Civic Intelligence

Bestself Behavioral Health Inc

EIN 16-1004090 • 501(c)3 • Buffalo, NY

Profile

Lake shore behavioral health, inc. Promotes self-sufficiency, wellness and recovery, and an enhanced quality of life for all individuals with mental illnesses and addictive disorders by providing effective, accessible, and culturally-sensitive services.

899 Main StreetBuffalo, NY 14203

www.lake-shore.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

88th percentile

0.93x

Higher debt load relative to assets than 88% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Liabilities / Revenue

77th percentile

1.24x

Higher debt load relative to revenue than 77% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Net Margin

24th percentile

-2.5%

Higher net margin than 24% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Top Officer Pay

49th percentile

$475,932

Higher top officer pay than 49% of similar nonprofits.

Top officer pay equals 0.6% of source-year revenue.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Asset Growth

98th percentile

95%

Faster asset growth than 98% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Annualized from 2023 to 2024

Revenue Growth

26th percentile

-0.5%

Faster revenue growth than 26% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Annualized from 2023 to 2024

Assets

Up

$110,349,256

Up $53,635,893 (+95%) from 2023

Liabilities

Up

$103,016,715

Up $56,578,398 (+122%) from 2023

Net Assets

Down

$7,332,541

Down $2,942,505 (-29%) from 2023

Revenue

Down

$82,950,360

Down $401,797 (-0.5%) from 2023

Expenses

Up

$85,065,217

Up $657,391 (+0.8%) from 2023

Net Income

Down

-$2,114,857

Down $1,059,188 (-100%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$150M$100M$50M$0Assets 2010: $8,096,708Liabilities 2010: $3,416,747Net Assets 2010: $4,679,9612010Assets 2011: $6,714,059Liabilities 2011: $2,439,952Net Assets 2011: $4,274,1072011Assets 2012: $6,452,237Liabilities 2012: $2,368,901Net Assets 2012: $4,083,3362012Assets 2013: $5,609,346Liabilities 2013: $1,614,824Net Assets 2013: $3,994,5222013Assets 2014: $5,618,414Liabilities 2014: $2,219,486Net Assets 2014: $3,398,9282014Assets 2015: $5,895,800Liabilities 2015: $2,899,039Net Assets 2015: $2,996,7612015Assets 2016: $5,808,915Liabilities 2016: $3,414,030Net Assets 2016: $2,394,8852016Assets 2017: $11,958,982Liabilities 2017: $4,752,328Net Assets 2017: $7,206,6542017Assets 2018: $18,861,040Liabilities 2018: $12,038,702Net Assets 2018: $6,822,3382018Assets 2019: $20,717,390Liabilities 2019: $14,690,396Net Assets 2019: $6,026,9942019Assets 2020: $28,343,688Liabilities 2020: $18,556,864Net Assets 2020: $9,786,8242020Assets 2021: $24,474,475Liabilities 2021: $12,889,337Net Assets 2021: $11,585,1382021Assets 2022: $62,380,088Liabilities 2022: $50,766,005Net Assets 2022: $11,614,0832022Assets 2023: $56,713,363Liabilities 2023: $46,438,317Net Assets 2023: $10,275,0462023Assets 2024: $110,349,256Liabilities 2024: $103,016,715Net Assets 2024: $7,332,5412024

Highlighted filing

2024

Assets$110,349,256
Liabilities$103,016,715
Net Assets$7,332,541

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$100M$50M$0-$50MExpenses 2010: $15,235,3592010Expenses 2011: $14,944,9732011Revenue 2012: $15,297,197Expenses 2012: $15,493,616Net Income 2012: -$196,4192012Revenue 2013: $16,911,241Expenses 2013: $17,000,055Net Income 2013: -$88,8142013Revenue 2014: $18,600,083Expenses 2014: $19,195,677Net Income 2014: -$595,5942014Revenue 2015: $21,329,080Expenses 2015: $21,726,605Net Income 2015: -$397,5252015Revenue 2016: $24,216,105Expenses 2016: $24,820,309Net Income 2016: -$604,2042016Revenue 2017: $37,468,537Expenses 2017: $35,547,529Net Income 2017: $1,921,0082017Revenue 2018: $51,494,061Expenses 2018: $51,795,068Net Income 2018: -$301,0072018Revenue 2019: $61,789,620Expenses 2019: $62,459,755Net Income 2019: -$670,1352019Revenue 2020: $74,917,641Expenses 2020: $71,341,302Net Income 2020: $3,576,3392020Revenue 2021: $78,008,732Expenses 2021: $76,530,557Net Income 2021: $1,478,1752021Revenue 2022: $84,773,501Expenses 2022: $87,999,093Net Income 2022: -$3,225,5922022Revenue 2023: $83,352,157Expenses 2023: $84,407,826Net Income 2023: -$1,055,6692023Revenue 2024: $82,950,360Expenses 2024: $85,065,217Net Income 2024: -$2,114,8572024

Highlighted filing

2024

Revenue$82,950,360
Expenses$85,065,217
Net Income-$2,114,857

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$110$103$7.33$83.0$85.1$2.11
2023Summary only. Only limited summary data is available for this year.$56.7$46.4$10.3$83.4$84.4$1.06
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$62.4$50.8$11.6$84.8$88.0$3.23
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$24.5$12.9$11.6$78.0$76.5$1.48
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$28.3$18.6$9.79$74.9$71.3$3.58
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$20.7$14.7$6.03$61.8$62.5$0.67
2018Summary only. Only limited summary data is available for this year.$18.9$12.0$6.82$51.5$51.8$0.30
2017Summary only. Only limited summary data is available for this year.$12.0$4.75$7.21$37.5$35.5$1.92
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$5.81$3.41$2.39$24.2$24.8$0.60
2015XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$5.90$2.90$3.00$21.3$21.7$0.40
2014Summary only. Only limited summary data is available for this year.$5.62$2.22$3.40$18.6$19.2$0.60
2013Detailed filing. Detailed filing data is available for this year.$5.61$1.61$3.99$16.9$17.0$0.09
2012Summary only. Only limited summary data is available for this year.$6.45$2.37$4.08$15.3$15.5$0.20
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$6.71$2.44$4.27$14.9
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$8.10$3.42$4.68$15.2
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Nov 15, 2025
Return Version
2024v5.2
Gross Receipts
$84,945,215
Mission and Program Overview

Mission

Lake shore behavioral health, inc. Promotes self-sufficiency, wellness and recovery, and an enhanced quality of life for all individuals with mental illnesses and addictive disorders by providing effective, accessible, and culturally-sensitive services.

Bestself behavioral health, inc. Provides innovative, evidence-based, accessible, and family focused behavioral health services to promote health, hope, recovery, and an enhanced quality of life.

Balance Sheet Detail
LineBeginningEndChange
Assets
Accounts Receivable$15,458,909$20,904,454▲ $5,445,545
Land, Buildings, and Equipment, Net$3,061,084$2,425,408▼ $635,676
Prepaid Expenses and Deferred Charges$701,318$1,094,987▲ $393,669
Investments in Publicly Traded Securities$1,085,585$0▼ $1,085,585
Cash and Non-Interest-Bearing Accounts$352,574$563,444▲ $210,870
Total Assets$56,713,363$110,349,256▲ $53,635,893
Other Assets Total$36,053,893$85,360,963▲ $49,307,070
Liabilities
Other Liabilities$33,747,068$61,335,555▲ $27,588,487
Accounts Payable and Accrued Expenses$9,691,249$41,681,160▲ $31,989,911
Mortgage Notes Payable Secured by Investment Property$3,000,000$0▼ $3,000,000
Total Liabilities$46,438,317$103,016,715▲ $56,578,398
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$10,275,046$7,332,541▼ $2,942,505
Total Net Assets Fund Balance$10,275,046$7,332,541▼ $2,942,505
Total Liabilities and Net Assets / Fund Balance$56,713,363$110,349,256▲ $53,635,893

Asset Categories

AssetBook ValueDepreciationBasis
Leasehold Improvements$1,462,435$5,119,108$6,581,543
Other Land Buildings$552,816$1,354,562$1,907,378
Equipment$61,922$1,731,540$1,793,462
Buildings$237,827$958,080$1,195,907
Land$110,408-$110,408
Other Assets Org$38,699,545--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Elizabeth WoikePresident/CEOFT$439,991$35,941$475,932
Joseph C DistasioChief Financial OfficerFT$307,636$32,062$339,698
Jenine Paner-bansiDirector of Addiction MedicineFT$317,591$13,275$330,866
Alexandra MnuskinPhysicianFT$273,101$18,291$291,392
Gursharon NijjarMedical DirectorFT$254,377$28,198$282,575
Julia RingelPsychiatristFT$248,051$518$248,569
Sridhar NilamPsychiatristPT$213,910$23,371$237,281

Board Members and Trustees

Highest Paid Contractors

ContractorServicesLocationCompensation
Dopkins & Company LLCPsychiatric Consulting521 EAST AVE, Lockport, NY 14094$244,695
Buffalo Special Investigations LLCPsychiatric Consulting5627 MARTHAS VINEYARD, Clarence Center, NY 14032$221,590
Peter MargulisProfessional Services200 INTERNATIONAL DRIVE, Buffalo, NY 14221$197,764
-Psychiatric Consulting2495 ELMWOOD AVE, Kenmore, NY 14217$124,227
-Professional ServicesPO BOX 950, Buffalo, NY 14240$112,105
Revenue and Support

Revenue Composition

Contributions and Grants
$28,836,760
Program Service Revenue
$54,104,032
Investment Income
$198,833
Other Revenue
$-189,265
Change in Net Assets
$-2,114,857

Audited Revenue Reconciliation

Revenue per Audited Statements
$82,122,712
Revenue Not Reported on Financial Statements
$827,648
Revenue Not Reported on Form 990
$170,868
Other Revenue Adjustments
$827,648
Total Revenue per Audited Statements
$82,293,580
Total Revenue per Form 990
$82,950,360
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$62,040,429
Other Expenses$23,024,788
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$45,219,430$6,779,950-$51,999,380
Other Employee Benefits$8,717,430$1,323,619-$10,041,049
Occupancy$3,865,785$660,800-$4,526,585
Fees for Services Other$2,645,051$1,118,267-$3,763,318
All Other Expenses$2,072,926$880,678-$2,953,604
Information Technology$975,891$1,070,574-$2,046,465
Interest-$1,377,190-$1,377,190
Depreciation Depletion$769,472$85,029-$854,501
Insurance$204,691$447,329-$652,020
Advertising$22,091$614,447-$636,538
Other Expenses$191,716$436,112-$627,828
Travel$320,436$80,529-$400,965
Total Functional Expenses$69,986,409$15,078,808$0$85,065,217

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$85,236,085
Expenses per Audited Statements$85,065,217
Total Expenses per Form 990$85,065,217
Expenses Not Reported on Form 990$170,868
Expenses Not Reported on Financial Statements$0
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Finance Lease Liability$38,699,545
Operating Lease Liabilty$14,360,384
Refundable Advances$5,775,626
Deferred Revenue$2,500,000
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section B, Line 11B

The 990 is presented in draft form to members of the board of bestself behavioral health, inc. For their review prior to filing with the internal revenue service.

Form 990, Part VI, Section B, Line 12C

In accordance with bestself behavioral health inc.'s conflict of interest policy, each officer includes any non-director serving on any committee of the board of directors and directors shall annually sign a statement which affirms that such person: a. Has received a copy of the conflict of interest policy, b. Has read and understands the policy, c. Has agreed to comply with the policy, d. Understands the corporation is a charitable organization and that in order to maintain its federal tax exemption, it must engage primarily in activities which accomplish one or more of its tax-exempt purposes, and e. Is not aware that he or she has any financial interest or, if he or she is aware of any financial interest, a description of the material facts concerning it.

Form 990, Part VI, Section B, Line 15A

The board subcommittee has the responsibility to determine the compensation of the president of the agency. The purpose of the committee is to approve annual performance standards and to determine appropriate performance measures and establish criteria for any incentive based compensation. It also annually reviews and approves any changes to the total compensation of the president. The committee determines if the compensation is reasonable. To accomplish this, the committee will obtain comparable compensation data for executives of other non profit organizations of similar size in the western new york area. The compensation of other key employees is determined by the president. The president approves annual performance standards and determines appropriate performance measures and establishes criteria for any incentive based compensation for key employees.

Form 990, Part VI, Section C, Line 19

The organization does not make its governing documents, conflict of interest policy, and financial statements available to the public on its own website. Copies can be provided upon request by phone, in writing, or via e-mail.

Filing and Contact Details

Filer

Filer Name
Bestself Behavioral Health Inc
EIN
16-1004090
Phone
7168420440
Address
899 MAIN STREET, BUFFALO, NY 14203

Signing Officer

Name
Susan Mancuso
Title
CFO
Phone
7168840888
Signed
2025-11-15
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Susan Mancuso
Formed
1971
Legal Domicile
Ny
Voting Board Members
15
Independent Board Members
15
Employees
1,422
Volunteers
0

Preparer

Firm
Dopkins & Company Llp
Address
200 INTERNATIONAL DR, BUFFALO, NY 14221-5794
Preparer
Michael Orlowski
Phone
7166348800
Supplemental Narrative

Additional Explanations

FORM 990, PART XI, LINE 9:

Change in beneficial net interest in foundations -827,648.

Part XII, Line 2C

The process has not changed from the prior year.

Financial Statement Notes

PART X, LINE 2:

Bestself behavioral health, inc. Is exempt from tax under section 501(c)(3) of the internal revenue code. It is highly certain that some positions taken for income tax purposes would be sustained upon examination by the taxing authorities, while others are subject to uncertainty about the merits of the position taken or the amount of the position that would ultimately be sustained. The organization is not aware of any uncertain tax positions.

PART XI, LINE 2D - OTHER ADJUSTMENTS:

Rental expenses netted with revenue 170,868.

PART XI, LINE 4B - OTHER ADJUSTMENTS:

Change in beneficial interest in net assets of related entities 827,648.

PART XII, LINE 2D - OTHER ADJUSTMENTS:

Rental expenses netted with revenue 170,868.

Raw XML AppendixShowing 400 of 838 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/ActivityOrMissionDesc0BESTSELF BEHAVIORAL HEALTH, INC. PROVIDES INNOVATIVE, EVIDENCE-BASED, ACCESSIBLE, AND FAMILY FOCUSED BEHAVIORAL HEALTH SERVICES TO PROMOTE HEALTH, HOPE, RECOVERY, AND AN ENHANCED QUALITY OF LIFE.
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IRS990/Form990PartVIISectionAGrp/TitleTxt4DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt5DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt6DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt7DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt8DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt9DIRECTOR
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IRS990/Form990PartVIISectionAGrp/TitleTxt13CHIEF FINANCIAL OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt14SECRETARY
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IRS990/Form990PartVIISectionAGrp/TitleTxt19DIRECTOR OF ADDICTION MEDICINE
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IRS990/Form990PartVIISectionAGrp/TitleTxt21PSYCHIATRIST
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IRS990/MissionDesc0BESTSELF BEHAVIORAL HEALTH PROVIDES INNOVATIVE, EVIDENCE-BASED, ACCESSIBLE, AND FAMILY FOCUSED BEHAVIORAL HEALTH SERVICES TO PROMOTE HEALTH, HOPE, RECOVERY, AND AN ENHANCED QUALITY OF LIFE.
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IRS990/ProgramServiceRevenueGrp/Desc1OTHER PROGRAM SERVICES
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IRS990/ProgSrvcAccomActy2Grp/Desc0SUBSTANCE USE DISORDER: BESTSELF BEHAVIORAL HEALTH, INC.'S OFFERS MANY PROGRAMS FOR INDIVIDUALS WITH SUBSTANCE USE DISORDERS INCLUDING: A WOMENS RESIDENCE FOR WOMEN OR MOTHERS BATTLING A SUBSTANCE USE DISORDER; A RECOVERY COMMUNITY TO GIVE PEOPLE IN ALL STAGES OF RECOVERY AND THEIR FAMILIES A SAFE AND WELCOMING ENVIRONMENT TO RECLAIM THEIR LIVES; HOUSING ASSISTANCE; JAIL AND COURT SERVICES AS WELL AS AN OPIOID TREATMENT PROGRAM WHICH DISPENSES METHADONE TO ASSIST THOSE IN RECOVERY FROM OPIOID DEPENDENCY.
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IRS990/ProgSrvcAccomActy2Grp/RevenueAmt07555448
IRS990/ProgSrvcAccomActy3Grp/Desc0CARE COORDINATION: BESTSELF BEHAVIORAL HEALTH, INC. HAS BOTH AN ADULT AND CHILDRENS HEALTH HOME, WHICH PROVIDE FREE, COMPREHENSIVE CARE MANAGEMENT SERVICES TO QUALIFIED MEDICAID RECIPIENTS TO ENSURE THEIR MEDICAL, MENTAL HEALTH AND SUBSTANCE ABUSE NEEDS ARE BEING MET THROUGH THE USE OF PERSONALIZED CARE PLANS. HOME HEALTH SERVICES ENSURE THAT EVERYONE INVOLVED IN AN INDIVIDUAL'S CARE IS WORKING WELL TOGETHER AND SHARING THE INFORMATION THAT IS IMPORTANT IN SUPPORTING RECOVERY.
IRS990/ProgSrvcAccomActy3Grp/ExpenseAmt05715298
IRS990/ProgSrvcAccomActy3Grp/RevenueAmt06502460
IRS990/ProgSrvcAccomActyOtherGrp/Desc0OTHER PROGRAM SERVICES
IRS990/ProgSrvcAccomActyOtherGrp/ExpenseAmt019435703

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