2015-01-19T16:02:10-06:00 2014-06-30 610920132 RINEY HANCOCK CPAS PSC 2900 VEACH ROAD SUITE 2 OWENSBORO KY 42303 990 2013-07-01 610668290 GREEN RIVER REGIONAL MENTAL HEALTH MENTAL RETARDATION BOARD INC GREE 2706896500 CIGAR FACTORY COMPLEX 1100 WALNUT ST OWENSBORO KY 42301 MIKE MOUNTAIN CFO 2706896500 2015-01-15 1 SCOTT L CLAY CPA P00114132 2709264540 2013 2016-03-07 17:11:31Z GAYLE DICESARE 1100 WALNUT STREET OWENSBORO KY 42301 45404129 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. 12 12 209 0 0 0 12157984 11396400 23022853 24942031 11660 190686 9600 9600 35202097 36538717 0 0 0 0 17758542 19069672 0 0 0 16414521 16597388 34173063 35667060 1029034 871657 26773189 28524112 5048640 5575343 21724549 22948769 TO PROVIDE PLANNING, COORDINATION AND DIRECT DELIVERY OF MENTAL HEALTH, SUBSTANCE ABUSE AND MENTAL RETARDATION SERVICES AT VARIOUS LOCATIONS. 0 0 32139404 24951881 PLANNING, COORDINATION, AND DIRECT DELIVERY OF MENTAL HEALTH, SUBSTANCE ABUSE, AND MENTAL RETARDATION SERVICES, PRIMARILY ON AN OUT-PATIENT BASIS. 32139404 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 45 0 209 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 12 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 JUDGE RENONA BROWNING DIRECTOR 0.50 X 0 0 0 KENNY RILEY DIRECTOR 0.50 X 0 0 0 DONNA BUMPUS 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 247178 26181 MIKE MOUNTAIN CFO 40.00 X 0 149465 14047 WARREN MILTEER EMPLOYEE 40.00 X 222134 0 76982 VITALKUMAR SHAH EMPLOYEE 40.00 X 292140 0 100667 KUSUM NIGAM EMPLOYEE 40.00 X 112074 0 38879 626348 396643 256756 3 0 1 0 ARAMARK SERVICES INC 1112 FLORENCE ST EVANSVILLE IN 47710 FOOD PREP/JANITORIAL SERVICES 1138524 BERKSHIRE HATHAWAY HOMESTATE COMPANIES PO BOX 846693 LOS ANGELES CA 900846693 WORKMENS COMP INSURANCE 500030 CDW GOVERNMENT INC 75 REMITTANCE DR STE 1515 CHICAGO IL 606751515 COMPUTER EQUIPMENT 264546 KENTUCKY HOSPITAL INSURANCE CO PO BOX 436629 LOUISVILLE KY 402536629 COMPANY LIABILITY INSURANCE 261375 DANHAUER DRUGS 330 FREDERICA ST OWENSBORO KY 42301 PHARMACY 252024 19 11392619 3781 11396400 PATIENT SERVICES 624100 22311123 22311123 MEDICARE/MEDICAID PAYMENTS 624100 1473511 1473511 MANAGEMENT SERVICES 624100 1129179 1129179 TENANT RENT 623000 28218 28218 24942031 123683 123683 9600 0 9600 9600 9600 8932165 250 8865412 0 66753 250 67003 250 66753 36538717 24951881 0 190436 X 15143470 13629122 1514348 1263927 1137534 126393 1568323 1411490 156833 1093952 984556 109396 2776040 2498436 277604 174994 157494 17500 32728 32728 8260588 7434529 826059 32020 28818 3202 735830 662248 73582 298177 268359 29818 1094332 984899 109433 381452 343307 38145 46451 41805 4646 25305 22774 2531 308473 277625 30848 335241 301716 33525 SUPPLIES 1103248 992923 110325 BAD DEBTS 414103 414103 0 MEDICAID TAX ASSESSMENT 271002 271002 0 TAXES 101463 91317 10146 205941 185347 20594 35667060 32139404 3527656 0 8895820 1425625 157034 157191 67770 0 4465773 4139272 354259 329881 14685510 11309010 3461026 3376500 266137 7703530 461 415 9104909 11391698 26773189 28524112 4167350 4046240 639852 749070 241438 780033 5048640 5575343 X 21724549 22948769 21724549 22948769 26773189 28524112 871657 352563 0 X X 0 1 X 1 1 1 X 12660031 10322972 12004499 12157984 11396400 58541886 19998723 20587228 25434344 23022853 24942031 113985179 32658754 30910200 37438843 35180837 36338431 172527065 0 0 0 172527065 141816 62415 15707 21260 133283 374481 141816 62415 15707 21260 133283 374481 32800570 30972615 37454550 35202097 36471714 172901546 0.99780 0.99760 0.00220 0.00240 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 335913 335913 9368296 6949922 2418374 309173 255584 53589 4064283 3672733 391550 607845 430771 177074 3376500 INVESTMENTS - MARKETABLE SECURITIES 7438693 F INVESTMENTS - 457B DEFERRED COMP CONTRIBUTION 264837 F 7703530 RESERVE FOR REPLACEMENTS 201967 DUE FROM GREEN RIVER INDEPENDENT LIVING II, INC. 80719 DUE FROM GREEN RIVER INDEPENDENT LIVING III, INC. 36896 DUE FROM HENDERSON GROUP HOME, INC. 80787 DUE FROM ACUMEN COUNSELING SERVICES, INC. 977059 TENANT SECURITY DEPOSITS 2257 RESIDUAL RECEIPTS RESERVE 3005 TAX AND INSURANCE ESCROW 1159 DUE FROM BEHAVIORAL HEALTH SERVICES, INC. 9879467 DUE FROM CIGAR FACTORY COMPLEX, INC. 128382 11391698 DUE TO RIVERVALLEY CONSULTING SERVICES, INC. 322935 TENANT SECURITY DEPOSITS 2257 DUE TO WELLCARE 454841 780033 35835932 352563 9821440 10174003 25661929 10876788 10876788 36538717 36409885 11592180 11592180 24817705 10849355 10849355 35667060 PART XI, LINE 2D - OTHER ADJUSTMENTS: RELATED ENTITIES' REVENUE PER CONSOLIDATED FINANCIAL STATEMENTS 20,882,175. ELIMINATIONS PER CONSOLIDATED FINANCIAL STATEMENTS -10,576,551. OTHER INTERCOMPANY ADJUSTMENTS 31,382. TAXES NETTED AGAINST REVENUE PER AUDITED STATEMENTS -101,463. BAD DEBT EXPENSE NETTED AGAINST REVENUE PER AUDITED STATEMENTS -414,103. PART XI, LINE 4B - OTHER ADJUSTMENTS: MICHELLE P. WAIVER REVENUES REPORTED NET OF EXPENSES PER AUDITED STATEMENTS 10,333,789. INVESTMENT RETURNS 542,999. PART XII, LINE 2D - OTHER ADJUSTMENTS: RELATED ENTITIES' EXPENSES PER CONSOLIDATED FINANCIAL STATEMENTS 22,137,349. ELIMINATIONS PER CONSOLIDATED FINANCIAL STATEMENTS -10,576,551. OTHER INTERCOMPANY ADJUSTMENTS 31,382. PART XII, LINE 4B - OTHER ADJUSTMENTS: MICHELLE P. WAIVER REVENUES REPORTED NET OF EXPENSES PER AUDITED STATEMENTS 10,333,789. TAXES NETTED AGAINST REVENUE PER AUDITED STATEMENTS 101,463. BAD DEBT EXPENSE NETTED AGAINST REVENUE PER AUDITED STATEMENTS 414,103. 0 0 27308547 26304798 1003749 0.02850 27308547 26304798 1003749 0.02850 524701 0 524701 0.01490 95640 0 95640 0.00270 15000 0 15000 0.00040 635341 635341 0.01800 27943888 26304798 1639090 0.04650 0 414103 0 1 1 RIVERVALLEY BEHAVIORAL HEALTH HOSPITAL 1000 INDUSTRIAL DRIVE OWENSBORO KY 42301 X CHILDREN'S PSYCHIATRIC HOSPITAL RIVERVALLEY BEHAVIORAL HEALTH HOSPITAL 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 20D: 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 $ 414,103. 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 247178 0 0 0 0 0 0 0 26181 0 273359 0 0 MIKE MOUNTAIN CFO 0 149465 0 0 0 0 0 0 0 14047 0 163512 0 0 WARREN MILTEER EMPLOYEE 222134 0 0 0 0 0 0 0 76982 0 299116 0 0 0 VITALKUMAR SHAH EMPLOYEE 292140 0 0 0 0 0 0 0 100667 0 392807 0 0 0 KUSUM NIGAM EMPLOYEE 112074 0 0 0 0 0 0 0 38879 0 150953 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 7,611. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,611. PSYCHIATRIC CONSULTING : PROGRAM SERVICE EXPENSES 902,235. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 902,235. AFFILIATE EXPENSE: PROGRAM SERVICE EXPENSES 110,095. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 110,095. OTHER FEES: PROGRAM SERVICE EXPENSES 6,414,588. MANAGEMENT AND GENERAL EXPENSES 826,059. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,240,647. 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 5928381 FMV - CASH TRANSACTIONS RIVERVALLEY CONSULTING SERVICES INC M 1869964 FMV - CASH TRANSACTIONS