CBHS INC: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- CBHS INC (EIN 46-1236771)
- Tax period
- 2018-01-01 to 2018-12-31
- Filed
- 2019-11-15
- IRS object ID
- 201943199349314899
- Schema version
- 2018v3.1
- 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 | 2019-11-15T17:08:23-06:00 | ReturnTs |
| Tax Period End | 2018-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 271728945 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PKF O'CONNOR DAVIES LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 MAMARONECK AVENUE | AddressLine1Txt |
| City | HARRISON | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 105281633 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2018-01-01 | 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 NO 205 | AddressLine1Txt |
| City | GOSHEN | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10924 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CHARLOTTE OSTMAN | PersonNm |
| Person Title | CO-CHAIRPERSON | PersonTitleTxt |
| Phone | 8456159312 | PhoneNum |
| Signature | 2019-11-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | GARRETT M HIGGINS | PreparerPersonNm |
| PTIN | P00543209 | PTIN |
| Phone | 9143818900 | PhoneNum |
| Preparation | 2019-11-15 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 65.51.112.58 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-11-15 | IPDt |
| IP Tm | 13:05:03 | IPTm |
| IP Timezone | ES | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 5703FE066021D8CEE29D7406C1C220D1E656F509 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2020-03-31 21:24:44Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | Yes (X) | AddressChangeInd |
| Principal Officer | ELIZABETH KADATZ | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 70 HATFIELD LANE NO 205 | AddressLine1Txt |
| City | GOSHEN | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10924 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $1,447,656 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | 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 | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 18 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $108,689 | PYContributionsGrantsAmt |
| CY Contributions Grants | $628,655 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $555,287 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $489,001 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $34,514 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $663,976 | PYTotalRevenueAmt |
| CY Total Revenue | $1,152,170 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $0 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $0 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $294,166 | PYOtherExpensesAmt |
| CY Other Expenses | $989,677 | CYOtherExpensesAmt |
| PY Total Expenses | $294,166 | PYTotalExpensesAmt |
| CY Total Expenses | $989,677 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $369,810 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $162,493 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $912,011 | TotalAssetsBOYAmt |
| Total Assets EOY | $2,764,812 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $246,738 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,937,046 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $665,273 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $827,766 | 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 | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $875,073 | ExpenseAmt |
| Revenue | $489,001 | 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 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. 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 | $875,073 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | 0 | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | 0 | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 3 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 8 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | 0 | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RICHARD TUTEN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8456159312 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 70 HATFIELD LANE NO 205 | 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 (15 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| ELIZABETH KADATZ | ||||||
| CO-CHAIR | 10.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| AMY ANDERSON-WINCHELL | ||||||
| CO-CHAIR | 8.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| ALAN TRAGER | ||||||
| TREASURER (THRU 06/2018) | 8.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| CHARLOTTE OSTMAN | ||||||
| TREASURER | 8.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| STEPHANIE MADISON | ||||||
| SECRETARY | 8.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| ANDREW O'GRADY | ||||||
| DIRECTOR | 8.00 | Yes (X) | $0 | $0 | $0 | |
| KEVIN HAZUCHA | ||||||
| DIRECTOR (THRU 08/2018) | 8.00 | Yes (X) | $0 | $0 | $0 | |
| KATHY PANDEKAKES | ||||||
| DIRECTOR | 8.00 | Yes (X) | $0 | $0 | $0 | |
| AMY GELLES | ||||||
| DIRECTOR | 8.00 | Yes (X) | $0 | $0 | $0 | |
| ANDREA STRAUS | ||||||
| DIRECTOR | 8.00 | Yes (X) | $0 | $0 | $0 | |
| ARLENE MARCUS | ||||||
| DIRECTOR | 8.00 | Yes (X) | $0 | $0 | $0 | |
| ERIC D'ENTRONE | ||||||
| DIRECTOR | 8.00 | Yes (X) | $0 | $0 | $0 | |
| JOAN CRAWFORD | ||||||
| DIRECTOR | 8.00 | Yes (X) | $0 | $0 | $0 | |
| NADIA ALLEN | ||||||
| DIRECTOR | 8.00 | Yes (X) | $0 | $0 | $0 | |
| SETH DIAMOND | ||||||
| DIRECTOR | 8.00 | Yes (X) | $0 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| MANATT PHELPS & PHILLIPS LLP | |||||
| 11355 W OYMPIC BLVD | LOS ANGELES | CA | 90064 | LEGAL AND CONSULTING | $220,720 |
| HEALTH MANAGEMENT ASSOCIATES | |||||
| 120 NORTH WASHINGTON SQUARE SUITE | LANSING | MI | 48933 | PROVIDED INTERIM CEO SERVICES AND CONSUL | $132,167 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $612,655 | GovernmentGrantsAmt |
| All Other Contributions | $16,000 | AllOtherContributionsAmt |
| Total Contributions | $628,655 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| CONTRACT INCOME | 900099 | $360,826 | $360,826 |
| MEMBERSHIP DUES | 900099 | $100,000 | $100,000 |
| CONFERENCES | 900099 | $28,175 | $28,175 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $489,001 | TotalProgramServiceRevenueAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $330,000 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $295,486 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $34,514 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $34,514 | TotalRevenueColumnAmt |
| Exclusion | $34,514 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,152,170 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $489,001 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $34,514 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,219 | TotalAmt |
| Program Services | $3,219 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,197 | TotalAmt |
| Management And General | $39,197 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $908,698 | TotalAmt |
| Program Services | $866,670 | ProgramServicesAmt |
| Management And General | $42,028 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,514 | TotalAmt |
| Management And General | $3,514 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,671 | TotalAmt |
| Program Services | $5,184 | ProgramServicesAmt |
| Management And General | $27,487 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,378 | TotalAmt |
| Management And General | $2,378 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $989,677 | TotalAmt |
| Program Services | $875,073 | ProgramServicesAmt |
| Management And General | $114,604 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $345,883 | BOYAmt |
| EOY | $2,603,388 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $156,499 | BOYAmt |
| EOY | $86,762 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $775 | BOYAmt |
| EOY | $791 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $369,357 | BOYAmt |
| EOY | $73,871 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,497 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $912,011 | BOYAmt |
| EOY | $2,764,812 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $167,884 | BOYAmt |
| EOY | $312,865 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $1,624,181 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $78,854 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $246,738 | BOYAmt |
| EOY | $1,937,046 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $665,273 | BOYAmt |
| EOY | $827,766 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $665,273 | BOYAmt |
| EOY | $827,766 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $912,011 | BOYAmt |
| EOY | $2,764,812 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $162,493 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 0 | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
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 Minus1 Year | $108,689 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $628,655 | CurrentTaxYearAmt |
| Total | $737,344 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $108,689 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $628,655 | CurrentTaxYearAmt |
| Total | $737,344 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $50,452 | SubstantialContributorsTotAmt |
| Public Support Total170 | $686,892 | PublicSupportTotal170Amt |
| Total Support | $737,344 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $1,511,681 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.93160 | PublicSupportCY170Pct |
| Public Support PY170 | 0.61760 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
| Public Support PY509 | 0.61760 | PublicSupportPY509Pct |
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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $0 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $1,117,656 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$34,514 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | -$34,514 | RevenueNotReportedAmt |
| Revenue Subtotal | $1,152,170 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $1,152,170 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $989,677 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $989,677 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $989,677 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE 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, 2015. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 4 | THE ORGANIZATION AMENDED ITS BYLAWS IN 2018, THE FOLLOWING SIGNIFICANT CHANGES WERE MADE: -SECTION 2.2 QUALIFICATION. REMOVES REQUIREMENT FOR SUPERMAJORITY OF BOARD TO APPROVE NEW MEMBERS. -3.4 REMOVAL. REMOVES "CLASS A" FROM DIRECTOR. ADDS STIPULATION THAT IF A MEMBER RESIGNS, THAT MEMBER'S APPOINTED DIRECTORS WILL AUTOMATICALLY BE REMOVED FROM THE BOARD AND ANY COMMITTEE OR OFFICER POSITIONS. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE 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 7A | EACH 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 7B | EACH 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 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 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 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. 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 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. |
| FORM 990, PART IX, LINE 11G | STRATEGIC PLANNING CONSULTANT: PROGRAM SERVICE EXPENSES 461,207. MANAGEMENT AND GENERAL EXPENSES 8,877. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 470,084. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 405,463. MANAGEMENT AND GENERAL EXPENSES 33,151. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 438,614. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CBHS IPA LLC | BusinessNameLine1Txt |
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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 471254788 | EIN |
| Primary Activities | HEALTHCARE SERVICES | PrimaryActivitiesTxt |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Total Income | $0 | TotalIncomeAmt |
| End Of Year Assets | $2,084,544 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CBHS INC | BusinessNameLine1Txt |