2019-11-15T09:16:41-06:00 2018-12-31 010448006 ALBIN RANDALL & BENNETT PO BOX 445 130 MIDDLE STREET PORTLAND ME 041120445 990 2018-01-01 232766661 COMMUNITY BEHAVIORAL HEALTH COMM 2154133100 801 MARKET STREET 7TH FLOOR PHILADELPHIA PA 191073126 RENEE HENDERSON CHIEF FINANCIAL OFFICER 2154133100 2019-11-12 1 JASON C LEBLANC P01212079 2077721981 2019-11-12 69.49.137.50 2019-11-12 08:07:43 ES P 75E8ABDFB22735A9207B3E008523415D79F96C72 BE4A9E48E852E4DD5E6F16D843645E0194D118CA 2018 2020-04-17 16:48:07Z JOAN L ERNEY CEO 801 MARKET STREET 7TH FLOOR PHILADELPHIA PA 191073126 978060569 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 0 555 0 0 359805 0 0 935075105 977076694 76478 205951 0 777924 935151583 978060569 0 0 0 0 46544113 47881573 0 0 0 888607470 929401072 935151583 977282645 0 777924 144548988 154658196 144548988 153880272 0 777924 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 910548309 977854618 COMMUNITY BEHAVIORAL HEALTH PROVIDED MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES TO 118,011 MEDICAID RECIPIENTS OF PHILADELPHIA COUNTY THROUGH A NETWORK OF 271 HEALTHCARE PROVIDERS. 910548309 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 1 575 0 1 555 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 SANDRA VASKO BOARD MEMBER 0.50 37.00 X 0 141196 25826 EVA GLADSTEIN BOARD MEMBER 0.50 37.00 X 0 164568 44869 CYNTHIA FIGUEROA BOARD MEMBER 0.50 37.00 X 0 183046 48952 THOMAS FARLEY BOARD MEMBER 0.50 37.00 X 0 165909 32472 ELIZABETH HERSH BOARD MEMBER 0.50 37.00 X 0 128911 34215 DEBORAH IRBY BOARD MEMBER 0.50 X 0 0 0 WILLIAM R HITE BOARD MEMBER 0.50 X 0 0 0 KEIR BRADFORD BOARD MEMBER 0.50 X 0 0 0 NICOLE MITCHELL BOARD MEMBER 0.50 X 0 0 0 DAVID JONES PRESIDENT 5.00 32.50 X X 0 167544 48024 ROLAND LAMB VICE PRESIDENT 5.00 32.50 X X 0 131254 31925 JILL BOWEN SECRETARY TREASURER 0.50 37.00 X X 0 136371 6704 JOAN L ERNEY JD CHIEF EXECUTIVE OFFICER 37.50 X 166567 0 25484 PETER BEZRUCIK CHIEF ADMINISTRATIVE OFFICER 37.50 X 157284 0 37385 GEOFFREY NEIMARK CHIEF MEDICAL OFFICER 37.50 X 250246 0 52785 DONNA BAILEY CHIEF OPERATING & COMPLIANCE OFFICER 37.50 X 150266 0 24109 ANDREW DEVOS CHIEF PROGRAM OFFICER 37.50 X 150087 0 43181 RENEE HENDERSON CHIEF FINANCIAL OFFICER 37.50 X 152989 0 25382 KAMILAH JACKSON DEPUTY CMO CHILD SERVICES 37.50 X 265915 0 32501 TAMRA WILLIAMS DEPUTY CHIEF CLINICAL OFFICER 37.50 X 131963 0 21247 CHRIS TJOA DEPUTY CMO ADULT SERVICES 37.50 X 218587 0 46684 ROBERT BICKFORD DEPUTY CFO 37.50 X 95154 0 17447 ALAN SANDMAN PHYSICIAN ADVISOR 37.50 X 234279 0 41563 NEAL DEMP PHYSICIAN ADVISOR 37.50 X 217342 0 42568 SUBHASHREE RAMESH PHYSICIAN ADVISOR 37.50 X 201154 0 46833 MIA EVERETT MEDICAL DIRECTOR OF CHILDRENS SERVICES 37.50 X 218678 0 17591 KEVIN CONNOLLY MEDICAL DIRECTOR OF QUALITY MANAGEMENT 37.50 X 205671 0 48185 2816182 1218799 795932 60 0 1 0 XEOHEALTH CORPORATION 241 EAST FOURTH STREET SUITE 202 FREDERICK MD 21701 CLAIMS SYSTEM PROCESSING 2295927 ASKESIS DEVELOPMENT GROUP INC 339 SIXTH AVE SUITE 1100 PITTSBURGH PA 15222 CLINICAL SYSTEM PROCESSING 2114987 BERRYDUNN 100 MIDDLE STREET PORTLAND ME 04101 CONSULTING SERVICES 743559 OPEN MINDS 15 LINCOLN SQUARE GETTYSBURG PA 17325 CONSULTING SERVICES 480850 MAGNITUDE SOFTWARE INC 515 CONGRESS AVE STE 78701 AUSTIN TX 78701 SOFTWARE 363877 25 MENTAL HEALTH/SUBSTANCE ABUSE 524114 977076694 977076694 977076694 205951 205951 REVENUE FROM DHS 524114 777924 777924 777924 978060569 977854618 0 205951 X 3339127 3339127 31563245 31563245 1831513 1831513 8202623 8202623 2945065 2945065 200363 200363 186568 186568 4649529 4649529 1575928 1575928 5535797 5535797 3247138 3247138 314780 314780 330363 330363 24711 24711 1793001 1793001 923345 923345 MCO ASSESSMENT 147814796 147814796 INPATIENT PSYCHIATRIC 140589265 140589265 BEHAVIORAL HEALTH REHAB 117214172 117214172 OUTPATIENT PSYCHIATRIC 116603074 116603074 388398242 388327002 71240 977282645 910548309 66734336 0 950 1000 42820832 18114253 1804968 298382 942246 652419 20785631 10858086 10270056 9927545 88709936 125664597 144548988 154658196 130827826 139815990 13721162 14064282 144548988 153880272 X 0 777924 144548988 154658196 777924 0 X X 0 1 X 1 0 X 795060640 811342511 919474130 935075105 977854618 4438807004 795060640 811342511 919474130 935075105 977854618 4438807004 4438807004 91855 185620 97763 76478 205951 657667 4439464671 0.99990 0.99990 X 6238520 2152242 4086278 4035174 3057064 978110 10511937 5648780 4863157 9927545 DUE FROM CITY OF PHILADELPHIA 125664597 125664597 RECIPIENT COVERAGE LIABILITY 9600000 DEFERRED RENT 4464282 14064282 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, 2015. X X 0 0 0 0 0 0 0 0 0 SANDRA VASKO BOARD MEMBER 0 141196 0 0 0 0 0 16155 0 9671 0 167022 0 0 EVA GLADSTEIN BOARD MEMBER 0 164568 0 0 0 0 0 19049 0 25820 0 209437 0 0 CYNTHIA FIGUEROA BOARD MEMBER 0 182647 0 0 0 399 0 21347 0 27605 0 231998 0 0 THOMAS FARLEY BOARD MEMBER 0 164878 0 0 0 1031 0 3070 0 29402 0 198381 0 0 ELIZABETH HERSH BOARD MEMBER 0 128117 0 0 0 794 0 2419 0 31796 0 163126 0 0 DAVID JONES PRESIDENT 0 167153 0 0 0 391 0 19644 0 28380 0 215568 0 0 ROLAND LAMB VICE PRESIDENT 0 131155 0 0 0 99 0 15477 0 16448 0 163179 0 0 JOAN L ERNEY JD CHIEF EXECUTIVE OFFICER 159650 0 0 0 6917 0 12772 0 12712 0 192051 0 0 0 PETER BEZRUCIK CHIEF ADMINISTRATIVE OFFICER 147450 0 0 0 9834 0 11795 0 25590 0 194669 0 0 0 GEOFFREY NEIMARK CHIEF MEDICAL OFFICER 250246 0 0 0 0 0 20409 0 32376 0 303031 0 0 0 DONNA BAILEY CHIEF OPERATING & COMPLIANCE OFFICER 142147 0 0 0 8119 0 11262 0 12847 0 174375 0 0 0 ANDREW DEVOS CHIEF PROGRAM OFFICER 140000 0 0 0 10087 0 11200 0 31981 0 193268 0 0 0 RENEE HENDERSON CHIEF FINANCIAL OFFICER 146255 0 0 0 6734 0 11796 0 13586 0 178371 0 0 0 KAMILAH JACKSON DEPUTY CMO CHILD SERVICES 249539 0 0 0 16376 0 19649 0 12852 0 298416 0 0 0 TAMRA WILLIAMS DEPUTY CHIEF CLINICAL OFFICER 131963 0 0 0 0 0 8400 0 12847 0 153210 0 0 0 CHRIS TJOA DEPUTY CMO ADULT SERVICES 218587 0 0 0 0 0 14308 0 32376 0 265271 0 0 0 ALAN SANDMAN PHYSICIAN ADVISOR 227755 0 0 0 6524 0 16333 0 25230 0 275842 0 0 0 NEAL DEMP PHYSICIAN ADVISOR 212226 0 0 0 5116 0 16978 0 25590 0 259910 0 0 0 SUBHASHREE RAMESH PHYSICIAN ADVISOR 201154 0 0 0 0 0 14800 0 32033 0 247987 0 0 0 MIA EVERETT MEDICAL DIRECTOR OF CHILDRENS SERVIC 212061 0 0 0 6617 0 4738 0 12853 0 236269 0 0 0 KEVIN CONNOLLY MEDICAL DIRECTOR OF QUALITY MANAGEME 205671 0 0 0 0 0 16564 0 31621 0 253856 0 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. THE CHIEF FINANCIAL OFFICER MEETS WITH THE BOARD MEMBERS TO DISCUSS AND REVIEW FORM 990 PRIOR TO FILING. 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 90,503,521. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 90,503,521. COMMUNITY SUPPORT: PROGRAM SERVICE EXPENSES 47,448,647. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 47,448,647. OTHER MEDICAL EXPENSES: PROGRAM SERVICE EXPENSES 42,114,946. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 42,114,946. INTENSIVE OUTPATIENT DRUG AND ALCOHOL: PROGRAM SERVICE EXPENSES 37,422,228. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 37,422,228. RESIDENTIAL TREATMENT FACILITIES: PROGRAM SERVICE EXPENSES 37,059,529. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 37,059,529. ASSERTIVE COMMUNITY TREATMENT: PROGRAM SERVICE EXPENSES 35,133,631. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 35,133,631. OUTPATIENT DRUG AND ALCOHOL: PROGRAM SERVICE EXPENSES 33,432,391. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 33,432,391. COMMUNITY INTEGRATED RECOVERY CENTERS: PROGRAM SERVICE EXPENSES 31,713,949. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 31,713,949. OTHER PROGRAM EXPENSES: PROGRAM SERVICE EXPENSES 14,271,344. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,271,344. PAY PER PERFORMANCE: PROGRAM SERVICE EXPENSES 7,801,858. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,801,858. ANCILLARY SUPPORT: PROGRAM SERVICE EXPENSES 4,669,431. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,669,431. MEMBER TRANSPORTATION: PROGRAM SERVICE EXPENSES 4,084,159. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,084,159. INPATIENT DRUG AND ALCOHOL: PROGRAM SERVICE EXPENSES 1,643,422. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,643,422. CHILDREN HI FIDELITY WRAPAROUND EXPENSE: PROGRAM SERVICE EXPENSES 580,294. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 580,294. PROVIDER TRAINING: PROGRAM SERVICE EXPENSES 427,906. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 427,906. DUES AND SUBSCRIPTIONS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 71,240. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 71,240. COMMUNITY SUPPORT OTHER: PROGRAM SERVICE EXPENSES 19,746. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 19,746. FORM 990, PART XII, LINE 2C: 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 977282645 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.