2020-11-09T09:51:57-06:00 2019-12-31 010448006 ALBIN RANDALL & BENNETT PO BOX 445 130 MIDDLE STREET PORTLAND ME 041120445 990 2019-01-01 232766661 COMMUNITY BEHAVIORAL HEALTH COMM 2154133100 801 MARKET STREET 7TH FLOOR PHILADELPHIA PA 191073126 RENEE HENDERSON CHIEF FINANCIAL OFFICER 2154133100 2020-10-30 1 JASON C LEBLANC P01212079 2077721981 2020-10-30 69.49.137.50 2020-10-30 16:35:12 ED P F99D1F5D59115C65BAADA5D23C4C576142B1FDF8 DE401DE4586EAB19C7AF4503235BCB398F644E96 2019 2021-01-29 14:40:06Z FAITH DYSON-WASHINGTON 801 MARKET STREET 7TH FLOOR PHILADELPHIA PA 191073126 994019146 0 X WWW.CBHPHILLY.ORG X 1994 PA COMMUNITY BEHAVIORAL HEALTH IS CONTRACTED BY THE CITY OF PHILADELPHIA TO MANAGE THE DELIVERY OF MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES FOR MEDICAID RECIPIENTS OF PHILADELPHIA COUNTY, AS PART OF THE COMMONWEALTH OF PENNSYLVANIA'S HEALTHCHOICES PROGRAM. 12 0 598 0 0 0 0 0 977076694 992268631 205951 453163 777924 1297352 978060569 994019146 0 0 0 0 47881573 52012014 0 0 0 929401072 940709825 977282645 992721839 777924 1297307 154658196 158576022 153880272 156500791 777924 2075231 COMMUNITY BEHAVIORAL HEALTH IS CONTRACTED BY THE CITY OF PHILADELPHIA TO MANAGE THE DELIVERY OF MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES FOR MEDICAID RECIPIENTS OF PHILADELPHIA COUNTY, AS PART OF THE COMMONWEALTH OF PENNSYLVANIA'S HEALTHCHOICES PROGRAM. 0 0 921381742 993565983 COMMUNITY BEHAVIORAL HEALTH PROVIDED MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES TO 116,236 MEDICAID RECIPIENTS OF PHILADELPHIA COUNTY THROUGH A NETWORK OF 308 HEALTHCARE PROVIDERS. 921381742 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 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 1 638 0 1 598 1 0 0 0 0 0 0 0 0 0 0 X 12 0 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X RENEE HENDERSON CHIEF FINANCIAL OFFICER 2154133100 801 MARKET STREET 7TH FLOOR PHILADELPHIA PA 191073126 CHRIS TJOA DEPUTY CMO CHILD SERVICES 37.50 X 260189 0 50347 GEOFFREY NEIMARK FORMER CHIEF MEDICAL OFFICER 37.50 X 257837 0 39618 ALAN SANDMAN PHYSICIAN ADVISOR 37.50 X 245426 0 41377 DONALD TAVAKOLI MEDICAL DIRECTOR OF ADULT SERVICES 37.50 X 233289 0 43320 NEAL DEMP PHYSICIAN ADVISOR 37.50 X 224881 0 42113 MIA EVERETT MEDICAL DIRECTOR OF CHILDR 37.50 X 224546 0 29786 SUBHASHREE RAMESH PHYSICIAN ADVISOR 37.50 X 207041 0 46278 CYNTHIA FIGUEROA BOARD MEMBER 0.50 37.00 X 0 186884 42861 ANDREW DEVOS CHIEF PROGRAM OFFICER 37.50 X 179344 0 43246 JOAN L ERNEY JD FORMER CHIEF EXECUTIVE OFFICER 37.50 X 191977 0 25261 PETER BEZRUCIK CHIEF ADMINISTRATIVE OFFIC 37.50 X 176719 0 36708 KAMILAH JACKSON FORMER DEPUTY CMO CHILD SERVICES 37.50 X 197140 0 15541 DAVID JONES PRESIDENT 0.50 37.00 X X 0 170541 41908 EVA GLADSTEIN BOARD MEMBER 0.50 37.00 X 0 160504 42603 DONNA BAILEY CHIEF OPERATING & COMPLIAN 37.50 X 178851 0 24076 RENEE HENDERSON CHIEF FINANCIAL OFFICER 37.50 X 177047 0 25345 THOMAS FARLEY BOARD MEMBER 0.50 37.00 X 0 168961 33086 ROBERT BICKFORD DEPUTY CFO 37.50 X 156473 0 32366 TAMRA WILLIAMS DEPUTY CHIEF CLINICAL OFFI 37.50 X 156216 0 23458 SANDRA VASKO BOARD MEMBER 0.50 37.00 X 0 151626 19594 ELIZABETH HERSH BOARD MEMBER 0.50 37.00 X 0 133837 35843 ROLAND LAMB VICE PRESIDENT 0.50 37.00 X X 0 133675 29418 JILL BOWEN SECRETARY TREASURER 0.50 37.00 X X 0 145941 3567 DEBORAH IRBY BOARD MEMBER 0.50 37.00 X 0 0 0 KEIR BRADFORD BOARD MEMBER 0.50 X 0 0 0 NICOLE MITCHELL BOARD MEMBER 0.50 X 0 0 0 WILLIAM R HITE BOARD MEMBER 0.50 37.00 X 0 0 0 3066976 1251969 767720 15 0 1 0 ASKESIS DEVELOPMENT GROUP INC 339 SIXTH AVE SUITE 1100 PITTSBURGH PA 15222 CLINICAL SYSTEM PROCESSING 2587724 XEOHEALTH CORPORATION 241 EAST FOURTH STREET SUITE 202 FREDERICK MD 21701 CLAIMS SYSTEM PROCESSING 1776434 BERRYDUNN 100 MIDDLE STREET PORTLAND ME 04101 CONSULTING SERVICES 905450 OPEN MINDS 15 LINCOLN SQUARE GETTYSBURG PA 17325 CONSULTING SERVICES 619227 CETRA INC 7804 MONTGOMERY AVE STE 10 ELKINS PARK PA 19027 TRANSLATION SERVICES 597818 31 MENTAL HEALTH/SUBSTANCE ABUSE 524114 992268631 992268631 992268631 453163 453163 REVENUE FROM DHS 524114 1297352 1297352 1297352 994019146 993565983 0 453163 X 2247759 2247759 34246888 34246888 1979988 1979988 10631064 10631064 2906315 2906315 242092 242092 225670 225670 4721109 4721109 1706324 1706324 4934861 4934861 3020722 3020722 365110 365110 211162 211162 32764 32764 2411196 2411196 925732 925732 MCO ASSESSMENT 151110760 151110760 INPATIENT PSYCHIATRIC 136186906 136186906 OUTPATIENT PSYCHIATRIC 115555388 115555388 BEHAVIORAL HEALTH REHAB 113883415 113883415 405176614 404645273 531341 992721839 921381742 71340097 0 1000 1000 18114253 6447789 298382 1038569 652419 15864994 21715679 13093774 9927545 8621905 125664597 126601765 154658196 158576022 139815990 140278986 14064282 16221805 153880272 156500791 X 777924 2075231 154658196 158576022 1297307 0 X X 0 1 X 1 0 X 811342511 919474130 935075105 977854618 993565983 4637312347 811342511 919474130 935075105 977854618 993565983 4637312347 4637312347 185620 97763 76478 205951 453163 1018975 4638331322 0.99980 0.99990 X 6284832 2700540 3584292 4340812 3440801 900011 11090035 6952433 4137602 8621905 DUE FROM CITY OF PHILADELPHIA 126180430 DEFERRED OUTFLOWS - OTHER POST EMPLOYMENT BENEFITS 421335 126601765 RECIPIENT COVERAGE LIABILITY 9500000 DEFERRED RENT 4833290 OTHER LIABILITIES 232787 DEFERRED INFLOWS - OTHER POST EMPLOYMENT BENEFITS 1655728 16221805 X PART X, LINE 2: COMMUNITY BEHAVIORAL HEALTH (CBH) QUALIFIES AS A TAX-EXEMPT ORGANIZATION UNDER EXISTING PROVISIONS OF SECTION 501(C)(3) OF THE IRC. ACCORDINGLY, THERE IS NO PROVISION FOR INCOME TAXES REFLECTED IN THE ACCOMPANYING FINANCIAL STATEMENTS. CBH HAS NO UNCERTAIN TAX POSITIONS AND THERE ARE NO ACCRUALS FOR INTEREST OR PENALTIES IN THE ACCOMPANYING FINANCIAL STATEMENTS. MANAGEMENT BELIEVES THAT CBH IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS ENDED ON OR PRIOR TO DECEMBER 31, 2016. X X 0 0 0 0 0 0 0 0 0 CHRIS TJOA DEPUTY CMO CHILD SERVICES 260189 0 0 0 0 0 19281 0 31066 0 310536 0 0 0 GEOFFREY NEIMARK FORMER CHIEF MEDICAL OFFICER 196964 0 0 0 60873 0 15757 0 23861 0 297455 0 0 0 ALAN SANDMAN PHYSICIAN ADVISOR 233460 0 0 0 11966 0 16667 0 24710 0 286803 0 0 0 DONALD TAVAKOLI MEDICAL DIRECTOR OF ADULT SERVICES 233289 0 0 0 0 0 12255 0 31065 0 276609 0 0 0 NEAL DEMP PHYSICIAN ADVISOR 217542 0 0 0 7339 0 17403 0 24710 0 266994 0 0 0 MIA EVERETT MEDICAL DIRECTOR OF CHILDR 223300 0 0 0 1246 0 17864 0 11922 0 254332 0 0 0 SUBHASHREE RAMESH PHYSICIAN ADVISOR 206395 0 0 0 646 0 15200 0 31078 0 253319 0 0 0 CYNTHIA FIGUEROA BOARD MEMBER 0 186256 0 0 0 628 0 12316 0 30545 0 229745 0 0 ANDREW DEVOS CHIEF PROGRAM OFFICER 167700 0 0 0 11644 0 12180 0 31066 0 222590 0 0 0 JOAN L ERNEY JD FORMER CHIEF EXECUTIVE OFFICER 183371 0 0 0 8606 0 13339 0 11922 0 217238 0 0 0 PETER BEZRUCIK CHIEF ADMINISTRATIVE OFFIC 167706 0 0 0 9013 0 11998 0 24710 0 213427 0 0 0 KAMILAH JACKSON FORMER DEPUTY CMO CHILD SERVICES 118085 0 0 0 79055 0 8732 0 6809 0 212681 0 0 0 DAVID JONES PRESIDENT 0 169106 0 0 0 1435 0 11241 0 30667 0 212449 0 0 EVA GLADSTEIN BOARD MEMBER 0 160504 0 0 0 0 0 10759 0 31844 0 203107 0 0 DONNA BAILEY CHIEF OPERATING & COMPLIAN 167873 0 0 0 10978 0 12180 0 11896 0 202927 0 0 0 RENEE HENDERSON CHIEF FINANCIAL OFFICER 167500 0 0 0 9547 0 12180 0 13165 0 202392 0 0 0 THOMAS FARLEY BOARD MEMBER 0 167860 0 0 0 1101 0 4160 0 28926 0 202047 0 0 ROBERT BICKFORD DEPUTY CFO 156473 0 0 0 0 0 7922 0 24444 0 188839 0 0 0 TAMRA WILLIAMS DEPUTY CHIEF CLINICAL OFFI 156216 0 0 0 0 0 11536 0 11922 0 179674 0 0 0 SANDRA VASKO BOARD MEMBER 0 149456 0 0 0 2170 0 9710 0 9884 0 171220 0 0 ELIZABETH HERSH BOARD MEMBER 0 132948 0 0 0 889 0 2413 0 33430 0 169680 0 0 ROLAND LAMB VICE PRESIDENT 0 132447 0 0 0 1228 0 8857 0 20561 0 163093 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION'S CHIEF FINANCIAL OFFICER WORKS WITH A CERTIFIED PUBLIC ACCOUNTING FIRM TO PREPARE FORM 990. ONCE FORM 990 HAS BEEN PREPARED, THE CHIEF FINANCIAL OFFICER ISSUES COPIES OF FORM 990 TO EACH BOARD MEMBER FOR REVIEW. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS A CONFLICT OF INTEREST DECLARATION FORM THAT MUST BE COMPLETED BY ALL EMPLOYEES ANNUALLY. EMPLOYEES MUST DISCLOSE ALL EMPLOYMENT EXTERNAL TO THE ORGANIZATION, ANY UNCOMPENSATED LEADERSHIP POSITION IN ANY EXTERNAL ORGANIZATION AND CLINICAL PRACTICUMS OR INTERNSHIPS HELD OUTSIDE OF THE ORGANIZATION. ALL EMPLOYEE CONFLICT OF INTEREST FORMS ARE REVIEWED AND APPROVED BY THE CHIEF OPERATING OFFICER. ALL BOARD MEMBERS ARE ALSO REQUIRED TO COMPLETE A CONFLICT OF INTEREST DECLARATION FORM DISCLOSING EMPLOYMENT AND MEMBERSHIPS ON OTHER BOARDS. THIS IS DONE ANNUALLY. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION OF THE ORGANIZATION'S CEO IS DETERMINED BY THE COMMUNITY BEHAVIORAL HEALTH'S BOARD. THE ORGANIZATION'S CEO REVIEWS THE COMPENSATION OF OTHER CBH OFFICERS AND MAKES RECOMMENDATIONS TO THE BOARD FOR APPROVAL. INDEPENDENT COMPENSATION STUDIES ARE REVIEWED BY THE CEO AND THE BOARD ALONG WITH COMPARISONS TO FORM 990 OF OTHER ORGANIZATIONS AS COMPONENTS IN THE DETERMINATION OF COMPENSATION FOR THE CEO AND COMMUNITY BEHAVIORAL HEALTH OFFICERS. DISCUSSIONS AND DECISIONS REGARDING THIS COMPENSATION ARE DOCUMENTED IN THE CBH BOARD MINUTES. FORM 990, PART VI, SECTION C, LINE 19 ALL GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE FOR PUBLIC INSPECTION UPON WRITTEN REQUEST TO THE SECRETARY/TREASURER OF THE ORGANIZATION. INFORMATION ON HOW TO REQUEST THESE DOCUMENTS IS AVAILABLE ON THE ORGANIZATION'S WEBSITE. FORM 990, PART IX, LINE 24E NON - HOSPITAL D&A: PROGRAM SERVICE EXPENSES 98,744,376. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 98,744,376. COMMUNITY SUPPORT: PROGRAM SERVICE EXPENSES 63,824,368. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 63,824,368. OUTPATIENT DRUG AND ALCOHOL: PROGRAM SERVICE EXPENSES 42,273,019. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 42,273,019. ASSERTIVE COMMUNITY TREATMENT: PROGRAM SERVICE EXPENSES 37,212,380. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 37,212,380. RESIDENTIAL TREATMENT FACILITIES: PROGRAM SERVICE EXPENSES 34,319,889. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 34,319,889. COMMUNITY INTEGRATED RECOVERY CENTERS: PROGRAM SERVICE EXPENSES 33,260,960. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 33,260,960. OTHER MEDICAL EXPENSES: PROGRAM SERVICE EXPENSES 30,836,729. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 30,836,729. INTENSIVE OUTPATIENT DRUG AND ALCOHOL: PROGRAM SERVICE EXPENSES 30,459,920. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 30,459,920. BEHAVIORAL HEALTH SHORT-TERM RESIDENTIAL: PROGRAM SERVICE EXPENSES 12,217,145. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,217,145. PAY PER PERFORMANCE: PROGRAM SERVICE EXPENSES 8,143,110. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,143,110. MEMBER TRANSPORTATION: PROGRAM SERVICE EXPENSES 4,232,928. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,232,928. ANCILLARY SUPPORT: PROGRAM SERVICE EXPENSES 3,504,074. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,504,074. INPATIENT DRUG AND ALCOHOL: PROGRAM SERVICE EXPENSES 2,689,954. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,689,954. OTHER PROGRAM EXPENSES: PROGRAM SERVICE EXPENSES 1,813,503. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,813,503. CHILDREN HI FIDELITY WRAPAROUND EXPENSE: PROGRAM SERVICE EXPENSES 576,758. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 576,758. DUES AND SUBSRIPTIONS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 531,341. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 531,341. PROVIDER TRAINING: PROGRAM SERVICE EXPENSES 502,111. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 502,111. COMMUNITY SUPPORT OTHER: PROGRAM SERVICE EXPENSES 34,049. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 34,049. FORM 990, PART XII, LINE C THE ORGANIZATION HAS NOT CHANGED EITHER ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR. CITY OF PHILADELPHIA 1401 JOHN F KENNEDY BLVD PHILADELPHIA PA 19102 236003047 CITY GOVERNMENT PA 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 CITY OF PHILADELPHIA C 992721839 ACTUAL COST FORM 990 PART V TRANSACTIONS WITH RELATED ORGANIZATIONS COMMUNITY BEHAVIORAL HEALTH IS A COMPONENT UNIT OF THE CITY OF PHILADELPHIA. THE CITY OF PHILADELPHIA FULLY COMPENSATES COMMUNITY BEHAVIORAL HEALTH FOR THE COSTS OF SERVICES PROVIDED UNDER THE COMMONWEALTH OF PENNSYLVANIA'S DEPARTMENT OF PUBLIC WELFARE'S HEALTH CHOICES BEHAVIORAL HEALTH PROGRAM. THE MAJORITY OF THE BOARD OF COMMUNITY BEHAVIORAL HEALTH MUST BE OFFICIALS OF THE CITY OF PHILADELPHIA.