BEHAVIORAL HEALTH PARTNERS OF FREDERICK: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- BEHAVIORAL HEALTH PARTNERS OF FREDERICK (EIN 52-2125435)
- Tax period
- 2017-07-01 to 2018-06-30
- Filed
- 2019-03-19
- IRS object ID
- 201930789349300228
- Schema version
- 2017v2.3
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-03-19T14:55:08-05:00 | ReturnTs |
| Tax Period End | 2018-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 205991824 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SC&H TAX & ADVISORY SERVICES LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 910 RIDGEBROOK ROAD | AddressLine1Txt |
| City | SPARKS | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 21152 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 522125435 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BEHAVIORAL HEALTH PARTNERS OF FREDERICK | BusinessNameLine1Txt |
| Business Name Line2 | INC C/O SHEPPARD & ENOCH PRATT HOSPITAL | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BEHA | BusinessNameControlTxt |
| Phone | 4109383344 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 6815 | AddressLine1Txt |
| City | BALTIMORE | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 21285 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | GERALD NOLL | PersonNm |
| Person Title | TREASURER | PersonTitleTxt |
| Phone | 4109383344 | PhoneNum |
| Signature | 2019-03-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | LORI S BURGHAUSER | PreparerPersonNm |
| PTIN | P00370694 | PTIN |
| Phone | 4104031500 | PhoneNum |
| Preparation | 2019-03-13 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 50.206.141.66 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-03-13 | IPDt |
| IP Tm | 20:20:56 | IPTm |
| IP Timezone | ED | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | D598169B7B70477E3779F4FD99F3BFF6A447919F | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | CHERYL CIOFFI | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 6815 | AddressLine1Txt |
| City | BALTIMORE | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 21285 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $6,606,453 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | N/A | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2001 | FormationYr |
| Legal Domicile State | MD | LegalDomicileStateCd |
| Activity Or Mission | TO OWN, LEASE, MANAGE AND/OR OTHERWISE OPERATE OUTPATIENT PSYCHIATRIC AND BEHAVIORAL MEDICINE FACILITIES AS PART OF AN INTEGRATED HEALTHCARE SYSTEM. | ActivityOrMissionDesc |
| Voting Members Governing Body | 6 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 8 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $5,743 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $6,435,714 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $6,569,746 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,742 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,141 | CYInvestmentIncomeAmt |
| PY Other Revenue | $17,732 | PYOtherRevenueAmt |
| CY Other Revenue | $34,566 | CYOtherRevenueAmt |
| PY Total Revenue | $6,461,931 | PYTotalRevenueAmt |
| CY Total Revenue | $6,606,453 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $0 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $0 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $6,875,889 | PYOtherExpensesAmt |
| CY Other Expenses | $7,161,759 | CYOtherExpensesAmt |
| PY Total Expenses | $6,875,889 | PYTotalExpensesAmt |
| CY Total Expenses | $7,161,759 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$413,958 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$555,306 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,318,690 | TotalAssetsBOYAmt |
| Total Assets EOY | $759,823 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $840,259 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $836,698 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $478,431 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$76,875 | NetAssetsOrFundBalancesEOYAmt |
| Mission | 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. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $5,481,191 | ExpenseAmt |
| Revenue | $6,604,312 | RevenueAmt |
| Desc | PROVIDES OUTPATIENT BEHAVIORAL HEALTH CARE SERVICES IN A MORE COST EFFECTIVE MANNER WITH IMPROVED CONTINUITY OF CARE. | Desc |
| Total Program Service Expenses | $5,481,191 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | 0 | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 6 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 6 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DONNA CORBETT | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4109383344 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6501 N CHARLES STREET | AddressLine1Txt |
| City | BALTIMORE | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 21285 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (8 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| CHERYL CIOFFI | ||||||
| PRESIDENT/DIRECTOR(PT YR) | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| GERALD NOLL | ||||||
| PRESIDENT(PT YR)/TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| JEFF RICHARDSON | ||||||
| VICE PRESIDENT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| BONNIE KATZ | ||||||
| VICE PRES(PT YR)/DIRECTOR(PT YR) | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| MANUEL CASIANO MD | ||||||
| VICE PRES(PT YR)/DIRECTOR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| MICHELLE MAHAN | ||||||
| TREASURER(PT YR)/DIRECTOR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| SCOTT ROSE | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| AVI BURSTEIN | ||||||
| SECRETARY(NONVOTING) | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| SHEPPARD PRATT PHYSICIANS PA | |||||
| PO BOX 6815 | BALTIMORE | MD | 212856815 | MENTAL HEALTH SERVICES | $3,503,444 |
| WAY STATION INC | |||||
| PO BOX 3826 | FREDERICK | MD | 217053826 | MENTAL HEALTH SERVICES | $2,172,746 |
| SHEPPARD PRATT HEALTH SYSTEM INC | |||||
| PO BOX 6815 | BALTIMORE | MD | 212856815 | MANAGEMENT AND BILLING | $703,369 |
| MANPOWER | |||||
| PO BOX 64597 | BALTIMORE | MD | 21264 | STAFFING SERVICES | $100,350 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT REVENUE | 621400 | $5,950,339 | $5,950,339 |
| CLINIC MANAGEMENT | 621400 | $515,423 | $515,423 |
| PHYSICIAN SERVICES | 621400 | $103,984 | $103,984 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $6,569,746 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,141 | TotalRevenueColumnAmt |
| Exclusion | $2,141 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| CONSULTATION SERVICES | 621400 | $30,332 | $30,332 |
| MEDICAL RECORDS | 621400 | $4,179 | $4,179 |
| MISCELLANEOUS EXPENSE | 621400 | $55 | $55 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $34,566 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,606,453 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $6,604,312 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,141 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,451 | TotalAmt |
| Management And General | $8,451 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,000 | TotalAmt |
| Management And General | $41,000 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,096,737 | TotalAmt |
| Program Services | $5,074,314 | ProgramServicesAmt |
| Management And General | $1,022,423 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,101 | TotalAmt |
| Management And General | $5,101 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $132,029 | TotalAmt |
| Program Services | $89,500 | ProgramServicesAmt |
| Management And General | $42,529 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $290,673 | TotalAmt |
| Program Services | $290,673 | ProgramServicesAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,504 | TotalAmt |
| Management And General | $2,504 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,784 | TotalAmt |
| Management And General | $33,784 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,296 | TotalAmt |
| Program Services | $18,296 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt | Program ServicesProgramServicesAmt |
|---|---|---|---|
| COLLECTION EXPENSE | $479,686 | $479,686 | |
| REPAIRS & MAINTENANCE | $29,265 | $29,265 | |
| NON-CAP. FURN./EQUIP. | $14,055 | $14,055 | |
| PATIENT TRANSPORTATION | $7,862 | $7,862 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,316 | TotalAmt |
| Program Services | $546 | ProgramServicesAmt |
| Management And General | $1,770 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,161,759 | TotalAmt |
| Program Services | $5,481,191 | ProgramServicesAmt |
| Management And General | $1,680,568 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $300 | BOYAmt |
| EOY | $300 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $927,891 | BOYAmt |
| EOY | $131,385 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $262,173 | BOYAmt |
| EOY | $525,997 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,044 | BOYAmt |
| EOY | $46,643 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $457,673 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $402,175 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $89,282 | BOYAmt |
| EOY | $55,498 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,318,690 | BOYAmt |
| EOY | $759,823 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $133,895 | BOYAmt |
| EOY | $72,363 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $706,364 | BOYAmt |
| EOY | $764,335 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $840,259 | BOYAmt |
| EOY | $836,698 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $478,431 | BOYAmt |
| EOY | -$76,875 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $478,431 | BOYAmt |
| EOY | -$76,875 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,318,690 | BOYAmt |
| EOY | $759,823 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$555,306 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | Yes (1) | AccountantCompileOrReviewInd |
Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FS Audited | 0 | FSAuditedInd |
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $223,628 | OtherCostOrOtherBasisAmt |
| Depreciation | $205,275 | DepreciationAmt |
| Book Value | $18,353 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $234,045 | OtherCostOrOtherBasisAmt |
| Depreciation | $196,900 | DepreciationAmt |
| Book Value | $37,145 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $55,498 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO SHEPPARD PRATT | $573,757 |
| DUE TO WAY STATION | $190,578 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $764,335 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $6,604,312 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $6,604,312 | RevenueSubtotalAmt |
| Other Revenues Not Included | $2,141 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $2,141 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $6,606,453 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $7,159,621 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | -$2,138 | OtherExpensesIncludedAmt |
| Expenses Not Reported | -$2,138 | ExpensesNotReportedAmt |
| Expenses Subtotal | $7,161,759 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $7,161,759 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | ASC 740, INCOME TAXES, PRESCRIBES THE RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. IT ALSO PROVIDES GUIDANCE ON DE-RECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, DISCLOSURE AND TRANSITION. FOR THOSE BENEFITS TO BE RECOGNIZED, A TAX POSITION MUST BE MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY TAXING AUTHORITIES. THE AMOUNT RECOGNIZED IS MEASURED AS THE LARGEST AMOUNT OF BENEFIT THAT IS GREATER THAN FIFTY PERCENT LIKELY OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THE ORGANIZATION RECOGNIZES INTEREST AND PENALTIES ACCRUED ON ANY UNRECOGNIZED TAX EXPOSURES AS A COMPONENT OF INCOME TAX EXPENSE. THE ORGANIZATION DOES NOT HAVE ANY AMOUNTS ACCRUED RELATING TO INTEREST AND PENALTIES AS OF JUNE 30, 2018 AND 2017. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | INTEREST INCOME NETTED WITH EXPENSES 2,141. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | INTEREST INCOME NETTED WITH EXPENSES -2,141. ROUNDING DIFFERENCE 3. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 21,185. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 21,185. PURCHASED CLERICAL SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 75,264. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 75,264. CLINICAL & OFFICE ADMIN COSTS PAID TO WAY STATION: PROGRAM SERVICE EXPENSES 1,609,857. MANAGEMENT AND GENERAL EXPENSES 768,773. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,378,630. INTERPRETATION SERVICES: PROGRAM SERVICE EXPENSES 43,941. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 43,941. PROFESSIONAL/TECH FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 157,201. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 157,201. CLINICIAN SERVICES PURCHASED FROM PHYSICIANS P.A.: PROGRAM SERVICE EXPENSES 3,420,516. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,420,516. |
| FORM 990, PART XII, LINE 2C | THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
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