2021-01-13T11:26:51-06:00 2020-06-30 830332861 KOERWITZ MICHEL WRIGHT & ASSOC PC PO BOX 1362 THERMOPOLIS WY 82443 990 2019-07-01 830235231 CLOUD PEAK COUNSELING CENTER CLOU 401 SOUTH 23RD ST WORLAND WY 82401 MARY JOHNSON EXEC DIRECTOR 2021-01-13 MICHAEL J WRIGHT P00488529 3078643173 2021-01-13 2019 2022-09-23 18:48:47Z MARY JOHNSON 401 SOUTH 23RD ST WORLAND WY 82401 2533130 false X X WY PROVIDE MENTAL HEALTH SERVICES 7 7 64 0 56804 1576237 2127364 809188 1562 675 99780 100723 2285510 2486823 0 0 2313748 1852747 0 0 543661 451787 2857409 2304534 -571899 182289 1779716 1979697 429269 446961 1350447 1532736 X PROVIDE MENTAL HEALTH SERVICES false false 1714937 PROVIDE MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES TO WASHAKIE COUNTY,WYOMING RESIDENTS TO PROVIDE CLIENT ASSISTANCE TO CLIENTS 1714937 true true false false false false false false false false true false false false true false true false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false true 3 0 true 64 true false false false false false false false false X 7 7 false false false false false false false true true false false false false false true false false false WY X JACKIE ROBERTSON 3073476165 401 SOUTH 23RD STREET WORLAND WY 82401 MARK RUSSLER EXEC DIRECTO X 110891 0 0 MARY JOHNSON EXEC DIRECTO 40.00 X X 58352 0 0 LINDA ANDERSON DIRECTOR 2.00 X 0 0 0 JOHN DAVIS SECRETARY 2.00 X 0 0 0 NANCY FREDERICK PRESIDENT 2.00 X X 0 0 0 MARTY HINKLE VICE PRESIDE 2.00 X X 0 0 0 DAVID NICHOLAS DIRECTOR 2.00 X 0 0 0 JIMMY PHELPS DIRECTOR 2.00 X 0 0 0 JAY STALLINGS DIRECTOR 2.00 X 0 0 0 169243 1 false false false X 1557673 18564 1576237 PRIVATE PAY & MEDICAID 785913 785913 WASHAKIE WORKS 22457 22457 KIDS KORNER 818 818 809188 1295 1295 52464 45687 6777 6777 6777 620 -620 -620 -620 REIMBURSE WAGES 43507 43507 INSURANCE PROCEEDS 40000 40000 OTHER 10439 10439 93946 2486823 909291 1295 60008 60008 1300879 1098982 201897 379830 348503 31327 112030 90744 21286 148090 74781 73309 41045 14180 26865 50895 27299 23596 35659 16902 18757 82277 82277 29143 22185 6958 LITIGATION SETTLEMENT 40000 40000 CLIENT ASSISTANCE 19456 18281 1175 OTHER 5222 3080 2142 2304534 1714937 589597 0 136627 439754 38600 77125 193859 109562 7944 27811 2408403 1082958 1402686 1325445 1779716 1979697 358925 81467 28950 334164 41394 31330 429269 446961 X 1350447 1532736 1350447 1532736 1779716 1979697 182289 X false true X false false X 234890 69013 287500 56804 1576237 2224444 2508493 2447339 2491862 2272739 809184 10529617 2743383 2516352 2779362 2329543 2385421 12754061 12754061 930 1370 120 1562 1295 5277 930 1370 120 1562 1295 5277 2744313 2517722 2779482 2331105 2386716 12759338 0.99960 0.99960 0.00000 0.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 220034 220034 1902823 814445 1088378 158814 145322 13492 126732 123191 3541 1325445 ACCRUED ABSENCES 31330 31330 2486823 2486823 2486823 2304534 2304534 2304534 FORM 990, PAGE 2, PART III, LINE 4D TO PROVIDE CLIENT ASSISTANCE TO CLIENTS FORM 990, PAGE 6, PART VI, LINE 11B A COPY OF FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW AND APPROVAL PRIOR TO BEING FILED. FORM 990, PAGE 6, PART VI, LINE 19 A COPY OF GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VIII EFFECTIVE JULY 20, 2013 THE CENTER ENTERED INTO AN EXECUTIVE DIRECTOR AGREEMENT WITH YELLOWSTONE BEHAVIORAL HEALTH CENTER (YBHC). UNDER THIS AGREEMENT THE EXECUTIVE DIRECTOR IS REQUIRED TO DEDICATE TIME AND EFFORT TO EACH OF THE TWO CENTERS AS HE DEEMS NECESSARY. THE COST OF ALL COMPENSATION IS REQUIRED TO BE BORNE EQUALLY BY THE CENTER AND YBHC. THIS COMPENSATION AGREEMENT ALSO INCLUDES FRINGE BENEFITS, WHICH INCLUDE CONTRIBUTIONS TO A SIMPLE PLAN, COVERAGE UNDER MEDICAL INSURANCE PLAN, A 25,000 TERM LIFE INSURANCE POLICY, AND ANY OTHER BENEFITS PROVIDED TO EMPLOYEES PURSUANT TO PERSONNEL POLICY. ALL SALARY (AND BENEFITS) COSTS ARE INITIALLY PAID BY CPCC; A SUBSEQUENT INVOICE IS THEN SUBMITTED TO YBHC FOR REIMBURSEMENT OF THEIR PORTION OF THE PAYROLL COSTS FOR THE SERVICES PROVIDED BY THE EXECUTIVE DIRECTOR. THE TERM OF THIS AGREEMENT IS EFFECTIVE AS OF AUGUST 8TH 2015. THE AGREEMENT ENDED IN DECEMBER OF 2019 WITH THE RESIGNATION OF THE CURRENT DIRECTOR. BOTH CENTERS AGREED TO EMPLOY THEIR OWN DIRECTOR. A SHARED SERVICES AGREEMENT WAS ALSO MADE EFFECTIVE ON SEPTEMBER 10TH 2013 BETWEEN THE CPCC AND YBHC. THIS AGREEMENT COVERS THE VARIOUS SERVICES THAT WILL BE SHARED BETWEEN THE TWO CENTERS AS A RESULT OF EXECUTIVE DIRECTOR AGREEMENT (AS DISCUSSED ABOVE). THE TWO CENTERS AGREE TO SHARE THE FOLLOWING SERVICES AND ADMINISTRATIVE FUNCTIONS: INFORMATION TECHNOLOGY, BILLING OF CLIENTS, ADMINISTRATION OF GRANTS OR CONTRACTS, APPLICATIONS FOR GRANTS OR CONTRACTS, BOOKKEEPING SERVICES, AND HUMAN RESOURCE SERVICES. THE AGREEMENT IS IN EFFECT AS LONG AS THE TWO CENTERS SHARE THE SAME EXECUTIVE DIRECTOR, OR AFTER 90 DAYS WRITTEN NOTICE OF TERMINATION OF THE AGREEMENT, WHICHEVER COMES FIRST. IN THE EVENT THE TWO CENTERS NO LONGER SHARE THE SAME EXECUTIVE DIRECTOR, BOTH ENTITIES AGREE TO WORK COOPERATIVELY WITH ONE ANOTHER TO EITHER ENTER INTO ANOTHER SHARED SERVICES AGREEMENT, OR WORK TO SEPARATE THE FUNCTIONS BETWEEN THE CENTERS. THE CENTERS WILL DIVIDE THE COST FOR THE SHARED SERVICES AS DESCRIBED ABOVE BASED ON A 50/50 SPLIT. HOWEVER, BOTH CENTERS AGREE TO MUTUALLY EXAMINE AND TEST THIS COST SHARING DURING THE FIRST SIX MONTHS OF THE AGREEMENT AND IF DOCUMENTED PROOF CAN BE MADE BY EITHER CENTER THAT THIS 50/50 SPLIT IS NOT FAIR, THE PARTIES AGREE TO ADJUST THE PERCENTAGE ACCORDINGLY. THE TWO CENTERS WILL MAINTAIN SEPARATE CHECKING ACCOUNTS FOR ALL INCOME AND EXPENSES. EACH CENTER WILL ALSO PREPARE SEPARATE FINANCIAL STATEMENTS TO BE AUDITED SEPARATELY PER STATE CONTRACT REQUIREMENTS. A SEPARATE AND INDEPENDENT BOARD WILL BE MAINTAINED FOR EACH CENTER, AND THE OVERALL POLICIES OF EACH COUNSELING CENTER WILL REMAIN THE RESPONSIBILITY OF EACH ENTITY'S BOARD OF DIRECTORS. IN ADDITION TO THE SHARED SERVICES AGREEMENT, CPCC AND YBHC BEGAN OPERATING UNDER A JOINT VENTURE AGREEMENT EFFECTIVE MARCH 1ST, 2017. THIS AGREEMENT INCLUDED THE ESTABLISHMENT OF INTERMOUNTAIN HEALTH CENTERS ("IMHC"), A WYOMING PUBLIC BENEFIT CORPORATION. FOUR MEMBERS FORM THE BOARD OF EACH ENTITY SERVE ON THE IMHC BOARD PURSUANT TO THE IMHC BY-LAWS ADOPTED IN APRIL 2017. THE PRIMARY PURPOSE OF IMHC IS TO CONTRACT WITH THE WYOMING DEPARTMENT OF HEALTH FOR PROVISION OF MENTAL HEALTH, SUBSTANCE ABUSE, AND HUMAN SERVICES TO THE CITIZENS OF PARK AND WASHAKIE COUNTIES THROUGH A SINGLE ENTITY. CPCC AND YBHC WILL CONTRACT WITH IMHC FOR PROVISION OF THOSE SERVICES UNDER THE JOINT VENTURE AGREEMENT. LINE 11A DURING THE YEAR ENDED JUNE 30TH 2018 THE CENTER RECEIVED NOTICE OF A COMPLAINT FILED BY A FORMER EMPLOYEE WITH THE U.S. EQUAL OPPORTUNITY COMMISSIONS ("EEOC") ALLEGING A VIOLATION OF THE AMERICANS WITH DISABILITIES ACT. DURING THE YEAR ENDED JUNE 30TH, 2020 THE CENTER ENTERED INTO AN AGREEMENT TO SETTLE AND RELEASE THE CLAIMS AGAINST THE CENTER BY THE PLAINTIFF, WITHOUT ANY ADMISSION OF GUILTY BY THE CENTER, IN CONSIDERATION FOR 40,000. PURSUANT TO THE AGREEMENT THE PLAINTIFF HAS WITHDRAWN THEIR COMPLAINT WITH EEOC AND RELEASED THE CENTER FROM ANY AND ALL CLAIMS. THE EEOC HAS DISCONTINUED PROCESSING OF THE CLAIM AGAINST THE CENTER. THE CENTER HAS RECEIVED INSURANCE PROCEEDS OF 40,000 FROM ITS GENERAL LIABILITY INSURANCE COVERAGE AS COMPENSATION FOR THIS FINANCIAL LOSS.