APALACHEE CENTER INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- APALACHEE CENTER INC (EIN 59-1162148)
- Tax period
- 2016-07-01 to 2017-06-30
- Filed
- 2018-01-30
- IRS object ID
- 201840309349300549
- Schema version
- 2016v3.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-01-30T15:36:52-05:00 | ReturnTs |
| Tax Period End | 2017-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 592221664 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LAW REDD CRONA & MUNROE PA | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2075 CENTRE POINTE BLVD SUITE 200 | AddressLine1Txt |
| City | TALLAHASSEE | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 323084893 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 591162148 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | APALACHEE CENTER INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | APAL | BusinessNameControlTxt |
| Phone | 8505233333 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2634-J CAPITAL CIRCLE NE | AddressLine1Txt |
| City | TALLAHASSEE | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32308 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JAY REEVE | PersonNm |
| Person Title | PRES, CEO | PersonTitleTxt |
| Phone | 8505233333 | PhoneNum |
| Signature | 2018-01-30 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | RICHARD H LAW CPA | PreparerPersonNm |
| PTIN | P00025465 | PTIN |
| Phone | 8508786189 | PhoneNum |
| Preparation | 2018-01-30 | PreparationDt |
Filing Security Information FilingSecurityInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| At Submission Creation Device Id | 4CA0C6322036773713F028DA998C610C8632D33B | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 425501395D7E42B541418358913F71C0970A1F1E | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JAY REEVE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2634-J CAPITAL CIRCLE NE | AddressLine1Txt |
| City | TALLAHASSEE | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32308 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $27,624,148 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.APALACHEECENTER.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1966 | FormationYr |
| Legal Domicile State | FL | LegalDomicileStateCd |
| Activity Or Mission | THE MISSION OF APALACHEE CENTER, INC. IS TO EMPOWER PERSONS TO IMPROVE THE QUALITY OF LIFE FOR THEMSELVES AND THEIR FAMILIES THROUGH THE PROVISION OF QUALITY BEHAVIORAL HEALTH CARE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 551 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $15,558,673 | PYContributionsGrantsAmt |
| CY Contributions Grants | $17,351,808 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $8,750,757 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $9,013,128 | CYProgramServiceRevenueAmt |
| PY Investment Income | $134,070 | PYInvestmentIncomeAmt |
| CY Investment Income | $84,012 | CYInvestmentIncomeAmt |
| PY Other Revenue | $71,561 | PYOtherRevenueAmt |
| CY Other Revenue | $22,050 | CYOtherRevenueAmt |
| PY Total Revenue | $24,515,061 | PYTotalRevenueAmt |
| CY Total Revenue | $26,470,998 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $16,259,589 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $16,894,123 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $10,262,866 | PYOtherExpensesAmt |
| CY Other Expenses | $10,188,784 | CYOtherExpensesAmt |
| PY Total Expenses | $26,522,455 | PYTotalExpensesAmt |
| CY Total Expenses | $27,082,907 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$2,007,394 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$611,909 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $27,403,430 | TotalAssetsBOYAmt |
| Total Assets EOY | $25,509,976 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $9,920,204 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $8,541,426 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $17,483,226 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $16,968,550 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE MISSION OF APALACHEE CENTER, INC. IS TO EMPOWER PERSONS TO IMPROVE THE QUALITY OF LIFE FOR THEMSELVES AND THEIR FAMILIES THROUGH THE PROVISION OF QUALITY BEHAVIORAL HEALTH CARE. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $8,109,232 | ExpenseAmt |
| Desc | INPATIENT MENTAL HEALTH SERVICES: 28 BED CRISIS STABILIZATION UNIT (1,358 ADMISSIONS); 46 BED PSYCHIATRIC HOSPITAL (993 ADMISSIONS); 14 BED DETOXIFICATION UNIT (719 ADMISSIONS). | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $6,723,019 | ExpenseAmt |
| Desc | RESIDENTIAL MENTAL HEALTH SERVICES: APALACHEE CENTER PROVIDED RESIDENTIAL MENTAL HEALTH SERVICES TO 144 CLIENTS IN EIGHT RESIDENTIAL FACILITIES. (116 BEDS TOTAL) | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $6,531,774 | ExpenseAmt |
| Desc | OUTPATIENT MENTAL HEALTH SERVICES: PROVISION OF OUTPATIENT PSYCHIATRIC SERVICES, CASE MANAGEMENT, OUTPATIENT TREATMENT AND PSYCHOSOCIAL REHABILITATION SERVICES. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,053,218 | ExpenseAmt |
| Desc | COMMUNITY OUTREACH SERVICES, FACT TEAM, SUPPORTED EMPLOYMENT, MENTAL HEALTH COURT SERVICES. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $2,053,218 | TotalOtherProgSrvcExpenseAmt |
| Total Program Service Expenses | $23,417,243 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 40 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 551 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | VIRGINIA KELLY | PersonNm |
| Phone | 8505233220 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2634 J CAPITAL CIRCLE NE | AddressLine1Txt |
| City | TALLAHASSEE | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32308 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| DENISE HANNAH | |||||||
| VICE CHAIR | 1.00 | Yes (X) | Yes (X) | $1,200 | $0 | $0 | |
| EDWIN FLEET | |||||||
| DIRECTOR | 1.00 | Yes (X) | $1,200 | $0 | $0 | ||
| FORREST DAVIS | |||||||
| DIRECTOR | 1.00 | Yes (X) | $1,200 | $0 | $0 | ||
| KENNETH HOSFORD | |||||||
| DIRECTOR | 1.00 | Yes (X) | $1,200 | $0 | $0 | ||
| HARRY FALK | |||||||
| IMM PAST CHA | 1.00 | Yes (X) | Yes (X) | $1,200 | $0 | $0 | |
| STEPHEN LANIER | |||||||
| DIRECTOR | 1.00 | Yes (X) | $1,200 | $0 | $0 | ||
| OSCAR HOWARD | |||||||
| DIRECTOR | 1.00 | Yes (X) | $1,200 | $0 | $0 | ||
| KIM BARNHILL | |||||||
| CHAIR | 1.00 | Yes (X) | Yes (X) | $1,000 | $0 | $0 | |
| STERLING BRYANT JR | |||||||
| DIRECTOR | 1.00 | Yes (X) | $1,000 | $0 | $0 | ||
| DAVID HARVEY | |||||||
| DIRECTOR | 1.00 | Yes (X) | $1,000 | $0 | $0 | ||
| RAYMOND CAPELOUTO | |||||||
| DIRECTOR | 1.00 | Yes (X) | $1,000 | $0 | $0 | ||
| DELORISE RUSH | |||||||
| DIRECTOR | 1.00 | Yes (X) | $800 | $0 | $0 | ||
| THOMAS JOINER | |||||||
| DIRECTOR | 1.00 | Yes (X) | $600 | $0 | $0 | ||
| LOU MILLER | |||||||
| DIRECTOR | 1.00 | Yes (X) | $600 | $0 | $0 | ||
| JAY REEVE | |||||||
| PRES, CEO | 40.00 | Yes (X) | $220,246 | $0 | $24,081 | ||
| VIRGINIA H KELLY | |||||||
| TRS, CFO | 40.00 | Yes (X) | $150,172 | $0 | $19,876 | ||
| SUE CONGER | |||||||
| SECY, COO | 40.00 | Yes (X) | $139,731 | $0 | $18,244 | ||
| JUDY OGNIBENE | |||||||
| PSYCHIATRIST | 40.00 | $233,951 | $0 | $23,275 | Yes (X) | ||
| LOURDES QUIRAY | |||||||
| PSYCHIATRIST | 40.00 | $221,466 | $0 | $22,526 | Yes (X) | ||
| MELODY AGBUNAG | |||||||
| PSYCHIATRIST | 40.00 | $179,032 | $0 | $21,608 | Yes (X) | ||
| GENEROSO MASANGKAY | |||||||
| CHIEF MEDICA | 40.00 | $160,433 | $0 | $16,188 | Yes (X) | ||
| PATRICIA CONVERTINO | |||||||
| ADMIN SVCS D | 40.00 | $119,259 | $0 | $12,590 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,438,690 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $158,388 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 11 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| PROFESSIONAL BUILDING MAINTENANCE | |||||
| 2801-3 CAPITAL CIRCLE NE | TALLAHASSEE | FL | 32308 | JANITORIAL SVCS | $718,027 |
| NTT DATA INC | |||||
| PO BOX 4201 | BOSTON | MA | 02211 | COMPUTER SUPPOR | $352,752 |
| EASTWOOD PHARMACY | |||||
| 1605 EAST PLAZA DRIVE | TALLAHASSEE | FL | 32308 | PHARMACY SVCS | $347,645 |
| HARDEN & ASSOCIATES INC | |||||
| 501 RIVERSIDE AVE SUITE 1000 | JACKSONVILLE | FL | 32202 | PHYSICIAN SVCS | $277,714 |
| NETSMART TECHNOLOGIES INC | |||||
| PO BOX 823519 | PHILADELPHIA | PA | 191823519 | COMPUTER SVCS | $257,902 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 9 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $17,351,808 | GovernmentGrantsAmt |
| Total Contributions | $17,351,808 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MENTAL HEALTH FEES & GRANTS | 621400 | $6,016,088 | $6,016,088 |
| MEDICAID PREMIUM REVENUE | 621400 | $2,997,040 | $2,997,040 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $9,013,128 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $75,328 | TotalRevenueColumnAmt |
| Exclusion | $75,328 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $22,050 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $22,050 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $22,050 | TotalRevenueColumnAmt |
| Exclusion | $22,050 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,161,834 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,153,150 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $8,684 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,684 | TotalRevenueColumnAmt |
| Exclusion | $8,684 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $26,470,998 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $9,013,128 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $106,062 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $515,384 | TotalAmt |
| Management And General | $515,384 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,640,727 | TotalAmt |
| Program Services | $11,333,029 | ProgramServicesAmt |
| Management And General | $1,307,698 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $515,261 | TotalAmt |
| Program Services | $434,453 | ProgramServicesAmt |
| Management And General | $80,808 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,240,057 | TotalAmt |
| Program Services | $1,888,751 | ProgramServicesAmt |
| Management And General | $351,306 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $982,694 | TotalAmt |
| Program Services | $828,579 | ProgramServicesAmt |
| Management And General | $154,115 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $82,229 | TotalAmt |
| Program Services | $59,375 | ProgramServicesAmt |
| Management And General | $22,854 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $123,437 | TotalAmt |
| Management And General | $123,437 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $89,250 | TotalAmt |
| Management And General | $89,250 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,345,766 | TotalAmt |
| Program Services | $1,291,927 | ProgramServicesAmt |
| Management And General | $53,839 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,884 | TotalAmt |
| Program Services | $7,056 | ProgramServicesAmt |
| Management And General | $828 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $491,370 | TotalAmt |
| Program Services | $439,751 | ProgramServicesAmt |
| Management And General | $51,619 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $562,503 | TotalAmt |
| Program Services | $286,920 | ProgramServicesAmt |
| Management And General | $275,583 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,757,708 | TotalAmt |
| Program Services | $1,593,662 | ProgramServicesAmt |
| Management And General | $164,046 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $174,701 | TotalAmt |
| Program Services | $161,306 | ProgramServicesAmt |
| Management And General | $13,395 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $275,783 | TotalAmt |
| Program Services | $265,338 | ProgramServicesAmt |
| Management And General | $10,445 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,074,319 | TotalAmt |
| Program Services | $837,892 | ProgramServicesAmt |
| Management And General | $236,427 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $301,053 | TotalAmt |
| Program Services | $271,161 | ProgramServicesAmt |
| Management And General | $29,892 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| FOOD SERVICES | $1,263,121 | $1,259,854 | $3,267 |
| MEDICAL AND PHARMACY | $1,161,468 | $1,156,449 | $5,019 |
| OPERATING SUPPLIES & EXP | $799,967 | $715,927 | $84,040 |
| BAD DEBT EXPENSE | $298,607 | $298,607 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $379,618 | TotalAmt |
| Program Services | $287,206 | ProgramServicesAmt |
| Management And General | $92,412 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,082,907 | TotalAmt |
| Program Services | $23,417,243 | ProgramServicesAmt |
| Management And General | $3,665,664 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,034,683 | BOYAmt |
| EOY | $1,360,589 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,384,656 | BOYAmt |
| EOY | $1,209,619 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,775,948 | BOYAmt |
| EOY | $2,615,923 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $144,814 | BOYAmt |
| EOY | $113,269 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $315,078 | BOYAmt |
| EOY | $407,829 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $33,172,907 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $15,694,870 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,405,235 | BOYAmt |
| EOY | $17,478,037 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,225,141 | BOYAmt |
| EOY | $2,232,008 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $117,875 | BOYAmt |
| EOY | $92,702 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,403,430 | BOYAmt |
| EOY | $25,509,976 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,219,201 | BOYAmt |
| EOY | $1,365,184 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,091,695 | BOYAmt |
| EOY | $5,751,699 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,609,308 | BOYAmt |
| EOY | $1,424,543 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,920,204 | BOYAmt |
| EOY | $8,541,426 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,483,226 | BOYAmt |
| EOY | $16,968,550 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,483,226 | BOYAmt |
| EOY | $16,968,550 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,403,430 | BOYAmt |
| EOY | $25,509,976 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$611,909 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $97,233 | NetUnrlzdGainsLossesInvstAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $14,385,472 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $14,651,207 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $15,265,988 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $15,558,673 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $17,351,808 | CurrentTaxYearAmt |
| Total | $77,213,148 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $14,385,472 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $14,651,207 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $15,265,988 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $15,558,673 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $17,351,808 | CurrentTaxYearAmt |
| Total | $77,213,148 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $77,213,148 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $152,037 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $132,659 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $112,836 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $138,485 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $97,378 | CurrentTaxYearAmt |
| Total | $633,395 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $77,846,543 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $9,013,128 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.99190 | PublicSupportCY170Pct |
| Public Support PY170 | 0.98990 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
Total Direct Lobbying TotalDirectLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $89,250 | FilingOrganizationsTotalAmt |
Total Lobbying Expend TotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $89,250 | FilingOrganizationsTotalAmt |
Other Exempt Purpose Expend OtherExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $26,993,657 | FilingOrganizationsTotalAmt |
Total Exempt Purpose Expend TotalExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $27,082,907 | FilingOrganizationsTotalAmt |
Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $1,000,000 | FilingOrganizationsTotalAmt |
Grassroots Nontaxable GrassrootsNontaxableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $250,000 | FilingOrganizationsTotalAmt |
Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $1,000,000 | CurrentYearMinus3Amt |
| Current Year Minus2 | $1,000,000 | CurrentYearMinus2Amt |
| Current Year Minus1 | $1,000,000 | CurrentYearMinus1Amt |
| Current Year | $1,000,000 | CurrentYearAmt |
| Total | $4,000,000 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Lobbying Ceiling | $6,000,000 | LobbyingCeilingAmt |
Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $78,000 | CurrentYearMinus3Amt |
| Current Year Minus2 | $80,500 | CurrentYearMinus2Amt |
| Current Year Minus1 | $75,000 | CurrentYearMinus1Amt |
| Current Year | $89,250 | CurrentYearAmt |
| Total | $322,750 | TotalAmt |
Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $250,000 | CurrentYearMinus3Amt |
| Current Year Minus2 | $250,000 | CurrentYearMinus2Amt |
| Current Year Minus1 | $250,000 | CurrentYearMinus1Amt |
| Current Year | $250,000 | CurrentYearAmt |
| Total | $1,000,000 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grassroots Ceiling | $1,500,000 | GrassrootsCeilingAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,021,381 | OtherCostOrOtherBasisAmt |
| Book Value | $1,021,381 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $26,503,165 | OtherCostOrOtherBasisAmt |
| Depreciation | $11,966,910 | DepreciationAmt |
| Book Value | $14,536,255 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,602,011 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,727,960 | DepreciationAmt |
| Book Value | $1,874,051 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $46,350 | OtherCostOrOtherBasisAmt |
| Book Value | $46,350 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $17,478,037 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| POST-RETIREMENT HEALTH OBLIGATIONS | $672,013 |
| ACCRUED LEAVE | $652,916 |
| INTEREST SWAP VALUATION | $99,614 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,424,543 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $26,568,231 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $97,233 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $97,233 | RevenueNotReportedAmt |
| Revenue Subtotal | $26,470,998 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $26,470,998 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $27,082,907 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $27,082,907 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $27,082,907 | TotalExpensesPerForm990Amt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,387,821 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,387,821 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08920 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,456,880 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,456,880 | DirectOffsettingRevenueAmt |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $18,933,918 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,723,007 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $15,210,911 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.56800 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $26,778,619 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,179,887 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $17,598,732 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.65720 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $26,778,619 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,179,887 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $17,598,732 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.65720 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Written Debt Collection Policy | false | WrittenDebtCollectionPolicyInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EASTSIDE PSYCHIATRIC HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2634 CAPITAL CIRCLE NE BLDG B | AddressLine1Txt |
| City | TALLAHASSEE | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32308 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EASTSIDE PSYCHIATRIC HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| CHNA Conducted | 16 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (true) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.APALACHEECENTER.ORG | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 16 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.APALACHEECENTER.ORG | StrategyWebsiteURLTxt |
| Strategy Attached | false | StrategyAttachedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWW.EASTSIDEPSYCHIATRIC.ORG | FAPAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | WWW.EASTSIDEPSYCHIATRIC.ORG | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Nondis Emergency Care Policy | false | NondisEmergencyCarePolicyInd |
| No Emergency Care | Yes (X) | NoEmergencyCareInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FACILITY 1, EASTSIDE PSYCHIATRIC HOSPITAL - PART V, LINE 5 | PART V, SECTION A, FACILITY 1: APALACHEE CENTER, INC. OPERATES EASTSIDE PSYCHIATRIC HOSPITAL (EPH), WHICH IS LOCATED IN TALLAHASSEE, FLORIDA. EPH PROVIDES SHORT-TERM COMPREHENSIVE PSYCHIATRIC INPATIENT TREATMENT TO PERSONS EXPERIENCING AN ACUTE MENTAL HEALTH CRISIS. EPH'S SERVICE AREA COVERS 5,554 SQUARE MILES AND INCLUDES EIGHT COUNTIES IN NORTHERN FLORIDA: FRANKLIN, GADSDEN, JEFFERSON, LEON, LIBERTY, MADISON, TAYLOR AND WAKULLA COUNTIES. PART V, SECTION B, LINE 5: APALACHEE CENTER, INC. CONDUCTED A COMMUNITY NEEDS ASSESSMENT USING A SURVEY OF KEY INFORMANTS TO SOLICIT INPUT AND FEEDBACK REGARDING OPERATIONS AND TO OBTAIN SUGGESTIONS FOR IMPROVEMENT AND TO IDENTIFY COMMUNITY NEEDS THAT THE ORGANIZATION MIGHT BE ABLE TO MEET. INPUT WAS OBTAINED FROM A WIDE RANGE OF RESIDENTS AND PROVIDERS FROM THE EIGHT COUNTY SERVICE AREA, WHICH INCLUDED CLIENTS, HOSPITALS, HEALTH DEPARTMENTS, ASSISTED LIVING FACILITIES, LAW ENFORCEMENT, SOCIAL SERVICES AGENCIES, SCHOOL BOARDS, UNIVERSITIES, FAITH BASED PROGRAMS AND THE JUDICIAL SYSTEM. PART V, SECTION B, LINE 11: SINCE APALACHEE CENTER, INC. PROVIDES MENTAL HEALTH SERVICES EXCLUSIVELY, BEHAVIORAL HEALTH WAS THE PRIMARY FOCUS OF THE ORGANIZATION WHEN CONDUCTING ITS COMMUNITY NEEDS ASSESSMENT. BASED ON THE RESULTS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT, TWO DISTINCT COMMUNITY NEEDS RELATED TO MENTAL HEALTH WERE IDENTIFIED: TO IMPROVE ACCESS TO BEHAVIORAL HEALTH SERVICES AND PROVIDERS AND TO INCREASE AWARENESS OF MENTAL HEALTH ISSUES IN THE COMMUNITY. APALACHEE CENTER'S IMPLEMENTATION STRATEGY FOR IMPROVING ACCESS TO BEHAVIORAL HEALTH SERVICES IS (1) TO DEVELOP A CENTRAL RECEIVING FACILITY FOR ALL LAW ENFORCEMENT TRANSPORTED CLIENTS, (2) TO SEEK EXPANSION OF ITS SHORT-TERM RESIDENTIAL PROGRAM AND (3) TO ESTABLISH NEW SERVICE LOCATIONS IN HIGH-NEED AREAS. THE CENTER'S STRATEGY TO INCREASE AWARENESS IS TO PARTICIPATE IN A COMMUNITY ENGAGEMENT COMMITTEE IN ADDITION TO CONTINUING TO SPONSOR MENTAL HEALTH FIRST AID TRAINING AND CRISIS INTERVENTION TRAINING. |
| FACILITY 1, EASTSIDE PSYCHIATRIC HOSPITAL - PART V, LINE 6A | CAPITAL REGIONAL MEDICAL CENTER, TALLAHASSEE MEMORIAL HEALTHCARE |
| FACILITY 1, EASTSIDE PSYCHIATRIC HOSPITAL - PART V, LINE 6B | LEON COUNTY SCHOOLS, LEON COUNTY HEALTH DEPARTMENT, TALLAHASSEE POLICE DEPARTMENT, FAMU INSTITUTE OF PUBLIC HEALTH, FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE, ET AL. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 8 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (8 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| APALACHEE CENTER INC | ||||
| 2634 CAPITAL CIRCLE NE | TALLAHASSEE | FL | 32308 | CRISIS, DETOX, O/P, RES M/H SVCS |
| APALACHEE CENTER INC | ||||
| 225 SUMATRA ROAD | MADISON | FL | 32340 | OUTPATIENT & RESIDENTIAL M/H SVCS |
| APALACHEE CENTER INC | ||||
| 79 LASALLE PATH | QUINCY | FL | 32351 | OUTPATIENT & RESIDENTIAL M/H SVCS |
| APALACHEE CENTER INC | ||||
| 1996 S JEFFERSON STREET | MONTICELLO | FL | 32344 | OUTPATIENT MENTAL HEALTH SVCS |
| APALACHEE CENTER INC | ||||
| 43 OAK STREET | CRAWFORDVILLE | FL | 32327 | OUTPATIENT MENTAL HEALTH SVCS |
| APALACHEE CENTER INC | ||||
| 13888 NW COUNTY ROAD 12 | BRISTOL | FL | 32321 | OUTPATIENT MENTAL HEALTH SVCS |
| APALACHEE CENTER INC | ||||
| 159 12TH STREET | APALACHICOLA | FL | 32320 | OUTPATIENT MENTAL HEALTH SVCS |
| APALACHEE CENTER INC | ||||
| 1421 OLD DIXIE HIGHWAY | PERRY | FL | 32348 | OUTPATIENT MENTAL HEALTH SVCS |
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY | SEE ACCOUNTS RECEIVABLE FOOTNOTE ON PAGE 7 OF AUDITED FINANCIAL STATEMENTS FOR BAD DEBT EXPENSE DESCRIPTION. PART III, LINE 3 - BAD DEBT EXPENSE METHODOLOGY: MEDICARE PART A DEDUCTIBLES AND CO-PAYS FOR PATIENTS WITH BOTH MEDICARE AND MEDICAID COVERAGE ACCOUNT FOR 50% OF BAD DEBT EXPENSE REPORTED ON LINE 2. BAD DEBT EXPENSE ON LINE 3 REPRESENTS WRITE-OFFS OF SELF PAY BALANCES FOR WHICH PATIENT FINANCIAL INFORMATION WAS NOT SUFFICIENT OR FORTHCOMING. |
| PART III, LINE 8 - MEDICARE EXPLANATION | TOTAL COST PER DRAFT 06/30/2015 COST REPORT TIMES ALLOWABLE COST PERCENTAGE FROM 06/30/2014 COST REPORT DIVIDED BY TOTAL DAYS FOR FYE 06/30/2015 TIMES MEDICARE DAYS FOR FYE 06/30/2015. |
| PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION | APALACHEE CENTER DOES NOT ACTIVELY PURSUE THE COLLECTION OF INPATIENT BALANCES BEYOND THREE MAIL/TELEPHONE ATTEMPTS. |
| PART VI, LINE 2 - NEEDS ASSESSMENT | PART VI, LINE 2 - NEEDS ASSESSMENT: APALACHEE CENTER IS IN CONSTANT COMMUNICATION WITH THE FLORIDA DEPARTMENT OF CHILDREN AND FAMILIES, THE STATE'S MENTAL HEALTH AUTHORITY. IT PARTICIPATES REGULARLY IN THE DEVELOPMENT AND PROMULGATION OF COMMUNITY NEEDS ASSESSMENTS. EASTSIDE PSYCHIATRIC HOSPITAL, A D/B/A, DOES NOT PERFORM A NEEDS ASSESSMENT INDEPENDENT FROM APALACHEE CENTER. |
| PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | PART VI, LINE 3 - PATIENT EDUCATION: UPON ADMISSION TO EASTSIDE PSYCHIATRIC HOSPITAL, PATIENTS ARE INFORMED OF FREE OR DISCOUNTED SERVICES VIA THE PATIENT FINANCIAL ASSISTANCE APPLICATION. DUE TO THE NATURE OF THEIR CONDITION UPON ADMISSION (IE. PSYCHIATRIC), PATIENTS ARE AGAIN INFORMED PRIOR TO OR AT DISCHARGE. |
| PART VI, LINE 4 - COMMUNITY INFORMATION | PART VI, LINE 4 - COMMUNITY INFORMATION: APALACHEE CENTER SERVES EIGHT COUNTIES IN NORTH FLORIDA WITH PARTICULAR EMPHASIS ON THOSE RESIDENTS SUFFERING FROM PSYCHIATRIC DISABILITIES. THE COUNTIES SERVED ARE LEON, GADSDEN, WAKULLA, MADISON, TAYLOR, LIBERTY, JEFFERSON AND FRANKLIN, WITH LEON BEING HOME TO THE STATE'S CAPITOL. THIS EIGHT COUNTY AREA COVERS 5,500 SQUARE MILES AND HAS A POPULATION OF APPROXIMATELY 440,000, 65% OF WHICH IS IN LEON COUNTY. THE OTHER SEVEN COUNTIES ARE LARGELY RURAL WITH HIGH RATES OF POVERTY AND UNEMPLOYMENT. |
| ADDITIONAL INFORMATION | APALACHEE CENTER IS A COMMUNITY MENTAL HEALTH CENTER SERVING INDIVIDUALS WITH PSYCHIATRIC DISABILITIES IN NORTH FLORIDA. IT OPERATES A 46-BED PSYCHIATRIC HOSPITAL (EASTSIDE PSYCHIATRIC HOSPITAL). AN ANNUAL REPORT OF THE PROGRAMS AND SERVICES OF APALACHEE CENTER INCLUDES EASTSIDE PSYCHIATRIC HOSPITAL. AN ANNUAL REPORT OF EASTSIDE PSYCHIATRIC HOSPITAL ALONE IS NOT PREPARED. THE ANNUAL REPORT IS AVAILABLE AT ALL OF APALACHEE CENTER'S FACILITIES. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|
| JAY REEVE | |||
| PRES, CEO | $220,246 | $24,081 | $244,327 |
| VIRGINIA H KELLY | |||
| TRS, CFO | $150,172 | $19,876 | $170,048 |
| SUE CONGER | |||
| SECY, COO | $139,731 | $18,244 | $157,975 |
| JUDY OGNIBENE | |||
| PSYCHIATRIST | $233,951 | $23,275 | $257,226 |
| LOURDES QUIRAY | |||
| PSYCHIATRIST | $221,466 | $22,526 | $243,992 |
| MELODY AGBUNAG | |||
| PSYCHIATRIST | $179,032 | $21,608 | $200,640 |
| GENEROSO MASANGKAY | |||
| CHIEF MEDICAL OFC | $160,433 | $16,188 | $176,621 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 2, PART III, LINE 4D | COMMUNITY OUTREACH SERVICES, FACT TEAM, SUPPORTED EMPLOYMENT, MENTAL HEALTH COURT SERVICES. |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICER AND BOARD OF DIRECTORS REVIEW THE FORM 990 BEFORE IT IS FILED. |
| FORM 990, PAGE 6, PART VI, LINE 12C | OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES ARE REQUIRED TO REVIEW THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND ACKNOWLEDGE BY SIGNATURE ANNUALLY. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE EXECUTIVE COMMITTEE OF THE ORGANIZATION'S BOARD OF DIRECTORS REVIEWS AND APPROVES THE EMPLOYMENT CONTRACT OF THE CHIEF OPERATING OFFICER ANNUALLY. COMPENSATION IS BASED ON AN ANALYSIS OF MARKET CONDITIONS AND JOB PERFORMANCE. THE REVIEW AND APPROVAL PROCESS IS DOCUMENTED. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THESE DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. |