BETA

CAPITAL BEHAVIORAL HEALTH COLLABORATIVE INC: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization
CAPITAL BEHAVIORAL HEALTH COLLABORATIVE INC (EIN 32-0571292)
Tax period
2024-01-01 to 2024-12-31
Filed
2025-10-17
IRS object ID
202522909349300622
Schema version
2024v5.2
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)
Return2025-10-17T10:03:55-05:00ReturnTs
Tax Period End2024-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN161092347PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MENGEL METZGER BARR & CO LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line111 BRITISH AMERICAN BLVDAddressLine1Txt
CityLATHAMCityNm
State AbbreviationNYStateAbbreviationCd
ZIP12110ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2024-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN320571292EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CAPITAL BEHAVIORAL HEALTH COLLABORATIVEBusinessNameLine1Txt
Business Name Line2INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlCAPIBusinessNameControlTxt
Phone5185048650PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1255 WASHINGTON AVE EXT 100AddressLine1Txt
CityALBANYCityNm
State AbbreviationNYStateAbbreviationCd
ZIP12205ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDOROTHY CUCINELLIPersonNm
Person TitleCEOPersonTitleTxt
Phone5185048650PhoneNum
Signature2025-10-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCHRISTOPHER J HEALY CPAPreparerPersonNm
PTINP02180941PTIN
Phone5187850134PhoneNum
FieldValueIRS element (for citing)
Tax2024TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDOROTHY CUCINELLIPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1255 WASHINGTON AVE EXT 100AddressLine1Txt
CityALBANYCityNm
State AbbreviationNYStateAbbreviationCd
ZIP12205ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,110,856GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressHTTPS://CBHNETWORK.COM/WebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2018FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionTHE ORGANIZATION'S MISSION IS TO PROMOTE AND ENHANCE, ON A NOT-FOR-PROFIT BASIS, THE DELIVERY OF SERVICES PURSUANT TO NEW YORK STATE BEHAVIORAL HEALTH VALUE BASED PAYMENT (BH VBP) READINESS PROGRAM TO PERSONS WITH SUBSTANCE USE DISORDERS AND MENTAL HEALTH DISORDERS FOR THE BENEFIT OF THE COMMUNITY FOR WHICH IT HAS BEEN CREATED.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee4TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,099,972PYContributionsGrantsAmt
CY Contributions Grants$1,083,886CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$20,285PYInvestmentIncomeAmt
CY Investment Income$26,970CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$1,120,257PYTotalRevenueAmt
CY Total Revenue$1,110,856CYTotalRevenueAmt
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$424,899PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$494,189CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$661,374PYOtherExpensesAmt
CY Other Expenses$621,852CYOtherExpensesAmt
PY Total Expenses$1,086,273PYTotalExpensesAmt
CY Total Expenses$1,116,041CYTotalExpensesAmt
PY Revenues Less Expenses$33,984PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$5,185CYRevenuesLessExpensesAmt
Total Assets BOY$996,017TotalAssetsBOYAmt
Total Assets EOY$758,263TotalAssetsEOYAmt
Total Liabilities BOY$927,894TotalLiabilitiesBOYAmt
Total Liabilities EOY$695,325TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$68,123NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$62,938NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE ORGANIZATION'S MISSION IS TO PROMOTE AND ENHANCE, ON A NOT-FOR-PROFIT BASIS, THE DELIVERY OF SERVICES PURSUANT TO NEW YORK STATE BEHAVIORAL HEALTH VALUE BASED PAYMENT (BH VBP) READINESS PROGRAM TO PERSONS WITH SUBSTANCE USE DISORDERS AND MENTAL HEALTH DISORDERS FOR THE BENEFIT OF THE COMMUNITY FOR WHICH IT HAS BEEN CREATED.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$946,627ExpenseAmt
DescTHE PURPOSE OF THE CORPORATION IS TO SUPERVISE, MONITOR, AND CONTROL THE SUBSIDIARY INDEPENDENT PRACTICE ASSOCIATION (IPA), CAPITAL BEHAVIORAL HEALTH NETWORK, LLC (CBHN), WHICH SHALL SERVE AS THE BEHAVIORAL HEALTH COLLABORATIVE FOR THE CAPITAL REGION OF NEW YORK STATE PURSUANT TO THE BH VHP READINESS PROGRAM. THE PROMOTION OF SUCH OBJECTIVES SHALL ENHANCE THE QUALITY OF CARE PROVIDED BY CBHC'S MEMBERS IN FURTHERANCE OF THE CHARITABLE MISSION OF EACH MEMBER.Desc
Total Program Service Expenses$946,627TotalProgramServiceExpensesAmt
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
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
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 With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document5IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee4EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
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
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
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 PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonDOROTHY CUCINELLIPersonNm
Phone5185048650PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1255 WASHINGTON AVE EXT NO 100AddressLine1Txt
CityALBANYCityNm
State AbbreviationNYStateAbbreviationCd
ZIP12205ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
KATHRYN ALONGE-COONS
DIRECTOR2.00Yes (X)$0$0$0
DAVID BACH
DIRECTOR2.00Yes (X)$0$0$0
LAUREN TEGNANDER
DIRECTOR2.00Yes (X)$0$0$0
CHELLY HEGAN
DIRECTOR2.00Yes (X)$0$0$0
STEVE KLEIN
DIRECTOR2.00Yes (X)$0$0$0
ROY WALLACH
DIRECTOR2.00Yes (X)$0$0$0
DAVID R ROSSETTI
DIRECTOR2.00Yes (X)$0$0$0
DAVID WALLACE
DIRECTOR2.00Yes (X)$0$0$0
JOHN HENLEY
DIRECTOR2.00Yes (X)$0$0$0
STEVE GIORDANO
DIRECTOR2.00Yes (X)$0$0$0
KEVIN CONNALLY
PRESIDENT2.00Yes (X)$0$0$0Yes (X)
KEITH STACK
SECRETARY2.00Yes (X)$0$0$0Yes (X)
LAURA COMBS
TREASURER2.00Yes (X)$0$0$0Yes (X)
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
Government Grants$525,401GovernmentGrantsAmt
All Other Contributions$558,485AllOtherContributionsAmt
Total Contributions$1,083,886TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$26,970TotalRevenueColumnAmt
Exclusion$26,970ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,110,856TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$26,970ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$410,173TotalAmt
Program Services$343,531ProgramServicesAmt
Management And General$66,642ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$16,995TotalAmt
Program Services$15,332ProgramServicesAmt
Management And General$1,663ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$34,010TotalAmt
Program Services$30,683ProgramServicesAmt
Management And General$3,327ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$33,011TotalAmt
Program Services$29,781ProgramServicesAmt
Management And General$3,230ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$164,490TotalAmt
Program Services$164,490ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$3,432TotalAmt
Program Services$3,062ProgramServicesAmt
Management And General$370ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$30,539TotalAmt
Program Services$19,973ProgramServicesAmt
Management And General$10,566ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$17,927TotalAmt
Management And General$17,927ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,424TotalAmt
Management And General$1,424ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$10,687TotalAmt
Management And General$10,687ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
TRANSPORTATION EXPENSES$195,235$195,235
BHDAC ANNUAL FEE EXPENS$75,000$75,000
LEGAL AND PROFESSIONAL$49,949$21,513$28,436
EDUCATION$28,938$28,938

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$44,231TotalAmt
Program Services$19,089ProgramServicesAmt
Management And General$25,142ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,116,041TotalAmt
Program Services$946,627ProgramServicesAmt
Management And General$169,414ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$134,817BOYAmt
EOY$46,274EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$626,268BOYAmt
EOY$525,082EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$195,771BOYAmt
EOY$181,915EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$39,161BOYAmt
EOY$4,992EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$3,458LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$3,458LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$996,017BOYAmt
EOY$758,263EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$87,428BOYAmt
EOY$90,201EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$840,466BOYAmt
EOY$605,124EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$927,894BOYAmt
EOY$695,325EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$68,123BOYAmt
EOY$62,938EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$68,123BOYAmt
EOY$62,938EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$996,017BOYAmt
EOY$758,263EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$5,185ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$376,954CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$386,085CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$581,938CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,099,972CurrentTaxYearMinus1YearAmt
Current Tax Year$1,083,886CurrentTaxYearAmt
Total$3,528,835TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$376,954CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$386,085CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$581,938CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,099,972CurrentTaxYearMinus1YearAmt
Current Tax Year$1,083,886CurrentTaxYearAmt
Total$3,528,835TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$3,528,835PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,849CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,404CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$893CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$20,285CurrentTaxYearMinus1YearAmt
Current Tax Year$26,970CurrentTaxYearAmt
Total$55,401TotalAmt
FieldValueIRS element (for citing)
Total Support$3,584,236TotalSupportAmt
Public Support CY1700.98450PublicSupportCY170Pct
Public Support PY1700.98590PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,458OtherCostOrOtherBasisAmt
Depreciation$3,458DepreciationAmt
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$1,110,856TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$1,110,856RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$1,110,856TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,116,041TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$1,116,041ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$1,116,041TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationCBHC IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND HAS BEEN DETERMINED TO BE AN ENTITY OTHER THAN A PRIVATE FOUNDATION. UNDER ACCOUNTING STANDARDS CODIFICATION (ASC) SECTION 740, THE TAX STATUS OF TAX-EXEMPT ENTITIES IS AN UNCERTAIN TAX POSITION, SINCE EVENTS COULD POTENTIALLY OCCUR THAT JEOPARDIZE THEIR TAX-EXEMPT STATUS. MANAGEMENT IS NOT AWARE OF ANY EVENTS THAT COULD JEOPARDIZE CBHC'S TAX-EXEMPT STATUS, THEREFORE, NO LIABILITY OR PROVISION FOR INCOME TAX HAS BEEN REFLECTED IN THE FINANCIAL STATEMENTS. CBHN IS A LIMITED LIABILITY COMPANY, WHICH IS TREATED AS A SINGLE MEMBER LLC AND IS DISREGARDED FOR INCOME TAX PURPOSES. THE ACTIVITY OF THE REPORTING ENTITY IS INCLUDIBLE IN CBHC'S TAX FILINGS.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BAS PART OF THE ANNUAL AUDIT, OUR INDEPENDENT CERTIFIED PUBLIC ACCOUNTING FIRM PREPARES A DRAFT OF FORM 990 AND RELATED SUPPORTING SCHEDULES FROM OUR INTERNAL RECORDS. WE DESIGNATE AN INDIVIDUAL OR INDIVIDUALS WITH SUITABLE SKILL, KNOWLEDGE, OR EXPERIENCE TO OVERSEE THESE SERVICES AND WE MAKE ALL MANAGEMENT DECISIONS AND PERFORM ALL MANAGEMENT FUNCTIONS. FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO FILING. WE HAVE REVIEWED, APPROVED, AND ACCEPTED RESPONSIBILITY FOR FORM 990 AND THE RELATED SCHEDULES AND BELIEVE THEY ARE ADEQUATELY SUPPORTED BY THE BOOKS AND RECORDS OF CBHN.
FORM 990, PART VI, SECTION B, LINE 11ATHE ANSWER TO THIS LINE ITEM APPLIES TO ALL OF THE ORGANIZATION'S DISREGARDED ENTITIES.
FORM 990, PART VI, SECTION B, LINE 12ATHE ANSWER TO THIS LINE ITEM APPLIES TO ALL OF THE ORGANIZATION'S DISREGARDED ENTITIES.
FORM 990, PART VI, SECTION B, LINE 12BTHE ANSWER TO THIS LINE ITEM APPLIES TO ALL OF THE ORGANIZATION'S DISREGARDED ENTITIES.
FORM 990, PART VI, SECTION B, LINE 13THE ANSWER TO THIS LINE ITEM APPLIES TO ALL OF THE ORGANIZATION'S DISREGARDED ENTITIES.
FORM 990, PART VI, SECTION B, LINE 14THE ANSWER TO THIS LINE ITEM APPLIES TO ALL OF THE ORGANIZATION'S DISREGARDED ENTITIES.
FORM 990, PART VI, SECTION B, LINE 12CTHE CORPORATION HAS A CONFLICT OF INTEREST POLICY IN THE FORM REQUIRED BY THE N-PCL. THE CONFLICT OF INTEREST POLICY MAY BE AMENDED FROM TIME TO TIME BY MAJORITY VOTE OF THE BOARD OF DIRECTORS AT A REGULAR OR SPECIAL MEETING. THE ANSWER TO THIS LINE ITEM APPLIES TO ALL OF THE ORGANIZATION'S DISREGARDED ENTITIES.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS, ETC. ARE AVAILABLE UPON REQUEST THROUGH THE BUSINESS OFFICE.
FORM 990, PART XII,LINE 2C:THERE WAS NO CHANGE IN PROCEDURE.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1CAPITAL BEHAVIORAL HEALTH NETWORK LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1255 WASHINGTON AVE EXT NO 100AddressLine1Txt
CityALBANYCityNm
State AbbreviationNYStateAbbreviationCd
ZIP12205ZIPCd
FieldValueIRS element (for citing)
EIN320572675EIN
Primary ActivitiesPROVIDE QUALITY BEHAVIORAL HEALTH CAREPrimaryActivitiesTxt
Legal Domicile StateNYLegalDomicileStateCd
Total Income$593,156TotalIncomeAmt
End Of Year Assets$562,677EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1CAPITAL BEHAVIORAL HEALTH COLLABORATIVE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
CAPITAL BEHAVIORAL HEALTH NETWORK LLC
B$709,822CASH
CAPITAL BEHAVIORAL HEALTH NETWORK LLC
NDOES NOT EXCEED $50,000
CAPITAL BEHAVIORAL HEALTH NETWORK LLC
O$494,189CASH
CAPITAL BEHAVIORAL HEALTH NETWORK LLC
Q$603,925CASH

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE R, PART V, LINE 2 (1)FormAndLineReferenceDesc
ExplanationCAPITAL BEHAVIORAL HEALTH NETWORK, LLC IS WHOLLY OWNED BY CAPITAL BEHAVIORAL HEALTH COLLABORATIVE, INC. (A U.S. CHARITY) AND IS TREATED AS A DISREGARDED ENTITY. THE LIMITATIONS OF SECTION 170(B) APPLY AS THOUGH THE GIFT WERE MADE TO THE U.S. CHARITY.ExplanationTxt

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