIENCE. IN FACT, WE ARE THE EXPERTS IN OUR OWN CARE. WE DO BEST WHEN WE CHOOSE OUR SERVICES, OUR SERVICE PROVIDER AND OUR SERVICE PLAN. - EMPOWERMENT. RECOVERY IS THE PERSON'S JOB. WE RESIST TAKING THE POWER BY DOING "TO" OR "FOR". GIVE THE PERSON THE LEAD ROLE. CREATING A "VALUED ROLE" PROMOTES EMPOWERMENT. PROMOTING SELF-ADVOCACY SUPPORTS EACH PERSON IN TAKING THE LEAD AND NOT GIVING THEIR POWER AWAY. - RECOVERY CULTURE. HEALING HAPPENS IN RELATIONSHIPS. WE VALUE AND NURTURE RELATIONSHIPS BASED ON KINDNESS AND MUTUAL RESPECT. MAINTAINING A POSITIVE "LEVEL OF CONSCIOUSNESS" OF COMPASSION AND CARING HELPS TO CREATE A "COMMUNITY" WITH VALUED SOCIAL ROLES FOR EVERYONE AND TO CELEBRATE DIVERSITY. - SPIRITUALITY: MEANING AND PURPOSE. CONNECTING WITHIN AND BEYOND THE SELF HELPS MOVE RECOVERY FORWARD. WHEN WE FIND OUR OWN ANSWERS TO THE MYSTERY OF SPIRIT WE DEVELOP SPIRITUAL COMPETENCE.
FORM 990, PART III, LINE 3
A FUNDER HAS TRANSFERRED A CONTRACT TO RECOVERY INNOVATIONS, INC (RII) FROM RECOVERY INNOVATIONS OF ARIZONA (RIAZ), A SUBSIDIARY OF RII.
FORM 990, PART VI, SECTION B, LINE 11
THE FORM 990 IS PREPARED BY AN OUTSIDE ACCOUNTING FIRM AND IS REVIEWED BY THE BOARD BEFORE FINALIZING AND FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C
ANNUALLY, EACH BOARD MEMBER MUST REVIEW THE CONFLICT OF INTEREST STATEMENT AND DISCLOSE ANY POTENTIAL CONFLICT BETWEEN A BOARD MEMBER'S OBLIGATIONS TO THE ORGANIZATION AND THE BOARD MEMBER'S PERSONAL, BUSINESS OR OTHER INTERESTS. WHEN A PERSONAL, BUSINESS, OR OTHER INTEREST EXISTS WHEREBY A DIRECTOR OR OFFICER MAY BE AFFECTED BY A BOARD OF DIRECTOR'S ACTION OR BY DOING BUSINESS WITH THE CORPORATION, THE DIRECTOR OFFICER SHALL MAKE ALL CIRCUMSTANCES KNOWN TO THE BOARD OF DIRECTORS AT A REGULARLY SCHEDULED MEETING. THE MINUTES WILL REFLECT THE DISCUSSION AND RESOLUTION OF THE MATTER. UPON A VOTE OF DISINTERESTED MEMBERS OF THE BOARD OF DIRECTORS, THE INDIVIDUAL THAT HAS THE CONFLICT OF INTEREST MAY BE REQUIRED (A) ABSTAIN FROM VOTING ON THE MATTER, (B) ABSTAIN FROM PARTICIPATING IN THE DISCUSSION OF THE MATTER; AND/OR (C) NOT BE PRESENT DURING THE MEETING WHEN THE MATTER DISCUSSED.
FORM 990, PART VI, SECTION B, LINE 15
THE ORGANIZATION REVIEWED THE COMPENSATION INFORMATION ON THE FORM 990 OF COMPARABLE NON-PROFITS TO HELP IN DETERMINING THE LEVELS OF COMPENSATION OF ITS EXECUTIVE STAFF. THE SALARY PACKAGE WAS PRESENTED TO THE BOARD OF DIRECTORS FOR THEIR REVIEW AND APPROVAL. THE DECISION WAS NOTED IN THE MINUTES OF THE BOARD MEETING. THE DATE OF THE LAST REVIEW CYCLE WAS MAY, 2014.
FORM 990, PART VI, SECTION C, LINE 19
THE ORGANIZATION MAKES ITS ARTICLES OF INCORPORATION, BY-LAWS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THE FORM 990 IS ALSO AVAILABLE ON THE ORGANIZATION'S WEBSITE
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.