2013-01-07T09:26:29-06:00 2012-06-30 591363792 KEEFE MCCULLOUGH & CO LLP CPA'S 6550 N FEDERAL HIGHWAY SUITE 410 FT LAUDERDALE FL 33308 990 2011-07-01 590711167 HENDERSON BEHAVIORAL HEALTH CENTER INC HEND 9544864005 4740 NORTH STATE ROAD 7 NO 201 FT LAUDERDALE FL 33319 ERICA M RICKETTS 9544864005 2012-11-15 1 LOUIS R PROIETTO P00482252 9547710896 2011 2016-03-07 17:11:31Z ERICA M RICKETTS 4740 NORTH STATE ROAD 7 NO 201 FT LAUDERDALE FL 33319 37292478 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. 13 13 729 40 0 0 28748539 27619231 6815203 7888073 178792 190185 -4021 -52534 35738513 35644955 0 0 0 0 25480072 25263115 0 0 146905 9090480 9488958 34570552 34752073 1167961 892882 31471967 30895231 10948293 10195659 20523674 20699572 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 30411549 7951248 MENTAL HEALTH CARE PROVIDED TO A DESIGNATED CATCHMENT AREA SPECIFICALLY FOR THE POPULATION WHICH COULD NOT OTHERWISE AFFORD THE CARE. 30411549 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 0 1 49 0 1 729 0 0 0 0 0 0 0 0 0 0 0 X 13 13 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 DRSTEVEN RONIK 40.00 X X 232683 0 9867 MARVIN CHANEY 1.00 X 0 0 0 RICHARD KINZER 1.00 X 0 0 0 HOWARD DVORKIN 1.00 X 0 0 0 BETH E LINZER 1.00 X 0 0 0 REP JOE GIBBONS 1.00 X 0 0 0 HYRAM M MONTERO 1.00 X 0 0 0 JON E GUNDLACH 1.00 X 0 0 0 BURNADETTE NORRIS-WEEKS 1.00 X 0 0 0 JOEL GUSTAFSON 1.00 X 0 0 0 GLORIA STUART 1.00 X 0 0 0 KRISTEN KANNER 1.00 X 0 0 0 ROBERT W BARRON 1.00 X 0 0 0 ELTON G SAYWARD 1.00 X 0 0 0 PAMELA GALAN 40.00 X 117509 0 4965 ERICA RICKETTS 40.00 X 119599 0 5265 PIERRE PEAN MD 40.00 X 232025 0 9261 BHAGIRATHY SAHASRANAMAN MD 40.00 X 147029 0 7117 LEVI KAHANE MD 40.00 X 143792 0 6616 KARL BACKMAN MD 40.00 X 164707 0 6817 FLORINDA CALDERONE MD 40.00 X 151502 0 6731 1308846 0 56639 13 0 1 0 NEIGHBORHOOD HEALTH INSURANCE 253 SUMMER STREET BOSTON MA 02210 HEALTH INSURANCE 1806898 COVENTRY HEALTH CARE 6720 - B ROCKLEDGE DRIVE SUITE 700 BETHESDA MD 20817 HEALTH INSURANCE 764573 ACE USA 436 WALNUT STREET PHILADELPHIA PA 19106 INSURANCE 322893 FPL FPL GENERAL MAIL FACILITY MIAMI FL 33188 ELECTRICITY 320826 KB TRUFFLES INC 3400 LAKESIDE DR MIRAMAR FL 33027 MEAL SERVICE 266421 5 99504 47475 25415409 2056843 655983 27619231 MEDICAID REVENUE 624100 6953955 6953955 NET PATIENT REVENUE 624100 553949 553949 MEDICARE REVENUE 624100 342521 342521 MEDICAL RECORDS 624100 37648 37648 7888073 107944 107944 122286 212101 -89815 -89815 -89815 1460288 500 1378547 0 81741 500 82241 82241 75256 47475 56875 18381 18381 OTHER REVENUE 900099 18900 15606 3294 18900 35644955 7903679 0 122045 21006663 18593696 2335414 77553 650513 577377 70772 2364 1782874 1581134 195349 6391 1823065 1618100 198340 6625 12867 12867 638957 264346 365607 9004 1051422 872276 173576 5570 630731 587707 41929 1095 295175 253427 41748 785507 663273 122234 489796 388959 100837 OTHER COSTS 2177010 1936789 204804 35417 MEDICAL & PHARMACY 1163315 1163315 PROFESSIONAL SERVICES 953159 782241 168666 2252 FOOD SERVICES 672516 672014 502 618503 456895 160974 634 34752073 30411549 4193619 146905 5436443 6345946 5949240 4980247 1806515 1659981 83183 55599 75754 201082 21546149 9588209 12428061 11957940 5647189 5677660 45582 16776 31471967 30895231 3890604 3554216 21797 7500 5100000 5100000 1935892 1533943 10948293 10195659 X 19407267 19533850 364486 413801 751921 751921 20523674 20699572 31471967 30895231 X 892882 -716984 X 0 1 1 X 1 1 X 755498 4244 9150 750592 776323 10953 31778 755498 774246 8381 1010 5294 776323 779252 17861 22867 774246 1.00000 0 0 1771069 1771069 15105492 6140431 8965061 61309 50283 11026 4608279 3397495 1210784 11957940 30700 C RESTRICTED CASH 2291319 F INVESTMENTS 3355641 F 5677660 35644955 34752073 892882 -716984 -716984 175898 36380738 -716984 413492 1052142 748650 35632088 12867 12867 35644955 36204840 413492 1052142 1465634 34739206 12867 12867 34752073 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: 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 XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 212,100. RENT PAID TO WHOLLY OWNED LLC 783,167. SPECIAL EVENT EXPENSE 56,875. PART XIII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 212,100. RENT PAID TO WHOLLY OWNED LLC 783,167. SPECIAL EVENT EXPENSE 56,875. GALA 122731 47475 75256 56875 122731 47475 75256 56875 56875 18381 X X X 0 0 0 0 0 0 0 0 0 DRSTEVEN RONIK 224283 0 0 0 8400 0 9867 0 0 0 242550 0 0 0 PIERRE PEAN MD 232025 0 0 0 0 0 9261 0 0 0 241286 0 0 0 BHAGIRATHY SAHASRANAMAN MD 147029 0 0 0 0 0 7117 0 0 0 154146 0 0 0 LEVI KAHANE MD 143792 0 0 0 0 0 6616 0 0 0 150408 0 0 0 KARL BACKMAN MD 164707 0 0 0 0 0 6817 0 0 0 171524 0 0 0 FLORINDA CALDERONE MD 151502 0 0 0 0 0 6731 0 0 0 158233 0 0 0 BROWARD COUNTY HEALTH FACILITES AUTHORITY 2004-06-01 5100000 GENERAL OPERATING FUNDS 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 SUNTRUST 30.000000000000 0 0 0 0 0 X 2 47569 FMV X 15 608414 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -716,984. 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