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CIRCLES OF CARE INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
CIRCLES OF CARE INC (EIN 59-1101553)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-03-21
IRS object ID
201220819349300607
Schema version
2010v3.7
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)
Timestamp2012-03-21T09:08:03-05:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1DAVIES HOUSER & SECREST CPA PABusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 129AddressLine1
CityCOCOACity
StateFLState
ZIP Code329230129ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN591101553EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CIRCLES OF CARE INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCIRCNameControl
Phone3217225200Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1400 E SHERIDAN ROADAddressLine1
CityMELBOURNECity
StateFLState
ZIP Code329013122ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameCHARLES KIERSTEADName
TitleCONTROLLERTitle
Phone3217225200Phone
Date Signed2012-03-20DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameEDWARD R CHRISTENSEN CPAName
Phone3216360426Phone
Date Prepared2012-03-21DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts37985690GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.CIRCLESOFCARE.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Activity Or Mission DescriptionMENTAL HEALTH SERVICESActivityOrMissionDescription
Nbr Voting Members Governing Body22NbrVotingMembersGoverningBody
Nbr Independent Voting Members22NbrIndependentVotingMembers
Total Nbr Employees641TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year12824380ContributionsGrantsPriorYear
Contributions Grants Current Year12910710ContributionsGrantsCurrentYear
Program Service Revenue Prior Year25679720ProgramServiceRevenuePriorYear
Program Service Revenue CY24140565ProgramServiceRevenueCY
Investment Income Prior Year-36535InvestmentIncomePriorYear
Investment Income Current Year274884InvestmentIncomeCurrentYear
Other Revenue Prior Year666937OtherRevenuePriorYear
Other Revenue Current Year659531OtherRevenueCurrentYear
Total Revenue Prior Year39134502TotalRevenuePriorYear
Total Revenue Current Year37985690TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year20887333SalariesEtcPriorYear
Salaries Etc Current Year21967968SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year16072868OtherExpensePriorYear
Other Expenses Current Year16064238OtherExpensesCurrentYear
Total Expenses Prior Year36960201TotalExpensesPriorYear
Total Expenses Current Year38032206TotalExpensesCurrentYear
Revenues Less Expenses Prior Year2174301RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-46516RevenuesLessExpensesCY
Total Assets BOY32783998TotalAssetsBOY
Total Assets EOY36117319TotalAssetsEOY
Total Liabilities BOY7940489TotalLiabilitiesBOY
Total Liabilities EOY10026636TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY24843509NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY26090683NetAssetsOrFundBalancesEOY
Mission DescriptionMENTAL HEALTH SERVICESMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
DescriptionALCOHOL, DRUG ABUSE, & MENTAL HEALTH - MEDICAL OUTPATIENT ALCOHOL, DRUG ABUSE, & MENTAL HEALTH - DAY/NIGHT, CASEMGT ADAMH - SHELTERED EMPLOYMENTDescription

Activity2 Activity2

FieldValueIRS element (for citing)
DescriptionALCOHOL, DRUG ABUSE, & MENTAL HEALTH - RESIDENTIAL 2 & 3 ALCOHOL, DRUG ABUSE, & MENTAL HEALTH - INPATIENT, DETOX ALCOHOL, DRUG ABUSE, & MENTAL HEALTH - CRISIS SUPPORTDescription

Activity3 Activity3

FieldValueIRS element (for citing)
Expense35983421Expense
DescriptionADAMH-OVERLAY, INTERVENTION / EMPLOYEE ASSISTANCE, SUBSTANCE ABUSE, INPATIENT AND OUTPATIENT TREATMENTDescription
FieldValueIRS element (for citing)
Total Program Service Expense35983421TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096102NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees641NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members22NbrVotingGoverningBodyMembers
Number Independent Voting Members22NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledFLStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonDAVID FELDMANNamePerson
Telephone Number3217225200TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1400 E SHERIDAN ROADAddressLine1
CityMELBOURNECity
StateFLState
ZIP Code329013122ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (36 entries)

Individual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationTitleTitleAverage Hours Per WeekAverageHoursPerWeekOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
CHARLES J ROBERTS
X000
ELLA GREENWADE
X000CHAIRMAN
JERRY W ALLENDER
X000VICE CHARIMA
CHRIS CAMPANARO
X000
NORETTA D'ALBORA
X000
HUGH M EVANS JR
X000
DR BRENDA FETTROW
X000
DEWEY L HARRIS
X000
HEIDAR HESHMATI MD PHD
X000
NANCY HIGGS
X000
NEIL MICHAEL JACKSON
X000
ALICE M JONES PHD
X000
DARCIA JONES-FRANCEY
X000
GEORGE KAMBOURELIS
X000
MARY BETH KENKEL PHD
X000
JOAN E MADDEN
X000
JACK MASSON
X000
DR JOE LEE SMITH
X000
JOSEPH O SOFIA
X000
JOHN K STARK
X000
JOHN J WEAVER
X000
ROBERT SALONEN
X000
DAVID FELDMAN
228630054654EXEC VP/TRES48.00X
JAMES B WHITAKER
221998060030PRESIDENT48.00X
BARRY HENSEL
188243049136VP CLIN. DIR48.00X
SUBRAMANIYAM VASUDEVAN
215479041973MD40.00X
JOSE ALVAREZ
193387041390MD40.00X
LUIS VINUELA
190929029637MD40.00X
JAMES MILLER
187664040619MD40.00X
ETHEL ANDREWS
176262021485MD40.00X
CHRISTINE GRISSOM
175799031994MD40.00X
REHAN FAROOQUI
245029033162MD40.00X
LIBRADA PORCIUNCULA
208193032589MD40.00X
THANESSERI BASKARAN
177345022168MD40.00X
SANDRA GONZALEZ
170074027806MD40.00X
MILAN MUKERJI
166936022919MD40.00X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2745968TotalReportableCompFromOrg
Total Other Compensation509562TotalOtherCompensation
Number Individuals GT100 K28NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
AMERISOURCE CORP
PO BOX 905815CHARLOTTENC282905815DRUGS-PHARMACEU7241513
ME CONSTRUCTION INC
7607 CORAL DRIVEWEST MELBOURNEFL32904ACHITECTURE3085077
HEALTH FIRST HMO INC
PO BOX 91-5256ORLANDOFL328915256HEALTH INS-EMPL2498479
HOLMES REGIONAL MEDICAL CENTER
1350 S HICKORY STMELBOURNEFL32901FOOD SERVICE364210
NETSMART TECHNOLOGIES INC
PO BOX 823519PHILADELPHIAPA191823519COMPUTER SOFTWA362682
FieldValueIRS element (for citing)
Number Of Contractors GT100 K14NumberOfContractorsGT100K
Government Grants11035234GovernmentGrants
All Other Contributions1875476AllOtherContributions
Noncash Contributions1875476NoncashContributions
Total Contributions12910710TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICE REVENUE1357068113570681
PHARMACY INCOME84547438454743
MEDICAID19841251984125
OTHER INCOME131016131016
FieldValueIRS element (for citing)
Total Program Service Revenue24140565TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column274884TotalRevenueColumn
Exclusion$274,884ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real659531Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real659531Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column659531TotalRevenueColumn
Related Or Exempt Function Income659531RelatedOrExemptFunctionIncome

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column37985690TotalRevenueColumn
Related Or Exempt Function Income24800096RelatedOrExemptFunctionIncome
Exclusion$274,884ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total16616162Total
Program Services15334310ProgramServices
Management And General1281852ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1722448Total
Program Services1601863ProgramServices
Management And General120585ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2504450Total
Program Services2398147ProgramServices
Management And General106303ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1124908Total
Program Services1041863ProgramServices
Management And General83045ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total199345Total
Program Services185454ProgramServices
Management And General13891ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total118551Total
Program Services76620ProgramServices
Management And General41931ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total88602Total
Program Services61827ProgramServices
Management And General26775ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total158774Total
Program Services158774ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total578353Total
Program Services510050ProgramServices
Management And General68303ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PHARMACY96829749682974
BAD DEBT AND CONTRACT ADJ771000771000
FOOD76324575003013215
INSURANCE57047053110839362
CONTRACTED PHYSICIANS421593421593

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total2711331Total
Program Services2457808ProgramServices
Management And General253523ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total38032206Total
Program Services35983421ProgramServices
Management And General2048785ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY6368352BOY
EOY4331471EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY5717448BOY
EOY5506927EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY770830BOY
EOY2108735EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1405796BOY
EOY1486864EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1386406BOY
EOY1510386EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY446625BOY
EOY483504EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis19019391LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec8897907LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY8204822BOY
EOY10121484EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY2442719BOY
EOY4526948EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY6041000BOY
EOY6041000EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY32783998BOY
EOY36117319EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY4296205BOY
EOY4463261EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY3644284BOY
EOY5563375EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY7940489BOY
EOY10026636EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY24751176BOY
EOY26012350EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY92333BOY
EOY78333EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY24843509BOY
EOY26090683EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY32783998BOY
EOY36117319EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-46516ReconcilationRevenueExpenses
Reconcilation Other Changes1293690ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10943063CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11147287CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12780127CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12824380CurrentTaxYearMinus1Year
Current Tax Year12910710CurrentTaxYear
Total60605567Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10943063CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11147287CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12780127CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12824380CurrentTaxYearMinus1Year
Current Tax Year12910710CurrentTaxYear
Total60605567Total
FieldValueIRS element (for citing)
Public Support Total17060605567PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years451276CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years574321CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years-68457CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year-36535CurrentTaxYearMinus1Year
Current Tax Year274884CurrentTaxYear
Total1195489Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years514672CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years483126CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years511627CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year666937CurrentTaxYearMinus1Year
Current Tax Year659531CurrentTaxYear
Total2835893Total
FieldValueIRS element (for citing)
Total Support64636949TotalSupport
Gross Receipts From Admissions Etc24800096GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.93760PublicSupportPertcentage170
Public Support Pertcent Prior Year0.93830PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Disclosed Orgs Legal ControlfalseDisclosedOrgsLegalControl
Disclosed For Charitable PurposesfalseDisclosedForCharitablePurposes
Written Policy MonitoringfalseWrittenPolicyMonitoring
Sect170h Requirements SatisfiedfalseSect170hRequirementsSatisfied
Solicited Assets For SalefalseSolicitedAssetsForSale
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FSfalseIncludedOnFS
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1072500OtherCostOrOtherBasis
Book Value1072500BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis17946891OtherCostOrOtherBasis
Depreciation8897907Depreciation
Book Value9048984BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings10121484TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
RENOVATIONS AND REPLACEMENTS6000000
FUTURE GIFTS41000
FieldValueIRS element (for citing)
Total Book Value Other Assets6041000TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
BONDS PAYABLE$5,128,993
OBLIGATIONS UNDER CASH FLOW HEDGES$245,000
CURRENT PORTION OF LT DEBT$189,382
FieldValueIRS element (for citing)
Total Of Amounts5563375TotalOfAmounts
Total Revenue37985690TotalRevenue
Total Expenses38032206TotalExpenses
Excess Or Deficit For Year-46516ExcessOrDeficitForYear
Net Unrealized GL On Investments1353690NetUnrealizedGLOnInvestments
Other-$60,000OtherAmount
Total Adjustments1293690TotalAdjustments
Excess Or Deficit Per FS1247174ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt39353380TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments1353690NetUnrealizedGainsInvestments
Other Revenues14000OtherRevenues
Revenue Not Rptd F9901367690RevenueNotRptdF990
Revenue Subtotal37985690RevenueSubtotal
Total Revenue Per Form99037985690TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt38106206TotExpensesEtcAuditedFinclStmt
Losses Reported60000LossesReported
Other Expenses Included14000OtherExpensesIncluded
Expenses Not Rptd F99074000ExpensesNotRptdF990
Expenses Subtotal38032206ExpensesSubtotal
Total Expenses Per Form99038032206TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
RECONCILIATION OF CHANGES - OTHERSCHEDULE D, PAGE 4, PART XI, LINE 8LOSSES REPORTED ON RETURN 60,000 ASSETS RELEASED FROM RESTRICTION 14,000 CHANGE IN TEMPORARILY RESTRICTED NET ASSETS -14,000
REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHERSCHEDULE D, PAGE 4, PART XII, LINE 2DASSETS RELEASED FROM RESTRICTION 14,000
EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHERSCHEDULE D, PAGE 4, PART XIII, LINE 2DCHANGE IN TEMPORARILY RESTRICTED NET ASSETS 14,000

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CaretrueFPGReferenceFreeCare

Other Percentage OtherPercentage

FieldValueIRS element (for citing)
OtherXOther
Free Other Percentage1.50000FreeOtherPercentage
FieldValueIRS element (for citing)
FPG Reference Discounted CarefalseFPGReferenceDiscountedCare
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgetfalseExpensesExceededBudget
Annual Community Benefit ReportfalseAnnualCommunityBenefitReport

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense7847334TotalCommunityBenefitExpense
Net Community Benefit Expense7847334NetCommunityBenefitExpense
Percent Of Total Expense0.20630PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense2375280TotalCommunityBenefitExpense
Direct Offsetting Revenue1984125DirectOffsettingRevenue
Net Community Benefit Expense391155NetCommunityBenefitExpense
Percent Of Total Expense0.01030PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense17728530TotalCommunityBenefitExpense
Direct Offsetting Revenue6151197DirectOffsettingRevenue
Net Community Benefit Expense11577333NetCommunityBenefitExpense
Percent Of Total Expense0.30440PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense27951144TotalCommunityBenefitExpense
Direct Offsetting Revenue8135322DirectOffsettingRevenue
Net Community Benefit Expense19815822NetCommunityBenefitExpense
Percent Of Total Expense0.52100PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense4331256TotalCommunityBenefitExpense
Direct Offsetting Revenue2453290DirectOffsettingRevenue
Net Community Benefit Expense1877966NetCommunityBenefitExpense
Percent Of Total Expense0.04940PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense4331256TotalCommunityBenefitExpense
Direct Offsetting Revenue2453290DirectOffsettingRevenue
Net Community Benefit Expense1877966NetCommunityBenefitExpense
Percent Of Total Expense0.04940PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense32282400TotalCommunityBenefitExpense
Direct Offsetting Revenue10588612DirectOffsettingRevenue
Net Community Benefit Expense21693788NetCommunityBenefitExpense
Percent Of Total Expense0.57040PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$627,429BadDebtExpenseAmount
Amount Attributable To60000AmountAttributableTo
Amount Reimbursed By Medicare3115734AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare3080605CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall35129MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost Accounting SystemXCostAccountingSystem
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
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 Line1CIRCLES OF CARE INCBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1400 E SHERIDAN ROADAddressLine1
CityMELBOURNECity
StateFLState
ZIP Code329013122ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
OtherMENTAL HEALTH SERVICESOther

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1CIRCLES OF CARE INCBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent150.0FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent150.0FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
State RegulationXStateRegulation
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Attached To InvoicesXAttachedToInvoices
Posted In Admission OfficeXPostedInAdmissionOffice
Provided On AdmissionXProvidedOnAdmission
Available On RequestXAvailableOnRequest
Actions On NonpaymenttrueActionsOnNonpayment
Collection ActivitiesfalseCollectionActivities
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Medicare RateXMedicareRate
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities9NumberOfOtherFacilities

Other Facilities OtherFacilities (9 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
TWIN RIVERS
400 EAST SHERIDAN ROADMELBOURNEFL32901INPATIENT ADULT SUBSTANCE ABUSE
CHILDRENS CRISIS STABILIZATION UNIT
400 EAST SHERIDAN ROADMELBOURNEFL32901CHILDREN'S CRISIS STABILIZATION UNIT
ADULT CRISIS STABILIZATION UNIT
880 AIRPORT ROADMELBOURNEFL32901ADULT CRISIS STABILIZATION UNIT
PSYCHIATRIC OUTPATIENT SERVICES
6700 S WASHINGTON AVETITUSVILLEFL32718PSYCHIATRIC OUTPATIENT SERVICES
PSYCHIATRIC OUTPATIENT SERVICES
1770 CEDAR STREETROCKLEDGEFL32955PSYCHIATRIC OUTPATIENT SERVICES
PSYCHIATRIC OUTPATIENT SERVICES
2020 COMMERCE DRIVEMELBOURNEFL32904PSYCHIATRIC OUTPATIENT SERVICES
CHILDREN'S OUTREACH SERVICES
4450 W EAU GALLIE BLVDMELBOURNEFL32934CHILDREN'S OUTREACH SERVICES
ADULT RESIDENTIAL SERVICES
2000 COMMERCE DRIVEMELBOURNEFL32904ADULT RESIDENTIAL SERVICES
ADULT RESIDENTIAL SERVICES
1770 CEDAR STREETROCKLEDGEFL32955ADULT RESIDENTIAL SERVICES

Form990 Schedule H Part VI Form990ScheduleHPartVI (12 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
OTHER TESTING METHODS FOR FREE OR DISCOUNTED CAREPART I LINE 3CFOR UNINSURED CLIENTS WHOSE ANNUAL HOUSEHOLD INCOME IS ABOVE FEDERAL POVERTY GUIDELINES TO 38999 75 DISCOUNT 39000 TO 72999 60 DISCOUNT 73000 AND ABOVE 40 DISCOUNT
SUBSIDIZED HEALTH SERVICES EXPLANATIONPART I LINE 7GAMOUNTS REPORTED ON PSYCHIATRIC INPATIENT UNIT REVENUE AND EXPENSES BASED ON COST ACCOUNTING SYSTEM
COSTING METHODOLOGY EXPLANATIONPART I LINE 7COSTING INFORMATION CALCULATED USING THE WEIGHTED AVERAGE OF THE INPATIENT COST TO CHARGE RATIO USED FOR THE PROVIDERS 2010 MEDICARE COST REPORT AND THE OUTPATIENT COST TO CHARGE RATIO DEVELOPED USING THE PROVIDERS COST ACCOUNTING SYSTEM
BAD DEBT EXPENSE EXPLANATIONPART III LINE 4COSTING INFORMATION IS CALCULATED USING THE WEIGHTED AVERAGE OF THE INPATIENT COST TO CHARGE RATIO USED FOR THE PROVIDERS 2010 MEDICAID COST REPORT AND THE OUTPATIENT COST TO CHARGE RATIO DEVELOPED USING THE PROVIDERS COST ACCOUNTING SYSTEM THE AMOUNT OF BAD DEBT EXPENSE AT COST ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATIONS CHARITY CARE POLICY IS BASED ON AN ANALYSIS OF PATIENTS WHOSE COVERAGE UNDER THIRD PARTY PAYORS OR OTHER AGENCIES WAS REJECTED DUE TO INCOMPLETE OR ERRONEOUS INFORMATION BEING PROVIDED UPON ADMISSION GROSS PATIENT SERVICE REVENUE IS ADJUSTED FOR CONTRACTUAL AND POLICY ADJUSTMENTS TO DETERMINE NET PATIENT SERVICE REVENUE ACCORDINGLY ALL AMOUNTS WRITTEN OFF AS BAD DEBT EXCLUDE THESE CONTRACTUAL AND POLICY ADJUSTMENTS
MEDICARE EXPLANATIONPART III LINE 8REVENUE RECEIVED UNDER THE MEDICARE REIMBURSEMENT AGREEMENT IS SUBJECT TO AUDIT AND RETROACTIVE ADJUSTMENT BY THE MEDICARE INTERMEDIARY AGENCY THE RETROACTIVE MEDICARE ADJUSTMENTS ARE REPORTED IN NET PATIENT SERVICE REVENUE IN THE YEAR IN WHICH THE FUNDS ARE PAID OUT OR RECEIVED ALL MEDICARE REPORTS FOR THE YEARS ENDED JUNE 30 2010 AND PRIOR HAVE BEEN AUDITED OR SUBJECTED TO A DESK REVIEW AND FINAL SETTLEMENTS HAVE BEEN DETERMINED MANAGEMENT RECORDS ADDITIONAL RECEIVABLES AND PAYABLES RELATING TO MEDICARE BASED ON THE MEDICARE COST REIMBURSEMENT REPORTS DURING THE YEAR ENDED JUNE 30 2010 COC RECEIVED FINAL SETTLEMENT ADJUSTMENTS FOR FISCAL YEARS 2005 2007 AND 2008 IN THE AMOUNTS OF 50251 61895 AND 60549 RESPECTIVELY ALSO THE FISCAL YEAR 2009 AUDIT SUBSEQUENT DESK REVIEW AND SETTLEMENT DETERMINED A LIABILITY DUE TO MEDICARE IN THE AMOUNT OF 9770 WHICH IS TO BE PAID IN FISCAL YEAR 2011 THE TOTAL INPATIENT REVENUE RECEIVED FROM MEDICARE AND ALLOWABLE COSTS OF CARE RELATING TO THOSE PAYMENTS ARE TAKEN DIRECTLY FROM THE 2010 MEDICARE COST REPORT SETTLEMENT SUMMARY NO BAD DEBTS WERE TAKEN INTO CONSIDERATION WHEN CALCULATING THESE AMOUNTS THE TOTAL OUTPATIENT REVENUE RECEIVED FROM MEDICARE ARE TAKEN DIRECTLY FROM THE 2010 MEDICARE COST REPORT COSTS ASSOCIATED WITH THSE REVENUES ARE BASED ON THE COST TO CHARGE RATIO DEVELOPED FOR OUTPATIENT SERVICES USING THE PROVIDERS COST ACCOUNTING SYSTEM NO BAD DEBTS WERE TAKEN INTO CONSIDERATION WHEN CALCULATING THESE AMOUNTS
COLLECTION PRACTICES EXPLANATIONPART III LINE 9BINSURED CLIENTS ARE RESPONSIBLE FOR COPAYS REGARDLESS OF THEIR INCOME BY LAW THE INPATIENT COLLECTION POLICY MANDATES THAT THE PROVIDER MAKE THREE ATTEMPTS LETTERS TELEPHONE TO COLLECT PRIOR TO WRITING A RECEIVABLE OFF AS A BAD DEBT IF THE PATIENT MEETS THE CRITERIA FOR CHARITY CARE AS INDIGENT UNDER THE FEDERAL POVERTY GUIDELINES NO ATTEMPT TO COLLECT IS MADE IF THE PROVIDER IS UNABLE TO CONTACT THE CLIENT VIA MAIL OR PHONE THE RELATED RECEIVABLE IS WRITTEN OFF AS BAD DEBT
NEEDS ASSESSMENTPART VICIRCLES OF CARE INC MAINTAINS COMMUNICATION WITH THE DEPARTMENT OF CHILDREN AND FAMILIES THE STATES MENTAL HEALTH AND SUBSTANCE ABUSE AUTHORITY THE ORGANIZATION ALSO CONDUCTS ITS OWN LOCAL SURVEYS AND COLLABORATES WITH OTHER HEALTH CARE PROVIDERS TO ACCESS THE CURRENT NEEDS OF THE COMMUNITY IN ADDITION THE ORGANIZATION IS A MEMBER OF THE HEALTH SYSTEMS AGENCY OF EAST CENTRAL FLORIDA THAT CONDUCTS REGIONAL AND STATEWIDE NEEDS ASSESSMENTS
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEPART VIAFTER ADMISSION TO THE INPATIENT UNITS CLIENT FINANCIAL REPRESENTATIVES MEET WITH THE CLIENT TO DISCUSS THE CLIENTS INSURANCE COVERAGE DURING THIS DISCUSSION ALONG WITH A FINANCIAL ELIGIBILTY APPLICATION THE FINANCIAL REPRESENTATIVE INFORMS THE CLIENT OF ANY AVAILABLE FINANCIAL ASSISTANCE WHICH INCLUDES FREE OR DISCOUNTED SERVICES UPON DISCHARGE THIS INFORMATION IS ONCE AGAIN REVIEWED WITH THE CLIENT
COMMUNITY INFORMATIONPART VICIRCLES OF CARE INC SERVES BREVARD COUNTY FLORIDA BREVARD COUNTY A COASTAL REGION BORDERED ON THE EAST BY THE ATLANTIC OCEAN BREVARD IS AN EXTRALONG COUNTY EXTENDING 72 MILES FROM NORTH TO SOUTH BUT AVERAGES 265 MILES INLAND FROM THE SEACOAST AT ANY POINT BREVARD COUNTY IS APPROXIMATELY 35 MILES EAST OF ORLANDO AND HALFWAY DOWN FLORIDA THERE IS NO MAJOR URBAN CENTER IN THE COUNTY IN DECEMBER 2010 FORBES MAGAZINE RANKED THE AREA AS THE WORST IN THE COUNTRY FOR FINDING A JOB THE RACIAL MAKEUP OF THE COUNTY ACCORDING TO THE MOST RECENT CENSUS DATA WAS WHITE 8481 BLACK OR AFRICAN AMERICAN 1040 HISPANIC OR LATINO 461 OTHER RACES 018 THERE WERE 198195 HOUSEHOLDS OUT OF WHICH 2650 HAD CHILDREN UNDER THE AGE OF 18 LIVING WITH THEM 5300 WERE MARRIED COUPLES LIVING TOGETHER 1020 HAD A FEMALE HOUSEHOLDER WITH NO HUSBAND PRESENT AND 3320 WERE NONFAMILIES 2690 OF ALL HOUSEHOLDS WERE MADE UP OF INDIVIDUALS AND 1160 HAD SOMEONE LIVING ALONE WHO WAS 65 YEARS OF AGE OR OLDER THE AVERAGE HOUSEHOLD SIZE WAS 235 AND THE AVERAGE FAMILY SIZE WAS 284 THE POPULATION OF 550000 WAS DISTRIBUTED AS FOLLOWS 2200 UNDER THE AGE OF 18 680 FROM 18 TO 24 2710 FROM 25 TO 44 2430 FROM 45 TO 64 AND 1990 WHO WERE 65 YEARS OF AGE OR OLDER THE MEDIAN AGE WAS 41 YEARS FOR EVERY 100 FEMALES THERE WERE 9590 MALES FOR EVERY 100 FEMALES AGE 18 AND OVER THERE WERE 9330 MALES IN 2007 30 OF THE POPULATION WAS OVER 55 IN 2009 TWO PERCENT OF THE PEOPLE IN THE COUNTY ARE OVER 85 950 OF THE POPULATION AND 680 OF FAMILIES ARE BELOW THE POVERTY LINE COMPARED TO 13 STATEWIDE OUT OF THE TOTAL POPULATION 1300 OF THOSE UNDER THE AGE OF 18 AND 650 OF THOSE 65 AND OLDER ARE LIVING BELOW THE POVERTY LINE ACCORDING TO THE 2010 CENSUS THE COUNTY HAD ABOUT 74000 VETERANS PERSONAL INCOME THE COUNTY HAS THE 17TH HIGHEST PER CAPITA INCOME IN THE STATE OUT OF 67 IN 2005 THE MEDIAN INCOME FOR A HOUSEHOLD WAS 43281 IN 2011 ALMOST 70000 PEOPLE IN THE COUNTY WERE RECEIVING FOOD STAMPS IN DECEMBER 2010 FORBES MAGAZINE RANKED THE AREA AS THE WORST IN THE COUNTRY FOR FINDING A JOB IN 2011 THE COUNTY WAS RATED 6TH WORST IN THE COUNTRY FOR FORECLOSURES NEARLY HALF THE HOMES IN THE COUNTY WERE WORTH LESS THAN THEIR MORTGAGES THE AVERAGE HOME HAS DROPPED 534 SINCE THE PEAK OF THE BOOM
HEALTH OF COMMUNITY IN RELATION TO EXEMPT PURPOSEPART VIA VOLUNTARY CITIZEN BOARD OF TWENTYTWO PERSONS WHO LIVE AND WORK IN BREVARD COUNTY GOVERNS CIRCLES OF CARE INC THIS ACTIVE AND INVOLVED BOARD OF DIRECTORS IS CHARGED WITH ESTABLISHING ALL POLICIES GOVERNING THE CORPORATION APPROVING ANNUALLY THE GOALS OBJECTIVES AND A PLAN OF OPERATION FOR THE DELIVERY OF SERVICES APPROVAL OF AN ANNUAL BUDGET OVERSIGHT OF FINANCIAL RECORDS AND AUDITS ASSURING THOSE PERSONS OF THE BREVARD COMMUNITY ARE SERVED WITH QUALITY APPROPRIATE AND EFFICIENT PROGRAMS BOARD MEMBERS ARE SELECTED FOR THEIR INTEREST AND DESIRE IN THE PROVISION OF QUALITY BEHAVIORAL HEALTHCARE SERVICES IN BREVARD COUNTY THE BOARD MEMBERS ARE REFLECTIVE OF THE DIFFERENT GEOGRAPHICAL AREAS OF THE COUNTY AND MANY REPRESENT CONSUMERS AND FAMILY MEMBERS WITH SPECIAL INTEREST IN OUR VARIOUS PROGRAMS
AFFILIATED HEALTH CARE INFORMATIONPART VINA
ADDITIONAL INFORMATIONPART VICHARITY CARE CIRCLES OF CARE IDENTIFIES CHARITY CARE PATIENTS USING THE SAME CRITERIA USED BY THE STATE OF FLORIDA AGENCY FOR HEALTH CARE ADMINISTRATION IT IS THEIR POLICY THAT A PATIENT WHOSE INCOME DOES NOT EXCEED 150 PERCENT OF THE CURRENT FEDERAL POVERTY GUIDELINES WILL BE CLASSIFIED AS A CHARITY CARE PATIENT ADDITIONALLY IF THE PATIENTS TOTAL CHARGES EXCEED 25 PERCENT OF THE PATIENTS ANNUAL INCOME THE PATIENT WILL BE CLASSIFIED AS A CHARITY CARE PATIENT UNLESS THE PATIENTS INCOME EXCEEDS FOUR TIMES THE FEDERAL POVERTY LEVEL FOR A FAMILY OF FOUR BECAUSE CIRCLES OF CARE DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE SUCH AMOUNTS ARE NOT REPORTED AS GROSS PATIENT SERVICE REVENUE

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (14 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
DAVID FELDMAN
183898447321500039654283284
JAMES B WHITAKER
207398146001500045030282028
BARRY HENSEL
15863529608900040136237379
SUBRAMANIYAM VASUDEVAN
1934792200041973257452
JOSE ALVAREZ
1770441634341390234777
LUIS VINUELA
19092929637220566
JAMES MILLER
178664900040619228283
ETHEL ANDREWS
17626221485197747
CHRISTINE GRISSOM
1537992200031994207793
REHAN FAROOQUI
24502933162278191
LIBRADA PORCIUNCULA
1881932000032589240782
THANESSERI BASKARAN
1516232572222168199513
SANDRA GONZALEZ
1480742200027806197880
MILAN MUKERJI
1539361300022919189855

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
RICHARD WATERS
IN LAW OFFICER73332WAGESfalse
DEREK FELDMAN TERMINATED MAY 2010
SON - OFFICER23747WAGESfalse
HELEN FELDMAN
WIFE - OFFICER90217WAGESfalse
VASUMATHY VASUDEVAN
SPOUSE- KEY EMP166846WAGESfalse

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSupplies

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F9901875476NoncashContribsRptdF990
Method Of Determining RevenuesREPLACEMENT COSTSMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BTHE PREPARER EMAILS A COPY OF THE FINAL VERSION OF FORM 990 TO THE CHAIRMAN OF THE AUDIT AND FINANCE COMMITTEE BEFORE IT IS FILED. THE CHAIRMAN THEN DISTRIBUTES THE COPY OF THE FINAL VERSION TO THE BOARD MEMBERS FOR REVIEW. AFTER REVIEWING THE RETURN, THE AUDIT AND FINANCE COMMITTEE APPROVES THE RELEASE OF THE FORM 990 PENDING ANY APPLICABLE CHANGES. THE RETURN IS THEN MODIFIED AS NECESSARY AND FILED.
ENFORCEMENT OF CONFLICTS POLICYFORM 990, PAGE 6, PART VI, LINE 12CTHE ORGANIZATION'S CONFLICT OF INTEREST POLICY REQUIRES EACH DIRECTOR, OFFICER AND MANAGEMENT STAFF TO SIGN A STATEMENT ANNUALLY THAT AFFIRMS THAT EACH PERSON (A) HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY; (B) HAS READ AND UNDERSTANDS THE POLICY; (C) HAS AGREED TO COMPLY WITH THE POLICY AND (D) UNDERSTANDS THAT CIRCLES OF CARE IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION, IT MUST ENGAGE PRIMARILY IN ACTIVITIES THAT ACCOMPLISH ONE OR MORE OF ITS TAX EXEMPT PURPOSES. THE ORGANIZATION'S CONFLICT OF INTEREST POLICY HAS THREE ESSENTIAL ELEMENTS. (1) FULL DISCLOSURE BOARD MEMBERS AND STAFF MEMBERS IN DECISION- MAKING ROLES SHOULD MAKE KNOWN THEIR CONNECTIONS WITH GROUPS DOING BUSINESS WITH THE ORGANIZATION. THIS INFORMATION SHOULD BE PROVIDED ANNUALLY. (2) BOARD MEMBER ABSTENTION FROM DISCUSSION AND VOTING BOARD MEMBERS WHO HAVE AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST SHOULD NOT PARTICIPATE IN DISCUSSIONS OR VOTE ON MATTERS AFFECTING TRANSACTIONS BETWEEN THE ORGANIZATION AND OTHER GROUPS. (3) STAFF MEMBER ABSTENTION FROM DECISION-MAKING STAFF MEMBERS WHO HAVE AN ACTUAL OR POTENTIAL CONFLICT SHOULD NOT BE SUBSTANTIALLY INVOLVED IN DECISION-MAKING AFFECTING SUCH TRANSACTIONS. IF THERE IS REASONABLE CAUSE TO BELIEVE THAT A DIRECTOR, OFFICER OR MANAGEMENT STAFF MEMBER IS INVOLVED IN OR IS AWARE OF ANY TRANSACTION OR SITUATION THAT RESULTS IN A CONFLICT, OR THE APPEARANCE OF A CONFLICT, DIRECTLY OR INDIRECTLY THROUGH BUSINESS, INVESTMENT OR FAMILY, THEN SUCH PERSON SHALL PROMPTLY DISCLOSE THE EXISTENCE AND NATURE OF HIS OR HER CONFLICT. A FULL DISCLOSURE OF ALL THE FACTS PERTAINING TO ANY TRANSACTION THAT IS SUBJECT TO ANY DOUBT CONCERNING THE POSSIBLE EXISTENCE OF A CONFLICT OF INTEREST SHALL BE MADE BEFORE CONSUMMATION OF THE TRANSACTION. IF THERE IS REASONABLE CAUSE TO BELIEVE THAT A DIRECTOR, OFFICER OR MANAGEMENT STAFF MEMBER HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, THE INDIVIDUAL SHALL BE INFORMED OF THE BASIS FOR SUCH BELIEF AND SHALL BE AFFORDED AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. IF AFTER HEARING THE RESPONSE OF THE DIRECTOR, OFFICER OR MANAGEMENT STAFF MEMBER AND MAKING SUCH FURTHER INVESTIGATION AS MAY BE WARRANTED IN THE CIRCUMSTANCES, IT IS DEEMED THE DIRECTOR, OFFICER OR MANAGEMENT STAFF MEMBER HAS IN FACT FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, APPROPRIATE DISCIPLINARY ACTION SHALL BE TAKEN.
COMPENSATION PROCESS FOR TOP OFFICIALFORM 990, PAGE 6, PART VI, LINE 15ATHE EXECUTIVE COMMITTEE OF THE BOARD UTILIZED STATE-WIDE (FLORIDA COUNCIL OF COMMUNITY MENTAL HEALTH) AND NATIONAL (MENTAL HEALTH CORPORATION OF AMERICA) COMPENSATION SURVEYS OF CEOS IN THE MENTAL HEALTH INDUSTRY. USING THE RESULTS OF THE SURVEYS, THE EXECUTIVE COMMITTEE DRAFTED A PROPOSED COMPENSATION PACKAGE FOR THE CEO AND FORWARDED IT TO THE AUDIT AND FINANCE COMMITTEE FOR REVIEW PRIOR TO ITS INCORPORATIION INTO THE BUDGET. PARAMETERS UTILIZED IN SETTING THE COMPENSATION PACKAGE FOR THE CEO INCLUDED SERVICE DELIVERY TO THE COMMUNITY AND COMPLIANCE WITH INDUSTRY STANDARDS/REGULATIONS. COMPENSATION IS NOT BASED ON THE REVENUES OR NET EARNINGS OF THE ORGANIZATION.
COMPENSATION PROCESS FOR OFFICERSFORM 990, PAGE 6, PART VI, LINE 15BUSING AVAILABLE STATEWIDE (FLORIDA COUNCIL OF COMMUNITY MENTAL HEALTH) AND NATIONAL (MENTAL HEALTH CORPORATION OF AMERICA) INDUSTRY DATA, THE CEO FORMULATES COMPENSATION PACKAGES FOR ALL OTHER OFFICERS AND KEY EMPLOYEES. FACTORS CONSIDERED IN FORMULATING COMPENSATION INCLUDE EDUCATION, EXPERIENCE AND COST OF LIVING DIFFERENCES WHERE APPLICABLE. COMPENSATION IS NOT BASED ON THE REVENUE OR NET EARNINGS OF THE ORGANIZATION. ONCE THE COMPENSATION PACKAGES FOR OFFICERS AND KEY EMPLOYEES ARE ASSEMBLED, THE CEO FORWARDS HIS PROPOSALS TO THE AUDIT AND FINANCE COMMITTEE FOR INCORPORATION INTO THE BUDGET. ONCE THE AUDIT AND FINANCE COMMITTEE RECEIVES THE PROPOSED COMPENSATION PACKAGES FOR THE CEO AND OTHER OFFICERS AND KEY EMPLOYEES, THEY ARE REVIEWED AND INCORPORATED INTO THE BUDGET PROCESS. ONCE THE BUDGET IS COMPLETED, IT IS FORWARDED TO THE FULL BOARD FOR APPROVAL.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19THE ORGANIZATION PROVIDES MEMBERS OF THE PUBLIC COPIES OF ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS FREE OF CHARGE UPON RECEIPT OF A WRITTEN REQUEST FOR SUCH INFORMATION. FINANCIAL STATEMENTS ARE ALSO AVAILABLE ON THE ORGANIZATION'S WEBSITE.