2016-09-07T10:43:17-05:00 2015-12-31 010448006 ALBIN RANDALL & BENNETT PO BOX 445 130 MIDDLE STREET PORTLAND ME 041120445 990 2015-01-01 232766661 COMMUNITY BEHAVIORAL HEALTH COMM 2154133100 801 MARKET STREET 7TH FLOOR PHILADELPHIA PA 191073126 CATHERINE TORHAN CFO 2154133100 2016-08-27 1 JASON C LEBLANC P01212079 2077721981 2016-08-27 2015 2016-12-15 16:53:06Z JOAN L ERNEY CEO 801 MARKET STREET 7TH FLOOR PHILADELPHIA PA 191073126 811528131 0 X WWW.DBHIDS.ORG/CBH 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. 8 1 442 0 0 0 0 0 795060640 811342511 91855 185620 0 0 795152495 811528131 0 0 0 0 33543553 36395602 0 0 0 761608942 775132529 795152495 811528131 0 0 85533506 97358011 85533506 97358011 0 0 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 763134579 811342511 COMMUNITY BEHAVIORAL HEALTH PROVIDED MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES TO 113,495 MEDICAID RECIPIENTS OF PHILADELPHIA COUNTY THROUGH A NETWORK OF 250 HEALTHCARE PROVIDERS. 763134579 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 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 1 453 0 1 442 1 0 0 0 0 0 0 0 0 0 0 X 8 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X CATHERINE TORHAN CFO 2154133100 801 MARKET STREET 7TH FLOOR PHILADELPHIA PA 191073126 MARQUITA WILLIAMS BOARD MEMBER 0.50 37.00 X 0 122448 21267 SANDRA VASKO BOARD MEMBER 0.50 37.00 X 0 118166 19652 SUSAN KRETSGE BOARD MEMBER 0.50 37.00 X 0 223988 21394 VANESSA HARLEY BOARD MEMBER 0.50 37.00 X 0 157332 18845 KAREN GARRISON BOARD MEMBER 0.50 X 0 0 0 ARTHUR C EVANS PHD PRESIDENT 5.00 32.50 X X 0 155567 43169 ROLAND LAMB VICE PRESIDENT 5.00 32.50 X X 0 116732 11661 DAVID JONES SECRETARY/TREASURER 5.00 32.50 X X 0 126534 38039 JOAN L ERNEY JD CHIEF EXECUTIVE OFFICER 37.50 X 160305 0 26180 CATHERINE TORHAN CHIEF FINANCIAL OFFICER 37.50 X 157212 0 27227 PETER BEZRUCIK CHIEF OPERATING OFFICER 37.50 X 157316 0 38649 LARRY FINKEL CHIEF INFORMATION OFFICER 37.50 X 146194 0 39176 GEOFFREY NEIMARK CHIEF MEDICAL OFFICER 37.50 X 240969 0 58698 ANDREW DEVOS DEPUTY COO 37.50 X 136038 0 33948 RENEE HENDERSON DEPUTY CFO 37.50 X 133738 0 30786 KAMILAH JACKSON DEPUTY CMO CHILDREN SERVICES 37.50 X 230267 0 31433 ROSE JULIUS DEPUTY CMO ADULT SERVICES 37.50 X 227045 0 8228 DONNA BAILEY CHIEF OF STAFF 37.50 X 126981 0 22590 NEAL DEMP PHYSICIAN ADVISOR 37.50 X 198146 0 30734 TRACY COLLINS PHYSICIAN ADVISOR 37.50 X 179915 0 12790 SUBHASHREE RAMESH PHYSICIAN ADVISOR 37.50 X 190288 0 39115 VIOLET HENIGHAN PHYSICIAN ADVISOR 37.50 X 182110 0 23100 ALAN SANDMAN ASSOC. MEDICAL DIRECTOR 37.50 X 216814 0 40851 2683338 1020767 637532 33 0 1 0 XEOHEALTH CORPORATION 241 EAST FOURTH STREET SUITE 202 FREDERICK MD 21701 CLAIMS SYSTEM AND PROCESSING 1683689 ASKESIS DEVELOPMENT GROUP INC 339 SIXTH AVE SUITE 1100 PITTSBURGH PA 15222 CLINICAL SYSTEM & PROCESSING 1100000 COMPASS HEALTH ANALYTICS INC 254 COMMERCIAL ST 2ND FLR PORTLAND ME 04101 IT SERVICES 681184 QUANTUM INC 240 SOUTH 9TH STREET PHILADELPHIA PA 19107 INTERPRETER SERVICES 378645 GLOBAL ARENA 100 SOUTH BROAD STREET SUITE 1400 PHILADELPHIA PA 19110 INTERPRETER SERVICES 315909 18 CITY OF PHILADELPHIA 524114 811342511 811342511 811342511 185620 185620 811528131 811342511 0 185620 X 2032980 2032980 23942949 23942949 1365086 1365086 6962321 6962321 2092266 2092266 142318 142318 155787 155787 2029160 2029160 1232608 1232608 3510572 3510572 2311599 2311599 165526 165526 140646 140646 59369 59369 1382785 1382785 842659 842659 OUTPATIENT PSYCHIATRIC 129060750 129060750 BEHAVIORAL HEALTH REHAB 122323789 122323789 INPATIENT PSYCHIATRIC 110005040 110005040 NON-HOSPITAL DRUG AND A 71310427 71310427 330459494 330434573 24921 811528131 763134579 48393552 0 950 950 31825265 10656827 785393 1350839 471078 16389714 5930223 8770752 10459491 43585700 74984272 85533506 97358011 77239287 86175412 8294219 11182599 85533506 97358011 X 0 0 85533506 97358011 0 0 X X 0 1 X 1 0 X 794206478 795978576 802803128 795060640 811342511 3999391333 794206478 795978576 802803128 795060640 811342511 3999391333 3999391333 381853 255457 58765 91855 185620 973550 4000364883 0.99980 0.99970 X 4835969 1047181 3788788 3436381 2587358 849023 8117364 2295684 5821680 10459491 DUE FROM CITY OF PHILADELPHIA 74984272 74984272 RECIPIENT COVERAGE LIABILITY 8300000 DEFERRED RENT 2882599 11182599 X 811528131 0 811528131 0 811528131 811528131 0 811528131 0 811528131 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 THE 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 CBH IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS ENDED ON OR PRIOR TO DECEMBER 31, 2011. X X X 0 0 0 0 0 0 0 0 0 SUSAN KRETSGE BOARD MEMBER 0 223988 0 0 0 0 0 0 0 21394 0 245382 0 0 VANESSA HARLEY BOARD MEMBER 0 157332 0 0 0 0 0 15863 0 2982 0 176177 0 0 ARTHUR C EVANS PHD PRESIDENT 0 153271 0 0 0 2296 0 15863 0 27306 0 198736 0 0 DAVID JONES SECRETARY/TREASURER 0 126258 0 0 0 276 0 12931 0 25108 0 164573 0 0 JOAN L ERNEY JD CHIEF EXECUTIVE OFFICER 158675 0 0 0 1630 0 12877 0 13303 0 186485 0 0 0 CATHERINE TORHAN CHIEF FINANCIAL OFFICER 146734 0 0 0 10478 0 12041 0 15186 0 184439 0 0 0 PETER BEZRUCIK CHIEF OPERATING OFFICER 147042 0 0 0 10274 0 12018 0 26631 0 195965 0 0 0 LARRY FINKEL CHIEF INFORMATION OFFICER 134906 0 0 0 11288 0 11160 0 28016 0 185370 0 0 0 GEOFFREY NEIMARK CHIEF MEDICAL OFFICER 236444 0 0 0 4525 0 19700 0 38998 0 299667 0 0 0 ANDREW DEVOS DEPUTY COO 127414 0 0 0 8624 0 10321 0 23627 0 169986 0 0 0 RENEE HENDERSON DEPUTY CFO 124845 0 0 0 8893 0 10261 0 20525 0 164524 0 0 0 KAMILAH JACKSON DEPUTY CMO CHILDREN SERVICES 225725 0 0 0 4542 0 18388 0 13045 0 261700 0 0 0 ROSE JULIUS DEPUTY CMO ADULT SERVICES 225295 0 0 0 1750 0 3454 0 4774 0 235273 0 0 0 NEAL DEMP PHYSICIAN ADVISOR 197320 0 0 0 826 0 16048 0 14686 0 228880 0 0 0 TRACY COLLINS PHYSICIAN ADVISOR 179254 0 0 0 661 0 0 0 12790 0 192705 0 0 0 SUBHASHREE RAMESH PHYSICIAN ADVISOR 189771 0 0 0 517 0 2723 0 36392 0 229403 0 0 0 VIOLET HENIGHAN PHYSICIAN ADVISOR 179340 0 0 0 2770 0 9692 0 13408 0 205210 0 0 0 ALAN SANDMAN ASSOC. MEDICAL DIRECTOR 203927 0 0 0 12887 0 16000 0 24851 0 257665 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 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 AT A COMMUNITY BEHAVIORAL HEALTH BOARD MEETING. 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 GROSS RECEIPTS TAX: PROGRAM SERVICE EXPENSES 50,130,398. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 50,130,398. INTENSIVE OUTPATIENT DRUG AND ALCOHOL: PROGRAM SERVICE EXPENSES 43,492,013. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 43,492,013. RESIDENTIAL TREATMENT FACILITIES: PROGRAM SERVICE EXPENSES 43,206,778. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 43,206,778. COMMUNITY SUPPORT: PROGRAM SERVICE EXPENSES 42,768,304. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 42,768,304. ASSERTIVE COMMUNITY TREATMENT: PROGRAM SERVICE EXPENSES 35,978,748. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 35,978,748. COMMUNITY INTEGRATED RECOVERY CENTERS: PROGRAM SERVICE EXPENSES 34,038,012. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 34,038,012. OUTPATIENT DRUG AND ALCOHOL: PROGRAM SERVICE EXPENSES 33,296,997. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 33,296,997. OTHER MEDICAL EXPENSES: PROGRAM SERVICE EXPENSES 28,267,247. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 28,267,247. PAY FOR PERFORMANCE: PROGRAM SERVICE EXPENSES 8,716,935. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,716,935. ANCILLARY SUPPORT: PROGRAM SERVICE EXPENSES 5,233,030. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,233,030. MEMBER TRANSPORTATION: PROGRAM SERVICE EXPENSES 3,796,011. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,796,011. INPATIENT DRUG AND ALCOHOL: PROGRAM SERVICE EXPENSES 766,404. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 766,404. CHILDREN HI FIDELITY WRAPAROUND EXPENSE: PROGRAM SERVICE EXPENSES 362,753. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 362,753. PROVIDER TRAINING: PROGRAM SERVICE EXPENSES 316,386. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 316,386. OTHER PROGRAM EXPENSE: PROGRAM SERVICE EXPENSES 43,886. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 43,886. DUES AND SUBSCRIPTIONS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 24,921. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 24,921. COMMUNITY: PROGRAM SERVICE EXPENSES 20,671. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 20,671. 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 CITY OF PHILADELPHIA C 811528131 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 HEALTHCHOICES BEHAVIORAL HEALTH PROGRAM. THE MAJORITY OF THE BOARD OF COMMUNITY BEHAVIORAL HEALTH MUST BE OFFICIALS OF THE CITY OF PHILADELPHIA.