CBHS INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- CBHS INC (EIN 46-1236771)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-15
- IRS object ID
- 202223199349315697
- Schema version
- 2021v4.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-11-15T14:35:22-05:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 141604297 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RBT CPAS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 11 RACQUET RD | AddressLine1Txt |
| City | NEWBURGH | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 12550 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 461236771 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CBHS INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CBHS | BusinessNameControlTxt |
| Phone | 8456159312 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 70 HATFIELD LANE SUITE 205 | AddressLine1Txt |
| City | GOSHEN | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10924 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | NICOLE WILLNER | PersonNm |
| Person Title | COO | PersonTitleTxt |
| Phone | 8456159312 | PhoneNum |
| Signature | 2022-11-10 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | NICOLE | PersonFirstNm |
| Person Last | WILLNER | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DAVIDE DIGENOVA CPA | PreparerPersonNm |
| PTIN | P00955704 | PTIN |
| Phone | 8455679000 | PhoneNum |
| Preparation | 2022-11-10 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | NICOLE WILLNER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 70 HATFIELD LANE | AddressLine1Txt |
| City | GOSHEN | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10924 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $60,510 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.CBHSINC.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2012 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | CBHS MAXIMIZES THE INTELLECTUAL CAPACITY AND RESOURCES OF ITS MEMBERS IN ORDER TO MEET THE CHALLENGES OF A RAPIDLY CHANGING HEALTH CARE SYSTEM. CBHS IS DEVELOPING BUSINESS INITIATIVES TO SUCCESSFULLY INTEGRATE AND MANAGE CARE, AND PROVIDE THE COST EFFECTIVE OUTCOME-BASED SERVICES REQUIRED FOR THE FUTURE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 0 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $2,852,272 | PYContributionsGrantsAmt |
| CY Contributions Grants | $60,000 | CYContributionsGrantsAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$43,200 | PYInvestmentIncomeAmt |
| CY Investment Income | $510 | CYInvestmentIncomeAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $2,809,072 | PYTotalRevenueAmt |
| CY Total Revenue | $60,510 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $60,000 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $859,359 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $0 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,152,299 | PYOtherExpensesAmt |
| CY Other Expenses | $6,565 | CYOtherExpensesAmt |
| PY Total Expenses | $3,011,658 | PYTotalExpensesAmt |
| CY Total Expenses | $66,565 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$202,586 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$6,055 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $4,005,581 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,356,867 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,730,252 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $87,593 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,275,329 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,269,274 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE MISSION OF CBHS IS TO SUPPORT ITS MEMBERS' EFFORTS TO PROVIDE EFFECTIVE BEHAVIORAL HEALTH SERVICES TO THE MEDICAID, MEDICARE, AND UNINSURED POPULATION. CBHS DEVELOPS THE RESOURCES NECESSARY TO ESTABLISH LEADING EDGE RESPONSES TO THE EVOLVING HEALTH CARE SYSTEM IN NEW YORK STATE. CBHS PROMOTES RECOVERY ORIENTED AND OUTCOME-BASED SERVICES DESIGNED TO ENSURE HIGH QUALITY AND AFFORDABLE COSTS. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $66,565 | ExpenseAmt |
| Grant | $60,000 | GrantAmt |
| Revenue | $60,000 | RevenueAmt |
| Desc | CBHS REALIZES THE NEED FOR NIMBLE, RESPONSIVE, COST EFFECTIVE WAYS TO SERVE PEOPLE WITH BEHAVIORAL HEALTH CHALLENGES, AND OTHER POPULATIONS. IN ORDER TO ACCELERATE OUR KNOWLEDGE AND PREPARATION FOR VALUE-BASED CONTRACTING, WE ARE PARTNERING WITH HEALTHCARE PROVIDERS, HEALTH HOMES, AND MANAGED CARE COMPANIES TO CREATE THE OUTCOMES NEEDED FOR THE FUTURE. CBHS IS CREATING A DEEP MENU OF INNOVATIVE SERVICES THAT ARE FINANCIALLY VIABLE AND RESPONSIVE TO PEOPLE'S NEEDS. WE HAVE BEEN LEADERS IN NEW YORK STATE'S TRANSFORMATION TO A PERSON-CENTERED MODEL OF CARE AND ARE RECOGNIZED FOR OUR RECOVERY SERVICES THAT ARE OUTCOME-DRIVEN AND THAT INCORPORATE PEER AND NATURAL SUPPORTS. WE UTILIZE STRENGTH-BASED PLANNING IN OUR BEHAVIORAL HEALTH AND CHILD WELFARE SERVICES THAT DRAWS HEAVILY UPON NATURAL SUPPORTS TO PROMOTE POSITIVE OUTCOMES. DURING 2018, CBHS WAS AWARDED AN EXPANDED CONTRACT THROUGH WESTCHESTER MEDICAL CENTER PSS TO CONTINUE IMPROVEMENTS IN POPULATION HEALTH FROM PEOPLE WITH COMPLEX NEEDS INCLUDING TRANSITIONING TO COMMUNITY OUTPATIENT CARE FOLLOWING PSYCHIATRIC HOSPITALIZATION. ALSO IN 2018, CBHS RECEIVED AN AWARD OF A BEHAVIORAL HEALTH CARE COLLABORATION GRANT THROUGH THE NEW YORK STATE OFFICE OF MENTAL HEALTH. IN ADDITION, CBHS INC. PROVIDED LEADERSHIP THROUGH THE HUDSON VALLEY IN PROVIDING CARE MANAGEMENT FOR PEOPLE WITH COMPLEX NEEDS AND INTEGRATING PRIMARY AND BEHAVIORAL HEALTH CARE. | Desc |
| Total Program Service Expenses | $66,565 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | false | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | Yes (true) | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | false | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | Yes (true) | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 0 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | NICOLE WILLNER | PersonNm |
| Phone | 8456159312 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 70 HATFIELD LANE | AddressLine1Txt |
| City | GOSHEN | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10924 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| CHARLOTTE OSTMAN | ||||||
| TREASURER | 8.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| ADRIENNE MARCUS | ||||||
| VICE PRESIDE | 8.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| AMY GELLES | ||||||
| DIRECTOR | 8.00 | Yes (X) | $0 | $0 | $0 | |
| ANDREW O'GRADY | ||||||
| DIRECTOR | 8.00 | Yes (X) | $0 | $0 | $0 | |
| ARON REINER | ||||||
| DIRECTOR | 8.00 | Yes (X) | $0 | $0 | $0 | |
| ELIZABETH KADATZ | ||||||
| CO-CHAIR | 8.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| ERIC WEBER | ||||||
| DIRECTOR | 8.00 | Yes (X) | $0 | $0 | $0 | |
| ERIC TOTH | ||||||
| DIRECTOR | 8.00 | Yes (X) | $0 | $0 | $0 | |
| ERIC D'ENTRONE | ||||||
| DIRECTOR | 8.00 | Yes (X) | $0 | $0 | $0 | |
| STEPHANIE MADISON | ||||||
| SECRETARY | 8.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| JOAN CRAWFORD | ||||||
| DIRECTOR | 8.00 | Yes (X) | $0 | $0 | $0 | |
| KATHY PANDEKAKES | ||||||
| DIRECTOR | 8.00 | Yes (X) | $0 | $0 | $0 | |
| NADIA ALLEN | ||||||
| DIRECTOR | 8.00 | Yes (X) | $0 | $0 | $0 | |
| RON COLAVITO | ||||||
| DIRECTOR | 8.00 | Yes (X) | $0 | $0 | $0 | |
| SETH DIAMOND | ||||||
| DIRECTOR | 8.00 | Yes (X) | $0 | $0 | $0 | |
| ASHLEY BRODY | ||||||
| DIRECTOR | 8.00 | Yes (X) | $0 | $0 | $0 | |
| JEFF SPITZ | ||||||
| DIRECTOR | 8.00 | Yes (X) | $0 | $0 | $0 | |
| ROSA BAUTISTA | ||||||
| DIRECTOR | 8.00 | Yes (X) | $0 | $0 | $0 | |
| DAVID BOCHNER | ||||||
| DIRECTOR | 8.00 | Yes (X) | $0 | $0 | $0 | |
| JAMES SCHILLER | ||||||
| DIRECTOR | 8.00 | Yes (X) | $0 | $0 | $0 | |
| POLLY KERRIGAN | ||||||
| DIRECTOR | 8.00 | Yes (X) | $0 | $0 | $0 | |
| RICHARD TUTEN JD MSA | ||||||
| CEO | 40.00 | Yes (X) | $0 | $0 | $0 | |
| NICOLE WILLNER | ||||||
| COO | Yes (X) | $0 | $0 | $0 | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| All Other Contributions | $60,000 | AllOtherContributionsAmt |
| Total Contributions | $60,000 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $510 | TotalRevenueColumnAmt |
| Exclusion | $510 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $60,510 | TotalRevenueColumnAmt |
| Exclusion | $510 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60,000 | TotalAmt |
| Program Services | $60,000 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,895 | TotalAmt |
| Program Services | $2,895 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PROGRAM EXPENSES | Desc |
| Total | $3,670 | TotalAmt |
| Program Services | $3,670 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $66,565 | TotalAmt |
| Program Services | $66,565 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $892,462 | BOYAmt |
| EOY | $101,217 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,637,030 | BOYAmt |
| EOY | $461,533 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $60,000 | BOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,023 | BOYAmt |
| EOY | $3,279 | EOYAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $277,577 | BOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $90,822 | BOYAmt |
| EOY | $790,838 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,667 | BOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,005,581 | BOYAmt |
| EOY | $1,356,867 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $137,659 | BOYAmt |
| EOY | $15,000 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,592,593 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $72,593 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,730,252 | BOYAmt |
| EOY | $87,593 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,275,329 | BOYAmt |
| EOY | $1,269,274 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,275,329 | BOYAmt |
| EOY | $1,269,274 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,005,581 | BOYAmt |
| EOY | $1,356,867 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$6,055 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | false | FSAuditedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $108,689 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $628,655 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,886,255 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,852,272 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $60,000 | CurrentTaxYearAmt |
| Total | $6,535,871 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $108,689 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $628,655 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,886,255 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,852,272 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $60,000 | CurrentTaxYearAmt |
| Total | $6,535,871 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $2,173,500 | SubstantialContributorsTotAmt |
| Public Support Total170 | $4,362,371 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $10,318 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $20,165 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $510 | CurrentTaxYearAmt |
| Total | $30,993 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $6,566,864 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $1,345,287 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.66430 | PublicSupportCY170Pct |
| Public Support PY170 | 0.66750 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Invst Program Related Org InvstProgramRelatedOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INVESTMENT IN CBHCARES IPA (EQUITY) | Desc |
| Book Value | $790,838 | BookValueAmt |
| Method Valuation | C | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Program Rltd | $790,838 | TotalBookValueProgramRltdAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER LIABILITIES | Desc |
| Amt | $72,593 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $72,593 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $60,510 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $60,510 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $60,510 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $66,565 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $66,565 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $66,565 | TotalExpensesPerForm990Amt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | false | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CBHS IPA LLC | BusinessNameLine1Txt |
| Business Name Line2 | CBHS IPA LLC | BusinessNameLine2Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 70 HATFIELD LANE | AddressLine1Txt |
| Address Line2 | 70 HATFIELD LANE | AddressLine2Txt |
| City | GOSHEN | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10924 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 471254788 | RecipientEIN |
| Cash Grant | $60,000 | CashGrantAmt |
| Purpose Of Grant | EDUCATION/TRAINING | PurposeOfGrantTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990 - ORGANIZATION'S MISSION | THE MISSION OF CBHS IS TO SUPPORT ITS MEMBERS' EFFORTS TO PROVIDE EFFECTIVE BEHAVIORAL HEALTH SERVICES TO THE MEDICAID, MEDICARE, AND UNINSURED POPULATION. CBHS DEVELOPS THE RESOURCES NECESSARY TO ESTABLISH LEADING EDGE RESPONSES TO THE EVOLVING HEALTH CARE SYSTEM IN NEW YORK STATE. CBHS PROMOTES RECOVERY ORIENTED AND OUTCOME-BASED SERVICES DESIGNED TO ENSURE HIGH QUALITY AND AFFORDABLE COSTS. |
| FORM 990, PAGE 2, PART III, LINE 4A | CBHS REALIZES THE NEED FOR NIMBLE, RESPONSIVE, COST EFFECTIVE WAYS TO SERVE PEOPLE WITH BEHAVIORAL HEALTH CHALLENGES, AND OTHER POPULATIONS. IN ORDER TO ACCELERATE OUR KNOWLEDGE AND PREPARATION FOR VALUE-BASED CONTRACTING, WE ARE PARTNERING WITH HEALTHCARE PROVIDERS, HEALTH HOMES, AND MANAGED CARE COMPANIES TO CREATE THE OUTCOMES NEEDED FOR THE FUTURE. CBHS IS CREATING A DEEP MENU OF INNOVATIVE SERVICES THAT ARE FINANCIALLY VIABLE AND RESPONSIVE TO PEOPLE'S NEEDS. WE HAVE BEEN LEADERS IN NEW YORK STATE'S TRANSFORMATION TO A PERSON-CENTERED MODEL OF CARE AND ARE RECOGNIZED FOR OUR RECOVERY SERVICES THAT ARE OUTCOME-DRIVEN AND THAT INCORPORATE PEER AND NATURAL SUPPORTS. WE UTILIZE STRENGTH-BASED PLANNING IN OUR BEHAVIORAL HEALTH AND CHILD WELFARE SERVICES THAT DRAWS HEAVILY UPON NATURAL SUPPORTS TO PROMOTE POSITIVE OUTCOMES. DURING 2018, CBHS WAS AWARDED AN EXPANDED CONTRACT THROUGH WESTCHESTER MEDICAL CENTER PSS TO CONTINUE IMPROVEMENTS IN POPULATION HEALTH FROM PEOPLE WITH COMPLEX NEEDS INCLUDING TRANSITIONING TO COMMUNITY OUTPATIENT CARE FOLLOWING PSYCHIATRIC HOSPITALIZATION. ALSO IN 2018, CBHS RECEIVED AN AWARD OF A BEHAVIORAL HEALTH CARE COLLABORATION GRANT THROUGH THE NEW YORK STATE OFFICE OF MENTAL HEALTH. IN ADDITION, CBHS INC. PROVIDED LEADERSHIP THROUGH THE HUDSON VALLEY IN PROVIDING CARE MANAGEMENT FOR PEOPLE WITH COMPLEX NEEDS AND INTEGRATING PRIMARY AND BEHAVIORAL HEALTH CARE. |
| FORM 990, PAGE 6, PART VI, LINE 6 | EACH CLASS A MEMBER SHALL APPOINT AN INDIVIDUAL TO SERVE AS A DIRECTOR (EACH, A "CLASS A DIRECTOR"), WHICH INDIVIDUAL SHALL BE RELATED TO THE CLASS A MEMBER BY EMPLOYMENT OR SERVICE ON THE BOARD OF DIRECTORS OF THAT CLASS A MEMBER. IN ADDITION TO THE CLASS A DIRECTOR, EACH CLASS A MEMBER SHALL APPOINT AN ALTERNATE DIRECTOR TO VOTE IN THE ABSENCE OF THE CLASS A DIRECTOR APPOINTED BY THAT CLASS A MEMBER (AN "ALTERNATE CLASS A DIRECTOR"). THE RIGHTS, IF ANY, OF CLASS B MEMBERS TO HAVE REPRESENTATION ON THE BOARD SHALL BE DETERMINED BY THE BOARD AT SUCH TIME AS THE BOARD MAKES THE DETERMINATION TO ADMIT CLASS B MEMBERS. THE CLASS C MEMBER SHALL APPOINT FOUR (4) INDIVIDUALS TO SERVE AS DIRECTORS (EACH, A "CLASS C DIRECTOR"), WHICH INDIVIDUALS SHALL BE RELATED TO THE CLASS C MEMBER BY EMPLOYMENT OR SERVICE ON THE BOARD OF DIRECTORS OF THE CLASS C MEMBER. IN ADDITION TO THE CLASS C DIRECTORS, THE CLASS C MEMBER SHALL APPOINT FOUR (4)ALTERNATE DIRECTORS TO VOTE IN THE ABSENCE OF THE CLASS C DIRECTORS APPOINTED BY THE CLASS C MEMBER (EACH A "ALTERNATE CLASS C DIRECTOR"). |
| FORM 990, PAGE 6, PART VI, LINE 7A | EACH CLASS A MEMBER SHALL APPOINT AN INDIVIDUAL TO SERVE AS A DIRECTOR (EACH, A "CLASS A DIRECTOR"), WHICH INDIVIDUAL SHALL BE RELATED TO THE CLASS A MEMBER BY EMPLOYMENT OR SERVICE ON THE BOARD OF DIRECTORS OF THAT CLASS A MEMBER. IN ADDITION TO THE CLASS A DIRECTOR, EACH CLASS A MEMBER SHALL APPOINT AN ALTERNATE DIRECTOR TO VOTE IN THE ABSENCE OF THE CLASS A DIRECTOR APPOINTED BY THAT CLASS A MEMBER (AN "ALTERNATE CLASS A DIRECTOR"). THE RIGHTS, IF ANY, OF CLASS B MEMBERS TO HAVE REPRESENTATION ON THE BOARD SHALL BE DETERMINED BY THE BOARD AT SUCH TIME AS THE BOARD MAKES THE DETERMINATION TO ADMIT CLASS B MEMBERS. THE CLASS C MEMBER SHALL APPOINT FOUR (4) INDIVIDUALS TO SERVE AS DIRECTORS (EACH, A "CLASS C DIRECTOR"), WHICH INDIVIDUALS SHALL BE RELATED TO THE CLASS C MEMBER BY EMPLOYMENT OR SERVICE ON THE BOARD OF DIRECTORS OF THE CLASS C MEMBER. IN ADDITION TO THE CLASS C DIRECTORS, THE CLASS C MEMBER SHALL APPOINT FOUR (4)ALTERNATE DIRECTORS TO VOTE IN THE ABSENCE OF THE CLASS C DIRECTORS APPOINTED BY THE CLASS C MEMBER (EACH A "ALTERNATE CLASS C DIRECTOR"). |
| FORM 990, PAGE 6, PART VI, LINE 11B | CBHS INC. HAS ITS FORM 990 PREPARED BY AN OUTSIDE ACCOUNTING FIRM AND HAS ESTABLISHED THE FOLLOWING REVIEW PROCESS TO ENSURE THAT THE INFORMATION REPORTED IS COMPLETE AND ACCURATE. AFTER THE FORM 990 HAS BEEN PREPARED, IT IS REVIEWED BY THE CO-CHAIRS AND TREASURER OF THE BOARD, MEMBERS OF THE FINANCE COMMITTEE, AND THE CEO. ONCE READY FOR FILING, THE FORM 990 IS ELECTRONICALLY SENT TO THE BOARD OF DIRECTORS FOR REVIEW AND COMMENTING. ALL QUESTIONS AND COMMENTS ARE ADDRESSED AND THE RETURN IS FINALIZED AND APPROVED FOR FILING. |
| FORM 990, PAGE 6, PART VI, LINE 12C | ANNUAL WRITTEN CONFLICT OF INTEREST DISCLOSURE STATEMENT: DIRECTORS, OFFICERS AND KEY EMPLOYEES. ALL DIRECTORS, OFFICERS AND KEY EMPLOYEES WILL, AT LEAST ANNUALLY, FILE A WRITTEN CONFLICT OF INTEREST DISCLOSURE STATEMENT WITH THE BOARD SECRETARY. THE BOARD SECRETARY WILL PROVIDE COPIES OF ALL COMPLETED STATEMENTS TO THE CHAIR OF THE FINANCE AND AUDIT COMMITTEE OR THE CHAIR OF THE BOARD. CONTINUING OBLIGATION TO UPDATE ANNUAL WRITTEN CONFLICT OF INTEREST DISCLOSURE STATEMENT: DIRECTORS, OFFICERS AND KEY EMPLOYEES. EVERY DIRECTOR, OFFICER AND KEY EMPLOYEE HAS AN AFFIRMATIVE OBLIGATION TO UPDATE HIS OR HER ANNUAL WRITTEN CONFLICT OF INTEREST DISCLOSURE STATEMENT WHENEVER THERE ARE NEW OR CHANGED FACTS OR CIRCUMSTANCES THAT CREATE A DISCLOSABLE CONFLICT OF INTEREST. ALL SUCH STATEMENTS ARE TO BE FILED WITH THE BOARD SECRETARY. THE BOARD SECRETARY WILL PROVIDE COPIES OF ALL COMPLETED STATEMENTS TO THE CHAIR OF THE FINANCE AND AUDIT COMMITTEE OR THE CHAIR OF THE BOARD. THE ADOPTION, IMPLEMENTATION OF AND COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY SHALL BE OVERSEEN BY THE BOARD OR THE DESIGNATED FINANCE AND AUDIT COMMITTEE OF THE BOARD AS DETERMINED BY THE BOARD ANNUALLY. RELATED PARTY TRANSACTIONS: A. CBHS MAY NOT ENTER INTO A RELATED PARTY TRANSACTION UNLESS THE TRANSACTION IS DETERMINED TO BE FAIR, REASONABLE AND IN CBHS'S BEST INTEREST AT THE TIME OF THE DETERMINATION; B. IN CONSIDERING THE RELATED PARTY TRANSACTION, THE FINANCE AND AUDIT COMMITTEE OR THE INDEPENDENT DIRECTORS ON THE BOARD SHALL ENSURE THAT ANY DIRECTOR, OFFICER, KEY EMPLOYEE AND EMPLOYEE WHO HAS AN INTEREST IN THE RELATED PARTY TRANSACTION HAS DISCLOSED IN GOOD FAITH ALL MATERIAL FACTS CONCERNING SUCH INTEREST; AND C. NO RELATED PARTY MAY PARTICIPATE IN THE DELIBERATIONS OR VOTING RELATING TO ANY RELATED PARTY TRANSACTION. HOWEVER, THE FINANCE AND AUDIT COMMITTEE OR THE INDEPENDENT DIRECTORS ON THE BOARD MAY REQUEST THAT A RELATED PARTY PRESENT INFORMATION CONCERNING A RELATED PARTY TRANSACTION AT A MEETING PRIOR TO THE COMMENCEMENT OF DELIBERATIONS OR VOTING RELATING THERETO. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE ORGANIZATION MAKES ITS FORM 990 AVAILABLE FOR PUBLIC INSPECTION AS REQUIRED UNDER SECTION 6104 OF THE INTERNAL REVENUE CODE. THE RETURN IS POSTED ON GUIDESTAR.ORG AND OTHER SIMILAR TYPES OF WEBSITES. IN ADDITION, THE FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY, ARTICLES OF INCORPORATION AND BY-LAWS ARE ALSO AVAILABLE UPON WRITTEN REQUEST OR BY CALLING THE ORGANIZATION DIRECTLY. |
Schedule R IRS990ScheduleR
Unrelated Org Txbl Partnership UnrelatedOrgTxblPartnershipGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CBHS IPA LLC | BusinessNameLine1Txt |
| Business Name Line2 | CBHS IPA LLC | BusinessNameLine2Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 70 HATFIELD LANE | AddressLine1Txt |
| Address Line2 | 70 HATFIELD LANE | AddressLine2Txt |
| City | GOSHEN | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10924 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 471254788 | EIN |
| Primary Activities | BEHAVIORAL | PrimaryActivitiesTxt |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Predominate Income | RELATED | PredominateIncomeDesc |
| All Partners C3 S | false | AllPartnersC3SInd |
| Share Of Total Income | -$3,601 | ShareOfTotalIncomeAmt |
| Disproportionate Allocations | false | DisproportionateAllocationsInd |
| General Or Managing Partner | Yes (true) | GeneralOrManagingPartnerInd |
| Ownership | 0.05130 | OwnershipPct |
Comments