Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
|
Total |
0 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | ||||||
| 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. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (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 VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10 | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | 0 | 0 | 0 | 0 | ||
| 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 | 0 | 0 | 0 | 0 | ||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513 ..... | 0 | 0 | 0 | 0 | ||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | 0 | 0 | 0 | 0 | ||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge | 0 | 0 | 0 | 0 | ||
| 6 | Total. Add lines 1 through 5 | 0 | 0 | 0 | 0 | ||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | 0 | 0 | 0 | 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 | 0 | 0 | 0 | ||
| c | Add lines 7a and 7b.. | 0 | 0 | 0 | 0 | ||
| 8 | Public support. (Subtract line 7c from line 6.) | 0 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 0 | 0 | 0 | 0 | ||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 0 | 4,078 | 21,801 | 25,879 | ||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | 0 | 0 | 0 | 0 | ||
| c | Add lines 10a and 10b. | 0 | 4,078 | 21,801 | 25,879 | ||
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | 0 | 0 | 0 | 0 | ||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | 25,879 | |||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
|||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2018 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2018 |
(iii) Distributable Amount for 2018 |
|
|---|---|---|---|---|
|
1
Distributable amount for 2018 from Section C, line 6 |
||||
|
2
Underdistributions, if any, for years prior to 2018 (reasonable cause required-- explain in Part VI). See instructions. |
||||
| 3 Excess distributions carryover, if any, to 2018: | ||||
| a From 2013....... | ||||
| b From 2014....... | ||||
| c From 2015....... | ||||
| d From 2016....... | ||||
| e From 2017....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2018 distributable amount | ||||
|
i
Carryover from 2013 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2018 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2018 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2018, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
||||
|
6
Remaining underdistributions for 2018. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
||||
|
7 Excess distributions carryover to 2019. Add lines 3j and 4c. |
||||
| 8 Breakdown of line 7: | ||||
| a Excess from 2014...... | ||||
| b Excess from 2015..... | ||||
| c Excess from 2016..... | ||||
| d Excess from 2017..... | ||||
| e Excess from 2018..... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|
| Software ID: | 18007482 |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| Pt VI, Line 12c | THE BOARD AND OFFICERS ARE TRAINED ON CONFLICTS, AND THE ISSUE IS DISCUSSED AT LEAST ONCE A MONTH AT MANAGEMENT EXECUTIVE MEETINGS. |
| Pt VI, Line 11b | THE AUDIT COMMITTEE OF THE ORGANIZATION REVIEWS THE FORM 990 BEFORE IT IS FILED. THE EXECUTIVE DIRECTOR THEN REVIEWS AND SIGNS BEFORE FILING. |
| Pt VI, Line 15a | FOR EXECUTIVE STAFF, COMPARABLE DATA IS COLLECTED FROM THE GUIDESTAR'S NONPROFIT COMPENSATION REPORT WHICH HAS A WEALTH OF DATA BY PERCENTILE AND BY BUDGET SIZE, BY JOB TITLE, GENDER, NONPROFIT ORGANIZATION TYPE, STATE AND CITY. THIS MATERIAL IS COMPILED BY THE CEO ALONG WITH THE PERFORMANCE REVIEW FOR THE POSITION. THE COMPENSATION DATA FROM GUIDESTAR ACCOMPANIES AN OVERVIEW OF THE DATA AND THE RATIONAL FOR THE REQUESTED INCREASE. THE PERFORMANCE REVIEW FORMAT WAS APPROVED AND PROVIDED BY THE INDEPENDENT BOARD MEMBERS. PRIOR TO SUBMISSION TO THE BOARD, THE CEO REVIEWS THE PROPOSED INCREASE FOR EXECUTIVE STAFF WITH THE CONTROLLER AND WITH CONSENSUS, THE CEO THEN FORWARDS THE OVERVIEW, PERFORMANCE REVIEW AND COMPENSATION DATA TO THE BOARD COMPENSATION COMMITTEE AND CHAIRMAN (ALL INDEPENDENT BOARD MEMBERS). THE COMPENSATION COMMITTEE APPROVES AND THEN MOVES THE PROPOSED INCREASE TO THE INDEPENDENT MEMBERS OF THE BOARD. THE FULL BOARD THEN VOTES TO APPROVE/DISAPPROVE THE PROPOSED INCREASE. THE ACTION OF THE INDEPENDENT BOARD REGARDING EXECUTIVE SALARIES IS DOCUMENTED BY EMAIL APPROVALS AS WELL AS THE CORPORATE SECRETARY IN THE BOARD MINUTES WHEN THE BOARD CONFIRMS AT THE NEXT BOARD MEETING THE SALARY INCREASE WAS APPROVED VIA EMAIL. THE CONTROLLER IS AN INDEPENDENT CONTRACTOR ON A MONTHLY RATE APPROVED BY THE CEO. ALL THE MATERIAL INCLUDING COMPENSATION DATA AND THE WRITTEN BOARD APPROVAL BY INDEPENDENT BOARD MEMEBERS IS KEPT BY THE CORPORATE SECRETARY ONSITE AT POWELL RECOVERY CENTER. |
| Pt VI, Line 15b | FOR ALL OTHER SALARIES OTHER THAN EXECUTIVE SALARIES, ALL CHANGES TO SALARY OR HOURLY RATE MUST BE APPROVED IN ADVANCE BY A POWELL RECOVERY CENTER EXECUTIVE. THE AUTHORIZED MANAGER THEN SUBMITS A STANDARDIZED EMAIL. THE FOLLOWING MUST BE COPIED INTO THE EMAIL OR PAYROLL WILL NOT ACT ON THE EMAIL. THOSE WHO MUST BE INCLUDED: CEO, COO, CBO, AND CONTROLLER. NEW JOB TITLES THAT CONSTITUTE A CHANGE IN SKILL LEVEL OR TASK, AND REQUIRE A COMMENSURATE INCREASE IN THE HOURLY RATE/SALARY ARE ANALYZED USING OUTSIDE DATA SOURCES, THEN ARE REVIEWED BY JOB DESCRIPTIONS/DUTIES AND LOCATION. TYPICALLY AGREEMENT WITH TWO BUT PREFERABLY THREE DIFFERENT SIMILAR JOBS/WAGES ARE USED AS WELL AS AN OVERVIEW ANALYZING THE COMPENSATION DATA AND DISCUSSING THE NEW JOB TITLES. FOR ADJUSTMENTS TO POWELL RECOVERY, SUCH AS AN INCREASE IN THE OVERALL MINIMUM HIRING RATE, POWELL RECOVERY WOULD NOT SEEK COMPENSATION DATA. A SPREADSHEET OF ALL PROPOSED INCREASES TO A BASE RATE OF PAY AFFECTED BY SUCH AN INCREASE WOULD BE COMPILED AND REVIEWED BY AN EXECUTIVE FOR APPROVAL. POWELL RECOVERY CENTER HAS A SERIES OF JOB TITLES FOR COUNSELORS, CLINICIANS, HOUSE MONITORS THAT ARE REGULATED BY PREDETERMINED RATES FOR HIRING AND FOR INCREASES. STANDARD HOURLY RATES HELP POWELL RECOVERY CENTER MANAGE PAYROLL AND EQUITY. POWELL RECOVERY CENTER HAS A SERIES OF JOB TITLES FOR COUNSELORS, CLINICIANS, AND HOUSE MONITORS THAT ARE REGULATED BY PREDETERMINED RATES FOR HIRING AND FOR INCREASES. POWELL RECOVERY CENTER EXECUTIVE MANAGEMENT REVIEWS THE ENTIRE POWELL RECOVERY CENTER PAYROLL ANNUALLY FOR INCREASES AND EQUITY. THE PAYROLL IS REVIEWED BY JOB TITLE, DEPARTMENT, HIRE DATE AND HOURLY RATE/SALARY TO ENSURE STANDARD RATES HAVE BEEN PROPERLY IMPLEMENTED. ANY EQUITY ADJUSTMENTS OR STANDARD INCREASES ARE NOTED ON THE SPREADSHEET AND REVIEWED IN TOTAL BY ALL EXECUTIVES. THE ENTIRE POWELL RECOVERY CENTER PAYROLL LISTING ALL EMPLOYEES (EXCEPT THE THREE EXECUTIVES) BY DEPARTMENTS, JOB TITLE, HOURLY RATE AND INCLUDING OTHER BASIC DATA SUCH AS HIRE DATE AND FLSA STATUS ARE SENT TO THE POWELL RECOVERY BOARD COMPENSATION COMMITTEE ANNUALLY. THE COMPENSATION COMMITTEE REVIEWS THE ENTIRE PAYROLL, ASKS ANY QUESTIONS AND REPORTS TO THE FULL BOARD AT THE NEXT BOARD MEETING THAT THE REVIEW HAS COMPLETED. THE DOCUMENTATION OF THE ANNUAL COMPENSATION COMMITTEE REVIEW OF PAYROLL IS MAINTAINED BY THE POWELL RECOVERY CENTER SECRETARY AT POWELL RECOVERY AND REPORTED IN THE BOARD MINUTES. |
| Form 990, Part IX, Line 24e | PERMITS & LICENSES 25217. 0. 25217. 0. |
| Form 990, Part IX, Line 24e | REPAIRS & MAINTENANCE 69981. 0. 69981. 0. |
| Form 990, Part IX, Line 24e | STAFF DEVELOPMENT 109555. 0. 109555. 0. |
| Form 990, Part IX, Line 24e | STAFF MEALS & TRAVEL 49684. 0. 49684. 0. |
| Form 990, Part IX, Line 24e | COPIER 21988. 0. 21988. 0. |
| Form 990, Part IX, Line 24e | DUES & SUBSCRIPTIONS 24212. 0. 24212. 0. |
| Software ID: | 18007482 |
| Software Version: |