STRATEGY STUDIO / PUBLIC DATA EXPLORER

NORTHSIDE BEHAVIORAL HEALTH CENTER INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
NORTHSIDE BEHAVIORAL HEALTH CENTER INC (EIN 59-1641327)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-02-26
IRS object ID
201410579349300521
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-02-26T14:27:58-06:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN593040705EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1RIVERO GORDIMER & COMPANY PABusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1P O BOX 172359AddressLine1
CityTAMPACity
StateFLState
ZIP Code33672ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN591641327EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1NORTHSIDE MENTAL HEALTH CENTER INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlNORTNameControl
Phone8139778700Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line112512 BRUCE B DOWNS BLVDAddressLine1
CityTAMPACity
StateFLState
ZIP Code336129209ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameGLEN BLONQUISTName
TitleCONTROLLERTitle
Phone8139778700Phone
Date Signed2014-02-19DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameSAM A LAZZARAName
PTINP01342929PTIN
Phone8138757774Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMARSHA LEWIS BROWNNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line112512 BRUCE B DOWNS BLVDAddressLine1
CityTAMPACity
StateFLState
ZIP Code336129209ZIPCode
FieldValueIRS element (for citing)
Gross Receipts11457972GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.NORTHSIDEMHC.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1975YearFormation
State Legal DomicileFLStateLegalDomicile
Activity Or Mission DescriptionPROVIDING AFFORDABLE AND HIGH QUALITY BEHAVIORAL HEALTH SERVICES.ActivityOrMissionDescription
Nbr Voting Members Governing Body17NbrVotingMembersGoverningBody
Nbr Independent Voting Members17NbrIndependentVotingMembers
Total Nbr Employees282TotalNbrEmployees
Total Nbr Volunteers47TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year9127861ContributionsGrantsPriorYear
Contributions Grants Current Year7803468ContributionsGrantsCurrentYear
Program Service Revenue Prior Year5258073ProgramServiceRevenuePriorYear
Program Service Revenue CY3630068ProgramServiceRevenueCY
Investment Income Prior Year-32439InvestmentIncomePriorYear
Investment Income Current Year23060InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year14353495TotalRevenuePriorYear
Total Revenue Current Year11456596TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year10441514SalariesEtcPriorYear
Salaries Etc Current Year9310553SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year3940671OtherExpensePriorYear
Other Expenses Current Year3764649OtherExpensesCurrentYear
Total Expenses Prior Year14382185TotalExpensesPriorYear
Total Expenses Current Year13075202TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-28690RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-1618606RevenuesLessExpensesCY
Total Assets BOY6761662TotalAssetsBOY
Total Assets EOY5272763TotalAssetsEOY
Total Liabilities BOY1236925TotalLiabilitiesBOY
Total Liabilities EOY1366632TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY5524737NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY3906131NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE MISSION OF NORTHSIDE MENTAL HEALTH CENTER IS TO PROVIDE AFFORDABLE, HIGH QUALITY BEHAVIORAL HEALTH SERVICES THAT PROMOTE PREVENTION AND SUPPORT ROLE RECOVERY AND RESILIENCY FOR THE CITIZENS OF HILLSBOROUGH COUNTY, IN ORDER TO IMPROVE THE QUALITY OF LIFE AND TO PREVENT OR MINIMIZE THE NEED FOR LONG-TERM HOSPITALIZATION. FIRST PRIORITY IS GIVEN TO THOSE PERSONS MOST IN NEED.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense4944955Expense
Revenue1550694Revenue
DescriptionCOMMUNITY SUPPORT CENTER - CASE MANAGEMENT, RESIDENTIAL PROGRAMS, PSYCHOSOCIAL REHABILITATION, SUPPORTED EMPLOYMENT, PHYSICIAN SERVICES, SUPPORTED LIVING, CO-OCCURRING INTERVENTION, FLORIDA ASSERTIVE COMMUNITY TREATMENT (FACT), FORENSIC SERVICES, PSYCHIATRIC SERVICES, AND TRANSPORTATION SERVICES.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense3431563Expense
Revenue1057292Revenue
DescriptionOUTPATIENT - COUNSELING SERVICES, CLINICAL CASE MANAGEMENT SERVICES, SPECIALIZED TREATMENT SERVICES FOR CHILDREN, FASST (FAMILY AND SCHOOL SUPPORT TEAM), MEDICATION CASE MANAGEMENT, TANF(TEMPORARY ASSISTANCE FOR NEEDY FAMILIES), FASP (FAMILY ASSESSMENT SUPPORT PROGRAM).Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense2988270Expense
Revenue916320Revenue
DescriptionACUTE CARE SERVICES - CRISIS STABILIZATION UNIT (CSU), MOBILE CRISIS TEAM, CRISIS RESPITE HOUSING, PHARMACY SERVICES.Description
FieldValueIRS element (for citing)
Total Program Service Expense11364788TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109634NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees282NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members17NbrVotingGoverningBodyMembers
Number Independent Voting Members17NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1GLEN BLONQUISTBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8139778700TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line112512 BRUCE B DOWNS BLVDAddressLine1
CityTAMPACity
StateFLState
ZIP Code336129209ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (29 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
DIANE TONE
PRESIDENT2.00XX000
FRANCES SYKES
VICE PRESIDENT1.00XX000
KELLY WILLIAMS
SECRETARY1.00XX000
FRANK TURANO
TREASURER1.00XX000
CYNTHIA APRILE
BOARD DIRECTOR1.00X000
KIM BURCHETT
BOARD DIRECTOR1.00X000
TED T FIELLAND
BOARD DIRECTOR1.00X000
SUSAN HOERBELT
BOARD DIRECTOR1.00X000
MILDRED ABREU
BOARD DIRECTOR1.00X000
YOLANDA ANTHONY
BOARD DIRECTOR1.00X000
PAM DANDENEAU
BOARD DIRECTOR1.00X000
MARGARET LAING
BOARD DIRECTOR1.00X000
SHARON MOLLENHAUER
BOARD DIRECTOR1.00X000
LT DONALD MORRIS
BOARD DIRECTOR1.00X000
L DIANNE DLOUHY
BOARD DIRECTOR1.00X000
JAMES DOMINGUEZ
BOARD DIRECTOR1.00X000
MARY LOU TUTTLE
BOARD DIRECTOR1.00X000
ERNESTINE GLENN
BOARD DIRECTOR1.00X000
WILLIAM JOHNSON
BOARD DIRECTOR1.00X000
LINDA SHATTLES
BOARD DIRECTOR1.00X000
LINDA TOZIER
BOARD DIRECTOR1.00X000
MARSHA LEWIS BROWN
EXECUTIVE DIRECTOR40.00X142933019476
ELAINE CHURTON
ASSOCIATE DIRECTOR40.00X84068013556
GLEN BLONQUIST
CONTROLLER40.00X85908013744
ASHOK KOMARLA
STAFF PSYCHIATRIST/MEDICAL40.00205088025692X
LUIS GUTIERREZ
PSYCHIATRIST32.00132199010471X
NEIL THIERRY
STAFF PSYCHIATRIST32.00121690010051X
STEVEN KANFER
STAFF PSYCHIATRIST32.00129376014239X
MARIA HOLCOMB
STAFF PSYCHIATRIST32.00121176017301X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1022438TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation124530TotalOtherCompensation
Number Individuals GT100 K6NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
SUSAN MURRAY
902 ANCHORAGE RDTAMPAFL33602PSYCHIATRIST262860
EASY DUZ IT CLEANING SERVICE
22125 EAST LAKE LOOPLAND O LAKESFL34639CLEANING146010
NETSMART TECHNOLOGIES
3500 SUNRISE HIGHWAY SUITE D122GREAT RIVERNY11739EQUIPMENT MAINTENANCE101063
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
Government Grants7772120GovernmentGrants
All Other Contributions31348AllOtherContributions
Total Contributions7803468TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICE REVENUE62140035243063524306
OTHER PROGRAM REVENUE6214007058170581
ADMINISTRATIVE SERVICE6214003518135181
FieldValueIRS element (for citing)
Total Program Service Revenue3630068TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column24436TotalRevenueColumn
Exclusion$24,436ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other1376Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-1376Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-1376TotalRevenueColumn
Related Or Exempt Function Income-1376RelatedOrExemptFunctionIncome

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column11456596TotalRevenueColumn
Related Or Exempt Function Income3628692RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$24,436ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total590030Total
Program Services229949ProgramServices
Management And General360081ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total7071439Total
Program Services6166194ProgramServices
Management And General905245ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total376623Total
Program Services342063ProgramServices
Management And General34560ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total680820Total
Program Services577244ProgramServices
Management And General103576ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total591641Total
Program Services493327ProgramServices
Management And General98314ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total15179Total
Program Services14312ProgramServices
Management And General867ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total64500Total
Program Services61031ProgramServices
Management And General3469ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total754064Total
Program Services750988ProgramServices
Management And General3076ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total468794Total
Program Services421266ProgramServices
Management And General47528ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total496904Total
Program Services441181ProgramServices
Management And General55723ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total94498Total
Program Services82785ProgramServices
Management And General11713ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total7596Total
Program Services6439ProgramServices
Management And General1157ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total14998Total
Management And General14998ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total259957Total
Program Services213248ProgramServices
Management And General46709ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total285844Total
Program Services264851ProgramServices
Management And General20993ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
CLIENT SERVICE SUPPLIES662019662019
CLIENT COSTS306509306509
PATIENT MEALS207026207026
EQUIPMENT RENTAL & MAIN1267611243562405

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total13075202Total
Program Services11364788ProgramServices
Management And General1710414ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1875BOY
EOY1875EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1806166BOY
EOY987221EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY819473BOY
EOY794009EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY894897BOY
EOY476697EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY198533BOY
EOY174899EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY125988BOY
EOY150978EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis7904314LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec5269232LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY2857241BOY
EOY2635082EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY32508BOY
EOY40902EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY24981BOY
EOY11100EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY6761662BOY
EOY5272763EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY946256BOY
EOY1182459EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY290669BOY
EOY184173EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1236925BOY
EOY1366632EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY4382874BOY
EOY2869076EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1141863BOY
EOY1037055EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5524737BOY
EOY3906131EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6761662BOY
EOY5272763EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-1618606ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9599415CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9272442CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9518016CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9127861CurrentTaxYearMinus1Year
Current Tax Year7803468CurrentTaxYear
Total45321202Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9599415CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9272442CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9518016CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9127861CurrentTaxYearMinus1Year
Current Tax Year7803468CurrentTaxYear
Total45321202Total
FieldValueIRS element (for citing)
Public Support Total17045321202PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years35273CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years15423CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8470CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3254CurrentTaxYearMinus1Year
Current Tax Year24436CurrentTaxYear
Total86856Total
FieldValueIRS element (for citing)
Total Support45408058TotalSupport
Public Support Pertcentage1700.99810PublicSupportPertcentage170
Public Support Pertcent Prior Year0.99130PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis745502OtherCostOrOtherBasis
Book Value745502BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1086382OtherCostOrOtherBasis
Depreciation425397Depreciation
Book Value660985BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis69635OtherCostOrOtherBasis
Depreciation62261Depreciation
Book Value7374BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis695291OtherCostOrOtherBasis
Depreciation523782Depreciation
Book Value171509BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis5307504OtherCostOrOtherBasis
Depreciation4257792Depreciation
Book Value1049712BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings2635082TotalOfBookValueLandBuildings
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt11444624TotRevenueEtcAuditedFinclStmt
Donated Srvc And Use Of Facilities3026DonatedSrvcAndUseOfFacilities
Other Revenues-14998OtherRevenues
Revenue Not Rptd F990-11972RevenueNotRptdF990
Revenue Subtotal11456596RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99011456596TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt13063230TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities3026DonatedServicesUseOfFacilities
Expenses Not Rptd F9903026ExpensesNotRptdF990
Expenses Subtotal13060204ExpensesSubtotal
Other Expenses Not Included14998OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt14998ExpensesNotRptdOnFinStmt
Total Expenses Per Form99013075202TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X, LINE 2:THE CENTER HAS BEEN RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THEREFORE, NO PROVISION FOR INCOME TAXES HAS BEEN PRESENTED IN THESE FINANCIAL STATEMENTS. THE CENTER HAS NOT REPORTED ANY UNRELATED BUSINESS INCOME; HOWEVER, SUCH STATUS IS SUBJECT TO FINAL DETERMINATION UPON EXAMINATION, IF ANY, OF THE RELATED INCOME TAX RETURNS BY THE APPROPRIATE TAXING AUTHORITIES. THE CENTER IS NOT AWARE OF ANY TAX POSITIONS IT HAS TAKEN THAT ARE SUBJECT TO A SIGNIFICANT DEGREE OF UNCERTAINTY. TAX YEARS AFTER 2009 REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES.
PART XI, LINE 2D - OTHER ADJUSTMENTS:INTEREST EXPENSE
PART XII, LINE 4B - OTHER ADJUSTMENTS:INTEREST EXPENSE

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
MARSHA LEWIS BROWN
EXECUTIVE DIRECTOR12993300013000014293051830162409000
ASHOK KOMARLA
STAFF PSYCHIATRIST/MEDICAL2050880000020509051830230780000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION B, LINE 11THE ORGANIZATION'S GOVERNING BODY APPROVED THE HIRING OF A PAID PREPARER EXPERIENCED IN THE PREPARATION OF THE IRS FORM 990. MANAGEMENT WORKS CLOSELY WITH THE PAID PREPARER IN COMPILING THE INFORMATION FOR THE FORM 990; AND MANAGEMENT PERFORMS A DETAILED REVIEW OF THE RETURN BEFORE FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION'S CONFLICT OF INTEREST POLICY IS DISCUSSED DURING TRAINING FOR ALL BOARD MEMBERS.
FORM 990, PART VI, SECTION B, LINE 15COMPARABILITY DATA IS OBTAINED AND USED ON AN AS NEEDED BASIS AS POSITIONS BECOME VACANT OR WHEN SALARY INCREASE IS APPROVED BY THE BOARD.
FORM 990, PART VI, SECTION C, LINE 19ALL GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST FOR PUBLIC INSPECTION.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1NORTHSIDE PROPERTIES INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line112512 BRUCE B DOWNS BLVDAddressLine1
CityTAMPACity
StateFLState
ZIP Code336129209ZIPCode
FieldValueIRS element (for citing)
EIN592199868EIN
Primary ActivitiesPROVIDING LOW INCOME HOUSING FOR CHRONICALLY ILL PERSONSPrimaryActivities
Legal Domicile StateFLLegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity Status9PublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NORTHSIDE MENTAL HEALTH CENTER INCBusinessNameLine1
FieldValueIRS element (for citing)
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1NORTHSIDE PROPERTIES INCBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeQTransactionType
Amount Involved48456AmountInvolved
Method Of Amt DeterminationBOOKS & RECORDSMethodOfAmtDetermination