2022-05-13T12:45:24-05:00 2021-06-30 593040705 RIVERO GORDIMER & COMPANY PA P O BOX 172359 TAMPA FL 33672 990 2020-07-01 590747306 MENTAL HEALTH CARE INC MENT 8132722244 5707 N 22ND STREET TAMPA FL 33610 RAFAEL JARDON CFO 8132398063 2022-05-13 1 RAFAEL JARDON 999009999 SAM A LAZZARA P01342929 8138757774 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z GRACEPOINT RAFAEL JARDON 5707 N 22ND STREET TAMPA FL 33610 44013632 0 X WWW.GRACEPOINTWELLNESS.ORG X 1948 FL SEE SCHEDULE O. 10 9 807 0 0 0 20577909 24647584 16835567 18023223 735586 356209 381749 284189 38530811 43311205 0 0 0 0 28389906 28585356 0 0 0 8690981 8582338 37080887 37167694 1449924 6143511 31850129 33237879 6302201 1546440 25547928 31691439 X WE PROVIDE INNOVATIVE, COMPREHENSIVE INPATIENT, OUTPATIENT, MEDICAL, COMMUNITY BASED PREVENTION & TREATMENT SERVICES FOR PEOPLE WHO EXPERIENCE MENTAL HEALTH, SUBSTANCE USE AND/OR ADDICTION CHALLENGES; AND TO FOSTER LOW INCOME HOUSING. 0 0 4015593 317372 CENTRAL INTAKE - HILLSBOROUGH COUNTY'S NO WRONG DOOR TO TREATMENT. WE PROVIDE ASSESSMENT AND REFERRALS 24/7 FOR ADULTS IN A MENTAL HEALTH AND/OR SUBSTANCE ABUSE CRISIS. OUR GOAL IS TO DE-STIGMATIZE INDIVIDUALS WITH BEHAVIORAL HEALTH; PROVIDE A SINGLE POINT OF ACCESS FOR LAW ENFORCEMENT AND FAMILY MEMBERS; AND TO ASSIST EACH PERSON ON THEIR JOURNEY TOWARD WELLNESS. ONLY ONE OF THREE IN THE STATE OF FLORIDA, WE PROUDLY ARE ABLE TO PROVIDE CARE COORDINATION - HEALTH COACHING, CASE MANAGEMENT, PEER SUPPORT AND HOUSING COORDINATION. OUR CARE COORDINATION TEAM HAS AN 80% SUCCESS RATE IN HOUSING AND DECREASING HIGH UTILIZATION OF SERVICES. WE DO NOT TURN ANYONE AWAY DUE TO LACK OF INSURANCE OR ABILITY TO PAY. 9570737 11875667 CHILDREN & ADULT CRISIS CENTERS - WE PROVIDE INPATIENT CRISIS STABILIZATION FOR CHILDREN (AGES 5 - 17) AND ADULTS NEEDING ACUTE BEHAVIORAL HEALTH TREATMENT FOR THOSE AT RISK OF HARMING THEMSELVES OR OTHERS. WE ARE HILLSBOROUGH COUNTY'S BAKER ACT RECEIVING FACILITY AND FOR SURROUNDING COMMUNITIES. THROUGH A TEAM OF HIGHLY TRAINED BOARD CERTIFIED PSYCHIATRISTS, NURSES, LICENSED CLINICIANS AND BEHAVIORAL HEALTH TECHS, WE CREATE TREATMENT PLANS DESIGNED TO EACH INDIVIDUAL'S NEEDS. OUR TREATMENT APPROACH IS RECOVERY-ORIENTED, AND WHEN POSSIBLE, INCLUDES THE WHOLE FAMILY. OUR SERVICES ARE AVAILABLE 24/7 365 DAYS A YEAR. 1473898 0 FAMILY NET - EACH YEAR THOUSANDS OF FAMILIES ARE INVOLVED WITH THE CHILD WELFARE SYSTEM. WITH THE HELP OF OUR PROGRAM, MOST OF THESE FAMILIES ARE ABLE TO MAKE THE NECESSARY CHANGES TO PROVIDE A SAFE AND LOVING HOME. THIS IS A SHORT TERM IN-HOME INTENSIVE PROGRAM WITH THE GOAL OF KEEPING CHILDREN WITH THEIR FAMILIES THROUGH IMMEDIATE DELIVERY OF INTERVENTION SERVICES. WE HELP FAMILIES LEARN EFFECTIVE COPING SKILLS AND PARENTING TOOLS THROUGH INDIVIDUAL, FAMILY AND COUPLES COUNSELING; TREATMENT FOR SUBSTANCE ABUSE, DOMESTIC VIOLENCE, AND TRAUMA; CASE MANAGEMENT AND HOUSING, IF NEEDED. WE HAVE A 95% SUCCESS RATE OF FAMILIES STAYING TOGETHER ONE YEAR AFTER COMPLETION OF THE PROGRAM. 17231763 6056838 GRACEPOINT'S MISSION IS EDUCATING, ADVOCATING FOR AND GIVING HOPE TO ALL PEOPLE TOUCHED BY BEHAVIORAL HEALTH, SUBSTANCE ABUSE AND DEVELOPMENTAL CHALLENGES. SIGNIFICANT ACTIVITIES OF GRACEPOINT ARE BASED ON PROVIDING THE MOST EFFECTIVE AND EFFICIENT BEHAVIORAL HEALTH AND SOCIAL SUPPORT SERVICES FOR CHILDREN, ADULTS AND FAMILIES THAT FACILITATE IMPROVED HEALTH AND POSITIVE CHANGE.GRACEPOINT PROVIDES THOSE SERVICES THROUGH A COMPREHENSIVE MODEL THAT ADDRESSES THE MULTIFACETED, COMPLEX AND INTERRELATED MODALITIES OF BEHAVIORAL AND MEDICAL NEEDS OF CHILDREN, ADULTS AND FAMILIES. SERVICES ARE PROVIDED REGARDLESS OF A PERSON'S SEX, NATIONALITY AND/OR RELIGION; AND ARE ADMINISTERED WITH RESPECT TO THE INDIVIDUAL. THE AGENCY IS COMMITTED TO INCREASING THE COMMUNITY'S AWARENESS OF METHODS TO PREVENT AND/OR TREAT MENTAL HEALTH AND SUBSTANCE ABUSE NEEDS, AND ACCOMPLISHES THAT THROUGH A VARIETY OF COMMUNITY EDUCATION ACTIVITIES AND INVOLVEMENT ON A BROAD RANGE OF COLLABORATIVE HEATLH RELATED INITIATES IN THE COMMUNITY.IN ADDITION TO OUTPATIENT SERVICES FOR CHILDREN AND ADULTS THAT ALSO INCLUDE IN-HOME THERAPY (IMPACT) AND THE COMMUNITY'S ONLY MOBILE CRISIS RESPONSE TEAM (MCRT), GRACEPOINT IS THE PRIMARY PROVIDER FOR BOTH ADULT AND CHILDREN (AGES 5 - 17) INPATIENT CRISIS CENTERS FOR THE COMMUNITY. THESE INPATIENT CRISIS CENTERS PROVIDE EMERGENCY STABILIZATION CARE FOR CHILDREN OR ADULTS EXPERIENCING SEVERE MENTAL, EMOTIONAL OR BEHAVIORAL CHALLENGES. 17231763 6056838 32291991 1 1 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 1 0 0 0 1 0 0 1 807 1 0 0 0 0 0 0 0 0 0 0 X 10 9 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 FL X RAFAEL JARDON CFO 8132398063 5707 N 22ND STREET TAMPA FL 33610 GUY KING CHAIRMAN 1.00 X 0 0 0 DOUG ARTHUR VICE CHAIRMAN 1.00 X 0 0 0 KIM O'BRIEN SECRETARY/TREASURER 1.00 X 0 0 0 JOHN GRANDOFF BOARD MEMBER 1.00 X 0 0 0 CAROLYN ROSTETTER BOARD MEMBER 1.00 X 0 0 0 RAY SIKORSKI BOARD MEMBER 1.00 X 0 0 0 DAVID TARABOCCHIA BOARD MEMBER 1.00 X 0 0 0 MARTHA MONFRIED BOARD MEMBER 1.00 X 0 0 0 GARY WHITE BOARD MEMBER 1.00 X 0 0 0 DAVID SCHLAIFER BOARD MEMBER 1.00 X 0 0 0 CASSANDRA ALICEA BOARD MEMBER 1.00 X 0 0 0 JOHN BYCZEK BOARD MEMBER 1.00 X 0 0 0 AMANDIA CRAIG BOARD MEMBER 1.00 X 0 0 0 KIM JENKINS BOARD MEMBER 1.00 X 0 0 0 ARNITA MCKINNIE BOARD MEMBER 1.00 X 0 0 0 CHUCK MELENDI BOARD MEMBER 1.00 X 0 0 0 PAUL MOORE CIO 40.00 X 120167 0 10936 ROAYA TYSON COO 40.00 X 215776 0 17186 JOE RUTHERFORD CEO 40.00 X 260306 0 20168 MICHELLE FURAN-SULLIVAN CFO 40.00 X 167141 0 0 DR SUSAN MURRAY PSYCHIATRIST 60.00 X 497160 0 19846 DR VASHAUN WILLIAMS PSYCHIATRIST 40.00 X 241587 0 18056 DR QUAMRUL CHOWDHURY PSYCHIATRIST 40.00 X 260224 0 21913 DR ROBERTO LLUCH PSYCHIATRIST 36.00 X 236035 0 21709 DR KRISTIE JETTER PSYCHIATRIST 60.00 X 322731 0 25094 2321127 0 154908 9 0 1 0 CITY WIDE MAINTENANCE OF TAMPA 8950 9TH ST NORTH SUITE 103 STPETERSBURG FL 33702 CLEANING SERVICES 394680 MEALS ON WHEELS 550 WEST HILLSBOROUGH AVE TAMPA FL 33603 MEALS 379561 NETSMART TECHNOLOGIES INC P O BOX 713519 PHILADELPHIA PA 19171 IT SERVICES FOR HEALTH CARE PROVIDERS 378788 UNIVERSITY OF SOUTH FLORIDA P O BOX 947568 ATLANTA GA 30394 CONTRACT PSYCHIATRISTS 211938 ACTS 4612 N 56TH ST TAMPA FL 33610 LEASE SPACE 205218 5 3517700 21129884 24647584 NET PATIENT REVENUE 900099 18023223 18023223 18023223 153024 153024 896332 635612 260720 260720 260720 270000 66815 203185 203185 203185 MANAGEMENT FEES 900099 14869 14869 MEDICAL REPORTS 900099 7961 7961 WITNESS FEES 900099 639 639 23469 43311205 18249877 0 413744 24009756 21194143 2815613 494458 431293 63165 2446681 2134130 312551 1634461 1425667 208794 15070 9235 5835 75000 45959 29041 1431100 876960 554140 2158551 2020623 137928 161326 151259 10067 60938 51099 9839 1011235 873805 137430 841960 771330 70630 SUPPLIES 915994 908623 7371 FOOD SERVICES 725145 709939 15206 EQUIPMENT AND FURNISHIN 695703 198294 497409 MEDICAL & PHARMACY 490316 489632 684 37167694 32291991 4875703 0 7377724 8942752 2401313 2677508 1640722 1508734 266402 344702 1059417 1200033 29174297 14358532 15528182 14815765 3576369 3748385 31850129 33237879 1181651 1442605 3537 0 1599313 103835 3517700 0 6302201 1546440 X 21409579 27924751 4138349 3766688 25547928 31691439 31850129 33237879 6143511 0 X X 0 1 X 1 1 1 X 18773987 18793802 19593526 20577909 23631052 101370276 18773987 18793802 19593526 20577909 23631052 101370276 101370276 120858 39267 188100 139497 153024 640746 94593 85582 87410 80847 23469 371901 102382923 0.99010 0.98900 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1615620 1615620 13432381 5767306 7665075 9635548 4411169 5224379 4490748 4180057 310691 14815765 MONEY MARKETS 874464 F GOVERNMENT SECURITIES 632552 F CORPORATE DEBT SECURITIES 782588 F CORPORATE EQUITY SECURITIES 56225 F MUTUAL FUNDS 1402556 F 3748385 X 44054830 108013 635612 743625 43311205 0 43311205 37911319 108013 635612 743625 37167694 0 37167694 PART X, LINE 2: THE ORGANIZATION HAS BEEN RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND CHAPTER 220.13 OF THE FLORIDA STATUTES, RESPECTIVELY. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN PRESENTED IN THESE FINANCIAL STATEMENTS. THE ORGANIZATION HAS REPORTED UNRELATED BUSINESS INCOME ALTHOUGH NO INCOME TAXES HAVE BEEN OWED DUE TO NET TAX LOSSES THROUGH THE LATEST FILED RETURN; HOWEVER, SUCH STATUS IS SUBJECT TO FINAL DETERMINATION UPON EXAMINATION, IF ANY, OF THE RELATED INCOME TAX RETURNS BY THE APPROPRIATE TAXING AUTHORITIES. THE ORGANIZATION IS NOT AWARE OF ANY TAX POSITIONS IT HAS TAKEN THAT ARE SUBJECT TO A SIGNIFICANT DEGREE OF UNCERTAINTY. TAX YEARS AFTER 2017 REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES. PART XI, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES $635,612 PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES $635,612 X X X X 0 0 0 0 0 0 0 0 0 DR SUSAN MURRAY PSYCHIATRIST 497160 0 0 0 0 0 19846 0 0 0 517006 0 0 0 DR KRISTIE JETTER PSYCHIATRIST 322731 0 0 0 0 0 11252 0 13842 0 347825 0 0 0 DR QUAMRUL CHOWDHURY PSYCHIATRIST 260224 0 0 0 0 0 10397 0 11516 0 282137 0 0 0 JOE RUTHERFORD CEO 260306 0 0 0 0 0 9294 0 10874 0 280474 0 0 0 DR VASHAUN WILLIAMS PSYCHIATRIST 241587 0 0 0 0 0 9656 0 8400 0 259643 0 0 0 DR ROBERTO LLUCH PSYCHIATRIST 236035 0 0 0 0 0 8042 0 13667 0 257744 0 0 0 ROAYA TYSON COO 215776 0 0 0 0 0 6312 0 10874 0 232962 0 0 0 MICHELLE FURAN-SULLIVAN CFO 167141 0 0 0 0 0 0 0 0 0 167141 0 0 0 ME WILSON COMPANY INC GUY KING, BOARD CHAIR, IS AN OWNER AND KEY EMPLOYEE. M.E. WILSON CO. EARNS A COMMISSION ON THE ORGANIZATION'S HEALTH INSURANCE ACCOUNT WITH AETNA. GUY KING, BOARD CHAIR, IS AN OWNER AND KEY EMPLOYEE OF M.E. WILSON. THE CONTRACT WITH AETNA IS NEGOTIATED AT ARM'S LENGTH AND IS AT FAIR MARKET VALUE. 0 FORM 990, PART VI, SECTION B, LINE 11B THE CFO PRESENTS THE 990 TO THE FULL BOARD PRIOR TO SUBMISSION TO THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD REVIEWS THE CONFLICT OF INTEREST POLICY ANNUALLY. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF TRUSTEES DETERMINES THE SALARY OF THE CEO AND OTHER KEY OFFICERS/EMPLOYEES OF THE ORGANIZATION. THE VP OF HUMAN RESOURCES ASSISTS THE BOARD BY CONDUCTING A SURVEY OF OTHER STATE AND LOCAL AGENCIES PROVIDING SIMILAR SERVICES. GRACEPOINT DESIRES TO ENSURE THAT ITS EXECUTIVE COMPENSATION PROGRAM IS COMPETITIVE, FAIR AND EQUITABLE, COMPLIANT WITH REGULATORY GUIDELINES AND REPRESENTATIVE OF MARKET BEST PRACTICES. THE TRUSTEES' DECISION MAKING PROCESS INCLUDES; THAT IT WILL SUPPORT THE MISSION, VALUES, STRATEGIC DIRECTION AND TAX-EXEMPT STATE OF THE AGENCY. THE DECISION PROCESS INCLUDES THE EVALUATION OF PAY PRACTICES FOR THE INDUSTRY AND RELIES UPON APPROPRIATE INDEPENDENT COMPARABILITY DATA TO SUPPORT ITS DECISION MAKING PROCESS. EXECUTIVE COMPENSATION PROGRAMS AND DECISIONS WILL BE APPROVED IN ADVANCE OF THEIR IMPLEMENTATION. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY AND THE FORM 990 ARE AVAILABLE UPON REQUEST AND ALSO MADE AVAILABLE TO THE PUBLIC THROUGH OUR WEBSITE (WWW.GRACEPOINTWELLNESS.ORG). ALL OF THE FINANCIAL INFORMATION AND FORM 990 IS ALSO AVAILABLE FOR PUBLIC VIEW AT WWW.GUIDESTAR.ORG. FORM 990, PART XII, LINE 2C: THE PROCESS FOR OVERSIGHT OF THE AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR. GRACEPOINT FOUNDATION INC 5707 N 22ND STREET TAMPA FL 33610 591622729 FUNDRAISING TO SUPPORT MENTAL HEALTH CARE, INC. FL 501(C)(3) LINE 7 MENTAL HEALTH CARE INC 0 BRANDON APARTMENTS INC 5707 N 22ND STREET TAMPA FL 33610 593621942 PROVIDE LOW INCOME HOUSING TO THE MENTALLY ILL FL 501(C)(3) LINE 11 MENTAL HEALTH CARE INC 0 ROME APARTMENTS INC 5707 N 22ND STREET TAMPA FL 33610 593367808 PROVIDE LOW INCOME HOUSING TO THE MENTALLY ILL FL 501(C)(3) LINE 11 MENTAL HEALTH CARE INC 0 ALEXANDER APARTMENTS OF PLANT CITY INC 5707 N 22ND STREET TAMPA FL 33610 593578632 PROVIDE LOW INCOME HOUSING TO THE MENTALLY ILL FL 501(C)(3) LINE 11 MENTAL HEALTH CARE INC 0 HUBERT APARTMENTS INC 5707 N 22ND STREET TAMPA FL 33610 593417481 PROVIDE LOW INCOME HOUSING TO THE MENTALLY ILL FL 501(C)(3) LINE 11 MENTAL HEALTH CARE INC 0 ARMENIA-EDDY APARTMENTS INC 5707 N 22ND STREET TAMPA FL 33610 593503568 PROVIDE LOW INCOME HOUSING TO THE MENTALLY ILL FL 501(C)(3) LINE 11 MENTAL HEALTH CARE INC 0 MENTAL HEALTH CARE INC AFFORDABLE HOUSING IV INC 5707 N 22ND STREET TAMPA FL 33610 611681018 PROVIDE LOW INCOME HOUSING TO THE MENTALLY ILL FL 501(C)(3) LINE 11 MENTAL HEALTH CARE INC 0 NSP III INC 5707 N 22ND STREET TAMPA FL 33610 364728400 PROVIDE LOW INCOME HOUSING TO THE MENTALLY ILL FL 501(C)(3) LINE 11 MENTAL HEALTH CARE INC 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 ALL 5 HUD PROPERTIES O 1 PAYROLL RECORDS GRACEPOINT FOUNDATION C 12000 FAIR MARKET VALUE GRACEPOINT FOUNDATION O 197282 PAYROLL RECORDS