2014-10-31T11:27:22-05:00 2013-12-31 010448006 ALBIN RANDALL & BENNETT PO BOX 445 130 MIDDLE STREET PORTLAND ME 041120445 990 2013-01-01 232766661 COMMUNITY BEHAVIORAL HEALTH COMM 2154133100 801 MARKET STREET 7TH FLOOR PHILADELPHIA PA 191073126 CATHERINE TORHAN CFO 2154133100 2014-10-31 1 JASON C LEBLANC P01212079 2077721981 2014-10-27 2013 2015-11-30 17:44:51Z JOAN L ERNEY CEO 801 MARKET STREET 7TH FLOOR PHILADELPHIA PA 191073126 802861893 0 X WWW.DBHIDS.ORG/COMMUNITY-BEHAVIORAL-HEALTH 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. 7 1 404 0 0 0 0 0 795978576 802803128 255457 58765 0 0 796234033 802861893 0 0 0 0 29729108 31403323 0 0 0 766504925 771458570 796234033 802861893 0 0 90839169 92237214 90839169 92237214 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 764571119 802803128 COMMUNITY BEHAVIORAL HEALTH PROVIDED MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES TO 107,841 MEDICAID RECIPIENTS OF PHILADELPHIA COUNTY THROUGH A NETWORK OF 293 HEALTHCARE PROVIDERS. 764571119 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 1 412 0 1 404 1 0 0 0 0 0 0 0 0 0 0 X 7 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 ARTHUR C EVANS PHD PRESIDENT 5.00 32.50 X X 0 150861 38850 MICHAEL J COVONE SECRETARY/TREASURER 5.00 32.50 X X 0 121728 7881 DONALD F SCHWARZ MD MPH BOARD MEMBER 0.50 37.00 X 0 164917 26543 ROLAND LAMB VICE PRESIDENT/DIRECTOR 5.00 32.50 X X 0 112989 9499 ANNE MARIE AMBROSE BOARD MEMBER 0.50 37.00 X 0 149869 42568 OMISADE ALI BOARD MEMBER 0.50 37.00 X 0 116637 22321 DAVID JONES SECRETARY/TREASURER (5/ 5.00 32.50 X X 0 89759 23434 MARQUITA WILLIAMS BOARD MEMBER 0.50 37.00 X 0 57195 8252 KAREN GARRISON BOARD MEMBER 0.50 X 0 0 0 JOAN L ERNEY JD CHIEF EXECUTIVE OFFICER 37.50 X 158524 0 10810 CATHERINE TORHAN CHIEF FINANCIAL OFFICER 37.50 X 145202 0 26631 PETER BEZRUCIK CHIEF OPERATING OFFICER 37.50 X 150218 0 36932 LARRY FINKEL CHIEF INFORMATION OFFICER 37.50 X 130373 0 38500 CATHY BOLTON CHIEF ANALYTICS, RESEARCH & EVALUATION OFFICER 37.50 X 119820 0 20840 DONNA BAILEY CHIEF OF STAFF 37.50 X 79797 0 10366 NANCY LUCAS CHIEF EXECUTIVE OFFICER 37.50 X 75908 0 4889 GEOFFREY NEIMARK DEPUTY CHIEF MEDICAL OFFICER 37.50 X 200585 0 34723 ALAN SANDMAN ASSISTANT MEDICAL DIRECTOR 37.50 X 207497 0 40215 KAMILAH JACKSON ASSOC MEDICAL DIRECTOR 37.50 X 196606 0 29247 BARBARA SOHMER PHYSICIAN ADVISOR 37.50 X 186968 0 21562 STEPHANIE POELLNITZ PHYSICIAN ADVISOR 37.50 X 182908 0 29037 LINDA GORDON PHYSICIAN ADVISOR 37.50 X 160774 0 14642 1995180 963955 497742 20 0 1 0 XEOHEALTH CORPORATION 241 EAST FOURTH STREET SUITE 202 FREDERICK MD 21701 CLAIMS SYSTEM AND PROCESSING 1392264 ASKESIS DEVELOPMENT GROUP INC 112 WASHINGTON PLACESUITE 300 PITTSBURGH PA 15219 CLINICAL SYSTEM 400000 QUANTUM INC 240 SOUTH 9TH STREET PHILADELPHIA PA 19107 INTERPRETER SERVICES 367025 GLOBAL ARENA 230 SOUTH BROAD STREET SUITE 1605 PHILADELPHIA PA 19102 INTERPRETER SERVICES 244586 COMPASS HEALTH ANALYTICS INC 254 COMMERCIAL STREET 2ND FLOOR PORTLAND ME 04101 ACTUARY & CONSULTANT 176994 12 CITY OF PHILADELPHIA 524114 802803128 802803128 802803128 58765 58765 802861893 802803128 0 58765 X 1244118 1244118 20738159 20738159 1258518 1258518 6314809 6314809 1847719 1847719 156812 156812 57935 57935 2769575 2769575 1061124 1061124 156913 156913 1283841 1283841 74678 74678 147387 147387 10533 10533 494215 494215 764853 764853 BEHAVIORAL HEALTH REHAB 129575483 129575483 OUTPATIENT PSYCHIATRIC 122829752 122829752 INPATIENT PSYCHIATRIC 109947724 109947724 NON-HOSPITAL DRUG AND A 74663006 74663006 327464739 327555154 -90415 802861893 764571119 38290774 0 950 950 32053242 36543281 826 0 4117407 5127120 8441287 5515895 2537413 2925392 52129331 47640471 90839169 92237214 82539169 84237214 8300000 8000000 90839169 92237214 X 0 0 90839169 92237214 0 0 X X 0 1 X 1 0 X 758048655 774005475 794206478 795978576 802803128 3925042312 758048655 774005475 794206478 795978576 802803128 3925042312 3925042312 275299 330879 381853 255457 58765 1302253 3926344565 0.99970 0.99950 X 1675513 1338333 337180 2885402 2685330 200072 3880372 1492232 2388140 2925392 DUE FROM CITY OF PHILADELPHIA 47640471 47640471 RECIPIENT COVERAGE LIABILITY 8000000 8000000 X 802861893 0 802861893 0 802861893 802861893 0 802861893 0 802861893 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 THAT CBH IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS ENDED ON OR PRIOR TO DECEMBER 31, 2010. X X X 0 0 0 0 0 0 0 0 0 ARTHUR C EVANS PHD PRESIDENT 0 149674 0 0 0 1187 0 12232 0 26618 0 189711 0 0 DONALD F SCHWARZ MD MPH BOARD MEMBER 0 164917 0 0 0 0 0 13013 0 13530 0 191460 0 0 ANNE MARIE AMBROSE BOARD MEMBER 0 147886 0 0 0 1983 0 12189 0 30379 0 192437 0 0 JOAN L ERNEY JD CHIEF EXECUTIVE OFFICER 157229 0 0 0 1295 0 0 0 10810 0 169334 0 0 0 CATHERINE TORHAN CHIEF FINANCIAL OFFICER 136032 0 0 0 9170 0 11155 0 15476 0 171833 0 0 0 PETER BEZRUCIK CHIEF OPERATING OFFICER 141252 0 0 0 8966 0 11006 0 25926 0 187150 0 0 0 LARRY FINKEL CHIEF INFORMATION OFFICER 124356 0 0 0 6017 0 10367 0 28133 0 168873 0 0 0 GEOFFREY NEIMARK DEPUTY CHIEF MEDICAL OFFICER 200027 0 0 0 558 0 2096 0 32627 0 235308 0 0 0 ALAN SANDMAN ASSISTANT MEDICAL DIRECTOR 196174 0 0 0 11323 0 15535 0 24680 0 247712 0 0 0 KAMILAH JACKSON ASSOC MEDICAL DIRECTOR 196047 0 0 0 559 0 15840 0 13407 0 225853 0 0 0 BARBARA SOHMER PHYSICIAN ADVISOR 185372 0 0 0 1596 0 15180 0 6382 0 208530 0 0 0 STEPHANIE POELLNITZ PHYSICIAN ADVISOR 176799 0 0 0 6109 0 14445 0 14592 0 211945 0 0 0 LINDA GORDON PHYSICIAN ADVISOR 141818 0 0 0 18956 0 11385 0 3257 0 175416 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 EXECUTIVE 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 DOUMENTS, 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 RESIDENTIAL TREATMENT FACILITIES: PROGRAM SERVICE EXPENSES 50,723,334. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 50,723,334. GROSS RECEIPTS TAX: PROGRAM SERVICE EXPENSES 47,108,621. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 47,108,621. INTENSIVE OUTPATIENT DRUG AND ALCOHOL: PROGRAM SERVICE EXPENSES 40,431,432. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 40,431,432. ASSERTIVE COMMUNITY TREATMENT: PROGRAM SERVICE EXPENSES 39,946,995. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 39,946,995. COMMUNITY SUPPORT: PROGRAM SERVICE EXPENSES 36,460,111. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 36,460,111. 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 32,164,823. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 32,164,823. OTHER MEDICAL EXPENSES: PROGRAM SERVICE EXPENSES 24,786,338. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 24,786,338. PAY FOR PERFORMANCE: PROGRAM SERVICE EXPENSES 9,434,513. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,434,513. ANCILLARY SUPPORT: PROGRAM SERVICE EXPENSES 6,528,504. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,528,504. MEMBER TRANSPORTATION: PROGRAM SERVICE EXPENSES 4,394,988. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,394,988. INPATIENT DRUG AND ALCOHOL: PROGRAM SERVICE EXPENSES 1,037,251. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,037,251. PROVIDER TRAINING: PROGRAM SERVICE EXPENSES 500,306. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 500,306. DUES AND SUBSCRIPTIONS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 13,100. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,100. OTHER PROGRAM EXPENSE: PROGRAM SERVICE EXPENSES -74. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES -74. BAD DEBT RECOVERY: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES -103,515. FUNDRAISING EXPENSES 0. TOTAL EXPENSES -103,515. 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 802861893 ACTUAL COST 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.