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RIVERVALLEY BEHAVIORAL HEALTH INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
RIVERVALLEY BEHAVIORAL HEALTH INC (EIN 61-0668290)
Tax period
2012-07-01 to 2013-06-30
Filed
2013-12-19
IRS object ID
201343539349300534
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-12-19T16:40:59-06:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

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 Date2012-07-01TaxPeriodBeginDate

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 Signed2013-12-19DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameSCOTT L CLAY CPAName
PTINP00114132PTIN
Phone2709264540Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

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 Receipts35202097GrossReceipts
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 Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees234TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year12004499ContributionsGrantsPriorYear
Contributions Grants Current Year12157984ContributionsGrantsCurrentYear
Program Service Revenue Prior Year25434344ProgramServiceRevenuePriorYear
Program Service Revenue CY23022853ProgramServiceRevenueCY
Investment Income Prior Year6107InvestmentIncomePriorYear
Investment Income Current Year11660InvestmentIncomeCurrentYear
Other Revenue Prior Year9600OtherRevenuePriorYear
Other Revenue Current Year9600OtherRevenueCurrentYear
Total Revenue Prior Year37454550TotalRevenuePriorYear
Total Revenue Current Year35202097TotalRevenueCurrentYear
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 Year14770879SalariesEtcPriorYear
Salaries Etc Current Year17758542SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year17600779OtherExpensePriorYear
Other Expenses Current Year16414521OtherExpensesCurrentYear
Total Expenses Prior Year32371658TotalExpensesPriorYear
Total Expenses Current Year34173063TotalExpensesCurrentYear
Revenues Less Expenses Prior Year5082892RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1029034RevenuesLessExpensesCY
Total Assets BOY25704636TotalAssetsBOY
Total Assets EOY26773189TotalAssetsEOY
Total Liabilities BOY5042147TotalLiabilitiesBOY
Total Liabilities EOY5048640TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY20662489NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY21724549NetAssetsOrFundBalancesEOY
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
Expense30820496Expense
Revenue23032453Revenue
DescriptionPLANNING, COORDINATION, AND DIRECT DELIVERY OF MENTAL HEALTH, SUBSTANCE ABUSE, AND MENTAL RETARDATION SERVICES, PRIMARILY ON AN OUT-PATIENT BASIS.Description
Total Program Service Expense30820496TotalProgramServiceExpense
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
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109664NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees234NumberOfEmployees
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
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members13NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
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 (15 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
RICK COX
CHAIRMAN0.50X000
REBECCA EDMONDSON
VICE CHAIR0.50X000
NOEL QUINN
SECRETARY/TREASURER0.50X000
MARTHA HARDESTY
DIRECTOR0.50X000
DR WES BOOKER
DIRECTOR0.50X000
JUDGE RENONA BROWNING
DIRECTOR0.50X000
JUDGE TOM CASTLEN
DIRECTOR0.50X000
KENNY RILEY
DIRECTOR0.50X000
GALENA FULKERSON
DIRECTOR0.50X000
SHIRLEY MERCER
DIRECTOR0.50X000
MYRA SPAULDING
DIRECTOR0.50X000
PETRINA WEISS
DIRECTOR0.50X000
KEITH WELLS
DIRECTOR0.50X000
GAYLE DICESARE
CEO40.00025219722872X
MIKE MOUNTAIN
CFO40.00015226412522X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs404461TotalReportableCompFrmRltdOrgs
Total Other Compensation35394TotalOtherCompensation
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/JANITORIAL SERVICES1169680
LIBERTY MUTUAL INSURANCE GROUP
PO BOX 0569CAROL STREAMIL601320569WORKERS COMPENSATION INSURANCE587272
KENTUCKY HOSPITAL INSURANCE CO
PO BOX 436629LOUISVILLEKY402536629COMPANY LIABILITY INSURANCE346378
UNIVERSITY PSYCHIATRIC FOUNDATION INC
PO BOX 3367LOUISVILLEKY40201PSYCHIATRIC SERVICES298409
BCBSHEALTH CARE SERVICE CORP
25550 NETWORK PLACECHICAGOIL606731255OOS EMPLOYEE HEALTH INS241154
FieldValueIRS element (for citing)
Number Of Contractors GT100 K19NumberOfContractorsGT100K
Government Grants12154734GovernmentGrants
All Other Contributions3250AllOtherContributions
Total Contributions12157984TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICES6241002009084620090846
MEDICARE/MEDICAID PAYMENTS62410017943221794322
MANAGEMENT SERVICES62410011106441110644
TENANT RENT6230002704127041
FieldValueIRS element (for citing)
Total Program Service Revenue23022853TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column11660TotalRevenueColumn
Exclusion$11,660ExclusionAmount

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
Related Or Exempt Function Income9600RelatedOrExemptFunctionIncome

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column35202097TotalRevenueColumn
Related Or Exempt Function Income23032453RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$11,660ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total13847539Total
Program Services12462785ProgramServices
Management And General1384754ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1259852Total
Program Services1133867ProgramServices
Management And General125985ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1645083Total
Program Services1480575ProgramServices
Management And General164508ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1006068Total
Program Services905461ProgramServices
Management And General100607ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total2501807Total
Program Services2251626ProgramServices
Management And General250181ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total147738Total
Program Services132964ProgramServices
Management And General14774ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total8560464Total
Program Services7704418ProgramServices
Management And General856046ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total39072Total
Program Services35165ProgramServices
Management And General3907ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total618933Total
Program Services557040ProgramServices
Management And General61893ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total256467Total
Program Services230820ProgramServices
Management And General25647ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1042232Total
Program Services938009ProgramServices
Management And General104223ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total427605Total
Program Services384844ProgramServices
Management And General42761ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total39164Total
Program Services35247ProgramServices
Management And General3917ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total21786Total
Program Services19608ProgramServices
Management And General2178ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total328045Total
Program Services295240ProgramServices
Management And General32805ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total361640Total
Program Services325475ProgramServices
Management And General36165ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
SUPPLIES1082626974364108262
BAD DEBTS4100194100190
MEDICAID TAX ASSESSMENT2373852373850
MISCELLANEOUS13025911723313026

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total209279Total
Program Services188351ProgramServices
Management And General20928ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total34173063Total
Program Services30820496ProgramServices
Management And General3352567ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY9283825BOY
EOY8895820EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY156838BOY
EOY157034EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY67324BOY
EOY67770EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY4014670BOY
EOY4465773EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY506587BOY
EOY354259EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis14428400LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec10967374LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY3691217BOY
EOY3461026EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY166093BOY
EOY266137EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY507BOY
EOY461EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY7817575BOY
EOY9104909EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY25704636BOY
EOY26773189EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY3971896BOY
EOY4167350EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY707253BOY
EOY639852EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY362998BOY
EOY241438EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY5042147BOY
EOY5048640EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY20662489BOY
EOY21724549EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY20662489BOY
EOY21724549EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY25704636BOY
EOY26773189EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses1029034ReconcilationRevenueExpenses
Reconciliation Unrealized Invest33026ReconciliationUnrealizedInvest
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
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 Years13036744CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12660031CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10322972CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12004499CurrentTaxYearMinus1Year
Current Tax Year12157984CurrentTaxYear
Total60182230Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years19861239CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years19998723CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years20587228CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year25434344CurrentTaxYearMinus1Year
Current Tax Year23022853CurrentTaxYear
Total108904387Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years32897983CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years32658754CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years30910200CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year37438843CurrentTaxYearMinus1Year
Current Tax Year35180837CurrentTaxYear
Total169086617Total

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 Total509169086617PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years157126CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years141816CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years62415CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year15707CurrentTaxYearMinus1Year
Current Tax Year21260CurrentTaxYear
Total398324Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years157126CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years141816CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years62415CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year15707CurrentTaxYearMinus1Year
Current Tax Year21260CurrentTaxYear
Total398324Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years33055109CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years32800570CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years30972615CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year37454550CurrentTaxYearMinus1Year
Current Tax Year35202097CurrentTaxYear
Total169484941Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99760PublicSupportPercentage509
Prior Year Support Percentage0.99640PriorYearSupportPercentage
Investment Income Percentage0.00240InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00360PriorYrInvestIncomePercentage
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 Basis9350107OtherCostOrOtherBasis
Depreciation6753185Depreciation
Book Value2596922BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis309173OtherCostOrOtherBasis
Depreciation242798Depreciation
Book Value66375BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis3960986OtherCostOrOtherBasis
Depreciation3546073Depreciation
Book Value414913BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis472221OtherCostOrOtherBasis
Depreciation425318Depreciation
Book Value46903BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings3461026TotalOfBookValueLandBuildings

Other Assets OtherAssets (10 entries)

DescriptionDescriptionBook ValueBookValue
RESERVE FOR REPLACEMENTS186197
DUE FROM GREEN RIVER INDEPENDENT LIVING II, INC.71876
DUE FROM GREEN RIVER INDEPENDENT LIVING III, INC.49465
DUE FROM HENDERSON GROUP HOME, INC.146367
DUE FROM ACUMEN COUNSELING SERVICES, INC.977143
TENANT SECURITY DEPOSITS1940
RESIDUAL RECEIPTS RESERVE3001
TAX AND INSURANCE ESCROW1159
DUE FROM BEHAVIORAL HEALTH SERVICES, INC.7414890
DUE FROM CIGAR FACTORY COMPLEX, INC.252871
FieldValueIRS element (for citing)
Total Book Value Other Assets9104909TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
DUE TO RIVERVALLEY CONSULTING SERVICES, INC.$239,498
TENANT SECURITY DEPOSITS$1,940
FieldValueIRS element (for citing)
Total Of Amounts241438TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt36788441TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments33026NetUnrealizedGainsInvestments
Other Revenues9734551OtherRevenues
Revenue Not Rptd F9909767577RevenueNotRptdF990
Revenue Subtotal27020864RevenueSubtotal
Other Revenues Not Included8181233OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt8181233RevenueNotRptdOnFinStmt
Total Revenue Per Form99035202097TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt37204081TotExpensesEtcAuditedFinclStmt
Other Expenses Included11700537OtherExpensesIncluded
Expenses Not Rptd F99011700537ExpensesNotRptdF990
Expenses Subtotal25503544ExpensesSubtotal
Other Expenses Not Included8669519OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt8669519ExpensesNotRptdOnFinStmt
Total Expenses Per Form99034173063TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (4 entries)

IdentifierIdentifierExplanationExplanation
PART XI, LINE 2D - OTHER ADJUSTMENTS:RELATED ENTITIES' REVENUE PER CONSOLIDATED FINANCIAL STATEMENTS 20,597,935. ELIMINATIONS PER CONSOLIDATED FINANCIAL STATEMENTS -10,401,672. OTHER ADJUSTMENTS 26,574. TAXES NETTED AGAINST REVENUE PER AUDITED STATEMENTS -78,267. BAD DEBT EXPENSE NETTED AGAINST REVENUE PER AUDITED STATEMENTS -410,019.
PART XI, LINE 4B - OTHER ADJUSTMENTS:MICHELLE P. WAIVER REVENUES REPORTED NET OF EXPENSES PER AUDITED STATEMENTS 8,181,233.
PART XII, LINE 2D - OTHER ADJUSTMENTS:RELATED ENTITIES' EXPENSES PER CONSOLIDATED FINANCIAL STATEMENTS 22,075,635. ELIMINATIONS PER CONSOLIDATED FINANCIAL STATEMENTS -10,401,672. OTHER ADJUSTMENTS 26,574.
PART XII, LINE 4B - OTHER ADJUSTMENTS:MICHELLE P. WAIVER REVENUES REPORTED NET OF EXPENSES PER AUDITED STATEMENTS 8,181,233. TAXES NETTED AGAINST REVENUE PER AUDITED STATEMENTS 78,267. BAD DEBT EXPENSE NETTED AGAINST REVENUE PER AUDITED STATEMENTS 410,019.

Schedule H IRS990ScheduleH

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

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense28149523TotalCommunityBenefitExpense
Direct Offsetting Revenue24292287DirectOffsettingRevenue
Net Community Benefit Expense3857236NetCommunityBenefitExpense
Percent Of Total Expense0.11290PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense28149523TotalCommunityBenefitExpense
Direct Offsetting Revenue24292287DirectOffsettingRevenue
Net Community Benefit Expense3857236NetCommunityBenefitExpense
Percent Of Total Expense0.11290PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense655186TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense655186NetCommunityBenefitExpense
Percent Of Total Expense0.01920PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense89022TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense89022NetCommunityBenefitExpense
Percent Of Total Expense0.00260PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense15000TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense15000NetCommunityBenefitExpense
Percent Of Total Expense0.00040PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense759208TotalCommunityBenefitExpense
Net Community Benefit Expense759208NetCommunityBenefitExpense
Percent Of Total Expense0.02220PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense28908731TotalCommunityBenefitExpense
Direct Offsetting Revenue24292287DirectOffsettingRevenue
Net Community Benefit Expense4616444NetCommunityBenefitExpense
Percent Of Total Expense0.13510PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReported
Bad Debt Expense$370,018BadDebtExpenseAmount
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)
Childrens HospitalXChildrensHospital
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
Notified All PatientsXNotifiedAllPatients
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (2 entries)

ExplanationExplanationIdentifierIdentifier
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 20D: 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)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
GAYLE DICESARE
CEO0252197000000022872027506900
MIKE MOUNTAIN
CFO0152264000000012522016478600

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 IX, LINE 11GPROGRAM CONTRACT SERVICES : PROGRAM SERVICE EXPENSES 7,704,418. MANAGEMENT AND GENERAL EXPENSES 856,046. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,560,464.OTHER FEES
FORM 990, PART XII, LINE 2C:THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (7 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
ACUMEN COUNSELING SERVICES INC
1100 WALNUT STREETOWENSBOROKY42301611248638COUNSELING SERVICES TO CHARITABLE ACTIVITIES OF RELATED ORGANIZATIONSKY501(C)(3)11CGREEN RIVER REGIONAL MHMR BOARD1
BEHAVIORAL HEALTHCARE SERVICES INC
1100 WALNUT STREETOWENSBOROKY42301311563579OFFERS RESIDENTIAL SERVICES TO MENTALLY RETARDED INDIVIDUALSKY501(C)(3)9GREEN RIVER REGIONAL MHMR BOARD1
CIGAR FACTORY COMPLEX INCORPORATED
1100 WALNUT STREETOWENSBOROKY42301611303939OWNS AND MANAGES PROPERTY FOR OTHER CHARITABLE ORGANIZATIONSKY501(C)(2)GREEN RIVER REGIONAL MHMR BOARD1
GREEN RIVER INDEPENDENT LIVING - II INC
1100 WALNUT STREETOWENSBOROKY42301611027454PROVIDE HOUSING FOR ELDERLY AND/OR HANDICAPPED PERSONSKY501(C)(3)9GREEN RIVER REGIONAL MHMR BOARD1
GREEN RIVER INDEPENDENT LIVING - III INC
1100 WALNUT STREETOWENSBOROKY42301611153453PROVIDE HOUSING FOR ELDERLY AND/OR HANDICAPPED PERSONSKY501(C)(3)9GREEN RIVER REGIONAL MHMR BOARD1
HENDERSON GROUP HOME INC
1100 WALNUT STREETOWENSBOROKY42301611171902PROVIDE HOUSING & PERSONAL CARE FOR PHYSICALLY AND/OR MENTALLY HANDICAPPEDKY501(C)(3)9GREEN RIVER REGIONAL MHMR BOARD1
RIVERVALLEY CONSULTING SERVICES INC
1100 WALNUT STREETOWENSBOROKY42301611354311TO OFFER CONSULTING SERVICES TO RELATED NON-PROFIT ENTITIESKY501(C)(3)11BGREEN RIVER REGIONAL MHMR BOARD1

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1EFFEXAS INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11100 WALNUT STREETAddressLine1
CityOWENSBOROCity
StateKYState
ZIP Code42301ZIPCode
FieldValueIRS element (for citing)
EIN271506915EIN
Primary ActivitySOFTWARE DEVELOPMENTPrimaryActivity
Legal Domicile StateKYLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1BEHAVIORAL HEALTHCARE SERVICES INCBusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityCTypeOfEntity
Controlled Org1ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other 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
K522000FMV - CASH TRANSACTIONS
ACUMEN COUNSELING SERVICES INC
M6086472FMV - CASH TRANSACTIONS
RIVERVALLEY CONSULTING SERVICES INC
M1685438FMV - CASH TRANSACTIONS