2011-04-26T15:15:37-05:00 2010-06-30 RSM MCGLADREY INC 100 INTERNATIONAL DRIVE SUITE 1400 BALTIMORE MD 21202 990 2009-07-01 521638592 CHASE BREXTON HEALTH SERVICES INC CHAS 4107520954 1001 CATHEDRAL STREET BALTIMORE MD 21201 bret minarik 4107520954 2011-04-21 1 JULIA FLANNERY 4102469300 2009 2016-02-24 21:20:13Z DAVID SHIPPEE 1001 CATHEDRAL STREET BALTIMORE MD 21201 43951181 0 X www.chasebrexton.org X 1978 MD to provide compassionate, quality healthcare that honors diversity, inspires wellness and improves our communities. 17 17 258 30 0 0 6897553 6839916 34088891 36491345 466813 371369 55640 69231 41508897 43771861 346193 352719 0 12437280 13956828 0 623253 21957247 24152222 34740720 38461769 6768177 5310092 29002339 35244935 3177776 3500388 25824563 31744547 THE MISSION OF CHASE BREXTON HEALTH SERVICES IS TO PROVIDE COMPASSIONATE, QUALITY HEALTHCARE THAT HONORS DIVERSITY, INSPIRES WELLNESS AND IMPROVES OUR COMMUNITIES. 0 0 19292063 0 26718595 PHARMACY: A full-service pharmacy, offers a full-range of medications to CBHS patients. Because nearly 20% of CBHS patients are HIV-positive, our pharmacy provides a particular focus on HIV-related support and medications. Due to the complex nature of HIV treatment, CBHS provides intensive education and comprehensive support through our Medication support Team (MST) to enable patients to manage their disease and adhere to their treatment. For every CBHS patient, the pharmacy staff provides education on medications. CBHS also offers home delivery of medications to those in need and guidance of coverage. 9159334 352719 9210334 MEDICAL: CBHS served thousands of patients in 2009, with emphasis on providing quality health care to people across the lifespan, of every gender, religion, sexual orientation, and socioeconomic status. Through our medical health services, we strive to provide equity of care to underserved populations, including those who are uninsured and underinsured, those who are gay, lesbian, bisexual and/or transgender and those who are infected with HIV. In the past year, we have experienced a steady rise in the number of uninsured patients we serve. Our patients receive comprehensive, affordable health care provided by Board Certified primary care physicians. 1799550 0 562416 MENTAL HEALTH : CBHS 'whole person' philosophy of care means providing health care that addresses many areas that affect a person's health and quality of life. Mental Health services provided by CBHS include individual therapy, couples therapy, group therapy, psychiatry, medication management, addictions counseling, addictions intensive outpatient program, smoking cessation classes, and other groups and classes to contribute to our patients' happiness and health. Our services are GLBT-affirming and sensitive to the psychological aspects of HIV/AIDS. Treatment options are determined by the individual's needs. 1943126 0 0 CASE MANAGEMENT 1176259 0 0 DENTAL 3119385 33370332 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 3 0 1 258 1 0 0 0 0 0 1 1 0 0 0 17 17 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MD PA X CARLOS PLAZAS 4107520954 1001 cathedral street baltimore MD 21201 WALTER ATHA MD 2.00 X 0 0 0 MARC CROSS 4.00 X X 0 0 0 GUY VAN TIGGELEN 4.00 X X 0 0 0 LESLIE PITTON JR 8.00 X X 0 0 0 Carolyn Kennedy 2.00 X 0 0 0 JAMES M SPELLISSY 2.00 X 0 0 0 NEHA SHETH 4.00 X X 0 0 0 MARY ANN FACENTE 4.00 X 0 0 0 Kimberly Price 2.00 X 0 0 0 KRISTINE HOLMES RN 2.00 X 0 0 0 JUDY SHAHAN RN 2.00 X 0 0 0 MAUREEN CUNNINGHAM 2.00 X 0 0 0 TOMMY FLOW 2.00 X 0 0 0 RONALD TAYLOR MD 2.00 X 0 0 0 Fabian Walters 2.00 X 0 0 0 shaun carrick 2.00 X 0 0 0 JOANNE KRAUS 4.00 X 0 0 0 PHILIP SARACINO cpa 40.00 X 120608 0 18230 DAVID SHIPPEE ceo 40.00 X 334850 0 25029 EVA HERSH md 40.00 X 183291 0 20628 TARA PATTERSON md 40.00 X 143424 0 14270 JEFFERY JENSEN md 40.00 X 166365 0 13429 RITCHE HAO MD 40.00 X 172819 0 13150 EDUARDO GUERRERO 40.00 X 148338 0 0 kimberly baydarian MD 40.00 X 143061 0 12341 1412756 0 117077 24 0 1 0 0 22362 50745 6137858 628951 15245 6839916 PATIENT FEES 900099 35831136 35831136 PARTNERSHIP INCOME 900099 660209 660209 36491345 371369 371369 206797 146912 59885 59885 59885 41754 50745 32408 9346 9346 43771861 36491345 0 440600 352719 352719 678141 598984 79157 11130353 7818475 2886554 425324 192928 125497 56794 10637 1090187 735836 317112 37239 865219 611181 222599 31439 17216 17216 44209 44209 279581 188850 90482 249 15810 15810 1043373 902642 118434 22297 360582 118651 234529 7402 720869 622427 56872 41570 93655 64696 27275 1684 77692 64619 10747 2326 544648 400345 123497 20806 104973 91770 11936 1267 PHARMACY 20468199 20468199 0 0 DUES / SUBSCRIPTIONS 135223 58844 75450 929 LICENSES 106352 91503 13861 988 MISCELLANEOUS 78646 29061 47137 2448 OTHER EMPLOYEE COSTS 61194 26033 34323 838 38461769 33370332 4468184 623253 989 964 6033279 9399261 1683636 1837628 2546972 2355861 443421 287826 200495 123359 8306275 3453543 4961402 4852732 12618193 11132475 28985 4777827 484967 477002 29002339 35244935 2382601 2679929 178678 183955 616497 636504 3177776 3500388 X 25808232 31718155 16331 26392 25824563 31744547 29002339 35244935 X 0 1 1 X 1 1 X 6091406 6269926 6182217 6867448 6839916 32250913 6091406 6269926 6182217 6867448 6839916 32250913 32250913 250628 323682 316289 665436 578166 2134201 34385114 150359323 0.93790 0.94590 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4028930 882170 3146760 1311644 533862 777782 2965701 2037511 928190 4852732 OTHER INVESTMENTS 2981 F CSV OFFICER'S LIFE INSURANCE 8463 C CLOSELY HELD STOCK 100 C 471,442 shares of american short term bond cl a 4766283 F 4777827 SECURITY DEPOSITS 2411 ESTIMATED CLAIMS IBNR 634093 636504 43771861 38461769 5310092 609892 609892 5919984 44446073 609892 31912 32408 674212 43771861 0 43771861 38526089 31912 32408 64320 38461769 0 38461769 Part X: Description of Uncertain Tax Positions Under FIN 48: CBHS has adopted the accounting standard on accounting for uncertainty in income taxes, which addresses the determination of whether the tax benefits claimed or expected to be claimed on a tax return should be recorded in the financial statements. Under this policy, CBHS may recognize the tax benefit from an uncertain tax position only if it is more-likely-than-not that the tax position would be sustained on examination by taxing authorities, based on the technical merits of the position. Management has evaluated CBHS's tax positions and has concluded that CBHS has taken no uncertain tax positions that require adjustment to the financial statements to comply with provisions of this guidance. With few exceptions, CBHS is no longer subject to income tax examinations for the U.S. federal, state or local tax authorities for the years before June 30, 2007. Part XII, Line 2d - Other Adjustments: SPECIAL EVENT EXPENSES: 32408. Part XIII, Line 2d - Other Adjustments: SPECIAL EVENT EXPENSES: 32408. DINNER 92499 50745 41754 5180 27228 92499 50745 41754 5180 27228 32408 9346 1 JOHNS HOPKINS UNIVERSITY 720 RUTLAND AVENUE BALTIMORE MD 21205 520595110 501(c)(3) 352719 TO PROVIDE OUTPATIENT EARLY INTERVENTION SERVICES WITH RESPECT TO HIV DISEASE 1 0 Procedure for Monitoring Grants in the U.S.: Part I, Line 2: Schedule I, Part I, Line 2: 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 organzization audits the grant recipient. payment of grant funds will not be made without all supporting documentation. X X 0 1 X X X X 0 0 0 0 0 0 0 0 0 DAVID SHIPPEE ceo 180169 0 71066 0 83615 0 16746 0 10717 0 362313 0 267053 0 EVA HERSH md 178004 0 3859 0 1428 0 9274 0 14127 0 206692 0 197615 0 TARA PATTERSON md 143424 0 0 0 0 0 1818 0 12452 0 157694 0 150766 0 JEFFERY JENSEN md 162349 0 4016 0 0 0 8144 0 5284 0 179793 0 169343 0 RITCHE HAO MD 149875 0 22944 0 0 0 7866 0 5284 0 185969 0 0 0 kimberly baydarian MD 143061 0 0 0 0 0 7031 0 5310 0 155402 0 0 0 Part I, Line 1a the ceo receives these benefits. they are included in his taxable compensation. Part I, Line 1b CBHS HAS AN EXECUTIVE COMPENSATION COMMITTEE WHO REVIEWS SALARIES FOR OFFICERS YEARLY. MINUTES AND MEMOS ARE AVAILABLE UPON REQUEST. david shippee ceo OFFICER AND DIRECTOR OF PRIORITY PARTNERS MANAGED CARE ORGANIZATION (PPMCO) 5645926 CHASE BREXTON HAS AN OWNERSHIP INTEREST IN THE HEALTH PLAN AND IS ALSO A CONTRACTED MEDICAL PROVIDER RECEIVING FEE-FOR-SERVICE AND CAPITATION PAYMENTS FOR CARE RENDERED TO CERTAIN ENROLLEES OF THE HEALTH PLAN. 0 Form 990, Part VI, Section B, line 11 990 created by RSM McGladrey. Upon receipt of the draft 990 from RSM McGladrey, both CFO and Accounting Manager will review. Upon satisfactory review, the CFO will present the draft to the Finance Committee who will then review the return and propose approval to the full board of directors. THE FULL BOARD OF DIRECTORS WILL RECEIVE A COPY OF THE 990 BEFORE IT IS FILED WITH THE IRS. Form 990, Part VI, Section B, line 12c Employees are required to report any potential conflict of interest to the CEO or the HR Director. We review these disclosures and make determinations about any potential conflict. Form 990, Part VI, Section B, line 15 THE COMPANY HAS AN EXECUTIVE COMPENSATION COMMITTEE WHO REVIEWS SALARIES AND BENEFITS FOR OFFICERS YEARLY. MINUTES AND MEMOS ARE AVAILABLE UPON REQUEST. Form 990, Part VI, Section C, line 19 Financial Statements which are part of our Annual Report are available on our website. Governing Documents and Conflict of interest policies are available upon request. THE PROCESS FOR CHOOSING ACCOUNTING FIRMS HAS NOT CHANGED IN THE PAST YEAR.