BLUE RIDGE BEHAVIORAL HEALTHCARE INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
BLUE RIDGE BEHAVIORAL HEALTHCARE INC (EIN 20-0869969)
Tax period
2012-07-01 to 2013-06-30
Filed
2013-11-11
IRS object ID
201303169349301920
Schema version
2012v2.1
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-11-11T17:18:14-06:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN540504608EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BROWN EDWARDS & COMPANY LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 10189AddressLine1
CityLYNCHBURGCity
StateVAState
ZIP Code245060189ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN200869969EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1BLUE RIDGE BEHAVIORAL HEALTHCARE INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlBLUENameControl
Phone5403459841Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1301 ELM AVENUE SWAddressLine1
CityROANOKECity
StateVAState
ZIP Code24016ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMARLENE BRYANTName
TitleINTERIM EXECUTIVE DIRECTORTitle
Phone5403459841Phone
Date Signed2013-11-06DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameSUSAN ACKLEYName
PTINP00025524PTIN
Phone4349489000Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMARLENE BRYANTNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1301 ELM AVE SWAddressLine1
CityROANOKECity
StateVAState
ZIP Code24016ZIPCode
FieldValueIRS element (for citing)
Gross Receipts1789303GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteHTTP://WWW.BRBH.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2005YearFormation
State Legal DomicileVAStateLegalDomicile
Activity Or Mission DescriptionTO SUPPORT THE OPERATIONS OF BLUE RIDGE BEHAVIORAL HEALTHCARE, A COMMUNITY SERVICES BOARD.ActivityOrMissionDescription
Nbr Voting Members Governing Body17NbrVotingMembersGoverningBody
Nbr Independent Voting Members17NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year1780258ProgramServiceRevenuePriorYear
Program Service Revenue CY1789303ProgramServiceRevenueCY
Investment Income Prior Year0InvestmentIncomePriorYear
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year1780258TotalRevenuePriorYear
Total Revenue Current Year1789303TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year0SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2411577OtherExpensePriorYear
Other Expenses Current Year2472926OtherExpensesCurrentYear
Total Expenses Prior Year2411577TotalExpensesPriorYear
Total Expenses Current Year2472926TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-631319RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-683623RevenuesLessExpensesCY
Total Assets BOY15635080TotalAssetsBOY
Total Assets EOY14680670TotalAssetsEOY
Total Liabilities BOY10715810TotalLiabilitiesBOY
Total Liabilities EOY10445023TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY4919270NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY4235647NetAssetsOrFundBalancesEOY
Mission DescriptionTO SUPPORT THE OPERATIONS OF BLUE RIDGE BEHAVIORAL HEALTHCARE, A COMMUNITY SERVICES BOARDMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense2472926Expense
Revenue1789303Revenue
DescriptionSUPPORTED THE OPERATIONS OF BLUE RIDGE BEHAVIORAL HEALTHCARE, A COMMUNITY SERVICES BOARD, FORMED PURSUANT TO SECTION 37.1-194 OF THE CODE OF VIRGINIA. THE ORGANIZATION OWNS THE FACILITIES USED BY BLUE RIDGE BEHAVIORAL HEALTHCARE TO CARRY OUT ITS OPERATIONS.Description
Total Program Service Expense2472926TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members17NbrVotingGoverningBodyMembers
Number Independent Voting Members17NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1MARK SABLE FISCAL SERV DIRBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5403459841TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1301 ELM AVENUE SWAddressLine1
CityROANOKECity
StateVAState
ZIP Code24016ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (17 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
PAULA L PRINCE
SECRETARY1.00XX000
DANIEL E KARNES
CHAIRMAN1.00XX000
BRUCE N THOMASSON
VICE-CHAIRMAN1.00XX000
DANA BARNES LEE
TREASURER1.00XX000
TIM H STELLER
EXECUTIVE DIRECTOR (RETIRED 6/30/13)1.00XX014934325622
JESSICA WEBB
MEMBER1.00X000
MARY LYNNE LEFFEL
MEMBER1.00X000
NANCY PAGE
MEMBER1.00X000
DR CAROLE B GEIGER
MEMBER1.00X000
REV KEITH BEASLEY
MEMBER1.00X000
LINDA G MANNS
MEMBER1.00X000
VINCENT G DABNEY
MEMBER1.00X000
LINDA FRANKE
MEMBER1.00X000
DONNA HENDERSON
MEMBER1.00X000
BARBARA W GRESHAM
MEMBER1.00X000
WANDA OSBURN
MEMBER1.00X000
LARRY CADD
MEMBER1.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs149343TotalReportableCompFrmRltdOrgs
Total Other Compensation25622TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPROG. SERV. REV.- RENTDescription
Business Code531120BusinessCode
Total Revenue Column1789303TotalRevenueColumn
Related Or Exempt Function Income1789303RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue1789303TotalProgramServiceRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column1789303TotalRevenueColumn
Related Or Exempt Function Income1789303RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total2387Total
Program Services2387ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total13249Total
Program Services13249ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1184301Total
Program Services1184301ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total350606Total
Program Services350606ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total903517Total
Program Services903517ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total18791Total
Program Services18791ProgramServices

Other Expenses OtherExpenses

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUSDescription
Total75Total
Program Services75ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total2472926Total
Program Services2472926ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY243084BOY
EOY192175EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY169BOY
EOY185EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis21511508LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec7147815LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY15260328BOY
EOY14363693EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY131499BOY
EOY124617EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY15635080BOY
EOY14680670EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY22194BOY
EOY56126EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY7605210BOY
EOY7293222EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY3088406BOY
EOY3095675EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY10715810BOY
EOY10445023EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY4919270BOY
EOY4235647EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4919270BOY
EOY4235647EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY15635080BOY
EOY14680670EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-683623ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type2XSupportingOrg509a3Type2
Contrib By Controlling Individual0ContribByControllingIndividual
Contribution By Related Party0ContributionByRelatedParty
Contrib By35 Controlled Entity0ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation (2 entries)

EINEINType Of OrganizationTypeOfOrganizationListed In Governing DocListedInGoverningDocSupported Organization NotifiedSupportedOrganizationNotifiedOrganized In USOrganizedInUSAmountAmount
BLUE RIDGE BEHAVIORAL HEALTHCARE
541494969170111$0
THE ROANOKE MENTAL HYGIENE SERVICES INC
237377194501 (C ) (2)111$0
FieldValueIRS element (for citing)
Total Number Of Supported Orgs2TotalNumberOfSupportedOrgs
Sum Of Amounts0SumOfAmounts

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis666019OtherCostOrOtherBasis
Book Value666019BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis18686751OtherCostOrOtherBasis
Depreciation5556964Depreciation
Book Value13129787BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis967426OtherCostOrOtherBasis
Depreciation521371Depreciation
Book Value446055BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis423972OtherCostOrOtherBasis
Depreciation409680Depreciation
Book Value14292BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis767340OtherCostOrOtherBasis
Depreciation659800Depreciation
Book Value107540BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings14363693TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO OTHER FUNDSDescription
Amount$3,095,675Amount
FieldValueIRS element (for citing)
Total Of Amounts3095675TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X, LINE 2:ReturnReference
ExplanationROANOKE MENTAL HYGIENE SERVICES, INC., MOUNTAIN HOUSE CLUBHOUSE, INC. AND BLUE RIDGE BEHAVIORAL HEALTHCARE, INC. ARE EXEMPT FROM FEDERAL AND STATE INCOME TAX UNDER SECTION 501(C)(2) OR(3) OF THE INTERNAL REVENUE CODE; AND BRBH IS EXEMPT FROM SUCH TAXES AS A GOVERNMENTAL ENTITY. ACCORDINGLY, THE ACCOMPANYING FINANCIAL STATEMENTS DO NOT REFLECT A PROVISION FOR INCOME TAXES.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonTIM H STELLERNamePerson
TitleEXECUTIVE DIRECTOR (RETIRED 6/30/13)Title
Base Compensation Filing Org0BaseCompensationFilingOrg
Comp Based On Related Orgs149343CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org0DeferredCompFilingOrg
Deferred Comp Related Orgs14515DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org0NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs11107NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org0TotalCompensationFilingOrg
Total Compensation Related Orgs174965TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1INDUSTRIAL DEVELOPMENT AUTHORITY OF THE TOWN OF CLIFTON FORGE VABusinessNameLine1
FieldValueIRS element (for citing)
CUSIP NumberNONEAVAILCUSIPNumber
Date Issued2007-12-01DateIssued
Issue Price5500000IssuePrice
Description Of PurposeCONSTRUCTION PROJECTDescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Current Refunding0CurrentRefunding
Advance Refunding0AdvanceRefunding
Final Allocation Made0FinalAllocationMade
Adequate Books And Recds Maintaind0AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty0MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
Bond Iss Meet Prvt Security Pay Test0BondIssMeetPrvtSecurityPayTest
Change In Use Bond Financed Prop0ChangeInUseBondFinancedProp
Non Qualified Bond Remed Procdrs0NonQualifiedBondRemedProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiled
Rebate Not Due Yet0RebateNotDueYet
Exception To Rebate0ExceptionToRebate
No Rebate Due0NoRebateDue
Variable Rate Issue0VariableRateIssue
Hedge Identified In Books And Recds0HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Written Proc To Monitor Reqs0WrittenProcToMonitorReqs

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION B, LINE 11A COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS FOR THEIR REVIEW AND APPROVAL AT A REGULARLY SCHEDULED BOARD MEETING PRIOR TO THE FORM BEING FILED WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CBEFORE ENGAGING IN OUTSIDE EMPLOYMENT AND TO AVOID A POSSIBLE CONFLICT OF INTEREST, A FULL-TIME OR PART-TIME EMPLOYEE SHALL REVIEW BRPP 1.02 STANDARDS OF ETHICAL CONDUCT, HR POLICY 1.18-OUTSIDE EMPLOYMENT AND SUBMIT AN OUTSIDE EMPLOYMENT FORM TO HIS OR HER IMMEDIATE SUPERVISOR FOR REVIEW. THE OFFICE OF HUMAN RESOURCES AND THE EXECUTIVE DIRECTOR, IN CONSULTATION WITH THE EMPLOYEE'S MANAGER(S) SHALL DETERMINE IF A CONFLICT OF INTEREST EXISTS. IF AT ANY TIME IT IS SUSPECTED A CONFLICT OF INTEREST EXISTS OR THERE IS THE POTENTIAL FOR A CONFLICT OF INTEREST, THE SUPERVISOR WILL NOTIFY THE EMPLOYEE AND THE OFFICE OF HUMAN RESOURCES.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST AT THE BUSINESS OFFICE OF THE ORGANIZATION.
FORM 990, PART XII, LINE 2CTHE ORGANIZATION DID NOT CHANGE ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
BLUE RIDGE BEHAVIORAL HEALTHCARE
301 ELM AVE SWROANOKEVA24016541494969COMMUNITY SERVICES BOARDVA170N/A0
THE ROANOKE MENTAL HYGIENE SERVICE
301 ELM AVE SWROANOKEVA24016237377194RENTS FACILITIES TO BLUE RIDGE BEHAVIORAL HEALTHCAREVA501 (C)(2)N/A0
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
BLUE RIDGE BEHAVIORAL HEALTHCARE
J1789303FMV RENT
BLUE RIDGE BEHAVIORAL HEALTHCARE
S1475259FMV DUE TO BRBH
THE ROANOKE MENTAL HYGIENE SERVICE INC
S1620417FMV DUE TO RMHS
BLUE RIDGE BEHAVIORAL HEALTHCARE
A1789303FMV RENT

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