2019-04-05T10:35:33-05:00 2018-06-30 410746749 CLIFTONLARSONALLEN LLP ONE SEAGATE SUITE 2650 TOLEDO OH 436041558 990 2017-07-01 340878412 MAUMEE VALLEY GUIDANCE CENTER INC MAUM 4197828856 211 BIEDE AVENUE DEFIANCE OH 43512 CONNIE PLANSON CEO 4197828856 2019-03-28 1 WILLIAM M SCOTT P01537115 4192443711 2019-03-28 67.137.57.251 2019-03-28 15:38:21 ED P 85C29B6E80AD89C0BC198D5C7A4CCE1D15A66223 BBA58EB6E7F87D04A815B4FA9AD717FA41A89180 2017 2019-02-21 02:37:17Z CONNIE PLANSON 211 BIEDE AVENUE DEFIANCE OH 43512 4489780 0 X WWW.MAUMEEVALLEYGUIDANCECENTER.ORG X 1960 OH TO PROVIDE BEHAVIORAL HEALTHCARE SERVICES FOR THE CONTINUAL ENHANCEMENT OF THE QUALITY OF LIFE ACROSS THE LIFE SPAN, EMPHASIZING TREATMENT, COMMUNITY INVOLVEMENT, AND INNOVATIVE PROGRAMS. 8 8 71 0 0 0 1369863 1895890 2315327 2575721 7010 802 -4713 -5534 3687487 4466879 0 0 0 0 2511206 2104340 0 0 0 1020084 1574032 3531290 3678372 156197 788507 1940169 2922044 168704 362072 1771465 2559972 X TO PROVIDE BEHAVIORAL HEALTHCARE SERVICES FOR THE CONTINUAL ENHANCEMENT OF THE QUALITY OF LIFE ACROSS THE LIFE SPAN, EMPHASIZING TREATMENT, COMMUNITY INVOLVEMENT, AND INNOVATIVE PROGRAMS. 0 0 757004 641341 CASE MANAGEMENT SERVICES ARE OFFERED TO ADULTS AND YOUTH WITH SEVERE BEHAVIORAL ISSUES OR MENTAL DISABILITIES. COMMUNITY PSYCHIATRIC SUPPORTIVE TREATMENT (CPST) PROVIDERS ASSIST INDIVIDUALS WITH VARIOUS NEEDS SO THAT THEY MAY REMAIN INDEPENDENTLY FUNCTIONING IN THE COMMUNITY. TREATMENT PLANNING, COORDINATING SERVICES, ADVOCATING FOR CLIENT'S GOALS, AND ASSISTING CLIENTS IN SUCCESSFUL COMMUNITY LIVING ARE JUST A FEW OF THE SERVICES OF CASE MANAGEMENT. THESE SERVICES ARE AVAILABLE 24 HOURS A DAY. 931178 1026111 OUTPATIENT SERVICES INCLUDE INDIVIDUAL, MARITAL, FAMILY COUNSELING, HOME-BASED SERVICES, AND GROUP THERAPY PROVIDED BY A STAFF OF BEHAVIORAL HEALTHCARE PROFESSIONALS. PREVENTION SERVICES ARE PROVIDED IN THE COMMUNITY AND LOCAL SCHOOLS. 826065 801725 PSYCHIATRIC SERVICES INCLUDE PSYCHIATRIC ASSESSMENT AND DIAGNOSIS; PSYCHIATRIC MEDICATION EVALUATION AND MANAGEMENT, CONSULTATION, AND TREATMENT. PSYCHIATRY SERVICE NOT ONLY PROVIDES SERVICES TO ADULTS BUT ALSO TO THE SPECIAL NEEDS OF YOUNG CHILDREN. 862083 106544 OTHER SERVICES INCLUDE FUNDING RESIDENTIAL PLACEMENT FOR CLIENTS IN NEED OF SUPERVISED HOUSING, CLUBHOUSE PROGRAM TO PROVIDE A SUPPORTIVE ENVIRONMENT TO DEVELOP DAILY LIVING SKILLS, AND SUPPORTIVE SERVICES FOR VETERAN FAMILIES. 862083 106544 3376330 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 52 0 71 1 0 0 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 OH X X CONNIE PLANSON 4197828856 211 BIEDE AVENUE DEFIANCE OH 43512 GLENN MILLER PRESIDENT 1.00 X X 0 0 0 MICK POCRATSKY VICE PRESIDENT 1.00 X X 0 0 0 KYLE WEBER SECRETARY 1.00 X X 0 0 0 MICHAEL SHAFFER DIRECTOR 1.00 X 0 0 0 LEWIS HILKERT DIRECTOR 1.00 X 0 0 0 JON RUPP DIRECTOR 1.00 X 0 0 0 SHELLY WANNER DIRECTOR 1.00 X 0 0 0 JAMIE GERKIN DIRECTOR 1.00 X 0 0 0 CONNIE PLANSON CEO 40.00 X 96883 0 9760 SHELLY ACKLEY CFO 40.00 X 55179 0 4858 KIM GRIMES CFO 40.00 X 22071 0 0 JERROLD GRAY PSYCHIATRIST 40.00 X 153625 0 9760 ENEDINA BERRONES PSYCHIATRIST 40.00 X 116056 0 2412 443814 0 26790 2 0 1 0 MY PSYCHIATRIC PARTNER 6221 RIVERSIDE DR SUITE ONE NORTH DUBLIN OH 43017 TELEPSYCHIATRY STAFF 246900 1 1876243 19647 1895890 MEDICAID/MEDICARE 624100 2104820 2104820 FEES 624100 470901 470901 2575721 802 802 15168 22901 -7733 -7733 -7733 2199 0 2199 2199 4466879 2575721 0 -4732 226942 226942 1584521 1584521 164720 164720 128157 117983 10174 7091 5805 1286 72036 61951 10085 152890 144238 8652 454927 451671 3256 84958 80983 3975 9339 7550 1789 3298 3298 55487 52347 3140 71936 67305 4631 CONTRACTED SERVICES 432421 432421 EQUIPMENT RENTAL & MAIN 95065 92925 2140 TFA 87350 87350 DUES 18984 650 18334 28250 23910 4340 3678372 3376330 302042 0 531595 1323539 641083 565091 30563 19258 1685070 742127 690869 942943 46059 71213 1940169 2922044 168704 163739 0 198333 168704 362072 X 1771465 2559972 1771465 2559972 1940169 2922044 788507 0 X 0 1 X 1 0 X 1890543 1868148 1537671 1369863 1895890 8562115 1890543 1868148 1537671 1369863 1895890 8562115 8562115 195 181 3838 3510 15970 23694 1323 2037 7952 2199 13511 8599320 11193227 0.99570 0.99710 X 35370 35370 1283861 533933 749928 329088 198394 130694 36751 9800 26951 942943 X 4489780 22901 22901 4466879 0 4466879 3701273 22901 22901 3678372 0 3678372 PART X, LINE 2: THE ORGANIZATION IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS NOT CLASSIFIED AS A PRIVATE FOUNDATION. CONSEQUENTLY, NO PROVISION FOR INCOME TAXES IS REQUIRED. THE ORGANIZATION DETERMINED THAT IT WAS NOT REQUIRED TO RECORD A LIABILITY RELATED TO UNCERTAIN TAX POSITIONS. PART XI, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 22,901. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 22,901. X X X X 0 0 0 0 0 0 0 0 0 JERROLD GRAY PSYCHIATRIST 153625 0 0 0 0 0 0 0 9760 0 163385 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE FEDERAL FORM 990 IS PROVIDED TO THE BOARD FOR REVIEW PRIOR TO BEING FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C A CONFLICT OF INTEREST EXISTS WHEN A PERSON IS IN A POSITION OF TRUST WHICH REQUIRES JUDGEMENT ON BEHALF OF OTHERS AND ALSO HAS INTERESTS OR OBLIGATIONS THAT MIGHT INTERFERE WITH THAT PERSON'S EXERCISE OF JUDGEMENT, THAT PERSON IS MORALLY REQUIRED TO EITHER AVOID OR OPENLY ACKNOWLEDGE THAT CONFLICT. ALL BOARD MEMBERS ARE COVERED UNDER THIS POLICY AND ARE NOTIFIED OF IT AT THEIR ORIENTATION AND ON AN ANNUAL BASIS. IF ANY BOARD MEMBER OR OTHER PERSON BELIEVES A CONFLICT OF INTEREST PERTAINING TO A SPECIFIC ISSUE EXISTS, IT WILL BE PRESENTED TO THE BOARD FOR DISCUSSION. IF THE BOARD DETERMINES (BY MAJORITY VOTE) THAT A CONFLICT OF INTEREST DOES EXIST, THAT MEMBER WILL BE ADVISED AS SUCH AND WILL ABSTAIN FROM DISCUSSION AND/OR VOTING ON THE RELATED ISSUE. APPROPRIATE DOCUMENTATION WILL BE MAINTAINED IN THE BOARD MEETING MINUTES. FORM 990, PART VI, SECTION B, LINE 15 THE MVGC BOARD DOES AN ANNUAL PERFORMANCE EVALUATION OF THE CEO AND APPROVES ALL CHANGES IN THE CEO'S COMPENSATION AND BENEFITS. MVGC USES THE COMPENSATION AND BENEFITS SURVEY OF THE OHIO COUNCIL OF BEHAVIORAL HEALTHCARE PROVIDERS, WHICH OBTAINS A RANGE OF SALARY AND EMPLOYEE BENEFITS FROM OHIO BASED AGENCIES, TO BE USED FOR BENCHMARKING AND UPDATING. THE BOARD ISSUES THEIR DECISION, WHICH IS RECORDED IN THE MINUTES AND GIVEN TO THE CFO FOR PROCESSING. THE CEO DOES AN ANNUAL PERFORMANCE EVALUATION REVIEW OF THE CFO AND OTHER KEY EMPLOYEES AND USES THIS SURVEY TO REVIEW COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 THESE DOCUMENTS ARE AVAILABLE UPON REQUEST AFTER CONSIDERATION OF THE BOARD AND THE FORM 990 TAX RETURN IS ALSO AVAILABLE THROUGH GUIDESTAR.ORG.