NORTHERN NEW YORK RURAL BEHAVIORAL… - Form 990 Financial Data

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Financial Vulnerability Assessment (Tuckman-Chang)

4 risk indicators measuring financial stability and operational resilience

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Financial Trends

Organization Details

Formation Year

1997

Legal Domicile

Phone

5188919460

Tax Period

2021-07-01 to 2022-06-30

NORTHERN NEW YORK RURAL BEHAVIORAL HEALTH INSTITUTE, founded in 1997, is a small nonprofit that reported $224K in total revenue in fiscal year 2021. Revenue fell 43% from the prior year — a significant decline worth monitoring. Expenses of $554K exceeded revenue, resulting in a 148% operating deficit.

Mission

ASSIST IN MEETING THE BEHAVIORAL HEALTH NEEDS OF PERSONS RESIDING PRIMARILY IN NORTHERN NEW YORK STATE. ASSISTANCE IS PROVIDED IN THE FORM OF PLANNING AND ADMINISTRATIVE COORDINATION FOR A NETWORK OR ORGANIZATIONS THAT PROVIDE BEHAVIORAL HEALTH CARE.

Program Service Accomplishments

Program 1

Expenses: $154,843

HEALTH REFORMTHE NETWORK'S SYSTEM REFORM EXPENSES INCLUDE ASSISTING MEMBER AGENCIES IN PREPARING FOR THE TRANSITION FROM FEE FOR SERVICE TO A MANAGED CARE ENVIRONMENT. OBJECTIVES INCLUDED...

HEALTH REFORMTHE NETWORK'S SYSTEM REFORM EXPENSES INCLUDE ASSISTING MEMBER AGENCIES IN PREPARING FOR THE TRANSITION FROM FEE FOR SERVICE TO A MANAGED CARE ENVIRONMENT. OBJECTIVES INCLUDED UNDERSTANDING CONTRACTING REQUIREMENTS OF MANAGED CARE ORGANIZATIONS, IMPLEMENTATION OF EVIDENCE BASED PRACTICES, AND DEVELOPMENT OF VALUE BASED PAYMENT (RISK SHARING) BEHAVIORAL HEALTH PRODUCTS AND SERVICES.REGIONAL HEALTH PLANNING ACTIVITIES WERE ALSO INCLUDED IN THIS FUNCTIONAL AREA. THIS FUNCTIONAL AREA WAS PRIMARLY FUNDED THROUGH A NYS DOH GRANT. THESE ACTVITIES WERE ACCOMPLISHED THROUGH EXECUTIVE LEVEL EDUCATIONAL PROGRAMMING, ENGAGEMENT OF CONSULTANTS TO MEET WITH MEMBERS, AND STAFF PARTICIPATION IN REGIONAL PLANNING ACTIVITES. SOME INDIVIDUAL MANAGEMENT CONSULTING ALSO TOOK PLACE UNDER THIS CATEGORY AND WAS PROVIDED ON A FEE FOR SERVICE BASIS THROUGH NORTH COUNTRY MANAGEMENT SERVICES. NCBHN WORKED WITH A NUMBER OF MEMBER AGENCIES TO DEVELOP THE PEER INTEGRATED CARE (PIC) DEMONSTRATION PROJECT. PIC IS A VALUE BASED PAYMENT/SHARED SAVINGS MODEL THAT ENGAGES LIVED EXPERIENCE PEERS WITH HIGH UTILITZERS OF EMERGENCY DEPARTMENTS. The model focuses on individuals who are admitted to the emergency department six or more times per year. NCBHN worked to develop a partnership with a major managed care organization but these efforts were interrupted with the onset of the COVID-19 pandemic.

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Trantor Score

Financial Health Score (300–850) · Liquidity · Solvency · Sustainability · Efficiency

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Liquidity (40%) • Solvency (30%) • Sustainability (20%) • Efficiency (10%)

Financial Overview (2021)

Revenue Breakdown

Contributions & Grants $220,124

Program Service Revenue $2,072

Investment Income $1,460

Other Revenue $105

TOTAL REVENUE $223,761

Expense Breakdown

Grants Paid $0

Salaries & Benefits $148,138

Fundraising Expenses $0

Program Expenses $154,843

Other Expenses $405,779

TOTAL EXPENSES $553,917

Year-over-Year Comparison

	2021	2020	Change
Revenue	$223,761	$391,547	-0.4%
Expenses	$553,917	$468,335	+0.2%
Net Income	$-330,156	$-76,788	+3.3%

Key Indicators

✗ Grants to Organizations ✗ Grants to Individuals ✗ Lobbying ✗ Political Activity ✗ Foreign Activities ✗ Donor Advised Fund ✓ Schedule B Required

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Financial Health Indicators

Comprehensive financial analysis: Altman Z-Score, liquidity, solvency, sustainability, efficiency, and growth metrics

Financial Distress Indicator

Liquidity & Cash Position

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Altman Z-Score • Liquidity Ratios • Solvency Analysis • Growth Indicators • Efficiency Metrics

Governance

Voting Members

Independent Members

Employees

Volunteers

N/A

Governance Policies

✗ Conflict of Interest Policy

✗ Whistleblower Policy

✗ Document Retention Policy

Special Practices & Reported Activities

✗ Operated a School

✗ Operated a Hospital

✗ Provided First Class Travel

✗ Reported Conflict of Interest

✗ Reported Asset Diversion

✗ Excess Benefit Transaction

✗ Made Political Expenditures

✗ Engaged in Lobbying

✗ Operated Donor Advised Fund

✗ Maintained Art Collections

✗ Filed Form 720

Compensation of Officers, Directors & Key Employees

Total Officers

$174,429

Total Directors

Key Employees

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
ROBERT CAWLEY	Executive Dir.	86.00	Officer	$126,740	$2,285	$129,025
BARRY BROGAN	Special Manager	19.00	Officer	$33,782	$11,622	$45,404
BILL BOWMAN	BOARD CHAIR	2.00	Officer Director	$0	$0	$0
JOANNE CASWELL	Vice Chair	1.00	Officer Director	$0	$0	$0
Maureen Cean	Treasurer	1.00	Officer Director	$0	$0	$0
TINA BUCKLEY	Secretary	1.00	Officer Director	$0	$0	$0
ED THOMAS	Director	1.00	Director	$0	$0	$0
JOHN WILSON	Director	1.00	Director	$0	$0	$0
MARC CZADZECK	Director	1.00	Director	$0	$0	$0
KAREN BOLIVER	Director	1.00	Director	$0	$0	$0
COURTNEY FRANK	Director	1.00	Director	$0	$0	$0

Note: Compensation data is self-reported by the organization on their Form 990. "Reportable Comp" includes salary, bonuses, and other reportable compensation from the organization and related organizations. "Other Comp" includes benefits, deferred compensation, and non-taxable benefits.

Historical Data

Year	Revenue	Expenses	Assets	Net Income
2022	$223,761	$553,917	No data	$-330,156
2021	$391,547	$468,335	$418,175	$-76,788
2020	$527,492	$518,330	$486,831	$9,162
2019	$821,235	$751,916	$465,721	$69,319
2018	$489,714	$451,465	$344,880	$38,249

NORTHERN NEW YORK RURAL BEHAVIORAL HEALTH INSTITUTE