irs program accomplishments · form 990 part iii · fy2024
What they reported doing
- #1 primary $0PATHWAY HOME (PH) IS A PROGRAM THAT OFFERS FREE TIME-LIMITED SERVICESIN BROOKLYN, MANHATTAN, BRONX, AND QUEENS FOR ADULTS WITH SERIOUSMENTAL ILLNESS (SMI). THE PH PROGRAM AIMS TO ENHANCE THE SYSTEM OF CAREFOR THOSE TRANISTIONING BACK TO THE COMMUNITY BY PROVIDING SUPPORT ANDFACILITATING A SMOOTH TRANSITION WITH THE FOCUS ON REDUCING ANDSHORTENING READMISSIONS.
- #2 $0COMMUNITY PROVIDERS AND MEDICAL CENTERS TO IMPROVE THE HEALTH OUTCOMESCOORDINATED BEHAVIORAL CARE, INC. 45-2647637CBC WORKS WITH THE DEPARTMENT OF HEALTH, MANAGED CARE ORGANIZATIONS,OF MEDICAID PATIENTS DIAGNOSED WITH CHRONIC HEALTH AND BEHAVIORALHEALTH CONDITIONS. OVER HALF OF THE MEMBER AGENCIES PROVIDE CARECOORDINATION FOR THESE PATIENTS IN ALL BOROUGHS OF NEW YORK CITY.
named programs · 5 · from sources
What they call their work
City Wide Addiction Support Network
Network providing coordinated addiction support services across the CBC provider system.
Health Home Care Management
Comprehensive care coordination for Medicaid recipients with chronic health and behavioral health conditions, focusing on system navigation, care planning, and long-term support across NYC, Long Island, and lower Westchester.
Housing Location and Placement Services
Program that streamlines access to stable housing for vulnerable populations, including those transitioning from inpatient care or experiencing homelessness.
Pathway Home
Provides time-limited, intensive care transition services for adults with serious mental illness transitioning from inpatient care to the community in NYC boroughs. Services include day-of-discharge support, care coordination, housing placement, and primary/behavioral health appointment facilitation to reduce readmissions.
Safe Options Support (SOS)
Mobile multidisciplinary team program that provides outreach, engagement, and housing placement for individuals experiencing homelessness on streets and in public transit in NYC, in collaboration with the NYS Office of Mental Health.
activities · 9 groups
What they do
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Comprehensive Care Management Services 2 activities
- Conducts screenings for social determinants of health and provides navigation supportConducts comprehensive screenings for unmet social needs such as food insecurity, housing instability, and transportation barriers using an evidence-based tool, and provides one-on-one navigation support to connect individuals with community resources and public benefits.
- Implements specialized care transition and care navigation programsOperates specialized programs since 2012 to improve access to care, care navigation, and care transitions for individuals with complex health and social needs, including those transitioning from inpatient settings.
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Medicaid Health Home Care Coordination 2 activities
- Implements the SI CARES care management program on Staten IslandOperates the SI CARES program, providing outreach, engagement, and care planning services to eligible Medicaid recipients on Staten Island in partnership with subcontracted agencies.
- Provides care coordination for Medicaid recipients with chronic conditionsPartners with community providers and medical centers to deliver care coordination services for Medicaid patients with chronic health and behavioral health conditions across all five NYC boroughs.
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Healthcare Delivery Networks and Coalitions 2 activities
- Operates a network of 77 nonprofit agencies through an Independent Practice Association and Health HomeCoordinates a network of 77 nonprofit agencies via the CBC Independent Practice Association and Health Home, contracting with managed care organizations on behalf of participating providers.
- Provides mobile and outpatient addiction services through a provider networkDelivers mobile care and expands access to outpatient, inpatient, and emergency addiction services through a network of 21 provider agencies in the Bronx, Manhattan, and Queens, serving over 3,500 people annually.
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Supportive and Emergency Housing Services 1 activity
- Delivers expedited housing placement and retention servicesProvides expedited housing placement and retention services for adults receiving care at NYC Health + Hospitals facilities or enrolled in MetroPlus Health Plan who are residing in shelters or inpatient settings, including through the Safe Options Support (SOS) program launched in April 2022.
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Comprehensive Community Service Hubs 1 activity
- Delivers integrated behavioral health, primary care, and social servicesProvides behavioral health, primary care, care coordination, housing, and social care services to over 350,000 people annually across New York City, Long Island, and Lower Westchester.
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Medical Professional Education & Training 1 activity
- Delivers training, learning collaboratives, and technical assistance to providersFacilitates Learning Communities and delivers training, learning collaboratives, and technical assistance to improve provider performance in quality, compliance, and evidence-based practices.
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Program Evaluation and Impact Research 1 activity
- Evaluates program impact using research frameworksConducts evaluation of the Pathway Home program using the RE-AIM framework to assess impact, reach, and long-term sustainability within the healthcare system.
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Intake and Referral Coordination 1 activity
- Manages centralized intake, outreach, and care coordination across network agenciesOperates a centralized intake system and coordinates outreach, services, clinical support, case conferences, and training across its provider network to support individuals with complex health and social needs.
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Program Monitoring & Evaluation 1 activity
- Supports provider performance through data analysis and quality assuranceProvides network support including contracting, fiduciary management, data analysis, quality assurance, and quality improvement; annually identifies quality measures and monitors provider performance to support Medicaid Managed Care and Value-Based Payment contracts.
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financials · form 990 · fy2024
revenue
Total revenue$128.41M
Contributions & grants$00%
Program service revenue$127.85M100%
Investment income$552K0%
Other revenue$0
expenses
Total expenses$125.38M
Program expenses95%
Admin / overhead5%
Fundraising0%
Salaries & benefits$4.06M
Grants paid out$0
Largest expense lineCompensation
balance sheet
Total assets$52.01M
Cash$10.48M
Investments$14.73M
Liabilities$32.37M
Net assets$19.64M
Liquid reserves2.4 mo
6 years on record · 2019–2024 · YoY revenue +6.2%
leadership · form 990 part vii · fy2024
Who runs it
paid leadership · 8
| Name | Title | Hours/wk | Compensation |
|---|---|---|---|
| PAMELA MATTEL | CEO | 35 | $328K |
| DIANE NOVY | VP OF CONTRACTS | 35 | $241K |
| STACY MORTON | CFO | 35 | $234K |
| GERARDO RAMOS | SVP OF SYSTEM OF CARES | 35 | $185K |
| BARRY GRANEK | VP OF SYSTEM OF CARE | 35 | $181K |
| TRACIE JONES | VP OF COMPLIANCE | 35 | $157K |
| MELISSA MARTINEZ | VP HEALTH HOME | 35 | $156K |
| JULIANA STEEN | DIRECTOR, ACCESS AND CARE | 35 | $110K |
board members · 14
- CAL HEDIGAN — TRUSTEE
- DAWN SAFFAYEH — TRUSTEE
- ELLIOTT KLEIN — TRUSTEE
- JACOB BARAK — TRUSTEE
- JOHN KASTAN — SECRETARY
- KENNETH SHIEH — TRUSTEE
- LISA SHINEHOUSE — TRUSTEE
- MITCHELL NETBURN — TRUSTEE
- NEIL PESSIN — TRUSTEE
- PATRICIA BOWLES — CHAIRPERSON
- RONALD ERICHTER — TRUSTEE
- SHERRY TUCKER — TREASURER
- SUSAN WIVIOTT — TRUSTEE
- TERRY TROIA — TRUSTEE
relationships · 145
Who they work with
- A Plus Early Intervention Partner — Provider agency in the Coordinated Behavioral Care network
- ACMH Partner — Provider agency in the Coordinated Behavioral Care network
- Aetna Partner — Health plan partner in behavioral health service delivery
- Ahivim Partner — Provider agency in the Coordinated Behavioral Care network
- Amida Care Partner — Health plan partner in behavioral health service delivery
- Asian Community Care Management Partner — Provider agency in the Coordinated Behavioral Care network
- Association to Benefit Children (ABC) Partner — Provider agency in the Coordinated Behavioral Care network
- Athena Psych Partner — Provider agency in the Coordinated Behavioral Care network
- BMS Family Health & Wellness Centers Partner — Provider agency in the Coordinated Behavioral Care network
- Bridging Access to Care, Inc. Partner — Provider agency in the Coordinated Behavioral Care network
- BronxWorks Partner — Provider agency in the Coordinated Behavioral Care network
- Brooklyn Community Services (BCS) Partner — Provider agency in the Coordinated Behavioral Care network
- CASES Partner — Provider agency in the Coordinated Behavioral Care network
- CBC IPA Partner — Collaborates with other IPAs and agencies in the Citywide Addiction Support Network to deliver addiction services.
- CBC Independent Practice Association Network — Network of 77 agencies under CBC that delivers coordinated health and human services.
- CSEDNY Partner — Provider agency in the Coordinated Behavioral Care network
- Catholic Charities Neighborhood Services (CCNS) Partner — Provider agency in the Coordinated Behavioral Care network
- Centers for Medicare & Medicaid Services Government — Approved the State Plan Amendment enabling the Health Home Development Funds used by the organization.
- City-Wide Addiction Support Network Partner — Collaborating organization in addiction support services
- Cogency IPA Partner — Part of the multi-stakeholder partnership in the Citywide Addiction Support Network to expand addiction treatment and recovery services.
- Community Access, Inc. Partner — Provider agency in the Coordinated Behavioral Care network
- Community Health Action of Staten Island (CHASI) Partner — Provider agency in the Coordinated Behavioral Care network
- Comunilife Partner — Provider agency in the Coordinated Behavioral Care network
- Concern for Independent Living, Inc Partner — Provider agency in the Coordinated Behavioral Care network
- Damian Family Care Centers, Inc. Partner — Provider agency in the Coordinated Behavioral Care network
- Diaspora Community Services Partner — Provider agency in the Coordinated Behavioral Care network
- Educational Alliance Partner — Provider agency in the Coordinated Behavioral Care network
- Emblem Health Partner — Health plan partner in behavioral health service delivery
- EngageWell IPA Partner — Collaborates with CBC IPA and other agencies in the Citywide Addiction Support Network to address opioid and stimulant use disorders.
- Family Services Network of New York, Inc. Partner — Provider agency in the Coordinated Behavioral Care network
+ 115 more
strategies · 3
How they approach the work
Named approaches extracted from this org’s sources. Where others share an approach, follow it to see the full set of orgs running it.
- Client-Centered, Person-Centered Care Modelmethodology: client_choice_modelBy centering care on individual priorities and lived experience, we produce sustainable health and wellness outcomes because autonomy and dignity increase engagement and self-efficacy in behavioral health recovery.
- Integrated Social Determinants Navigationmethodology: social_care_integrationBy systematically screening for social needs and providing personalized navigation to community resources, we improve health outcomes because addressing housing, benefits, and basic needs reduces stressors that exacerbate behavioral health conditions.
- Value-Based Population Health Coordinationmethodology: value_based_care_population_healthBy aligning clinical goals across a provider network through data-driven dashboards and unified planning, we improve population health outcomes and system efficiency because shared accountability and real-time feedback enable proactive, coordinated care for high-need individuals.