2013-09-24T10:37:52-05:00 2012-12-31 010448006 ALBIN RANDALL & BENNETT PO BOX 445 130 MIDDLE STREET PORTLAND ME 041120445 990 2012-01-01 232766661 COMMUNITY BEHAVIORAL HEALTH COMM 2154133100 801 MARKET STREET 7TH FLOOR PHILADELPHIA PA 191073126 CATHERINE TORHAN 2154133100 2013-09-17 1 JASON C LEBLANC P01212079 2077721981 2013-09-17 2012 2016-02-24 21:20:13Z JOAN L ERNEY CEO 801 MARKET STREET 7TH FLOOR PHILADELPHIA PA 191073126 796234033 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 1 396 0 0 0 0 0 794206478 795978576 381853 255457 0 0 794588331 796234033 0 0 0 0 27832889 29729108 0 0 0 766755442 766504925 794588331 796234033 0 0 90318308 90839169 90318308 90839169 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 760821708 795978576 COMMUNITY BEHAVIORAL HEALTH PROVIDED MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES TO 110,372 MEDICAID RECIPIENTS OF PHILADELPHIA COUNTY THROUGH A NETWORK OF 293 HEALTHCARE PROVIDERS. 760821708 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 1 778 0 1 396 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 5.00 32.50 X X 0 149217 34944 MICHAEL J COVONE 5.00 32.50 X X 0 132380 18708 DONALD F SCHWARZ MD MPH 0.50 37.00 X 0 152500 25440 ROLAND LAMB 5.00 32.50 X X 0 110960 8699 ANNE MARIE AMBROSE 0.50 37.00 X 0 149264 35979 OMISADE ALI 0.50 37.00 X 0 113622 21883 KAREN GARRISON 0.50 0.00 X 0 0 0 NANCY LUCAS 37.50 X 150132 0 24969 GEOFFREY NEIMARK 37.50 X 37235 0 6465 CATHERINE TORHAN 37.50 X 131921 0 26862 GLENN TAYLOR 37.50 X 72119 0 7401 PETER BEZRUCIK 37.50 X 126348 0 33743 LARRY FINKEL 37.50 X 119770 0 36220 ALAN SANDMAN DO 37.50 X 207285 0 38170 KAMILAH JACKSON 37.50 X 199902 0 16643 BARBARA SOHMER 37.50 X 189236 0 17800 LINDA GORDON 37.50 X 190062 0 17478 STEPHANIE POELLNITZ 37.50 X 175964 0 28386 1599974 807943 399790 16 0 1 0 XEOHEALTH CORPORATION 241 EAST FOURTH STREET SUITE 202 FREDERICK MD 21701 CLAIMS SYSTEM AND PROCESSING 1400349 ASKESIS DEVELOPMENT GROUP INC 112 WASHINGTON PLACESUITE 300 PITTSBURGH PA 15219 CLINICAL SYSTEM 1000000 DEAF HEARING COMMUNICATION CTR 630 FAIRVIEW ROAD STE 100 SWARTHMORE PA 19081 INTERPRETER SERVICES 340563 QUANTUM INC 240 SOUTH 9TH STREET PHILADELPHIA PA 19107 INTERPRETER SERVICES 276275 PAT DEEGAN PHD ASSOCIATES LLC PO BOX 208 BYFIELD MA 01922 PROVIDER TRAINING 255152 8 CITY OF PHILADELPHIA 524114 795978576 795978576 795978576 255457 255457 796234033 795978576 0 255457 X 773185 773185 19876630 19876630 1192821 1192821 6137962 6137962 1748510 1748510 85107 85107 85181 85181 2531853 2531853 874064 874064 135969 135969 944034 944034 64634 64634 90783 90783 2849 2849 495224 495224 727926 727926 BEHAVIORAL HEALTH REHAB 129904099 129904099 OUTPATIENT PSYCHIATRIC 121245262 121245262 INPATIENT PSYCHIATRIC 110976971 110976971 NON-HOSPITAL DRUG AND A 71933886 71933886 326407083 326761490 -354407 796234033 760821708 35412325 0 950 950 23334658 32053242 62331 826 801637 4117407 7559094 5021681 1525701 2537413 64593031 52129331 90318308 90839169 82418308 82539169 7900000 8300000 90318308 90839169 X 0 0 90318308 90839169 0 0 X X 0 1 X 1 0 X 732329249 758048655 774005475 794206478 795978576 3854568433 732329249 758048655 774005475 794206478 795978576 3854568433 3854568433 767182 275299 330879 381853 255457 2010670 3856579103 0.99950 0.99900 X 1390604 1292059 98545 2847426 2540871 306555 3321064 1188751 2132313 2537413 DUE FROM CITY OF PHILADELPHIA 52129331 52129331 RECIPIENT COVERAGE LIABILITY 8300000 8300000 X 796234033 0 796234033 0 796234033 796234033 0 796234033 0 796234033 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: 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, 2009. X X X 0 0 0 0 0 0 0 0 0 ARTHUR C EVANS PHD 0 148072 0 0 0 1145 0 10781 0 24163 0 184161 0 0 MICHAEL J COVONE 0 132380 0 0 0 0 0 0 0 18708 0 151088 0 0 DONALD F SCHWARZ MD MPH 0 152500 0 0 0 0 0 12196 0 13244 0 177940 0 0 ANNE MARIE AMBROSE 0 148360 0 0 0 904 0 11955 0 24024 0 185243 0 0 NANCY LUCAS 139078 0 0 0 11054 0 11339 0 13630 0 175101 0 0 0 CATHERINE TORHAN 122352 0 0 0 9569 0 10122 0 16740 0 158783 0 0 0 PETER BEZRUCIK 117203 0 0 0 9145 0 9590 0 24153 0 160091 0 0 0 LARRY FINKEL 113613 0 0 0 6157 0 9314 0 26906 0 155990 0 0 0 ALAN SANDMAN DO 196403 0 0 0 10882 0 15172 0 22998 0 245455 0 0 0 KAMILAH JACKSON 194534 0 0 0 5368 0 3655 0 12988 0 216545 0 0 0 BARBARA SOHMER 187374 0 0 0 1862 0 15104 0 2696 0 207036 0 0 0 LINDA GORDON 187426 0 0 0 2636 0 13936 0 3542 0 207540 0 0 0 STEPHANIE POELLNITZ 173949 0 0 0 2015 0 14188 0 14198 0 204350 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. ALL OTHER FUNCTIONAL EXPENSES FORM 990, PART IX, LINE 24E GROSS RECEIPTS TAX: PROGRAM SERVICE EXPENSES 48,855,694. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 48,855,694. RESIDENTIAL TREATMENT FACILITIES: PROGRAM SERVICE EXPENSES 46,991,352. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 46,991,352. INTENSIVE OUTPATIENT DRUG AND ALCOHOL: PROGRAM SERVICE EXPENSES 39,339,559. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 39,339,559. ASSERTIVE COMMUNITY TREATMENT: PROGRAM SERVICE EXPENSES 37,992,650. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 37,992,650. COMMUNITY SUPPORT: PROGRAM SERVICE EXPENSES 34,297,874. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 34,297,874. COMMUNITY INTEGRATED RECOVERY CENTERS: PROGRAM SERVICE EXPENSES 34,069,209. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 34,069,209. OUTPATIENT DRUG AND ALCOHOL: PROGRAM SERVICE EXPENSES 32,862,333. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 32,862,333. OTHER MEDICAL EXPENSE: PROGRAM SERVICE EXPENSES 24,287,117. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 24,287,117. PAY FOR PERFORMANCE: PROGRAM SERVICE EXPENSES 16,419,596. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,419,596. ANCILLARY SUPPORT: PROGRAM SERVICE EXPENSES 5,562,102. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,562,102. MEMBER TRANSPORTATION: PROGRAM SERVICE EXPENSES 4,379,812. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,379,812. PROVIDER TRAINING: PROGRAM SERVICE EXPENSES 939,787. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 939,787. INPATIENT DRUG AND ALCOHOL: PROGRAM SERVICE EXPENSES 758,177. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 758,177. DUES AND SUBSCRIPTIONS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 11,190. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,190. OTHER PROGRAM EXPENSE: PROGRAM SERVICE EXPENSES 6,228. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,228. BAD DEBT RECOVERY: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES -365,597. FUNDRAISING EXPENSES 0. TOTAL EXPENSES -365,597. 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 GOV 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 796234033 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.