Department of the Treasury Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
Attach to Form 990 or Form 990-EZ. See separate instructions. Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
BETHANNA
Employer identification number
23-1649667
Part I
Reason for Public Charity Status
(All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).
f
If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supporting organization, check this box
..................................................
g
Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons?
(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the supported organization?
................
11g(i)
(ii)
A family member of a person described in (i) above?
......................
11g(ii)
(iii)
A 35% controlled entity of a person described in (i) or (ii) above?
................
11g(iii)
h
Provide the following information about the supported organization(s).
(i) Name of supported organization
(ii) EIN
(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions))
(iv) Is the organization in col. (i) listed in your governing document?
(v) Did you notify the organization in col. (i) of your support?
(vi) Is the organization in col. (i) organized in the U.S.?
(vii) Amount of monetary support
Yes
No
Yes
No
Yes
No
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the
organization failed to qualify under Part III. If the organization fails to
qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
494,305
522,629
801,711
267,981
345,937
2,432,563
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
4
Total. Add lines 1 through 3
494,305
522,629
801,711
267,981
345,937
2,432,563
5
The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included
on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
729,229
6
Public support. Subtract line 5 from line 4.
1,703,334
Section B. Total Support
Calendar year
(or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
7
Amounts from line 4..
494,305
522,629
801,711
267,981
345,937
2,432,563
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
3,174
6,301
10,308
8,052
4,129
31,964
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
10
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
-1,518
33,289
31,771
11
Total support (Add lines 7 through 10).
2,496,298
12
Gross receipts from related activities, etc. (see instructions)
..................
12
58,890,780
13
First five years.
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.................................................
Section C. Computation of Public Support Percentage
14
Public support percentage for 2013 (line 6, column (f) divided by line 11, column (f))
.........
14
68.230 %
15
Public support percentage for 2012 Schedule A, Part II, line 14
...............
15
71.870 %
16a
33 1/3% support test—2013.
If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization
.......................
b
33 1/3% support test—2012.
If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization
.....................
17a
10%-facts-and-circumstances test—2013.
If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization
.....................................................
b
10%-facts-and-circumstances test—2012.
If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization
................................................
18
Private foundation.
If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions
.....................................................
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization
failed to qualify under Part II. If the organization fails to qualify under
the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5
The value of services or facilities furnished by a governmental unit to the organization without charge..
6
Total. Add lines 1 through 5.
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
b
Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c
Add lines 7a and 7b..
8
Public support (Subtract line 7c from line 6.)
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
9
Amounts from line 6...
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
..
13
Total support. (Add lines 9, 10c, 11, and 12.)..
14
First five years.
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.............................................
Section C. Computation of Public Support Percentage
15
Public support percentage for 2013 (line 8, column (f) divided by line 13, column (f))
.........
15
16
Public support percentage from 2012 Schedule A, Part III, line 15
...............
16
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f))
......
17
18
Investment income percentage from 2012 Schedule A, Part III, line 17
.............
18
19a
33 1/3% support tests—2013.
If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
........
b
33 1/3% support tests—2012.
If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
.....
20
Private foundation.
If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions
.....
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 4
Part IV
Supplemental Information.
Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
Explanation
Schedule A (Form 990 or 990-EZ) 2013
Additional Data
Software ID:
Software Version:
-
TIN:
SCHEDULE O (Form 990 or 990-EZ)
Department of the Treasury Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ
Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
BETHANNA
Employer identification number
23-1649667
Return Reference
Explanation
Form 990, Part III, Line 4a
Bethanna selected by the Philadelphia Department of Human Services to serve as the Community Umbrella Agency (CUA) in South Philadelphia: The Philadelphia Department of Human Services (DHS) reached a major milestone in shifting the management of child welfare cases from the City to community-based organizations by selecting the seven agencies to oversee cases in their neighborhoods. With these selections, Community Umbrella Agencies (CUAs) are now in place for all ten coverage areas of the City under the sweeping DHS reform called Improving Outcomes for Children (IOC), a community-based approach to service delivery. Bethanna will serve the South Philadelphia community. Bethanna has a long history of innovative responses to the needs of Philadelphia's children. The organization has been a pioneer in providing Medical Foster Care for chronically ill children so that a child can receive medical care in a foster home setting rather than in a hospital setting. The agency has been effective in blending child welfare and behavioral health services to create a recovery-oriented system of childcare. Bethanna's mission is rooted in faith, hope and the belief that every family's voice, values and vision for their future is the central force that guides our work with them. Joining families along their journey is the touchstone of our long and storied work in Philadelphia. Start-up activities were initiated during the last half of the fiscal year. In addition to the launch of CUA activities in 2014, the following program services were delivered by Bethanna staff. Adoption and Post Permanency Services: A variety of discrete service elements are incorporated in the adoption process, including child specific recruitment, family assessment, child profiles, child preparation, matching, and placement supervision. Post Permanency Services are provided to families after a finalization is completed. Services are optional and based on the request of the families. Bethanna developed a contract with Chester County Children and Youth to provide Finding Families Services. Total combined services in FY 2014 - 594. Foster Care Services: Bethanna developed the Resource Parent Support position, in conjunction with subcontracting with the CUAs in Philadelphia. General/Medical Foster Care (relative and non-relative placements): General Foster and Kinship Care provides services to ensure that children are cared for in a safe and loving home that promotes each child's wellbeing in all life domains while working with their family to address the issues that resulted in the child being placed in foster care. The goal of foster care is first to promote the reunification of families and when necessary to provide other permanent families for children. Medical Foster Care provides a family setting for children with a variety of medical diagnoses that require specialized care from their foster parents. Total combined services in FY 2014 - 328. "PBC" Aftercare Services: Aftercare services are available to Philadelphia DHS children who are cared for at the "PBC" level of care. These services are provided for twelve months following a permanency outcome. The purpose is to reinforce the successful transition of families and children being re-unified or involved in permanent legal custodianship. Total served - 57. Treatment Foster Care: Treatment Foster Care provides social work interventions and coordinated in-home behavioral interventions delivered by Treatment Foster Care parents to work effectively with emotionally and behaviorally challenged children and youth. The treatment foster parent is specially trained and supported to help children develop positive, adaptive social skills, successful adjustments and improved well-being along their life journey. Total served - 108. Community Treatment Services: Community Treatment Services are designed to meet the unique needs of children, adolescents, and families who have experienced various forms of trauma and are struggling to maintain a secure attachment with their primary caregivers due to family inter-relational strains, specialized parenting skill needs, chronic difficulties in school, and other issues. These events typically leave children feeling lost, anxious, isolated, hopeless, emotionally dysregulated and with limited competency skills. This year our focus in each of the Community Treatment Services (CTSS:; BHRS; OPC) is a continued commitment to a team approach, in which staff work collaboratively with families, caregivers, child welfare professionals, other service providers, and community supports, to meet the youths and families' challenges and needs in all their life domains. Our services are rooted in faith, hope and the belief that every family's voice, values and vision for their future is the central force that guides our work with them. Joining families along their journey is the touchstone of our long and storied work in Philadelphia, Bucks, Montgomery and Delaware counties. This year there has been a strong focus on training and clinical supervision in order to strengthen staff skills in the integration of trauma-informed care and evidence-based practice models. Staff participated in several training collaboratives and clinical supervision groups in ESFT (Ecosystemic Structural Family Therapy) and ARC (the Attachment, Self-Regulation and Competency) treatment models. All of our service levels aim to strengthen attachment between caregiver and child and increase regulation and competency skills for children, while simultaneously assisting caregivers with embodying those traits that improve stability and strengthen bonds. Behavioral Health Rehabilitation Services (BHRS): BHRS is provided to individuals and their families in Philadelphia, Montgomery and Bucks Counties.Bethanna's Wraparound Program is a strength based, family centered, individualized program offering opportunities to help families and youth who are facing difficult emotional and behavioral challenges. . BHRS are provided in the home, school and/or community and include assessment, evaluation, treatment planning and a team approach to treatment. The aim of this community based in-home approach is to help children/youth and families to develop the skills, confidence and capacity to self-sufficiently be able to handle the challenges that life offers. Total served - 145. Clinical Transition and Stabilization Services (CTSS): Clinical Transition and Stabilization Services are provided for Philadelphia County Community Behavioral Health (CBH) members. CTSS is to support these children/youth during times of immense internal conflict by assisting them with rebuilding relationships with the focus on healthy bonding and attachment and creating safe, nurturing home environments, whether that be in a foster home, with biological family members or in a group home .It is a 90-day service that is provided in the home; school and community. CTSS is designed to bridge the gap in service access that would support long-term stability by offering prospective caregivers more immediate support upon their child/youth's discharge from inpatient or residential programs, as well as to prevent disruption of current home placements. This team provides a comprehensive model of services that embodies trauma-informed care with a focus on building attachment, self-regulation, and competency, while reducing fragmentation of services and minimizing placement disruptions. Total served - 155. Outpatient Mental Health Clinic: The Outpatient Mental Health Clinic offers an array of treatment services including individual therapy, family therapy, and psychiatric care. The Clinic focuses on trauma informed care and offers a variety of treatment modalities including Family Systems, Cognitive Behavioral Therapy, and Play Therapy. Total served - 514. Autism Neurodevelopmental Pediatric Evaluation: The evaluation includes a complete developmental history, a medical examination, and use of developmental assessment tools by a neurodevelopmental pediatrician. Upon completion of the evaluation, the pediatrician and the autism service coordinator reviews the results and recommendations with the family. The autism service coordinator then assists the family in setting up any recommended services for their child. Also works with the family in terms of their grief and follows up with the families. Total served - 93. Autism Diagnostic Observation Schedule (ADOS): The ADOS Evaluation, which is considered the gold standard for assessing and diagnosing Autism and Pervasive Developmental Disorder (PDD) across ages, developmental levels, and language skills, is administered at the first appointment. Total served - 96.
Family Services
Parenting Education (PECE): Bethanna provides parenting classes to parents whose children are in foster care, kinship foster parents, and fathers in the Philadelphia prison work release program. Classes run for 16 weeks, and include a variety of parenting topics and discussions. Nine of the weeks are structured as presentations and include small group discussions, role playing, and viewing video scenarios. Three of the weeks are parent/child interaction groups, which include a structured activity that families can enjoy together as well as practice parenting techniques. Program staff provides direct interventions to coach, support and role model appropriate and positive parenting. These sessions are held regularly throughout the duration of the class in order to help the families improve cohesion, bonding and positive interactions. Bethanna has provided 9 classes this fiscal year, 3 for Kinship Caregiver's and 6 for Men at the Philadelphia Work Release Program. Total served - 124. Visitation Services: The Family Visitation Program works with families whose children are in placement with the Bucks, Lancaster and Montgomery County Children and Youth departments. Services include supervision of visits between children and parents or between siblings, and parenting skill development as well as working with families towards permanency. This year the Lancaster program has increased it's capacity of clients serviced, and we also are planning to add a transportation support service for these clients next fiscal year. The program with Montgomery County OCY, now in it's second year, has gained some stability and we expect growth in number of families to be serviced next fiscal year. In all 3 counties, parent and their children continue to enjoy a enriching family visit experience, including having visits in community settings, in parent's homes, and office settings. Total clients services this year is 146. Goals for the programs include ** Support consistent, goal directed visitation between legal parents and their children in out-of-home placement. Visitation will be structured to affirm family strengths, cultural heritage, traditions and special events. ** Assist families to utilize visitation as a tool to promote safe, nurturing and meaningful family interactions thereby maintaining and strengthening family connections. ** Provide opportunity for parents to improve parenting skills, life skills related to parenting, and gain knowledge regarding their child's developmental needs. ** Contribute information to facilitate Children and Youth Agency's permanency planning decisions based on parental progress with visitation goals.
Form 990, Part VI, Section A, line 2
Board member Frank Weckenman is the father of board member Michael Weckenman.
Form 990, Part VI, Section B, line 11
The organization's finance committee reviews the form 990.
Form 990, Part VI, Section B, line 12c
The organization monitors and enforces compliance with the conflict of interest policy by reviewing the policy at the June board meeting. The policy requires conflicts of interest to be disclosed at the time of the conflict. In addition, accounts payable are monitored for any possible conflicts of interest.
Form 990, Part VI, Section B, line 15
The Board promoted the Assistant Director to Executive Director in May of 2014. The Board reviewed her salary in June 2014 in the process of adopting the agency budget. In April of 2012, Fred Holbert became the Chief Financial Officer. His salary was reviewed by the compensation committee as part of their review of all organization salaries. The executive director compared the CFO's salary to others in similar positions through the use of a compensation study. In March 2014, the Board hired a new Chief Financial Officer.
Form 990, Part VI, Section C, line 19
Governing documents and conflict of interest policy are provided strictly on a need-to-know, as requested basis. Audited financial statements are provided to different interested parties based on their classification as donors, bankers, or federal/state/payors/administrators of programs.
Form 990, Part VII, Compensation of Officers
Charles Seith was Executive Director through April 2014. Karen Hamilton was Assistant Director through April 2014. She became Executive Director in May 2014 and remains in that position as of the filing of this return. Her 2013 calendar year wages represent her salary as Assistant Director.
Form 990, Part XI, Line 2c
The process of overseeing the audit and selecting an independent auditor has not changed.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.