Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and 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 | |||||
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Total |
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Calendar year
(or fiscal year beginning in)
![]() |
(a) 2020 | (b) 2021 | (c) 2022 | (d) 2023 | (e) 2024 | (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) 2020 | (b) 2021 | (c) 2022 | (d) 2023 | (e) 2024 | (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) 2020 | (b) 2021 | (c) 2022 | (d) 2023 | (e) 2024 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | 336,700 | 527,570 | 470,060 | 479,228 | 1,813,558 | |
| 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 | 15,174,928 | 15,256,408 | 13,682,396 | 14,861,786 | 16,070,110 | 75,045,628 |
| 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 | 15,511,628 | 15,256,408 | 14,209,966 | 15,331,846 | 16,549,338 | 76,859,186 |
| 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.) | 76,859,186 | |||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2020 | (b) 2021 | (c) 2022 | (d) 2023 | (e) 2024 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 15,511,628 | 15,256,408 | 14,209,966 | 15,331,846 | 16,549,338 | 76,859,186 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 1,448 | 8,871 | 26,656 | 28,292 | 3,060 | 68,327 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 1,448 | 8,871 | 26,656 | 28,292 | 3,060 | 68,327 |
| 11 | Net income from unrelated business activities not included on 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 VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | 15,513,076 | 15,265,279 | 14,236,622 | 15,360,138 | 16,552,398 | 76,927,513 |
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 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) |
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| 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): |
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| 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 0.015 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 0.035 | 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 | 1 | |
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
2 | |
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | 3 | |
| 4 Amounts paid to acquire exempt-use assets | 4 | |
| 5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) | 5 | |
| 6 Other distributions (describe in Part VI). See instructions | 6 | |
| 7Total annual distributions. Add lines 1 through 6. | 7 | |
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
8 | |
| 9 Distributable amount for 2024 from Section C, line 6 | 9 | |
| 10 Line 8 amount divided by Line 9 amount | 10 | |
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2024 |
(iii) Distributable Amount for 2024 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2024 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2024 (reasonable cause required-- explain in Part VI).
See instructions. |
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| 3 Excess distributions carryover, if any, to 2024: | ||||
| a From 2019....... | ||||
| b From 2020....... | ||||
| c From 2021....... | ||||
| d From 2022....... | ||||
| e From 2023....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2024 distributable amount | ||||
|
i
Carryover from 2019 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2024 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2024 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2024, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
6
Remaining underdistributions for 2024. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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7 Excess distributions carryover to 2025. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2020..... | ||||
| b Excess from 2021..... | ||||
| c Excess from 2022..... | ||||
| d Excess from 2023..... | ||||
| e Excess from 2024..... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| Software ID: | |
| Software Version: |
| Return Reference | Explanation |
|---|---|
| FORM 990, PART I, LINE 1 | BROOK LANE BEHAVIORAL SERVICES, INC. IS A NON-PROFIT MENTAL HEALTH ORGANIZATION HELPING INDIVIDUALS OF ALL AGES ACHIEVE EMOTIONAL AND BEHAVIORAL WELLBEING THROUGH EDUCATION AND TREATMENT. WE PROVIDE OUTPATIENT THERAPY, PARTIAL HOSPITALIZATION, SPECIAL EDUCATION AND A RESIDENTIAL FACILITY. |
| FORM 990, PART III, LINE 4B | BROOK LANE'S LICENSED CLINICAL STAFF OFFERS OUTPATIENT THERAPY TO HELP INDIVIDUALS BUILD COPING SKILLS, PROMOTE POSITIVE WELL-BEING AND BATTLE ADDICTION. COUNSELING SESSIONS CAN BE FOR INDIVIDUALS, COUPLES, GROUPS AND/OR FAMILIES. THERAPY INVOLVES ASSESSMENT, EVALUATION AND MEDICATION MANAGEMENT IF NECESSARY. BROOK LANE'S PARTIAL HOSPITALIZATION PROGRAM (OR DAY TREATMENT) ALLOWS CHILDREN TO RECEIVE STRUCTURED, INTENSIVE THERAPY MONDAY THROUGH FRIDAY, DURING THE DAY, AND RETURN HOME EACH EVENING. BEGINNING WITH A PSYCHIATRIC EVALUATION, A TREATMENT PLAN IS TAILORED FOR EACH CHILD THAT MAY INCLUDE INDIVIDUAL, GROUP, OR FAMILY THERAPY, AS WELL AS MEDICATION MANAGEMENT AND EDUCATION. THE PROGRAM FOCUSES ON HELPING CHILDREN COPE WITH ANXIETY, DEPRESSION, ANGER MANAGEMENT, SOCIAL SKILLS, SELF-ESTEEM AND PROBLEM SOLVING. |
| PART V, LINE 2A | THE FILING ORGANIZATION HAS ENTERED "0" IN PART V, LINE 2A BECAUSE THE ORGANIZATION'S W-2 RETURNS ARE FILED BY AND UNDER THE NAME AND EIN OF BROOK LANE HEALTH SERVICES, INC., A RELATED ORGANIZATION, UNDER A SHARED SERVICES AGREEMENT. |
| FORM 990, PART VI, SECTION A, LINE 4 | AS OF APRIL 24, 2025, BROOK LANE HEALTH SERVICES, INC. AND ITS MEMBER, BROOK LANE, INC. ARE PART OF THE MERITUS HEALTH SYSTEM. THE SOLE MEMBER OF BROOK LANE, INC. IS MERITUS HEALTH, INC. (MHI) |
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE MEMBER IS BROOK LANE INC., THE PARENT. |
| FORM 990, PART VI, SECTION A, LINE 7A | DIRECTORS OF BROOK LANE ARE ELECTED BY THE BOARD OF DIRECTORS OF MHI, THE PARENT OF BROOK LANE, INC., AT THE ANNUAL MEETING OF THE MHI BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE FOLLOWING ACTS SHALL REQUIRE THE APPROVAL OF MERITUS HEALTH, INC. (MHI): A. ANY AMENDMENTS, MODIFICATIONS, SUPPLEMENTS, OR RESTATEMENTS OF OR TO THE ORGANIZATIONAL DOCUMENTS, OR THE REPEAL OF ITS BYLAWS OR CORRELATIVE DOCUMENTS (INCLUDING ANY DOCUMENTS THAT DELEGATE BOARD AUTHORITY TO A NEW COMMITTEE); B. ANY AND ALL OPERATING BUDGETS AND CAPITAL BUDGETS, INCLUDING ANY AMENDMENTS THERETO; C. ANY AND ALL OPERATING, STRATEGIC, OR CAPITAL PLANS, INCLUDING ANY AMENDMENTS THERETO; D. ANY MERGER, CONSOLIDATION, DISSOLUTION, DIVISION, CONVERSION, OR LIQUIDATION BY OR INVOLVING BROOK LANE; E. ANY VOLUNTARY BANKRUPTCY FILING BY OR ANY INSOLVENCY PROCEEDING; F. ENTRY INTO OR DISCONTINUANCE OF ANY STRATEGIC AFFILIATION OR JOINT VENTURE, OR ANY RISK SHARING OR MANAGED CARE CONTRACTING ARRANGEMENT, IN EXCESS OF LIMITS ESTABLISHED AND MODIFIED FROM TIME TO TIME BY MHI; G. THE ENTRY INTO OR DISCONTINUANCE, IN EACH CASE OUTSIDE THE ORDINARY COURSE EXCEPT AS OTHERWISE PERMITTED BY THE TERMS THEREOF, OF ANY CONTRACTS IN EXCESS OF LIMITS ESTABLISHED AND MODIFIED FROM TIME TO TIME BY MHI; H. THE ACQUISITION OF SUBSTANTIALLY ALL THE ASSETS OF ANOTHER CORPORATION OR ENTITY OR THE CONTROLLING INTERESTS OF ANOTHER CORPORATION OR ENTITY, IN EXCESS OF LIMITS ESTABLISHED AND MODIFIED FROM TIME TO TIME BY MHI; I. THE INITIATION OR APPROVAL OF THE LAUNCH OF NEW SERVICE LINES, OR THE DISCONTINUANCE OF ANY SERVICE LINES, IN EXCESS OF LIMITS ESTABLISHED AND MODIFIED FROM TIME TO TIME BY MHI; J. THE INCURRENCE OF ANY CAPITAL EXPENDITURES, IN ANY SINGLE TRANSACTION OR SERIES OF RELATED TRANSACTIONS, IN EXCESS OF LIMITS ESTABLISHED AND MODIFIED FROM TIME TO TIME BY MHI; K. THE SALE, TRANSFER, OR DONATION OF ASSETS OR PROPERTIES OF OR BY BROOK LANE, IN ANY SINGLE TRANSACTION OR SERIES OF RELATED TRANSACTIONS, IN EXCESS OF LIMITS ESTABLISHED AND MODIFIED FROM TIME TO TIME BY MHI; L. THE FILING OF ANY CERTIFICATE OF NEED APPLICATION BY OR INVOLVING BROOK LANE; M. THE FORMATION OF ANY NEW SUBSIDIARY, OR THE MERGER, CONSOLIDATION, DISSOLUTION, DIVISION, CONVERSION, OR LIQUIDATION OF ANY SUBSIDIARY OF BROOK LANE; N. ANY CHANGE IN THE LEGAL STRUCTURE TO THE EXTENT THE SAME IS NOT REQUIRED OR OTHERWISE EXPRESSLY PERMITTED BY THIS AGREEMENT; O. THE APPOINTMENT AND REMOVAL OF CORPORATE OFFICERS; P. THE ADOPTION OF THE INVESTMENT POLICIES AND CAPITAL CAMPAIGNS; Q. THE INCURRENCE OF INDEBTEDNESS, IN ANY ONE OR A SERIES OF RELATED TRANSACTIONS INCLUDING TO IMPLEMENT ANY MHI FINANCING STRATEGY, INCLUDING, WITHOUT LIMITATION, IN CONNECTION WITH ANY DEBT ISSUANCE, CAPITAL OR OPERATING LEASING TRANSACTIONS, AND TAXABLE AND NONTAXABLE FINANCINGS, IN EXCESS OF LIMITS ESTABLISHED AND MODIFIED FROM TIME TO TIME BY MHI; R. THE PAYMENT, LENDING, OR TRANSFER TO MHI OR ANY OF ITS SUBSIDIARIES OF SUCH FUNDS AS ARE NECESSARY TO REPAY ANY OUTSTANDING INDEBTEDNESS OBLIGATIONS, INCLUDING, BUT NOT LIMITED TO, BORROWINGS, GUARANTIES, NON-RECOURSE INDEBTEDNESS, LEASES, AND DERIVATIVE INSTRUMENTS, IN EACH CASE CREATED OR APPROVED BY MHI; AND S. THE SELECTION AND APPOINTMENT OF INDEPENDENT AUDITORS. ADDITIONALLY, MHI SHALL RESERVE THE RIGHTS TO APPOINT, REMOVE, REPLACE, AND FILL ANY VACANCY ON THE BOARD OF TRUSTEES. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 WAS PREPARED BY THE FINANCE DEPARTMENT AND REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM. A COPY OF THE FORM 990 WAS PROVIDED TO THE FINANCE COMMITTEE OF THE BOARD. ACTING UNDER THE AUTHORITY OF THE BOARD, THE COMMITTEE REVIEWED THE FORM 990 PRIOR TO SUBMISSION TO THE INTERNAL REVENUE SERVICE. IN ADDITION, THE FORM 990 WAS PROVIDED TO ALL MEMBERS OF THE BOARD BEFORE FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | AN ANNUAL DISCLOSURE OF INTEREST IS REQUIRED FOR ALL OFFICERS, DIRECTORS OR TRUSTEES, AND KEY EMPLOYEES. THESE DISCLOSURES ARE REVIEWED AGAINST THE ACCOUNTS PAYABLE SYSTEM TO IDENTIFY TRANSACTIONS WITH THE ORGANIZATION. ALL DISCLOSURES AND TRANSACTIONS ARE REVIEWED BY THE AUDIT & BUSINESS INTEGRITY COMMITTEE AND THEN PROVIDED TO THE CHAIR OF THE BOARD AND THE APPLICABLE COMMITTEE CHAIR. ANY DIRECTOR WITH A DETERMINED CONFLICT IS PROHIBITED FROM PARTICIPATING IN THE BOARD'S OR COMMITTEE'S DISCUSSIONS AND DECISIONS WITH REGARDS TO THAT TRANSACTION AND MUST NOT ONLY RECUSE THEMSELVES BUT LEAVE THE ROOM DURING THE DISCUSSIONS. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE EXECUTIVE COMMITTEE OF THE MHI BOARD, WHICH IS COMPRISED OF INDEPENDENT BOARD MEMBERS, REVIEWS ON AN ANNUAL BASIS THE FOLLOWING AS IT RELATES TO THE COMPENSATION OF THE CEO: 1) ANNUAL PERFORMANCE EVALUATIONS OF THE CEO; 2) ORGANIZATIONAL AND INDIVIDUAL PERFORMANCE IN ACHIEVEMENT OF STRATEGIC AND INDIVIDUAL INCENTIVE GOALS; 3) MARKET DATA PRESENTED BY AN INDEPENDENT THIRD PARTY COMPENSATION CONSULTANT; AND 4) BASE SALARY AND INCENTIVE RECOMMENDATIONS. THE INDEPENDENT THIRD-PARTY CONSULTANT CONDUCTS AND PRESENTS A REASONABLENESS REVIEW OF BOTH BASE SALARY AND TOTAL COMPENSATION FOR THE CEO. THE COMMITTEE DISCUSSES, DELIBERATES, AND APPROVES BASE SALARY AND INCENTIVE COMPENSATION RECOMMENDATIONS. RESULTS ARE REPORTED TO THE MHI BOARD. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ALL SUCH DOCUMENTS AVAILABLE TO THE EXTENT REQUIRED BY LAW. |
| Software ID: | |
| Software Version: |