2017-02-08T08:38:34-06:00 2016-06-30 205991824 SC&H TAX & ADVISORY SERVICES LLC 910 RIDGEBROOK ROAD SPARKS MD 21152 990 2015-07-01 522125435 BEHAVIORAL HEALTH PARTNERS OF FREDERICK INC C/O SHEPPARD & ENOCH PRATT HOSPITAL BEHA 4109383344 PO BOX 6815 BALTIMORE MD 21285 GERALD A NOLL TREASURER 4109383344 2017-02-06 1 Lori S Burghauser P00370694 4104031500 2017-02-06 2015 2021-01-29 14:40:06Z GERALD A NOLL PO BOX 6815 BALTIMORE MD 21285 6367548 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 8281 10000 6708186 6330131 0 2918 16413 24499 6732880 6367548 0 0 0 0 0 0 0 0 0 6376364 6397916 6376364 6397916 356516 -30368 1949064 1656478 1026307 764089 922757 892389 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 6026052 6354630 PROVIDES OUTPATIENT BEHAVIORAL HEALTH CARE SERVICES IN A MORE COST EFFECTIVE MANNER WITH IMPROVED CONTINUITY OF CARE. 6026052 1 1 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 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 Gerald NOll President/Outgoing Treasurer (Pt Yr) 1.00 X X 0 0 0 Cheryl Cioffi Outgoing President (PT YR)/Director 1.00 X X 0 0 0 Manuel Casiano MD Vice President 1.00 X X 0 0 0 Scott Rose Outgoing VP (Pt Yr)/Director 1.00 X X 0 0 0 Michelle Mahan Treasurer 1.00 X X 0 0 0 Lynn Flanigan Director 1.00 X 0 0 0 Jennifer Berryman Secretary (Nonvoting) 1.00 X 0 0 0 Frederick Donovan Outgoing Secretary (Nonvoting/Pt Yr) 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 3258021 Way Station Inc PO Box 3826 Frederick MD 217053826 Mental Health Services 1936226 Sheppard Pratt Health System Inc PO Box 6815 Baltimore MD 212856815 Management and Billing 596777 Roth Staffing 450 N State College Blvd Orange CA 92812 Staffing Services 139239 4 10000 10000 Patient Revenue 621400 5757220 5757220 CLINIC MANAGEMENT 621400 384007 384007 Physician Services 621400 188904 188904 6330131 2918 2918 Consultation Services 621400 24499 24499 24499 6367548 6354630 0 2918 X 35382 35382 5509834 5274930 234904 9286 9286 89084 35192 53892 228512 228512 2451 2451 28836 28836 17431 17431 COLLECTION EXPENSE 462748 462748 Patient Transportation 7239 7239 Repairs & Maintenance 5590 5590 MISCELLANEOUS EXPENSE 522 522 1001 1001 6397916 6026052 371864 0 150 150 1433463 1251367 344292 265747 51715 42206 435903 338895 119444 97008 1949064 1656478 117779 98110 908528 665979 1026307 764089 X 922757 892389 922757 892389 1949064 1656478 -30368 0 X X 1 X 0 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 207950 187738 20212 227953 151157 76796 97008 DUE TO SHEPPARD PRATT 405367 DUE TO WAY STATION 260612 665979 6364630 0 6364630 2918 2918 6367548 6394998 0 6394998 2918 2918 6397916 Part XI, Line 4b - Other Adjustments: Interest Income netted with Expenses 2,918. Part XII, Line 4b - Other Adjustments: Interest Income netted with Expenses 2,918. 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 11 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 14,084. Fundraising expenses 0. Total expenses 14,084. Clerical Services: Program service expenses 170,052. Management and general expenses 0. Fundraising expenses 0. Total expenses 170,052. Clinical & Office Admin Costs Paid to Way Station: Program service expenses 1,876,091. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,876,091. Interpretation Services: Program service expenses 0. Management and general expenses 41,281. Fundraising expenses 0. Total expenses 41,281. Professional/Tech Fees: Program service expenses 0. Management and general expenses 179,539. Fundraising expenses 0. Total expenses 179,539. Clinician Services Purchased from Physicians P.A.: Program service expenses 3,228,787. Management and general expenses 0. Fundraising expenses 0. Total expenses 3,228,787. FORM 990, PART XIi, LINE 2C THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.