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RIVERVALLEY BEHAVIORAL HEALTH INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
RIVERVALLEY BEHAVIORAL HEALTH INC (EIN 61-0668290)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-01-09
IRS object ID
201340099349300139
Schema version
2011v1.2
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)
Timestamp2013-01-09T15:34:30-06:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN610920132EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1RINEY HANCOCK CPAS PSCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12900 VEACH ROAD SUITE 2AddressLine1
CityOWENSBOROCity
StateKYState
ZIP Code42303ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN610668290EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1GREEN RIVER REGIONAL MENTAL HEALTHBusinessNameLine1
Business Name Line2MENTAL RETARDATION BOARD INCBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlGREENameControl
Phone2706896500Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1CIGAR FACTORY COMPLEX 1100 WALNUTAddressLine1
Address Line2STAddressLine2
CityOWENSBOROCity
StateKYState
ZIP Code42301ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMIKE MOUNTAINName
TitleCFOTitle
Phone2706896500Phone
Date Signed2013-01-09DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameSCOTT L CLAY CPAName
PTINP00114132PTIN
Phone2709264540Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonGAYLE DICESARENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11100 WALNUT STREETAddressLine1
CityOWENSBOROCity
StateKYState
ZIP Code42301ZIPCode
FieldValueIRS element (for citing)
Gross Receipts37454550GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.RVBH.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1966YearFormation
State Legal DomicileKYStateLegalDomicile
Activity Or Mission DescriptionPLANNING, COORDINATION AND DIRECT DELIVERY OF MENTAL HEALTH, SUBSTANCE ABUSE AND MENTAL RETARDATION SERVICES AT VARIOUS LOCATIONS.ActivityOrMissionDescription
Nbr Voting Members Governing Body18NbrVotingMembersGoverningBody
Nbr Independent Voting Members18NbrIndependentVotingMembers
Total Nbr Employees240TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year10322972ContributionsGrantsPriorYear
Contributions Grants Current Year12004499ContributionsGrantsCurrentYear
Program Service Revenue Prior Year20587228ProgramServiceRevenuePriorYear
Program Service Revenue CY25434344ProgramServiceRevenueCY
Investment Income Prior Year53615InvestmentIncomePriorYear
Investment Income Current Year6107InvestmentIncomeCurrentYear
Other Revenue Prior Year8800OtherRevenuePriorYear
Other Revenue Current Year9600OtherRevenueCurrentYear
Total Revenue Prior Year30972615TotalRevenuePriorYear
Total Revenue Current Year37454550TotalRevenueCurrentYear
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 Year8411935SalariesEtcPriorYear
Salaries Etc Current Year14770879SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year18645487OtherExpensePriorYear
Other Expenses Current Year17600779OtherExpensesCurrentYear
Total Expenses Prior Year27057422TotalExpensesPriorYear
Total Expenses Current Year32371658TotalExpensesCurrentYear
Revenues Less Expenses Prior Year3915193RevenuesLessExpensesPriorYear
Revenues Less Expenses CY5082892RevenuesLessExpensesCY
Total Assets BOY21230503TotalAssetsBOY
Total Assets EOY25704636TotalAssetsEOY
Total Liabilities BOY5646948TotalLiabilitiesBOY
Total Liabilities EOY5042147TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY15583555NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY20662489NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE PLANNING, COORDINATION AND DIRECT DELIVERY OF MENTAL HEALTH, SUBSTANCE ABUSE AND MENTAL RETARDATION SERVICES AT VARIOUS LOCATIONS.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense29177569Expense
Revenue25434344Revenue
DescriptionPLANNING, COORDINATION, AND DIRECT DELIVERY OF MENTAL HEALTH, SUBSTANCE ABUSE, AND MENTAL RETARDATION SERVICES, PRIMARILY ON AN OUT-PATIENT BASIS.Description
Total Program Service Expense29177569TotalProgramServiceExpense
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 Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
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
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109657NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees240NumberOfEmployees
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
Form8899 Filed0Form8899Filed
Form1098 C Filed0Form1098CFiled
Excess Business Holdings0ExcessBusinessHoldings
Taxable Distributions0TaxableDistributions
Distribution To Donor0DistributionToDonor
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members18NbrVotingGoverningBodyMembers
Number Independent Voting Members18NumberIndependentVotingMembers
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 Body1Form990ProvidedToGoverningBody
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
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1MIKE MOUNTAINBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2706896500TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1CIGAR FACTORY COMPLEX 1100 WALNUTAddressLine1
CityOWENSBOROCity
StateKYState
ZIP Code42301ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (21 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
RICK COX
CHAIRMAN0.50X000
GALENA FULKERSON
VICE CHAIRMAN0.50X000
NOEL QUINN
SECRETARY/TREASURER0.50X000
PATTI ALLEN
DIRECTOR0.50X000
DR WES BOOKER
DIRECTOR0.50X000
JUDGE RENONA BROWNING
DIRECTOR0.50X000
DONNA BUMPUS
DIRECTOR0.50X000
JUDGE TOM CASTLEN
DIRECTOR0.50X000
KELLY EDMONDSON
DIRECTOR0.50X000
REBECCA EDMONDSON
DIRECTOR0.50X000
KRISTI HIGDON
DIRECTOR0.50X000
BETH MITCHELL
DIRECTOR0.50X000
SHIRLEY MERCER
DIRECTOR0.50X000
MYRA SPAULDING
DIRECTOR0.50X000
STEVE STEINER
DIRECTOR0.50X000
PETRINA WEISS
DIRECTOR0.50X000
KEITH WELLS
DIRECTOR0.50X000
JUDY WOOD
DIRECTOR0.50X000
GAYLE DICESARE
CEO40.00027820532835X
MIKE MOUNTAIN
CFO40.00019403621545X
JAMES STEIN
COO40.0009423210922X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs566473TotalReportableCompFrmRltdOrgs
Total Other Compensation65302TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
ARAMARK SERVICES INC
1112 FLORENCE STEVANSVILLEIN47710FOOD PREP/CLEANING SERVICES1297711
LIBERTY MUTUAL INSURANCE GROUP
PO BOX 0569CAROL STREAMIL601320569WORKERS COMPENSATION INSURANCE638259
DANHAUER DRUGS
330 FREDERICA STOWENSBOROKY42301PHARMACY407624
KENTUCKY HOSPITAL INSURANCE CO
PO BOX 436629LOUISVILLEKY402536629COMPANY LIABILITY INSURANCE369604
UNIVERSITY PSYCHIATRIC FOUNDATION INC
PO BOX 3367LOUISVILLEKY40201PSYCHIATRIC SERVICES291281
FieldValueIRS element (for citing)
Number Of Contractors GT100 K19NumberOfContractorsGT100K
Government Grants12001671GovernmentGrants
All Other Contributions2828AllOtherContributions
Total Contributions12004499TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICES6241001837241018372410
MEDICARE/MEDICAID PAYM62410059224805922480
MANAGEMENT SERVICES62410011131121113112
TENANT RENT6230002634226342
FieldValueIRS element (for citing)
Total Program Service Revenue25434344TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column6107TotalRevenueColumn
Exclusion$6,107ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real9600Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real9600Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column9600TotalRevenueColumn
Exclusion$9,600ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column37454550TotalRevenueColumn
Related Or Exempt Function Income25434344RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$15,707ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total11513317Total
Program Services10361985ProgramServices
Management And General1151332ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1025109Total
Program Services922598ProgramServices
Management And General102511ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1433299Total
Program Services1289969ProgramServices
Management And General143330ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total799154Total
Program Services719238ProgramServices
Management And General79916ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total2069891Total
Program Services1862901ProgramServices
Management And General206990ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total310562Total
Program Services279505ProgramServices
Management And General31057ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total10059453Total
Program Services9053507ProgramServices
Management And General1005946ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total148279Total
Program Services133450ProgramServices
Management And General14829ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total652833Total
Program Services587550ProgramServices
Management And General65283ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total257967Total
Program Services232170ProgramServices
Management And General25797ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1059599Total
Program Services953639ProgramServices
Management And General105960ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total395745Total
Program Services356170ProgramServices
Management And General39575ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total46541Total
Program Services41887ProgramServices
Management And General4654ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total23915Total
Program Services21524ProgramServices
Management And General2391ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total348614Total
Program Services313752ProgramServices
Management And General34862ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total298495Total
Program Services268645ProgramServices
Management And General29850ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
SUPPLIES11544161038974115442
BAD DEBTS300000300000
MISCELLANEOUS13179111861213179
MEDICAID TAX ASSESSMENT130821130821

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total211857Total
Program Services190672ProgramServices
Management And General21185ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total32371658Total
Program Services29177569ProgramServices
Management And General3194089ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY8351999BOY
EOY9283825EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY156408BOY
EOY156838EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY69280BOY
EOY67324EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY3614406BOY
EOY4014670EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY595882BOY
EOY506587EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis14348060LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec10656843LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY4048472BOY
EOY3691217EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY93667BOY
EOY166093EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY554BOY
EOY507EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY4299835BOY
EOY7817575EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY21230503BOY
EOY25704636EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY4432093BOY
EOY3971896EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY774499BOY
EOY707253EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY440356BOY
EOY362998EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY5646948BOY
EOY5042147EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY15583555BOY
EOY20662489EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY15583555BOY
EOY20662489EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY21230503BOY
EOY25704636EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses5082892ReconcilationRevenueExpenses
Reconcilation Other Changes-3958ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years12375952CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years13036744CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12660031CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10322972CurrentTaxYearMinus1Year
Current Tax Year12004499CurrentTaxYear
Total60400198Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years18917653CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years19861239CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years19998723CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year20587228CurrentTaxYearMinus1Year
Current Tax Year25434344CurrentTaxYear
Total104799187Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years31293605CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years32897983CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years32658754CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year30910200CurrentTaxYearMinus1Year
Current Tax Year37438843CurrentTaxYear
Total165199385Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total509165199385PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years218460CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years157126CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years141816CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year62415CurrentTaxYearMinus1Year
Current Tax Year15707CurrentTaxYear
Total595524Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years218460CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years157126CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years141816CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year62415CurrentTaxYearMinus1Year
Current Tax Year15707CurrentTaxYear
Total595524Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years31512065CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years33055109CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years32800570CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year30972615CurrentTaxYearMinus1Year
Current Tax Year37454550CurrentTaxYear
Total165794909Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99640PublicSupportPercentage509
Prior Year Support Percentage0.99470PriorYearSupportPercentage
Investment Income Percentage0.00360InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00530PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

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 Basis335913OtherCostOrOtherBasis
Book Value335913BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis9319080OtherCostOrOtherBasis
Depreciation6556457Depreciation
Book Value2762623BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis309173OtherCostOrOtherBasis
Depreciation230013Depreciation
Book Value79160BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis3844532OtherCostOrOtherBasis
Depreciation3401145Depreciation
Book Value443387BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis539362OtherCostOrOtherBasis
Depreciation469228Depreciation
Book Value70134BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings3691217TotalOfBookValueLandBuildings

Other Assets OtherAssets (10 entries)

DescriptionDescriptionBook ValueBookValue
RESERVE FOR REPLACEMENTS176255
DUE FROM GREEN RIVER INDEPENDENT LIVING II, INC.39784
DUE FROM GREEN RIVER INDEPENDENT LIVING III, INC.51062
DUE FROM HENDERSON GROUP HOME, INC.231795
DUE FROM ACUMEN COUNSELING SERVICES, INC.715188
TENANT SECURITY DEPOSITS2135
RESIDUAL RECEIPTS RESERVE3593
TAX AND INSURANCE ESCROW1074
DUE FROM BEHAVIORAL HEALTH SERVICES, INC.6543043
DUE FROM CIGAR FACTORY COMPLEX, INC.53646
FieldValueIRS element (for citing)
Total Book Value Other Assets7817575TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
DUE TO RIVERVALLEY CONSULTING SERVICES, INC.$360,863
TENANT SECURITY DEPOSITS$2,135
FieldValueIRS element (for citing)
Total Of Amounts362998TotalOfAmounts
Total Revenue37454550TotalRevenue
Total Expenses32371658TotalExpenses
Excess Or Deficit For Year5082892ExcessOrDeficitForYear
Net Unrealized GL On Investments-3958NetUnrealizedGLOnInvestments
Total Adjustments-3958TotalAdjustments
Excess Or Deficit Per FS5078934ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt42752952TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-3958NetUnrealizedGainsInvestments
Other Revenues11122872OtherRevenues
Revenue Not Rptd F99011118914RevenueNotRptdF990
Revenue Subtotal31634038RevenueSubtotal
Other Revenues Not Included5820512OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt5820512RevenueNotRptdOnFinStmt
Total Revenue Per Form99037454550TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt39612068TotExpensesEtcAuditedFinclStmt
Other Expenses Included13060922OtherExpensesIncluded
Expenses Not Rptd F99013060922ExpensesNotRptdF990
Expenses Subtotal26551146ExpensesSubtotal
Other Expenses Not Included5820512OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt5820512ExpensesNotRptdOnFinStmt
Total Expenses Per Form99032371658TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierExplanationExplanation
PART XII, LINE 2D - OTHER ADJUSTMENTS:RELATED ENTITIES' REVENUE PER CONSOLIDATED FINANCIAL STATEMENTS 22,499,611. ELIMINATIONS PER CONSOLIDATED FINANCIAL STATEMENTS -11,403,237. OTHER ADJUSTMENTS 26,498.
PART XII, LINE 4B - OTHER ADJUSTMENTS:MICHELLE P. WAIVER REVENUES REPORTED NET OF EXPENSES ON AUDIT REPORT 5,820,512.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:RELATED ENTITIES' EXPENSES PER CONSOLIDATED FINANCIAL STATEMENTS 24,437,661. ELIMINATIONS PER CONSOLIDATED FINANCIAL STATEMENTS -11,403,237. OTHER ADJUSTMENTS 26,498.
PART XIII, LINE 4B - OTHER ADJUSTMENTS:MICHELLE P. WAIVER REVENUES REPORTED NET OF EXPENSES ON AUDIT REPORT 5,820,512.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy0CharityCarePolicy
Annual Community Benefit Report0AnnualCommunityBenefitReport

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense28534134TotalCommunityBenefitExpense
Direct Offsetting Revenue23105873DirectOffsettingRevenue
Net Community Benefit Expense5428261NetCommunityBenefitExpense
Percent Of Total Expense0.16930PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense28534134TotalCommunityBenefitExpense
Direct Offsetting Revenue23105873DirectOffsettingRevenue
Net Community Benefit Expense5428261NetCommunityBenefitExpense
Percent Of Total Expense0.16930PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense179039TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense179039NetCommunityBenefitExpense
Percent Of Total Expense0.00560PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense72239TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense72239NetCommunityBenefitExpense
Percent Of Total Expense0.00230PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense15000TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense15000NetCommunityBenefitExpense
Percent Of Total Expense0.00050PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense266278TotalCommunityBenefitExpense
Net Community Benefit Expense266278NetCommunityBenefitExpense
Percent Of Total Expense0.00840PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense28800412TotalCommunityBenefitExpense
Direct Offsetting Revenue23105873DirectOffsettingRevenue
Net Community Benefit Expense5694539NetCommunityBenefitExpense
Percent Of Total Expense0.17770PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReported
Bad Debt Expense$300,000BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare0AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare0CostOfCareReimbursedByMedicare
Written Debt Collection Policy0WrittenDebtCollectionPolicy
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1RIVERVALLEY BEHAVIORAL HEALTH HOSPITALBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line11000 INDUSTRIAL DRIVEAddressLine1
CityOWENSBOROCity
StateKYState
ZIP Code42301ZIPCode
FieldValueIRS element (for citing)
OtherCHILDREN'S PSYCHIATRIC HOSPITALOther

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1RIVERVALLEY BEHAVIORAL HEALTH HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA Conducted0CHNAConducted
Eligibility Criteria Explained0EligibilityCriteriaExplained
Uses FPG Free0UsesFPGFree
Uses FPG Discounted0UsesFPGDiscounted
Explains Basis0ExplainsBasis
Explains Application Method0ExplainsApplicationMethod
Includes Publicity Measures0IncludesPublicityMeasures
Actions On Nonpayment1ActionsOnNonpayment
Permit Report To Credit AgencyXPermitReportToCreditAgency
Collection Activities1CollectionActivities
Report To Credit AgencyXReportToCreditAgency
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (3 entries)

ExplanationExplanationIdentifierIdentifier
PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 300000.
PART III, LINE 4: THE AGENCY DOES NOT DESCRIBE BAD DEBT EXPENSE IN THEIR FINANCIAL STATEMENTS. THE COSTING METHODOLOGY USED TO REPORT THE AMOUNTS ON LINES 2 AND 3 WAS THE RATIO DETERMINED FROM WORKSHEET 2. NO BAD DEBT EXPENSES WERE INCLUDED IN THE AMOUNTS LISTED AS COMMUNITY BENEFIT.
PART V, SECTION B, LINE 19D: THE HOSPITAL USED THE MEDICAID RATE FOR INDIVIDUALS WHO DID NOT HAVE INSURANCE COVERING EMERGENCY OR OTHER MEDICALLY NECESSARY CARE.RIVERVALLEY BEHAVIORAL HEALTH HOSPITAL

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)

Base 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
GAYLE DICESARE
0278205000000032835031104000
MIKE MOUNTAIN
0194036000000021545021558100

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11FORM 990 IS REVIEWED BY THE CEO AND CONTROLLER AND THEN BY THE BOARD OF DIRECTORS BEFORE IT IS FILED.
FORM 990, PART VI, SECTION B, LINE 12CTHE CONFLICT OF INTEREST POLICY IS MONITORED BY THE BOARD, CFO, PURCHASING MANAGER, AND HUMAN RESOURCES DEPARTMENT AND INCLUDES REVIEWS OF VENDOR CONTRACTS AND EMPLOYMENT APPLICATIONS.
FORM 990, PART VI, SECTION B, LINE 15THE BOARD REVIEWS AND APPROVES THE CEO'S COMPENSATION. THE HUMAN RESOURCES DEPARTMENT FORWARDS PROPOSED COMPENSATION ARRANGEMENTS FOR OTHER KEY PERSONNEL TO THE CEO FOR REVIEW AND APPROVAL.
FORM 990, PART VI, SECTION C, LINE 18FORM 1023 AND FORM 990 ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST AND FORM 990 IS ALSO AVAILABLE ON PUBLIC WEBSITES SUCH AS GUIDESTAR.ORG.
FORM 990, PART VI, SECTION C, LINE 19UPON REQUEST, THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC.
FORM 990, PART XI, LINE 5:NET UNREALIZED LOSSES ON INVESTMENTS: -3,958.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XI, LINE 2C:THE FINANCE COMMITTEE OF THE BOARD IS RESPONSIBLE FOR OVERSIGHT OF THE AUDIT AND SELECTION OF THE INDEPENDENT ACCOUNTANT.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (7 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusControlled OrgControlledOrg
ACUMEN COUNSELING SERVICES INC
1100 WALNUT STREETOWENSBOROKY42301611248638COUNSELING SERVICES TO CHARITABLE ACTIVITIES OF RELATED ORGANIZATIONSKY501(C)(3)11C0
BEHAVIORAL HEALTHCARE SERVICES INC
1100 WALNUT STREETOWENSBOROKY42301311563579OFFERS RESIDENTIAL SERVICES TO MENTALLY RETARDED INDIVIDUALSKY501(C)(3)90
CIGAR FACTORY COMPLEX INCORPORATED
1100 WALNUT STREETOWENSBOROKY42301611303939OWNS AND MANAGES PROPERTY FOR OTHER CHARITABLE ORGANIZATIONSKY501(C)(2)0
GREEN RIVER INDEPENDENT LIVING - II INC
1100 WALNUT STREETOWENSBOROKY42301611027454PROVIDE HOUSING FOR ELDERLY AND/OR HANDICAPPED PERSONSKY501(C)(3)90
GREEN RIVER INDEPENDENT LIVING - III INC
1100 WALNUT STREETOWENSBOROKY42301611153453PROVIDE HOUSING FOR ELDERLY AND/OR HANDICAPPED PERSONSKY501(C)(3)90
HENDERSON GROUP HOME INC
1100 WALNUT STREETOWENSBOROKY42301611171902PROVIDE HOUSING & PERSONAL CARE FOR PHYSICALLY AND/OR MENTALLY HANDICAPPEDKY501(C)(3)90
RIVERVALLEY CONSULTING SERVICES INC
1100 WALNUT STREETOWENSBOROKY42301611354311TO OFFER CONSULTING SERVICES TO RELATED NON-PROFIT ENTITIESKY501(C)(3)11B0
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
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 Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
CIGAR FACTORY COMPLEX INCORPORATED
J522000FMV - CASH TRANSACTIONS
ACUMEN COUNSELING SERVICES INC
L7517751FMV - CASH TRANSACTIONS
RIVERVALLEY CONSULTING SERVICES INC
L1363790FMV - CASH TRANSACTIONS