CHASE BREXTON HEALTH SERVICES INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
CHASE BREXTON HEALTH SERVICES INC (EIN 52-1638592)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-05-15
IRS object ID
201431359349307808
Schema version
2012v2.3
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-05-15T15:04:28-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1910 E ST LOUIS 200/PO BOX 1190AddressLine1
CitySPRINGFIELDCity
StateMOState
ZIP Code658062523ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN521638592EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CHASE BREXTON HEALTH SERVICES INCBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% ROBIN BROOKSInCareOfName
Name ControlCHASNameControl
Phone4107520954Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11111 NORTH CHARLES STREETAddressLine1
Address Line2SuiteAddressLine2
CityBALTIMORECity
StateMDState
ZIP Code21201ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameROBIN BROOKSName
TitleCFOTitle
Phone4107520954Phone
Date Signed2014-05-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBrian D ToddName
Phone4178658701Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeXAddressChange
Name Of Principal Officer PersonRICHARD LARISONNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11111 NORTH CHARLES STREETAddressLine1
CityBALTIMORECity
StateMDState
ZIP Code21201ZIPCode
FieldValueIRS element (for citing)
Gross Receipts79134043GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.CHASEBREXTON.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1989YearFormation
State Legal DomicileMDStateLegalDomicile
Activity Or Mission DescriptionAT CHASE BREXTON HEALTH SERVICES WE ARE PASSIONATE ABOUT PEOPLE AND THEIR HEALTH CARE NEEDS. WE ARE AN ACCREDITED FQHC PROVIDING CULTURALLY RELEVANT, COLLABORATIVE CARE.ActivityOrMissionDescription
Nbr Voting Members Governing Body18NbrVotingMembersGoverningBody
Nbr Independent Voting Members18NbrIndependentVotingMembers
Total Nbr Employees294TotalNbrEmployees
Total Nbr Volunteers30TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year7157581ContributionsGrantsPriorYear
Contributions Grants Current Year12791035ContributionsGrantsCurrentYear
Program Service Revenue Prior Year43000359ProgramServiceRevenuePriorYear
Program Service Revenue CY45964254ProgramServiceRevenueCY
Investment Income Prior Year1085180InvestmentIncomePriorYear
Investment Income Current Year907069InvestmentIncomeCurrentYear
Other Revenue Prior Year52452OtherRevenuePriorYear
Other Revenue Current Year224865OtherRevenueCurrentYear
Total Revenue Prior Year51295572TotalRevenuePriorYear
Total Revenue Current Year59887223TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year304320GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY349079GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year17262891SalariesEtcPriorYear
Salaries Etc Current Year19988399SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year1055176TotalFundrsngExpCurrentYear
Other Expense Prior Year27939697OtherExpensePriorYear
Other Expenses Current Year30667434OtherExpensesCurrentYear
Total Expenses Prior Year45506908TotalExpensesPriorYear
Total Expenses Current Year51004912TotalExpensesCurrentYear
Revenues Less Expenses Prior Year5788664RevenuesLessExpensesPriorYear
Revenues Less Expenses CY8882311RevenuesLessExpensesCY
Total Assets BOY51260998TotalAssetsBOY
Total Assets EOY37574009TotalAssetsEOY
Total Liabilities BOY5234326TotalLiabilitiesBOY
Total Liabilities EOY10312535TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY46026672NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY27261474NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE MISSION OF CHASE BREXTON HEALTH SERVICES IS TO PROVIDE COMPASSIONATE, QUALITY HEALTHCARE THAT HONORS DIVERSITY, INSPIRES WELLNESS AND IMPROVES OUR COMMUNITIES.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense26279905Expense
Revenue35387595Revenue
DescriptionPHARMACY - OFFERING A COMPLETE RANGE OF PRESCRIPTION MEDICATIONS, THE CHASE BREXTON PHARMACY PROVIDES CARE TO ALL CHASE BREXTON PATIENTS. THE CHASE BREXTON PHARMACY STAFF SPECIALIZES IN COMPLEX, CHRONIC ILLNESS MEDICATIONS AND TREATMENT PLANS AND PROVIDES INSIGHT AND EDUCATION TO ALL PATIENTS. ADDITIONALLY, BECAUSE NEARLY 10% OF OUR PATIENTS ARE HIV+, OUR PHARMACY PROVIDES A PARTICULAR FOCUS ON HIV-RELATED SUPPORT AND MEDICATIONS. SEE SCHEDULE O FOR MORE INFORMATION.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense10356623Expense
Grants284724Grants
Revenue7010822Revenue
DescriptionMEDICAL - CHASE BREXTON'S BOARD CERTIFIED PRIMARY CARE PROVIDERS SERVED THOUSANDS OF PATIENTS IN FISCAL YEAR 2013 WITH AN EMPHASIS ON PROVIDING PATIENT-CENTERED CARE TO PEOPLE ACROSS THEIR LIFESPAN. CHASE BREXTON MAKES IT A PRIORITY TO PROVIDE EQUITY OF CARE TO UNDERSERVED POPULATIONS. SEE SCHEDULE O FOR MORE INFORMATION.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense2894534Expense
Grants64355Grants
Revenue943114Revenue
DescriptionCASE MANAGEMENT - CASE MANAGERS HELP PEOPLE HELP THEMSELVES, INCLUDING PEOPLE OF EVERY AGE, GENDER, GENDER IDENTITY, RELIGION, CULTURE, RACE, SEXUAL ORIENTATION, SOCIOECONOMIC STATUS, COUNTRY OF ORIGIN. CASE MANAGEMENT IS A SUPPORT SYSTEM FOR ANYONE IN NEED OF NEARLY ANY TYPE OF SUPPORT TO MAKE THEIR QUALITY OF LIFE BETTER. CHASE BREXTONS CASE MANAGEMENT DEPARTMENT ADHERES TO AND BASES ITS PROVISION OF SERVICES UPON THE PRINCIPLES AND VALUES ESTABLISHED BY THE NATIONAL ASSOCIATION OF SOCIAL WORKERS CODE OF ETHICS.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp4477086TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev2622723TotalOfOtherProgramServiceRev
Total Program Service Expense44008148TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualstrueGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10962NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees294NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members18NbrVotingGoverningBodyMembers
Number Independent Voting Members18NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledMDStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledPAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonROBIN BROOKSNamePerson
Telephone Number4107520954TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11111 NORTH CHARLES STREETAddressLine1
CityBALTIMORECity
StateMDState
ZIP Code21201ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (31 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
ANGELINA T SUTTON
DIRECTOR2.00.0X
JACK K BOYSON
DIRECTOR2.00.0X
WALTER F ATHA
DIRECTOR2.00.0X
SAMUEL V FULLER
DIRECTOR2.00.0X
RONALD J TAYLOR
DIRECTOR2.00.0X
JAMES M SPELLISSY
DIRECTOR2.00.0X
JOHN A MURPHY
DIRECTOR2.00.0X
LUZ LOPEZ-ORTIZ
DIRECTOR2.00.0X
JOANNE FRITZ KRAUS
DIRECTOR2.00.0X
KRISTINE HOLMES
DIRECTOR2.00.0X
LESLIE PITTON
DIRECTOR2.00.5X
MAUREEN CUNNINGHAM
DIRECTOR2.00.0X
NEHA SHETH
DIRECTOR2.00.0X
MARC CROSS
DIRECTOR2.00.0X
TOMMY FLOW
SECRETARY4.00.0XX
DEBRA A PATRICK
TREASURER4.00.0XX
CAROLYN KENNEDY
VICE PRESIDENT4.00.5XX
KIMBERLY PRICE
PRESIDENT4.00.5XX
GUY VAN TIGGELEN
DIRECTOR ENDING 12/20122.00.0X
JUDY SHAHAN
DIRECTOR ENDING 4/20132.00.0X
RICHARD LARISON
CEO BEGINNING 7/201240.01.0X350163023777
BRET MINARIK
CHIEF FINANCIAL OFFICER40.02.0X162514013745
DANIEL NEUMEISTER
CEO ENDING 7/201240.00.0X31768708729
JOYCE JONES
CHIEF MEDICAL OFFICER40.00.0183653019413X
JUDY LAPINSKI
CHIEF OPERATING OFFICER40.00.0155909013432X
AMINA CHANDHRY MD
CHIEF MEDICAL OFFICER40.00.015314301362X
KATHLEEN BYRNE
STAFF PHYSICIAN40.00.0162898024188X
KARI ALPEROVITZ-BICHELL
PHYSICIAN32.00.0160216025042X
JUDY DAVIDOFF
PHYSICIAN40.00.015416907528X
EDUARDO LEON GUERRERO
FAMILY PHYSICIAN32.00.018921105972X
TARA PATTERSON
PSYCHIATRIST32.00.0170175019723X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2159738TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation162911TotalOtherCompensation
Number Individuals GT100 K34NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

FieldValueIRS element (for citing)
Name PersonDAVID ALAN WEINSTEINNamePerson
FieldValueIRS element (for citing)
Address Of ContractorAddressOfContractor
Description Of ServicesCONSULTING SERVICESDescriptionOfServices
Compensation146097Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Government Grants10057419GovernmentGrants
All Other Contributions2733616AllOtherContributions
Total Contributions12791035TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
340B PHARMACY REVENUE6241003538759535387595
NET PATIENT SERVICE REVENUE62410080857048085704
CAPITATION REVENUE62410019545831954583
EHR INCENTIVE REVENUE624100212500212500
OTHER REVENUE624100323872323872
FieldValueIRS element (for citing)
Total Program Service Revenue45964254TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column117748TotalRevenueColumn
Exclusion$117,748ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real3636Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real3636Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column3636TotalRevenueColumn
Exclusion$3,636ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities19921902Securities
Other114239Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities19119258Securities
Other127562Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities802644Securities
Other-13323Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column789321TotalRevenueColumn
Exclusion$789,321ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
LOSS ON IMPAIRMENT900099-719822-$719,822
INCOME FROM EQUITY INVESTEE900099941051$941,051
FieldValueIRS element (for citing)
Total Other Revenue221229TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column59887223TotalRevenueColumn
Related Or Exempt Function Income45964254RelatedOrExemptFunctionIncome
Exclusion$1,131,934ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total284724Total
Program Services284724ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total64355Total
Program Services64355ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total921968Total
Program Services365760ProgramServices
Management And General556208ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total16120813Total
Program Services12534895ProgramServices
Management And General3065344ManagementAndGeneral
Fundraising520574Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total196526Total
Program Services152281ProgramServices
Management And General29493ManagementAndGeneral
Fundraising14752Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1501908Total
Program Services1170587ProgramServices
Management And General276057ManagementAndGeneral
Fundraising55264Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1247184Total
Program Services971926ProgramServices
Management And General232973ManagementAndGeneral
Fundraising42285Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total80023Total
Management And General80023ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total79190Total
Management And General79190ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1399944Total
Program Services964953ProgramServices
Management And General383330ManagementAndGeneral
Fundraising51661Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total156515Total
Management And General1202ManagementAndGeneral
Fundraising155313Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total862184Total
Program Services505714ProgramServices
Management And General253829ManagementAndGeneral
Fundraising102641Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total356744Total
Program Services105483ProgramServices
Management And General251094ManagementAndGeneral
Fundraising167Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total890453Total
Program Services770755ProgramServices
Management And General105414ManagementAndGeneral
Fundraising14284Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total229808Total
Program Services162463ProgramServices
Management And General56349ManagementAndGeneral
Fundraising10996Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total118950Total
Program Services58437ProgramServices
Management And General55732ManagementAndGeneral
Fundraising4781Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total762590Total
Program Services585533ProgramServices
Management And General108942ManagementAndGeneral
Fundraising68115Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total53108Total
Program Services49846ProgramServices
Management And General2568ManagementAndGeneral
Fundraising694Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
MEDICAL SUPPLIES & DRUGS2451568224515682
BAD DEBT366075366075
LICENSES, DUES, SUBSCRIPTIONS47164631306014573912847
RECRUITING & RETENTION28011465597213715802

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total44408Total
Program Services22ProgramServices
Management And General44386ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total51004912Total
Program Services44008148ProgramServices
Management And General5941588ManagementAndGeneral
Fundraising1055176Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY964BOY
EOY6996358EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY16360597BOY
EOY8065507EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY2099164BOY
EOY4741892EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY3203851BOY
EOY3178332EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY6241100EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY535198BOY
EOY451189EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY377234BOY
EOY301542EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis8670161LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec4389818LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY13579583BOY
EOY4280343EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY15063455BOY
EOY3046007EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY3490BOY
EOY14362EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY37462BOY
EOY257377EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY51260998BOY
EOY37574009EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY3924377BOY
EOY4816140EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY312000BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY281334BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY712000EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY716615BOY
EOY4784395EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY5234326BOY
EOY10312535EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY46012219BOY
EOY26762036EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY14453BOY
EOY499438EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY46026672BOY
EOY27261474EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY51260998BOY
EOY37574009EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses8882311ReconcilationRevenueExpenses
Reconciliation Unrealized Invest-77844ReconciliationUnrealizedInvest
Reconcilation Prior Adjustment-291903ReconcilationPriorAdjustment
Reconcilation Other Changes-27277762ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6867448CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6839916CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7001944CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7157587CurrentTaxYearMinus1Year
Current Tax Year12791035CurrentTaxYear
Total40657930Total

Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170

FieldValueIRS element (for citing)
Total0Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

FieldValueIRS element (for citing)
Total0Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6867448CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6839916CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7001944CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7157587CurrentTaxYearMinus1Year
Current Tax Year12791035CurrentTaxYear
Total40657930Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total0AmountsSubstContributorsTotal
Public Support Total17040657930PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years665436CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years578166CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years586910CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year415432CurrentTaxYearMinus1Year
Current Tax Year121384CurrentTaxYear
Total2367328Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Total0Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Total Support43025258TotalSupport
Gross Receipts From Admissions Etc199067901GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.94498PublicSupportPertcentage170
Public Support Pertcent Prior Year0.92990PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years
Current Year Minus4 YearsCurrentYearMinus4Years
LandLand

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis1237004InvestmentCostOrOtherBasis
Book Value1237004BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis2531342OtherCostOrOtherBasis
Depreciation926209Depreciation
Book Value1605133BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis4901815OtherCostOrOtherBasis
Depreciation3463609Depreciation
Book Value1438206BookValue
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildings
Total Of Book Value Land Buildings4280343TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDue to related partyDescription
Amount$4,784,395Amount
FieldValueIRS element (for citing)
Total Of Amounts4784395TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt33127111TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-77844NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities228424DonatedSrvcAndUseOfFacilities
Other Revenues-27643837OtherRevenues
Revenue Not Rptd F990-27493257RevenueNotRptdF990
Revenue Subtotal60620368RevenueSubtotal
Other Revenues Not Included-733145OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-733145RevenueNotRptdOnFinStmt
Total Revenue Per Form99059887223TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt51600406TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities228424DonatedServicesUseOfFacilities
Other Expenses Included733145OtherExpensesIncluded
Expenses Not Rptd F990961569ExpensesNotRptdF990
Expenses Subtotal50638837ExpensesSubtotal
Other Expenses Not Included366075OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt366075ExpensesNotRptdOnFinStmt
Total Expenses Per Form99051004912TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
UNCERTAIN TAX POSITIONSSCHEDULE D, PART X, LINE 2MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.
OTHER REVENUE INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART VIII, LINE 12SCHEDULE D, PART XI, LINE 2D$(27,277,762) TRANSFER TO AFFILIATE ( 366,075) BAD DEBT --------- $(27,643,837) TOTAL
OTHER REVENUE INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1SCHEDULE D, PART XI, LINE 4B$( 719,822) LOSS ON IMPAIRMENT ( 13,323) LOSS ON SALE OF FIXED ASSETS --------- $( 733,145) TOTAL
OTHER EXPENSE INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART IX, LINE 25SCHEDULE D, PART XII, LINE 2D$ 719,822 LOSS ON IMPAIRMENT 13,323 LOSS ON SALE OF FIXED ASSETS --------- $ 733,145 TOTAL
OTHER EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1SCHEDULE D, PART XII, LINE 4B$ 366,075 BAD DEBT

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1JOHNS HOPKINS UNIVERSITYBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11830 E MONUMENT STREETAddressLine1
CityBALTIMORECity
StateMDState
ZIP Code21205ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient520595110EINOfRecipient
IRC Section501(C)(3)IRCSection
Amount Of Cash Grant284724AmountOfCashGrant
Purpose Of GrantHIV SERVICESPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part III Form990ScheduleIPartIII (4 entries)

Type Of GrantTypeOfGrantNumber Of RecipientsNumberOfRecipientsAmount Of Cash GrantAmountOfCashGrant
TRANSPORTATION ASSISTANCE742132292
UTILITY ASSISTANCE1612810
HOUSING ASSISTANCE514362
EYE CARE ASSISTANCE274891

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURES FOR MONITORING GRANTSIdentifier
Return ReferenceSCHEDULE A, PART I, LINE 2ReturnReference
ExplanationJOHNS HOPKINS - THE GRANT RECIPIENT MAINTAINS AND RETAINS ALL RECORDS AND OTHER DOCUMENTS RELATED TO THE GRANT AGREEMENT FOR A PERIOD OF 6 YEARS. THE GRANT RECIPIENT MAKES THOSE RECORDS AVAILABLE FOR INSPECTION AND AUDIT AT ANY TIME TO THE REPRESENTATIVES OF THE ORGANIZATION. EVERY YEAR THE ORGANIZATION AUDITS THE GRANT RECIPIENT. PAYMENT OF GRANT FUNDS WILL NOT BE MADE WITHOUT ALL SUPPORTING DOCUMENTATION. INDIVIDUAL GRANTS - THE ORGANIZATION SELECTS GRANT RECIPIENTS BASED ON IMMEDIATE NEED. FUNDS ARE USED IMMEDIATELY BY THE RECIPIENT.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
RICHARD LARISON
CEO BEGINNING 7/20122783110713940458016804069730373940000
BRET MINARIK
CHIEF FINANCIAL OFFICER1525080100060007757059880176259000
DANIEL NEUMEISTER
CEO ENDING 7/20122486140006907300087290326416000
KATHLEEN BYRNE
STAFF PHYSICIAN154244086540023000011880187086000
KARI ALPEROVITZ-BICHELL
PHYSICIAN1566810353500023000020420185258000
JUDY DAVIDOFF
PHYSICIAN145996081730000075280161697000
EDUARDO LEON GUERRERO
FAMILY PHYSICIAN179674095370000059720195183000
TARA PATTERSON
PSYCHIATRIST1668190335600087240109990189898000
JOYCE JONES
CHIEF MEDICAL OFFICER1798090384400014291051220203066000
JUDY LAPINSKI
CHIEF OPERATING OFFICER152871030380007900055320169341000
AMINA CHANDHRY MD
CHIEF MEDICAL OFFICER153143000000013620154505000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierNON-FIXED PAYMENTSIdentifier
Return ReferenceSCHEDULE J, PART I, LINE 7ReturnReference
ExplanationEMPLOYEE BONUSES ARE DETERMINED BASED ON MEASUREMENTS ESTABLISHED AND APPROVED THE BOARD OF DIRECTORS. THESE MEASURES MAY INCLUDE, BUT ARE NOT LIMITED TO, SCORECARD TARGETS AND PROVIDER BONUSES FOR REACHING PRODUCTIVITY GOALS AND QUALITY MEASURES.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
PHARMACY SERVICESFORM 990, PART III, LINE 4ADUE TO THE COMPLEX NATURE OF HIV TREATMENT, EVERY HIV PATIENT IS PROVIDED CARE THROUGH OUR INTENSIVE EDUCATION AND COMPREHENSIVE SUPPORT PROGRAM, MEDICATION SUPPORT TEAM (MST). THIS TEAM, WHICH HAS RECENTLY EXPANDED TO ALSO WORK WITH OTHER CHRONICALLY ILL PATIENTS, HELPS PATIENTS TO BETTER UNDERSTAND, MANAGE, AND COPE WITH THEIR MEDICATIONS AND DISEASES. CHASE BREXTON ALSO OFFERS HOME DELIVERY OF MEDICATIONS TO THOSE IN NEED.
MEDICAL SERVICESFORM 990, PART III, LINE 4BWE PROVIDE CARE TO PATIENTS OF ALL AGES, RACES, GENDERS, GENDER IDENTITIES, RELIGIONS, SEXUAL ORIENTATIONS, ETHNICITIES, AND SOCIOECONOMIC STATUSES. BECAUSE OF OUR SPECIAL EMPHASIS ON AFFIRMING, OPEN CARE, WE HAVE FOUND THAT MORE THAN 20% OF OUR PATIENTS IDENTIFY AS LESBIAN, GAY, BISEXUAL, OR TRANSGENDER. WE ALSO STAFF BOARD CERTIFIED INFECTIOUS DISEASE PHYSICIANS TO CARE FOR THOSE WITH HIV, HEPATITIS C, AND OTHER INFECTIOUS DISEASES THAT HAVE TAKEN HOLD IN OUR COMMUNITIES. ADDITIONALLY, OUR ABILITY TO PROVIDE CARE FOR ALL IS OF PARTICULAR IMPORTANCE AS THE NUMBER OF UNINSURED WE SERVE HAS STEADILY RISEN IN THE PAST YEARS.
OTHER PROGRAM SERVICESFORM 990, PART III, LINE 4DMENTAL HEALTH - CHASE BREXTON'S DIVERSE BEHAVIORAL HEALTH SERVICES AND PROGRAMS FOCUS ON A "WHOLE-PERSON" PHILOSOPHY OF CARE TO HELP PATIENTS MANAGE ALL ASPECTS OF THEIR WELL-BEING, SO THEY CAN THRIVE. MENTAL HEALTH SERVICES PROVIDED BY CHASE BREXTON INCLUDE INDIVIDUAL THERAPY, COUPLES THERAPY, GROUP THERAPY, PSYCHIATRY, MEDICATION MANAGEMENT, ADDITIONS COUNSELING, ADDICTIONS INTENSIVE OUTPATIENT PROGRAM, SMOKING CESSATION CLASSES, AND CLASSES TO CONTRIBUTE TO OUR PATIENTS' HAPPINESS AND HEALTH. OUR SERVICES ARE LGBT-AFFIRMING AND SENSITIVE TO THE PSYCHOLOGICAL ASPECTS OF HIV/AIDS. TREATMENT OPTIONS ARE DETERMINED BY THE INDIVIDUAL'S NEEDS. DENTAL SERVICES - WE PROVIDE PREVENTIVE CARE FOR CHILDREN AND ADULTS, RESTORATIVE CARE, REPLACEMENT CARE, EMERGENCY CARE AND ROUTINE ORAL, SURGICAL AND ENDODONTIC TREATMENTS, AS WELL AS COSMETIC AND ELECTIVE CARE.
PROCESS TO REVIEW THE FORM 990FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE FINANCE DEPARTMENT OF THE ORGANIZATION. THE FORM 990 IS REVIEWED BY TOP MANAGEMENT PRIOR TO FILING.
CONFLICT OF INTEREST POLICYFORM 990, PART VI, SECTION B, LINE 12CTHE CONFLICT OF INTEREST POLICY COVERS THE ORGANIZATION'S DIRECTORS, OFFICERS AND ANY OTHER INDIVIDUALS ASSOCIATED WITH THE ORGANIZATION. PER THE POLICY, NO INTERESTED PERSON SHALL PARTICIPATE IN THE ORGANIZATION'S SELECTION, AWARD OR ADMINISTRATION OR ANY CONTRACT OR GRANT, PAID IN WHOLE OR IN PART WITH FEDERAL FUNDS, IF A REAL OF APPARENT CONFLICT OF INTEREST WOULD BE INVOLVED. REQUIREMENTS SURROUNDING FQHC'S STIPULATE THAT BOARD MEMBERS ARE INDEPENDENT AND HAVE NO CONFLICTS OF INTEREST. POTENTIAL BOARD MEMBERS ARE INTERVIEWED AS TO WHETHER ANY CONFLICTS EXIST AND ELECTED MEMBERS ARE REQUIRED TO CERTIFY. REVIEW IS PERFORMED BY MANAGEMENT ANNUALLY.
COMPENSATION REVIEW OF CEO AND OTHER OFFICERSFORM 990, PART VI, SECTION B, LINES 15A & 15BTHE COMPANY HAS AN EXECUTIVE COMPENSATION COMMITTEE WHICH REVIEWS THE SALARIES AND BENEFITS FOR ALL OFFICERS ON AN ANNUAL BASIS USING COMPARABILITY DATA. MINUTES AND MEMOS ARE AVAILABLE UPON REQUEST.
GOVERNING DOCUMENTS AVAILABLE TO THE PUBLICFORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON WRITTEN REQUEST.
OTHER CHANGES IN NET ASSETSFORM 990, PART XI, LINE 9$(27,277,762) TRANSFER TO AFFILIATE

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1CHASE BREXTON REALTY INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11111 N CHARLES STAddressLine1
CityBALTIMORECity
StateMDState
ZIP Code21201ZIPCode
FieldValueIRS element (for citing)
EIN461116883EIN
Primary ActivitiesR/E HOLDINGPrimaryActivities
Legal Domicile StateMDLegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity Status11 A IPublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1CBHSBusinessNameLine1
FieldValueIRS element (for citing)
Controlled OrgtrueControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgtrueLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
CHASE BREXTON REALTY INC
E4784395FMV
CHASE BREXTON REALTY INC
R27277762FMV

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