2020-03-31T15:24:19-05:00 2019-06-30 381357951 PLANTE & MORAN PLLC 8181 E TUFTS AVE SUITE 600 DENVER CO 80237 990 2018-07-01 830186967 CENTRAL WYOMING COUNSELING CENTER CENT 3072379583 1430 WILKINS CIRCLE CASPER WY 82601 KEVIN HAZUCHA CEO 3072379583 2020-03-27 1 DORI J EGGETT P00645252 3037409400 2020-03-27 72.222.173.153 2020-03-27 12:23:34 MD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 321DDE24B35CC1D1467AEA03569F7C6B0A555C82 2018 2020-09-22 18:59:49Z KEVIN HAZUCHA 1430 WILKINS CIRCLE CASPER WY 82601 15184986 0 X WWW.CWCC.US X 1959 WY TO PROVIDE RESIDENTIAL, COMMUNITY, OUTPATIENT SUBSTANCE ABUSE, AND MENTAL HEALTH SERVICES 11 11 203 0 0 0 8099231 7970372 3579847 3059458 113934 19017 31605 312751 11824617 11361598 4429 0 0 0 9787859 9256232 0 0 0 5581965 4421465 15374253 13677697 -3549636 -2316099 21373830 19155097 760308 738189 20613522 18416908 X TO PROVIDE MENTAL HEALTH AND COUNSELING SERVICES IN WYOMING THROUGH STEWARDSHIP, INOVATION AND COMPASION. 0 0 1980332 565322 RESIDENTIAL DRUG TREATMENT CENTERS - PROVIDED RESIDENTAL FACILITIES TO ALL PERSONS IN TREATMENT 1525783 571963 PSYCHIATRIC REHABILITATION PROGRAM- TO PROVIDE REHABILITATION TO INDIVIDUALS WITH DIAGNOSED PSYCHIATRIC ISSUES 1945229 100676 MENTAL HEALTH PROGRAM- TO PROVIDE TREATMENT FOR MENTAL HEALTH ISSUES 721098 346042 SUBSTANCE ABUSE PROGRAM - TO PROVIDE TREATMENT FOR ADDICTION TO ALCOHOL OR DRUGS 626289 467362 EDUCATIONAL SUPPORTED PROGRAM- PROVIDE COUNSELING IN THE SCHOOLS 96185 137678 WRAP AROUND PROGRAM 46010 65288 THERAPEUTIC FOSTER CARE - TO PROVIDE TRAINING TO POTENTIAL FOSTER PARENTS AND COUNSELING SERVICES TO TROUBLED YOUTH AND ADOLESCENTS WHO ARE WITH FOSTER CARE FAMILIES 50896 104807 EARLY INTERVENTION 2379005 700320 OTHER COUNSELING SERVICES PROVIDED 381010 SUPPORTED INDEPENDENCE 4300493 1821497 9751837 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 29 0 1 203 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 1 0 0 X RONDA DABNEY 3072379583 1430 WILKINS CIRCLE CASPER WY 82601 LOUIS ROUSSALIS MD PRESIDENT 1.00 X X 0 0 0 ED OPELLA VICE PRESIDENT 1.00 X X 0 0 0 SANDY DEFRY TREASURER 1.00 X X 0 0 0 JOANN SKEIM-TRUE SECRETARY 1.00 X X 0 0 0 MICHAEL E HUBER BOARD MEMBER 1.00 X 0 0 0 LARRY BEAN BOARD MEMBER 1.00 X 0 0 0 DANEY TANNER BOARD MEMBER 1.00 X 0 0 0 MIKE ZIMMERMAN BOARD MEMBER 1.00 X 0 0 0 TOM THORSON BOARD MEMBER 1.00 X 0 0 0 KYLE GAMROTH BOARD MEMBER 1.00 X 0 0 0 DENNIS HOWARD BOARD MEMBER 1.00 X 0 0 0 JOSEPH FORSHER CEO 40.00 X 109908 0 14258 CASSIA CULVER CFO (END 3/19) 40.00 X 108136 0 26627 BRENDA TANFIELD CFO (END 9/19) 40.00 X 0 0 0 218044 0 40885 2 0 0 0 MISAEL YANEZ PO BOX 50301 CASPER WY 82605 GROUNDS MAINTENANCE 417606 NETSMART TECHNOLOGIES INC PO BOX 823519 PHILADELPHIA PA 19182 ELECTRONC HEALTH RECORD 135659 2 7959572 10800 7970372 CLIENT FEES 624100 3059458 3059458 3059458 177797 177797 8470 0 8470 8470 8470 3664608 3823388 -158780 -158780 -158780 INSURANCE PROCEEDS 900099 214174 214174 MISCELLANEOUS INCOME 624100 90107 90107 304281 11361598 3149565 0 241661 258929 74500 184429 6372540 5027172 1345368 563397 427600 135797 1581276 1130550 450726 480090 367589 112501 21065 21065 48844 48844 893906 550505 343401 64773 64773 111300 13065 98235 1098 1098 160800 32657 128143 50044 31498 18546 488393 488393 135634 135634 BAD DEBT 1283952 1283952 CLIENT CARE 378477 140267 238210 REPAIRS & MAINTENANCE 126569 105 126464 COST ALLOCATION 16999 497843 -480844 639611 173436 466175 13677697 9751837 3925860 0 249094 86074 6441436 4151755 289432 150729 84800 135548 15871137 5805784 10145232 10065353 4163836 4384373 0 181265 21373830 19155097 646593 546618 3715 0 110000 191571 760308 738189 X 20613522 18416908 20613522 18416908 21373830 19155097 -2316099 119485 0 X 0 1 X 1 0 X 8287871 8535860 8269931 8099231 7970372 41163265 8287871 8535860 8269931 8099231 7970372 41163265 41163265 56119 76879 109608 127554 186267 556427 214174 214174 41933866 16641341 0.98160 0.98850 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 25000 25000 14174316 4413727 9760589 1514937 1294936 220001 156884 97121 59763 10065353 HEALTH INSURANCE CLAIMS PAYABLE 191571 191571 X 11481083 119485 119485 11361598 0 11361598 13677697 0 13677697 0 13677697 PART X, LINE 2: THE CENTER IS EXEMPT FROM TAX UNDER THE PROVISIONS OF INTERNAL REVENUE CODE SECTION 501(C)(3). ACCORDINGLY, NO PROVISION FOR INCOME TAXES IS MADE FOR FEDERAL, STATE, OR LOCAL TAXES. FORM 990, PART VI, SECTION A, LINE 2 LOUIS ROUSSALIS AND JOHN ROUSSALIS HAVE A FAMILY RELATIONSHIP. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE BOARD AND SIGNED BY THE CEO. FORM 990, PART VI, SECTION B, LINE 12C IN THE EVENT THERE IS, OR APPEARS TO BE, A CONFLICT OF INTEREEST BETWEEN A MEMBER OF THE BOARD OF DIRECTORS AND THE BESTS INTERESTS OF CWCC, THE BOARD OF DIRECTORS WILL TAKE APPROPRIATE STEPS TO ELIMINATE THE CONFLICT OF INTEREST. THE BOARD OF DIRECTORS MAKES A DETERMINATION ON THE CONFLICT OF INTEREST WITHOUT THE VOTE OF THE MEMBER IN QUESTION. FORM 990, PART VI, SECTION B, LINE 15A THE CEO'S COMPENSATION IS DETERMINED USING COMPARABILITY DATA, SUBJECT TO REVIEW AND APPROVAL BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTERST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST AT THE ADMINISTRATIVE OFFICE.