Clinical & Support Options Inc

Overview

Mission

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.

What it reported doing in 2024

Community based services including adult clubhouse, therapeutic day programming for youth, community partner intensive case management services, emergency shelter and resource center for adults experiencing homelessness and housing case management and supports provided to individuals in community settings with a goal to provide stability and enhanced quality of life.

Operating model

Revenue model
Mixed. Its operating money came from several sources; no one source provided a clear majority.
Distribution model
Direct operator. The nonprofit carried out 100% of its reported program work directly.
  • Includes noncash contributions: Reported contributions include donated property or goods.

Nonprofit profile at a glance

EIN
042206041
IRS 990 coverage
2010–2024
Forms available
Form 990 2024
Headquarters
Northampton, MA, USA
Rating
83
Verdict
STRONG
Rating confidence
Moderate

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The verdict

STRONG - A large share of available resources goes toward mission work and the filed numbers largely add up. Some related-organization disclosures are missing and the filing reports few safeguards for setting executive pay.

Rating breakdown

  • Financial Efficiency: 85
  • Transparency & Controls: 70
  • Accountability: 100
  • Sustainability: 58
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 80.8%; rating input score 81
  • Program expense ratio: 89.9%; rating input score 90
  • Fundraising efficiency: $161.62 raised per $1 spent on fundraising; rating input score 89; 89th percentile among comparable filings

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 71st percentile among comparable filings
  • Pay-setting controls: 1 of 6 controls in place; rating input score 17
  • Foreign activity oversight: Limited
  • Grant itemization coverage: Limited
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Scored; rating input score 0
  • Public monitoring controls: Limited
  • Public policy transparency: Limited
  • Public financial transparency: Limited
  • Impact reporting controls: Limited
  • Public relationship transparency: Limited

Accountability

  • Independent voting board: 100%; rating input score 100; 76th percentile among comparable filings
  • Governance controls: 9 of 9 controls in place; rating input score 100
  • Public governance controls: Limited
  • Zakat policy transparency: Limited

Sustainability

  • Operating margin: 10.4%; rating input score 73; 73rd percentile among comparable filings
  • Operating reserve ratio: 1.09; rating input score 41; 41st percentile among comparable filings
  • Liabilities to assets ratio: 0.23; rating input score 64; 64th percentile among comparable filings
  • Officer compensation ratio: 3.1%; rating input score 37; 37th percentile among comparable filings

Growth

  • Program expense growth: 9.5% per year; rating input score 100; 72nd percentile among comparable filings
  • Revenue growth: 10.3% per year; rating input score 100; 77th percentile among comparable filings
  • Asset growth: 18.6% per year; rating input score 100; 91st percentile among comparable filings

Details

  • Where the money goes: 80.8% of revenue deployed · 89.9% of spending went to programs
  • Governance: 8 of 8 board members independent · 9 of 9 filing controls reported
  • Programs: 4 filed program accomplishments · $60.9M in reported program spending
  • Leadership: top reported pay $397K · 15 people listed · 1 of 6 pay-setting controls reported
  • Consistency: 32 of 32 current checks pass
  • Schedules: 7 filed schedules · includes major donors, executive pay, and related organizations
  • Filing history: 14 annual filings from 2010 to 2024
  • Money network: 7 filed money-flow records
  • Related organizations: 6 filed related-organization links