2016-11-14T09:57:54-08:00 2016-06-30 K2S PC 3910 CAUGHEY RD STE 210 ERIE PA 165064098 990 2015-07-01 251317492 Safe Harbor Behavioral Health of UPMC Hamot SAFE 8144599300 1330 West 26th Street Erie PA 16508 Jonathan Evans President & CEO 2016-11-14 true John H Guelcher P01620168 8144591445 2015 2017-02-10 21:41:12Z Jonathan Evans 1330 West 26th St Erie PA 16508 10476165 false false X www.shbh.org X 1979 PA The mission of Safe Harbor Behavioral Health is to provide mental and behavioral health services and support to all clients through care that is compassionate, empathetic and innovative using the highest of professional standards. 10 7 244 9 0 3078280 21040 7532321 10303921 344 540 45136 141034 10656081 10466535 0 0 8390758 7795489 0 0 2895760 2568751 11286518 10364240 -630437 102295 5479926 5869908 3333178 3497320 2146748 2372588 X Safe Harbor Behavioral Health of UPMC Hamot (Safe Harbor) is a Pennsylvania state non-profit, federally tax exempt entity that provides comprehensive outpatient services for the mental, emotional and behavioral health needs of all of those in the Erie County community of Pennsylvania. They are dedicated to providing all of their services with compassion and empathy to all who present, regardless of their ability to pay. The service lines of Safe Harbor Behavioral Health of UPMC Hamot include blended case management, behavioral health rehabilitation services, early intervention programs, parent-child interaction therapy, peer specialist therapy, psychiatric services including psychiatric evaluation and medication management, crisis intervention and one on one therapy. Safe Harbors services, education and support are provided by dedicated professionals using the highest of care standards in the delivery of care. The services include some of the most innovative practices in the areas of c false false 5236724 4530384 The Outpatient Clinics provides services to children, adolescents and adults who are returning to the community from state hospitals. The services are provided by doctors, nurses and counselors to clients in Erie County to give them the mental health support needed for them to make a successful return to community life. 1988193 1911767 Through its Behavioral Health Rehabilitation Services (BHRS) Safe Harbor provides short term, intensive mental health interventions for children and teens that have complex emotional and behavioral needs. Services are provided in a variety of settings (home, school, community) in a manner to result in an increase in the clients chances for stabilization and growth in their natural environment. Individualized treatment plans are developed using a team approach by the staff professionals to meet the unique needs of the clients and their families. 1272242 706220 Crisis intervention provides emergency short-term counseling for all residents of Erie County, 24 hours a day, 7 days a week. Any person or family with a crisis has a resource through Safe Harbor to be given aid via informational referrals and aiding with hospitalization as may be needed. 956215 746233 9453374 true true false false false false false false false true true false false false true true true false false false false false false false true false false false false true false false false false false false false false false false true false false false false false true false false false false true 6 0 false 244 true false false false false false false true true false 0 false false false false false false false false false false X 10 7 true false false false false true true true true false false true true true true false true true true false PA X Jonathan Evans 8144599300 1330 West 26th Street Erie PA 16508 Timothy Trott Vice Chair 1.00 0.00 X X 0 0 0 Joseph Schember Chairperson 1.00 0.00 X X 0 0 0 Carmen N Ferranto Board Member 1.00 0.00 X 0 0 0 Robert E Glowacki Board Member 1.00 0.00 X 0 0 0 Lucinda Hendrickson Secretary 1.00 0.00 X X 0 0 0 Charles Hagerty Board Member 1.00 0.00 X 0 0 0 Dr David Kruszewski Board Member 1.00 0.00 X 0 0 0 David Bobrzynski Treasurer 1.00 0.00 X X 0 295685 34287 Carrie Ennis Board Member 1.00 0.00 X 0 100989 23636 Jonathan Evans President & CEO 40.00 0.00 X X 133082 0 14983 Rebecca Hover CFO 40.00 0.00 X 93886 0 14967 Mandy Fauble VP of Clinical Operations 40.00 0.00 X 86745 0 15376 Dr Matthew Behan Psychiatrist 40.00 0.00 X 107765 0 5139 Dr Antonio Simora Psychiatrist 40.00 0.00 X 149106 0 13386 Dr Jamie Fuhrer Psychiatrist 40.00 0.00 X 162118 0 6281 Patricia Schwabenbauer CRNP 40.00 0.00 X 112366 0 4461 Anne Leali CRNP 40.00 0.00 X 108149 0 7839 953217 396674 140355 6 false true false Innovatel LLC 900 State St Suite 203B Erie PA 16501 psychiatry 561159 Raymond James 880 Carillon Parkway St Petersburg FL 33716 financial advisors 315091 2 13919 7121 21040 Erie County HealthChoices 624100 5963774 5963774 MH/ID Fuding 624100 2409317 2409317 Other Patient Revenue-Net 624100 1930830 1930830 10303921 540 540 0 0 0 0 5694 13919 9630 -3936 0 0 Contract Crisis Services 624100 56069 56069 Employee Services Billed 624100 200 200 Other Income 624100 88701 88701 144970 10466535 10448891 540 X 0 0 0 0 953217 639504 313713 0 5289556 4940429 349127 82415 68899 13516 1007231 903873 103358 463070 413608 49462 0 15382 10961 4421 46895 46895 0 0 0 1296982 1290411 6571 0 120466 110180 10286 0 0 58824 53967 4857 36318 31939 4379 0 0 56299 51703 4596 0 170786 170786 54041 53708 333 Bad Debt 181579 181579 Communications 118869 114505 4364 Housekeeping 97237 90392 6845 Equipment Repair 92691 88241 4450 222382 191794 30588 10364240 9453374 910866 0 694845 1090727 41683 0 0 810696 852914 0 0 0 0 18343 0 5828622 2137340 3690933 3691282 0 18030 17772 0 0 205396 217213 5479926 5869908 710082 839523 9822 201912 2613274 2455885 3333178 3497320 X 2146748 2372588 2146748 2372588 5479926 5869908 X 102295 123545 X X false true X true false X 27525 21040 48565 10583076 10303921 20886997 51616 144970 196586 0 0 10662217 10469931 21132148 0 0 21132148 344 540 884 0 344 540 884 0 0 10662561 10470471 21133032 1.00000 1.00000 0.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 18030 -64 194 17772 18265 -58 177 18030 15854 2573 162 18265 14350 1624 120 15854 14708 -254 104 14350 1.00000 true false false 673150 673150 3727236 1056670 2670566 451938 239453 212485 929089 794008 135081 47209 47209 3691282 Related Party Long-Term Debt 2455885 2455885 X 10458259 -8276 -8276 10466535 10466535 10355964 -8276 -8276 10364240 10364240 Part X : FIN48 Footnote Safe Harbor has been determined to be an exempt organization under the provisions of Section 50l(c)(3) of the Internal Revenue Code (Code). The Organization has adopted the accounting standards related to uncertain tax positions and has evaluated its tax positions taken for all open tax years. The statute of limitations on Safe Harbor returns remains open for the year ended June 30, 2012 through the current period. Safe Harbor is not currently under audit, and has not been contacted by any jurisdictions for income tax related matters. Safe Harbor has not been subject to any income tax penalties or interest during the years ended June 30, 2016.Based on the evaluation of the Organization's tax positions and elections, management believes that all tax positions taken and the tax-exempt status of Safe Harbor would be upheld under an examination. Therefore, no provision for the effects of uncertain tax positions has been recorded as of June 30, 2016. false Golf Outing 19613 13919 5694 400 5183 3883 164 19613 13919 5694 400 5183 3883 164 9630 -3936 false false false false false false false true false false David Bobrzynski Treasurer 139878 87000 68807 15180 19107 329972 Dr Antonio Simora Psychiatrist 149106 4664 8722 162492 Dr Jamie Fuhrer Psychiatrist 162118 5012 1269 168399 Part I, Line 7: Non-Fixed payments not listed above UPMC provides incentive compensation as part of its total compensation program for officers and key employees. This component is based upon the accomplishment of predetermined performance goals and objectives which focus on the achievement of multiple annual and three year individual and group performance criteria in the context of appropriate risk taking. These criteria directly support UPMC's mission and include: patient quality and satisfaction, community benefits, operational and financial strength, leadership development, and strategic business initiatives among others. Jonathan Evans Business 584379 Psychiatric Services false Lucinda Hendrickson Business 584379 Psychiatric Services false Schedule L, Part V Supplemental Information Jonathan Evans is the Executive Director of the organization and a minority shareholder in Innovatel. Lucinda Hendrickson is a member of the board of directors of the organization and also a minority shareholder in Innovatel. Employees of Innovatel provide psychiatric services to patients of Safe Harbor. Form 990, Part III, Line 4d: Other Program Services Description OTHER PROGRAM SERVICES 4: Through its Behavioral Health Rehabilitation Services (BHRS) Safe Harbor provides short term, intensive mental health interventions for children and teens that have complex emotional and behavioral needs. Services are provided in a variety of settings (home, school, community) in a manner to result in an increase in the clients chances for stabilization and growth in their natural environment. Individualized treatment plans are developed using a team approach by the staff professionals to meet the unique needs of the clients and their families. Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et BOD member/Officer/Key Employee:Jonathan EvansRelationship: BusinessAssociated Person:Lucinda HendricksonBOD member/Officer/Key Employee:Lucinda HendricksonRelationship: BusinessAssociated Person:Jonathan Evans Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body Safe Harbor Behavioral Health of UPMC Hamot has a sole member, the exempt entity UPMC Hamot. Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders The sole member has the right to appoint one third of the total number of Board of Director members. Form 990, Part VI, Line 11b: Form 990 Review Process The organization makes the 990 and all related filings available to all Board of Directors members prior to the filing with the IRS. The CFO reviews the form with the Finance Committee and at the general Board meeting to inform them of completion and to offer an opportunity for members review and questions. Additionally if requested any members can also request and set up individual time to view/review the 990 at the CFOs office prior to or after the filing. Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts Safe Harbor Behavioral Health of UPMC Hamot annually monitors and reviews their conflict of interest policy. Also annually, Board of Director members complete a conflict of interest form that is provided by UPMC. Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management At the time of employment, compensation for the CEO was determined by a committee of the board members who reviewed comparability data from other agencies in the region. The CEO's wages are reviewed annually by the Board of Directors. Form 990, Part VI, Line 19: Other Organization Documents Publicly Available All governing documents, conflict of interest policy and financial statements are made available to the public on a request basis. Any member of the public may call the CEO's office or the finance office to make the request. Other Changes In Net Assets Or Fund Balances - Other Increases Member Contribution = $123545 Form 990, Part XII, Line 2: Change of Oversight or Selection Process The process has not changed from the prior year. Seneca Place 600 Grant Street Pittsburgh PA 15219 721562844 Sr Living PA 501(c)(3) 9 UPMC Sr Comm false UPMC 600 Grant Street Pittsburgh PA 15219 251423657 Support Exemp PA 501(c)(3) 11C-III FI NA false Pittsburgh Lifetime Care Community 600 Grant Street Pittsburgh PA 15219 251335247 Sr Living PA 501(c)(3) 9 Sr Comm false UPMC Lee 600 Grant Street Pittsburgh PA 15219 250613830 Inactive PA 501(c)(3) 3 UPMC false Pittsburgh Care Partnership Inc 600 Grant Street Pittsburgh PA 15219 251753852 Adult Daycare PA 501(c)(3) 9 UPMC false Canterbury Place 600 Grant Street Pittsburgh PA 15219 250965334 Sr Living PA 501(c)(3) 11(a)I UPMC Sr Comm false UPMC Center for High Value Healthcare 600 Grant Street Pittsburgh PA 15219 452178782 Research PA 501(c)(3) 7 UPMC false Shadyside Hospital Supporting Foundation 600 Grant Street Pittsburgh PA 15219 260303394 Foundation PA 501(c)(3) 11(a)I UPMC false Shadyside Hospital Foundation 600 Grant Street Pittsburgh PA 15219 211290546 Foundation PA 501(c)(3) 11(c)III UPMC Presby false Passavant Hospital Foundation 600 Grant Street Pittsburgh PA 15219 251407815 Foundation PA 501(c)(3) 11(b)II UPMC Pass false UPMC Northwest Foundation 600 Grant Street Pittsburgh PA 15219 251483624 Foundation PA 501(c)(3) 11(d)III UPMC Northwest false St Margaret Foundation 600 Grant Street Pittsburgh PA 15219 251520340 Foundation PA 501(c)(3) 7 UPMC St Margaret false Childrens Hospital of Pgh Foundation 600 Grant Street Pittsburgh PA 15219 251865744 Foundation PA 501(c)(3) 7 UPMC CHP false Magee-Women Research Inst and Foundation 600 Grant Street Pittsburgh PA 15219 251462311 Foundation PA 501(c)(3) 7 NA false Kane Community Hospital 600 Grant Street Pittsburgh PA 15219 250998168 Hospital PA 501(c)(3) 3 UPMC Hamot false UPMC Chautauqua Services Inc 54 State Street Albany NY 12207 811253242 Healthcare NY 501(c)(3) UPMC Hamot false Great Lakes Physician Practice 600 Grant Street Pittsburgh PA 15219 464186362 Physicians NY 501(c)(3) 3 RHS false Hamot Health Foundation 302 French Street Erie PA 16507 251400999 Foundation PA 501(c)(3) 11(b)II UPMC Hamot false UPMC Jameson 1211 Wilmington Avenue New Castle PA 16105 250965406 Healthcare PA 501(c)(3) UPMC false Jameson Healthcare Foundation 1211 Wilmington Avenue New Castle PA 16105 251536037 Foundation PA 501(c)(3) UPMC false Jameson Health Services Inc 1211 Wilmington Avenue New Castle PA 16105 030486993 Healthcare PA 501(c)(3) UPMC false Childrens Advocacy Center of Lawrence 1107 Wilmington Avenue New Castle PA 16105 251581304 Support Sys PA 501(c)(3) UPMC false UPMCJameson Cancer Center 600 Grant Street Pittsburgh PA 15219 201459415 Oncology Svc PA 501(c)(3) UPMC false Jameson Medical Care Inc 1211 Wilmington Avenue New Castle PA 16105 260462696 Healthcare PA 501(c)(3) UPMC false Jameson Care Center Inc 1211 Wilmington Avenue New Castle PA 16105 232871396 Homecare PA 501(c)(3) UPMC false UPMC Senior Communities 600 Grant Street Pittsburgh PA 15219 251574736 Sr Living PA 501(c)(3) UPMC false UPMC Hamot 201 State Street Erie PA 16550 250965387 Healthcare PA 501(c)(3) NA false Core Network LLC 600 Grant Street 58th Floor Pittsburgh PA 15219 251786209 Healthcare PA NA false false Life Home Care LP 600 Grant Street 58th Floor Pittsburgh PA 15219 251847839 Homecare PA NA false false Shadyside Medical Centers Assoc 600 Grant Street 58th Floor Pittsburgh PA 15219 251608318 Med Office Bl PA NA false false Chartwell PA LP 600 Grant Street 58th Floor Pittsburgh PA 15219 251729714 Home Health PA NA false false EPN-Hamot Urgen Care LLC 600 Grant Street 58th Floor Pittsburgh PA 15219 272147949 Urget Care PA NA false false Life Care Home Srv of W PA 1647 Sassafras St Erie PA 16507 251536879 Home Health OK NA false false Hamot-KCH Real Estate Venture LLC 300 State Street Erie PA 16507 263691782 Med Office Bl PA NA false false Hamot Surgery Center LLC 200 State Street Erie PA 16550 251863661 Ambulance Sur PA NA false false Mountain View Medical Oncology 600 Grant Street 58th Floor Pittsburgh PA 15219 461449241 Heathcare PA NA false false Seneca Hills Assisted Living LP 600 Grant Street 58th Floor Pittsburgh PA 15219 232873106 Assisted Living PA NA false false St Margaret Medical Arts Assoc 600 Grant Street 58th Floor Pittsburgh PA 15219 251786655 Med Office Bl PA NA false false Lawrence County MRI & Diagnostic Imaging 2526 Wilmington Avenue New Castle PA 16105 270219891 Imaging Center PA NA false false HC Pharmacy Central Inc 600 Grant Street Pittsburgh PA 15219 231364192 Pharmacy Co-O PA NA C false Childrens Community Care 600 Grant Street Pittsburgh PA 15219 251781887 Pediatric Svc PA NA C false UPMC Physician Services Holding Co Inc 600 Grant Street Pittsburgh PA 15219 251877017 Holding Company PA NA C false Hematology Oncology Associates 600 Grant Street Pittsburgh PA 15219 421648357 Healthcare PA NA C false Oncology Hematology Associates 600 Grant Street Pittsburgh PA 15219 251762980 Healthcare PA NA C false Tri-State Neurosurgical Associates 600 Grant Street Pittsburgh PA 15219 251458655 Healthcare PA NA C false Renaissance Family Practice 600 Grant Street Pittsburgh PA 15219 262942406 Healthcare PA NA C false UPMC Holding Company Inc 600 Grant Street Pittsburgh PA 15219 251777713 Holding Corp PA NA C false UPMC Coverage Products Inc 600 Grant Street Pittsburgh PA 15219 251777710 Holding Corp PA NA C false Freedom Insurance Company 600 Grant Street Pittsburgh PA 15219 030308944 Insurance VT NA C false Tri-Century Insurance Company 600 Grant Street Pittsburgh PA 15219 251500739 Insurance PA NA C false UPMC DNA Inc 600 Grant Street Pittsburgh PA 15219 251883237 Insurance PA NA C false UPMC Health Benefits Inc 600 Grant Street Pittsburgh PA 15219 251844144 Insurance PA NA C false UPMC Health Network Inc 600 Grant Street Pittsburgh PA 15219 721527566 Insurance PA NA C false UPMC Health Plan Inc 600 Grant Street Pittsburgh PA 15219 232813536 Insurance PA NA C false UPMC Benefit Management Service 600 Grant Street Pittsburgh PA 15219 251769564 Workers Comp PA NA C false UPMC Diversified Services Inc 600 Grant Street Pittsburgh PA 15219 251778454 Holding Corp PA NA C false Monroeville Specialty Clinic 600 Grant Street Pittsburgh PA 15219 251666087 Healthcare PA NA C false Medical Archival Systems Inc 600 Grant Street Pittsburgh PA 15219 232912501 Software Development DE NA C false Presby Health Resource Mgmt 600 Grant Street Pittsburgh PA 15219 251422155 Healthcare PA NA C false RX Partners Inc 600 Grant Street Pittsburgh PA 15219 251801966 Pharmacy Services PA NA C false Biotronics Inc 600 Grant Street Pittsburgh PA 15219 251843500 Equip Maintenance PA NA C false Medical Center Properties Inc 600 Grant Street Pittsburgh PA 15219 251796940 Real Estate PA NA C false Askesis Development Group Inc 600 Grant Street Pittsburgh PA 15219 541625585 Software Development DE NA C false UPMC International Health Initiatives 600 Grant Street Pittsburgh PA 15219 841706741 Inactive PA NA C false UPMC Work Alliance Inc 600 Grant Street Pittsburgh PA 15219 452825053 Insurance PA NA C false Bayfront Regional Development Corp 300 State Street Erie PA 16507 251401388 RE Holding Co PA UPMC Hamot C false Bayside Development Corporation 300 State Street Erie PA 16507 251401386 Real Estate/P PA Bayfront Reg De C false UPMC Canada Technologies Limited 600 Grant Street Pittsburgh PA 15219 Software NA C false Allied Orthopedics Appliances Inc 335 East 3rd Street Jamestown NY 14701 161092951 Med appliance PA NA C false UPMC Health Coverage Inc 600 Grant St 58th floor Pittsburgh PA 15219 462824537 Insurance PA NA C false UPMC Health Options Inc 600 Grant Street Pttsburgh PA 15219 462824626 Insurance PA NA C false VIA Oncology LLC 5750 Centre Ave Suite 500 Pittsburgh PA 15206 371754667 Oncology services PA NA C false UPMC Complete Care Inc 5215 Centre Avenue Pittsburgh PA 15232 463605753 Healthcare PA NA C false American Home Health Services 868 Corporate Way Westlake OH 44145 311521422 Home Health Care OH NA C false Health Fidelity Inc 210 S B Street San Mateo CA 94401 452538963 Technology Services CA NA C false Fluence Health Inc 6425 Penn Avenue Pittsburgh PA 15206 472684174 Software PA NA C false Curavi Health Inc 6425 Penn Avenue Pittsburgh PA 15206 811217377 Healthcare PA NA C false Pensiamo Inc 600 Grant Street Pittsburgh PA 15219 812069236 Supply chain PA NA C false Altoona Family Inc 620 Howard Avenue Altoona PA 16601 251444935 Management services PA NA C false Friends of Altoona Regional Health Syste 600 Grant Street Pittsburgh PA 15219 861140504 Gift shop PA NA C false Lexington Holdings Inc 620 Howard Avenue 5th Floor Altoona PA 16601 251794386 Medical Services PA NA C false Lexington One Inc 620 Howard Avenue Altoona PA 16601 251468889 Rental PA NA C false Lexington Two Inc Howard Avenue 7th Street Altoona PA 16601 251555689 Rental equipment PA NA C false Lexington Four Inc 620 Howard Avenue Altoona PA 16601 251793736 Holding Co. DE NA C false Allegheny Healthcare Staffing Inc 620 Howard Avenue Altoona PA 16601 271657362 Employment Service PA NA C false UPMC Altoona Regional Health Services 1414 9th Avenue Altoona PA 16602 251219302 Medical services PA NA C false Lexington Anesthesia Associates Inc 620 Howard Avenue Altoona PA 16601 251897765 Medical services PA NA C false Northern Cambria Medical Center Inc 620 Howard Avenue Altoona PA 16601 251530860 Medical Services PA NA C false Patton Family Medical Center Inc 620 Howard Avenue 5th Floor Altoona PA 16601 251793735 Medical Services PA NA C false UPMC Cancer Centers Ireland Limited 6th Floor Beacon Hospital Dublin 18 Sandyford EI Cancer Treatment EI NA C false Panther Reinsurance Company PO Box 1109 Grand Cayman CJ Insurance CJ NA C false Forbes Reinsurance Company PO Box 1109 Grand Cayman CJ Insurance CJ NA C false Cathedral RE Insurance Company PO Box 1109 Grand Cayman CJ Insurance CJ NA C false UPMC Ireland Limited 6th Floor Beacon Hospital Dublin EI Healthcare SU EI NA C false UPMC United Kingdom LTD C/O Nair Co 11th Floor Whitefriar Lewis UK 980571026 Software Licensing UK NA C false UPMC Cyprus Holdings LTD Julia House 3 Thmistockles CY NOCOSI Healthcare SU CY NA C false UPMC Cyprus LTD Julia House 3 Themistocles CY NOCOSI Healthcare SU CY NA C false false false true false false false false false false false false false false false false false false false false UPMC Hamot c 123545