Bridge Counseling Associates

What it reported doing in 2024

The state of Nevada was selected as one of eight states to participate in a substance abuse and mental health services administration ("samhsa") credentialed certified community behavioral health clinic ("ccbhc") -two- year designated demonstration program and the organization was the first Nevada urban ccbhc. The organization received the national designation of ccbhc and was certified on june 14, 2017. Ccbhc began july1, 2017 and was scheduled to end june 30, 2019. The cares act extended by congress through september 2023. The 2019 Nevada legislature approved the ccbhc strategy and funded its future for bridge (and two other Nevada rural agencies). Bridge applied for a second ccbhc location at its mcleod campus, which was accepted as Nevada's second urban ccbhc. All Nevada ccbhcs will now be funded through centers for medicare and medicaid services (cms) approved payment method via an 1115 waiver separate from the demonstration which is currently undergoing final approval. Defined for the first time in the excellence in mental health act, ccbhc's provide a comprehensive range of mental health and substance use disorder services, particularly to vulnerable individuals with the most complex needs during a federal demonstration program with participating states. Through this demonstration program, the following services must be offered and will be paid for even if they are not included in the state's medicaid plans: crisis mental health services including 24-hour mobile crisis teams, emergency crisis intervention and crisis stabilization screening, assessment and diagnosis including risk management patient-centered treatment planning outpatient mental health and substance use services primary care screening and monitoring targeted case-management psychiatric rehabilitation services peer support, counseling services, and family support services services for members of the armed services and veterans connections with other providers and systems

Financial Efficiency

• Mission deployment rate: 65.3%; rating input score 65
• Program expense ratio: 73.5%; rating input score 73
• Fundraising efficiency: $15.13 raised per $1 spent on fundraising; rating input score 50; 50th percentile among comparable filings

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 62nd percentile among comparable filings
• Pay-setting controls: 1 of 6 controls in place; rating input score 17
  • Compensation committee: Missing
  • Independent consultant: Missing
  • Other Form 990s reviewed: Missing
  • Written employment contract: Missing
  • Compensation survey or study: Missing
  • Board or committee approval: Pass
• Foreign activity oversight: Limited
• Grant itemization coverage: Limited
• Major donor itemization: Limited
• Related-party transparency: Limited

Accountability

• Independent voting board: 100%; rating input score 100; 66th percentile among comparable filings
• Governance controls: 7 of 8 controls in place; rating input score 88
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: NotApplicable
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Fail
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: 10.5%; rating input score 68; 68th percentile among comparable filings
• Total-asset coverage ratio: 1.63; rating input score 54; 54th percentile among comparable filings
• Liabilities to assets ratio: 0.46; rating input score 32; 32nd percentile among comparable filings
• Officer compensation ratio: 11.7%; rating input score 15; 15th percentile among comparable filings

Growth

• Program expense growth: 13.4% per year; rating input score 100; 80th percentile among comparable filings
• Revenue growth: 12% per year; rating input score 100; 80th percentile among comparable filings
• Asset growth: 20.4% per year; rating input score 100; 90th percentile among comparable filings