2024-11-07T14:13:15-06:00 2023-12-31 161092347 MENGEL METZGER BARR & CO LLP 11 BRITISH AMERICAN BLVD LATHAM NY 12110 990 2023-01-01 320571292 CAPITAL BEHAVIORAL HEALTH COLLABORATIVE INC CAPI 5185048650 255 WASHINGTON AVE EXT 100 ALBANY NY 12205 DOROTHY CUCINELLI CEO 5185048650 2024-11-05 1 1 CHRISTOPHER J HEALY CPA P02180941 5187850134 2023 2024-10-15 13:58:12Z DOROTHY CUCINELLI 255 WASHINGTON AVE EXT 100 ALBANY NY 12205 1120257 0 X HTTPS://CBHNETWORK.COM/ X 2018 NY THE 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. 12 12 4 0 0 0 581938 1099972 0 0 893 20285 0 0 582831 1120257 0 0 0 0 297611 424899 0 0 0 284583 661374 582194 1086273 637 33984 1165236 996017 1131097 927894 34139 68123 X THE 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. 0 0 1053865 THE 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. 1053865 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 1 7 0 1 4 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 NY X DOROTHY CUCINELLI 5185048650 255 WASHINGTON AVE EXT NO 100 ALBANY NY 12205 X KATHRYN ALONGE-COONS DIRECTOR 2.00 X 0 0 0 DAVID BACH DIRECTOR 2.00 X 0 0 0 LAUREN TEGNANDER DIRECTOR 2.00 X 0 0 0 KATHRYN FLETCHER DIRECTOR 2.00 X 0 0 0 CHELLY HEGAN DIRECTOR 2.00 X 0 0 0 STEVE KLEIN DIRECTOR 2.00 X 0 0 0 ROY WALLACH DIRECTOR 2.00 X 0 0 0 DAVID R ROSSETTI DIRECTOR 2.00 X 0 0 0 DAVID WALLACE DIRECTOR 2.00 X 0 0 0 KEVIN CONNALLY PRESIDENT 2.00 X X 0 0 0 KIETH STACK SECRETARY 2.00 X X 0 0 0 LAURA COMBS TREASURER 2.00 X X 0 0 0 0 0 0 0 0 0 0 0 689272 410700 1099972 20285 20285 1120257 0 0 20285 341407 326883 14524 20346 20394 -48 29650 29720 -70 33496 33576 -80 129183 129183 1180 507 673 15931 6283 9648 17917 17917 3143 3143 14209 14209 TRANSPORTATION EXPENSES 216081 216081 CONSULTANTS 102768 99044 3724 BHDAC ANNUAL FEE EXPENS 90000 90000 LEGAL AND PROFESSIONAL 54210 53931 279 16752 16137 615 1086273 1053865 32408 0 1059072 761085 83237 195771 22927 39161 3458 3458 0 0 1165236 996017 122618 87428 1008479 840466 1131097 927894 X 34139 68123 34139 68123 1165236 996017 33984 0 X X 0 1 X 1 0 X 558666 376954 386085 581938 1099972 3003615 558666 376954 386085 581938 1099972 3003615 3003615 14428 5849 1404 893 20285 42859 3046474 0.98590 0.98960 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3458 3458 0 0 X 1120257 0 1120257 0 1120257 1086273 0 1086273 0 1086273 PART X, LINE 2: CBHC 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. FORM 990, PART VI, SECTION B, LINE 11B AS 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 11A THE ANSWER TO THIS LINE ITEM APPLIES TO ALL OF THE ORGANIZATION'S DISREGARDED ENTITIES. FORM 990, PART VI, SECTION B, LINE 12A THE ANSWER TO THIS LINE ITEM APPLIES TO ALL OF THE ORGANIZATION'S DISREGARDED ENTITIES. FORM 990, PART VI, SECTION B, LINE 12B THE ANSWER TO THIS LINE ITEM APPLIES TO ALL OF THE ORGANIZATION'S DISREGARDED ENTITIES. FORM 990, PART VI, SECTION B, LINE 13 THE ANSWER TO THIS LINE ITEM APPLIES TO ALL OF THE ORGANIZATION'S DISREGARDED ENTITIES. FORM 990, PART VI, SECTION B, LINE 14 THE ANSWER TO THIS LINE ITEM APPLIES TO ALL OF THE ORGANIZATION'S DISREGARDED ENTITIES. FORM 990, PART VI, SECTION B, LINE 12C THE 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 19 GOVERNING DOCUMENTS, ETC. ARE AVAILABLE UPON REQUEST THROUGH THE BUSINESS OFFICE. FORM 990, PART XII,LINE 2C: THERE WAS NO CHANGE IN PROCEDURE. CAPITAL BEHAVIORAL HEALTH NETWORK LLC 255 WASHINGTON AVE EXT NO 100 ALBANY NY 12205 320572675 PROVIDE QUALITY BEHAVIORAL HEALTH CARE NY 410994 356859 CAPITAL BEHAVIORAL HEALTH COLLABORATIVE INC 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 CAPITAL BEHAVIORAL HEALTH NETWORK LLC B 938762 CASH CAPITAL BEHAVIORAL HEALTH NETWORK LLC N DOES NOT EXCEED $50,000 CAPITAL BEHAVIORAL HEALTH NETWORK LLC O 424899 CASH CAPITAL BEHAVIORAL HEALTH NETWORK LLC Q 643457 CASH SCHEDULE R, PART V, LINE 2 (1) CAPITAL 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.