2011-08-14T20:57:44-05:00 2010-09-30 Pershing Yoakley & Associates P C One Cherokee Mills 2220 Sutherland Knoxville TN 379192363 990 2009-10-01 590737872 LAKEVIEW CENTER INC LAKE 8504693620 1221 W LAKEVIEW AVENUE PENSACOLA FL 325011836 M Allison Hill 8504693620 2011-08-14 1 8656730844 2009 2016-02-24 21:20:13Z Gary Bembry 1221 W LAKEVIEW AVENUE PENSACOLA FL 325011836 143746306 0 X WWW.EBAPTISTHEALTHCARE.ORG X 1961 FL To help people overcome life's challenges. We do this by providing behavioral health (mental health and substance abuse) services, child protective services, and vocational services and employment for people with disabilities. People of all ages are included in the scope of our services. 18 17 3268 24 0 0 58272020 61629804 71826628 80504088 298171 1293406 269856 270017 130666675 143697315 11648119 12263875 0 72537339 76687328 0 0 42096952 47886709 126282410 136837912 4384265 6859403 90529801 100493312 21886172 23238436 68643629 77254876 To Help People Overcome Life's Challenges - The organization provides behavioral health and protective services as well as vocational services and employment for people with disabilities. 0 0 42830120 47949303 Vocational Services: In 2010, this division employed approximately 900 FTEs throughout 10 states and the District of Columbia. The Gulf Coast Enterprises part of this division provides employment to people with disabilities such as mental illness, physical impairments and developmental disorders. The primary service lines are food and custodial services. The Southeastern Vocational Services part of the division provides vocational assessments and rehabilitation and occupational therapies. 42849365 2573058 18078325 Behavioral Health Services: In 2010, this division served 23,048 people. This division of Lakeview specialized in helping people with mental illnesses, substance abuse disorders and developmental disabilities overcome their challenges. In FY10, we had approximately 91,000 patient days, 130,000 partial days in day treatment, and 217,000 of outpatient service hours. 35255711 9690817 Child Protective Services: In 2010, this division served 4,005 children. This division, also referred to as FamiliesFirst Network (FFN) is responsible for the safety, stability, and well-being of abused, neglected, and abandoned children in our district. Through a contract with Florida Dept. of Children and Families, FFN works with a network of agencies and community groups to provide foster care and adoption services for children who cannot safely remain in their homes. 8470919 14584057 Manage the Medicaid Prepaid Mental Health Plan for our district. 8470919 14584057 129406115 1 1 0 1 0 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 1 1 1 0 0 0 1 1 1 0 0 1 224 0 1 3268 1 0 0 0 0 0 0 0 0 0 1 1 18 17 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X M ALLISON HILL 8504693620 1221 W LAKEVIEW AVENUE PENSACOLA FL 325011836 Dr WILLIAMS HUGH HAMILTON III 1.00 X 0 0 0 VINCENT CALVIN CURRIE JR 1.00 X 0 0 0 CHARLES BEALL JR 1.00 X 0 0 0 MARCIA WILLIAMS 1.00 X 0 0 0 TIM WRIGHT 1.00 X 0 0 0 JOSEPH G BUEHLER 1.00 X 0 0 0 HENRY BRITTON LANDRUM JR 1.00 X 0 0 0 MICHAEL L KILLAM 1.00 X 0 0 0 BARKSDALE JORDAN JR 1.00 X 0 0 0 WILLIAM HUNTER WALKER 1.00 X 0 0 0 JARL THOMAS YOUNG 1.00 X 0 0 0 AUDRA CARTER 1.00 X 0 0 0 EVON EMERSON 1.00 X 0 0 0 Kia Painter 1.00 X 0 0 0 Michael Bodenhausen 1.00 X 0 0 0 Fred Donovan 1.00 X 0 0 0 Chad Henderson 1.00 X 0 0 0 Deborah Potter 1.00 X 0 0 0 SANDRA WHITAKER 40.00 X 159300 0 21846 GARY LOUIS BEMBRY 40.00 X 0 357965 106944 RICHARD JOHN GILMARTIN 40.00 X 221980 0 41422 MARY ALLISON HILL 40.00 X 221482 0 47406 ANN BERNARD 40.00 X 145651 0 20869 DENNIS GOODSPEED 40.00 X 166279 0 42870 DR ANNIE CHERIAN 40.00 X 323046 0 36827 DR VENKATA SOMPALLI 40.00 X 302826 0 62559 DR MYRON ALMOND 40.00 X 232298 0 24347 DR KABERI SAMANTA 40.00 X 210965 0 40906 DR CYNTHIA JAVELLANA 40.00 X 257387 0 32976 JOHN L BILBREY JR 40.00 X 13400 0 1025 2241214 357965 478972 26 0 1 0 Bridgeway Center 137 Hospital Dr Ste A Fort Walton Beach FL 32548 Mental Health Srvcs 6352508 FCE Benefit Administrators Inc 887 Mitten Rd 200 Burlingame CA 94010 Benefit Admin. Srvcs 5788054 DE W Service Inc PO Box 33250 Pensacola FL 32508 Mental Health Srvcs 3681636 COPE Center Inc 3686 US Hwy 331 South Defuniak Springs FL 32435 Mental Health Srvcs 2976312 AmerisourceBergen Corporation PO Box 959 Valley Forge PA 19482 Pharmaceutical Srvcs 2457767 56 61250168 379636 358836 61629804 Vocational Revenue 624310 47725567 47725567 Patient Revenue 624100 16737022 16737022 Govt. fees/contracts 900099 15280131 15280131 Management Fees 561000 597708 597708 Consulting Fees 541610 163660 163660 80504088 1060242 1060242 117541 48991 68550 68550 68550 230144 3020 230144 3020 233164 233164 Food Stamp Income 900099 42095 42095 Meal Sales 722210 41766 41766 Clinical Record Revenu 541900 41514 41514 76092 66083 10009 201467 143697315 80611685 0 1455826 2556017 2556017 9707858 9707858 923262 546467 376795 57663169 54855886 2807283 2230905 2036012 194893 11770705 11273000 497705 4099287 3882924 216363 400000 400000 1352443 714559 637884 174445 174445 34824 34824 29077057 28617927 459130 327337 207390 119947 1722133 1517912 204221 566874 220949 345925 5889730 5762205 127525 1902989 1830905 72084 194961 135132 59829 31484 31484 1279873 817526 462347 1204734 1204518 216 Food Services 1546831 1542087 4744 Miscellaneous Expenses 1488645 1277663 210982 Bad Debt 406081 406081 Small Equipment 286268 261613 24655 136837912 129406115 7431797 0 26480231 27030072 289875 289875 13521733 12131726 74398 80337 208736 179993 1412823 1428068 33201389 17755597 15318261 15445792 25373430 35779754 75000 75000 7775314 8052695 90529801 100493312 14281249 14685963 7533508 8477430 71415 75043 21886172 23238436 X 66568332 74968544 2017175 2227354 58122 58978 68643629 77254876 90529801 100493312 X 0 1 1 X 1 1 X 54640589 59187965 63231567 58272020 61629804 296961945 54640589 59187965 63231567 58272020 61629804 296961945 296961945 1023630 1511927 1762349 2053970 1177783 7529659 1872227 924902 999891 988641 962835 5748496 310240100 335632474 0.95720 0.95790 X Schedule A, Part II, Line 10, Explanation of Other Income: MANAGEMENT FEES FOOD STAMP INCOME CONSULTING FEES MEAL SALES VENDING MACHINES CLINICAL RECORD REVENUE OTHER REVENUE PROFESSIONAL SERVICES RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 192223 192223 589479900 589672123 1000000 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 372157 282417 186922 192223 1033719 250000 250000 250000 250000 1000000 1500000 2075296 211036 2286332 1998870 79374 2948 2075296 0.02580 0.97420 0 1 1 2419393 2419393 16954329 9034793 7919536 410911 257940 152971 11812738 8462864 3349874 1604018 1604018 15445792 Deposits 147358 Due from Affiliates 5367008 Interest in Net Assets of the Foundation 2538329 8052695 DUE TO AFFILIATES 75043 75043 Part V, Line 4: Description of Intended Use of Endowment Funds: Restricted funds to be used for behavioral medical services. Part X: Description of Uncertain Tax Positions Under FIN 48: Financial Accounting Standards Board (FASB) Accounting Standards Codification (ASC) Topic 740, Income Taxes, prescribes the accounting for uncertainty in income tax positions recognized in financial statements. ASC Topic 740 provides guidance for recognition threshold and measurement attributes for the financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. 1 Anchorage Children's Home of Bay County Inc 2121 Lisenby Avenue Panama City FL 32405 592323037 501(c)(3) 2430 Child Protective Services United Methodist Children's Home PO Box 830 Selma AL 36702 630302145 501(c)(3) 397594 Child Protective Services Lutheran Services Florida Inc 3627A West Waters Avenue Tampa FL 33614 592198911 501(c)(3) 955639 Child Protective Services Eckerd Youth Alternatives Inc 100 Starcrest Drive Clearwater FL 33765 592551416 501(c)(3) 43040 Child Protective Services Hope Center For Teens Inc 891 N 10th Avenue Pensacola FL 32501 593673772 501(c)(3) 49461 Child Protective Services Florida Baptist Children's Homes Inc 1015 Sikes Blvd Lakeland FL 33815 590657326 501(c)(3) 133818 Child Protective Services Children in Crisis Inc 1000 Lukes Way Fort Walton Beach FL 32547 651196220 501(c)(3) 225733 Child Protective Services Carlton Palms Educational Center Inc 4185 Kirkwood Street-St Georges Bear DE 19701 592741162 25846 Child Protective Services Heartland For Children Inc 5850T G Lee Blvd 400 Orlando FL 32822 231390618 501(c)(3) 113874 Child Protective Services House of Sunshine Independent Living Christian Group Home Inc 9243 Prosperity Lake Drive Jacksonville FL 32244 030595110 501(c)(3) 30480 Child Protective Services Inspire Group Inc 2221 S Monroe Unit 2 Tallahassee FL 32301 134364718 501(c)(3) 186665 Child Protective Services The Children's Home Society of Florida 1485 S Semoran Blvd Ste 1448 Winter Park FL 32792 590192430 501(c)(3) 46138 Child Protective Services Vision-Quest Inc 600 N Swan Road Tucson AZ 85711 890278038 501(c)(3) 23652 Child Protective Services World Good News Inc 4570 St Johns Ave Ste 3 Jacksonville FL 32210 591283134 501(c)(3) 92380 Child Protective Services California Family Life Center 930 North State St Hemet CA 92543 953699116 501(c)(3) 11987 Child Protective Services Camelot Community Care Inc 4910-D Creekside Dr Clearwater FL 33760 311659302 501(c)(3) 50714 Child Protective Services The Chrysalis Center Inc 3521 W Broward Blvd Ft Lauderdale FL 33312 201966531 501(c)(3) 20310 Child Protective Services The Florida United Methodist Children's Home Inc 51 Childrens Way Enterprise FL 32725 590638479 501(c)(3) 35685 Child Protective Services House of Hope Girls Home Inc 1540 Irishwood Court Middleburg FL 32068 680649500 501(c)(3) 48510 Child Protective Services Pleasant Place Inc 408 W University Ave 203 Gainesville FL 32601 593171585 501(c)(3) 15300 Child Protective Services United Cerebral Palsy of Northwest Florida Inc 2912 N E Street Pensacola FL 32501 590737912 501(c)(3) 1915 Child Protective Services Youth and Family Centered Services of Florida Inc 12012 Boyette Rd Riverview FL 33569 521955335 4396 Child Protective Services The Twelve for Children and Families of Florida Inc 1881 NE 26th St 240 Wilton Manors FL 33305 341970957 501(c)(3) 40450 Child Protective Services 21 2 Foster Care Subsidy 1025 2573058 Adoption Subsidy 1557 5674694 Independent Living Subsidy 156 1460106 Procedure for Monitoring Grants in the U.S.: Part I, Line 2: Schedule I, Part I, Line 2: The organization has guidelines in place that are to be used in reviewing the eligibility of grantees. All grants require written documentation and appropriate levels of approval. X X X X 0 1 0 0 0 0 0 0 0 SANDRA WHITAKER 129140 0 25403 0 4757 0 0 0 21846 0 181146 0 0 0 GARY LOUIS BEMBRY 0 277532 0 72495 0 7938 0 90888 0 16056 0 464909 0 0 RICHARD JOHN GILMARTIN 181104 0 32490 0 8386 0 0 0 41422 0 263402 0 0 0 MARY ALLISON HILL 168176 0 46762 0 6544 0 14000 0 33406 0 268888 0 0 0 ANN BERNARD 129438 0 9845 0 6368 0 0 0 20869 0 166520 0 0 0 DENNIS GOODSPEED 154393 0 10610 0 1276 0 0 0 42870 0 209149 0 0 0 DR ANNIE CHERIAN 305355 0 16401 0 1290 0 0 0 36827 0 359873 0 0 0 DR VENKATA SOMPALLI 251428 0 50708 0 690 0 14746 0 47813 0 365385 0 0 0 DR MYRON ALMOND 213456 0 16862 0 1980 0 0 0 24347 0 256645 0 0 0 DR KABERI SAMANTA 196294 0 13381 0 1290 0 233 0 40673 0 251871 0 0 0 DR CYNTHIA JAVELLANA 205642 0 50455 0 1290 0 0 0 32976 0 290363 0 0 0 Part I, Line 4b: Employer contribution to 457(f) executive retirement benefit plan: Gary L. Bembry $79,811 Landrum Staffing Services H. Britt Landrum, Jr.,Board Member is owner 155560 H. Britt Landrum, Jr. owned Landrum Staffing Services, a staffing agency, during the fiscal year. The organization paid Landrum Staffing Services $155,560 for staffing services. All transactions were transacted at arm's length and fair market value. 0 Marvic Goodspeed Wife of Officer Dennis Goodspeed 60977 Marvic Goodspeed, wife of Dennis Goodspeed, is the Director of Nursing Practice at Lakeview and receives compensation as an employee. Dennis Goodspeed is an officer at Lakeview Center, Inc. 0 X 1 99996 FAIR MARKET VALUE X Computers 1 258840 FAIR MARKET VALUE 0 0 1 0 Form 990, Part VI, Section A, line 6 Baptist Health Care Corporation is the sole member of the organization. Form 990, Part VI, Section A, line 7a Baptist Health Care Corporation must approve any changes to the bylaws or articles, appointment of the chief executive officer and election of the board of directors. Form 990, Part VI, Section A, line 7b Baptist Health Care Corporation must approve any changes to the bylaws or articles, appointment of the chief executive officer and election of the board of directors. Form 990, Part VI, Section B, line 11 Information was provided to an independent accounting firm for the preparation of the return. A draft of the return was then provided to management personnel for review. All voting board members received an electronic copy of the Form 990 for review before filing with the IRS. Also, the board members were informed that a paper copy of the Form 990 was available at the organization's principal office. Form 990, Part VI, Section B, line 12c Board Members and officers receive correspondence each year that must be completed and signed. The correspondence includes Conflicts of Interest questionnaire. Officers and key staff also receive an attestation form that must be signed confirming that they will disclose any conflicts that violate the organization's policy. The Board reviews all conflicts and determines if further actions need to be taken. Form 990, Part VI, Section B, line 15 The Compensation Committee of the organization's Board utilizes independent compensation studies that reflect the current market value of specific key management positions as benchmark data. All compensation of key individuals must be approved by the Compensation Committee. Form 990, Part VI, Section C, line 19 The organization has all governing documents, the conflict of interest policy, and the annual financial statements on file in the accounting and administration departments. All documents are available upon request. Behavioral Health Solutions LLC 1221 W Lakeview Avenue Pensacola FL 32501 205421098 Behavioral Health Services FL N/A Andrews Institute Rehabilitation LLC 1040 Gulf Breeze Parkway Gulf Breeze FL 32561 261307826 Rehabilitation Services FL N/A Baptist Hospital North Family Practice LLC 1717 North E St Pensacola FL 32501 262977061 Physician Services FL N/A Baptist Hospital Primary Care LLC 1717 North E St Pensacola FL 32501 261423323 Physician Services FL N/A Baptist Medical Group Orthopedic Practice LLC 1717 North E St Pensacola FL 32501 270950931 Physician Services FL N/A Baptist Medical Group LLC 1717 North E St PENSACOLA FL 32501 264800380 Physician Services FL N/A Baptist Physician Associates LLC 1717 North E St PENSACOLA FL 32501 200737321 Physician Services FL N/A Baptist Physician Enterprise LLC 1717 North E St PENSACOLA FL 32501 270288317 Physician Services FL N/A Baptist Medical Group - ObGyn LLC 1717 North E St PENSACOLA FL 32501 273238217 Physician Services FL N/A Pathways for Change LLC 1717 North E St PENSACOLA FL 32501 271628254 Christian Counseling Services FL N/A AI LLC 1717 North E St pensacola FL 32501 202137733 Real Estate FL N/A Andrews Institute Medical Park LLC 1040 Gulf Breeze Pkwy Gulf Breeze FL 32561 204428528 Real Estate FL N/A Baptist Leadership Group LLC 119 W Garden St pensacola FL 32502 271028631 Consulting Services FL N/A Baptist Physician Partners LLC 1717 North E St pensacola FL 32501 260386167 Physician Services FL N/A Baptist Physicians Group LLC 1717 North E St pensacola FL 32501 743018052 Physician Services FL N/A Atmore Community Home Care LLC 611 E Laurel St Atmore AL 36502 205472065 Home Health Services FL N/A Andrews-Paulos Research & Education Institute 1040 Gulf Breeze Parkway Gulf Breeze FL 32561 263263612 Research & Education FL N/A BAPTIST HEALTH CARE CORPORATION 1717 N E STREET PENSACOLA FL 32501 592425151 COORDINATION OF HEALTH CARE SERVICES - 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