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CLOUD PEAK COUNSELING CENTER: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
CLOUD PEAK COUNSELING CENTER (EIN 83-0235231)
Tax period
2012-07-01 to 2013-06-30
Filed
2013-09-24
IRS object ID
201342679349300024
Schema version
2012v2.3
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-09-24T09:43:19-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1STINE BUSS WOLFF WILSON & ASSOCIATES PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 168AddressLine1
CityWORLANDCity
StateWYState
ZIP Code82401ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN830235231EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CLOUD PEAK COUNSELING CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCLOUNameControl

US Address USAddress

FieldValueIRS element (for citing)
Address Line1401 SOUTH 23RD STAddressLine1
CityWORLANDCity
StateWYState
ZIP Code82401ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMARK RUSSLERName
TitleEXECUTIVE DIRECTORTitle
Date Signed2013-09-20DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameSTEVE L STINEName
Phone3073474555Phone
Date Prepared2013-09-24DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts2944943GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1977YearFormation
State Legal DomicileWYStateLegalDomicile
Activity Or Mission DescriptionPROVIDE MENTAL HEALTH SERVICESActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees68TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year510000ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year2472858ProgramServiceRevenuePriorYear
Program Service Revenue CY2893512ProgramServiceRevenueCY
Investment Income Prior Year4178InvestmentIncomePriorYear
Investment Income Current Year2304InvestmentIncomeCurrentYear
Other Revenue Prior Year3146OtherRevenuePriorYear
Other Revenue Current Year-1638OtherRevenueCurrentYear
Total Revenue Prior Year2990182TotalRevenuePriorYear
Total Revenue Current Year2894178TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year2115397SalariesEtcPriorYear
Salaries Etc Current Year2140141SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year529495OtherExpensePriorYear
Other Expenses Current Year560251OtherExpensesCurrentYear
Total Expenses Prior Year2644892TotalExpensesPriorYear
Total Expenses Current Year2700392TotalExpensesCurrentYear
Revenues Less Expenses Prior Year345290RevenuesLessExpensesPriorYear
Revenues Less Expenses CY193786RevenuesLessExpensesCY
Total Assets BOY2553473TotalAssetsBOY
Total Assets EOY2725558TotalAssetsEOY
Total Liabilities BOY448875TotalLiabilitiesBOY
Total Liabilities EOY427174TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2104598NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY2298384NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionPROVIDE MENTAL HEALTH SERVICESMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
DescriptionPROVIDE MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES TO AREA RESIDENTS.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense2700392Expense
DescriptionPROVIDE MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES TO AREA RESIDENTS.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp2700392TotalOfOtherProgramServiceExp
Total Program Service Expense2700392TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees68NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicyfalseConflictOfInterestPolicy
Whistleblower PolicyfalseWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledWYStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonDOROTHY RICHARDNamePerson
Telephone Number3073476165TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1401 SOUTH 23RD STAddressLine1
CityWORLANDCity
StateWYState
ZIP Code82401ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (2 entries)

TitleTitleIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationAverage Hours Per WeekAverageHoursPerWeekHighest Compensated EmployeeHighestCompensatedEmployee
BOARD OF DIRECTORS-SEE ATTACHED LIS
BOARDX000
MARK RUSSLER
DIRECTOR1090350040.00X
FieldValueIRS element (for citing)
Total Reportable Comp From Org109035TotalReportableCompFromOrg
Number Individuals GT100 K1NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
STATE CONTRACTS14775821477582
PRIVATE PAY & MEDICARE11494771149477
AGENCY AND OTHER142344142344
CONTRACT SERVICES9507895078
LOCAL CONTRACTS2903129031
FieldValueIRS element (for citing)
Total Program Service Revenue2893512TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2304TotalRevenueColumn
Related Or Exempt Function Income2304RelatedOrExemptFunctionIncome

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real49127Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real50765Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-1638Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-1638TotalRevenueColumn
Related Or Exempt Function Income-1638RelatedOrExemptFunctionIncome

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column2894178TotalRevenueColumn
Related Or Exempt Function Income2894178RelatedOrExemptFunctionIncome

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total1547176Total
Program Services1547176ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total592965Total
Program Services592965ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total70132Total
Program Services70132ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total22200Total
Program Services22200ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total45471Total
Program Services45471ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total13008Total
Program Services13008ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total104419Total
Program Services104419ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total28738Total
Program Services28738ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
PROFESSIONAL FEES137939137939
UNCOLLECTIBLE/BAD DEBT5569755697
TELEPHONE & UTILITIES3581535815
OTHER3544535445

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total11387Total
Program Services11387ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total2700392Total
Program Services2700392ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY496719BOY
EOY823163EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY239795BOY
EOY115444EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY20144BOY
EOY19558EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis2390839LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec623446LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1796815BOY
EOY1767393EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY2553473BOY
EOY2725558EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY53206BOY
EOY56394EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY395669BOY
EOY370780EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY448875BOY
EOY427174EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY2104598BOY
EOY2298384EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2104598BOY
EOY2298384EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2553473BOY
EOY2725558EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses193786ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2142065CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2085303CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2308045CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2524943CurrentTaxYearMinus1Year
Current Tax Year2886942CurrentTaxYear
Total11947298Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2142065CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2085303CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2308045CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2524943CurrentTaxYearMinus1Year
Current Tax Year2886942CurrentTaxYear
Total11947298Total
FieldValueIRS element (for citing)
Public Support Total17011947298PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10965CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8774CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10928CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4178CurrentTaxYearMinus1Year
Current Tax Year2304CurrentTaxYear
Total37149Total
FieldValueIRS element (for citing)
Total Support11984447TotalSupport
Gross Receipts From Admissions Etc2944943GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.99690PublicSupportPertcentage170
Public Support Pertcent Prior Year0.99600PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule D IRS990ScheduleD

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2390839OtherCostOrOtherBasis
Depreciation623446Depreciation
Book Value1767393BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1767393TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
MORTGAGES AND OTHER NOTES PAYABLE$310,895
ACCRUED ABSENCES$59,885
FieldValueIRS element (for citing)
Total Of Amounts370780TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt2894178TotRevenueEtcAuditedFinclStmt
Revenue Subtotal2894178RevenueSubtotal
Total Revenue Per Form9902894178TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt2700392TotExpensesEtcAuditedFinclStmt
Expenses Subtotal2700392ExpensesSubtotal
Total Expenses Per Form9902700392TotalExpensesPerForm990

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ALL OTHER ACCOMPLISHMENT DESCRIPTIONFORM 990, PAGE 2, PART III, LINE 4DPROVIDE MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES TO AREA RESIDENTS.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BA COPY OF FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW AND APPROVAL PRIOR TO BEING FILED.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19A COPY OF GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.