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ACCESS SUPPORTS FOR LIVING INC

MIDDLETOWN, NY · EIN 141471097 · Form 990 · FY2024 · NTEE P820 · Human Services · Very Large (>$50M) · accesssupports.org
revenue
$118.1M
expenses
$114.6M
net assets
$54.8M
employees
1,944
volunteers
20
program ratio
88%
mission · from form 990

OUR MISSION IS TO HELP PEOPLE LIVE THE HEALTHIEST AND FULLEST LIVES POSSIBLE, AND OUR FIRST PRIORITY IS THOSE WHO LIVE WITH THE CHALLENGES ASSOCIATED WITH BEHAVIORAL HEALTH ISSUES AND DEVELOPMENTAL DISABILITIES.

profile · synthesized from sources

Access: Supports for Living is a large human services provider in New York's Hudson Valley, serving over 20,000 people annually. It offers integrated, person-centered supports for individuals with behavioral health challenges and intellectual or developmental disabilities. Services include mental health and addiction treatment, housing and employment assistance, crisis intervention, and community-based programs across nine counties.

irs program accomplishments · form 990 part iii · fy2024

What they reported doing

  1. #1 primary $14.38M
    EMPLOYMENT AND INDUSTRIAL SERVICES - TO PROVIDE REHABILITATION SERVICES TO PEOPLE WITH DEVELOPMENTAL DISABILITIES, MENTAL ILLNESSES AND PHYSICAL DISABILITIES
  2. #2 $23.63M
    COUNSELING AND CRISIS SERVICES - OUTPATIENT COUNSELING CENTERS AND CRISIS SERVICES TO PERSONS WITH EMOTIONAL, DEVELOPMENTAL, AND OR PHYSICAL DISABILITIES IN ORANGE, ULSTER, AND DUTCHESS COUNTIES.
named programs · 5 · from sources

What they call their work

Access: Center of Excellence (A:CE)
Hub for innovation and workforce development with five institutes focused on suicide prevention, leadership, integrated care, independence, and technology.
Certified Community Behavioral Health Clinic (CCBHC)
Provides coordinated mental health and substance use services, including crisis care, counseling, psychiatry, and primary care coordination in Orange, Ulster, and Dutchess Counties.
Healthy Families
Home visitation and parent support program for expectant parents and families with newborns, offering guidance on child development, safety, and parenting skills.
REACH
Youth suicide prevention program offering risk assessments, safety planning, and wrap-around services for young people ages 15–24 in Orange, Ulster, Dutchess, Sullivan, and Rockland Counties.
Self-Direction Services
Supports individuals with intellectual and developmental disabilities in managing their own care, including hiring staff and setting personalized goals, with administrative support from Meaningful NY.
activities · 12 groups

What they do

  • Medicaid Health Home Care Coordination 2 activities
    • Care management and care coordination services
      Offers comprehensive care management including care planning, referrals, appointment coordination, benefits navigation, inter-provider communication, and family support to reduce service gaps and improve outcomes for individuals with complex needs.
    • Integrated service models for individuals with complex needs
      Brings together mental health care, medical care, and essential social supports into a coordinated service model to improve access, navigation, and outcomes for people with complex behavioral, developmental, and physical health needs.
  • Self-Directed Disability Support Services 2 activities
    • Home and Community-Based Waiver and fiscal intermediary services
      Provides Home and Community-Based Waiver Services and fiscal intermediary services, including administrative and billing support, for individuals with intellectual and developmental disabilities and their families, enabling access to home care and personalized supports.
    • Self-Direction services for individuals with intellectual and developmental disabilities
      Implements Self-Direction programs that allow individuals to manage their own care plans, choose providers and goals, hire personal staff, and control service budgets, with administrative support for compliance, payroll, and documentation.
  • Outpatient Mental Health Clinic Services 2 activities
    • Mental health and substance use services through Certified Community Behavioral Health Clinics
      Operates Certified Community Behavioral Health Clinics in Orange, Ulster, and Dutchess Counties to deliver coordinated mental health and substance use services for individuals of all ages, including outpatient counseling, medication-assisted treatment, and community-based support.
    • Urgent care and crisis response for mental health and substance use
      Provides walk-in urgent care services for mental health and substance use crises at clinics in Middletown, Newburgh, Kingston, and Poughkeepsie (open Monday–Friday, 10 a.m.–6 p.m.), mobile crisis response, home-based counseling, and 24/7 helpline access to trained professionals for immediate support and resource connection.
  • Nonprofit Capacity Building Services 1 activity
    • Capacity building and workforce development through the Access: Center of Excellence
      Operates the Access: Center of Excellence as a hub for learning, innovation, and workforce development, providing evidence-based training, mentoring, and coaching for clinical, frontline, and administrative leaders to strengthen staff, partner organizations, and the broader human services field.
  • Day Habilitation Services 1 activity
    • Day Habilitation and community-based skill-building programs
      Delivers structured Day Habilitation and Community Habilitation programs for children, teens, and adults with intellectual and developmental disabilities, offering group or one-on-one support to build daily living, social, and independent living skills.
  • Residential Support for Developmental Disabilities 1 activity
    • Housing and residential supports for individuals with intellectual and developmental disabilities
      Offers residential services with 24/7 supervision or flexible support, along with supported and affordable housing options that include individualized services such as life skills training, budgeting, lease management, and community engagement to promote independence and long-term stability.
  • LGBTQ+ Community Support and Resource Centers 1 activity
    • Inclusive and telehealth mental health services for LGBTQ+ youth
      Provides an inclusive space and confidential telehealth services for LGBTQ+ youth and caregivers, particularly those lacking privacy at home, ensuring access to affirming mental health support and resources.
  • Supported Employment for Developmental Disabilities 1 activity
    • Rehabilitation and vocational services for individuals with developmental disabilities
      Provides employment and industrial rehabilitation programs, including pre-vocational training, job placement, on-the-job coaching, and skills development through real-world settings such as greenhouses, hospitality environments, and Access: Business Solutions, which offers manufacturing, custodial, and facilities maintenance work opportunities.
  • Veteran Benefits and Reintegration Support 1 activity
    • Services for veterans with mental health and addiction challenges
      Delivers dedicated mental health and addiction recovery services for veterans, including urgent care, counseling, substance use treatment, and community-based support tailored to their unique needs.
  • School-Based Mental Health and Family Support 1 activity
    • Youth and family-focused mental health and developmental disability services
      Provides individualized, family, and group counseling; early intervention for children with developmental disabilities; home visits for expectant parents and newborns; parenting support groups; respite care; financial assistance; and Youth ACT, an intensive community-based treatment program for children, teens, and young adults.
  • Mental Health Education and Awareness 1 activity
    • Youth suicide prevention and mental health education programs
      Operates REACH, a youth suicide prevention program serving individuals ages 15–24 and their families across five counties, offering risk assessments, safety planning, therapy connections, and evidence-based trainings such as Teen Mental Health First Aid, QPR, and Narcan to schools and community partners.
  • Uncategorized 1 activity
    • Application of AI and assistive technology to support independence
      Tests and applies artificial intelligence and user-centered assistive technologies to reduce barriers, enhance independence, and improve service delivery for individuals with disabilities.
financials · form 990 · fy2024
revenue
Total revenue$118.09M
Contributions & grants$24.57M21%
Program service revenue$86.11M73%
Investment income$815K1%
Other revenue$6.59M
expenses
Total expenses$114.64M
Program expenses88%
Admin / overhead12%
Fundraising0%
Salaries & benefits$82.45M
Grants paid out$0
Largest expense lineCompensation
balance sheet
Total assets$88.17M
Cash$14.32M
Investments$8.07M
Liabilities$33.38M
Net assets$54.80M
Liquid reserves2.3 mo
4 years on record · 2020–2024 · YoY revenue +8.8%
leadership · form 990 part vii · fy2024

Who runs it

paid leadership · 16
NameTitleHours/wkCompensation
RONALD J COLAVITO PRESIDENT AND CEO 40 $466K
OLANREWAJU SOMORIN MEDICAL DIRECTOR 40 $426K
BENJAMIN MARGOLIS PSYCHIATRIST 40 $348K
SYED QAMER PSYCHIATRIST 40 $346K
MAUDE ROSADO CHIEF FINANCIAL OFFICER 40 $300K
PETER CALAFIURA PSYCHIATRIST 40 $292K
ANGELA WOODS CHIEF ADMINISTRATIVE OFFIC 40 $287K
NAIM KORCA CHIEF PROGRAM OFFICER 40 $285K
MRIDULA KAMTHAN MED DIRECTOR CHILD ADOL SV 40 $255K
KATARIINA HOASS CHIEF CLINICAL OFFICER 40 $246K
YVETTE FIGUEROA SR VP IDD SERVICES 40 $207K
ANTIONETTE ELIZONDO SENIOR VICE PRESIDENT 40 $199K
CLIFFORD POTTS SR VP BUSINESS ANALYTICS A 40 $191K
MONIQUE AYALA DIRECTOR OF FINANCE 40 $188K
ALLISON HORAN VP OF STAFF & COMMUNICATIONS 35 $175K
EILEEN ZEPF EXECUTIVE 40 $175K
board members · 9
  • CARMEL VOBIS — DIRECTOR
  • CHERYL MARSH — DIRECTOR
  • CHERYL SANZA — DIRECTOR
  • DANIEL B HULSE — DIRECTOR
  • DEAN SCHER — DIRECTOR
  • ELIZABETH O'HALLORAN — VICE CHAIRPERSON
  • FRANK DESIERVO — DIRECTOR
  • FRANK HARITON — DIRECTOR
  • GLEN HELLER — DIRECTOR
relationships · 26

Who they work with

  • AbilityOne Government — Contractor under the AbilityOne program, enabling employment opportunities for people with disabilities through federal procurement contracts.
  • Dutchess County Mental Hygiene Department Government — Partnership through Certified Community Behavioral Health Clinic services in Dutchess County.
  • Institute for Independence and Healthy Living Network — One of five specialized institutes under ACCESS Supports for Living providing vocational and life skills training for independence.
  • Institute for Integrated Care Network — One of five specialized institutes under ACCESS Supports for Living focused on integrating mental health, medical, and social services.
  • Institute for Purpose Driven Leadership and Clinical Excellence Network — One of five specialized institutes under ACCESS Supports for Living that provides leadership development and clinical excellence training.
  • Institute for Suicide Prevention Network — One of five specialized institutes under ACCESS Supports for Living focused on suicide prevention training, research, and advocacy.
  • Institute for Technology and Innovation Network — One of five specialized institutes under ACCESS Supports for Living testing and applying AI and assistive technology to improve care delivery.
  • John P. Finneran Partner — Board Treasurer and Finance and Audit Committee Chair
  • Liz O’Halloran Partner — Board Chair providing governance leadership
  • Meaningful NY Partner — Affiliate organization collaborating with Access Supports for Living to serve individuals across the Hudson Valley.
  • Meaningful NY Partner — Partner agency offering Home and Community-Based Waiver Services and fiscal intermediary support.
  • Mitzi Ambrose Washington Partner — Board Vice Chair providing governance leadership
  • NYSID Government — Contractor for NYSID, indicating formal partnership in delivering services for individuals with disabilities.
  • New York Families for Autistic Children Partner — Affiliate organization collaborating with Access Supports for Living to serve individuals across the Hudson Valley.
  • New York Families for Autistic Children Partner — Partner agency delivering services for individuals with autism and developmental disabilities.
  • Orange County Department of Mental Health Government — Partnership through Certified Community Behavioral Health Clinic services in Orange County.
  • Self-Direction Partner — Operates under the Self-Direction model, enabling individuals to direct their own supports and services.
  • Stewart Airport Partner — Hosts the A:CE headquarters on its grounds in New Windsor, NY.
  • Teen Mental Health First Aid Partner — Provides Teen Mental Health First Aid training to schools and community partners.
  • The Guidance Center of Westchester Partner — Affiliate organization collaborating with Access Supports for Living to serve individuals across the Hudson Valley.
  • The Guidance Center of Westchester Partner — Partner agency providing mental health, housing, and vocational services.
  • Ulster County Office of Mental Health Government — Partnership through Certified Community Behavioral Health Clinic services in Ulster County.
  • Youth Mental Health First Aid Partner — Provides Youth Mental Health First Aid training to schools and community partners.
  • community partners Partner — Partners with community organizations to support care coordination and service delivery.
  • healthcare providers Partner — Collaborates with healthcare providers to coordinate care and support service integration.
  • trusted agencies throughout the Hudson Valley Partner — Collaborates with local agencies to provide decentralized, community-tailored services.
strategies · 4

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.

  • Integrated, Whole-Person Care Network
    methodology: integrated_whole_person_care
    By unifying mental health, substance use, medical, housing, employment, and social supports through coordinated, multi-agency service models — especially via Certified Community Behavioral Health Clinics — we improve access and outcomes for people with complex needs, because fragmented systems fail vulnerable populations and integration reduces gaps, delays, and loss of continuity.
  • Low-Barrier, Continuous Access Model
    methodology: low_barrier_continuous_access
    By offering 24/7 crisis support, urgent care for mental health and substance use, and multiple access points (phone, in-person, online), we increase timely intervention and reduce preventable crises, because availability and ease of entry are critical for engagement among individuals facing acute distress or systemic exclusion.
  • Person-Centered and Self-Directed Care Model
    methodology: person_centered_self_direction
    By placing individuals at the center of decision-making and enabling them to design, manage, and direct their own support plans — including hiring staff and structuring services — we improve engagement, autonomy, and alignment with personal goals, because control over one’s care fosters dignity, reduces system-driven friction, and increases long-term stability.
  • Social Enterprise Employment Pathway
    methodology: social_enterprise_employment
    By combining real-world job opportunities with on-the-job skill development through a social enterprise (Access: Business Solutions), we promote economic independence and inclusion for people with disabilities, because experiential, supported employment builds confidence, competence, and community integration more effectively than classroom-only training.