HENDERSON BEHAVIORAL HEALTH INC: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- HENDERSON BEHAVIORAL HEALTH INC (EIN 59-0711167)
- Tax period
- 2013-07-01 to 2014-06-30
- Filed
- 2014-12-04
- IRS object ID
- 201423389349300627
- Schema version
- 2013v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule D
- Schedule G
- Schedule J
- Schedule K
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2014-12-04T14:53:51-06:00 | ReturnTs |
| Tax Period End | 2014-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 591363792 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KEEFE MCCULLOUGH & CO LLP CPA'S | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6550 N FEDERAL HIGHWAY SUITE 410 | AddressLine1 |
| City | FT LAUDERDALE | City |
| State | FL | State |
| ZIP Code | 33308 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 590711167 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HENDERSON BEHAVIORAL HEALTH INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HEND | BusinessNameControlTxt |
| Phone | 9544864005 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4740 NORTH STATE ROAD 7 NO 201 | AddressLine1 |
| City | FT LAUDERDALE | City |
| State | FL | State |
| ZIP Code | 33319 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ERICA M RICKETTS | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 9544864005 | PhoneNum |
| Signature | 2014-12-03 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | LOUIS R PROIETTO | PreparerPersonNm |
| PTIN | P00482252 | PTIN |
| Phone | 9547710896 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ERICA M RICKETTS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4740 NORTH STATE ROAD 7 NO 201 | AddressLine1 |
| City | FT LAUDERDALE | City |
| State | FL | State |
| ZIP Code | 33319 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $37,251,649 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | HTTP://WWW.HENDERSONBEHAVIORALHEALTH.ORG/ | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1953 | FormationYr |
| Legal Domicile State | FL | LegalDomicileStateCd |
| Activity Or Mission | 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. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 769 | TotalEmployeeCnt |
| Total Volunteers | 36 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $28,372,180 | PYContributionsGrantsAmt |
| CY Contributions Grants | $28,346,417 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $7,394,511 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $7,732,496 | CYProgramServiceRevenueAmt |
| PY Investment Income | $91,503 | PYInvestmentIncomeAmt |
| CY Investment Income | $255,911 | CYInvestmentIncomeAmt |
| PY Other Revenue | $35,129 | PYOtherRevenueAmt |
| CY Other Revenue | $35,318 | CYOtherRevenueAmt |
| PY Total Revenue | $35,893,323 | PYTotalRevenueAmt |
| CY Total Revenue | $36,370,142 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $25,995,742 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $26,326,237 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $158,259 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $9,823,895 | PYOtherExpensesAmt |
| CY Other Expenses | $9,210,233 | CYOtherExpensesAmt |
| PY Total Expenses | $35,819,637 | PYTotalExpensesAmt |
| CY Total Expenses | $35,536,470 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $73,686 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $833,672 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $30,767,338 | TotalAssetsBOYAmt |
| Total Assets EOY | $31,378,200 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $9,547,371 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $9,151,749 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $21,219,967 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $22,226,451 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | 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. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $30,421,969 | ExpenseAmt |
| Revenue | $7,865,985 | RevenueAmt |
| Desc | MENTAL HEALTH CARE PROVIDED TO A DESIGNATED CATCHMENT AREA SPECIFICALLY FOR THE POPULATION WHICH COULD NOT OTHERWISE AFFORD THE CARE. | Desc |
| Total Program Service Expenses | $30,421,969 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 27 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 769 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | Yes (1) | LocalChaptersInd |
| Policies Reference Chapters | Yes (1) | PoliciesReferenceChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | FL | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MS ERICA M RICKETTS | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9544864005 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4740 NORTH STATE ROAD 7 SUITE 201 | AddressLine1 |
| City | FT LAUDERDALE | City |
| State | FL | State |
| ZIP Code | 33319 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| DRSTEVEN RONIK | |||||||
| CEO | 40.00 | Yes (X) | Yes (X) | $277,551 | $0 | $35,961 | |
| RICHARD KINZER | |||||||
| BOARD PRESIDENT | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| HOWARD DVORKIN | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JEN KLAASSENS | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| REP JOE GIBBONS | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JON E GUNDLACH | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| KATHY KOCH | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JOEL GUSTAFSON | |||||||
| BOARD SECRETARY | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| GLORIA STUART | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| ROBERT W BARRON | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| ELTON G SAYWARD | |||||||
| BOARD TREASURER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| ROBERT A FIELD | |||||||
| BOARD VICE PRESIDENT | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| PAMELA GALAN | |||||||
| COO | 40.00 | Yes (X) | $133,061 | $0 | $5,695 | ||
| ERICA RICKETTS | |||||||
| CFO | 40.00 | Yes (X) | $137,377 | $0 | $22,105 | ||
| PIERRE PEAN MD | |||||||
| DOCTOR | 40.00 | $260,856 | $0 | $14,927 | Yes (X) | ||
| BHAGIRATHY SAHASRANAMAN MD | |||||||
| DOCTOR | 35.00 | $183,214 | $0 | $13,575 | Yes (X) | ||
| KARL BACKMAN MD | |||||||
| DOCTOR | 40.00 | $168,548 | $0 | $11,227 | Yes (X) | ||
| HERNAN PABON MD | |||||||
| DOCTOR | 40.00 | $200,906 | $0 | $12,612 | Yes (X) | ||
| GAVIN ROSE | |||||||
| DOCTOR | 40.00 | $158,828 | $0 | $6,798 | Yes (X) | ||
| INDU SENAPATI | |||||||
| DOCTOR | 40.00 | $110,755 | $0 | $1,744 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,631,096 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $124,644 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 9 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| COVENTRY HEALTH CARE | |||||
| 6720-B ROCKLEDGE DRIVE STE 700 | BETHESDA | MD | 20817 | HEALTH INSURANCE | $2,459,698 |
| NORTHERN TRUST BANK | |||||
| 800 CONNECTICUT AVE NW 200 | WASHINGTON | DC | 20006 | RETIREMENT CONTRIBUTIONS | $729,734 |
| FLATIRON CAPITAL | |||||
| 1700 LINCOLN STREET 12TH FLOOR | DENVER | CO | 80203 | COMMERCIAL & AUTO INSURANCE | $492,960 |
| FPL | |||||
| ELECTRIC UTILITY COMPANY | FORT LAUDERDALE | FL | 33310 | UTILITIES | $343,093 |
| MCJ PRESTIGE CLEANING | |||||
| 161 NE 2ND AVE | DEERFIELD BEACH | FL | 33441 | JANITORIAL SERVICES & SUPPLIES | $293,822 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $212,744 | FederatedCampaignsAmt |
| Fundraising | $117,225 | FundraisingAmt |
| Government Grants | $26,111,018 | GovernmentGrantsAmt |
| All Other Contributions | $1,905,430 | AllOtherContributionsAmt |
| Noncash Contributions | $513,795 | NoncashContributionsAmt |
| Total Contributions | $28,346,417 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEDICAID REVENUE | 624100 | $7,033,862 | $7,033,862 |
| NET PATIENT REVENUE | 624100 | $435,875 | $435,875 |
| MEDICARE REVENUE | 624100 | $199,219 | $199,219 |
| MEDICAL RECORDS | 624100 | $63,540 | $63,540 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $7,732,496 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $176,617 | TotalRevenueColumnAmt |
| Exclusion | $176,617 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $100,580 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $108,667 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$8,087 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$8,087 | TotalRevenueColumnAmt |
| Exclusion | -$8,087 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $813,673 | SecuritiesAmt |
| Other | $2,702 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $737,079 | SecuritiesAmt |
| Other | $2 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $76,594 | SecuritiesAmt |
| Other | $2,700 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $79,294 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $79,294 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $21,900 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $117,225 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $35,759 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$13,859 | TotalRevenueColumnAmt |
| Exclusion | -$13,859 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER REVENUE | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $57,264 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $54,195 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $3,069 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $57,264 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $36,370,142 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $7,865,985 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $157,740 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,934,025 | TotalAmt |
| Program Services | $19,156,132 | ProgramServicesAmt |
| Management And General | $2,696,855 | ManagementAndGeneralAmt |
| Fundraising | $81,038 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $656,492 | TotalAmt |
| Program Services | $574,039 | ProgramServicesAmt |
| Management And General | $80,117 | ManagementAndGeneralAmt |
| Fundraising | $2,336 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,941,397 | TotalAmt |
| Program Services | $1,695,757 | ProgramServicesAmt |
| Management And General | $238,963 | ManagementAndGeneralAmt |
| Fundraising | $6,677 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,794,323 | TotalAmt |
| Program Services | $1,568,962 | ProgramServicesAmt |
| Management And General | $218,975 | ManagementAndGeneralAmt |
| Fundraising | $6,386 | FundraisingAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,214 | TotalAmt |
| Management And General | $16,214 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $531,131 | TotalAmt |
| Program Services | $219,727 | ProgramServicesAmt |
| Management And General | $303,914 | ManagementAndGeneralAmt |
| Fundraising | $7,490 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $788,154 | TotalAmt |
| Program Services | $662,942 | ProgramServicesAmt |
| Management And General | $120,048 | ManagementAndGeneralAmt |
| Fundraising | $5,164 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $718,640 | TotalAmt |
| Program Services | $619,337 | ProgramServicesAmt |
| Management And General | $98,064 | ManagementAndGeneralAmt |
| Fundraising | $1,239 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $287,508 | TotalAmt |
| Program Services | $249,495 | ProgramServicesAmt |
| Management And General | $38,013 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $873,402 | TotalAmt |
| Program Services | $678,725 | ProgramServicesAmt |
| Management And General | $194,677 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $532,063 | TotalAmt |
| Program Services | $440,393 | ProgramServicesAmt |
| Management And General | $91,670 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| OTHER COSTS | $2,020,028 | $1,653,646 | $333,448 | $32,934 |
| MEDICAL & PHARMACY | $967,782 | $967,782 | ||
| EQUIPMENT USE COSTS | $967,571 | $659,268 | $297,831 | $10,472 |
| PROFESSIONAL SERVICES | $886,334 | $654,798 | $227,013 | $4,523 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $621,406 | TotalAmt |
| Program Services | $620,966 | ProgramServicesAmt |
| Management And General | $440 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,536,470 | TotalAmt |
| Program Services | $30,421,969 | ProgramServicesAmt |
| Management And General | $4,956,242 | ManagementAndGeneralAmt |
| Fundraising | $158,259 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,941,720 | BOYAmt |
| EOY | $8,190,934 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,396,231 | BOYAmt |
| EOY | $4,144,256 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,838,030 | BOYAmt |
| EOY | $1,655,732 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $66,748 | BOYAmt |
| EOY | $51,977 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $96,915 | BOYAmt |
| EOY | $128,450 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $22,003,768 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $11,251,954 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,359,185 | BOYAmt |
| EOY | $10,751,814 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,031,590 | BOYAmt |
| EOY | $6,400,618 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,919 | BOYAmt |
| EOY | $54,419 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,767,338 | BOYAmt |
| EOY | $31,378,200 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,252,204 | BOYAmt |
| EOY | $3,250,958 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $63,174 | BOYAmt |
| EOY | $70,748 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,100,000 | BOYAmt |
| EOY | $5,100,000 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,131,993 | BOYAmt |
| EOY | $730,043 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,547,371 | BOYAmt |
| EOY | $9,151,749 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,296,258 | BOYAmt |
| EOY | $21,474,530 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $171,788 | BOYAmt |
| EOY | $0 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $751,921 | BOYAmt |
| EOY | $751,921 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,219,967 | BOYAmt |
| EOY | $22,226,451 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,767,338 | BOYAmt |
| EOY | $31,378,200 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $833,672 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $172,812 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $742,798 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $4,412 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $3,674 | OtherExpendituresAmt |
| End Year Balance | $743,536 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $750,592 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $7,630 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $15,424 | OtherExpendituresAmt |
| End Year Balance | $742,798 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $755,498 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $4,244 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $9,150 | OtherExpendituresAmt |
| End Year Balance | $750,592 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $776,323 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $10,953 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $31,778 | OtherExpendituresAmt |
| End Year Balance | $755,498 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $774,246 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $8,381 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,010 | OtherExpendituresAmt |
| Administrative Expenses | $5,294 | AdministrativeExpensesAmt |
| End Year Balance | $776,323 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,771,069 | OtherCostOrOtherBasisAmt |
| Book Value | $1,771,069 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $15,034,046 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,053,616 | DepreciationAmt |
| Book Value | $7,980,430 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $74,976 | OtherCostOrOtherBasisAmt |
| Depreciation | $54,729 | DepreciationAmt |
| Book Value | $20,247 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,123,677 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,143,609 | DepreciationAmt |
| Book Value | $980,068 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $10,751,814 | TotalBookValueLandBuildingsAmt |
Closely Held Equity Interests CloselyHeldEquityInterestsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | $30,700 | BookValueAmt |
| Method Valuation | C | MethodValuationCd |
Other Securities OtherSecuritiesGrp (2 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| RESTRICTED CASH | $2,519,999 | F |
| INVESTMENTS | $3,849,919 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $6,400,618 | TotalBookValueSecuritiesAmt |
| Total Rev Etc Audited Fincl Stmt | $38,085,926 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $172,812 | NetUnrealizedGainsInvstAmt |
| Donated Services And Use Fclts | $626,712 | DonatedServicesAndUseFcltsAmt |
| Other Revenue | $932,474 | OtherRevenueAmt |
| Revenue Not Reported | $1,731,998 | RevenueNotReportedAmt |
| Revenue Subtotal | $36,353,928 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $16,214 | InvestmentExpensesNotIncldAmt |
| Revenue Not Reported Fincl Stmt | $16,214 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $36,370,142 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $37,079,442 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $626,712 | DonatedServicesUseFcltsAmt |
| Other Expenses Included | $932,474 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $1,559,186 | ExpensesNotReportedAmt |
| Expenses Subtotal | $35,520,256 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $16,214 | InvestmentExpensesNotIncld2Amt |
| Expenses Not Rpt Fincl Stmt | $16,214 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $35,536,470 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 108,667. RENT PAID TO WHOLLY OWNED LLC 788,048. SPECIAL EVENT EXPENSE 35,759. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSES 108,667. RENT PAID TO WHOLLY OWNED LLC 788,048. SPECIAL EVENT EXPENSE 35,759. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | GALA | NameOfEvent1Amt |
| Gross Receipts Event1 | $139,125 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $117,225 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $21,900 | GrossRevenueEvent1Amt |
| Other Direct Expenses Event1 | $35,759 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $139,125 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $117,225 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $21,900 | GrossRevenueTotalEventsAmt |
| Oth Direct Expnss Total Events | $35,759 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $35,759 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$13,859 | NetIncomeSummaryAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DRSTEVEN RONIK | ||||||||||||||
| CEO | $277,551 | $0 | $0 | $0 | $0 | $0 | $10,914 | $0 | $25,047 | $0 | $313,512 | $0 | $0 | $0 |
| ERICA RICKETTS | ||||||||||||||
| CFO | $137,377 | $0 | $0 | $0 | $0 | $0 | $5,880 | $0 | $16,225 | $0 | $159,482 | $0 | $0 | $0 |
| PIERRE PEAN MD | ||||||||||||||
| DOCTOR | $260,856 | $0 | $0 | $0 | $0 | $0 | $10,914 | $0 | $4,013 | $0 | $275,783 | $0 | $0 | $0 |
| BHAGIRATHY SAHASRANAMAN MD | ||||||||||||||
| DOCTOR | $183,214 | $0 | $0 | $0 | $0 | $0 | $7,842 | $0 | $5,733 | $0 | $196,789 | $0 | $0 | $0 |
| KARL BACKMAN MD | ||||||||||||||
| DOCTOR | $168,548 | $0 | $0 | $0 | $0 | $0 | $7,214 | $0 | $4,013 | $0 | $179,775 | $0 | $0 | $0 |
| HERNAN PABON MD | ||||||||||||||
| DOCTOR | $200,906 | $0 | $0 | $0 | $0 | $0 | $8,599 | $0 | $4,013 | $0 | $213,518 | $0 | $0 | $0 |
| GAVIN ROSE | ||||||||||||||
| DOCTOR | $158,828 | $0 | $0 | $0 | $0 | $0 | $6,798 | $0 | $0 | $0 | $165,626 | $0 | $0 | $0 |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BROWARD COUNTY HEALTH FACILITES AUTHORITY | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issued | 2004-06-01 | BondIssuedDt |
| Issue Price | $5,100,000 | IssuePriceAmt |
| Purpose | GENERAL OPERATING FUNDS | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Current Refunding | 0 | CurrentRefundingInd |
| Advance Refunding | 0 | AdvanceRefundingInd |
| Final Allocation Made | 0 | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | 0 | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | 0 | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | 0 | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | Yes (1) | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | Yes (1) | HedgeIdentifiedInBksAndRecInd |
Hedge Provider Name HedgeProviderName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SUNTRUST | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Of Hedge | 30.000000000000 | TermOfHedgePct |
| Superintegrated Hedge | 0 | SuperintegratedHedgeInd |
| Hedge Terminated | 0 | HedgeTerminatedInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | 0 | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | 0 | ProceduresCorrectiveActionInd |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 15 | ContributionCnt |
| Noncash Contributions Rpt F990 | $523,750 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HEADWAY NEW VISTAS LLC | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4740 NORTH STATE ROAD 7 | AddressLine1 |
| City | FT LAUDERDALE | City |
| State | FL | State |
| ZIP Code | 33319 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 201295515 | EIN |
| Primary Activities | RENTAL OF FACILITIES | PrimaryActivitiesTxt |
| Legal Domicile State | FL | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HENDERSON BEHAVIORAL HEALTH CENTER INC | BusinessNameLine1 |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HENDERSON CENTER RESIDENTIAL SERVICES INC | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4740 N STATE ROAD 7 | AddressLine1 |
| City | FORT LAUDERDALE | City |
| State | FL | State |
| ZIP Code | 33319 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 592533533 | EIN |
| Primary Activities | PROVIDE FACILITIES TO ELDERLY AND HANDICAPPED INDIVIDUALS. | PrimaryActivitiesTxt |
| Legal Domicile State | FL | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | 170(B)(1)(A)(VI) | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HENDERSON BEHAVIORAL HEALTH CENTER INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
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