2021-01-29T14:03:24-06:00 2020-06-30 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2019-07-01 521638592 CHASE BREXTON HEALTH SERVICES INC % ERIC TURNBAUGH CHAS 4108372050 1111 NORTH CHARLES STREET BALTIMORE MD 21201 ERIC TURNBAUGH CFO 2020-10-28 true Brian D Todd P00422601 4178658701 2019 2022-09-23 18:48:47Z PATRICK MUTCH 1111 NORTH CHARLES STREET BALTIMORE MD 21201 111505315 false X WWW.CHASEBREXTON.ORG X 1989 MD AT CHASE BREXTON HEALTH SERVICES, WE ARE PASSIONATE ABOUT PEOPLE AND THEIR HEALTH CARE NEEDS. WE ARE AN ACCREDITED FQHC PROVIDING CULTURALLY RELEVANT, COLLABORATIVE CARE. 14 14 547 25 0 9451619 10800851 90377760 100113307 1354750 877940 2557695 -3342526 103741824 108449572 448289 728611 0 0 37502680 39410083 0 0 535012 62324224 66552761 100275193 106691455 3466631 1758117 53501935 61890068 9723004 16421314 43778931 45468754 X THE MISSION OF CHASE BREXTON HEALTH SERVICES IS TO PROVIDE COMPASSIONATE, QUALITY HEALTH CARE THAT HONORS DIVERSITY, INSPIRES WELLNESS AND IMPROVES OUR COMMUNITIES. false false 54467668 74351039 PHARMACY - 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. 21680919 15126041 MEDICAL - CHASE BREXTON'S BOARD CERTIFIED PRIMARY CARE PROVIDERS SERVED PATIENTS 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 UNDER-SERVED POPULATIONS. SEE SCHEDULE O FOR MORE INFORMATION. 4230135 7705311 MENTAL 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, ADDICTIONS 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. 7641043 728611 2930916 88019765 true true false false false false false false false false true false false false true false false true false false false false false false false false false false true true false false false false false false false false false false false false false true true true false false true 24 0 true 547 true false false false false false false false false false false false false X 14 14 false false false false false false false true true false false true true true true true true true true false MD PA X ERIC TURNBAUGH 4108372050 1111 NORTH CHARLES STREET BALTIMORE MD 21201 PATRICK MUTCH CEO 40.0 1.0 X 321761 0 66543 SEBASTIAN RUHS CMO BEGIN 2/3/20 40.0 0.0 X 244289 0 13193 FRIBA FAQEERI SITE MEDICAL DIRECTOR 40.0 0.0 X 233251 0 12252 IHUOMA EMENUGA SITE MEDICAL DIRECTOR 40.0 0.0 X 230130 0 8394 MARC SUMMERFIELD VP OF PHARMACY END 1/17/20 40.0 0.0 X 218280 0 13679 ROBERT STERN SITE MED DIRECTOR END 2/28/20 40.0 0.0 X 221031 0 9473 ERIC COX STAFF PHYSICIAN 40.0 0.0 X 213487 0 8994 BILLY WOODWARD DIRECTOR, DENTAL SERVICES 40.0 0.0 X 208903 0 5198 ROBIN BROOKS CFO END 7/5/19 40.0 1.0 X 176809 0 13157 ERIC TURNBAUGH CFO BEGIN 9/16/19 40.0 1.0 X 80950 0 1785 SAMUEL V FULLER PRESIDENT 6.0 0.25 X X 0 0 0 JUAN NEGRIN VICE PRESIDENT 6.0 0.25 X X 0 0 0 PAULA TEAGUE SECRETARY 6.0 0.0 X X 0 0 0 MIA PITTMAN DIRECTOR; TREASURER BEG 9/1/20 6.0 0.25 X X 0 0 0 RAHUL GOR DIRECTOR 4.0 0.0 X 0 0 0 KATHLEEN WARD DIRECTOR 4.0 0.0 X 0 0 0 DAMIAN CRAWFORD DIRECTOR 4.0 0.0 X 0 0 0 FT BURDEN DIRECTOR 4.0 0.0 X 0 0 0 CRYSTAL SIMPSON DIRECTOR 4.0 0.0 X 0 0 0 JULIA KRIEGER DIRECTOR 4.0 0.0 X 0 0 0 SANJEEV DEV DIRECTOR BEGIN 8/31/19 4.0 0.0 X 0 0 0 RUSSELL MONTGOMERY DIRECTOR BEGIN 11/30/19 4.0 0.0 X 0 0 0 JOSEPH FERLISE DIRECTOR BEGIN 1/31/20 4.0 0.0 X 0 0 0 KAYE GOOCH DIRECTOR BEGIN 2/29/20 4.0 0.0 X 0 0 0 EUGENE CORNELIUS TREASURER END 7/31/19 6.0 0.25 X X 0 0 0 SYLVIA COOLIDGE MOORE DIRECTOR END 8/31/19 4.0 0.0 X 0 0 0 LUZ LOPEZ-ORTIZ DIRECTOR END 12/31/19 4.0 0.0 X 0 0 0 BILL H MEANS DIRECTOR END 12/31/19 4.0 0.0 X 0 0 0 ALAN S WEISMAN DIRECTOR END 1/31/20 4.0 0.0 X 0 0 0 2148891 0 152668 88 false true false ADRIAN LONG CONSULTING LLC 12 SAINT GEORGES ROAD BALTIMORE MD 21210 CONTRACTED CMO 196336 EXECUTIVE OFFICE FURNITURE 702 ISLAND CIRCLE EAST ST HELENA ISLAND SC 29920 FACILITIES 103823 2 8257975 2542876 10800851 NET PATIENT SERVICE REVENUE 624100 99733718 99733718 OTHER REVENUE 624100 379589 379589 100113307 877940 877940 0 0 0 0 0 3055743 3055743 0 0 0 0 0 0 0 0 0 0 INCOME FROM EQUITY INVESTEE 900099 2898574 2898574 EXTINGUISHMENT OF DEBT 900099 -6241100 -6241100 -3342526 108449572 100113307 -2464586 0 728611 728611 0 0 1150446 231959 918487 0 32486747 27122169 4955063 409515 462798 375647 81313 5838 3053606 2427089 597586 28931 2256486 1868846 358192 29448 0 24087 24087 140463 140463 0 0 0 3184024 1374876 1809148 480499 3452 476522 525 2218593 276782 1887372 54439 1683385 90113 1590382 2890 0 3371549 7380 3364169 69421 33378 35618 425 0 92109 54007 38102 91187 91187 0 1519309 471733 1047576 226868 226868 MEDICAL SUPPLIES & DRUGS 50255872 50255872 BAD DEBT 2507172 2507172 RECRUITING & RETENTION 366470 60 366410 LICENSES, DUES, SUBSCRIPTIONS 58527 46338 12189 263226 144281 115944 3001 106691455 88019765 18136678 535012 1968438 15879762 5311423 7723412 1610788 1978963 5203204 9187177 0 0 0 0 6241100 0 1901683 2198153 643769 961695 18545728 12315505 6351268 6230223 22014595 16683984 15845 150957 0 0 0 0 2239822 895742 53501935 61890068 6783553 7851521 0 0 204167 1934185 0 0 0 0 0 0 2735284 6609281 0 0 0 26327 9723004 16421314 X 43248992 44500717 529939 968037 43778931 45468754 53501935 61890068 X 1758117 -68294 X false true X true true true X 9032481 9404038 9591921 9451619 10800851 48280910 0 0 9032481 9404038 9591921 9451619 10800851 48280910 27145 48253765 480593 414588 808479 1359841 877940 3941441 0 0 52222351 434511877 0.92401 0.92930 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 6345585 2934822 3410763 12069116 9380683 2688433 131027 131027 6230223 0 Due to related party 26327 26327 105548427 -68294 112419 -1932613 -1888488 107436915 1012657 1012657 108449572 104296702 112419 112419 104184283 2507172 2507172 106691455 SCHEDULE D, PART X, LINE 2 UNCERTAIN TAX POSITIONS: MANAGEMENT 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. SCHEDULE D, PART XI, LINE 2D AMOUNTS INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART VIII, LINE 12: $ (2,507,172) BAD DEBT EXPENSE 574,559 NET ASSETS RELEASED FROM RESTRICTION ------------ $ (1,932,613) SCHEDULE D, PART XI, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1: $ 1,012,657 TEMPORARILY RESTRICTED CONTRIBUTIONS SCHEDULE D, PART XII, LINE 2D SCHEDULE D, PART XII, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1: $ 2,507,172 BAD DEBT EXPENSE true TRANSPORTATION ASSISTANCE 17998 52196 NUTRITIONAL ASSISTANCE 3734 130705 UTILITIY ASSISTANCE 52 24104 COMMUNICATION ASSISTANCE 46191 396527 HOUSING ASSISTANCE 109 67726 MISC ASSISTANCE 34 7492 DENTAL ASSISTANCE 5 2643 EYE CARE ASSISTANCE 19 4262 INSURANCE PREMIUM ASSISTANCE 36 35947 SCHEDULE I, PART I, LINE 2 INDIVIDUAL GRANTS: THE ORGANIZATION SELECTS GRANT RECIPIENTS BASED ON IMMEDIATE NEED. FUNDS ARE USED IMMEDIATELY BY THE RECIPIENT. X X X false true false false false false false false false ROBIN BROOKS CFO END 7/5/19 150904 0 3750 0 22155 0 8821 0 4336 0 189966 0 0 0 PATRICK MUTCH CEO 320970 0 0 0 791 0 61345 0 5198 0 388304 0 0 0 IHUOMA EMENUGA SITE MEDICAL DIRECTOR 230040 0 0 0 90 0 0 0 8394 0 238524 0 0 0 FRIBA FAQEERI SITE MEDICAL DIRECTOR 233191 0 0 0 60 0 11688 0 564 0 245503 0 0 0 ROBERT STERN SITE MED DIRECTOR END 2/28/20 220888 0 0 0 143 0 0 0 9473 0 230504 0 0 0 BILLY WOODWARD DIRECTOR, DENTAL SERVICES 208635 0 0 0 268 0 0 0 5198 0 214101 0 0 0 ERIC COX STAFF PHYSICIAN 213433 0 0 0 54 0 8994 0 0 0 222481 0 0 0 SEBASTIAN RUHS CMO BEGIN 2/3/20 244227 0 0 0 62 0 9506 0 3687 0 257482 0 0 0 MARC SUMMERFIELD VP OF PHARMACY END 1/17/20 209960 0 7500 0 820 0 6728 0 6951 0 231959 0 0 0 SCHEDULE J, PART I, LINE 4C SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN: PATRICK MUTCH, CEO, WAS THE ONLY EMPLOYEE ELIGIBLE TO PARTICIPATE IN THE 457(F) SERP. THE PARTICIPANT BECOMES VESTED IN EACH ANNUAL EMPLOYER CONTRIBUTION CREDITED TO HIS ACCOUNT (INCLUDING DEEMED EARNINGS AND LOSSES ALLOCABLE TO THE CONTRIBUTION) ON JANUARY 1, 2023. THE ORGANIZATION CONTRIBUTED $48,600 TO PATRICK MUTCH'S 457(F) PLAN DURING THE YEAR WHICH HAS BEEN REPORTED ON SCHEDULE J, PART II, COLUMN C AS CURRENT YEAR DEFERRED COMPENSATION. FORM 990, PART III, LINE 4A PHARMACY SERVICES: DUE 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. FORM 990, PART III, LINE 4B MEDICAL SERVICES: WE PROVIDE CARE TO PATIENTS OF ALL AGES, RACES, GENDERS, GENDER IDENTITIES, RELIGIONS, SEXUAL ORIENTATIONS, ETHNICITIES, AND SOCIOECONOMIC STATUSES. BECAUSE OF OUR SPECIAL EMPHASIS OAFFIRMING, 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. FORM 990, PART III, LINE 4D OTHER PROGRAM SERVICES: CASE MANAGEMENT - CASE MANAGERS HELP PEOPLE HELP THEMSELVES, INCLUDING PEOPLE OF EVERY AGE, GENDER, GENDER IDENTITY, RELIGION, CULTURE, RACE, SEXUAL ORIENTATION, SOCIOECONOMIC STATUS OR 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 BREXTON'S 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. DENTAL SERVICES - CHASE BREXTON'S DENTISTS AND DENTAL HYGIENISTS CAN HELP IMPROVE A PATIENT'S SMILE AND GET CHILDREN STARTED FOR A LIFETIME OF HEALTHY TEETH. THE DENTAL PROGRAM PROVIDES PREVENTATIVE CARE FOR CHILDREN AND ADULTS, RESTORATIVE CARE, REPLACEMENT CARE, EMERGENCY CARE, ROUTINE ORAL SURGICAL AND ENDODONTIC TREATMENTS AND COSMETIC AND ELECTIVE CARE. OB/GYN - CHASE BREXTON'S OB/GYN TEAM PROVIDES MEDICAL CARE TO PATIENTS FROM PUBERTY THROUGH MENOPAUSE AND BEYOND. ADULT AND ADOLESCENT GYNECOLOGY SERVICES INCLUDE ROUTINE PREVENTIVE CARE, PRE-CONCEPTION COUNSELING, INFERTILITY COUNSELING, PREGNANCY TESTING, GYNECOLOGICAL CARE INCLUDING ADVANCED LAPAROSCOPY, ENDOCRINOLOGY, MENOPAUSE CARE, STD COUNSELING AND OBSTETRICS. FORM 990, PART VI, SECTION B, LINE 11B PROCESS TO REVIEW THE FORM 990: THE 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 AND THE BOARD OF DIRECTORS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY: THE 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 OF ANY CONTRACT OR GRANT, PAID IN WHOLE OR IN PART WITH FEDERAL FUNDS, IF A REAL OR 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. FORM 990, PART VI, SECTION B, LINE 15A & 15B COMPENSATION REVIEW OF CEO AND OTHER OFFICERS: THE COMPANY HAS AN EXECUTIVE COMPENSATION COMMITTEE WHICH REVIEWS, WITH INPUT FROM HR AND THIRD PARTY SALARY SURVEY, THE SALARIES AND BENEFITS FOR ALL OFFICERS ON AN ANNUAL BASIS USING COMPARABILITY DATA. MINUTES AND MEMOS ARE AVAILABLE UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC: THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON WRITTEN REQUEST. CHASE BREXTON REALTY 1111 N CHARLES ST BALTIMORE MD 21201 461116883 R/E HOLDING MD 501(C)3 12 A I CBHS true false false false false true false false false false false true false false true true false false false false CHASE BREXTON REALTY INC K 155000 FMV CHASE BREXTON REALTY INC E 434848 FMV