2024-02-08T14:56:46-06:00 2022-12-31 593040705 RIVERO GORDIMER & COMPANY PA P O BOX 172359 TAMPA FL 33672 990 2022-07-01 591641327 NORTHSIDE BEHAVIORAL HEALTH CENTER INC NORT 8139778700 2985 DREW STREET MS 1034 CLEARWATER FL 33759 KRISTY HUST DIRECTOR OF OPERATIONS 8139778700 2024-02-08 1 KRISTY HUST 999009999 0 SAM A LAZZARA P01342929 8138757774 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z KRISTY HUST 2985 DREW STREET MS 1034 CLEARWATER FL 33759 5151815 0 X WWW.NORTHSIDEBHC.ORG X 1975 FL PROVIDING AFFORDABLE AND HIGH QUALITY BEHAVIORAL HEALTH SERVICES. 13 13 218 0 0 0 8602711 3611105 2804272 1525019 0 0 44648 15691 11451631 5151815 0 0 0 0 7267469 4037451 0 0 0 3343570 2123543 10611039 6160994 840592 -1009179 4169376 4053456 1081340 1974599 3088036 2078857 X THE MISSION OF NORTHSIDE BEHAVIORAL HEALTH CENTER IS TO PROVIDE INDIVIDUALS AND FAMILIES THE HIGHEST QUALITY OF COMPREHENSIVE, INNOVATIVE AND AFFORDABLE BEHAVIORAL HEALTH CARE SERVICES, THUS ENABLING A PATH FOR THOSE IN NEED TO A PRODUCTIVE RECOVERY AND AN ENRICHED QUALITY OF LIFE. 0 0 1823191 330212 COMMUNITY SUPPORT SERVICES - CASE MANAGEMENT, RESIDENTIAL PROGRAMS, PSYCHOSOCIAL REHABILITATION, SUPPORTED EMPLOYMENT, PHYSICIAN SERVICES, SUPPORTED LIVING, CO-OCCURRING INTERVENTION, FLORIDA ASSERTIVE COMMUNITY TREATMENT (FACT), PSYCHIATRIC SERVICES AND TRANSPORTATION SERVICES.COMMUNITY SUPPORT SERVICES OF NORTHSIDE BEHAVIORAL HEALTH CENTER PROVIDES A POSITIVE ALTERNATIVE TO LONG-TERM HOSPITALIZATION WITH RESIDENTIAL, SOCIAL, EMPLOYMENT (VOCATIONAL REHABILITATION), AND CASE MANAGEMENT SERVICES.STAFFED BY A MULTIDISCIPLINARY TEAM OF PROFESSIONALS, THE COMMUNITY SUPPORT SERVICES PROGRAM IS DESIGNED TO ENABLE INDIVIDUALS TO FUNCTION AS INDEPENDENTLY AND PRODUCTIVELY AS POSSIBLE. NORTHSIDE COMMUNITY SUPPORT SERVICES ARE AVAILABLE TO ADULTS 18 AND OVER WHO ARE DIAGNOSED WITH LONG-TERM MENTAL ILLNESS AND MEET THE OTHER CRITERIA FOR THESE PROGRAMS. 1120424 655351 OUTPATIENT - COUNSELING SERVICES, CLINICAL CASE MANAGEMENT SERVICES, SPECIALIZED TREATMENT SERVICES FOR CHILDREN, MEDICATION CASE MANAGEMENT, TANF (TEMPORARY ASSISTANCE FOR NEEDY FAMILIES) AND FASP (FAMILY ASSESSMENT SUPPORT PROGRAM).ALL OUTPATIENT SERVICES PROVIDED AT THE MAIN CENTER BEGIN WITH AN INTAKE ASSESSMENT PROVIDED BY A QUALIFIED THERAPIST WHO COMPLETES A BIOPSYCHOSOCIAL EVALUATION AND MAKES NECESSARY RECOMMENDATIONS AND REFERRALS FOR CARE AND TREATMENT OPTIONS. OTHER OUTPATIENT SERVICES ARE AVAILABLE ON A COUNTYWIDE BASIS AND WHEN CLIENTS MEET THE CRITERIA FOR PROGRAM SERVICES. SERVICES ARE AVAILABLE TO THOSE WHO LIVE IN HILLSBOROUGH COUNTY AND THE SUN COAST REGION. 2066712 539456 ACUTE CARE SERVICES - CRISIS STABILIZATION UNIT (CSU) AND FORENSIC PROGRAMS.OUR CRISIS STABILIZATION UNIT (CSU) IS A 20-BED, SECURE, THERAPEUTIC MILIEU THAT PROVIDES SHORT-TERM INPATIENT PSYCHIATRIC SERVICES FOR INDIVIDUALS 18 YEARS AND OLDER. OUR GOAL IS TO PROVIDE SAFE AND INDIVIDUALIZED CARE TO ALL PATIENTS, WHETHER ON AN INVOLUNTARY OR VOLUNTARY STATUS, PER FLORIDA'S BAKER ACT. THE CSU IS A DCF-DESIGNATED RECEIVING FACILITY WHICH SCREENS, ASSESSES, AND ADMITS INDIVIDUALS BROUGHT TO THE UNIT UNDER SECTION 394.463, F.S. OUR GOAL IS TO STABILIZE AND REDIRECT PATIENTS TO THE MOST APPROPRIATE AND LEAST RESTRICTIVE COMMUNITY SETTING AVAILABLE, CONSISTENT WITH THE CLIENT'S INDIVIDUAL NEEDS. OUR PATIENTS PRESENT WITH A DIVERSE RANGE OF DIAGNOSES AND FUNCTIONAL AND CULTURAL BACKGROUNDS. WE TREAT A WIDE RANGE OF DIAGNOSES INCLUDING PSYCHOTIC DISORDERS (SUCH AS SCHIZOPHRENIA, SCHIZOAFFECTIVE DISORDERS, MOOD-INDUCED PSYCHOTIC DISORDERS), MOOD DISORDERS (SUCH AS MAJOR DEPRESSIVE DISORDER, BIPOLAR DISORDER, PTSD, AND OTHER ANXIETY DISORDERS), AND PERSONALITY DISORDERS (SUCH AS BORDERLINE PERSONALITY DISORDER).NORTHSIDE'S FORENSIC PROGRAMS PROVIDE AN ARRAY OF IN-JAIL AND COMMUNITY-BASED SERVICES THAT COLLECTIVELY SEEK TO REINTEGRATE MENTALLY ILL OFFENDERS INTO THEIR HOME COMMUNITIES AND FACILITATE SUCCESSFUL ROLE RECOVERY. OUR IN-JAIL SERVICES INCLUDE MENTAL HEALTH COUNSELING, PSYCHIATRIC CONSULTATION, CASE COORDINATION, AND COMPETENCY RESTORATION PROGRAMMING FOR FELONY-CHARGED MENTALLY ILL INDIVIDUALS WHO HAVE A SPECIFIC LEGAL STATUS RELATED TO TRIAL COMPETENCE OR CRIMINAL RESPONSIBILITY. OUR FORENSIC COMMUNITY-BASED PROGRAMS PROVIDE ASSESSMENT AND CASE MANAGEMENT SERVICES TO A WIDER RANGE OF CRIMINAL JUSTICE-INVOLVED INDIVIDUALS WITH MENTAL ILLNESS, INCLUDING THOSE RETURNING FROM THE FLORIDA DEPARTMENT OF CORRECTIONS, THE STATE HOSPITAL SYSTEM, OR THE COUNTY JAIL. OUR FORENSIC PROGRAMS PROMOTE CONTINUITY OF CARE, AND ASSIST INDIVIDUALS IN ACHIEVING INDEPENDENCE AND SELF-SUFFICIENCY AFTER DISCHARGING FROM JAIL, PRISON, OR THE STATE HOSPITAL. 5010327 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 8 0 1 218 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 13 0 1 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 FL X KRISTY HURST DIRECTOR OF OPERATIONS 8139778700 2985 DREW STREET MS 1034 CLEARWATER FL 33759 SUSAN HOERBELT PHD PRESIDENT 2.00 X X 0 0 0 KELLY WILLIAMS VICE PRESIDENT/SECRETARY 1.00 X X 0 0 0 JENN CAMPS BOARD DIRECTOR 1.00 X 0 0 0 DR DANIEL FALLON BOARD DIRECTOR 1.00 X 0 0 0 TED T FIELLAND BOARD DIRECTOR 1.00 X 0 0 0 PAUL FRYER BOARD DIRECTOR 1.00 X 0 0 0 OPAL HUDSON BOARD DIRECTOR 1.00 X 0 0 0 ALEX KAWLICHE BOARD DIRECTOR 1.00 X 0 0 0 STEPHANIE KRAGER BOARD DIRECTOR 1.00 X 0 0 0 DANIEL MCDONALD BOARD DIRECTOR 1.00 X 0 0 0 LISA MONTELIONE BOARD DIRECTOR 1.00 X 0 0 0 DR MONICA RIDER BOARD DIRECTOR 1.00 X 0 0 0 ELAINE CHURTON BOARD DIRECTOR 1.00 X 0 0 0 KRISTY HUST DIRECTOR OF OPERATIONS (RE 40.00 X 0 130340 10964 ASHOK KOMARLA CHIEF MEDICAL PHYSICIAN 40.00 X 301811 0 8845 LUIS GUTIERREZ STAFF PSYCHIATRIST 40.00 X 223721 0 15856 NEIL THIERRY STAFF PSYCHIATRIST 40.00 X 223182 0 25206 QUAMRUL CHOWDHURY STAFF PSYCHIATRIST/MEDICAL 32.00 X 127148 0 0 875862 130340 60871 4 0 1 0 SUSAN MURRAY 902 ANCHORAGE RD TAMPA FL 33602 PSYCHIATRIST 207680 VILAS PATIL 2900 W BAY TO BAY BLVD UNIT 701A TAMPA FL 33629 PSYCHIATRIST 154575 2 3611105 3611105 PATIENT SERVICE REVENU 621400 1525019 1525019 1525019 MISCELLANEOUS INCOME 561499 10618 10618 MANAGEMENT FEES 561499 5073 5073 15691 5151815 1525019 0 15691 151792 151792 3262634 2783359 479275 10056 8644 1412 385009 330966 54043 227960 195962 31998 50000 35981 14019 11027 11027 64113 46137 17976 476818 351065 125753 272123 261096 11027 259310 226182 33128 56022 48588 7434 18050 18050 111995 51288 60707 127819 122446 5373 OPERATING SUPPLIES 344673 244753 99920 BAD DEBT 174414 174414 PATIENT MEALS 92429 92429 MEDICAL & PHARMACY 54079 52992 1087 10671 6647 4024 6160994 5010327 1150667 0 755027 1112111 125 1391109 833286 304784 276233 61816 66836 56991 172779 7701987 6109776 1599264 1592211 260 0 4169376 4053456 830481 1225514 250859 749085 1081340 1974599 X 2529268 1545109 558768 533748 3088036 2078857 4169376 4053456 -1009179 0 X X 0 1 X 1 0 X 8527525 8819806 9378972 8602711 3611105 38940119 8527525 8819806 9378972 8602711 3611105 38940119 38940119 1 1 2 38940121 11255860 1.00000 0.99990 X PART II, SECTION A, LINE 1, COLUMN (E) THE CURRENT YEAR IS A SHORT YEAR DUE TO A CHANGE IN ACCOUNTING PERIOD FROM JUNE 30 TO DECEMBER 31. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1259951 623272 636679 262069 92380 169689 1329256 1077163 252093 4850711 4316961 533750 1592211 X 5151815 0 5151815 0 5151815 6142944 0 6142944 18050 18050 6160994 PART X, LINE 2: THE CENTER HAS BEEN RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THEREFORE, NO PROVISION FOR INCOME TAXES HAS BEEN PRESENTED IN THESE FINANCIAL STATEMENTS. THE CENTER HAS NOT REPORTED ANY UNRELATED BUSINESS INCOME; HOWEVER, SUCH STATUS IS SUBJECT TO FINAL DETERMINATION UPON EXAMINATION, IF ANY, OF THE RELATED INCOME TAX RETURNS BY THE APPROPRIATE TAXING AUTHORITIES. THE CENTER IS NOT AWARE OF ANY TAX POSITIONS IT HAS TAKEN THAT ARE SUBJECT TO A SIGNIFICANT DEGREE OF UNCERTAINTY. TAX YEARS AFTER 2019 REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES. PART XII, LINE 4B - OTHER ADJUSTMENTS: INTEREST EXPENSE X 0 0 0 0 0 0 0 0 0 ASHOK KOMARLA CHIEF MEDICAL PHYSICIAN 301811 0 0 0 0 0 0 0 8845 0 310656 0 0 0 NEIL THIERRY STAFF PSYCHIATRIST 223182 0 0 0 0 0 0 0 25206 0 248388 0 0 0 LUIS GUTIERREZ STAFF PSYCHIATRIST 223721 0 0 0 0 0 0 0 15856 0 239577 0 0 0 FORM 990, PART VI, SECTION A, LINE 3 EFFECTIVE JANUARY 1, 2016, THE CENTER ENTERED INTO A MANAGEMENT SERVICES AGREEMENT WITH BEHAVIORAL HEALTH MANAGEMENT SERVICES, INC. ("BAYCARE"). UNDER THE AGREEMENT, BAYCARE WILL PROVIDE EXECUTIVE MANAGEMENT OF THE BUSINESS OPERATIONS WHICH WILL INCLUDE OVERSEEING THE FINANCIAL OPERATIONS AND MANAGING THE DAY-TO-DAY OPERATIONS OF THE CENTER. THE AGREEMENT IS EFFECTIVE FOR AN INITIAL TERM OF THREE YEARS WITH CONTINUAL AUTOMATIC ONE YEAR EXTENSIONS AFTER THE INITIAL TERM. EITHER PARTY MAY TERMINATE THIS AGREEMENT AT ANY TIME WITH PROPER NOTICE, AS DEFINED IN THE AGREEMENT. DURING THE YEAR ENDED JUNE 30, 2019, THE CENTER RENEGOTIATED THE TERMS OF THE CONTRACT EFFECTIVE FOR THREE YEARS. DURING THE TERM OF THE AGREEMENT, THE CENTER WILL REIMBURSE BAYCARE FOR THE SALARY AND BENEFITS OF THE MANAGMENT EMPLOYEES AND ALSO PAY BAYCARE AN ANNUAL MANAGEMENT FEE OF $100,000. FOR THE SIX MONTHS ENDED DECEMBER 31, 2022, TOTAL CHARGES UNDER THIS AGREEMENT APPROXIMATED $192,000. APPROXIMATELY $442,000 PAYABLE TO BAYCARE IS INCLUDED IN ACCOUNTS PAYABLE AND ACCRUED EXPENSES AT DECEMBER 31, 2022. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION'S GOVERNING BODY APPROVED THE HIRING OF A PAID PREPARER EXPERIENCED IN THE PREPARATION OF THE IRS FORM 990. MANAGEMENT WORKS CLOSELY WITH THE PAID PREPARER IN COMPILING THE INFORMATION FOR THE FORM 990; AND MANAGEMENT PERFORMS A DETAILED REVIEW OF THE RETURN BEFORE FILING IT WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'S CONFLICT OF INTEREST POLICY IS DISCUSSED DURING TRAINING FOR ALL BOARD MEMBERS. FORM 990, PART VI, SECTION B, LINE 15 COMPARABILITY DATA IS OBTAINED AND USED ON AN AS NEEDED BASIS AS POSITIONS BECOME VACANT OR WHEN SALARY INCREASE IS APPROVED BY THE BOARD. FORM 990, PART VI, SECTION C, LINE 19 ALL GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST FOR PUBLIC INSPECTION. FORM 990, PART XII, LINE 2C: THE PROCESS FOR OVERSIGHT OF THE AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR. NORTHSIDE PROPERTIES INC 12512 BRUCE B DOWNS BLVD TAMPA FL 336129209 592199868 PROVIDING LOW INCOME HOUSING FOR CHRONICALLY ILL PERSONS FL 501(C)(3) 10 NORTHSIDE BEHAVIORAL HEALTH CENTER INC 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0