SOUTHLAKE COMMUNITY MENTAL HEALTH CENTER INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- SOUTHLAKE COMMUNITY MENTAL HEALTH CENTER INC (EIN 35-1375696)
- Tax period
- 2011-07-01 to 2012-06-30
- Filed
- 2013-04-12
- IRS object ID
- 201311029349300611
- Schema version
- 2011v1.5
- 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) |
|---|---|---|
| Timestamp | 2013-04-12T09:57:38-05:00 | Timestamp |
| Tax Period End Date | 2012-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 351178661 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BLUE & CO LLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE AMERICAN SQUARE 2200 | AddressLine1 |
| City | INDIANAPOLIS | City |
| State | IN | State |
| ZIP Code | 46282 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 351375696 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SOUTHLAKE COMMUNITY MENTAL HEALTH CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | SOUT | NameControl |
| Phone | 2197694005 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8555 TAFT STREET | AddressLine1 |
| City | MERRILLVILLE | City |
| State | IN | State |
| ZIP Code | 46410 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JUDITH K SIKORA | Name |
| Title | CHIEF FINANCIAL OFFICER | Title |
| Phone | 2177694005 | Phone |
| Date Signed | 2013-04-03 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | AMBER KOCHER CPA | Name |
| PTIN | P01286298 | PTIN |
| Phone | 3176334705 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | REGIONAL MENTAL HEALTH CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | JUDITH K SIKORA | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8400 LOUISIANA STREET | AddressLine1 |
| City | MERRILLVILLE | City |
| State | IN | State |
| ZIP Code | 46410 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 35700776 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.REGIONALMENTALHEALTH.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1974 | YearFormation |
| State Legal Domicile | IN | StateLegalDomicile |
| Activity Or Mission Description | REGIONAL WORKS EXCLUSIVELY WITH INDIVIDUALS NEEDING MENTAL HEALTH CARE AND INTERVENTIONS FOR SUBSTANCE ABUSE, BY PROVIDING COMPREHENSIVE AND COMMUNITY BASED MENTAL HEALTH AND SUBSTANCE ABUSE TREATMENT FOR ADULTS, AND ADOLESCENTS. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 11 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 11 | NbrIndependentVotingMembers |
| Total Nbr Employees | 448 | TotalNbrEmployees |
| Total Nbr Volunteers | 12 | TotalNbrVolunteers |
| Total Gross UBI | -1535 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -1535 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 14337604 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 14539720 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 14562352 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 18281571 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 136793 | InvestmentIncomePriorYear |
| Investment Income Current Year | 122749 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1355327 | OtherRevenuePriorYear |
| Other Revenue Current Year | 2084153 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 30392076 | TotalRevenuePriorYear |
| Total Revenue Current Year | 35028193 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 20896811 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 20339574 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 12500795 | OtherExpensePriorYear |
| Other Expenses Current Year | 14268535 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 33397606 | TotalExpensesPriorYear |
| Total Expenses Current Year | 34608109 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -3005530 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 420084 | RevenuesLessExpensesCY |
| Total Assets BOY | 38644103 | TotalAssetsBOY |
| Total Assets EOY | 41655710 | TotalAssetsEOY |
| Total Liabilities BOY | 6648349 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 9062172 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 31995754 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 32593538 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | SEE SCHEDULE O FOR COMPLETE MISSION STATEMENT | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 11095964 | Expense |
| Revenue | 9034445 | Revenue |
| Description | OUTPATIENT CARE-THESE PROGRAMS OFFER A WIDE RANGE OF COUNSELING SERVICES TO INDIVIDUALS, FAMILIES, COUPLES AND GROUPS. THE FOCUS IS ON SELF-EXPLORATION, EXPRESSIONS OF FEELINGS, SHARING AND PERSONAL PROBLEMS, BUILDING BETTER RELATIONSHIPS WITH OTHERS AND STRENGTHENING FAMILY STABILITY.FISCAL YEAR 2012 HOURS OF SERVICE: 90,686. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 6275301 | Expense |
| Revenue | 6038801 | Revenue |
| Description | CASE MANAGEMENT SERVICES/ COMMUNITY SUPPORT-THESE PROGRAMS PROVIDE INTENSIVE, THERAPEUTIC CASE MANAGEMENT. THESE PROGRAMS ARE TARGETED TO THOSE WHO HAVE DIFFICULTY DEVELOPING FRIENDSHIPS, PURSUING EMPLOYMENT, AND PLANNING FOR UPCOMING EVENTS. THE COMMUNITY SUPPORT PROGRAM HELPS TO EASE CLIENTS BACK INTO A SATISFACTORY LIVING ROUTINE.FISCAL YEAR 2012 HOURS OF SERVICE: 74,248 AND 106,175 VISITS. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 4263343 | Expense |
| Revenue | 812274 | Revenue |
| Description | RESIDENTIAL CARE-THESE PROGRAMS PROVIDE RESDENTIAL HOUSING FOR ADULTS. RESIDENTIAL SERVICES ARE UTILIZED AS AN ALTERNATIVE TO HOSPITALIZATION, AND SERVE THOSE INDIVIDUALS WHO REQUIRE HELP IN ACHIEVING SOCIAL AND INDEPENDENT LIVING SKILLS TO SUCCESSFULLY RETURN TO COMMUNITY LIFE. THE PROGRAMS PROVIDE ROOM, BOARD, COUNSELING AND TRAINING IN ACTIVITIES OF DAILY LIVING.FISCAL YEAR 2012 DAYS OF SERVICE: 75,810. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 6442388 | Expense |
| Revenue | 2396051 | Revenue |
| Description | PARTIAL DAY CARE-THESE PROGRAMS PROVIDE A FULL-DAY OR HALF-DAY, TREATMENT, WHICH INCLUDES INDIVIDUAL AND GROUP COUNSELING, OCCUPATIONAL AND SKILLS DEVELOPMENT THERAPY AND SOCIALIZATION. THERAPY IS ARRANGED TO ALLOW THE CLIENT TO LIVE AS NORMAL A LIFESTYLE AS POSSIBLE, INCLUDING THE OPPORTUNITY FOR THE CLIENT TO MAINTAIN HIS/HER EMPLOYMENT OR EDUCATION WHILE IN TREATMENT.FISCAL YEAR 2012 HOURS OF SERVICE: 43,892. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 6442388 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Rev | 2396051 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 28076996 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 1 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 1 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 40 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 448 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 11 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 11 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | IN | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JUDITH K SIKORA - GEMINUS CORPORATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 2197571921 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8400 LOUISIANA STREET | AddressLine1 |
| City | MERRILLVILLE | City |
| State | IN | State |
| ZIP Code | 46410 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (20 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| DONALD LEVINSON | |||||||
| CHAIRMAN | 2.00 | X | 0 | 0 | 0 | ||
| LESLIE RITTENMEYER | |||||||
| VICE CHAIRMAN | 2.00 | X | 0 | 0 | 0 | ||
| SANDRA F BAPPLE | |||||||
| SECRETARY/TREASURER | 2.00 | X | 0 | 0 | 0 | ||
| MARY BETH BONAVENTURA | |||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | ||
| RON BORTO | |||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | ||
| BERNARD CARTER | |||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | ||
| JULIE GLADE | |||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | ||
| EDMUND GUNN | |||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | ||
| LINDA JONAITIS | |||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | ||
| DANIEL KLEIN | |||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | ||
| DONNA STATH | |||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | ||
| ROBERT D KRUMWIED | |||||||
| PRESIDENT/CEO | 40.00 | 201320 | 0 | 31918 | X | ||
| JOHN KERN MD | |||||||
| CHIEF MEDICAL OFFICER | 40.00 | 225432 | 0 | 47339 | X | ||
| SHARON KRAUS | |||||||
| CHIEF CLINCIAL OFFICER | 40.00 | 124017 | 0 | 31810 | X | ||
| JUDITH K SIKORA | |||||||
| CHIEF FINANCIAL OFFICER | 40.00 | 0 | 137936 | 12904 | X | ||
| SCOTT SIEGALL | |||||||
| ASSISTANT MEDICAL DIRECTOR | 40.00 | 218459 | 0 | 30819 | X | ||
| EPIFIANO SANDOVAL | |||||||
| PSYCHIATRIST | 40.00 | 213407 | 0 | 45330 | X | ||
| SHYAMSUNDER CHAKILUM | |||||||
| PSYCHIATRIST | 40.00 | 188445 | 0 | 22509 | X | ||
| SONIA YBALLE | |||||||
| PSYCHIATRIST | 40.00 | 186762 | 0 | 26918 | X | ||
| JOSE RAMIREZ | |||||||
| PSYCHIATRIST | 40.00 | 178690 | 0 | 39674 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1536532 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 137936 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 289221 | TotalOtherCompensation |
| Number Individuals GT100 K | 14 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (2 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| SEYFARTH SHAW LLP | |||||
| 3807 COLLECTIONS CENTER DR | CHICAGO | IL | 60693 | LEGAL SERVICES | 105545 |
| ARNELL INC | |||||
| 2506 GROSS POINT RD | EVANSTON | IL | 60201 | RENT | 101268 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 2 | NumberOfContractorsGT100K |
| Related Organizations | 7312000 | RelatedOrganizations |
| Government Grants | 7223354 | GovernmentGrants |
| All Other Contributions | 4366 | AllOtherContributions |
| Total Contributions | 14539720 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | NET PATIENT REVENUE | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 18281571 | TotalRevenueColumn |
| Related Or Exempt Function Income | 18281571 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 18281571 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 172363 | TotalRevenueColumn |
| Exclusion | $172,363 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 333909 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 47743 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 286166 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 286166 | TotalRevenueColumn |
| Unrelated Business Revenue | -1535 | UnrelatedBusinessRevenue |
| Exclusion | $287,701 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 575226 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 624840 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -49614 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -49614 | TotalRevenueColumn |
| Exclusion | -$49,614 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| EHR INCENTIVE PAYMENTS | 900099 | 298000 | $298,000 |
| CAFETERIA INCOME | 900099 | 46612 | $46,612 |
| VENDING INCOME | 900099 | 14100 | $14,100 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1439275 | TotalRevenueColumn |
| Exclusion | $1,439,275 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 1797987 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 35028193 | TotalRevenueColumn |
| Related Or Exempt Function Income | 18281571 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | -1535 | UnrelatedBusinessRevenue |
| Exclusion | $2,208,437 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 550769 | Total |
| Program Services | 440615 | ProgramServices |
| Management And General | 110154 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15801574 | Total |
| Program Services | 14783565 | ProgramServices |
| Management And General | 1018009 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2781374 | Total |
| Program Services | 2613039 | ProgramServices |
| Management And General | 168335 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1205857 | Total |
| Program Services | 1132876 | ProgramServices |
| Management And General | 72981 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 194334 | Total |
| Program Services | 70808 | ProgramServices |
| Management And General | 123526 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 65781 | Total |
| Program Services | 23968 | ProgramServices |
| Management And General | 41813 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5078759 | Total |
| Program Services | 1850508 | ProgramServices |
| Management And General | 3228251 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 60226 | Total |
| Program Services | 57883 | ProgramServices |
| Management And General | 2343 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2275379 | Total |
| Program Services | 1349420 | ProgramServices |
| Management And General | 925959 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1383955 | Total |
| Program Services | 1144685 | ProgramServices |
| Management And General | 239270 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 363547 | Total |
| Program Services | 347298 | ProgramServices |
| Management And General | 16249 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 80990 | Total |
| Program Services | 77370 | ProgramServices |
| Management And General | 3620 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 167477 | Total |
| Program Services | 103478 | ProgramServices |
| Management And General | 63999 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1071175 | Total |
| Program Services | 822914 | ProgramServices |
| Management And General | 248261 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 594482 | Total |
| Program Services | 367309 | ProgramServices |
| Management And General | 227173 | ManagementAndGeneral |
Other Expenses OtherExpenses (2 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| BAD DEBT | 2164518 | 2164518 |
| HOSPITAL ASSESSMENT FEE | 726742 | 726742 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 41170 | Total |
| Management And General | 41170 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 34608109 | Total |
| Program Services | 28076996 | ProgramServices |
| Management And General | 6531113 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 460830 | BOY |
| EOY | 2480 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9296481 | BOY |
| EOY | 316585 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1316222 | BOY |
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3835426 | BOY |
| EOY | 4341210 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 184279 | BOY |
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 27410 | BOY |
| EOY | 13185 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 449726 | BOY |
| EOY | 434337 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 34185398 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 24027923 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10108289 | BOY |
| EOY | 10157475 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2972490 | BOY |
| EOY | 11611683 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9240247 | BOY |
| EOY | 9694511 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3600 | BOY |
| EOY | 4350 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 749103 | BOY |
| EOY | 5079894 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 38644103 | BOY |
| EOY | 41655710 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3352077 | BOY |
| EOY | 3424859 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1678 | BOY |
| EOY | 0 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1382361 | BOY |
| EOY | 1100419 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1556825 | BOY |
| EOY | 1739761 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 355408 | BOY |
| EOY | 2797133 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6648349 | BOY |
| EOY | 9062172 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 31995754 | BOY |
| EOY | 32593538 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 31995754 | BOY |
| EOY | 32593538 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 38644103 | BOY |
| EOY | 41655710 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 420084 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 177700 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
| General Explanation | SCHEDULE A, PART IV, SUPPLEMENTAL INFORMATION: REGIONAL MENTAL HEALTH CENTER HAS BEEN DETERMINED BY THE IRS TO BE A PUBLIC CHARITY UNDER IRS CODE SECTION 170(B)(1)(A)(III). PER SCHEDULE H INSTRUCTIONS ONLY ORGANIZATIONS THAT OPERATE AT LEAST ONE FACILITY THAT IS, OR IS REQUIRED TO BE, LICENSED, REGISTERED, OR SIMILARLY RECOGNIZED BY A STATE AS A HOSPITAL IS REQUIRED TO COMPLETE THE SCHEDULE. REGIONAL MENTAL HEALTH CENTER IS A MENTAL HEALTH CENTER AND IS NOT LICENSED AS A HOSPITAL FOR THE STATE OF INDIANA. | GeneralExplanation |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 1 | AgentTrusteeEtc |
| Beginning Balance | 189749 | BeginningBalance |
| Additions During Year | 1482359 | AdditionsDuringYear |
| Distributions During Year | 1464892 | DistributionsDuringYear |
| Ending Balance | 207216 | EndingBalance |
| Included On FS | 0 | IncludedOnFS |
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 8123393 | BeginningOfYearBalance |
| Contributions | 1096524 | Contributions |
| Other Expenditures | 186902 | OtherExpenditures |
| End Of Year Balance | 9033015 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 8738948 | BeginningOfYearBalance |
| Contributions | 1389280 | Contributions |
| Investment Earnings Or Losses | 1465064 | InvestmentEarningsOrLosses |
| Other Expenditures | 3469899 | OtherExpenditures |
| End Of Year Balance | 8123393 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 4979692 | BeginningOfYearBalance |
| Contributions | 6173607 | Contributions |
| Investment Earnings Or Losses | 1077183 | InvestmentEarningsOrLosses |
| Other Expenditures | 3491534 | OtherExpenditures |
| End Of Year Balance | 8738948 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 6201995 | BeginningOfYearBalance |
| Contributions | 1056874 | Contributions |
| Investment Earnings Or Losses | -838485 | InvestmentEarningsOrLosses |
| Other Expenditures | 1440692 | OtherExpenditures |
| End Of Year Balance | 4979692 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 1.00000 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.00000 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.00000 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 934191 | OtherCostOrOtherBasis |
| Book Value | 934191 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 21858713 | OtherCostOrOtherBasis |
| Depreciation | 13841382 | Depreciation |
| Book Value | 8017331 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 195543 | OtherCostOrOtherBasis |
| Depreciation | 69760 | Depreciation |
| Book Value | 125783 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 10605265 | OtherCostOrOtherBasis |
| Depreciation | 9583015 | Depreciation |
| Book Value | 1022250 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 591686 | OtherCostOrOtherBasis |
| Depreciation | 533766 | Depreciation |
| Book Value | 57920 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 10157475 | TotalOfBookValueLandBuildings |
Closely Held Equity Interests CloselyHeldEquityInterests
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | 9694511 | BookValue |
| Method Of Valuation | C | MethodOfValuation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 9694511 | TotalOfBookValueSecurities |
Other Assets OtherAssets (3 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| DUE FROM AFFILIATES | 2016667 |
| ASSETS WHOSE USE IS LIMITED | 104369 |
| OTHER RECEIVABLES | 2958858 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 5079894 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| DUE TO AFFILIATES | $2,341,577 |
| ESTIMATED THIRD PARTY LIABILITIES | $455,556 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 2797133 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| PART IV, LINE 1B: | THE ORGANIZATION IS AN AGENT FOR HELD FUNDS FOR PATIENTS - REPRESENTATIVE PAYEE ACCOUNTS. | |
| PART V, LINE 4: | THE BOARD HAS DESIGNATED CERTAIN INVESTMENTS FOR PROPERTY AND EQUIPMENT REPLACEMENT AND EXPANSION. CONTRIBUTIONS LISTED FOR THE YEAR WERE A PORTION OF GENERAL UNRESTRICTED NET ASSETS THAT WERE BOARD DESIGNATED FOR CAPITAL IMPROVEMENT PROJECTS. | DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: |
| PART X: | ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE ORGANIZATIONS AND RECOGNIZE A TAX LIABILITY IF THE ORGANIZATIONS HAVE TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY VARIOUS FEDERAL AND STATE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE ORGANIZATIONS, AND HAS CONCLUDED THAT AS OF JUNE 30, 2012 AND 2011, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE ORGANIZATIONS ARE SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: |
| PART XI, XII, AND XIII ARE NOT REQUIRED AS THE ORGANIZATION IS PART OF A CONSOLIDATED FINANCIAL STATEMENT. THE CONSOLIDATED FINANCIAL STATEMENTS ARE AUDITED BY AN INDEPENDENT ACCOUNTING FIRM AND PREPARED IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Written Employment Contract | X | WrittenEmploymentContract |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ROBERT D KRUMWIED | |||||||||||||
| 201320 | 0 | 0 | 0 | 0 | 0 | 23779 | 0 | 8139 | 0 | 233238 | 0 | 0 | 0 |
| JOHN KERN MD | |||||||||||||
| 225432 | 0 | 0 | 0 | 0 | 0 | 24830 | 0 | 22509 | 0 | 272771 | 0 | 0 | 0 |
| SHARON KRAUS | |||||||||||||
| 124017 | 0 | 0 | 0 | 0 | 0 | 9301 | 0 | 22509 | 0 | 155827 | 0 | 0 | 0 |
| JUDITH K SIKORA | |||||||||||||
| 0 | 137936 | 0 | 0 | 0 | 0 | 0 | 12161 | 0 | 743 | 0 | 150840 | 0 | 0 |
| SCOTT SIEGALL | |||||||||||||
| 218459 | 0 | 0 | 0 | 0 | 0 | 22955 | 0 | 7864 | 0 | 249278 | 0 | 0 | 0 |
| EPIFIANO SANDOVAL | |||||||||||||
| 213407 | 0 | 0 | 0 | 0 | 0 | 22821 | 0 | 22509 | 0 | 258737 | 0 | 0 | 0 |
| SHYAMSUNDER CHAKILUM | |||||||||||||
| 188445 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 22509 | 0 | 210954 | 0 | 0 | 0 |
| SONIA YBALLE | |||||||||||||
| 186762 | 0 | 0 | 0 | 0 | 0 | 18779 | 0 | 8139 | 0 | 213680 | 0 | 0 | 0 |
| JOSE RAMIREZ | |||||||||||||
| 178690 | 0 | 0 | 0 | 0 | 0 | 18204 | 0 | 21470 | 0 | 218364 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| PART I, LINE 1A | THE ORGANIZATION REIMBURSES HEALTH CLUB DUES, UP TO A LIMIT, FOR ALL EMPLOYEES AS A WELLNESS BENEFIT. |
| PART I, LINE 4B | MR. KRUMWIED PARTICIPATED IN A 457B PROGRAM OF WHICH THE TOTAL AMOUNT CONTRIBUTED IN FY 2012 WAS EMPLOYEE DEFERRAL ONLY. NO CONTRIBUTIONS WERE MADE BY REGIONAL MENTAL HEALTH CENTER. |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)
| Issuer EINIssuerEIN | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|
| INDIANA HEALTH FACILITY FINANCING AUTHORITY | ||||||
| 351611409 | 2004-03-31 | 1600000 | FACILITY RENOVATION; REMODELING & EQUIPMENT PURCHASE; REFINANCE 1999 BONDS | 0 | 0 | 0 |
| INDIANA HEALTH FACILITY FINANCING AUTHORITY | ||||||
| 351611409 | 2007-03-08 | 1180000 | BUILDING AND STRUCTURES | 0 | 0 | 0 |
Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)
| Total ProceedsTotalProceeds | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Working Capital ExpendituresWorkingCapitalExpenditures | Capital ExpendituresCapitalExpenditures | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|---|---|---|---|
| 1600000 | 18307 | 684640 | 897053 | 2009 | 1 | 0 | 1 | 1 |
| 1180000 | 1180000 | 2007 | 1 | 0 | 1 | 1 |
Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers | Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI | Total Private Business UseTotalPrivateBusinessUse | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|---|---|---|
| 0 | 1 | 0 | 0 | 0.00000 | 0.03080 | 0.03080 | 1 |
| 0 | 1 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 1 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate |
|---|---|---|---|---|---|
| 0 | 0 | 0 | 0 | 0 | 0 |
| 0 | 0 | 0 | 0 | 0 | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| MISSION STATEMENT | FORM 990, PART III, LINE 1 | THE MISSION OF REGIONAL MENTAL HEALTH CENTER IS AS FOLLOWS: A. TO PROVIDE A COST-EFFECTIVE, CONSUMER-DRIVEN CONTINUUM OF PREVENTATIVE, CONSULATATIVE AND DIRECT-TREATMENT BEHAVIORAL HEALTH SERVICES. B. TO STRATEGICALLY POSITION THE CENTER FOR LONG-TERM FINANCIAL VIABILITY. C. TO PLAN, EVALUATE, AND SEEK CONTINUOUS IMPROVEMENT OF THE CENTER'S SERVICES THROUGH BROAD-BASED PROCESSES. D. TO EDUCATE THE PUBLIC AND ADVOCATE FOR THE NEEDS OF THE MENTALLY ILL, EMOTIONALLY DISTURBED, AND CHEMICALLY DEPENDENT. E. TO PROVIDE RESEARCH AND TRAINING OPPORTUNITIES THAT FALL APPROPRIATELY WITHIN THE FIELD OF MENTAL HEALTH AND CHEMICAL DEPENDENCY. |
| FORM 990, PART VI, SECTION B, LINE 11 | CFO REVIEWS AND COPY OF THE FORM 990 IS PRESENTED/PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW. | |
| FORM 990, PART VI, SECTION B, LINE 12C | BOARD IS EDUCATED ABOUT POLICY AT ANNUAL COMBINED BOARD RETREAT. ALL BOARD MEMBERS ARE REQUIRED TO SIGN A CONFLICT OF INTEREST STATEMENT ANNUALLY. MEMBERS ARE ASKED TO RECUSE THEMSELVES IF THEY ARE IN ANY CONFLICT WITH THE MATTER BEING REVIEWED. | |
| FORM 990, PART VI, SECTION B, LINE 15 | THE PRESIDENT/CEO IS EVALUATED BY THE BOARD OF DIRECTORS EVALUATION COMMITTEES. INFORMATION ABOUT PERFORMANCE, COMPARABLE DATA AND ANY OTHER INFORMATION REQUESTED IS PROVIDED. THE COMMITTEE RECOMMENDATION IS REVIEWED AND ACTED UPON BY THE FULL BOARD AT THE NEXT REGULAR MEETING. OTHER EMPLOYEES HAVE JOB DESCRIPTIONS AND ANNUAL REVIEWS BY THEIR SUPERVISOR, WHICH ARE DOCUMENTED IN EACH EMPLOYEE'S PERSONNEL FILE. | |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION WILL MAKE THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. | |
| CHANGES IN NET ASSETS OR FUND BALANCES: | FORM 990, PART XI, LINE 5: | NET UNREALIZED GAINS ON INVESTMENTS: 325,888. NET ASSET TRANSFER TO AFFILIATES -148,188. TOTAL TO FORM 990, PART XI, LINE 5: 177,700. |
| OVERVIEW OF AUDIT | FORM 990, PART XII, LINE 2C | THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND SELECTION OF THE INDEPENDENT ACCOUNTANT; NO PROCESSES HAVE CHANGED FROM PRIOR YEAR. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (10 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| BELL TOWER | ||||||||||
| 8400 LOUISIANA STREET | MERRILLVILLE | IN | 46410 | 542194413 | LOW INCOME HOUSING FOR THE MENTALLY ILL | IN | 501C3 | LINE 11 | REGIONAL MENTAL HEALTH CENTER | 1 |
| SOUTHLAKE RESIDENTIAL INC | ||||||||||
| 8400 LOUISIANA STREET | MERRILLVILLE | IN | 46410 | 351821789 | LOW INCOME HOUSING FOR THE MENTALLY ILL | IN | 501C3 | LINE 11 | REGIONAL MENTAL HEALTH CENTER | 1 |
| WATERTOWER RESIDENTIAL | ||||||||||
| 8400 LOUISIANA STREET | MERRILLVILLE | IN | 46410 | 710919446 | LOW INCOME HOUSING FOR THE MENTALLY ILL | IN | 501C3 | LINE 11 | REGIONAL MENTAL HEALTH CENTER | 1 |
| WATERTOWER WEST | ||||||||||
| 8400 LOUISIANA STREET | MERRILLVILLE | IN | 46410 | 200475502 | LOW INCOME HOUSING FOR THE MENTALLY ILL | IN | 501C3 | LINE 11 | REGIONAL MENTAL HEALTH CENTER | 1 |
| SOUTHLAKETRI-CITY MANAGEMENT DBA GEMINUS CORPORATION | ||||||||||
| 8400 LOUISIANA STREET | MERRILLVILLE | IN | 46410 | 351859562 | DEVELOPMENT OF COLLABORATIVE RELATIONSHIPS IN SOCIAL SERVICE PROGRAMS | IN | 501C3 | LINE 7 | REGIONAL MENTAL HEALTH CENTER | 1 |
| SOUTHLAKE TRI-CITY RBA CORP | ||||||||||
| 8400 LOUISIANA STREET | MERRILLVILLE | IN | 46410 | 205153554 | LOW INCOME HOUSING FOR THE MENTALLY ILL | IN | 501C3 | LINE 9 | REGIONAL MENTAL HEALTH CENTER | 1 |
| BELL TOWER NORTH | ||||||||||
| 8400 LOUISIANA STREET | MERRILLVILLE | IN | 46410 | 800293130 | LOW INCOME HOUSING FOR THE MENTALLY ILL | IN | 501C3 | LINE 7 | REGIONAL MENTAL HEALTH CENTER | 1 |
| WATERTOWER SOUTH | ||||||||||
| 8400 LOUISIANA STREET | MERRILLVILLE | IN | 46410 | 300449524 | LOW INCOME HOUSING FOR THE MENTALLY ILL | IN | 501C3 | LINE 7 | REGIONAL MENTAL HEALTH CENTER | 1 |
| TRI-CITY HOUSING CORPORATION | ||||||||||
| 8400 LOUISIANA STREET | MERRILLVILLE | IN | 46410 | 351907579 | LOW INCOME HOUSING FOR THE MENTALLY ILL | IN | 501C3 | LINE 11 | REGIONAL MENTAL HEALTH CENTER | 1 |
| TRI-CITY HEALTH CENTER INC | ||||||||||
| 8400 LOUISIANA STREET | MERRILLVILLE | IN | 46410 | 351181194 | FEDERALLY QUALIFIED HEALTH CENTER | IN | 501C3 | LINE 3 | REGIONAL MENTAL HEALTH CENTER | 1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 1 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| SOUTHLAKETRI-CITY MANAGEMENT DBA GEMINUS CORPORATION | ||
| C | 7312000 | FAIRMARKET VALUE |
| SOUTHLAKETRI-CITY MANAGEMENT DBA GEMINUS CORPORATION | ||
| L | 3397000 | FAIRMARKET VALUE |
| SOUTHLAKETRI-CITY MANAGEMENT DBA GEMINUS CORPORATION | ||
| P | 224000 | FAIRMARKET VALUE |