Department of the Treasury Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
Attach to Form 990 or Form 990-EZ. See separate instructions. Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
SALUSCARE INC
Employer identification number
59-1287693
Part I
Reason for Public Charity Status
(All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).
f
If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supporting organization, check this box
..................................................
g
Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons?
(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the supported organization?
................
11g(i)
(ii)
A family member of a person described in (i) above?
......................
11g(ii)
(iii)
A 35% controlled entity of a person described in (i) or (ii) above?
................
11g(iii)
h
Provide the following information about the supported organization(s).
(i) Name of supported organization
(ii) EIN
(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions))
(iv) Is the organization in col. (i) listed in your governing document?
(v) Did you notify the organization in col. (i) of your support?
(vi) Is the organization in col. (i) organized in the U.S.?
(vii) Amount of monetary support
Yes
No
Yes
No
Yes
No
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the
organization failed to qualify under Part III. If the organization fails to
qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
12,840,077
12,473,206
12,315,584
12,302,304
18,530,734
68,461,905
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
4
Total. Add lines 1 through 3
12,840,077
12,473,206
12,315,584
12,302,304
18,530,734
68,461,905
5
The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included
on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6
Public support. Subtract line 5 from line 4.
68,461,905
Section B. Total Support
Calendar year
(or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
7
Amounts from line 4..
12,840,077
12,473,206
12,315,584
12,302,304
18,530,734
68,461,905
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
6,560
1,792
825
11,485
858
21,520
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
10
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
189,394
1,127,749
372,455
382,560
2,072,158
11
Total support (Add lines 7 through 10).
70,555,583
12
Gross receipts from related activities, etc. (see instructions)
..................
12
30,994,179
13
First five years.
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.................................................
Section C. Computation of Public Support Percentage
14
Public support percentage for 2013 (line 6, column (f) divided by line 11, column (f))
.........
14
97.030 %
15
Public support percentage for 2012 Schedule A, Part II, line 14
...............
15
96.620 %
16a
33 1/3% support test—2013.
If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization
.......................
b
33 1/3% support test—2012.
If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization
.....................
17a
10%-facts-and-circumstances test—2013.
If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization
.....................................................
b
10%-facts-and-circumstances test—2012.
If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization
................................................
18
Private foundation.
If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions
.....................................................
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization
failed to qualify under Part II. If the organization fails to qualify under
the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5
The value of services or facilities furnished by a governmental unit to the organization without charge..
6
Total. Add lines 1 through 5.
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
b
Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c
Add lines 7a and 7b..
8
Public support (Subtract line 7c from line 6.)
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
9
Amounts from line 6...
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
..
13
Total support. (Add lines 9, 10c, 11, and 12.)..
14
First five years.
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.............................................
Section C. Computation of Public Support Percentage
15
Public support percentage for 2013 (line 8, column (f) divided by line 13, column (f))
.........
15
16
Public support percentage from 2012 Schedule A, Part III, line 15
...............
16
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f))
......
17
18
Investment income percentage from 2012 Schedule A, Part III, line 17
.............
18
19a
33 1/3% support tests—2013.
If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
........
b
33 1/3% support tests—2012.
If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
.....
20
Private foundation.
If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions
.....
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 4
Part IV
Supplemental Information.
Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
Explanation
Schedule A (Form 990 or 990-EZ) 2013
Additional Data
Software ID:
Software Version:
-
TIN:
SCHEDULE O (Form 990 or 990-EZ)
Department of the Treasury Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ
Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
SALUSCARE INC
Employer identification number
59-1287693
Return Reference
Explanation
FORM 990, PART I, LINE 1:
SALUSCARE, INC., IS THE LARGEST, MOST COMPREHENSIVE MENTAL HEALTH AND SUBSTANCE ABUSE TREATMENT PROGRAM IN SOUTHWEST FLORIDA, SERVING 17,000 ADULTS AND CHILDREN PER YEAR FROM SEVEN LOCATIONS IN LEE COUNTY AND ONE IN HENDRY COUNTY. THE NON-PROFIT ORGANIZATION'S MISSION -- TO PROVIDE EXCEPTIONAL AND COMPASSIONATE BEHAVIORAL HEALTHCARE -- IS WOVEN THROUGH ITS MYRIAD OF SERVICES FROM CRISIS STABILIZATION, OUTPATIENT AND RESIDENTIAL TREATMENT TO COMMUNITY-BASED PROGRAMS, PREVENTION PROGRAMMING AND AN EMPLOYEE ASSISTANCE PROGRAM THAT SERVES MORE THAN 50 AREA COMPANIES. THE MAJORITY OF SALUSCARE'S PROGRAMS ARE ACCREDITED BY CARF, THE COMMISSION ON ACCREDITATION OF REHABILITATION FACILITIES. SALUSCARE SERVICES ARE NOT FREE. FEES ARE CHARGED ON A SLIDING SCALE, BASED ON FAMILY INCOME. IN MANY CASES, PRIVATE INSURANCE IS ACCEPTED. SALUSCARE IS A PROUD UNITED WAY PARTNER AND PACESETTER AGENCY.
FORM 990, PART III, LINE 2
THE MERGER WITH SWFAS HAS ALLOWED SALUSCARE TO EXPAND SUBSTANCE ABUSE RESIDENTIAL SERVICES FOR ADULTS AND ADOLESCENTS, ADD DETOX SERVICES FOR ADULTS, ADD PREVENTION SERVICES FOR ADULTS AND CHILDREN, AND ADD AN EMPLOYEE ASSISTANCE PROGRAM.
FORM 990, PART III, LINE 4A: ACUTE CARE AND RESIDENTIAL PROGRAMS
SALUSCARE IS AN APPROVED AND DESIGNATED BAKER ACT RECEIVING FACILITY. WE ACCEPT AND ADMIT INDIVIDUALS WHO ARE PLACED UNDER A 72 HOUR INVOLUNTARILY HOLD AFTER THEY HAVE BEEN DEEMED A HARM TO THEMSELVES OR OTHERS DUE TO MENTAL STATUS OR DRUG/ALCOHOL USE/ABUSE. OVER THE PAST YEAR WE HAVE MADE IT POSSIBLE FOR A PATIENT TO TRANSFER TO MEDICAL DETOXIFICATION SERVICES OR OTHER LEVELS OF CARE WITH A MINIMAL AMOUNT OF EFFORT, ENERGY OR PAPERWORK, ONCE THEY ARE EVALUATED AND DETERMINED THAT THEY NO LONGER NEED SUCH AN INTENSE LEVEL OF CARE. SINCE THE MERGER OF LEE MENTAL HEALTH AND SALUSCARE LAST JUNE, TRANSFERRING PATIENTS IS SEAMLESS FOR STAFF, USING THE SAME ELECTRONIC MEDICAL RECORD THAT FOLLOWS THE PATIENT THROUGH ALL (EVEN MULTIPLE) EPISODES OF CARE. THIS ALLOWS STAFF TO PROVIDE APPROPRIATE SERVICES MUCH FASTER WAY AND ALLOWS THEM TO CONCENTRATE ON THE NEEDS OF THE PATIENT, RATHER THAN THE PAPERWORK.
FORM 990, PART III, LINE 4B: OUTPATIENT PROGRAMS
THIS YEAR, SALUSCARE EXPANDED ITS OUTPATIENT ACCESS POINTS TO INCLUDE A LOCATION IN CAPE CORAL, WHICH IS THE LARGEST CITY IN LEE COUNTY. PREVIOUSLY, MANY SEEKING SERVICES WERE FACED WITH TRANSPORTATION CHALLENGES GETTING INTO FORT MYERS. DURING THE FIRST 4 MONTHS OF OPERATIONS MORE THAN 1200 PEOPLE RECEIVED TREATMENT IN THE CAPE ALONE. TWO OTHER ACCESS POINTS CONTINUE TO OPERATE IN FORT MYERS. COMPANY-WIDE, SALUSCARE PROVIDED SERVICES TO ABOUT 17,000 INDIVIDUALS WHO NEEDED HELP WITH MENTAL ILLNESS AND SUBSTANCE USE DISORDERS THIS YEAR, WITH OUTPATIENT SERVICES BEING A KEY OFFERING. AS A RESULT OF THE MERGER, PATIENTS CAN NOW RECEIVE A MULTITUDE OF SERVICES INCLUDING SCREENING, INDIVIDUAL AND GROUP THERAPY AND MEDICAL SERVICES (ALL IN AN OUTPATIENT SETTING) FROM A SINGLE, COMMUNITY-BASED PROVIDER, ALL UNDER THE SAME ROOF. PATIENTS NO LONGER HAVE TO WORRY ABOUT REFERRALS AND TRANSPORTATION TO OTHER PROVIDERS AS ALL RELATED SERVICES FOR BOTH MENTAL HEALTH AND SUBSTANCE ABUSE ARE INTEGRATED. AN EMPLOYEE ASSISTANCE PROGRAM (EAP), PROVIDING FREE AND CONFIDENTIAL COUNSELING TO EMPLOYEES OF MORE THAN 70 LOCAL BUSINESSES, ALSO PROVIDES SERVICES IN AN OUTPATIENT SETTING BOTH AT THE EAP OFFICE AND IN THE FIELD, INCLUDING 3 CAMPUSES OF A LOCAL COLLEGE.
FORM 990, PART III, LINE 4C: COMMUNITY BASED PROGRAMS
SALUSCARE IS ABLE TO OFFER A WIDE SPECTRUM OF COMPLIMENTARY SERVICES AS A RESULT OF THE MERGER, ESPECIALLY IN THE AREA OF COMMUNITY SERVICES. THE COMMUNITY ACTION TEAM (CAT) IS NEW THIS YEAR. INITIALLY A PILOT PROJECT, CAT PROVIDES COMPREHENSIVE, COMMUNITY-BASED SERVICES TO CHILDREN UP TO AGE 21 WITH A MENTAL HEALTH DIAGNOSIS OR CO-OCCURRING SUBSTANCE ABUSE DIAGNOSIS WHO ARE AT RISK FOR AN OUT-OF-HOME PLACEMENT, POOR ACADEMIC OUTCOMES OR OTHER SERIOUS FACTORS. OVER 100 FAMILIES HAVE BEEN SERVED IN THIS PROGRAM SO FAR. THERAPEUTIC BEHAVIORAL ON-SITE SERVICES ARE AVAILABLE (TBOS) IN THE COMMUNITY SERVICES AS ARE CASE MANAGEMENT SERVICES, PARENTING AND EVIDENCE-BASED PREVENTION PROGRAMS. SALUSCARE MAINTAINS A CLOSE RELATIONSHIP WITH THE JUDICIAL SYSTEM AND IS THE TREATMENT PROVIDER FOR 3 DRUG COURTS. THE BOB JANES TRIAGE CENTER, A 55 BED, LOW DEMAND SHELTER, ACCEPTS INDIVIDUALS WHO ARE DELIVERED BY LAW ENFORCEMENT AS AN ALTERNATIVE TO GOING TO JAIL FOR MINOR/NUISANCE OFFENSES. THIS NATIONALLY RECOGNIZED PROGRAM OPERATES ON A SALUSCARE CAMPUS THROUGH A COMMUNITY PARTNERSHIP. THE FORENSICS TEAM SEEKS VIABLE ALTERNATIVES AND ASSISTS IN EXPEDITING RESOLUTION OF LEGAL MATTERS COMPLICATED BY ISSUES RELATED TO MENTAL ILLNESSES FOR OUR PATIENTS. ALSO NEW THIS YEAR: SALUSCARE BEGAN OFFERING MENTAL HEALTH FIRST AID TRAINING TO THE COMMUNITY. OVER 200 INDIVIDUALS HAVE BECOME CERTIFIED IN THIS NATIONALLY RECOGNIZED PROGRAM THROUGH SALUSCARE EDUCATION.
FORM 990, PART VI, SECTION A, LINE 1
THE EXECUTIVE COMMITTEE CONSISTS OF THE BOARD CHAIR, VICE CHAIR, TREASURER, SECRETARY, AND OTHER BOARD MEMBERS AS IT DEEMS APPROPRIATE. THE EXECUTIVE COMMITTEE MEETS BETWEEN BOARD MEETINGS AND CARRIES OUT THE DECISIONS OF THE BOARD AND PERFORMS ALL WORK OF THE BOARD. ACTIONS OF THE EXECUTIVE COMMITTEE ARE RATIFIED AT SUBSEQUENT BOARD MEETINGS.
FORM 990, PART VI, SECTION B, LINE 11
A COPY OF THE RETURN IS REVIEWED BY THE CEO AND CFO AND THEN PROVIDED ELECTRONICALLY TO THE FINANCE COMMITTEE FOR REVIEW AND DISCUSSION AT A FINANCE COMMITTEE MEETING. THE FINANCE COMMITTEE MEETING IS DISCUSSED AT THE NEXT BOARD MEETING AND THE MINUTES FROM THE FINANCE COMMITTEE MEETING REQUIRE BOARD APPROVAL.
FORM 990, PART VI, SECTION B, LINE 12C
PER BOARD POLICY # PS-05, BOARD MEMBERS, COMMITTEE MEMBERS, EMPLOYEES AND VOLUNTEERS HAVE A DUTY TO DISCLOSE ANY ACTUAL OR POSSIBLE CONFLICTS OF INTEREST. A DISCLOSURE FORM IS COMPLETED ANNUALLY BY BOARD MEMBERS AND KEY EMPLOYEES. IN ADDITION, ALL POTENTIAL CONFLICTS OF INTEREST SHOULD BE DISCLOSED WHEN THEY ARISE. AFTER DISCLOSURE OF THE INTEREST AND ALL MATERIAL FACTS, BOARD & COMMITTEE MEMBERS WILL ABSTAIN FROM DISCUSSION, EXCEPT TO PROVIDE FACTUAL INFORMATION AND THEN LEAVE THE MEETING ROOM. THE CONFLICTED PERSON WILL ABSTAIN FROM VOTING ON THE TRANSACTION.
FORM 990, PART VI, SECTION B, LINE 15
HUMAN RESOURCES DEPARTMENT REVIEWS POSITIONS AT SALUSCARE USING COMPARABLE DATA FROM SIMILAR ORGANIZATIONS WITHIN THE COMMUNITY AND IN NEIGHBORING COUNTIES, IN ADDITION TO USING PAYROLL DATA FROM ORGANIZATIONS THAT DISTRIBUTE SUCH DATA. THIS REVIEW IS COMPLETED ANNUALLY FOR ALL POSITIONS AND MORE FREQUENTLY ON SPECIFIC POSITIONS WHEN WARRANTED. THE CEO'S AND OTHER OFFICER'S COMPENSATION WAS REVIEWED IN 2014.
FORM 990, PART VI, SECTION C, LINE 19
THE ORGANIZATION MAKES AVAILABLE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS UPON REQUEST.
FORM 990, PART XI, LINE 9:
UNREALIZED LOSS ON DERIVATIVE FINANCIAL INSTRUMENT -198,180. NET ASSETS TRANSFERRED TO SALUSCARE FROM MERGER WITH SWFAS 8,515,601.
FORM 990, PART XI, LINE 2C:
THE PROCESS OF ASSUMING RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE ORGANIZATION'S FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.