2024-05-10T15:48:13-05:00 2023-06-30 410746749 CLIFTONLARSONALLEN LLP 4334 MUNSON STREET SUITE 200 CANTON OH 44718 990 2022-07-01 346003994 THE COUNSELING CENTER OF WAYNEHOLMES CO COUN 3302649029 2285 BENDEN DRIVE WOOSTER OH 44691 TIFFANIE KESTNER PRESIDENT/CEO 3302649029 2024-05-09 1 TIFFANIE KESTNER 999009999 1 JENNIFER COLEMAN P00743188 3304972000 2024-05-09 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z TIFFANIE KESTNER 2285 BENDEN DRIVE WOOSTER OH 44691 6514078 0 X WWW.CCWHC.ORG X 1953 OH TO PROMOTE AND ENHANCE MENTAL HEALTH THROUGH PREVENTION, REHABILITATION, AND TREATMENT SERVICES. 4 4 131 5 0 0 3062746 3053194 3755432 3435301 45120 16408 0 -109 6863298 6504794 0 0 0 0 5072995 5086394 0 0 0 1500509 1653606 6573504 6740000 289794 -235206 6283662 6130243 1556839 1573176 4726823 4557067 X THE COUNSELING CENTER PROMOTES AND ENHANCES THE MENTAL HEALTH OF INDIVIDUALS, FAMILIES, AND GROUPS THROUGH A COMPREHENSIVE RANGE OF PREVENTION, REHABILITATION AND TREATMENT SERVICES DESIGNED TO MEET INDIVIDUAL AND COMMUNITY NEEDS. 0 0 2932466 0 1155821 MENTAL HEALTH TREATMENT FOR INDIVIDUALS AND FAMILIES:-COUNSELING AND PYSCHOTHERPY FOR ADULTS AND CHILDREN-DIAGNOSTIC ASSESSMENT/PSYCHOLOGICAL EVALUATION-24-HOUR CRISIS INTERVENTION-PSYCHIATRIC ASSESSMENT/PSYCHOPHARMACOLOGICAL MANAGEMENT 2155118 0 1955532 REHABILITATION AND RECOVERY SERVICES FOR SEVERELY MENTALLY DISABLED ADULTS AND SEVERELY EMOTIONALLY DISTURBED CHILDREN/YOUTH:-COMMUNITY PYSCHIATRIC SUPPORT-HOME-BASED INTERVENTION-RESIDENTIAL SUPPORT-RESIDENTIAL TREATMENT-EMPLOYMENT 571872 0 178879 COMMUNITY EDUCATION AND PREVENTION SERVICES:INFORMATION AND REFERRAL,- MENTAL HEALTH EDUCATION, MENTAL HEALTH CONSULTATION, PREVENTION (CHILD ASSAULT PREVENTION, SCHOOL-BASED INTERVENTION,SUICIDE PREVENTION, PARENT EDUCATION, FAMILY SUPPORT, ETC.) 0 0 145069 OTHER PROGRAM SERVICES:-SPECIAL ASSISTANCE TO ENCOURAGE HOSPITAL DIVERSION AND ENHANCE COMMUNITY PLACEMENT VIA SERVICE BROKER FUNDING-FINANCIAL SUPPORT TO CLIENTS WHO NEED HOUSING ASSISTANCE WHILE WAITING FOR MORE PERMANENT ASSISTANCE FROM METROPOLITAN HOUSING AUTHORITY-SPACE RENTED TO PHARMACY THAT FILLS CLIENT PRESCRIPTIONS 0 0 145069 5659456 1 1 0 0 0 0 0 0 1 1 1 1 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 15 0 131 1 0 0 0 0 0 0 0 0 0 0 0 0 X 4 4 0 0 0 0 1 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 OH X TIFFANIE KESTNER 3302649029 2285 BENDEN DRIVE WOOSTER OH 44691 VERA ASTREIKA MD PSYCHIATRIST 40.00 X 140875 0 24846 KATELYN STENGER PSYCHIATRIST 40.00 X 114097 0 34878 KAREN BERRY PRESIDENT/CEO (LEFT 01/27/23) 50.00 X 125123 0 15849 MARK DAL PRA PSYCHIATRIST 40.00 X 108116 0 13361 BRIAN LEGGETT CFO (LEFT 12/15/22) 40.00 X 92612 0 16813 TIFFANIE KESTNER PRESIDENT/CEO (STARTED 01/01/23) 50.00 X 0 0 0 JILL BAIRD CFO (STARTED 04/17/23) 40.00 X 0 0 0 JAMIE TIPPETT CHAIRMAN 1.00 X X 0 0 0 MIKE DERR VICE CHAIRMAN 1.00 X X 0 0 0 CHITRA GANTA MD DIRECTOR (LEFT 07/17/23) 1.00 X 0 0 0 MIKE SMUCKER DIRECTOR 1.00 X 0 0 0 SUSAN ROBERTS DIRECTOR 1.00 X 0 0 0 580823 0 105747 4 0 1 0 REBECCA ZARKO MD INC 8256 LONG SHORE DRIVE MONCLOVA OH 43542 PSYCHIATRIC SERVICES 102695 1 46998 12246 2803744 190206 18367 3053194 MEDICARE/MEDICAID PAYM 624100 1814397 1814397 CLIENT FEES 624100 1476682 1476682 OTHER PROGRAM SERVICE 624100 144222 144222 3435301 18482 18482 2074 -2074 -2074 -2074 7101 12246 7210 -109 -109 6504794 3435301 0 16299 251887 251887 3962055 3645500 316555 130495 125511 4984 447318 393005 54313 294639 254714 39925 34929 30092 4837 36225 36225 3755 3755 115496 97257 18239 219831 194941 24890 270696 218913 51783 98931 96381 2550 16358 6359 9999 8260 8260 155882 66145 89737 64325 58079 6246 SERVICE BROKER 252872 252872 BAD DEBT EXPENSE 140644 140644 HOUSING ASSISTANCE 67021 67021 RECRUITMENT 64325 57707 6618 104056 94959 9097 6740000 5659456 1080544 0 2276 1100 1683511 1364340 54450 97812 1125795 1244928 127698 83217 5269104 2861108 2494260 2407996 724158 801224 71514 129626 6283662 6130243 737714 576022 198193 341376 60514 56239 560418 537152 0 62387 1556839 1573176 X 4563535 4391556 163288 165511 4726823 4557067 6283662 6130243 -235206 65450 0 X 0 1 X 1 0 X 2693361 3263513 3053378 3062746 3053194 15126192 2693361 3263513 3053378 3062746 3053194 15126192 15126192 17141 14535 15994 15963 18482 82115 8907 6656 15563 15223870 17411574 0.99360 0.99240 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 724158 250 76816 801224 842134 250 -118226 724158 703152 163982 25000 842134 686069 50 17033 703152 779189 748 26132 120000 686069 1.00000 0.00000 0.00000 1 0 474700 474700 3605195 1845325 1759870 293854 205528 88326 893043 810255 82788 2312 2312 2407996 FUND - WAYNE CTY COMMUNITY FOUNDATI 801224 F 801224 OPERATING LEASE LIABILITIES 62387 62387 X 6573699 65450 7210 72660 6501039 3755 3755 6504794 6743455 7210 7210 6736245 3755 3755 6740000 PART IV, LINE 2B: THE COUNSELING CENTER, THROUGH ITS COMMUNITY PSYCHIATRIC SUPPORT PROGRAM, MANAGES A REPRESENTATIVE PAYEE TRUST ACCOUNT FOR A SMALL NUMBER OF CLIENTS WHO NEED ASSISTANCE IN BUDGETING AND MANAGING THEIR SOCIAL SECURITY BENEFITS. PART V, LINE 4: TO PROMOTE EXCELLENCE IN MENTAL HEALTH SERVICES FOR CHILDREN AND FAMILIES. PART X, LINE 2: THE ORGANIZATION IS A NONPROFIT ENTITY AND HAS BEEN GRANTED AN EXEMPTION FROM INCOME TAXES UNDER THE PROVISIONS OF THE INTERNAL REVENUE CODE SECTION 501(C)(3). THE ORGANIZATION DETERMINED THAT IT IS NOT REQUIRED TO RECORD A LIABILITY RELATED TO UNCERTAIN TAX POSITIONS. PART XI, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSE 7,210. PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSE (FUNDRAISING EXPENSES FROM SCH G) 7,210. DUELING PIANOS 19347 12246 7101 3020 1991 1750 449 19347 12246 7101 3020 1991 1750 449 7210 -109 X X X 0 0 0 0 0 0 0 0 0 VERA ASTREIKA MD PSYCHIATRIST 140875 0 0 0 0 0 18000 0 6846 0 165721 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION IS A WHOLLY-OWNED SUBSIDIARY OF A HOLDING COMPANY, SOURCEONE BEHAVIORAL HEALTH, WHICH IS ALSO A NON-PROFIT ORGANIZATION. HOWEVER, THE COUNSELING CENTER OF WAYNE AND HOLMES COUNTIES HAS A BOARD OF DIRECTORS THAT HAS THE POWER TO ELECT ITS OWN MEMBERS. THEREFORE, IT IS ESSENTIALLY SELF-GOVERNING. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION'S EXTERNAL AUDITOR PREPARES ITS FORM 990 BASED ON INFORMATION ACCUMULATED FROM THE AUDIT AND SUPPLEMENTAL INFORMATION PROVIDED BY THE ORGANIZATION'S VP/CFO. THE COMPLETED FORM 990 AND RELATED SCHEDULES ARE REVIEWED BY THE VP/CFO AND THE PRESIDENT/CEO BEFORE BEING GIVEN TO THE ORGANIZATION'S BOARD OF DIRECTORS FOR REVIEW. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY, THE BOARD MEMBERS AND THE PRESIDENT/CEO SIGN A STATEMENT OF ATTESTATION VERIFYING THAT THEY HAVE A COPY OF THE AGENCY'S CONFLICT OF INTEREST POLICY, THAT THEY HAVE READ AND UNDERSTAND IT AND AGREE TO COMPLY WITH THE POLICY. ANY APPLICABLE ISSUES THAT ARISE DURING THE YEAR ARE PRESENTED TO THE BOARD AT ITS MONTHLY MEETINGS FOR DISCUSSION. ANY CONFLICT DEALING WITH CURRENT OR ONGOING ISSUES MAY PRECLUDE THE MEMBER FROM PARTICIPATION IN DISCUSSION OF SAID ISSUE DEPENDING ON THE CIRCUMSTANCES. IF THE BOARD OR HAS REASONABLE CAUSE TO BELIEVE THAT A MEMBER HAS FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, IT SHALL INFORM THE MEMBER OF THE BASIS FOR SUCH BELIEF AND AFFORD THE MEMBER AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. IF, AFTER HEARING THE RESPONSE OF THE MEMBER AND MAKING SUCH FURTHER INVESTIGATION AS MAY BE WARRANTED IN THE CIRCUMSTANCES, THE BOARD DETERMINES THAT THE MEMBER HAS IN FACT FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, IT SHALL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION. FORM 990, PART VI, SECTION B, LINE 15 THE PERSONNEL COMMITTEE OF THE BOARD OF DIRECTORS REVIEWS THE PERFORMANCE OF THE PRESIDENT/CEO ANNUALLY AND PROPOSES ANY COMPENSATION ADJUSTMENT TO THE FULL BOARD OF DIRECTORS. THE ADJUSTMENT IS BASED ON BOTH GOALS ACHIEVED AND BENCHMARKING TO OTHER MENTAL HEALTH ORGANIZATIONS. ANY RECOMMENDED CHANGE IS APPROVED BY THE FULL BOARD. SALARY RANGES ARE REVIEWED EVERY TWO YEARS BY THE EXECUTIVE STAFF AND APPROVED BY THE BOARD OF DIRECTORS. PERFORMANCE APPRAISALS ARE COMPLETED FOR EACH KEY EMPLOYEE BY THE APPROPRIATE SUPERVISIOR. THESE ARE THEN REVIEWED BY THE PRESIDENT/CEO WHO DETERMINES THE COMPENSATION FOR THE YEAR. FORM 990, PART VI, SECTION C, LINE 19 OTHER THAN DISCLOSURE OF INFORMATION RELATED TO THESE MATTERS IN THE AGENCY'S FORM 990, THE AGENCY DOES NOT GENERALLY MAKE THESE DOCUMENTS AVAILABLE TO THE GENERAL PUBLIC. HOWEVER, FILING OF THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS WITH STATE AND LOCAL GOVERNMENTAL AGENCIES MAKE THEM AVAILABLE TO THE PUBLIC THROUGH SAID AGENCIES. SOURCEONE BEHAVIORAL HEALTH 2285 BENDEN DRIVE WOOSTER OH 44691 341904709 HOLDING COMPANY OH 501(C)3 LINE 12C, III-FI N/A 0 THE SOURCEONE GROUP INC 2285 BENDEN DRIVE WOOSTER OH 44685 341904707 MENTAL HEALTH SERVICES OH SOURCEONE BEHAVIORAL HEALTH C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0