2020-05-20T13:33:39-05:00 2019-06-30 205991824 SC&H TAX & ADVISORY SERVICES LLC 910 RIDGEBROOK ROAD SPARKS MD 21152 990 2018-07-01 522125435 BEHAVIORAL HEALTH PARTNERS OF FREDERICK INC C/O SHEPPARD & ENOCH PRATT HOSPITAL BEHA 4109383344 PO BOX 6815 BALTIMORE MD 21285 JEFF RICHARDSON PRESIDENT 4109383344 2020-05-12 1 LORI S BURGHAUSER P00370694 4104031500 2020-05-12 68.33.106.243 2020-05-12 12:43:08 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 D598169B7B70477E3779F4FD99F3BFF6A447919F 2018 2020-09-23 17:36:50Z JEFF RICHARDSON PO BOX 6815 BALTIMORE MD 21285 7584141 0 X N/A X 2001 MD TO OWN, LEASE, MANAGE AND/OR OTHERWISE OPERATE OUTPATIENT PSYCHIATRIC AND BEHAVIORAL MEDICINE FACILITIES AS PART OF AN INTEGRATED HEALTHCARE SYSTEM. 6 6 0 6 0 0 0 0 6569746 7552940 2141 4150 34566 27051 6606453 7584141 0 0 0 0 0 0 0 0 0 7161759 8650101 7161759 8650101 -555306 -1065960 759823 935829 836698 2078664 -76875 -1142835 TO ESTABLISH AN OUTPATIENT HEALTH PROGRAM THAT ENHANCES THE CONTINUATION OF BEHAVIORAL HEALTH SERVICES IN THE FREDERICK AREA COMMUNITY. OFFER PROFESSIONAL OUTPATIENT BEHAVIORAL HEALTH SERVICES TO THE COMMUNITY WITHOUT REGARD TO ABILITY TO PAY. 0 0 6910693 7579991 PROVIDES OUTPATIENT BEHAVIORAL HEALTH CARE SERVICES IN A MORE COST EFFECTIVE MANNER WITH IMPROVED CONTINUITY OF CARE. 6910693 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 0 X 6 6 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X DONNA CORBETT 4109383344 6501 N CHARLES STREET BALTIMORE MD 21285 X JEFF RICHARDSON PRESIDENT/DIRECTOR (PT YR) 1.00 X X 0 0 0 MANUEL CASIANO MD VICE PRESIDENT/DIRECTOR (PT YR) 1.00 X X 0 0 0 GERALD NOLL TREASURER 1.00 X X 0 0 0 CHERYL CIOFFI DIRECTOR/PRESIDENT (PT YR) 1.00 X 0 0 0 MICHELLE MAHAN DIRECTOR 1.00 X 0 0 0 SCOTT ROSE DIRECTOR 1.00 X 0 0 0 AVI BURSTEIN SECRETARY(NONVOTING) 1.00 X 0 0 0 0 0 0 0 0 0 0 SHEPPARD PRATT PHYSICIANS PA PO BOX 6815 BALTIMORE MD 212856815 MENTAL HEALTH SERVICES 4125642 WAY STATION INC PO BOX 3826 FREDERICK MD 217053826 MENTAL HEALTH SERVICES 2229306 SHEPPARD PRATT HEALTH SYSTEM INC PO BOX 6815 BALTIMORE MD 212856815 MANAGEMENT AND BILLING 669964 3 PATIENT REVENUE 621400 6103188 6103188 CLINIC MANAGEMENT 621400 1310112 1310112 PHYSICIAN SERVICES 621400 139640 139640 7552940 4150 4150 CONSULTATION SERVICES 621400 23209 23209 MEDICAL RECORDS 621400 3842 3842 27051 7584141 7579991 0 4150 X 11995 11995 39950 39950 7547217 6521913 1025304 1068 1068 116778 71023 45755 294047 294047 4438 4438 17245 17245 18405 18405 COLLECTION EXPENSE 569856 569856 REPAIRS & MAINTENANCE 15172 15172 NON-CAP. FURN./EQUIP. 5394 5394 PATIENT TRANSPORTATION 5305 5305 3231 3231 8650101 6910693 1739408 0 300 300 131385 562013 525997 273955 46643 34829 484153 419421 55498 64732 759823 935829 72363 76519 764335 2002145 836698 2078664 X -76875 -1142835 -76875 -1142835 759823 935829 -1065960 0 X X 0 0 0 X 223628 214175 9453 237867 205246 32621 22658 22658 64732 DUE TO SHEPPARD PRATT 1309527 DUE TO WAY STATION 692618 2002145 FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS TWO EQUAL MEMBERS: SHEPPARD AND ENOCH PRATT FOUNDATION INC. (CLASS S) AND FREDERICK MEMORIAL HOSPITAL, INC. (CLASS F). FORM 990, PART VI, SECTION A, LINE 7A SHEPPARD AND ENOCH PRATT FOUNDATION INC. (CLASS S) SELECTS ONE HALF THE MEMBERS OF THE BOARD AND FREDERICK MEMORIAL HOSPITAL, INC. (CLASS F) SELECTS ONE HALF. FORM 990, PART VI, SECTION A, LINE 7B THE BOARD OF DIRECTORS RESERVE THE POWER TO MANAGE ALL THE BUSINESS AND AFFAIRS OF THE ORGANIZATION. THE MEMBERS RESERVE THE RIGHT TO APPOINT AND REMOVE BOARD MEMBERS. FORM 990, PART VI, SECTION A, LINE 8A & 8B THE SECRETARY DOCUMENTS THE MINUTES OF THE MEETINGS HELD BY THE BOARD AND COMMITTEE THROUGHOUT THE YEAR. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE BOARD OF DIRECTORS AT A BOARD MEETING PRIOR TO FILING THE RETURN. FORM 990, PART VI, SECTION B, LINE 12A: THE ORGANIZATION HAS ADOPTED AND WILL ADHERE TO SHEPPARD PRATT HEALTH SYSTEM'S WRITTEN CONFLICT OF INTEREST POLICY. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST QUESTIONNAIRES ARE SENT TO ALL TRUSTEES AND OFFICERS ANNUALLY. TRUSTEES AND OFFICERS ARE REQUIRED TO DISCLOSE ANY POTENTIAL CONFLICTS OF INTEREST AT EACH MEETING PRIOR TO AGENDA ITEMS BEING DISCUSSED. THE TRUSTEE OR OFFICER WITH THE POTENTIAL CONFLICT MIGHT STATE A POSITION ON THE MATTER AND FIELD QUESTIONS FROM THE OTHER TRUSTEES WHO ARE PRESENT. AFTER ANSWERING ANY QUESTIONS, THE TRUSTEE IS REQUIRED TO DISQUALIFY HIMSELF OR HERSELF FROM ANY FURTHER DISCUSSION ON THE MATTER. FORM 990, PART VI, SECTION B, LINE 13 & 14: THE ORGANIZATION HAS ADOPTED AND WILL ADHERE TO SHEPPARD PRATT HEALTH SYSTEM'S WRITTEN WHISTLEBLOWER POLICY AND WRITTEN DOCUMENT RETENTION AND DESTRUCTION POLICY. FORM 990, PART VI, SECTION B, LINE 15 HIRING AND COMPENSATION PRACTICES AND POLICIES WILL FOLLOW THOSE OF SHEPPARD PRATT HEALTH SYSTEM AND BE ADMINISTERED BY SHEPPARD PRATT. THE ORGANIZATION DID NOT HAVE ANY COMPENSATED OFFICERS OR KEY EMPLOYEES IN THE CURRENT YEAR. FORM 990, PART VI, SECTION C, LINE 19 FINANCIAL STATEMENTS AND OTHER GOVERNING DOCUMENTS AND POLICIES ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G CONTRACT CLEANING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 17,473. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 17,473. PURCHASED CLERICAL SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 102,743. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 102,743. CONTRACT SERVICES PAID TO WAY STATION: PROGRAM SERVICE EXPENSES 1,781,311. MANAGEMENT AND GENERAL EXPENSES 751,473. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,532,784. CONTRACT SERVICES PAID TO SPHS BHP MANAGEMENT: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 153,615. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 153,615. PURCHASED PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 43,746. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 43,746. CONTRACT SERVICES PAID TO SPPA & SPHS: PROGRAM SERVICE EXPENSES 4,696,856. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,696,856. FORM 990, PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.