2025-05-12T17:54:28-05:00 2024-06-30 410746749 CLIFTONLARSONALLEN LLP 4334 MUNSON STREET SUITE 200 CANTON OH 44718 990 2023-07-01 346003994 THE COUNSELING CENTER OF WAYNE AND HOLMES COUNTIES COUN 3302649029 2285 BENDEN DRIVE WOOSTER OH 44691 TIFFANIE KESTNER PRESIDENT/CEO 3302649029 2025-05-12 1 1 JENNIFER COLEMAN P00743188 3304972000 2025-05-12 2023 2025-03-06 01:10:19Z TIFFANIE KESTNER 2285 BENDEN DRIVE WOOSTER OH 44691 7960503 0 X WWW.CCWHC.ORG X 1953 OH TO PROMOTE AND ENHANCE MENTAL HEALTH THROUGH PREVENTION, REHABILITATION, AND TREATMENT SERVICES. 6 6 131 6 0 0 3053194 4655562 3435301 3265787 16408 29118 -109 -4675 6504794 7945792 0 0 0 0 5086394 6448861 0 0 0 1653606 2380472 6740000 8829333 -235206 -883541 6130243 5567165 1573176 1823640 4557067 3743525 X THE COUNSELING CENTER PROMOTES AND ENHANCES THE MENTAL HEALTH OF INDIVIDUALS, FAMILIES, AND GROUPS THROUGH A COMPREHENSIVE RANGE OF PREVENTION, REHABILITATION AND TREATMENT SERVICES DESIGNED TO MEET INDIVIDUAL AND COMMUNITY NEEDS. 0 0 4387360 0 1251559 MENTAL HEALTH TREATMENT FOR INDIVIDUALS AND FAMILIES:-COUNSELING AND PYSCHOTHERPY FOR ADULTS AND CHILDREN-DIAGNOSTIC ASSESSMENT/PSYCHOLOGICAL EVALUATION-24-HOUR CRISIS INTERVENTION-PSYCHIATRIC ASSESSMENT/PSYCHOPHARMACOLOGICAL MANAGEMENT 1736868 0 1535169 REHABILITATION AND RECOVERY SERVICES FOR SEVERELY MENTALLY DISABLED ADULTS AND SEVERELY EMOTIONALLY DISTURBED CHILDREN/YOUTH:-COMMUNITY PYSCHIATRIC SUPPORT - CASE MANAGEMENT-HOME-BASED INTERVENTION-RESIDENTIAL SUPPORT-RESIDENTIAL TREATMENT 649423 0 301202 COMMUNITY EDUCATION AND PREVENTION SERVICES:INFORMATION AND REFERRAL,- MENTAL HEALTH EDUCATION, MENTAL HEALTH CONSULTATION, PREVENTION (SCHOOL-BASED INTERVENTION, SUICIDE PREVENTION, PARENT EDUCATION, FAMILY SUPPORT, ETC.) 170912 0 177857 OTHER PROGRAM SERVICES:-SPECIAL ASSISTANCE TO ENCOURAGE HOSPITAL DIVERSION AND ENHANCE COMMUNITY PLACEMENT VIA SERVICE BROKER FUNDING-FINANCIAL SUPPORT TO CLIENTS WHO NEED HOUSING ASSISTANCE WHILE WAITING FOR MORE PERMANENT ASSISTANCE FROM METROPOLITAN HOUSING AUTHORITY-SPACE RENTED TO PHARMACY THAT FILLS CLIENT PRESCRIPTIONS 170912 0 177857 6944563 1 1 0 0 0 0 0 0 1 1 1 1 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 8 0 131 1 0 0 0 0 0 0 0 0 0 0 0 0 X 6 6 0 0 0 0 1 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 OH X TIFFANIE KESTNER 3302649029 2285 BENDEN DRIVE WOOSTER OH 44691 JAMIE TIPPETT BOARD CHAIRMAN 1.00 X X 0 0 0 MIKE DERR VICE CHAIRMAN 1.00 X X 0 0 0 MIKE SMUCKER DIRECTOR 1.00 X 0 0 0 SUSAN ROBERTS DIRECTOR 1.00 X 0 0 0 KARIN WEIST DIRECTOR 1.00 X 0 0 0 FRANK CEBUL DIRECTOR 1.00 X 0 0 0 JILL BAIRD CFO 40.00 X 64780 0 6622 TIFFANIE KESTNER PRESIDENT/CEO 50.00 X 154066 0 17261 VERA ASTREIKA MD PSYCHIATRIST 30.00 X 148351 0 22333 MARK DAL PRA PSYCHIATRIC NURSE PRACTITIONER 40.00 X 115072 0 10102 KATELYN STENGER PSYCHIATRIC NURSE PRACTITIONER 40.00 X 120585 0 15213 602854 0 71531 4 0 1 0 0 7525 19099 4251243 377695 16667 4655562 MEDICARE/MEDICAID PAYM 624100 1561456 1561456 FEES 624100 1372688 1372688 331643 331643 3265787 25489 25489 3629 0 3629 3629 3629 10036 19099 14711 -4675 -4675 7945792 3265787 0 24443 317634 317634 5071759 4216669 855090 145716 145716 536508 478509 57999 377244 292256 84988 45247 45247 39125 39125 5229 5229 163024 76477 86547 5703 3860 1843 165724 127560 38164 190596 142085 48511 295200 208852 86348 102412 97407 5005 39320 15583 23737 10019 4240 5779 219319 130613 88706 86581 66614 19967 HOSPITAL CRISIS RESPONS 276349 276349 BAD DEBT EXPENSE 248847 248847 SERVICE BROKER 132530 132530 RECRUITMENT 101447 74759 26688 253800 205637 48163 8829333 6944563 1884770 0 1100 1100 1364340 301195 97812 58136 1244928 1054431 83217 101074 5937861 3061793 2407996 2876068 801224 949670 129626 225491 6130243 5567165 576022 833799 341376 310556 56239 98140 537152 479285 62387 101860 1573176 1823640 X 4391556 3562667 165511 180858 4557067 3743525 6130243 5567165 -883541 69999 0 X 0 0 0 X 3263513 3053378 3062746 3053194 4655562 17088393 3263513 3053378 3062746 3053194 4655562 17088393 17088393 14535 15994 15963 18482 25489 90463 6656 6656 17185512 17250816 0.99430 0.99360 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2019 AMOUNT: $ 6,656. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 801224 150100 91369 93023 949670 724158 250 76816 801224 842134 250 -118226 724158 703152 163982 25000 842134 686069 50 17033 703152 1.00000 0.00000 0.00000 1 0 474700 474700 3605195 1944334 1660861 642654 229455 413199 1215312 888004 327308 2876068 BENEFICIAL INTEREST - WAYNE COUNTY COMMUNITY FOUNDATION 949670 F 949670 OPERATING LEASE LIABILITIES 101860 101860 PART IV, LINE 2B: THE COUNSELING CENTER, THROUGH ITS COMMUNITY PSYCHIATRIC SUPPORT PROGRAM, MANAGES A REPRESENTATIVE PAYEE TRUST ACCOUNT FOR A SMALL NUMBER OF CLIENTS WHO NEED ASSISTANCE IN BUDGETING AND MANAGING THEIR SOCIAL SECURITY BENEFITS. PART V, LINE 4: TO PROMOTE EXCELLENCE IN MENTAL HEALTH SERVICES FOR CHILDREN AND FAMILIES. DUELING PIANOS 29135 19099 10036 10036 500 2750 1425 29135 19099 10036 10036 500 2750 1425 14711 -4675 X X X 0 0 0 0 0 0 0 0 0 TIFFANIE KESTNER PRESIDENT/CEO 154066 0 0 0 0 0 13936 0 3325 0 171327 0 0 0 VERA ASTREIKA MD PSYCHIATRIST 148351 0 0 0 0 0 18750 0 3583 0 170684 0 0 0 FORM 990, PART VI, SECTION A, LINE 1A THE GOVERNING BODY OF THE COUNSELING CENTER OF WAYNE AND HOLMES COUNTIES IS THE BOARD OF DIRECTORS. MEMBERS OF THE BOARD HAVE EQUAL VOTING RIGHTS, WITH NO MATERIAL DIFFERENCES. THE BOARD OPERATES UNDER A STRUCTURE THAT INCLUDES STANDING COMMITTEES, SUCH AS THE EXECUTIVE COMMITTEE, FINANCE/AUDIT COMMITTEE, PLANNING COMMITTEE, PERSONNEL COMMITTEE, AND GOVERNANCE COMMITTEE. WHILE THESE COMMITTEES ARE EMPOWERED TO CARRY OUT SPECIFIC FUNCTIONS, BROAD AUTHORITY REMAINS WITH THE FULL BOARD. THE EXECUTIVE COMMITTEE, COMPOSED OF THE BOARD'S OFFICERS, IS AUTHORIZED TO ACT ON URGENT MATTERS THAT CANNOT WAIT FOR FULL BOARD ACTION. HOWEVER, ANY DECISIONS MADE BY THE EXECUTIVE COMMITTEE MUST BE REPORTED TO THE FULL BOARD FOR RATIFICATION, AND A MAJORITY OF SEVEN BOARD MEMBERS CAN REVERSE SUCH DECISIONS. THE PRESIDENT/CHIEF EXECUTIVE OFFICER (CEO) ATTENDS BOARD MEETINGS AND SERVES AS AN EX-OFFICIO MEMBER OF ALL COMMITTEES, BUT DOES NOT HAVE VOTING RIGHTS. FORM 990, PART VI, SECTION A, LINE 6 THE MEMBERS OF THIS CORPORATION SHALL BE THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION'S EXTERNAL AUDITOR PREPARES ITS FORM 990 BASED ON INFORMATION ACCUMULATED FROM THE AUDIT AND SUPPLEMENTAL INFORMATION PROVIDED BY THE ORGANIZATION'S VP/CFO. THE COMPLETED FORM 990 AND RELATED SCHEDULES ARE REVIEWED BY THE VP/CFO AND THE PRESIDENT/CEO BEFORE BEING GIVEN TO THE ORGANIZATION'S BOARD OF DIRECTORS FOR REVIEW. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY, THE BOARD MEMBERS AND THE PRESIDENT/CEO SIGN A STATEMENT OF ATTESTATION VERIFYING THAT THEY HAVE A COPY OF THE AGENCY'S CONFLICT OF INTEREST POLICY, THAT THEY HAVE READ AND UNDERSTAND IT AND AGREE TO COMPLY WITH THE POLICY. ANY APPLICABLE ISSUES THAT ARISE DURING THE YEAR ARE PRESENTED TO THE BOARD AT ITS MONTHLY MEETINGS FOR DISCUSSION. ANY CONFLICT DEALING WITH CURRENT OR ONGOING ISSUES MAY PRECLUDE THE MEMBER FROM PARTICIPATION IN DISCUSSION OF SAID ISSUE DEPENDING ON THE CIRCUMSTANCES. FORM 990, PART VI, SECTION B, LINE 15 THE PERSONNEL COMMITTEE OF THE BOARD OF DIRECTORS REVIEWS THE PERFORMANCE OF THE PRESIDENT/CEO ANNUALLY AND PROPOSES ANY COMPENSATION ADJUSTMENT TO THE FULL BOARD OF DIRECTORS. THE ADJUSTMENT IS BASED ON BOTH GOALS ACHIEVED AND BENCHMARKING TO OTHER MENTAL HEALTH ORGANIZATIONS. ANY RECOMMENDED CHANGE IS APPROVED BY THE FULL BOARD. SALARY RANGES ARE REVIEWED EVERY TWO YEARS BY THE EXECUTIVE STAFF AND APPROVED BY THE BOARD OF DIRECTORS. PERFORMANCE APPRAISALS ARE COMPLETED FOR EACH KEY EMPLOYEE BY THE APPROPRIATE SUPERVISOR. THESE ARE THEN REVIEWED BY THE PRESIDENT/CEO WHO DETERMINES THE COMPENSATION FOR THE YEAR. FORM 990, PART VI, SECTION C, LINE 19 OTHER THAN DISCLOSURE OF INFORMATION RELATED TO THESE MATTERS IN THE AGENCY'S FORM 990, THE AGENCY DOES NOT GENERALLY MAKE THESE DOCUMENTS AVAILABLE TO THE GENERAL PUBLIC. HOWEVER, FILING OF THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS WITH STATE AND LOCAL GOVERNMENTAL AGENCIES MAKE THEM AVAILABLE TO THE PUBLIC THROUGH SAID AGENCIES. SOURCEONE BEHAVIORAL HEALTH 2285 BENDEN DRIVE WOOSTER OH 44691 341904709 HOLDING COMPANY OH 501(C)3 LINE 12B, II N/A 0 THE SOURCEONE GROUP INC 2285 BENDEN DRIVE WOOSTER OH 44685 341904707 MENTAL HEALTH SERVICES OH SOURCEONE BEHAVIORAL HEALTH C 45034 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0