2016-01-11T08:56:06-06:00 2015-06-30 591363792 KEEFE MCCULLOUGH & CO LLP CPA'S 6550 N FEDERAL HIGHWAY SUITE 410 FT LAUDERDALE FL 33308 990 2014-07-01 590711167 HENDERSON BEHAVIORAL HEALTH INC HEND 9544864005 4740 NORTH STATE ROAD 7 NO 201 FT LAUDERDALE FL 33319 ERICA M RICKETTS CFO 9544864005 2016-01-11 1 LOUIS R PROIETTO P00482252 9547710896 2014 2016-04-25 22:37:26Z ERICA M RICKETTS 4740 NORTH STATE ROAD 7 NO 201 FT LAUDERDALE FL 33319 38987210 0 X HTTP://WWW.HENDERSONBEHAVIORALHEALTH.ORG/ X 1953 FL TO BE THE PREMIER PROVIDER OF ACCESSIBLE, COST EFFECTIVE, AND QUALITY BEHAVIORAL HEALTHCARE SERVICES TO THE RESIDENTS OF BROWARD COUNTY, IN ORDER TO PROMOTE THEIR MENTAL HEALTH AND WELL BEING. 16 16 826 33 0 0 28346417 29967801 7732496 7373881 255911 227285 35318 43728 36370142 37612695 0 0 0 0 26326237 27663342 0 0 148000 9210233 8789352 35536470 36452694 833672 1160001 31378200 31453321 9151749 8222481 22226451 23230840 X HENDERSON BEHAVIORAL HEALTH CENTER, INC. AND SUBSIDIARIES (THE ORGANIZATION) PROVIDES BEHAVIORAL HEALTH CARE THROUGHOUT BROWARD AND PALM BEACH COUNTIES, FLORIDA. THE ORGANIZATION CHARGES FEES BASED UPON ITS PATIENTS ABILITY TO PAY FOR CLINICAL SERVICES AND RECEIVES GRANTS, CONTRACTS AND CONTRIBUTIONS FROM VARIOUS GOVERNMENTAL AND CHARITABLE AGENCIES. GIFTS, DONATIONS AND VOLUNTEER SERVICES ARE ALSO RECEIVED FROM INDIVIDUALS AND CORPORATIONS. 0 0 31075158 7536096 MENTAL HEALTH CARE PROVIDED TO A DESIGNATED CATCHMENT AREA SPECIFICALLY FOR THE POPULATION WHICH COULD NOT OTHERWISE AFFORD THE CARE. 31075158 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 21 0 1 826 1 0 0 0 0 0 0 0 0 0 0 X 16 16 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 1 0 FL X X MS ERICA M RICKETTS 9544864005 4740 NORTH STATE ROAD 7 SUITE 201 FT LAUDERDALE FL 33319 RICHARD KINZER BOARD PRESIDENT 1.00 X X 0 0 0 ROBERT A FIELD BOARD VICE PRESIDENT 1.00 X X 0 0 0 JON E GUNDLACH BOARD TREASURER 1.00 X X 0 0 0 JOEL GUSTAFSON BOARD SECRETARY 1.00 X X 0 0 0 HOWARD DVORKIN DIRECTOR 1.00 X 0 0 0 JEN KLAASSENS DIRECTOR 1.00 X 0 0 0 REP JOE GIBBONS DIRECTOR 1.00 X 0 0 0 KATHY KOCH DIRECTOR 1.00 X 0 0 0 GLORIA STUART DIRECTOR 1.00 X 0 0 0 ROBERT W BARRON DIRECTOR 1.00 X 0 0 0 JOHN P BAUER DIRECTOR 1.00 X 0 0 0 ERIC LACHS DIRECTOR 1.00 X 0 0 0 CAROLYN LEE DIRECTOR 1.00 X 0 0 0 GERARD LITRENTO DIRECTOR 1.00 X 0 0 0 SAMUEL F MORRISION DIRECTOR 1.00 X 0 0 0 DRSTEVEN RONIK CEO 40.00 X X 281553 0 40930 PAMELA GALAN COO 40.00 X 135025 0 6080 ERICA RICKETTS CFO 40.00 X 139379 0 23208 PIERRE PEAN MD DOCTOR 40.00 X 293362 0 15390 HERNAN PABON MD DOCTOR 40.00 X 189478 0 12288 BHAGIRATHY SAHASRANAMAN MD DOCTOR 35.00 X 184995 0 14160 KARL BACKMAN MD DOCTOR 40.00 X 170014 0 11486 SHARON D BROWN DOCTOR 40.00 X 142545 0 10349 1536351 0 133891 8 0 1 0 COVENTRY HEALTH CARE 6720-B ROCKLEDGE DRIVE STE 700 BETHESDA MD 20817 HEALTH INSURANCE 2162953 NORTHERN TRUST BANK 800 CONNECTICUT AVE NW 200 WASHINGTON DC 20006 RETIREMENT CONTRIBUTIONS 675286 FLATIRON CAPITAL 1700 LINCOLN STREET 12TH FLOOR DENVER CO 80203 COMMERCIAL & AUTO INSURANCE 568532 FPL ELECTRIC UTILITY COMPANY FORT LAUDERDALE FL 33310 UTILITIES 356153 MCJ PRESTIGE CLEANING 161 NE 2ND AVE DEERFIELD BEACH FL 33441 JANITORIAL SERVICES & SUPPLIES 291039 5 182309 64483 26881633 2839376 1374600 29967801 MEDICAID REVENUE 624100 6889149 6889149 NET PATIENT REVENUE 624100 381441 381441 MEDICAL RECORDS 624100 57534 57534 MEDICARE REVENUE 624100 45757 45757 7373881 125693 125693 119807 133478 -13671 -13671 -13671 1302828 11018 1207181 5073 95647 5945 101592 101592 22660 64483 28783 -6123 -6123 OTHER REVENUE 900099 63522 60623 2899 63522 37612695 7536096 0 108798 1532730 1328287 199666 4777 21016103 18212874 2737728 65501 659034 556942 99677 2415 2659227 2246887 402882 9458 1796248 1517988 271678 6582 18271 18271 345210 192153 151570 1487 1014921 859178 151647 4096 606841 525896 79054 1891 262539 228653 33886 900303 759563 138703 2037 502043 406919 95124 OTHER COSTS 1633065 1268002 326887 38176 EQUIPMENT USE COSTS 1014960 742908 263971 8081 MEDICAL & PHARMACY 961783 961783 PROFESSIONAL SERVICES 885422 624149 257774 3499 643994 642976 1018 36452694 31075158 5229536 148000 8190934 7733582 4144256 3934142 1655732 1739629 51977 89405 128450 196466 23427608 12118995 10751814 11308613 6400618 6404565 54419 46919 31378200 31453321 3250958 3073745 70748 48736 5100000 5100000 730043 9151749 8222481 X 21474530 22478919 751921 751921 22226451 23230840 31378200 31453321 1160001 -155612 0 X X 0 1 X 1 1 1 X 743536 10085 3925 749696 742798 4412 3674 743536 750592 7630 15424 742798 755498 4244 9150 750592 776323 10953 31778 755498 0 0 2287069 2287069 15696259 7441099 8255160 74976 57614 17362 5369304 4620282 749022 11308613 30700 C RESTRICTED CASH 2538991 F INVESTMENTS 3834874 F 6404565 38816931 -155612 421038 957081 1222507 37594424 18271 18271 37612695 37812542 421038 957081 1378119 36434423 18271 18271 36452694 PART V, LINE 4: INTENDED TO BE USED TO SUSTAIN OPERATIONS, AND PURCHASING POWER FOR A LONG TERM BASIS AND CONTINUE THE TAX EXEMPT PURPOSE OF THE ORGANIZATION. PART XI, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 133,478. RENT PAID TO WHOLLY OWNED LLC 794,820. SPECIAL EVENT EXPENSE 28,783. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 133,478. RENT PAID TO WHOLLY OWNED LLC 794,820. SPECIAL EVENT EXPENSE 28,783. GALA 87143 64483 22660 28783 87143 64483 22660 28783 28783 -6123 X X X 0 0 0 0 0 0 0 0 0 DRSTEVEN RONIK CEO 281553 0 0 0 0 0 11417 0 29513 0 322483 0 0 0 ERICA RICKETTS CFO 139379 0 0 0 0 0 6157 0 17051 0 162587 0 0 0 PIERRE PEAN MD DOCTOR 293362 0 0 0 0 0 11417 0 3973 0 308752 0 0 0 HERNAN PABON MD DOCTOR 189478 0 0 0 0 0 8315 0 3973 0 201766 0 0 0 BHAGIRATHY SAHASRANAMAN MD DOCTOR 184995 0 0 0 0 0 8135 0 6025 0 199155 0 0 0 KARL BACKMAN MD DOCTOR 170014 0 0 0 0 0 7513 0 3973 0 181500 0 0 0 SHARON D BROWN DOCTOR 142545 0 0 0 0 0 6376 0 3973 0 152894 0 0 0 A BROWARD COUNTY HEALTH FACILITES AUTHORITY 2004-06-01 5100000 GENERAL OPERATING FUNDS 0 0 0 A 0 0 0 0 A 0 0 0 0 0 0 0 A 0 0 0 0 1 1 SUNTRUST 30.000000000000 0 0 0 0 0 A 0 X 1 1000000 FMV X 12 374600 FMV 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 THE GOVERNING BOARD IS PROVIDED A COPY OF THE FORM 990 FOR REVIEW BEFORE IT IS SUBMITTED. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION AT LEAST ANNUALY, HOLDS A COMPLIANCE COMMITTEE MEETING AND REQUIRES ALL GOVERNING MEMBERS TO DISCLOSE ISSUES. FORM 990, PART VI, SECTION B, LINE 15 AN INDEPENDENT INDIVIDUAL OR GROUP REVIEWS COMPARABLE COMPENSATION DATA THAT IS REVIEWED WHEN CONSIDERING COMPENSATION OF KEY EMPLOYEES AND OTHER TOP MANAGEMENT. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 2C NO CHANGE FROM PRIOR YEAR. HEADWAY NEW VISTAS LLC 4740 NORTH STATE ROAD 7 FT LAUDERDALE FL 33319 201295515 RENTAL OF FACILITIES FL HENDERSON BEHAVIORAL HEALTH CENTER INC HENDERSON CENTER RESIDENTIAL SERVICES INC 4740 N STATE ROAD 7 FORT LAUDERDALE FL 33319 592533533 PROVIDE FACILITIES TO ELDERLY AND HANDICAPPED INDIVIDUALS. FL 501(C)(3) 170(B)(1)(A)(VI) HENDERSON BEHAVIORAL HEALTH CENTER INC 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0