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      <ActivityOrMissionDesc>THE ORGANIZATION PROVIDES BEHAVIORAL HEALTHCARE SERVICES IN WESTERN SOUTH DAKOTA.</ActivityOrMissionDesc>
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      <MissionDesc>PROVIDE HIGH QUALITY AND EFFECTIVE MENTAL HEALTH AND SUBSTANCE USE DISORDER SERVICES HELPING CLIENTS LEAD FULL AND PRODUCTIVE LIVES WHILE CONTRIBUTING TO THE HEALTH AND WELL-BEING OF OUR COMMUNITIES.</MissionDesc>
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      <Desc>MAINSTREAM SERVICES DIVISION IS DESIGNED TO CREATE AN ENVIRONMENT WHERE ADULTS DISABLED BY MENTAL ILLNESS ARE ABLE TO REGAIN THE CONFIDENCE AND SKILLS NECESSARY TO LEAD PRODUCTIVE, SATISFYING LIVES. USING A TEAM APPROACH AND PROVIDING SERVICES ALONG THE CONTINUUM OF CARE, WE DEVOTE OUR ENERGY TO ASSISTING CLIENTS IN REACHING AND KEEPING THE THINGS IMPORTANT TO THEM. MAJOR SERVICES PROVIDED ARE:CARE SERVICES: CONTINUOUS ASSISTANCE, REHABILITATION, AND EDUCATION SERVICES ARE PROVIDED ON AN OUTREACH BASIS, USUALLY IN THE CLIENT'S HOME OR OTHER COMMUNITY SETTING. THE CARE TEAM INCLUDES THERAPISTS, RECOVERY COACHES, PSYCHIATRISTS, AND CERTIFIED NURSE PRACTITIONERS. INDIVIDUALIZED TREATMENT PLANNING ALLOWS US TO SUPPORT CLIENTS' PROGRESS TOWARD MEETING THEIR PERSONAL GOALS. RECOVERY COACHES WORK WITH THE CLIENT AND THE OTHER CARE TEAM MEMBERS TO SEE THAT BASIC NEEDS ARE MET, SUCH AS OBTAINING MEDICAL AND DENTAL SERVICES, LOCATING SAFE, CLEAN, AFFORDABLE HOUSING, FINDING ASSISTANCE FROM SOCIAL SERVICES AGENCIES, UNDERSTANDING THE COMMUNITY TRANSPORTATION SYSTEM, MAINTAINING PERSONAL HYGIENE, ASSISTANCE WITH MEDICATION MANAGEMENT, PERFORMANCE OF HOUSEHOLD CHORES, BUDGETING, AND DEVELOPING SOCIAL AND INDEPENDENT LIVING SKILLS. GROUP THERAPY IS ANOTHER SERVICE PROVIDED BY THE CARE TEAM AND IS OFTEN THE TREATMENT OF CHOICE FOR MANY INDIVIDUALS. 982 CLIENTS RECEIVED MAINSTREAM SERVICES IN FY 2025.</Desc>
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        <Desc>FAMILY OUTREACH SERVICES PROVIDE TREATMENT TO CHILDREN AND ADOLESCENTS WITH SERIOUS EMOTIONAL OR BEHAVIORAL PROBLEMS IN THE FAMILY SETTING AND WITH FAMILY PARTICIPATION. SERVICES ARE AVAILABLE TO THE CHILD, THEIR PARENTS OR GUARDIAN, AND ANY SIBLINGS OR OTHER HOUSEHOLD MEMBERS. COUNSELORS WORK IN FAMILIES' HOMES, SCHOOLS, AND IN OTHER COMMUNITY SETTINGS TO MAKE SURE THESE YOUNG PEOPLE GET INTENSIVE COUNSELING AND SUPPORT FROM A VARIETY OF SERVICE PROVIDERS. FAMILY PATHWAYS SERVES CHILDREN FROM BIRTH TO AGE 18. OUR PROGRAM IN RAPID CITY IS THE LEAD AGENCY WITH REPRESENTATIVES FROM OTHER COMMUNITY PROVIDERS AND ORGANIZATIONS TO IMPLEMENT A CHILDREN AND FAMILY SYSTEM OF CARE. THIS SYSTEM IS MAKING DRAMATIC CHANGES IN THE WAY CHILDREN AND FAMILIES ARE SERVED WITHIN THE MENTAL HEALTH AND ADDICTIONS SERVICES. TREATMENTS ARE FOCUSED ON STRENGTHS OF THE FAMILY WITH THE FAMILY DIRECTING THE COURSE OF TREATMENT THEY WANT TO RECEIVE.965 CLIENTS RECEIVED FAMILY PATHWAYS SERVICES IN FY 2025.</Desc>
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        <Desc>COUNSELING SERVICES DIVISIONCOUNSELING SERVICES: COUNSELING FROM A TRAINED PROFESSIONAL IS A PROVEN METHOD OF DEALING WITH EMOTIONAL AND BEHAVIORAL PROBLEMS THAT OFTEN SEEM OVERWHELMING. OUR OUTPATIENT COUNSELORS ARE ALL MASTER'S LEVEL PROFESSIONALS WITH YEARS OF EXPERIENCE IN A VARIETY OF AREAS INCLUDING BUT NOT LIMITED TO DEPRESSION, ANXIETY, GRIEF AND LOSS, MARRIAGE &amp; FAMILY ISSUES, ADJUSTMENT TO DIVORCE, ATTENTION DEFICIT HYPERACTIVITY DISORDER (ADHD), TEEN PROBLEMS, AND SUICIDE AND CRISIS INTERVENTION. SERVICES ARE PROVIDED TO ADULTS, COUPLES, CHILDREN, AND TEENAGERS, INDIVIDUALLY, IN GROUPS, OR FAMILY SETTINGS.PSYCHIATRIC SERVICES: MEDICATION CAN BE HIGHLY EFFECTIVE IN TREATING THE SYMPTOMS OF MENTAL ILLNESS. WE HAVE A PSYCHIATRIST AND CERTIFIED NURSE PRACTITIONERS ON STAFF THAT PROVIDE PSYCHIATRIC ASSESSMENT AND FOLLOW UP SERVICES AND ARE KNOWLEDGEABLE ABOUT WHICH MEDICATIONS ARE HELPFUL FOR WHICH SYMPTOMS AS WELL AS BEING AWARE OF POTENTIAL SIDE EFFECTS AND DRUG INTERACTIONS.CRISIS CARE CENTER (PIVOT POINT): PROGRAM DESIGNED TO HELP PEOPLE DEALING WITH PROBLEMS FROM THOUGHTS OF SUICIDE TO FEELING OVERWHELMED TO GET QUICK ACCESS TO MENTAL HEALTH PROFESSIONALS WHO CAN EVALUATE THEIR SITUATION AND GET THEM THE LEVEL OF CARE THEY NEED. PROGRAM OPERATES 24 HOURS/7 DAYS PER WEEK. MANAGED AND OPERATED BY THE ORGANIZATION IN COLLABORATION WITH THE CARE CAMPUS.3,716 CLIENTS RECEIVED CARE IN COUNSELING SERVICES IN FY 2025.</Desc>
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        <Desc>ADDICTION SERVICES PROVIDE A RESIDENTIAL FACILITY FOR PREGNANT WOMEN AND WOMEN WITH DEPENDENT CHILDREN WITH SUBSTANCE ABUSE PROBLEMS. THIS PROGRAM SERVED 138 CLIENTS IN FY 2025.</Desc>
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        <Desc>APARTMENTS - TO RENT APARTMENTS TO CLIENTS AT FAIR MARKET VALUE TO ASSIST IN THEIR TRANSITION BACK TO SOCIETY.</Desc>
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        <Desc>IMPACT WEST - TO SERVE SEVERELY MENTALLY ILL PEOPLE WHO HAVE BEEN TRANSFERRED OUT OF THE STATE MENTAL HOSPITAL. THIS PROGRAM SERVED 82 CLIENTS IN FY 2025.</Desc>
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        <Desc>OTHER GRANTS - TO PROVIDE RENTAL ASSISTANCE AND MENTAL HEALTH SERVICES TO CLIENTS.</Desc>
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      <InvestmentExpensesNotIncld2Amt>8131</InvestmentExpensesNotIncld2Amt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART IV, LINE 2B:</FormAndLineReferenceDesc>
        <ExplanationTxt>FUNDS HELD IN TRUST FOR THE BENEFIT OF CLIENTS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. IN ADDITION, THE ORGANIZATION HAS BEEN DETERMINED BY THE IRS NOT TO BE A "PRIVATE FOUNDATION" WITHIN THE MEANING OF SECTION 509(A) OF THE CODE. AS OF JUNE 30, 2025, THE ORGANIZATION HAD NO UNCERTAIN TAX POSITIONS THAT QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE ORGANIZATION'S INCOME TAX FILINGS ARE SUBJECT TO AUDIT BY VARIOUS TAXING AUTHORITIES. THE ORGANIZATION IS NO LONGER SUBJECT TO FEDERAL AND STATE INCOME TAX EXAMINATIONS BY TAXING AUTHORITIES FOR YEARS BEFORE 2022. MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATION, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS. THE ORGANIZATION BELIEVES THEIR ESTIMATES ARE APPROPRIATE BASED ON CURRENT FACTS AND CIRCUMSTANCES. INTEREST AND PENALTIES ASSESSED BY INCOME TAXING AUTHORITIES, IF ANY, ARE INCLUDED IN INTEREST EXPENSE.</ExplanationTxt>
      </SupplementalInformationDetail>
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      <CompensationSurveyInd>X</CompensationSurveyInd>
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      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
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        <PersonNm>AMY IVERSEN</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>206673</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <TotalCompensationFilingOrgAmt>220872</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LISA KAUTZMAN</PersonNm>
        <TitleTxt>CERTIFIED NURSE PRACTITIONER</TitleTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS REVIEWS THE FORM 990 DRAFT FOR THE APPLICABLE TIME PERIOD. THE REPORTS ARE PRESENTED BY THE CFO AND DISCUSSED BY THE COMMITTEE. THE FINANCE COMMITTEE WILL THEN SUBMIT THE FORM 990 TO BE INCLUDED FOR REVIEW AND PRESENTATION TO THE FULL BOARD. THE BOARD WILL REVIEW AND APPROVE PRIOR TO THE FINAL SUBMISSION TO THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>AT THE BEGINNING OF THE CALENDAR YEAR, EACH OFFICER, DIRECTOR, TRUSTEE, AND KEY EMPLOYEE COMPLETES A CONFLICT OF INTEREST DISCLOSURE STATEMENT THAT IDENTIFIES KNOWN OR POTENTIAL CONFLICTS OF INTEREST. RESULTS OF THE DISCLOSURE STATEMENT ARE PROVIDED TO THE BOARD CHAIR FOR USE DURING DELIBERATIONS. UPDATES TO THE DISCLOSURE CAN BE MADE AT ANY TIME A KNOWN OR POTENTIAL CONFLICT ARISES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>ANNUAL BUDGET IS APPROVED BY THE BOARD OF DIRECTORS. ON AN ANNUAL BASIS, THE EXECUTIVE TEAM OF THE BOARD OF DIRECTORS REVIEWS THE ANNUAL SALARY AND BENEFIT PACKAGE OF THE CHIEF EXECUTIVE OFFICER AND COMPARES IT TO OTHER CEOS AT CMHCS IN THE STATE OF SOUTH DAKOTA, DATA FROM THE SOUTH DAKOTA DEPARTMENT OF LABOR'S MARKET STATISTICS, AND THE BOARD &amp; ADMINISTRATOR'S ANNUAL EXECUTIVE COMPENSATION REPORT. ADDITIONALLY, EACH YEAR THE BOARD REVIEWS AND APPROVES THE PAYGRADES USED TO DETERMINE SALARY OF EACH POSITION IN THE COMPANY. COMPARABILITY DATA FROM THE SOUTH DAKOTA COUNCIL OF COMMUNITY MENTAL HEALTH SALARY SURVEY, SOUTH DAKOTA DEPARTMENT OF LABOR'S MARKET STATISTICS, AND SOUTH DAKOTA EMPLOYEE WAGE RATES ARE USED FOR COMPARISON.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES FINANCIAL STATEMENTS AND APPLICABLE PUBLIC DOCUMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THIS INFORMATION IS ALSO POSTED ON THE ORGANIZATION'S WEBSITE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART XII LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
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</Return>