CBHS INC: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization
CBHS INC (EIN 46-1236771)
Tax period
2024-01-01 to 2024-12-31
Filed
2025-12-04
IRS object ID
202503389349300235
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)
Return2025-12-04T13:47:28-06:00ReturnTs
Tax Period End2024-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN161131146PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BONADIO & CO LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1432 NORTH FRANKLIN STREETAddressLine1Txt
CitySYRACUSECityNm
State AbbreviationNYStateAbbreviationCd
ZIP13204ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2024-01-01TaxPeriodBeginDt

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
Phone8456159312PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line115 FORTUNE ROAD WESTAddressLine1Txt
CityMIDDLETOWNCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10941ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonNICOLE WILLNERPersonNm
Person TitleCHIEF ADMINISTRATIVE OFFICERPersonTitleTxt
Phone8456159312PhoneNum
Signature2025-12-02SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTIMOTHY HAMMONDPreparerPersonNm
PTINP01224809PTIN
Phone3154227109PhoneNum
Preparation2025-12-02PreparationDt
FieldValueIRS element (for citing)
Tax2024TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerNICOLE WILLNERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line115 FORTUNE ROAD WESTAddressLine1Txt
CityMIDDLETOWNCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10941ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$316,239GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressHTTPS://WWW.CBHSINC.ORG/WebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2012FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionTO 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.ActivityOrMissionDesc
Voting Members Governing Body19VotingMembersGoverningBodyCnt
Voting Members Independent19VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers19TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$252,982PYContributionsGrantsAmt
CY Contributions Grants$220,116CYContributionsGrantsAmt
PY Program Service Revenue$115,522PYProgramServiceRevenueAmt
CY Program Service Revenue$92,286CYProgramServiceRevenueAmt
PY Investment Income$10,090PYInvestmentIncomeAmt
CY Investment Income$3,837CYInvestmentIncomeAmt
PY Other Revenue$151PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$378,745PYTotalRevenueAmt
CY Total Revenue$316,239CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$250,000CYGrantsAndSimilarPaidAmt
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$113,315PYOtherExpensesAmt
CY Other Expenses$361,315CYOtherExpensesAmt
PY Total Expenses$113,315PYTotalExpensesAmt
CY Total Expenses$611,315CYTotalExpensesAmt
PY Revenues Less Expenses$265,430PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$295,076CYRevenuesLessExpensesAmt
Total Assets BOY$627,147TotalAssetsBOYAmt
Total Assets EOY$513,514TotalAssetsEOYAmt
Total Liabilities BOY$10,233TotalLiabilitiesBOYAmt
Total Liabilities EOY$186,458TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$616,914NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$327,056NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO 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.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$601,354ExpenseAmt
Grant$250,000GrantAmt
Revenue$92,286RevenueAmt
DescFIRST ACCOMPLISHMENT 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$601,354TotalProgramServiceExpensesAmt
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 Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related InvstYes (1)ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
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 OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
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 Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
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
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 Members19GoverningBodyVotingMembersCnt
Independent Voting Member19IndependentVotingMemberCnt
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 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)
PersonNICOLE WILLNERPersonNm
Phone8456159312PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line115 FORTUNE ROAD WESTAddressLine1Txt
CityMIDDLETOWNCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10941ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
RON COLAVITO
DIRECTOR1.001.00Yes (X)$0$0$0
ARON REINER
DIRECTOR1.001.00Yes (X)$0$0$0
KATHY PANDEKAKES
TREASURER1.001.00Yes (X)$0$0$0Yes (X)
ADRIENNE MARCUS
VICE PRESIDENT1.002.00Yes (X)$0$0$0Yes (X)
ANDREW O'GRADY
DIRECTOR1.001.00Yes (X)$0$0$0
STACEY ROBERTS
DIRECTOR1.002.00Yes (X)$0$0$0
DOUGLAS HOVEY
SECRETARY1.001.00Yes (X)$0$0$0Yes (X)
JEFF SPITZ
DIRECTOR1.001.00Yes (X)$0$0$0
ASHLEY BRODY
DIRECTOR1.001.00Yes (X)$0$0$0
AL PISTONE
DIRECTOR1.001.00Yes (X)$0$0$0
SETH DIAMOND
VICE PRESIDENT1.001.00Yes (X)$0$0$0Yes (X)
ERIC A TOTH
DIRECTOR1.002.00Yes (X)$0$0$0
LYNN HORNER
DIRECTOR1.001.00Yes (X)$0$0$0
KAREN FINK
DIRECTOR1.001.00Yes (X)$0$0$0
JESSE SARUBBI
DIRECTOR1.001.00Yes (X)$0$0$0
STEPHANIE MADISON
PRESIDENT1.001.00Yes (X)$0$0$0Yes (X)
SUSAN MILLER
DIRECTOR1.002.00Yes (X)$0$0$0
ROY WALLACH
DIRECTOR1.001.00Yes (X)$0$0$0
NAIM KORCA
DIRECTOR1.001.00Yes (X)$0$0$0
MARK SASVARY LCSW
CHIEF CLINICAL OFFICER1.0039.00$0$169,921$8,126Yes (X)
NICOLE WILLNER
CHIEF ADMINISTRATIVE OFFICER1.0039.00$0$155,416$12,436Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$325,337TotReportableCompRltdOrgAmt
Total Other Compensation$20,562TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CBHS IPA LLCBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line115 FORTUNE RD WAddressLine1Txt
CityMIDDLETOWNCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10941ZIPCd
FieldValueIRS element (for citing)
ServicesPROGRAM SUBCONTRACTORServicesDesc
Compensation$325,824CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
Government Grants$220,116GovernmentGrantsAmt
Total Contributions$220,116TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescCONTRACT INCOMEDesc
Business624100BusinessCd
Total Revenue Column$92,286TotalRevenueColumnAmt
Related Or Exempt Func Income$92,286RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$92,286TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,837TotalRevenueColumnAmt
Exclusion$3,837ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$316,239TotalRevenueColumnAmt
Related Or Exempt Func Income$92,286RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$3,837ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$250,000TotalAmt
Program Services$250,000ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$325,824TotalAmt
Program Services$325,824ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,216TotalAmt
Program Services$1,216ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$29,275TotalAmt
Program Services$19,314ProgramServicesAmt
Management And General$9,961ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp

FieldValueIRS element (for citing)
DescMEMBERSHIP DUESDesc
Total$5,000TotalAmt
Program Services$5,000ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$611,315TotalAmt
Program Services$601,354ProgramServicesAmt
Management And General$9,961ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$60,154BOYAmt
EOY$103,357EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$257,209BOYAmt
EOY$155,634EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$160,074BOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,589BOYAmt
EOY$9,897EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$147,121BOYAmt
EOY$152,340EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$92,286EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$627,147BOYAmt
EOY$513,514EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,005BOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
EOY$19,884EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$9,228BOYAmt
EOY$166,574EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$10,233BOYAmt
EOY$186,458EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$616,914BOYAmt
EOY$327,056EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$616,914BOYAmt
EOY$327,056EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$627,147BOYAmt
EOY$513,514EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$295,076ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$5,219NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments-$1PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
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$2,852,272CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$60,000CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$132,254CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$252,982CurrentTaxYearMinus1YearAmt
Current Tax Year$220,116CurrentTaxYearAmt
Total$3,517,624TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,852,272CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$60,000CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$132,254CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$252,982CurrentTaxYearMinus1YearAmt
Current Tax Year$220,116CurrentTaxYearAmt
Total$3,517,624TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$3,517,624PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$20,165CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$510CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,825CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,090CurrentTaxYearMinus1YearAmt
Current Tax Year$3,837CurrentTaxYearAmt
Total$37,427TotalAmt
FieldValueIRS element (for citing)
Total Support$3,555,051TotalSupportAmt
Gross Receipts Rltd Activities$207,959GrossReceiptsRltdActivitiesAmt
Public Support CY1700.98950PublicSupportCY170Pct
Public Support PY1700.64180PublicSupportPY170Pct
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

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

Invst Program Related Org InvstProgramRelatedOrgGrp

FieldValueIRS element (for citing)
DescINVESTMENT IN CBHS IPA, LLCDesc
Book Value$152,340BookValueAmt
Method ValuationCMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Program Rltd$152,340TotalBookValueProgramRltdAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescDUE FROM HUDSON VALLEY CARE COALITION, INC.Desc
Book Value$92,286BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$92,286TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDUE TO CBHS IPA, LLCDesc
Amt$166,574Amt
FieldValueIRS element (for citing)
Total Liability$166,574TotalLiabilityAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records Maintained0GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1CBHS IPA LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line115 FORTUNE ROAD WESTAddressLine1Txt
CityMIDDLETOWNCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10941ZIPCd
FieldValueIRS element (for citing)
Recipient EIN471254788RecipientEIN
Cash Grant$250,000CashGrantAmt
Non Cash Assistance$0NonCashAssistanceAmt
Purpose Of GrantCBC JOINT VENTUREPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total Other Org1TotalOtherOrgCnt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MARK SASVARY LCSW
CHIEF CLINICAL OFFICER$0$169,630$0$0$0$291$0$6,789$0$1,337$0$178,047$0$0
NICOLE WILLNER
CHIEF ADMINISTRATIVE OFFICER$0$155,108$0$0$0$308$0$6,600$0$5,836$0$167,852$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 3FormAndLineReferenceDesc
ExplanationTHE BOARD OF MANAGERS OF CBHS IPA, LLC ESTABLISHES THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6THE ORGANIZATION HAS CLASS A, CLASS B, AND CLASS C MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7AEACH 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, PART VI, SECTION B, LINE 11BTHE FORM 990 IS REVIEWED BY THE PRESIDENT AND TREASURER OF THE BOARD OF DIRECTORS, MEMBERS OF THE FINANCE COMMITTEE, AND MANAGEMENT. THEN THE FORM 990 IS SENT TO ALL MEMBERS OF THE BOARD OF DIRECTORS ELECTRONICALLY FOR REVIEW AND COMMENTING. ONCE ALL COMMENTS ARE ADDRESSED, THE RETURN IS FILED.
FORM 990, PART VI, SECTION B, LINE 12CALL DIRECTORS, OFFICERS AND KEY EMPLOYEES WILL, AT LEAST ANNUALLY, FILE A WRITTEN CONFLICT OF INTEREST DISCLOSURE STATEMENT WITH THE SECRETARY. THE SECRETARY WILL PROVIDE COPIES OF ALL COMPLETED STATEMENTS TO THE CHAIR OF THE FINANCE AND AUDIT COMMITTEE OR THE CHAIR OF THE BOARD OF DIRECTORS. 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 SECRETARY. THE SECRETARY WILL PROVIDE COPIES OF ALL COMPLETED STATEMENTS TO THE CHAIR OF THE FINANCE AND AUDIT COMMITTEE OR THE CHAIR OF THE BOARD OF DIRECTORS. THE ADOPTION, IMPLEMENTATION OF AND COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY SHALL BE OVERSEEN BY THE BOARD OF DIRECTORS OR THE DESIGNATED FINANCE AND AUDIT COMMITTEE OF THE BOARD AS DETERMINED BY THE BOARD ANNUALLY.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART IX, LINE 11GPROGRAM SUBCONTRACTOR: PROGRAM SERVICE EXPENSES 325,824. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 325,824.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1HUDSON VALLEY CARE COALITION INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1560 WHITE PLAINS ROAD SUITE 200AddressLine1Txt
CityTARRYTOWNCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10591ZIPCd
FieldValueIRS element (for citing)
EIN472066866EIN
Primary ActivitiesCOMPREHENSIVE CAREPrimaryActivitiesTxt
Legal Domicile StateNYLegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity StatusLINE 10PublicCharityStatusTxt
Direct Controlling NAN/ADirectControllingNACd
Controlled Organization0ControlledOrganizationInd

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1CBHS IPA LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line115 FORTUNE ROAD WESTAddressLine1Txt
CityMIDDLETOWNCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10941ZIPCd
FieldValueIRS element (for citing)
EIN471254788EIN
Primary ActivitiesBEHAVIORAL HEALTHPrimaryActivitiesTxt
Legal Domicile StateNYLegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Disproportionate AllocationsYes (1)DisproportionateAllocationsInd
General Or Managing Partner0GeneralOrManagingPartnerInd
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 OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
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 OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

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