BETA

CBHS INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
CBHS INC (EIN 46-1236771)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-10-15
IRS object ID
201842889349302159
Schema version
2017v2.3
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

FieldValueIRS element (for citing)
Return2018-10-15T16:12:36-05:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN271728945PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PKF O'CONNOR DAVIES LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1500 MAMARONECK AVENUEAddressLine1Txt
CityHARRISONCityNm
State AbbreviationNYStateAbbreviationCd
ZIP105281633ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN461236771EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CBHS INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCBHSBusinessNameControlTxt
Phone9149496227PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1580 WHITE PLAINS ROAD NO 510AddressLine1Txt
CityTARRYTOWNCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10591ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonELIZABETH KADATZPersonNm
Person TitleCO-CHAIRPERSONPersonTitleTxt
Phone9149496227PhoneNum
Signature2018-10-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonGARRETT M HIGGINSPreparerPersonNm
PTINP00543209PTIN
Phone9143818900PhoneNum
Preparation2018-10-01PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address65.51.112.58IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-10-15IPDt
IP Tm16:12:33IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device Id9616F4B14A694591D1E716C270910E6FA5556DA3AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2018-06-14 16:35:46ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerELIZABETH KADATZPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1580 WHITE PLAINS ROAD NO 510AddressLine1Txt
CityTARRYTOWNCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10591ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$663,976GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CBHSINC.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2012FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionCBHS 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 Body8VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers18TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$108,689CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$555,287CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$0PYTotalRevenueAmt
CY Total Revenue$663,976CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$0PYOtherExpensesAmt
CY Other Expenses$294,166CYOtherExpensesAmt
PY Total Expenses$0PYTotalExpensesAmt
CY Total Expenses$294,166CYTotalExpensesAmt
PY Revenues Less Expenses$0PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$369,810CYRevenuesLessExpensesAmt
Total Assets BOY$172,132TotalAssetsBOYAmt
Total Assets EOY$912,011TotalAssetsEOYAmt
Total Liabilities BOY$60,508TotalLiabilitiesBOYAmt
Total Liabilities EOY$246,738TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$111,624NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$665,273NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE 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 Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$265,347ExpenseAmt
Revenue$555,287RevenueAmt
DescCBHS 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 2017, CBHS INC 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. 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$265,347TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document1IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members8GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonCHARLOTTE OSTMANPersonNm
Phone9143455900PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1580 WHITE PLAINS ROADAddressLine1Txt
CityTARRYTOWNCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10591ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (10 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
AMY KOHN
PRESIDENT (THRU 05/2017)10.00Yes (X)Yes (X)$0$0$0
ELIZABETH KADATZ
CHAIR10.00Yes (X)Yes (X)$0$0$0
AMY ANDERSON-WINCHELL
VICE CHAIR8.00Yes (X)Yes (X)$0$0$0
ALAN TRAGER
TREASURER8.00Yes (X)Yes (X)$0$0$0
ANDREA KOCSIS
SECRETARY (THRU 09/2017)8.00Yes (X)Yes (X)$0$0$0
ANDREW O'GRADY
SECRETARY8.00Yes (X)Yes (X)$0$0$0
STEPHANIE MADISON
DIRECTOR8.00Yes (X)$0$0$0
KEVIN HAZUCHA
DIRECTOR8.00Yes (X)$0$0$0
CHARLOTTE OSTMAN
DIRECTOR8.00Yes (X)$0$0$0
KATHY PANDEKAKES
DIRECTOR8.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
All Other Contributions$108,689AllOtherContributionsAmt
Noncash Contributions$108,689NoncashContributionsAmt
Total Contributions$108,689TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CONTRACT INCOME900099$372,787$372,787
MEMBERSHIP DUES900099$182,500$182,500
FieldValueIRS element (for citing)
Total Program Service Revenue$555,287TotalProgramServiceRevenueAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$663,976TotalRevenueColumnAmt
Related Or Exempt Func Income$555,287RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$7,865TotalAmt
Program Services$7,865ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$25,327TotalAmt
Management And General$25,327ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$257,482TotalAmt
Program Services$257,482ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$806TotalAmt
Management And General$806ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,686TotalAmt
Management And General$2,686ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$294,166TotalAmt
Program Services$265,347ProgramServicesAmt
Management And General$28,819ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,500BOYAmt
EOY$345,883EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$163,886BOYAmt
EOY$156,499EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,111BOYAmt
EOY$775EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$369,357EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$5,635BOYAmt
EOY$39,497EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$172,132BOYAmt
EOY$912,011EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$10,122BOYAmt
EOY$167,884EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$48,886BOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,500BOYAmt
EOY$78,854EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$60,508BOYAmt
EOY$246,738EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$111,624BOYAmt
EOY$665,273EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$111,624BOYAmt
EOY$665,273EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$172,132BOYAmt
EOY$912,011EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$369,810ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$183,839OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewYes (1)AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
FS Audited0FSAuditedInd
Audit Committee0AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year$108,689CurrentTaxYearAmt
Total$108,689TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$144,955CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$201,879CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$90,000CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$175,514CurrentTaxYearMinus1YearAmt
Current Tax Year$555,287CurrentTaxYearAmt
Total$1,167,635TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$144,955CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$201,879CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$90,000CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$175,514CurrentTaxYearMinus1YearAmt
Current Tax Year$663,976CurrentTaxYearAmt
Total$1,276,324TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year$488,027CurrentTaxYearAmt
Total$488,027TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year$488,027CurrentTaxYearAmt
Total$488,027TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$788,297PublicSupportTotal509Amt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$144,955CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$201,879CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$90,000CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$175,514CurrentTaxYearMinus1YearAmt
Current Tax Year$663,976CurrentTaxYearAmt
Total$1,276,324TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.61760PublicSupportCY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescINVESTMENT IN CBHCARE IPA, LLCDesc
Book Value$369,357BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$369,357TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDUE TO FISCAL SPONSORDesc
Amt$78,854Amt
FieldValueIRS element (for citing)
Total Liability$78,854TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE COMPANY RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT TO BE SUSTAINED. MANAGEMENT HAS DETERMINED THAT THE COMPANY HAD NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION AND/OR DISCLOSURE. THE COMPANY IS NO LONGER SUBJECT TO EXAMINATIONS BY APPLICABLE TAXING JURISDICTIONS FOR PERIODS PRIOR TO DECEMBER 31, 2014.ExplanationTxt

Schedule M IRS990ScheduleM

Secur Prtnrshp Trust Intrsts SecurPrtnrshpTrustIntrstsGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution9ContributionCnt
Noncash Contributions Rpt F990$108,689NoncashContributionsRptF990Amt
Method Of Determining RevenuesBOOK VALUEMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Form8283 Received0Form8283ReceivedCnt
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, COLUMN (B):FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTORS.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6THE CORPORATION SHALL HAVE MEMBERS (ALL SUCH MEMBERS, COLLECTIVELY, "MEMBERS"), AS FOLLOWS: ALL MEMBERS SHALL BE CONSIDERED "CLASS A MEMBERS" UNLESS OTHERWISE DETERMINED BY A SUPERMAJORITY OF THE BOARD. THE BOARD MAY BY RESOLUTION APPROVE THE ADMISSION OF "CLASS B MEMBERS," WHICH CLASS B MEMBERS SHALL HAVE SUCH RIGHTS AND OBLIGATIONS AS DETERMINED BY A SUPERMAJORITY OF THE BOARD (EACH SUCH CLASS OF MEMBERSHIP, A "CLASS").
FORM 990, PART VI, SECTION A, LINE 7AEACH CLASS A MEMBER SHALL APPOINT AN INDIVIDUAL TO SERVE AS A DIRECTOR (EACH, A "PRINCIPAL 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. SUCH PRINCIPAL DIRECTORS SHALL BE DEEMED ELECTED BY THE MEMBERS AND SHALL SERVE IN ACCORDANCE WITH THE TERMS OF THE BYLAWS. IN ADDITION TO THE PRINCIPAL DIRECTOR, EACH CLASS A MEMBER SHALL APPOINT: (I) A FIRST ALTERNATE DIRECTOR (A "FIRST ALTERNATE DIRECTOR") TO VOTE IN THE ABSENCE OF THE PRINCIPAL DIRECTOR APPOINTED BY THAT CLASS A MEMBER AND (II) A SECOND ALTERNATE DIRECTOR (A "SECOND ALTERNATE DIRECTOR, AND COLLECTIVELY WITH A FIRST ALTERNATE DIRECTOR, AN ALTERNATE DIRECTOR") TO VOTE IN THE ABSENCE OF BOTH THE PRINCIPAL DIRECTOR AND FIRST ALTERNATE DIRECTOR APPOINTED BY THAT MEMBER. ALTERNATE DIRECTORS SHALL BE PERMITTED TO ATTEND MEETINGS OF THE BOARD OF DIRECTORS EVEN IF THE PRINCIPAL DIRECTORS ARE PRESENT AT SUCH MEETINGS, PROVIDED THAT NO ALTERNATE DIRECTOR SHALL HAVE A RIGHT TO VOTE EXCEPT AS FOLLOWS: (A) THE FIRST ALTERNATE DIRECTOR SHALL BE ENTITLED TO VOTE IN THE ABSENCE OF THE PRINCIPAL DIRECTOR WHO REPRESENTS THE CLASS A MEMBER, AND (B) THE SECOND ALTERNATE DIRECTOR SHALL BE ENTITLED TO VOTE IN THE ABSENCE OF BOTH THE PRINCIPAL DIRECTOR AND THE FIRST ALTERNATE DIRECTOR WHO REPRESENT THE CLASS A MEMBER. THE PRINCIPAL DIRECTORS AND THE ALTERNATE DIRECTORS ARE SOMETIMES REFERRED TO HEREIN COLLECTIVELY AS "DIRECTORS".
FORM 990, PART VI, SECTION A, LINE 7BEACH MEMBER SHALL BE ENTITLED TO ONE VOTE ON EACH MATTER SUBMITTED TO A VOTE OF THE MEMBERS, OR IN THE INSTANCE OF A MATTER SUBMITTED TO A VOTE OF THE MEMBERS OF A PARTICULAR CLASS, ONE VOTE ON EACH MATTER SUBMITTED TO A VOTE OF THE MEMBERS OF THE APPLICABLE CLASS OF THE MEMBER. NOTWITHSTANDING THE FOREGOING, DURING ANY PERIOD OF NOTICE OF TERMINATION OR RESIGNATION OF A MEMBER, THAT MEMBER SHALL NOT BE ENTITLED TO VOTE ON ANY MATTERS ON WHICH IT WOULD OTHERWISE BE ENTITLED TO VOTE; PROVIDED THAT, TO THE EXTENT THE MEMBER IS REQUIRED TO PAY ANY FURTHER FEES OR EXPENSES DURING SUCH NOTICE PERIOD, THE MEMBER SHALL BE ENTITLED TO VOTE ON ANY ACTION THAT SUBJECTS THAT MEMBER TO SUCH FEES AND EXPENSES.
FORM 990, PART VI, SECTION B, LINE 11BCBHS 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 INTERIM EXECUTIVE DIRECTOR. 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, PART VI, SECTION B, LINE 12CANNUAL 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. 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, PART VI, SECTION C, LINE 19THE 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.
FORM 990, PART IX, LINE 11GSUB-CONTRACTORS: PROGRAM SERVICE EXPENSES 247,775. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 247,775. CONSULTANTS: PROGRAM SERVICE EXPENSES 9,707. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,707.
FORM 990, PART XI, LINE 9:EQUITY INTEREST IN NET INCOME OF CBHCARE IPA, LLC 183,839.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1CBHS IPA LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1580 WHITE PLAINS ROAD SUITE 510AddressLine1Txt
CityTARRYTOWNCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10591ZIPCd
FieldValueIRS element (for citing)
EIN471254788EIN
Primary ActivitiesHEALTHCARE SERVICESPrimaryActivitiesTxt
Legal Domicile StateNYLegalDomicileStateCd
Total Income$0TotalIncomeAmt
End Of Year Assets$369,355EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1CBHS INCBusinessNameLine1Txt

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