2016-05-03T07:09:38-05:00 2015-06-30 410746749 CLIFTONLARSONALLEN LLP ONE SEAGATE SUITE 2650 TOLEDO OH 436041558 990 2014-07-01 341191237 WOOD COUNTY CHILDREN'S SERVICES ASSOCIATION WOOD 4193527588 1045 KLOTZ RD PO BOX 738 BOWLING GREEN OH 434020738 JANELLE C LAFOND EXECUTIVE DIRECTOR 4193527588 2016-04-27 1 RODERICK J MACLACHLAN P00332503 4192443711 2014 2016-08-17 19:52:53Z JANELLE C LAFOND 1045 KLOTZ RD PO BOX 738 BOWLING GREEN OH 434020738 5283854 0 X CRCWOODCOUNTY.ORG X 1976 OH TO PROVIDE CHILD CENTERED, FAMILY FOCUSED MENTAL HEALTH, AND CO-OCCURING MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES TO ALL WOOD COUNTY AND NEARBY FAMILIES 15 15 143 55 0 0 3034637 2366423 2422054 2884679 9340 12752 20000 20000 5486031 5283854 0 0 0 0 4038728 4245585 0 0 0 959417 775801 4998145 5021386 487886 262468 3209500 3340332 1140282 1006202 2069218 2334130 X TO PROVIDE CHILD CENTERED, FAMILY FOCUSED MENTAL HEALTH, AND CO-OCCURING MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES TO ALL WOOD COUNTY AND NEARBY FAMILIES 0 0 1401180 1081741 TO PROVIDE OUTPATIENT COUNSELING SERVICES USUALLY CONSISTING OF EVIDENCE-BASED COGNITIVE BEHAVIORAL THERAPY SPECIFIC TO THE DIAGNOSIS AND MUTUALLY DEFINED GOALS AS IDENTIFIED THROUGH THE DIAGNOSTIC ASSESSMENT SERVICE. OUTPATIENT SERVICES ALSO INCLUDE CRISIS INTERVENTION AND PHARMACOLOGICAL MANAGEMENT. THE SCHOOL BASED OUTPATIENT SERVICE WAS DESIGNED TO INCREASE ACCESS TO MENTAL HEALTH SERVICES WITHIN THE SCHOOL SETTING, THEREBY DECREASING BARRIERS RELATED TO TRANSPORTATION, COST, AND STIGMA. CRC PROVIDES THESE SERVICES WITH FUNDING ASSISTANCE FROM WOOD COUNTY ADAMHS BOARD; THIS SERVICE IS FOCUSED ON EXPANDING MENTAL HEALTH AND CO-OCCURING SERVICES TO CHILDREN AND FAMILIES IN WOOD COUNTY SCHOOLS AND IS DESIGNED TO EXPAND SERVICES IN EARLY CHILDHOOD PREVENTION SERVICES. 772807 585563 THE COMMUNITY PSYCHIATRIC SUPPORTIVE TREATMENT SERVICE IS DESIGNED TO ASSIST CLIENTS IN GAINING ACCESS TO NECESSARY SERVICES AND TO ADDRESS THE WIDE RANGE OF HEALTH, SOCIAL, AND PSYCHOLOGICAL PROBLEMS OF CHILDREN AND ADOLESCENTS. 592525 5778 RESIDENTIAL TREATMENT SERVICE IS AN 8 BED RESIDENTIAL FACILITY THAT OPERATES 24 HOURS PER DAY, SEVEN DAYS PER WEEK FOR THE PURPOSE OF SHORT-TERM TREATMENT, EXTENSIVE EVALUATION, AND CRISIS INTERVENTION FOR CHILDREN UNABLE TO LIVE AT HOME BECAUSE OF EMOTIONAL AND BEHAVIORAL DISTURBANCES. THE GOAL IS TO PREVENT PSYCHIATRIC HOSPITALIZATION AND PROVIDE CRISIS STABILIZATION. 1470578 1211597 OTHER FAMILY FOCUSED MENTAL HEALTH SERVICES PROVIDED TO WOOD COUNTY AND NEARBY FAMILIES. 1470578 1211597 4237090 1 1 0 0 0 0 0 0 0 1 1 0 0 1 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 13 0 1 143 1 0 0 0 0 0 0 0 0 0 0 X 15 15 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 0 1 1 0 0 OH X LYNDA SHEETS 4193527588 1045 KLOTZ RD BOWLING GREEN OH 434020738 LESSIE COCHRAN DIRECTOR 2.00 X 0 0 0 BETTY COGGIN SECRETARY 2.00 X X 0 0 0 JORGE BETANCOURT PRESIDENT 2.00 X X 0 0 0 FRANK PACE DIRECTOR 2.00 X 0 0 0 JUNE SWEEDE DIRECTOR 2.00 X 0 0 0 JOHN CUCKLER TREASURER 2.00 X X 0 0 0 JANET DELONG VICE PRESIDENT 2.00 X X 0 0 0 ELLEN ANDERSON DIRECTOR 2.00 X 0 0 0 SUE ULLMAN DIRECTOR 2.00 X 0 0 0 MARCIA AMSTUTZ DIRECTOR 2.00 X 0 0 0 SANDI CARSEY DIRECTOR 2.00 X 0 0 0 JIM WENGER DIRECTOR 2.00 X 0 0 0 FRANK DAY DIRECTOR 2.00 X 0 0 0 ALICE CALDERONELLO DIRECTOR 2.00 X 0 0 0 TONY BORTON DIRECTOR 2.00 X 0 0 0 JANELLE C LAFOND EXECUTIVE DIRECTOR 40.00 X 88414 0 25310 SARA WEASEL CFO 40.00 X 57508 0 23808 LYNDA SHEETS CFO 40.00 X 0 0 0 J WAHL PSYCHIATRIST 25.00 X 165768 0 29110 311690 0 78228 1 0 1 0 0 2317018 49405 2366423 MEDICARE/MEDICAID PAYM 624100 2166011 2166011 CLIENT FEES 624100 718668 718668 2884679 12752 12752 20000 0 20000 20000 20000 5283854 2884679 0 32752 214904 214904 3151952 2813553 338399 113640 102026 11614 522812 479650 43162 242277 205477 36800 62907 62907 126264 113464 12800 99381 94108 5273 95881 87252 8629 58656 50677 7979 TRAINING 92623 80883 11740 COMPUTER EXPENSE 89036 75541 13495 TELEPHONE 36498 30966 5532 SUPPLIES 28814 25873 2941 85741 77620 8121 5021386 4237090 784296 0 200 200 1016464 1220897 235056 176505 335032 427733 302104 197864 3953903 3148808 813297 805095 241488 247681 265859 264357 3209500 3340332 500639 465967 202991 127961 436652 412274 1140282 1006202 X 1881867 2194849 94769 50085 92582 89196 2069218 2334130 3209500 3340332 262468 2444 0 X 0 1 X 1 0 X 2604214 2308169 2573353 3034637 2366423 12886796 2604214 2308169 2573353 3034637 2366423 12886796 12886796 39154 34587 35979 29340 32752 171812 13058608 12038830 0.98680 0.98650 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 217272 6726 3268 220540 193505 31786 8019 217272 182183 500 20492 9670 193505 155481 25170 2605 1073 182183 129253 31834 5606 155481 1.00000 0 0 28500 28500 2959504 2323798 635706 965899 825010 140889 805095 ASSETS HELD BY COMMUNITY FOUNDATION 129896 PERPETUAL TRUST AGREEMENT 89196 UNEMPLOYMENT DEPOSIT 45265 264357 X 5286298 2444 2444 5283854 0 5283854 5021386 0 5021386 0 5021386 PART X, LINE 2: THE ASSOCIATION IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. CONSEQUENTLY, NO PROVISION FOR INCOME TAXES IS REQUIRED. THE ASSOCIATION DETERMINED THAT IT WAS NOT REQUIRED TO RECORD A LIABILITY RELATED TO UNCERTAIN TAX POSITIONS. 1 X X 0 0 0 0 0 0 0 0 0 J WAHL PSYCHIATRIST 164580 0 0 0 1188 0 7070 0 22040 0 194878 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 A COPY OF THE FEDERAL 990 RETURN IS PROVIDED FOR REVIEW DURING A FINANCE COMMITTEE MEETING BEFORE THE RETURN IS FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 15A THE BOARD OF DIRECTORS IS RESPONSIBLE FOR THE PERFORMANCE REVIEW AND COMPENSATION OF THE EXECUTIVE DIRECTOR. THE PERFORMANCE REVIEW IS SUMMARIZED BY THE PERSONNEL COMMITTEE OF THE BOARD. ANY CHANGES TO COMPENSATION ARE APPROVED BY THE BOARD AND FORWARDED TO THE CFO TO IMPLEMENT. FORM 990, PART VI, SECTION C, LINE 19 HISTORICALLY, THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.