2015-12-10T14:13:40-06:00 2015-06-30 610920132 RINEY HANCOCK CPAS PSC 2900 VEACH ROAD SUITE 2 OWENSBORO KY 42303 990 2014-07-01 610668290 GREEN RIVER REGIONAL MENTAL HEALTH MENTAL RETARDATION BOARD INC GREE 2706896500 1100 WALNUT ST OWENSBORO KY 42301 MIKE MOUNTAIN CFO 2706896500 2015-12-08 1 SCOTT L CLAY CPA P00114132 2709264540 2014 2016-03-07 17:11:31Z GAYLE DICESARE 1100 WALNUT STREET OWENSBORO KY 42301 47066255 0 X WWW.RVBH.COM X 1966 KY PLANNING, COORDINATION AND DIRECT DELIVERY OF MENTAL HEALTH, SUBSTANCE ABUSE AND MENTAL RETARDATION SERVICES AT VARIOUS LOCATIONS. 11 11 181 0 0 0 11396400 10980257 24942031 33381554 190686 400341 9600 9600 36538717 44771752 0 0 0 0 19069672 20924518 0 0 0 16597388 16355754 35667060 37280272 871657 7491480 28524112 36673355 5575343 6447910 22948769 30225445 TO PROVIDE PLANNING, COORDINATION AND DIRECT DELIVERY OF MENTAL HEALTH, SUBSTANCE ABUSE AND MENTAL RETARDATION SERVICES AT VARIOUS LOCATIONS. 0 0 33588519 33382584 PLANNING, COORDINATION, AND DIRECT DELIVERY OF MENTAL HEALTH, SUBSTANCE ABUSE, AND MENTAL RETARDATION SERVICES, PRIMARILY ON AN OUT-PATIENT BASIS. 33588519 1 1 0 0 0 0 0 0 0 0 1 1 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 49 0 181 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X X MIKE MOUNTAIN 2706896500 CIGAR FACTORY COMPLEX 1100 WALNUT OWENSBORO KY 42301 RICK COX CHAIRMAN 0.50 X 0 0 0 JUDGE TOM CASTLEN VICE CHAIR 0.50 X 0 0 0 REBECCA EDMONDSON SECRETARY/TREASURER 0.50 X 0 0 0 GAYNELL ALLEN DIRECTOR 0.50 X 0 0 0 MARTHA HARDESTY DIRECTOR 0.50 X 0 0 0 DR WES BOOKER DIRECTOR 0.50 X 0 0 0 GALENA FULKERSON DIRECTOR 0.50 X 0 0 0 KENNY RILEY DIRECTOR 0.50 X 0 0 0 MYRA SPAULDING DIRECTOR 0.50 X 0 0 0 LINDA TONGATE DIRECTOR 0.50 X 0 0 0 KEITH WELLS DIRECTOR 0.50 X 0 0 0 GAYLE DICESARE CEO 40.00 X 0 240888 26284 MIKE MOUNTAIN CFO 40.00 X 0 144088 14141 WARREN MILTEER EMPLOYEE 40.00 X 222524 0 77605 VITALKUMAR SHAH EMPLOYEE 40.00 X 315535 0 109302 KUSUM NIGAM EMPLOYEE 40.00 X 104309 0 36433 642368 384976 263765 3 0 1 0 ARAMARK SERVICES INC 1112 FLORENCE ST EVANSVILLE IN 47710 FOOD PREP/JANITORIAL SERVICES 1151988 PLAZA INSURANCE COMPANY PO BOX 182738 COLUMBUS OH 432182738 AUTO INSURANCE 471831 UNIVERSITY OF LOUISVILLE 401 EAST CHESTNUT ST SUITE 600 LOUISVILLE KY 40202 PSYCH SERVICES 457500 DANHAUER DRUGS 330 FREDERICA ST OWENSBORO KY 42301 PHARMACY 204467 7 BROADWAY PLACE LLC 2424 LOUISIANA BLVD NE SUITE 300 ALBUQUERQUE NM 87110 RENT 198778 15 10980257 10980257 PATIENT SERVICES 624100 23452932 23452932 MEDICARE/MEDICAID PAYMENTS 624100 8840248 8840248 MANAGEMENT SERVICES 624100 1058355 1058355 TENANT RENT 623000 30019 30019 33381554 241330 241330 9600 0 9600 9600 9600 2452484 1030 2294503 0 157981 1030 159011 1030 157981 44771752 33382584 0 408911 X 16153113 14537801 1615312 1880849 1692764 188085 1723781 1551403 172378 1166775 1050098 116677 2544850 2290365 254485 151312 136181 15131 37167 37167 8601604 7741443 860161 58617 52755 5862 506026 455423 50603 222695 200425 22270 1043875 939488 104387 354281 318853 35428 37085 33376 3709 15685 14116 1569 319106 287195 31911 377738 339964 37774 SUPPLIES 1029607 926646 102961 BAD DEBTS 415948 415948 0 MEDICAID TAX ASSESSMENT 281341 281341 0 TAXES 105930 95337 10593 252887 227597 25290 37280272 33588519 3691753 0 1425625 2378994 157191 157348 4139272 10744245 329881 338949 13961692 10992767 3376500 2968925 7703530 7858292 415 369 11391698 12226233 28524112 36673355 4046240 5457228 749070 635385 780033 355297 5575343 6447910 X 22948769 30225445 22948769 30225445 28524112 36673355 7491480 -214804 0 X X 0 1 X 1 1 1 X 10322972 12004499 12157984 11396400 10980257 56862112 20587228 25434344 23022853 24942031 33381554 127368010 30910200 37438843 35180837 36338431 44361811 184230122 0 0 0 184230122 62415 15707 21260 133283 250930 483595 62415 15707 21260 133283 250930 483595 30972615 37454550 35202097 36471714 44612741 184713717 0.99740 0.99780 0.00260 0.00220 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 335913 335913 9459951 7139537 2320414 264110 223306 40804 3462318 3194691 267627 439400 435233 4167 2968925 INVESTMENTS - MARKETABLE SECURITIES 7526083 F INVESTMENTS - 457B DEFERRED COMP CONTRIBUTION 332209 F 7858292 RESERVE FOR REPLACEMENTS 204085 DUE FROM GREEN RIVER INDEPENDENT LIVING II, INC. 80850 DUE FROM GREEN RIVER INDEPENDENT LIVING III, INC. 65546 DUE FROM ACUMEN COUNSELING SERVICES, INC. 953606 TENANT SECURITY DEPOSITS 2161 RESIDUAL RECEIPTS RESERVE 3010 TAX AND INSURANCE ESCROW 449 DUE FROM BEHAVIORAL HEALTH SERVICES, INC. 10549702 DUE FROM CIGAR FACTORY COMPLEX, INC. 366824 12226233 DUE TO RIVERVALLEY CONSULTING SERVICES, INC. 331514 TENANT SECURITY DEPOSITS 2161 DUE TO HENDERSON GROUP HOME, INC. 21622 355297 44255469 -214804 11232329 11017525 33237944 11533808 11533808 44771752 37289445 11880352 11880352 25409093 11871179 11871179 37280272 PART XI, LINE 2D - OTHER ADJUSTMENTS: RELATED ENTITIES' REVENUE PER CONSOLIDATED FINANCIAL STATEMENTS 22,376,629. ELIMINATIONS PER CONSOLIDATED FINANCIAL STATEMENTS -10,656,300. OTHER INTERCOMPANY ADJUSTMENTS 33,878. TAXES NETTED AGAINST REVENUE PER AUDITED STATEMENTS -105,930. BAD DEBT EXPENSE NETTED AGAINST REVENUE PER AUDITED STATEMENTS -415,948. PART XI, LINE 4B - OTHER ADJUSTMENTS: MICHELLE P. WAIVER REVENUES REPORTED NET OF EXPENSES PER AUDITED STATEMENTS 11,349,301. INVESTMENT RETURNS 184,507. PART XII, LINE 2D - OTHER ADJUSTMENTS: RELATED ENTITIES' EXPENSES PER CONSOLIDATED FINANCIAL STATEMENTS 22,502,774. ELIMINATIONS PER CONSOLIDATED FINANCIAL STATEMENTS -10,656,300. OTHER INTERCOMPANY ADJUSTMENTS 33,878. PART XII, LINE 4B - OTHER ADJUSTMENTS: MICHELLE P. WAIVER REVENUES REPORTED NET OF EXPENSES PER AUDITED STATEMENTS 11,349,301. TAXES NETTED AGAINST REVENUE PER AUDITED STATEMENTS 105,930. BAD DEBT EXPENSE NETTED AGAINST REVENUE PER AUDITED STATEMENTS 415,948. 0 0 26870752 23725563 3145189 0.08530 26870752 23725563 3145189 0.08530 427142 0 427142 0.01160 80000 0 80000 0.00220 15000 0 15000 0.00040 522142 522142 0.01420 27392894 23725563 3667331 0.09950 0 415948 0 1 1 RIVERVALLEY BEHAVIORAL HEALTH HOSPITAL 1000 INDUSTRIAL DRIVE OWENSBORO KY 42301 X CHILDREN'S PSYCHIATRIC HOSPITAL RIVERVALLEY BEHAVIORAL HEALTH HOSPITAL 1 1 0 0 0 0 0 0 0 1 X 1 X X X 1 X 0 0 RIVERVALLEY BEHAVIORAL HEALTH HOSPITAL PART V, SECTION B, LINE 22D: THE HOSPITAL USED THE MEDICAID RATE FOR INDIVIDUALS WHO DID NOT HAVE INSURANCE COVERING EMERGENCY OR OTHER MEDICALLY NECESSARY CARE. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 415,948. PART III, LINE 4: THE FOOTNOTES TO THE ORGANIZATION'S MOST RECENTLY AUDITED FINANCIAL STATEMENTS INCLUDE ON PAGE 9 AN EXPLANATION OF THE ORGANIZATION'S SIGNIFICANT ACCOUNTING POLICIES FOR RECORDING BAD DEBTS.THE COSTING METHODOLOGY USED TO REPORT THE AMOUNTS IN PART III, LINES 2 AND 3, WAS THE RATIO DETERMINED FROM WORKSHEET 2. NO BAD DEBT EXPENSES WERE INCLUDED IN THE AMOUNTS LISTED AS COMMUNITY BENEFIT. X 0 0 0 0 0 0 0 0 0 GAYLE DICESARE CEO 0 240888 0 0 0 0 0 0 0 26284 0 267172 0 0 MIKE MOUNTAIN CFO 0 144088 0 0 0 0 0 0 0 14141 0 158229 0 0 WARREN MILTEER EMPLOYEE 222524 0 0 0 0 0 0 0 77605 0 300129 0 0 0 VITALKUMAR SHAH EMPLOYEE 315535 0 0 0 0 0 0 0 109302 0 424837 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 FORM 990 IS REVIEWED BY THE CEO AND CONTROLLER AND THEN BY THE BOARD OF DIRECTORS BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY IS MONITORED BY THE BOARD, CFO, PURCHASING MANAGER, AND HUMAN RESOURCES DEPARTMENT AND INCLUDES REVIEWS OF VENDOR CONTRACTS AND EMPLOYMENT APPLICATIONS. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD REVIEWS AND APPROVES THE CEO'S COMPENSATION. THE HUMAN RESOURCES DEPARTMENT FORWARDS PROPOSED COMPENSATION ARRANGEMENTS FOR OTHER KEY PERSONNEL TO THE CEO FOR REVIEW AND APPROVAL. FORM 990, PART VI, SECTION C, LINE 18 FORM 1023 AND FORM 990 ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST AND FORM 990 IS ALSO AVAILABLE ON PUBLIC WEBSITES SUCH AS GUIDESTAR.ORG. FORM 990, PART VI, SECTION C, LINE 19 UPON REQUEST, THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC. FORM 990, PART IX, LINE 11G COLLECTION AGENCY SERVICES: PROGRAM SERVICE EXPENSES 5,020. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,020. PSYCHIATRIC CONSULTING: PROGRAM SERVICE EXPENSES 806,550. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 806,550. OTHER FEES: PROGRAM SERVICE EXPENSES 6,929,873. MANAGEMENT AND GENERAL EXPENSES 860,161. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,790,034. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. ACUMEN COUNSELING SERVICES INC 1100 WALNUT STREET OWENSBORO KY 42301 611248638 COUNSELING SERVICES TO CHARITABLE ACTIVITIES OF RELATED ORGANIZATIONS KY 501(C)(3) 11C GREEN RIVER REGIONAL MHMR BOARD 1 BEHAVIORAL HEALTHCARE SERVICES INC 1100 WALNUT STREET OWENSBORO KY 42301 311563579 OFFERS RESIDENTIAL SERVICES TO MENTALLY RETARDED INDIVIDUALS KY 501(C)(3) 9 GREEN RIVER REGIONAL MHMR BOARD 1 CIGAR FACTORY COMPLEX INCORPORATED 1100 WALNUT STREET OWENSBORO KY 42301 611303939 OWNS AND MANAGES PROPERTY FOR OTHER CHARITABLE ORGANIZATIONS KY 501(C)(2) GREEN RIVER REGIONAL MHMR BOARD 1 GREEN RIVER INDEPENDENT LIVING - II INC 1100 WALNUT STREET OWENSBORO KY 42301 611027454 PROVIDE HOUSING FOR ELDERLY AND/OR HANDICAPPED PERSONS KY 501(C)(3) 9 GREEN RIVER REGIONAL MHMR BOARD 1 GREEN RIVER INDEPENDENT LIVING - III INC 1100 WALNUT STREET OWENSBORO KY 42301 611153453 PROVIDE HOUSING FOR ELDERLY AND/OR HANDICAPPED PERSONS KY 501(C)(3) 9 GREEN RIVER REGIONAL MHMR BOARD 1 HENDERSON GROUP HOME INC 1100 WALNUT STREET OWENSBORO KY 42301 611171902 PROVIDE HOUSING & PERSONAL CARE FOR PHYSICALLY AND/OR MENTALLY HANDICAPPED KY 501(C)(3) 9 GREEN RIVER REGIONAL MHMR BOARD 1 RIVERVALLEY CONSULTING SERVICES INC 1100 WALNUT STREET OWENSBORO KY 42301 611354311 TO OFFER CONSULTING SERVICES TO RELATED NON-PROFIT ENTITIES KY 501(C)(3) 11B GREEN RIVER REGIONAL MHMR BOARD 1 EFFEXAS INC 1100 WALNUT STREET OWENSBORO KY 42301 271506915 SOFTWARE DEVELOPMENT KY BEHAVIORAL HEALTHCARE SERVICES INC C 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 CIGAR FACTORY COMPLEX INCORPORATED K 522000 FMV - CASH TRANSACTIONS ACUMEN COUNSELING SERVICES INC M 6300701 FMV - CASH TRANSACTIONS RIVERVALLEY CONSULTING SERVICES INC M 1632166 FMV - CASH TRANSACTIONS