2020-07-15T15:01:36-05:00 2019-06-30 592142260 CHRISTOPHER SMITH LEONARD ET AL 1001 3RD AVE W SUITE 700 BRADENTON FL 34205 990 2018-07-01 591432136 COASTAL BEHAVIORAL HEALTHCARE INC COAS 9419278900 4579 NORTHGATE CT SARASOTA FL 34234 VICTORIA TIUTYAMA CEO/CFO 9419278900 2020-07-15 1 RANDY C DILLINGHAM P00280769 9417481040 64.90.13.82 2020-07-15 15:01:32 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 B4C9F4289DD5652F34E35D4B4DEDBEDBE0C203E6 2018 2020-09-23 17:36:50Z X VICTORIA TIUTYAMA 4579 NORTHGATE CT SARASOTA FL 34234 10742537 0 X HTTP://WWW.COASTALBH.ORG/ X 1971 FL SEE SCHEDULE O 5 5 283 53 0 0 13932851 8971881 1927372 1731770 18476 7181 77848 31705 15956547 10742537 0 0 0 0 11184352 8044796 0 0 0 4459028 3287450 15643380 11332246 313167 -589709 7347625 6159393 2643608 2045085 4704017 4114308 X SEE SCHEDULE O 0 1 5799322 1221606 CASE MANAGEMENT AND STABILIZATION, OTHER MENTAL HEALTH AND SUBSTANCE ABUSE PREVENTION, INTERVENTION, OUTPATIENT, RESIDENTIAL AND INPATIENT SERVICES. 3754559 541869 CRISIS STABILIZATION - ACUTE CARE SERVICES, ON A TWENTY-FOUR HOURS PER DAY SEVEN DAYS PER WEEK BASIS; SERVICES PROVIDE BRIEF, INTENSIVE MENTAL HEALTH SERVICE FOR THOSE INDIVIDUALS WHO ARE EXPERIENCING AN ACUTE CRISIS, AND WHO, IN THE ABSENCE OF A SUITABLE ALTERNATIVE, WOULD REQUIRE HOSPITALIZATION. 9553881 1 1 0 1 0 0 0 0 0 1 1 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 25 0 1 283 1 0 0 0 0 0 0 0 0 0 0 X 5 5 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 FL X X TINA F MOLICK 9419278900 4579 NORTHGATE CT SARASOTA FL 34234 KERRY KIRSCHNER CHAIR 1.00 X 0 0 0 DR LUIS MONTES VICE CHAIR 1.00 X 0 0 0 PATTY TURFFS SECRETARY 1.00 X 0 0 0 CORD MELLOR TREASURER 1.00 X 0 0 0 S DUDLEY CARSON PAST CHAIR 1.00 X 0 0 0 CHERYL BUSS FORMER COO 40.00 X 110731 0 6355 JOHN H MINGE III FORMER PRESIDENT/CEO 40.00 X 194328 0 0 JOANNE RADCLIFFE FORMER CFO 40.00 X 145612 0 6651 DR MARIO OLIVA MEDICAL DIRECTOR 40.00 X 372126 0 7911 DR FREDERIC L MONOSIET PSYCHIATRIST 16.00 X 196539 0 3286 DR JOSEPH CALLEJA PSYCHIATRIST 40.00 X 226308 0 7503 DR KENNETH K GREENWOOD PSYCHIATRIST 40.00 X 129808 0 3573 EDUARDO LA ROSA ARNP 32.00 X 124904 0 6651 TINA MOLICK VP OF ADMINISTRATIVE SERVICES 40.00 X 110260 0 0 1610616 0 41930 9 0 1 0 NETSMART TECHNOLOGIES PO BOX 8123519 PHILADELPHIA PA 19182 IT LICENSE/SUPPORT 395183 CENTURYLINK PO BOX 52187 PHOENIX AZ 85072 NETWORK COMM. 162038 JANI-KING OF TAMPA BAY 2469 SUNSET POINT ROAD CLEARWATER FL 33765 CLEANING SERVICES 113725 3 8761234 210647 8971881 MEDICARE/MEDICAID PAYMENT 621400 1305268 1305268 OTHER INSURANCE 621400 362507 362507 CLIENT FEES 621400 63995 63995 1731770 3119 3119 4062 0 4062 4062 4062 OTHER 621400 31705 31705 31705 10742537 1763475 0 7181 843724 691458 152266 6043367 5060983 982384 671662 575498 96164 486043 416455 69588 22412 12887 9525 97650 56150 41500 25000 25000 241842 153439 88403 539141 539141 11102 10547 555 109928 94305 15623 359318 359318 212724 212724 EQUIPMENT COSTS 670811 400744 270067 OPERATING SUPPLIES 463474 436184 27290 MEDICAL & PHARMACY 374693 374693 FOOD SERVICE 159355 159355 11332246 9553881 1778365 0 466478 218546 1974034 1237403 83070 42318 236374 214421 13328861 9490586 3979239 3838275 601018 601018 7412 7412 7347625 6159393 1271748 622165 1687 1371860 1421233 2643608 2045085 X 4704017 4114308 4704017 4114308 7347625 6159393 -589709 0 X 0 1 X 1 1 1 X 13606932 14657839 14255384 13932851 8971881 65424887 13606932 14657839 14255384 13932851 8971881 65424887 65424887 1520 3796 3119 8435 2443515 1017215 2028227 2019901 1767537 9276395 74709717 0.87570 0.97320 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 25000 25000 0 PART II-B, LINE 1: CONSULTING AND PROFESSIONAL SERVICES WITH CAPITOL STRATEGIES CONSULTING, INC. 7196 659 467 7388 6701 749 254 7196 6026 700 25 6701 5909 125 8 6026 5589 358 38 5909 1 0 89400 89400 6457810 4110127 2347683 1972110 1329513 642597 2844 2844 0 4806697 4048102 758595 3838275 601018 F 601018 X 10831567 89030 89030 10742537 0 10742537 11421276 89030 89030 11332246 0 11332246 PART V, LINE 4: THE ENDOWMENT FUND WAS ESTABLISHED TO SUPPORT THE ORGANIZATIONS ONGOING OPERATING NEEDS. THE AMOUNT THAT IS AVAILABLE EACH YEAR IS SUBJECT TO AN ANNUAL DISTRIBUTION POLICY. PART X, LINE 2: THE ORGANIZATION IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE ORGANIZATION IS NOT A PRIVATE FOUNDATION. ACCORDINGLY, NO PROVISION HAS BEEN MADE FOR INCOME TAXES IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE ORGANIZATION APPLIES GUIDANCE ISSUED BY THE FASB ON ACCOUNTING FOR UNCERTAINTY IN TAX POSITIONS. MANAGEMENT BELIEVES THE ORGANIZATION HAS NO MATERIAL UNCERTAIN TAX POSITIONS, INCLUDING ANY POTENTIAL LOSS OF ITS TAX EXEMPT STATUS. THE ORGANIZATION HAS NO ONGOING FEDERAL, STATE OR LOCAL TAX AUDITS; HOWEVER, THE ORGANIZATIONS TAX RETURNS FOR THE PREVIOUS THREE FISCAL YEARS REMAIN OPEN TO EXAMINATION. 1 X X X X 0 0 0 0 0 0 0 0 0 JOHN H MINGE III FORMER PRESIDENT/CEO 182164 0 0 0 12164 0 0 0 0 0 194328 0 0 0 JOANNE RADCLIFFE FORMER CFO 145612 0 0 0 0 0 0 0 6651 0 152263 0 0 0 DR MARIO OLIVA MEDICAL DIRECTOR 372126 0 0 0 0 0 0 0 7911 0 380037 0 0 0 DR FREDERIC L MONOSIET PSYCHIATRIST 196539 0 0 0 0 0 0 0 3286 0 199825 0 0 0 DR JOSEPH CALLEJA PSYCHIATRIST 226308 0 0 0 0 0 0 0 7503 0 233811 0 0 0 FORM 990, PART I, LINE 1 COASTAL IMPROVES LIVES THROUGH THE PROVISION OF A COMPREHENSIVE MENTAL HEALTH AND ADDICTION SYSTEM OF CARE. COASTAL ENGAGES AND ASSISTS PERSONS WITH MENTAL ILLNESS AND/OR ADDICTION ISSUES TO LIVE, WORK, LEARN AND PARTICIPATE FULLY IN THEIR COMMUNITY. FORM 990, PART III, LINE 3 THE ORGANIZATION CEASED CONDUCTING THE FACT (FLORIDA ASSERTIVE COMMUNITY TREATMENT) PROGRAM. FORM 990, PART III, LINE 1 COASTAL BEHAVIORAL HEALTHCARE IMPROVES THE LIVES OF INDIVIDUALS THROUGH THE PROVISION OF A COMPREHENSIVE, INTEGRATED, COMMUNITY-BASED, PERSON AND FAMILY-CENTERED MENTAL HEALTH AND ADDICTION SYSTEM OF CARE. COASTAL ENGAGES AND ASSISTS PERSONS WITH MENTAL ILLNESS AND/OR ADDICTION ISSUES TO LIVE, WORK, LEARN AND PARTICIPATE FULLY IN THE COMMUNITY. FORM 990, PART VI, SECTION B, LINE 11B LINE 11B EXPLANATION - A COPY OF THE RETURN WILL BE FURNISHED TO THE FINANCE AND AUDIT COMMITTEE MEMBERS PRIOR TO FILING. UPON REVIEW AND APPROVAL FROM BOTH COMMITTEES, THE RETURN WILL BE FILED. FORM 990, PART VI, SECTION B, LINE 12C UPON HIRING NEW EMPLOYEES OR CONSIDERATION OF NEW BOARD MEMBERS, EMPLOYEES AND BOARD MEMBERS ARE ASKED TO DISCLOSE WHETHER THEY CONDUCT BUSINESS WITH THE ORGANIZATION IN ANOTHER CAPACITY AND/OR HAVE ANY RELATIVES EMPLOYED WITH THE ORGANIZATION. EXISTING EMPLOYEES AND BOARD MEMBERS ARE RESPONSIBLE FOR DISCLOSING ALL POTENTIAL CONFLICTS OF INTEREST THAT ARISE DURING THE COURSE OF THEIR EMPLOYMENT OR TENURE. FORM 990, PART VI, SECTION B, LINE 15A THE ORGANIZATION UTILIZES MARKET ANALYSIS AND COMPENSATION SURVEYS TO DETERMINE COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 ALL GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND TAX RETURNS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VII CONTACT ADDRESSES FOR OFFICERS, DIRECTORS, ETC CHERYL BUSS - 2527 PORTAGO LANE, NORTH PORT , FL 34286. JOHN H. MINGE III - 7806 KINGSMILL COURT, JACKSONVILLE, FL 32256. JOANNE RADCLIFFE - 11940 BROOKSIDE DRIVE, LAKEWOOD RANCH, FL 34211.