RIVERBEND COMMUNITY MENTAL HEALTH INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- RIVERBEND COMMUNITY MENTAL HEALTH INC (EIN 02-0264383)
- Tax period
- 2016-07-01 to 2017-06-30
- Filed
- 2017-11-07
- IRS object ID
- 201723119349302802
- Schema version
- 2016v3.0
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-11-07T15:23:01-05:00 | ReturnTs |
| Tax Period End | 2017-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 030302296 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KITTELL BRANAGAN & SARGENT | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 154 N MAIN ST | AddressLine1Txt |
| City | ST ALBANS | CityNm |
| State Abbreviation | VT | StateAbbreviationCd |
| ZIP | 05478 | 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 | 020264383 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RIVERBEND COMMUNITY MENTAL HEALTH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | RIVE | BusinessNameControlTxt |
| Phone | 6032267505 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3-5 NORTH STATE STREET PO BOX 2032 | AddressLine1Txt |
| City | CONCORD | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 033022032 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ALLAN MOSES | PersonNm |
| Person Title | SENIOR VP/CFO | PersonTitleTxt |
| Phone | 6032267505 | PhoneNum |
| Signature | 2017-09-08 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | GREGORY SARGENT CPA | PreparerPersonNm |
| PTIN | P01402903 | PTIN |
| Phone | 8025249531 | PhoneNum |
| Preparation | 2017-10-27 | PreparationDt |
Filing Security Information FilingSecurityInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| At Submission Creation Device Id | 7DCFBA22FF3C31588DA9E9DFF21584426DB6506B | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 0F188C53D41E0D0827FBDD8235F5B6659CF629A3 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2018-03-14 21:41:22Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | PETER EVERS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3-5 NORTH STATE STREET | AddressLine1Txt |
| City | CONCORD | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 033022032 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $29,209,332 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | RIVERBENDCMHC.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Legal Domicile State | NH | LegalDomicileStateCd |
| Activity Or Mission | MENTAL HEALTH COUNSELING - "WE CARE FOR THE MENTAL HEALTH OF OUR COMMUNITY" INPATIENT, OUTPATIENT, AND RESIDENTIAL CARE | ActivityOrMissionDesc |
| Voting Members Governing Body | 20 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 20 | VotingMembersIndependentCnt |
| Total Employee | 428 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $2,700,168 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,965,372 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $21,498,669 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $22,964,096 | CYProgramServiceRevenueAmt |
| PY Investment Income | $123,644 | PYInvestmentIncomeAmt |
| CY Investment Income | $342,239 | CYInvestmentIncomeAmt |
| PY Other Revenue | $61,024 | PYOtherRevenueAmt |
| CY Other Revenue | $184,838 | CYOtherRevenueAmt |
| PY Total Revenue | $24,383,505 | PYTotalRevenueAmt |
| CY Total Revenue | $27,456,545 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $19,311,439 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $21,272,008 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $4,528,194 | PYOtherExpensesAmt |
| CY Other Expenses | $4,836,223 | CYOtherExpensesAmt |
| PY Total Expenses | $23,839,633 | PYTotalExpensesAmt |
| CY Total Expenses | $26,108,231 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $543,872 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,348,314 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $21,270,791 | TotalAssetsBOYAmt |
| Total Assets EOY | $22,766,815 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $8,869,021 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $8,520,532 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $12,401,770 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $14,246,283 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | MENTAL HEALTH COUNSELING - "WE CARE FOR THE MENTAL HEALTH OF OUR COMMUNITY" INPATIENT, OUTPATIENT, AND RESIDENTIAL CARE | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $13,600,140 | ExpenseAmt |
| Revenue | $12,884,415 | RevenueAmt |
| Desc | SERVICES FOR THE ADULT POPULATION THAT PRESENT WITH A SEVERE MENTAL ILLNESS OR WITH A SEVERE AND PERSISTENT MENTAL ILLNESS. INCLUDES ACUTE CARE OUTPATIENT SERVICES, RESIDENTIAL SERVICES, ASSERTIVE CONTINUOUS TREATMENT PROGRAMMING AND RESTORATIVE PARTIAL HOSPITALIZATION SERVICES. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $4,469,339 | ExpenseAmt |
| Revenue | $4,807,890 | RevenueAmt |
| Desc | CHILDREN & ADOLESCENTS | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $3,837,621 | ExpenseAmt |
| Revenue | $3,538,858 | RevenueAmt |
| Desc | OUTPATIENT & MANAGEMENT SERVICES | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,519,091 | ExpenseAmt |
| Revenue | $1,923,614 | RevenueAmt |
| Desc | EMERGENCY SERVICES, ACUTE PSYCHIATRIC RESIDENTIAL TREATMENT, VOCATIONAL, SPECIAL PROJECTS, AND R.P.H. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $1,519,091 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $1,923,614 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $23,426,191 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | 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 | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | 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 | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| 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 | Yes (true) | 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 | Yes (true) | 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 | 76 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 428 | 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 |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 20 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 20 | 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 | Yes (true) | 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 | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | NH | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ALLAN MOSES | PersonNm |
| Phone | 6032267505 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3-5 NORTH STATE STREET | AddressLine1Txt |
| Address Line2 | PO BOX 2032 | AddressLine2Txt |
| City | CONCORD | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 033022032 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| PEG BLUME | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DAVID CAWLEY | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| CHRISTOPHER EDDY | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JOHN DUVAL | |||||||
| SECRETARY | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| LESLIE WALKER | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JOHN HASTINGS | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| KAREN LEVCHUCK | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| LUCY HODDER | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JILL SAVAGE | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| BHAGIRATH KHATIWADA | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JOHN BARTHELMES | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| LESLIE COMBS | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| CAROL SOBELSON | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| BIJOUX BAHATI | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| FRANK BOUCHER | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| TRAVIS HARKER | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MEG MILLER | |||||||
| CHAIR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| RANDY HAYES | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| PETER EVERS | |||||||
| PRESIDENT/CE | 40.00 | $213,446 | $0 | $6,917 | Yes (X) | ||
| BRET LONGGOOD | |||||||
| COO | 40.00 | $136,359 | $0 | $4,648 | Yes (X) | ||
| ALLAN MOSES | |||||||
| SENIOR VP/CF | 40.00 | $133,055 | $0 | $20,197 | Yes (X) | ||
| ANGELA GREENE | |||||||
| HR DIRECTOR | 40.00 | $78,800 | $0 | $3,335 | Yes (X) | ||
| SONYA KELLY | |||||||
| MD | 40.00 | $263,754 | $0 | $6,862 | Yes (X) | ||
| OSVALDO EVANGELISTA | |||||||
| MD | 40.00 | $251,664 | $0 | $21,677 | Yes (X) | ||
| PERCY BALLANTINE | |||||||
| MD | 40.00 | $236,550 | $0 | $15,656 | Yes (X) | ||
| DIANA WEINER | |||||||
| MD | 40.00 | $232,226 | $0 | $27,617 | Yes (X) | ||
| PHILLIP SANTORA | |||||||
| MD | 40.00 | $226,649 | $0 | $20,812 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,772,503 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $127,721 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 8 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt | Address Line2ContractorAddress/USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|
| FELLOWSHIP HOUSING | ||||||
| 36 PLEASANT STREET | CONCORD | NH | 033014055 | M. HEALTH SERV. | $574,669 | |
| NETSMART | ||||||
| PO BOX 823519 | PHILADELPHIA | PA | 19182 | SOFTWARE | $371,245 | |
| TPX COMMUNICATIONS | ||||||
| ONE SUNDIAL AVENUE | MANCHESTER | NH | 03103 | IT SERVICE | $117,455 | SUITE 414 |
| FIRSTLIGHT | ||||||
| 41 STATE STREET | ALBANY | NY | 12207 | INTERNET/DATA | $105,970 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $40,250 | FundraisingAmt |
| Government Grants | $3,156,802 | GovernmentGrantsAmt |
| All Other Contributions | $768,320 | AllOtherContributionsAmt |
| Total Contributions | $3,965,372 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEDICAID | 621420 | $15,639,310 | $15,639,310 |
| PROGRAM SALES - SERVICE | 621420 | $3,543,096 | $3,543,096 |
| HMO'S | 621420 | $1,022,907 | $1,022,907 |
| MEDICARE | 621420 | $742,256 | $742,256 |
| OTHER INSURANCE | 621420 | $621,890 | $621,890 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,394,637 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,394,637 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $22,964,096 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $224,773 | TotalRevenueColumnAmt |
| Exclusion | $224,773 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,861,960 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,744,494 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $117,466 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $117,466 | TotalRevenueColumnAmt |
| Exclusion | $117,466 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $2,450 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $40,250 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $8,293 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$5,843 | TotalRevenueColumnAmt |
| Exclusion | -$5,843 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISC. INCOME | Desc |
| Total Revenue Column | $190,681 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $190,681 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $190,681 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $27,456,545 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $23,154,777 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $336,396 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $470,110 | TotalAmt |
| Management And General | $470,110 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,365,601 | TotalAmt |
| Program Services | $15,740,669 | ProgramServicesAmt |
| Management And General | $624,932 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,242,542 | TotalAmt |
| Program Services | $2,971,233 | ProgramServicesAmt |
| Management And General | $271,309 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,193,755 | TotalAmt |
| Program Services | $1,114,499 | ProgramServicesAmt |
| Management And General | $79,256 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $58,971 | TotalAmt |
| Management And General | $58,971 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,655 | TotalAmt |
| Management And General | $44,655 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,404 | TotalAmt |
| Management And General | $39,404 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $89,117 | TotalAmt |
| Program Services | $49,442 | ProgramServicesAmt |
| Management And General | $39,675 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $339,589 | TotalAmt |
| Program Services | $228,514 | ProgramServicesAmt |
| Management And General | $111,075 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $460,208 | TotalAmt |
| Program Services | $387,832 | ProgramServicesAmt |
| Management And General | $72,376 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $392,842 | TotalAmt |
| Program Services | $336,599 | ProgramServicesAmt |
| Management And General | $56,243 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $83,718 | TotalAmt |
| Program Services | $71,463 | ProgramServicesAmt |
| Management And General | $12,255 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $303,095 | TotalAmt |
| Program Services | $162,452 | ProgramServicesAmt |
| Management And General | $140,643 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $844,950 | TotalAmt |
| Program Services | $718,535 | ProgramServicesAmt |
| Management And General | $126,415 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $203,264 | TotalAmt |
| Program Services | $187,292 | ProgramServicesAmt |
| Management And General | $15,972 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| OTHER PROFESSIONAL FEES | $1,014,785 | $884,326 | $130,459 |
| OTHER EXPENSES | $295,913 | $81,347 | $214,566 |
| COMMUNICATIONS | $286,967 | $228,600 | $58,367 |
| FOOD | $90,456 | $76,489 | $13,967 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $288,289 | TotalAmt |
| Program Services | $186,899 | ProgramServicesAmt |
| Management And General | $101,390 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,108,231 | TotalAmt |
| Program Services | $23,426,191 | ProgramServicesAmt |
| Management And General | $2,682,040 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,018,185 | BOYAmt |
| EOY | $2,462,609 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,695,279 | BOYAmt |
| EOY | $1,071,565 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $387,221 | BOYAmt |
| EOY | $656,002 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $94,128 | BOYAmt |
| EOY | $126,744 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $20,998,652 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $10,495,144 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,796,305 | BOYAmt |
| EOY | $10,503,508 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,279,673 | BOYAmt |
| EOY | $7,946,387 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,270,791 | BOYAmt |
| EOY | $22,766,815 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,177,111 | BOYAmt |
| EOY | $1,335,283 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $141,378 | BOYAmt |
| EOY | $62,358 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,110,000 | BOYAmt |
| EOY | $6,925,000 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $232,749 | BOYAmt |
| EOY | $71,253 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $207,783 | BOYAmt |
| EOY | $126,638 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,869,021 | BOYAmt |
| EOY | $8,520,532 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,057,618 | BOYAmt |
| EOY | $10,802,587 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,344,152 | BOYAmt |
| EOY | $3,443,696 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,401,770 | BOYAmt |
| EOY | $14,246,283 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,270,791 | BOYAmt |
| EOY | $22,766,815 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $1,348,314 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $494,810 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $1,389 | OtherChangesInNetAssetsAmt |
| 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 | $2,341,403 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,162,467 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $924,219 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,700,168 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,965,372 | CurrentTaxYearAmt |
| Total | $11,093,629 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,341,403 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,162,467 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $924,219 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,700,168 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,965,372 | CurrentTaxYearAmt |
| Total | $11,093,629 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $11,093,629 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $220,583 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $269,136 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $331,818 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $225,095 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $224,773 | CurrentTaxYearAmt |
| Total | $1,271,405 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $107,009 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $317,497 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $129,602 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $64,744 | CurrentTaxYearMinus1YearAmt |
| Total | $618,852 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $12,983,886 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $105,750,994 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.85440 | PublicSupportCY170Pct |
| Public Support PY170 | 0.81340 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II, LINE 10 | FormAndLineReferenceDesc |
| Explanation | OTHER REVENUE 618,852 | ExplanationTxt |
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 D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $953,387 | OtherCostOrOtherBasisAmt |
| Book Value | $953,387 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $14,843,708 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,381,923 | DepreciationAmt |
| Book Value | $8,461,785 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $351,960 | OtherCostOrOtherBasisAmt |
| Depreciation | $342,164 | DepreciationAmt |
| Book Value | $9,796 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,423,269 | OtherCostOrOtherBasisAmt |
| Depreciation | $746,847 | DepreciationAmt |
| Book Value | $676,422 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,426,328 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,024,210 | DepreciationAmt |
| Book Value | $402,118 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $10,503,508 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (5 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| INVESTMENT | $7,433,862 |
| BOND ISSUANCE COSTS | $373,480 |
| INVESTMENT IN BIS | $100,893 |
| TENANT SECURITY DEPOSITS | $23,763 |
| SOFTWARE LICENSES | $14,389 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $7,946,387 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INTEREST RATE SWAP | Desc |
| Amt | $126,638 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $126,638 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $28,084,150 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $494,810 | NetUnrealizedGainsInvstAmt |
| Donated Services And Use Fclts | $170,810 | DonatedServicesAndUseFcltsAmt |
| Other Revenue | $1,389 | OtherRevenueAmt |
| Revenue Not Reported | $667,009 | RevenueNotReportedAmt |
| Revenue Subtotal | $27,417,141 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $39,404 | InvestmentExpensesNotIncldAmt |
| Revenue Not Reported Fincl Stmt | $39,404 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $27,456,545 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $26,239,637 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $170,810 | DonatedServicesUseFcltsAmt |
| Expenses Not Reported | $170,810 | ExpensesNotReportedAmt |
| Expenses Subtotal | $26,068,827 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $39,404 | InvestmentExpensesNotIncld2Amt |
| Expenses Not Rpt Fincl Stmt | $39,404 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $26,108,231 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PAGE 3, PART X | CONSIDERATION HAS BEEN GIVEN TO UNCERTAIN TAX POSITIONS. THE FEDERAL INCOME TAX RETURNS FOR THE YEARS ENDED AFTER JUNE 30, 2014, REMAIN OPEN FOR POTENTIAL EXAMINATION BY MAJOR TAX JURISDICTIONS, GENERALLY FOR THREE YEARS AFTER THEY WERE FILED. |
| SCHEDULE D, PAGE 4, PART XI, LINE 2D | BIS K-1 BOOK/TAX DIFFERENCE 1,389 |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | CHAMPIONS EVENT | Event1Nm |
| Gross Receipts Event1 | $42,700 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $40,250 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $2,450 | GrossRevenueEvent1Amt |
| Other Direct Expenses Event1 | $8,293 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $42,700 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $40,250 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $2,450 | GrossRevenueTotalEventsAmt |
| Oth Direct Expnss Total Events | $8,293 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $8,293 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$5,843 | NetIncomeSummaryAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| 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 | Bonus Filing OrganizationBonusFilingOrganizationAmount | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|---|---|---|
| PETER EVERS | ||||||
| PRESIDENT/CEO | $205,978 | $5,000 | $2,468 | $5,156 | $1,761 | $220,363 |
| ALLAN MOSES | ||||||
| SENIOR VP/CFO | $127,055 | $6,000 | $3,161 | $17,036 | $153,252 | |
| SONYA KELLY | ||||||
| MD | $242,878 | $20,876 | $6,072 | $790 | $270,616 | |
| OSVALDO EVANGELISTA | ||||||
| MD | $232,628 | $19,036 | $5,939 | $15,738 | $273,341 | |
| PERCY BALLANTINE | ||||||
| MD | $215,628 | $20,922 | $15,656 | $252,206 | ||
| DIANA WEINER | ||||||
| MD | $210,700 | $2,800 | $18,726 | $5,439 | $22,178 | $259,843 |
| PHILLIP SANTORA | ||||||
| MD | $206,964 | $783 | $18,902 | $5,156 | $15,656 | $247,461 |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| NH HEALTH & ED FACILITIES AUTH | ||||||||
| A | 020279866 | 644614FN4 | 2003-02-07 | $6,000,000 | REFINANCE & ACQ. OF REAL ESTATE | false | false | false |
| NH HEALTH & ED FACILITIES AUTH | ||||||||
| B | 020279866 | 644614WM7 | 2008-07-01 | $4,100,000 | ACQ. OF REAL ESTATE | Yes (true) | false | false |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | Capital ExpendituresCapitalExpendituresAmt | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|
| A | $6,000,000 | false | false | Yes (true) | Yes (true) |
| B | $4,100,000 | false | false | Yes (true) | Yes (true) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropPct | Remedial Action TakenRemedialActionTakenInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|
| A | false | false | false | false | false | Yes (true) | 0.17300 | false | Yes (true) |
| B | false | false | false | false | false | false | Yes (true) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd | Term Of HedgeTermOfHedgePct | Superintegrated HedgeSuperintegratedHedgeInd | Hedge TerminatedHedgeTerminatedInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| (no name) | ||||||||||||
| A | false | false | false | false | false | false | false | false | false | |||
| TD BANK | ||||||||||||
| B | false | false | false | false | Yes (true) | Yes (true) | false | false | false | 10.000000000000 | false | false |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | false |
| B | false |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PETER EVERS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | HEALTH DIRECTOR | RelationshipDescriptionTxt |
| Transaction | $109,632 | TransactionAmt |
| Transaction | SALARY REIMBURSEMENT | TransactionDesc |
| Sharing Of Revenues | false | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 2, PART III, LINE 4D | EMERGENCY SERVICES, ACUTE PSYCHIATRIC RESIDENTIAL TREATMENT, VOCATIONAL, SPECIAL PROJECTS, AND R.P.H. |
| FORM 990, PAGE 6, PART VI, LINE 11B | WHEN THE FORM 990 HAS BEEN REVIEWED/CORRECTED BY THE CFO AND CONTROLLER, THE DOCUMENT IS REVIEWED/APPROVED BY THE RIVERBEND FINANCE COMMITTEE. |
| FORM 990, PAGE 6, PART VI, LINE 12C | EACH YEAR THE BOARD IS SENT THE CONFLICT OF INTEREST POLICY ALONG WITH A CONFLICT OF INTEREST QUESTIONNAIRE WHICH THEY ARE ASKED TO COMPLETE AND RETURN TO THE SR. EXECUTIVE ASST. A REPORT IS GENERATED THROUGH A/P WHICH SHOWS IF BOARD MEMBERS HAD ANY RELATED TRANSACTIONS DURING THAT FISCAL YEAR. IF THEY DID, THE TRANSACTIONS ARE INCLUDED IN THE PECUNIARY TRANSACTION FILING. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE BOARD OF DIRECTORS' EVALUATES THE PERFORMANCE OF THE PRESIDENT/CEO OF THE CORPORATION. THE COMPENSATION COMMITTEE SETS THE PRESIDENT/CEO COMPENSATION WHICH IS PRESENTED TO THE FULL BOARD FOR APPROVAL. |
| FORM 990, PAGE 6, PART VI, LINE 15B | THE COMPENSATION COMMITTEE REVIEWS COMPARABLE DATA AND SUBSTANTIATION OF THE OFFICERS AND KEY EMPLOYEES. THE EXECUTIVE COMMITTEE MAKES DETERMINATIONS UPON THE APPROPRIATE SALARY FOR THE SENIOR MANAGEMENT. |
| FORM 990, PAGE 6, PART VI, LINE 19 | GOVERNING DOCUMENTS ARE AVAILABLE THROUGH NH SEC. OF STATE. THE CONFLICT OF INTEREST IS AVAILABLE UPON REQUEST. FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AND, IN ADDITION, ARE AVAILABLE ON THE INTERNET VIA GUIDESTAR. |
| FORM 990, PART XI, LINE 9 | BIS K-1 BOOK/TAX DIFFERENCE 1,389 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| PENACOOK ASSISTED LIVING | ||||||||||
| PO BOX 2032 | CONCORD | NH | 03302 | 020506456 | ASS. LIV. | NH | 501C3 | 7 | N/A | false |
| CAPITAL REGION HEALTH CARE | ||||||||||
| 250 PLEASANT STREET | CONCORD | NH | 03302 | 020222123 | HEALTH CA. | NH | 501C3 | 3 | N/A | false |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BEHAVIORAL INFORMATION SYSTEM | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 24 HANOVER STREET SUITE 8-A | AddressLine1Txt |
| City | LEBANON | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 03766 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 020490678 | EIN |
| Primary Activities | BUS. SERV. | PrimaryActivitiesTxt |
| Legal Domicile State | NH | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Predominant Income Type | RELATED | PredominantIncomeTypeTxt |
| Share Of Total Income | $15,763 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $100,892 | ShareOfEOYAssetsAmt |
| Disproportionate Allocations | false | DisproportionateAllocationsInd |
| General Or Managing Partner | Yes (true) | GeneralOrManagingPartnerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (true) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (true) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |