2014-02-26T14:27:58-06:00 2013-06-30 593040705 RIVERO GORDIMER & COMPANY PA P O BOX 172359 TAMPA FL 33672 990 2012-07-01 591641327 NORTHSIDE MENTAL HEALTH CENTER INC NORT 8139778700 12512 BRUCE B DOWNS BLVD TAMPA FL 336129209 GLEN BLONQUIST 8139778700 2014-02-19 1 SAM A LAZZARA P01342929 8138757774 2012 2015-11-30 17:44:51Z MARSHA LEWIS BROWN 12512 BRUCE B DOWNS BLVD TAMPA FL 336129209 11457972 0 X WWW.NORTHSIDEMHC.ORG X 1975 FL PROVIDING AFFORDABLE AND HIGH QUALITY BEHAVIORAL HEALTH SERVICES. 17 17 282 47 0 0 9127861 7803468 5258073 3630068 -32439 23060 0 0 14353495 11456596 0 0 0 0 10441514 9310553 0 0 0 3940671 3764649 14382185 13075202 -28690 -1618606 6761662 5272763 1236925 1366632 5524737 3906131 X THE 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. 0 0 4944955 1550694 COMMUNITY 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. 3431563 1057292 OUTPATIENT - 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). 2988270 916320 ACUTE CARE SERVICES - CRISIS STABILIZATION UNIT (CSU), MOBILE CRISIS TEAM, CRISIS RESPITE HOUSING, PHARMACY SERVICES. 11364788 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 34 0 1 282 1 0 0 0 0 0 0 0 0 0 0 X 17 17 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 X GLEN BLONQUIST 8139778700 12512 BRUCE B DOWNS BLVD TAMPA FL 336129209 DIANE TONE 2.00 X X 0 0 0 FRANCES SYKES 1.00 X X 0 0 0 KELLY WILLIAMS 1.00 X X 0 0 0 FRANK TURANO 1.00 X X 0 0 0 CYNTHIA APRILE 1.00 X 0 0 0 KIM BURCHETT 1.00 X 0 0 0 TED T FIELLAND 1.00 X 0 0 0 SUSAN HOERBELT 1.00 X 0 0 0 MILDRED ABREU 1.00 X 0 0 0 YOLANDA ANTHONY 1.00 X 0 0 0 PAM DANDENEAU 1.00 X 0 0 0 MARGARET LAING 1.00 X 0 0 0 SHARON MOLLENHAUER 1.00 X 0 0 0 LT DONALD MORRIS 1.00 X 0 0 0 L DIANNE DLOUHY 1.00 X 0 0 0 JAMES DOMINGUEZ 1.00 X 0 0 0 MARY LOU TUTTLE 1.00 X 0 0 0 ERNESTINE GLENN 1.00 X 0 0 0 WILLIAM JOHNSON 1.00 X 0 0 0 LINDA SHATTLES 1.00 X 0 0 0 LINDA TOZIER 1.00 X 0 0 0 MARSHA LEWIS BROWN 40.00 X 142933 0 19476 ELAINE CHURTON 40.00 X 84068 0 13556 GLEN BLONQUIST 40.00 X 85908 0 13744 ASHOK KOMARLA 40.00 X 205088 0 25692 LUIS GUTIERREZ 32.00 X 132199 0 10471 NEIL THIERRY 32.00 X 121690 0 10051 STEVEN KANFER 32.00 X 129376 0 14239 MARIA HOLCOMB 32.00 X 121176 0 17301 1022438 0 124530 6 0 1 0 SUSAN MURRAY 902 ANCHORAGE RD TAMPA FL 33602 PSYCHIATRIST 262860 EASY DUZ IT CLEANING SERVICE 22125 EAST LAKE LOOP LAND O LAKES FL 34639 CLEANING 146010 NETSMART TECHNOLOGIES 3500 SUNRISE HIGHWAY SUITE D122 GREAT RIVER NY 11739 EQUIPMENT MAINTENANCE 101063 3 7772120 31348 7803468 PATIENT SERVICE REVENUE 621400 3524306 3524306 OTHER PROGRAM REVENUE 621400 70581 70581 ADMINISTRATIVE SERVICE 621400 35181 35181 3630068 24436 24436 1376 -1376 -1376 -1376 11456596 3628692 0 24436 590030 229949 360081 7071439 6166194 905245 376623 342063 34560 680820 577244 103576 591641 493327 98314 15179 14312 867 64500 61031 3469 754064 750988 3076 468794 421266 47528 496904 441181 55723 94498 82785 11713 7596 6439 1157 14998 14998 259957 213248 46709 285844 264851 20993 CLIENT SERVICE SUPPLIES 662019 662019 CLIENT COSTS 306509 306509 PATIENT MEALS 207026 207026 EQUIPMENT RENTAL & MAIN 126761 124356 2405 13075202 11364788 1710414 0 1875 1875 1806166 987221 819473 794009 894897 476697 198533 174899 125988 150978 7904314 5269232 2857241 2635082 32508 40902 24981 11100 6761662 5272763 946256 1182459 290669 184173 1236925 1366632 X 4382874 2869076 1141863 1037055 5524737 3906131 6761662 5272763 -1618606 0 X 0 1 X 1 1 1 X 9599415 9272442 9518016 9127861 7803468 45321202 9599415 9272442 9518016 9127861 7803468 45321202 45321202 35273 15423 8470 3254 24436 86856 45408058 0.99810 0.99130 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 745502 745502 1086382 425397 660985 69635 62261 7374 695291 523782 171509 5307504 4257792 1049712 2635082 X 11444624 3026 -14998 -11972 11456596 0 11456596 13063230 3026 3026 13060204 14998 14998 13075202 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 X 0 0 0 0 0 0 0 0 0 MARSHA LEWIS BROWN 129933 0 0 0 13000 0 14293 0 5183 0 162409 0 0 0 ASHOK KOMARLA 205088 0 0 0 0 0 20509 0 5183 0 230780 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 THE 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 12C THE ORGANIZATION'S CONFLICT OF INTEREST POLICY IS DISCUSSED DURING TRAINING FOR ALL BOARD MEMBERS. FORM 990, PART VI, SECTION B, LINE 15 COMPARABILITY 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 19 ALL GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST FOR PUBLIC INSPECTION. NORTHSIDE PROPERTIES INC 12512 BRUCE B DOWNS BLVD TAMPA FL 336129209 592199868 PROVIDING LOW INCOME HOUSING FOR CHRONICALLY ILL PERSONS FL 501(C)(3) 9 NORTHSIDE MENTAL HEALTH CENTER INC 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 NORTHSIDE PROPERTIES INC Q 48456 BOOKS & RECORDS