CIRCLES OF CARE INC: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- CIRCLES OF CARE INC (EIN 59-1101553)
- Tax period
- 2014-07-01 to 2015-06-30
- Filed
- 2016-02-02
- IRS object ID
- 201610339349301201
- Schema version
- 2014v6.0
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-02-02T14:07:47-06:00 | ReturnTs |
| Tax Period End | 2015-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 592046542 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DAVIES HOUSER & SECREST CPA PA | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 129 | AddressLine1Txt |
| City | COCOA | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 329230129 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 591101553 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CIRCLES OF CARE INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CIRC | BusinessNameControlTxt |
| Phone | 3217225200 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 400 E SHERIDAN ROAD | AddressLine1Txt |
| City | MELBOURNE | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32901 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | WILLIAM VINTROUX | PersonNm |
| Person Title | VP / BUSINESS & FINANCE | PersonTitleTxt |
| Phone | 3217225200 | PhoneNum |
| Signature | 2016-02-01 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | TODD M RUSSELL CPA | PreparerPersonNm |
| PTIN | P00440904 | PTIN |
| Phone | 3216360426 | PhoneNum |
| Preparation | 2016-02-01 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-04-25 22:37:26Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JAMES B WHITAKER PRESIDENTCEO | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 400 E SHERIDAN ROAD | AddressLine1Txt |
| City | MELBOURNE | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 329013122 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $41,532,375 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.CIRCLESOFCARE.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Activity Or Mission | MENTAL HEALTH SERVICES | ActivityOrMissionDesc |
| Voting Members Governing Body | 18 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 18 | VotingMembersIndependentCnt |
| Total Employee | 743 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $13,404,456 | PYContributionsGrantsAmt |
| CY Contributions Grants | $13,587,462 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $24,254,423 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $26,050,635 | CYProgramServiceRevenueAmt |
| PY Investment Income | $421,674 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,247,968 | CYInvestmentIncomeAmt |
| PY Other Revenue | $630,246 | PYOtherRevenueAmt |
| CY Other Revenue | $646,310 | CYOtherRevenueAmt |
| PY Total Revenue | $38,710,799 | PYTotalRevenueAmt |
| CY Total Revenue | $41,532,375 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $23,879,016 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $24,059,421 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $15,075,982 | PYOtherExpensesAmt |
| CY Other Expenses | $15,726,639 | CYOtherExpensesAmt |
| PY Total Expenses | $38,954,998 | PYTotalExpensesAmt |
| CY Total Expenses | $39,786,060 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$244,199 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,746,315 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $42,100,879 | TotalAssetsBOYAmt |
| Total Assets EOY | $43,349,535 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $10,003,144 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $10,209,508 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $32,097,735 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $33,140,027 | NetAssetsOrFundBalancesEOYAmt |
| Mission | MENTAL HEALTH SERVICES | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Desc | ALCOHOL, DRUG ABUSE, & MENTAL HEALTH - MEDICAL OUTPATIENT ALCOHOL, DRUG ABUSE, & MENTAL HEALTH - DAY/NIGHT, CASEMGT ADAMH - SHELTERED EMPLOYMENT | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | ALCOHOL, DRUG ABUSE, & MENTAL HEALTH - RESIDENTIAL 2 & 3 ALCOHOL, DRUG ABUSE, & MENTAL HEALTH - INPATIENT, DETOX ALCOHOL, DRUG ABUSE, & MENTAL HEALTH - CRISIS SUPPORT | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $37,696,531 | ExpenseAmt |
| Desc | ADAMH-OVERLAY, INTERVENTION / EMPLOYEE ASSISTANCE, SUBSTANCE ABUSE, INPATIENT AND OUTPATIENT TREATMENT | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $37,696,531 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | 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 | 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 | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (true) | 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 | 69 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 743 | 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 |
| DAF Excess Business Holdings | false | DAFExcessBusinessHoldingsInd |
| Taxable Distributions | false | TaxableDistributionsInd |
| Distribution To Donor | false | DistributionToDonorInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 18 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 18 | 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 | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | FL | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DAVID FELDMAN | PersonNm |
| Phone | 3217225200 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 400 E SHERIDAN ROAD | AddressLine1Txt |
| City | MELBOURNE | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 329013122 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)
| TitleTitleTxt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per WeekAverageHoursPerWeekRt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| DEWEY L HARRIS | ||||||||
| CHAIRMAN | Yes (X) | $0 | $0 | $0 | ||||
| JACK MASSON | ||||||||
| VICE CHAIRMA | Yes (X) | $0 | $0 | $0 | ||||
| JERRY W ALLENDER | ||||||||
| Yes (X) | $0 | $0 | $0 | |||||
| DR BRENDA FETTROW | ||||||||
| Yes (X) | $0 | $0 | $0 | |||||
| ELLA GREENWADE | ||||||||
| Yes (X) | $0 | $0 | $0 | |||||
| HEIDAR HESHMATI MD PHD | ||||||||
| Yes (X) | $0 | $0 | $0 | |||||
| NANCY HIGGS | ||||||||
| Yes (X) | $0 | $0 | $0 | |||||
| NEIL MICHAEL JACKSON | ||||||||
| Yes (X) | $0 | $0 | $0 | |||||
| ALICE M JONES PHD | ||||||||
| Yes (X) | $0 | $0 | $0 | |||||
| DARCIA JONES-FRANCEY | ||||||||
| Yes (X) | $0 | $0 | $0 | |||||
| GEORGE KAMBOURELIS | ||||||||
| Yes (X) | $0 | $0 | $0 | |||||
| MARY BETH KENKEL PHD | ||||||||
| Yes (X) | $0 | $0 | $0 | |||||
| BRIAN L LIGHTLE | ||||||||
| Yes (X) | $0 | $0 | $0 | |||||
| JOAN E MADDEN | ||||||||
| Yes (X) | $0 | $0 | $0 | |||||
| CHARLES J ROBERTS | ||||||||
| Yes (X) | $0 | $0 | $0 | |||||
| ROBERT SALONEN | ||||||||
| Yes (X) | $0 | $0 | $0 | |||||
| DR JOE LEE SMITH | ||||||||
| Yes (X) | $0 | $0 | $0 | |||||
| REHAN FAROOQUI | ||||||||
| MD | $270,547 | $0 | $12,777 | 52.00 | Yes (X) | |||
| JAMES B WHITAKER | ||||||||
| PRESIDENT | $267,370 | $0 | $46,761 | 42.00 | Yes (X) | |||
| DAVID FELDMAN | ||||||||
| EXEC VP/TRES | $240,193 | $0 | $35,381 | 42.00 | Yes (X) | |||
| BARRY HENSEL | ||||||||
| VP CLINICAL | $220,331 | $0 | $19,761 | 44.00 | Yes (X) | |||
| SUBRAMANIYAM VASUDEVAN | ||||||||
| MD | $224,147 | $0 | $6,874 | 40.00 | Yes (X) | |||
| JOSE ALVAREZ | ||||||||
| MD | $217,641 | $0 | $11,766 | 46.00 | Yes (X) | |||
| JAMES MILLER | ||||||||
| MD | $209,950 | $0 | $12,804 | 40.00 | Yes (X) | |||
| BETHANN MAHONEY | ||||||||
| MD | $223,143 | $0 | $6,615 | 40.00 | Yes (X) | |||
| TODD GATES | ||||||||
| MD | $200,952 | $0 | $5,579 | 40.00 | Yes (X) | |||
| VASUMATHY VASUDEVAN | ||||||||
| MD | $176,464 | $0 | $10,272 | 40.00 | Yes (X) | |||
| SANDRA GONZALEZ | ||||||||
| MD | $166,670 | $0 | $12,777 | 40.00 | Yes (X) | |||
| YADIRA PADIN ROJAS | ||||||||
| MD | $152,139 | $0 | $12,777 | 40.00 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,569,547 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $194,144 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 27 | 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 |
|---|---|---|---|---|---|
| AMERISOURCE CORP | |||||
| PO BOX 905815 | CHARLOTTE | NC | 282905815 | PHARMACY DRUGS | $5,229,657 |
| HOLMES REGIONAL MEDICAL CENTER | |||||
| 1350 S HICKORY ST | MELBOURNE | FL | 32901 | FOOD SERVICE | $577,667 |
| US FOOD SERVICE | |||||
| PO BOX 198421 | ATLANTA | GA | 303848421 | FOOD SERVICE | $265,052 |
| CREDIBLE WIRELESS | |||||
| PO BOX 34456 | WEST BETHESDA | MD | 20817 | EHR SERVICES | $203,650 |
| DANIEL L STUMP MD | |||||
| 3072 RIO PALMS | NORTH INDIALANTIC | FL | 32903 | CONTRACTED PHYS | $173,402 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 10 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $12,197,944 | GovernmentGrantsAmt |
| All Other Contributions | $1,389,518 | AllOtherContributionsAmt |
| Noncash Contributions | $1,363,155 | NoncashContributionsAmt |
| Total Contributions | $13,587,462 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|
| PATIENT SERVICE REVENUE | $18,539,746 | $18,539,746 |
| PHARMACY INCOME | $6,192,693 | $6,192,693 |
| MEDICAID | $986,586 | $986,586 |
| OTHER INCOME | $331,610 | $331,610 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $26,050,635 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,247,968 | TotalRevenueColumnAmt |
| Exclusion | $1,247,968 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $646,310 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $646,310 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $646,310 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $646,310 | RelatedOrExemptFuncIncomeAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $41,532,375 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $26,696,945 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $1,247,968 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,718,489 | TotalAmt |
| Program Services | $17,370,254 | ProgramServicesAmt |
| Management And General | $1,348,235 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,585,114 | TotalAmt |
| Program Services | $1,481,665 | ProgramServicesAmt |
| Management And General | $103,449 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,436,356 | TotalAmt |
| Program Services | $2,335,686 | ProgramServicesAmt |
| Management And General | $100,670 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,319,462 | TotalAmt |
| Program Services | $1,236,120 | ProgramServicesAmt |
| Management And General | $83,342 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $385,916 | TotalAmt |
| Program Services | $354,466 | ProgramServicesAmt |
| Management And General | $31,450 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $182,030 | TotalAmt |
| Program Services | $140,386 | ProgramServicesAmt |
| Management And General | $41,644 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $86,628 | TotalAmt |
| Program Services | $64,592 | ProgramServicesAmt |
| Management And General | $22,036 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $202,376 | TotalAmt |
| Program Services | $202,376 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $756,706 | TotalAmt |
| Program Services | $669,006 | ProgramServicesAmt |
| Management And General | $87,700 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PHARMACY | $7,042,039 | $7,042,039 | |
| BAD DEBT AND CONTRACT ADJ | $1,211,000 | $1,211,000 | |
| FOOD | $1,072,893 | $1,059,741 | $13,152 |
| CONTRACTED PHYSICIANS | $756,765 | $756,765 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,030,286 | TotalAmt |
| Program Services | $3,772,435 | ProgramServicesAmt |
| Management And General | $257,851 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,786,060 | TotalAmt |
| Program Services | $37,696,531 | ProgramServicesAmt |
| Management And General | $2,089,529 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,949,526 | BOYAmt |
| EOY | $5,875,697 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,359,964 | BOYAmt |
| EOY | $3,404,948 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,339,949 | BOYAmt |
| EOY | $2,505,755 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,601,630 | BOYAmt |
| EOY | $1,442,700 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,763,051 | BOYAmt |
| EOY | $2,046,841 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $651,994 | BOYAmt |
| EOY | $692,915 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $22,028,004 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $11,705,273 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,805,061 | BOYAmt |
| EOY | $10,322,731 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,165,575 | BOYAmt |
| EOY | $8,619,926 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,464,129 | BOYAmt |
| EOY | $8,438,022 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,100,879 | BOYAmt |
| EOY | $43,349,535 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,700,212 | BOYAmt |
| EOY | $5,192,222 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,302,932 | BOYAmt |
| EOY | $5,017,286 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,003,144 | BOYAmt |
| EOY | $10,209,508 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,433,606 | BOYAmt |
| EOY | $32,502,005 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,000 | BOYAmt |
| EOY | $41,000 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $623,129 | BOYAmt |
| EOY | $597,022 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,097,735 | BOYAmt |
| EOY | $33,140,027 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,100,879 | BOYAmt |
| EOY | $43,349,535 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $1,746,315 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$709,916 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $5,893 | 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 | $12,910,710 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $12,430,607 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $11,663,137 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $12,972,858 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $13,561,099 | CurrentTaxYearAmt |
| Total | $63,538,411 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $12,910,710 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $12,430,607 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $11,663,137 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $12,972,858 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $13,561,099 | CurrentTaxYearAmt |
| Total | $63,538,411 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $63,538,411 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $274,884 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $339,919 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $550,191 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $763,821 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,247,968 | CurrentTaxYearAmt |
| Total | $3,176,783 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $659,531 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $621,114 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $655,169 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $630,246 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $646,310 | CurrentTaxYearAmt |
| Total | $3,212,370 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $69,927,564 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $26,696,945 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.90860 | PublicSupportCY170Pct |
| Public Support PY170 | 0.92450 | 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 | RENTAL INCOME 3,212,370 | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,077,500 | OtherCostOrOtherBasisAmt |
| Book Value | $1,077,500 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $20,950,504 | OtherCostOrOtherBasisAmt |
| Depreciation | $11,705,273 | DepreciationAmt |
| Book Value | $9,245,231 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $10,322,731 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| RENOVATIONS AND REPLACEMENTS | $7,800,000 |
| BENEFICIAL INT PERPETUAL TRUST | $597,022 |
| FUTURE GIFTS | $41,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $8,438,022 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| BONDS PAYABLE | $4,688,384 |
| CURRENT PORTION OF LT DEBT | $264,902 |
| OBLIGATIONS UNDER CASH FLOW HEDGES | $64,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $5,017,286 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $40,854,459 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$709,916 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $32,000 | OtherRevenueAmt |
| Revenue Not Reported | -$677,916 | RevenueNotReportedAmt |
| Revenue Subtotal | $41,532,375 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $41,532,375 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $39,786,060 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $39,786,060 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $39,786,060 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE D, PAGE 4, PART XI, LINE 2D | FormAndLineReferenceDesc |
| Explanation | GAIN ON DERIVATIVE INVESTMENT 32,000 | ExplanationTxt |
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 |
| Percent150 | Yes (X) | Percent150Ind |
| FPG Reference Discounted Care | false | FPGReferenceDiscountedCareInd |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | false | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,884,459 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $11,884,459 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.29870 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,358,971 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $986,586 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $372,385 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00940 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $24,314,351 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $13,506,289 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,808,062 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.27170 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $37,557,781 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,492,875 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $23,064,906 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.57970 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,252,398 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $300,100 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $952,298 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02390 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,252,398 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $300,100 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $952,298 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02390 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $38,810,179 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,792,975 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $24,017,204 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.60370 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost Accounting System | Yes (X) | CostAccountingSystemInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| 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 | CIRCLES OF CARE INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 400 E SHERIDAN ROAD | AddressLine1Txt |
| City | MELBOURNE | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 329013122 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| Other | MENTAL HEALTH SERVICES | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CIRCLES OF CARE INC | 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 | 12 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.CIRCLESOFCARE.ORG | OwnWebsiteURLTxt |
| Implementation Strategy Adopt | false | ImplementationStrategyAdoptInd |
| 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 | 150.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 150.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | false | ExplainedBasisInd |
| App Financial Asst Expln | false | AppFinancialAsstExplnInd |
| Includes Publicity Measures | false | IncludesPublicityMeasuresInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | Yes (true) | CollectionActivitiesInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Medicare Rates | Yes (X) | MedicareRatesInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FACILITY 1, CIRCLES OF CARE, INC - PART V, LINE 5 | THE CHNA INCLUDES BOTH MEDICAL AND PSYCHIATRIC NEEDS OF THE BREVARD COUNTY RESIDENTS. CIRCLES OF CARE, A BEHAVIORAL HEALTHCARE PROVIDER TARGETS THE IDENTIFIED SUBSTANCE ABUSE AND MENTAL HEALTH NEEDS OF THE COMMUNITY. |
| FACILITY 1, CIRCLES OF CARE, INC - PART V, LINE 6A | OTHER HOSPITALS WITH WHICH ASSESSEMENT WAS CONDUCTED INCLUDE HEALTH FIRST HEALTH PARTNERS, PASSISH MEDICAL CENTER, AND WUESTHOFF MEMORIAL HOSPITAL. |
| FACILITY 1, CIRCLES OF CARE, INC - PART V, LINE 11 | AS SPECIALISTS IN MENTAL HEALTH AND SUBSTANCE ABUSE TREATMENT, WE HAVE PRIORITIZED THE BEHAVIORAL HEALTH NEEDS OF THE COMMUNITY AND WILL ASSIST OTHER AGENCIES THROUGHOUT THE COMMUNITY WITH THE MORE TRADITIONAL MEDICAL SPECIALITIES THAT ARE OUTSIDE OF OUR PURVIEW. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 9 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| TWIN RIVERS | ||||
| 400 EAST SHERIDAN ROAD | MELBOURNE | FL | 32901 | INPATIENT ADULT SUBSTANCE ABUSE |
| CHILDRENS CRISIS STABILIZATION UNIT | ||||
| 400 EAST SHERIDAN ROAD | MELBOURNE | FL | 32901 | CHILDREN'S CRISIS STABILIZATION UNIT |
| ADULT CRISIS STABILIZATION UNIT | ||||
| 880 AIRPORT ROAD | MELBOURNE | FL | 32901 | ADULT CRISIS STABILIZATION UNIT |
| PSYCHIATRIC OUTPATIENT SERVICES | ||||
| 6700 S WASHINGTON AVE | TITUSVILLE | FL | 32718 | PSYCHIATRIC OUTPATIENT SERVICES |
| PSYCHIATRIC OUTPATIENT SERVICES | ||||
| 1770 CEDAR STREET | ROCKLEDGE | FL | 32955 | PSYCHIATRIC OUTPATIENT SERVICES |
| PSYCHIATRIC OUTPATIENT SERVICES | ||||
| 2020 COMMERCE DRIVE | MELBOURNE | FL | 32904 | PSYCHIATRIC OUTPATIENT SERVICES |
| CHILDREN'S OUTREACH SERVICES | ||||
| 4450 W EAU GALLIE BLVD | MELBOURNE | FL | 32934 | CHILDREN'S OUTREACH SERVICES |
| ADULT RESIDENTIAL SERVICES | ||||
| 2000 COMMERCE DRIVE | MELBOURNE | FL | 32904 | ADULT RESIDENTIAL SERVICES |
| ADULT RESIDENTIAL SERVICES | ||||
| 1770 CEDAR STREET | ROCKLEDGE | FL | 32955 | ADULT RESIDENTIAL SERVICES |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C - OTHER INCOME BASED CRITERIA FOR FREE OR DISCOUNTED CARE | FOR UNINSURED CLIENTS WHOSE ANNUAL HOUSEHOLD INCOME IS: ABOVE FEDERAL POVERTY GUIDELINES TO 42,999 75% DISCOUNT 43,000 TO 74,999 60% DISCOUNT 75,000 AND ABOVE 40% DISCOUNT |
| PART I, LINE 7G - SUBSIDIZED HEALTH SERVICES EXPLANATION | AMOUNTS REPORTED ON PSYCHIATRIC INPATIENT UNIT REVENUE AND EXPENSES BASED ON COST ACCOUNTING SYSTEM. |
| PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION | COSTING INFORMATION CALCULATED USING THE WEIGHTED AVERAGE OF THE INPATIENT COST TO CHARGE RATIO USED FOR THE PROVIDER'S 2011 MEDICARE COST REPORT AND THE OUTPATIENT COST TO CHARGE RATIO DEVELOPED USING THE PROVIDER'S COST ACCOUNTING SYSTEM. |
| PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY | COSTING INFORMATION IS CALCULATED USING THE WEIGHTED AVERAGE OF THE INPATIENT COST TO CHARGE RATIO USED FOR THE PROVIDER'S 2011 MEDICAID COST REPORT AND THE OUTPATIENT COST TO CHARGE RATIO DEVELOPED USING THE PROVIDER'S COST ACCOUNTING SYSTEM. THE AMOUNT OF BAD DEBT EXPENSE (AT COST) ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY IS BASED ON AN ANALYSIS OF PATIENTS WHOSE COVERAGE UNDER THIRD PARTY PAYORS OR OTHER AGENCIES WAS REJECTED DUE TO INCOMPLETE OR ERRONEOUS INFORMATION BEING PROVIDED UPON ADMISSION. GROSS PATIENT SERVICE REVENUE IS ADJUSTED FOR CONTRACTUAL AND POLICY ADJUSTMENTS TO DETERMINE NET PATIENT SERVICE REVENUE. ACCORDINGLY, ALL AMOUNTS WRITTEN OFF AS BAD DEBT EXCLUDE THESE CONTRACTUAL AND POLICY ADJUSTMENTS. |
| PART III, LINE 8 - MEDICARE EXPLANATION | REVENUE RECEIVED UNDER THE MEDICARE REIMBURSEMENT AGREEMENT IS SUBJECT TO AUDIT AND RETROACTIVE ADJUSTMENT BY THE MEDICARE INTERMEDIARY AGENCY. THE RETROACTIVE MEDICARE ADJUSTMENTS ARE REPORTED IN NET PATIENT SERVICE REVENUE IN THE YEAR IN WHICH THE FUNDS ARE PAID OUT OR RECEIVED. ALL MEDICARE REPORTS, FOR THE YEARS ENDED JUNE 30, 2011 AND PRIOR, HAVE BEEN AUDITED OR SUBJECTED TO A DESK REVIEW AND FINAL SETTLEMENTS HAVE BEEN DETERMINED.MANAGEMENT RECORDS ADDITIONAL RECEIVABLES AND PAYABLES RELATING TO MEDICARE BASED ON THE MEDICARE COST REIMBURSEMENT REPORTS. THE TOTAL INPATIENT REVENUE RECEIVED FROM MEDICARE AND ALLOWABLE COSTS OF CARE RELATING TO THOSE PAYMENTS ARE TAKEN DIRECTLY FROM THE 2011 MEDICARE COST REPORT SETTLEMENT SUMMARY. NO BAD DEBTS WERE TAKEN INTO CONSIDERATION WHEN CALCULATING THESE AMOUNTS. THE TOTAL OUTPATIENT REVENUE RECEIVED FROM MEDICARE ARE TAKEN DIRECTLY FROM THE 2011 MEDICARE COST REPORT. COSTS ASSOCIATED WITH THSE REVENUES ARE BASED ON THE COST TO CHARGE RATIO DEVELOPED FOR OUTPATIENT SERVICES USING THE PROVIDER'S COST ACCOUNTING SYSTEM. NO BAD DEBTS WERE TAKEN INTO CONSIDERATION WHEN CALCULATING THESE AMOUNTS. |
| PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION | INSURED CLIENTS ARE RESPONSIBLE FOR CO-PAYS REGARDLESS OF THEIR INCOME BY LAW. THE INPATIENT COLLECTION POLICY MANDATES THAT THE PROVIDER MAKE THREE ATTEMPTS (LETTERS, TELEPHONE) TO COLLECT PRIOR TO WRITING A RECEIVABLE OFF AS A BAD DEBT. IF THE PATIENT MEETS THE CRITERIA FOR CHARITY CARE AS INDIGENT UNDER THE FEDERAL POVERTY GUIDELINES, NO ATTEMPT TO COLLECT IS MADE. IF THE PROVIDER IS UNABLE TO CONTACT THE CLIENT VIA MAIL OR PHONE, THE RELATED RECEIVABLE IS WRITTEN OFF AS BAD DEBT. |
| PART VI, LINE 2 - NEEDS ASSESSMENT | CIRCLES OF CARE, INC. MAINTAINS COMMUNICATION WITH THE DEPARTMENT OF CHILDREN AND FAMILIES, THE STATE'S MENTAL HEALTH AND SUBSTANCE ABUSE AUTHORITY. THE ORGANIZATION ALSO CONDUCTS IT'S OWN LOCAL SURVEYS AND COLLABORATES WITH HEALTH FIRST HEALTH PARTNERS, PARRISH MEDICAL CENTER, AND WUESTHOFF MEMORIAL HOSPITAL TO ACCESS THE CURRENT NEEDS OF THE COMMUNITY. IN ADDITION, THE ORGANIZATION IS A MEMBER OF THE HEALTH SYSTEMS AGENCY OF EAST CENTRAL FLORIDA THAT CONDUCTS REGIONAL AND STATEWIDE NEEDS ASSESSMENTS. |
| PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | AFTER ADMISSION TO THE INPATIENT UNITS, CLIENT FINANCIAL REPRESENTATIVES MEET WITH THE CLIENT TO DISCUSS THE CLIENT'S INSURANCE COVERAGE. DURING THIS DISCUSSION, ALONG WITH A FINANCIAL ELIGIBILTY APPLICATION, THE FINANCIAL REPRESENTATIVE INFORMS THE CLIENT OF ANY AVAILABLE FINANCIAL ASSISTANCE WHICH INCLUDES FREE OR DISCOUNTED SERVICES. UPON DISCHARGE, THIS INFORMATION IS ONCE AGAIN REVIEWED WITH THE CLIENT. |
| PART VI, LINE 4 - COMMUNITY INFORMATION | CIRCLES OF CARE, INC. SERVES BREVARD COUNTY FLORIDA. BREVARD COUNTY, A COASTAL REGION BORDERED ON THE EAST BY THE ATLANTIC OCEAN. BREVARD IS AN EXTRA-LONG COUNTY, EXTENDING 72 MILES FROM NORTH TO SOUTH, BUT AVERAGES 26.5 MILES INLAND FROM THE SEACOAST AT ANY POINT. BREVARD COUNTY IS APPROXIMATELY 35 MILES EAST OF ORLANDO AND "HALFWAY" DOWN FLORIDA. THERE IS NO MAJOR URBAN CENTER IN THE COUNTY. IN DECEMBER 2010, FORBES MAGAZINE RANKED THE AREA AS THE WORST IN THE COUNTRY FOR FINDING A JOB. THE RACIAL MAKEUP OF THE COUNTY ACCORDING TO THE MOST RECENT CENSUS DATA WAS: WHITE - 84.81%; BLACK OR AFRICAN AMERICAN - 10.40%; HISPANIC OR LATINO - 4.61%; OTHER RACES - 0.18% THERE WERE 198,195 HOUSEHOLDS OUT OF WHICH 26.50% HAD CHILDREN UNDER THE AGE OF 18 LIVING WITH THEM, 53.00% WERE MARRIED COUPLES LIVING TOGETHER, 10.20% HAD A FEMALE HOUSEHOLDER WITH NO HUSBAND PRESENT, AND 33.20% WERE NON-FAMILIES. 26.90% OF ALL HOUSEHOLDS WERE MADE UP OF INDIVIDUALS AND 11.60% HAD SOMEONE LIVING ALONE WHO WAS 65 YEARS OF AGE OR OLDER. THE AVERAGE HOUSEHOLD SIZE WAS 2.35 AND THE AVERAGE FAMILY SIZE WAS 2.84. THE POPULATION OF 550,000 WAS DISTRIBUTED AS FOLLOWS: 22.00% UNDER THE AGE OF 18, 6.80% FROM 18 TO 24, 27.10% FROM 25 TO 44, 24.30% FROM 45 TO 64, AND 19.90% WHO WERE 65 YEARS OF AGE OR OLDER. THE MEDIAN AGE WAS 41 YEARS. FOR EVERY 100 FEMALES THERE WERE 95.90 MALES. FOR EVERY 100 FEMALES AGE 18 AND OVER, THERE WERE 93.30 MALES. IN 2007, 30% OF THE POPULATION WAS OVER 55. IN 2009, TWO PERCENT OF THE PEOPLE IN THE COUNTY ARE OVER 85. 9.50% OF THE POPULATION AND 6.80% OF FAMILIES ARE BELOW THE POVERTY LINE (COMPARED TO 13% STATEWIDE). OUT OF THE TOTAL POPULATION, 13.00% OF THOSE UNDER THE AGE OF 18 AND 6.50% OF THOSE 65 AND OLDER ARE LIVING BELOW THE POVERTY LINE. ACCORDING TO THE 2010 CENSUS, THE COUNTY HAD ABOUT 74,000 VETERANS. PERSONAL INCOME: THE COUNTY HAS THE 17TH HIGHEST PER CAPITA INCOME IN THE STATE (OUT OF 67). IN 2005, THE MEDIAN INCOME FOR A HOUSEHOLD WAS 43,281. IN 2011, ALMOST 70,000 PEOPLE IN THE COUNTY WERE RECEIVING FOOD STAMPS. IN DECEMBER 2010, FORBES MAGAZINE RANKED THE AREA AS THE WORST IN THE COUNTRY FOR FINDING A JOB. IN 2011, THE COUNTY WAS RATED 6TH WORST IN THE COUNTRY FOR FORECLOSURES. NEARLY HALF THE HOMES IN THE COUNTY WERE WORTH LESS THAN THEIR MORTGAGES. THE AVERAGE HOME HAS DROPPED 53.4% SINCE THE PEAK OF THE BOOM. |
| PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH | A VOLUNTARY CITIZEN BOARD OF TWENTY-TWO PERSONS WHO LIVE AND WORK IN BREVARD COUNTY GOVERNS CIRCLES OF CARE, INC. THIS ACTIVE AND INVOLVED BOARD OF DIRECTORS IS CHARGED WITH: ESTABLISHING ALL POLICIES GOVERNING THE CORPORATION , APPROVING ANNUALLY THE GOALS, OBJECTIVES AND A PLAN OF OPERATION FOR THE DELIVERY OF SERVICES, APPROVAL OF AN ANNUAL BUDGET, OVERSIGHT OF FINANCIAL RECORDS AND AUDITS, ASSURING THOSE PERSONS OF THE BREVARD COMMUNITY ARE SERVED WITH QUALITY, APPROPRIATE AND EFFICIENT PROGRAMS. BOARD MEMBERS ARE SELECTED FOR THEIR INTEREST AND DESIRE IN THE PROVISION OF QUALITY BEHAVIORAL HEALTHCARE SERVICES IN BREVARD COUNTY. THE BOARD MEMBERS ARE REFLECTIVE OF THE DIFFERENT GEOGRAPHICAL AREAS OF THE COUNTY AND MANY REPRESENT CONSUMERS AND FAMILY MEMBERS WITH SPECIAL INTEREST IN OUR VARIOUS PROGRAMS. |
| PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM | N/A |
| ADDITIONAL INFORMATION | CHARITY CARE CIRCLES OF CARE IDENTIFIES CHARITY CARE PATIENTS USING THE SAME CRITERIA USED BY THE STATE OF FLORIDA AGENCY FOR HEALTH CARE ADMINISTRATION. IT IS THEIR POLICY THAT A PATIENT, WHOSE INCOME DOES NOT EXCEED 150 PERCENT OF THE CURRENT FEDERAL POVERTY GUIDELINES, WILL BE CLASSIFIED AS A CHARITY CARE PATIENT. ADDITIONALLY, IF THE PATIENT'S TOTAL CHARGES EXCEED 25 PERCENT OF THE PATIENT'S ANNUAL INCOME, THE PATIENT WILL BE CLASSIFIED AS A CHARITY CARE PATIENT, UNLESS THE PATIENT'S INCOME EXCEEDS FOUR TIMES THE FEDERAL POVERTY LEVEL FOR A FAMILY OF FOUR. BECAUSE CIRCLES OF CARE DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, SUCH AMOUNTS ARE NOT REPORTED AS GROSS PATIENT SERVICE REVENUE. |
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 (12 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt |
|---|---|---|---|---|---|
| REHAN FAROOQUI | |||||
| MD | $243,393 | $27,154 | $12,777 | $283,324 | |
| JAMES B WHITAKER | |||||
| PRESIDENT | $224,365 | $43,005 | $12,761 | $314,131 | $34,000 |
| DAVID FELDMAN | |||||
| EXEC VP/TRES | $210,320 | $29,873 | $7,381 | $275,574 | $28,000 |
| BARRY HENSEL | |||||
| VP CLINICAL DIR | $165,419 | $54,912 | $12,761 | $240,092 | $7,000 |
| SUBRAMANIYAM VASUDEVAN | |||||
| MD | $192,324 | $31,823 | $6,874 | $231,021 | |
| JOSE ALVAREZ | |||||
| MD | $122,648 | $94,993 | $11,766 | $229,407 | |
| JAMES MILLER | |||||
| MD | $172,294 | $37,656 | $12,804 | $222,754 | |
| BETHANN MAHONEY | |||||
| MD | $208,454 | $14,689 | $6,615 | $229,758 | |
| TODD GATES | |||||
| MD | $189,414 | $11,538 | $5,579 | $206,531 | |
| VASUMATHY VASUDEVAN | |||||
| MD | $154,392 | $22,072 | $10,272 | $186,736 | |
| SANDRA GONZALEZ | |||||
| MD | $146,555 | $20,115 | $12,777 | $179,447 | |
| YADIRA PADIN ROJAS | |||||
| MD | $126,898 | $25,241 | $12,777 | $164,916 | |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| RICHARD WATERS | |||
| IN LAW OFFICER | $83,597 | WAGES | false |
| HELEN FELDMAN | |||
| WIFE - OFFICER | $103,254 | WAGES | false |
| VASUMATHY VASUDEVAN | |||
| SPOUSE- KEY EMP | $176,464 | WAGES | false |
| SARAH BEST | |||
| WIFE - OFFICER | $56,360 | WAGES | false |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $1,363,155 | NoncashContributionsRptF990Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | false | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 6, PART VI, LINE 11B | THE PREPARER EMAILS A COPY OF THE FINAL VERSION OF FORM 990 TO THE CHAIRMAN OF THE AUDIT AND FINANCE COMMITTEE BEFORE IT IS FILED. THE CHAIRMAN THEN DISTRIBUTES THE COPY OF THE FINAL VERSION TO THE BOARD MEMBERS FOR REVIEW. AFTER REVIEWING THE RETURN, THE AUDIT AND FINANCE COMMITTEE APPROVES THE RELEASE OF THE FORM 990 PENDING ANY APPLICABLE CHANGES. THE RETURN IS THEN MODIFIED AS NECESSARY AND FILED. |
| FORM 990, PAGE 6, PART VI, LINE 12C | THE ORGANIZATION'S CONFLICT OF INTEREST POLICY REQUIRES EACH DIRECTOR, OFFICER AND MANAGEMENT STAFF TO SIGN A STATEMENT ANNUALLY THAT AFFIRMS THAT EACH PERSON (A) HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY; (B) HAS READ AND UNDERSTANDS THE POLICY; (C) HAS AGREED TO COMPLY WITH THE POLICY AND (D) UNDERSTANDS THAT CIRCLES OF CARE IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION, IT MUST ENGAGE PRIMARILY IN ACTIVITIES THAT ACCOMPLISH ONE OR MORE OF ITS TAX EXEMPT PURPOSES. THE ORGANIZATION'S CONFLICT OF INTEREST POLICY HAS THREE ESSENTIAL ELEMENTS. (1) FULL DISCLOSURE BOARD MEMBERS AND STAFF MEMBERS IN DECISION- MAKING ROLES SHOULD MAKE KNOWN THEIR CONNECTIONS WITH GROUPS DOING BUSINESS WITH THE ORGANIZATION. THIS INFORMATION SHOULD BE PROVIDED ANNUALLY. (2) BOARD MEMBER ABSTENTION FROM DISCUSSION AND VOTING BOARD MEMBERS WHO HAVE AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST SHOULD NOT PARTICIPATE IN DISCUSSIONS OR VOTE ON MATTERS AFFECTING TRANSACTIONS BETWEEN THE ORGANIZATION AND OTHER GROUPS. (3) STAFF MEMBER ABSTENTION FROM DECISION-MAKING STAFF MEMBERS WHO HAVE AN ACTUAL OR POTENTIAL CONFLICT SHOULD NOT BE SUBSTANTIALLY INVOLVED IN DECISION-MAKING AFFECTING SUCH TRANSACTIONS. IF THERE IS REASONABLE CAUSE TO BELIEVE THAT A DIRECTOR, OFFICER OR MANAGEMENT STAFF MEMBER IS INVOLVED IN OR IS AWARE OF ANY TRANSACTION OR SITUATION THAT RESULTS IN A CONFLICT, OR THE APPEARANCE OF A CONFLICT, DIRECTLY OR INDIRECTLY THROUGH BUSINESS, INVESTMENT OR FAMILY, THEN SUCH PERSON SHALL PROMPTLY DISCLOSE THE EXISTENCE AND NATURE OF HIS OR HER CONFLICT. A FULL DISCLOSURE OF ALL THE FACTS PERTAINING TO ANY TRANSACTION THAT IS SUBJECT TO ANY DOUBT CONCERNING THE POSSIBLE EXISTENCE OF A CONFLICT OF INTEREST SHALL BE MADE BEFORE CONSUMMATION OF THE TRANSACTION. IF THERE IS REASONABLE CAUSE TO BELIEVE THAT A DIRECTOR, OFFICER OR MANAGEMENT STAFF MEMBER HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, THE INDIVIDUAL SHALL BE INFORMED OF THE BASIS FOR SUCH BELIEF AND SHALL BE AFFORDED AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. IF AFTER HEARING THE RESPONSE OF THE DIRECTOR, OFFICER OR MANAGEMENT STAFF MEMBER AND MAKING SUCH FURTHER INVESTIGATION AS MAY BE WARRANTED IN THE CIRCUMSTANCES, IT IS DEEMED THE DIRECTOR, OFFICER OR MANAGEMENT STAFF MEMBER HAS IN FACT FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, APPROPRIATE DISCIPLINARY ACTION SHALL BE TAKEN. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE EXECUTIVE COMMITTEE OF THE BOARD UTILIZED STATE-WIDE (FLORIDA COUNCIL OF COMMUNITY MENTAL HEALTH) AND NATIONAL (MENTAL HEALTH CORPORATION OF AMERICA) COMPENSATION SURVEYS OF CEOS IN THE MENTAL HEALTH INDUSTRY. USING THE RESULTS OF THE SURVEYS, THE EXECUTIVE COMMITTEE DRAFTED A PROPOSED COMPENSATION PACKAGE FOR THE CEO AND FORWARDED IT TO THE AUDIT AND FINANCE COMMITTEE FOR REVIEW PRIOR TO ITS INCORPORATIION INTO THE BUDGET. PARAMETERS UTILIZED IN SETTING THE COMPENSATION PACKAGE FOR THE CEO INCLUDED SERVICE DELIVERY TO THE COMMUNITY AND COMPLIANCE WITH INDUSTRY STANDARDS/REGULATIONS. COMPENSATION IS NOT BASED ON THE REVENUES OR NET EARNINGS OF THE ORGANIZATION. |
| FORM 990, PAGE 6, PART VI, LINE 15B | USING AVAILABLE STATEWIDE (FLORIDA COUNCIL OF COMMUNITY MENTAL HEALTH) AND NATIONAL (MENTAL HEALTH CORPORATION OF AMERICA) INDUSTRY DATA, THE CEO FORMULATES COMPENSATION PACKAGES FOR ALL OTHER OFFICERS AND KEY EMPLOYEES. FACTORS CONSIDERED IN FORMULATING COMPENSATION INCLUDE EDUCATION, EXPERIENCE AND COST OF LIVING DIFFERENCES WHERE APPLICABLE. COMPENSATION IS NOT BASED ON THE REVENUE OR NET EARNINGS OF THE ORGANIZATION. ONCE THE COMPENSATION PACKAGES FOR OFFICERS AND KEY EMPLOYEES ARE ASSEMBLED, THE CEO FORWARDS HIS PROPOSALS TO THE AUDIT AND FINANCE COMMITTEE FOR INCORPORATION INTO THE BUDGET. ONCE THE AUDIT AND FINANCE COMMITTEE RECEIVES THE PROPOSED COMPENSATION PACKAGES FOR THE CEO AND OTHER OFFICERS AND KEY EMPLOYEES, THEY ARE REVIEWED AND INCORPORATED INTO THE BUDGET PROCESS. ONCE THE BUDGET IS COMPLETED, IT IS FORWARDED TO THE FULL BOARD FOR APPROVAL. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE ORGANIZATION PROVIDES MEMBERS OF THE PUBLIC COPIES OF ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS FREE OF CHARGE UPON RECEIPT OF A WRITTEN REQUEST FOR SUCH INFORMATION. FINANCIAL STATEMENTS ARE ALSO AVAILABLE ON THE ORGANIZATION'S WEBSITE. |
| FORM 990, PART IX, LINE 24E | OTHER PROFESSIONAL SVS 751,138 0 0 INSURANCE 624,404 45,284 0 UTILITIES 401,963 51,342 0 INFORMATION MANAGEMENT 330,837 24,366 0 MAINTENANCE SUPPLIES 267,084 21,659 0 REPAIRS AND MAINTENANCE 204,166 27,735 0 DUES AND ASSESSMENTS 214,110 11,540 0 TELEPHONE 184,437 27,831 0 LABORATORY 166,864 4,784 0 OFFICE SUPPLIES 146,912 9,404 0 MEDICAL SUPPLIES 142,408 1,683 0 AUDIT AND LEGAL 121,918 8,501 0 TRANSPORTATION 94,615 2,440 0 POSTAGE & PRINTING 78,164 4,611 0 ADVERTISING 43,415 16,671 0 |
| FORM 990, PART XI, LINE 9 | GAIN ON DERIVATIVE INVESTMENT 32,000 |
| FORM 990, PART XI, LINE 9 | CHANGE IN UNREALIZED GAINS AND LOSSES ON OTHER 0 THAN TRADING SECURITIES 0 GAIN ON DERIVATIVE INVESTMENTS 0 DECREASE IN PERM RESTRICTED NET ASSETS -26,107 |