2019-03-19T14:55:08-05:00 2018-06-30 205991824 SC&H TAX & ADVISORY SERVICES LLC 910 RIDGEBROOK ROAD SPARKS MD 21152 990 2017-07-01 522125435 BEHAVIORAL HEALTH PARTNERS OF FREDERICK INC C/O SHEPPARD & ENOCH PRATT HOSPITAL BEHA 4109383344 PO BOX 6815 BALTIMORE MD 21285 GERALD NOLL TREASURER 4109383344 2019-03-13 1 LORI S BURGHAUSER P00370694 4104031500 2019-03-13 50.206.141.66 2019-03-13 20:20:56 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 D598169B7B70477E3779F4FD99F3BFF6A447919F 2017 2019-02-21 02:37:17Z CHERYL CIOFFI PO BOX 6815 BALTIMORE MD 21285 6606453 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 8 0 0 5743 0 6435714 6569746 2742 2141 17732 34566 6461931 6606453 0 0 0 0 0 0 0 0 0 6875889 7161759 6875889 7161759 -413958 -555306 1318690 759823 840259 836698 478431 -76875 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 5481191 6604312 PROVIDES OUTPATIENT BEHAVIORAL HEALTH CARE SERVICES IN A MORE COST EFFECTIVE MANNER WITH IMPROVED CONTINUITY OF CARE. 5481191 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 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 1 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 CHERYL CIOFFI PRESIDENT/DIRECTOR(PT YR) 1.00 X X 0 0 0 GERALD NOLL PRESIDENT(PT YR)/TREASURER 1.00 X X 0 0 0 JEFF RICHARDSON VICE PRESIDENT 1.00 X X 0 0 0 BONNIE KATZ VICE PRES(PT YR)/DIRECTOR(PT YR) 1.00 X X 0 0 0 MANUEL CASIANO MD VICE PRES(PT YR)/DIRECTOR 1.00 X X 0 0 0 MICHELLE MAHAN TREASURER(PT YR)/DIRECTOR 1.00 X 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 3503444 WAY STATION INC PO BOX 3826 FREDERICK MD 217053826 MENTAL HEALTH SERVICES 2172746 SHEPPARD PRATT HEALTH SYSTEM INC PO BOX 6815 BALTIMORE MD 212856815 MANAGEMENT AND BILLING 703369 MANPOWER PO BOX 64597 BALTIMORE MD 21264 STAFFING SERVICES 100350 4 PATIENT REVENUE 621400 5950339 5950339 CLINIC MANAGEMENT 621400 515423 515423 PHYSICIAN SERVICES 621400 103984 103984 6569746 2141 2141 CONSULTATION SERVICES 621400 30332 30332 MEDICAL RECORDS 621400 4179 4179 MISCELLANEOUS EXPENSE 621400 55 55 34566 6606453 6604312 0 2141 X 8451 8451 41000 41000 6096737 5074314 1022423 5101 5101 132029 89500 42529 290673 290673 2504 2504 33784 33784 18296 18296 COLLECTION EXPENSE 479686 479686 REPAIRS & MAINTENANCE 29265 29265 NON-CAP. FURN./EQUIP. 14055 14055 PATIENT TRANSPORTATION 7862 7862 2316 546 1770 7161759 5481191 1680568 0 300 300 927891 131385 262173 525997 39044 46643 457673 402175 89282 55498 1318690 759823 133895 72363 706364 764335 840259 836698 X 478431 -76875 478431 -76875 1318690 759823 -555306 0 X X 1 X 0 1 0 X 223628 205275 18353 234045 196900 37145 55498 DUE TO SHEPPARD PRATT 573757 DUE TO WAY STATION 190578 764335 X 6604312 0 6604312 2141 2141 6606453 7159621 -2138 -2138 7161759 0 7161759 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. 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.