Clinical & Support Options, INC. (cso) is a community agency in massachusetts, providing a full range of comprehensive mental health, crisis stabilization, psychiatric and counseling services to adults, children, families, couples and seniors throughout the four counties of western massachusetts. This continuum of care is available at pacilities in greenfield, orange, athol, northampton, amherst, pittsfield and springfield.cso is a full service behavioral health agency, which commits internally to excellence in our services while we collaborate externally with community partners to establish and participate in a comprehensive system of assistance and resources for the residents of our communities.

501(c)(3) charity; gifts are tax-deductible.
90¢ of each $1 spent went to programs.
Run by 62 volunteers and 985 employees.
Mission: Form 990 Part I, line 1 · Status: IRS Pub. 78 · Programs: Part IX · People: Part I, lines 5–6

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FY2025 · Form 990Independent: from IRS data, not the org
Download 990
IRS status
501(c)(3)
not on the IRS revocation list
Looks good: listed by the IRS and not on the revocation list.
IRS BMF · Auto-Revocation List
Tax-deductible gifts
Yes
Donations are tax-deductible
Looks good: the IRS lists gifts to it as deductible.
IRS Pub. 78 · IRS BMF
Latest return
FY2025
latest Form 990
Looks good: the latest return is for FY2025, 1 tax year back; within 2 tax years.
IRS e-file · Filing history
Surplus or deficit
5 of 5
filings with a surplus
Average surplus $7.8M a year · 13% of revenue · last 5 filings
Looks good: a surplus in 5 of the last 5 filings.
Pt I · Ln 19 · 5 filings
Spent on programs
90%
of spending
Looks good: 90% of spending went to programs; 75% or more.
Pt IX · Ln 25 · col B
Pay to officers and key staff
$1.9M
to officers and key staff · 3% of spending
Looks good: pay to officers and key staff is 3% of spending; 15% or less.
Pt VII · Sec A
6 mo
of spending, in cash
Looks good: 5.8 months of spending in cash; 3 or more.
Pt X · Ln 1–2 · Pt I · Ln 18
Named funders
1
named funder · $9K
Fine: 1 funder names it on their filings; under 3.
Funders’ Sch. I, 990-PF
Liabilities
$16.8M
23% of total assets
Looks good: liabilities are 23% of assets; 50% or less.
Pt X · Ln 26
Independent board members
8
of 8 voting members
Looks good: 8 of 8 voting members are independent, a majority.
Pt VI · Ln 1a–1b
Looks goodFineWorth a lookConcernNo data yetTap a box for the reason.
Revenue
$75.5M
+13% vs prior year
Spent
$67.7M
To programs
90%
Net assets
$56.7M
By yearFY2021–FY2025
Revenue
$75.5M
FY2025▲ +13%
Tap a bar for its year
Revenue by fiscal year
FY2021$46.9M
FY2022$46.1M
FY2023$65.5M
FY2024$67.0M
FY2025$75.5M
Expenses
$67.7M
FY2025▲ +17%
Tap a bar for its year
Expenses by fiscal year
FY2021$42.6M
FY2022$41.6M
FY2023$52.5M
FY2024$57.9M
FY2025$67.7M
Net assets
$56.7M
FY2025▲ +16%
Tap a bar for its year
Net assets by fiscal year
FY2021$22.3M
FY2022$26.8M
FY2023$39.5M
FY2024$48.8M
FY2025$56.7M

From the FY2025 Form 990 (year ending June 2025) · figures checked against the IRS filing · see the original

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Is it real?

Yes. Never revoked by the IRS. Latest filing on record: FY2025. IRS ruling in Aug 1971.

IRS Pub. 78 · IRS Auto-Revocation List · IRS Business Master File

Where the money goes

90 cents of each dollar spent went to programs.

Program services 90% · $60.9M Management & general 10% · $6.6M Fundraising 0% · $193K

Form 990 Part IX, line 25, columns B–D. Every line is in By the numbers.

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Who runs it and what they're paid

15 people listed on the 990; $1.9M paid to officers and key staff.

Part VII, Section A · reportable compensation · most recent filed roster (FY2024); the FY2025 filing did not itemize Part VII
President & CEO
$359,297Pt VII · Sec A
Medical Director
$326,650Pt VII · Sec A
Assoc. Medical Director
$317,422Pt VII · Sec A
$261,044Pt VII · Sec A
SR. VP of Programs
$203,125Pt VII · Sec A
SR. VP of HR
$202,709Pt VII · Sec A
Former CFO
$201,304Pt VII · Sec A
$0Pt VII · Sec A

Compensation history total reportable pay by year · 8 named individuals · Part VII

NameFY2025FY2024FY2023FY2022FY2021
Karin Jeffers$359,297$313,022$298,980$270,814$247,096
Adam Lou$326,650$322,135———
Sergio Korndorfer$317,422$313,141$299,100$212,478—
Adam Lau——$307,546$238,320—
Fabiola Cancino-Ticona$261,044$265,366$253,346$247,342$239,359
Alex Altamirano————$216,463
Karen Poisson$203,125$177,965$167,844$160,710$157,645
Melody France$202,709$177,455$167,519——

Total reportable compensation (Form 990 Part VII column D / Schedule J column E) by filing year, matched by name within this organization. The Schedule J base / bonus / deferred breakdown is not parsed into this dataset.

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Questions the 990 asks

The form asks each of these directly. These are the filed answers.

  • Family or business ties among officersPt VI · Ln 2No
  • Top official's pay set by an independent reviewPt VI · Ln 15aYes

Programs and updates

Supports adults, children, and families with services for stability, growth, and better quality of life.

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3 programs · $36.9M · in their own filed words · FY2024
01

Outpatient Mental Health Services

Outpatient services provides a wide range of counseling options for adults and children and their families. Totals for the year: 6,167 people served, 243,525 visits.

$18.7Mprogram expense
02

Crisis and Respite Services

The crisis team provides immediate and respectful support through our telephone hotline and face-to-face evaluations and short term community crisis stabilization services. Totals for the year: 5,167 people served, 9,275 bed days and 9,284 crisis evaluations.

$14.3Mprogram expense
03

Family Support Services

Services provided are based on an atmosphere of safety and predictability to help consumers live independently in the community. Totals for the year: 995 people served, 61,159 visits.

$3.9Mprogram expense

Funders

Who pays for it.

From grant filings on record. Receipts are incomplete: individual donors are never listed.

Grants

Schedule I · funders on record
Grants received · FY2025
Total grants receivedfrom 1 funder$9K

By the numbers

The FY2025 990, line by line.

1The main four
Money inPt VIII
$75.5M
Ln 12
Fees for servicesLn 2g$41.9M
Gifts and grantsLn 1h$31.2M
Investment incomeLn 3$1.3M
Money outPt IX
$67.7M
Ln 25
Programscol B$60.9M
Managementcol C$6.6M
Fundraisingcol D$193K
Owns and owesPt X
$56.7M
net assets · Ln 32
Cash and savingsLn 1–2$32.9M
Total assetsLn 16$73.5M
LiabilitiesLn 26$16.8M
PeoplePt VI, VII
15
listed · VII A
PaidVII A7
Voting boardVI 1a8
IndependentVI 1b8
2In more detail
Revenue in detailPt VIII
Gifts and grantsLn 1h$31.2M
Government grantsLn 1e$30.7M
Noncash giftsLn 1g$232K
Fees for servicesLn 2g$41.9M
Investment incomeLn 3$1.3M
Other incomeLn 4–11$1.2M
Gains on assetsLn 7−$146K
Total revenueLn 12$75.5M
Assets in detailPt X, end of year
CashLn 1$32.7M
SavingsLn 2$260K
Cash and savings togetherLn 1–2$32.9M
Land, buildings, equipmentLn 10c$19.3M
Other assetsLn 15$11.0M
Total assetsLn 16$73.5M
LiabilitiesLn 26$16.8M
Net assetsLn 32$56.7M
OperationsPt I, VI
EmployeesI 5985
VolunteersI 662
Fiscal year endsHeaderJune
Conflict-of-interest policyVI 12aYes
Whistleblower policyVI 13Yes
Records policyVI 14Yes
3Year over year
Balance sheet, start vs end of yearPt X · col A, B
LineStart FY25End FY25
Cash and savingsLn 1–2$31.8M$32.9M
Land, buildings, equipmentLn 10c$18.0M$19.3M
Total assetsLn 16$70.4M$73.5M
LiabilitiesLn 26$21.6M$16.8M
Net assetsLn 32$48.8M$56.7M
4Every line
Statement of functional expensesPt IX · every line
LineTotalProgramsManagementFundraising
Pay of current officers, directors and key staffLn 5$376K$376K
Other salaries and wagesLn 7$39.9M$37.0M$2.7M$126K
Pension plan contributionsLn 8$688K$632K$53K$2K
Other employee benefitsLn 9$5.2M$4.8M$402K$16K
Payroll taxesLn 10$3.2M$3.0M$251K$10K
Legal feesLn 11b$94K$94K
Accounting feesLn 11c$94K$94K
Other fees for servicesLn 11g$966K$831K$135K
Advertising and promotionLn 12$67K$28K$30K$9K
Office expensesLn 13$1.2M$389K$801K$9K
OccupancyLn 16$6.1M$5.5M$619K$498
TravelLn 17$435K$362K$70K$2K
Conferences, conventions and meetingsLn 19$177K$71K$106K$150
InterestLn 20$199K$25K$174K
Depreciation, depletion and amortizationLn 22$1.1M$1.0M$67K
InsuranceLn 23$441K$31K$410K
Other expenses (24a–d)Ln 24$6.9M$6.8M$74K
All other expensesLn 24e$541K$386K$138K$18K
Total functional expensesLn 25$67.7M$60.9M$6.6M$193K

Filing history

YearMoney inMoney outIn minus outNet assetsDownload
FY2025 Latest Viewing $75.5M$67.7M$7.8M$56.7M 990 PDF
FY2024 $67.0M$57.9M$9.2M$48.8M 990 PDF
FY2023 $65.5M$52.5M$13.0M$39.5M 990 PDF
FY2022 $46.1M$41.6M$4.5M$26.8M 990 PDF
FY2021 $46.9M$42.6M$4.3M$22.3M 990 PDF

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Schedules filed Part IV

III · Programs R · Related orgs G · Fundraising L · Interested persons I · Grants A · Public support M · Noncash J · Pay O · Explanations
See the full FY2025 990 (6 parts)
Part I · Summary $75,535,372 revenue, 12 lines filed
I-8 Contributions and grantsPrior year $25,975,303$31,157,973
I-9 Program service revenuePrior year $40,175,612$41,877,130
I-10 Investment incomePrior year $512,027$1,301,203
I-11 Other revenuePrior year $370,851$1,199,066
I-12 Total revenuePrior year $67,033,793$75,535,372
I-13 Grants and similar amounts paidPrior year $0$0
I-14 Benefits paid to membersPrior year $0$0
I-15 Salaries and benefitsPrior year $43,473,614$49,401,966
I-16a Professional fundraising feesPrior year $0$0
I-17 Other expensesPrior year $14,408,116$18,295,132
I-18 Total expensesPrior year $57,881,730$67,697,098
I-19 Revenue less expensesPrior year $9,152,063$7,838,274
Part VI · Governance 8 of 8 board members independent, no flags
VI-1a Voting members of the governing body8
VI-1b Independent voting members8
VI-2 Family or business relationship among officers or directorsNo
VI-12a Written conflict of interest policyYes
VI-13 Written whistleblower policyYes
VI-14 Document retention and destruction policyYes
VI-15a Process for setting top official's payYes
Part VIII · Statement of revenue $75,535,372 across 10 lines filed
VIII-1e Government grants$30,745,390
VIII-1f All other contributions, gifts and grants$412,583
VIII-1g Noncash contributions (included above)$232,220
VIII-1h Total contributions, gifts and grants$31,157,973
VIII-2a-f Program service revenue, itemized rows (sum of 2a–2f as filed)Related to mission $41,877,130$41,877,130
VIII-3 Investment incomeExcluded from tax $1,447,382$1,447,382
VIII-6 Net rental income or lossRelated to mission $385,124$385,124
VIII-7 Net gain or loss on sales of assetsRelated to mission −$146,179−$146,179
VIII-11a-d Other revenue, itemized rows (sum of 11a–11d as filed)Related to mission $813,942$813,942
VIII-12 Total revenueRelated to mission $42,930,017 · Unrelated business $0 · Excluded from tax $1,447,382$75,535,372
Part IX · Statement of functional expenses $67,697,098 across 18 lines filed
IX-5 Pay of current officers, directors and key staffManagement $376,268$376,268
IX-7 Other salaries and wagesPrograms $37,032,176 · Management $2,742,246 · Fundraising $126,180$39,900,602
IX-8 Pension plan contributionsPrograms $632,337 · Management $53,250 · Fundraising $2,155$687,742
IX-9 Other employee benefitsPrograms $4,775,539 · Management $402,152 · Fundraising $16,271$5,193,962
IX-10 Payroll taxesPrograms $2,982,105 · Management $251,126 · Fundraising $10,161$3,243,392
IX-11b Legal feesManagement $93,881$93,881
IX-11c Accounting feesManagement $93,780$93,780
IX-11g Other fees for servicesPrograms $831,402 · Management $134,521$965,923
IX-12 Advertising and promotionPrograms $28,112 · Management $30,382 · Fundraising $8,932$67,426
IX-13 Office expensesPrograms $389,281 · Management $801,337 · Fundraising $8,512$1,199,130
IX-16 OccupancyPrograms $5,470,107 · Management $618,703 · Fundraising $498$6,089,308
IX-17 TravelPrograms $362,195 · Management $70,483 · Fundraising $2,425$435,103
IX-19 Conferences, conventions and meetingsPrograms $71,058 · Management $105,957 · Fundraising $150$177,165
IX-20 InterestPrograms $24,635 · Management $174,185$198,820
IX-22 Depreciation, depletion and amortizationPrograms $1,042,066 · Management $66,733$1,108,799
IX-23 InsurancePrograms $30,659 · Management $409,906$440,565
IX-24 Other expenses (24a–d)Programs $6,810,031 · Management $74,209$6,884,240
IX-24e All other expensesPrograms $385,559 · Management $137,926 · Fundraising $17,507$540,992
IX-25 Total functional expensesPrograms $60,867,262 · Management $6,637,045 · Fundraising $192,791$67,697,098
Part X · Balance sheet $73,494,284 assets, 16 lines filed
Asset lines not itemized here account for $3,677,399; see the IRS return.
X-1 Cash, non-interest-bearingStart of year $31,582,941$32,681,885
X-2 Savings and temporary cash investmentsStart of year $252,028$260,088
X-3 Pledges and grants receivableStart of year $4,996,614$3,946,514
X-4 Accounts receivableStart of year $1,810,797$1,785,578
X-9 Prepaid expenses and deferred chargesStart of year $1,457,717$854,076
X-10c Land, buildings and equipment, netStart of year $18,019,809$19,334,651
X-15 Other assetsStart of year $8,682,764$10,954,093
X-16 Total assetsStart of year $70,369,078$73,494,284
X-17 Accounts payable and accrued expensesStart of year $4,129,862$4,983,791
X-19 Deferred revenueStart of year $2,260,807$149,335
X-25 Other liabilitiesStart of year $11,637,722$7,979,112
X-26 Total liabilitiesStart of year $21,588,370$16,830,271
X-27 Net assets without donor restrictionsStart of year $48,161,896$56,000,170
X-28 Net assets with donor restrictionsStart of year $618,812$663,843
X-32 Total net assets or fund balancesStart of year $48,780,708$56,664,013
X-33 Total liabilities and net assetsStart of year $70,369,078$73,494,284
Part XI · Reconciliation of net assets $56,664,013 net assets at year end
XI-1 Total revenue$75,535,372
XI-2 Total expenses$67,697,098
XI-3 Revenue less expenses$7,838,274
XI-4 Net assets at start of year$48,780,708
XI-9 Other changes in net assets$45,031
XI-10 Net assets at end of year$56,664,013

Form 990 e-file (XML) FY2025 from the IRS · Classification, formation year and address from the IRS Business Master File

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