2025-04-10T07:20:53-05:00 2024-06-30 341667340 PACKER THOMAS 6601 WESTFORD PLACE SUITE 101 CANFIELD OH 44406 990 2023-07-01 341417161 COLUMBIANA COUNTY MENTAL HEALTH CLINIC COLU 3304247761 PO BOX 429 40722 STATE ROUTE 154 LISBON OH 444320429 ROGER SIKORSZKY EXECUTIVE DIRECTOR 3304247761 2025-04-05 1 0 RICHARD A SCHAFER CPA P00390129 3305339777 2025-04-05 2023 2025-03-06 01:10:19Z ROGER SIKORSZKY PO BOX 429 40722 STATE ROUTE 154 LISBON OH 444320429 9912404 0 X N/A X 1963 OH THE MISSION OF THE COLUMBIANA COUNTY MENTAL HEALTH CLINIC IS TO IMPROVE THE LIVES OF INDIVIDUALS AND FAMILIES BY MEETING THE BEHAVIORAL HEALTH NEEDS OF OUR COMMUNITY. THIS IS ACCOMPLISHED THROUGH: 1) EXCELLENT CUSTOMER SERVICE, 2) EVIDENCE-BASED PRACTICE, 3) CONTINUOUS PERFORMANCE IMPROVEMENT, AND 4) RECOVERY-FOCUSED CARE THAT IS COMPREHENSIVE, EFFECTIVE, AND AFFORDABLE. 11 11 177 0 0 0 13933 11620 9800979 9578029 44108 49408 240948 273347 10099968 9912404 0 0 0 0 7304650 7818966 0 0 0 2229891 2325777 9534541 10144743 565427 -232339 9072294 9393533 2114922 2462822 6957372 6930711 X THE MISSION OF THE COLUMBIANA COUNTY MENTAL HEALTH CLINIC IS TO IMPROVE THE LIVES OF INDIVIDUALS AND FAMILIES BY MEETING THE BEHAVIORAL HEALTH NEEDS OF OUR COMMUNITY. THIS IS ACCOMPLISHED THROUGH: 1) EXCELLENT CUSTOMER SERVICE, 2) EVIDENCE-BASED PRACTICE, 3) CONTINUOUS PERFORMANCE IMPROVEMENT, AND 4) RECOVERY-FOCUSED CARE THAT IS COMPREHENSIVE, EFFECTIVE, AND AFFORDABLE. 0 0 9328024 9851376 TO PROVIDE COUNSELING, TREATMENT, EDUCATION, PREVENTION, THERAPY, AND OTHER ANCILLARY SERVICES FOR INDIVIDUALS AND FAMILIES WITH EMOTIONAL AND SUBSTANCE ABUSE PROBLEMS. 9328024 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 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 1 0 0 0 1 76 0 1 177 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 OH X X BETH TODD 3304249573 PO BOX 429 40722 STATE ROUTE 154 LISBON OH 44432 JOSEPH SIEFKE TRUSTEE 0.50 X 0 0 0 DANIEL T MOORE TRUSTEE 0.50 X 0 0 0 PAUL TAYLOR THRU 0124 SECRETARY/TREASURER 0.50 X X 0 0 0 SUSAN WENDEROTH THRU 0124 PRESIDENT 0.50 X X 0 0 0 SARA MAINWARING PRESIDENT 0.50 X X 0 0 0 REV LEO WEHRLIN TRUSTEE 0.50 X 0 0 0 TERRY MCELROY SECRETARY/TREASURER 0.50 X X 0 0 0 GREGORY T BRICKER TRUSTEE 0.50 X 0 0 0 GINA DERMOTTA VICE PRESIDENT 0.50 X X 0 0 0 RICK FRYDA THRU 723 TRUSTEE 0.50 X 0 0 0 TISHA HAUSTMAN TRUSTEE 0.50 X 0 0 0 EUGENE GALLO TRUSTEE 0.50 X 0 0 0 AUSTIN FREDRICKSON AS OF 124 TRUSTEE 0.50 X 0 0 0 MATTHEW WERNER TRUSTEE 0.50 X 0 0 0 ROGER SIKORSZKY EXECUTIVE DIRECTOR 40.00 X 113954 0 3461 BETH TODD CFO 40.00 X 83729 0 11007 SETH B FRAMPTON DIRECTOR OF PSYCHIATRIC DE 40.00 X 194659 0 27447 ASHLEIGH NOEL NURSE PRACTITIONER 40.00 X 186135 0 13989 LINDA S BOYLE NURSE PRACTITIONER 40.00 X 172536 0 8884 751013 0 64788 4 0 1 0 VINCENT PAOLONE MD 129 FOREST HILL RD BOARDMAN OH 44512 MEDICAL SERVICES 139505 NESCO RESOURCE LLC PO BOX 901372 CLEVELAND OH 44190 STAFFING AGENCY 132641 2 11620 11620 FEES & CONTRACTS 624100 8091937 8091937 CONTRACTS 624100 635524 635524 INSURANCE 624100 471965 471965 MEDICARE PAYMENTS 624100 236902 236902 SELF PAY PATIENT FEES 624100 102370 102370 39331 39331 9578029 49408 49408 OTHER REVENUE 624100 182691 182691 FORGIVENESS OF DEBT 624100 59767 59767 PAYEESHIP FEES 624100 30889 30889 273347 9912404 9851376 0 49408 254064 254064 5986653 5603236 383417 1105199 1090362 14837 473050 425745 47305 12371 12371 11800 11800 15396 15396 421542 421542 3829 3657 172 98349 84185 14164 40304 42074 -1770 444176 426572 17604 225984 225595 389 4520 4520 14462 14268 194 211996 211996 71536 67692 3844 HOUSING PROGRAM EXPENSE 318607 318607 DUES 212677 200690 11987 OTHER PROGRAM EXPENSES 114725 105574 9151 EQUIPMENT RENTAL 31184 27964 3220 72319 53745 18574 10144743 9328024 816719 0 2499666 1917418 1219925 1555879 53837 56730 8006665 3904546 3489634 4102119 1505842 1741053 303390 20334 9072294 9393533 147411 144800 15027 0 977711 1302134 974773 1015888 2114922 2462822 X 6957110 6930460 262 251 6957372 6930711 9072294 9393533 -232339 205678 0 X X 0 1 X 1 1 1 X 9159 9632 9054 13933 11620 53398 8014104 8675222 9306638 9800979 9578029 45374972 8023263 8684854 9315692 9814912 9589649 45428370 0 0 0 45428370 31437 38801 35709 44108 49408 199463 31437 38801 35709 44108 49408 199463 264098 1350148 213721 240948 273347 2342262 8318798 10073803 9565122 10099968 9912404 47970095 0.94700 0.94340 0.00420 0.00420 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME - 2019 AMOUNT: $ 264,098. 2020 AMOUNT: $ 1,350,148. 2021 AMOUNT: $ 213,721. 2022 AMOUNT: $ 240,948. 2023 AMOUNT: $ 273,347. 304730 304730 6880522 3342559 3537963 821413 561987 259426 4102119 SECURITY DEPOSITS 6739 ACCRUED PAYROLL AND RELATED LIABILITIES 818206 PARTICIPANT DEPOSITS 182071 OBLIGATIONS UNDER OPERATING LEASES 8872 1015888 10102686 205678 -15396 190282 9912404 0 9912404 10129347 0 10129347 15396 15396 10144743 PART XI, LINE 2D - OTHER ADJUSTMENTS: INVESTMENT FEES -15,396. PART XII, LINE 4B - OTHER ADJUSTMENTS: INVESTMENT FEES 15,396. X X X 0 0 0 0 0 0 0 0 0 SETH B FRAMPTON DIRECTOR OF PSYCHIATRIC DE 194659 0 0 0 0 0 0 0 27447 0 222106 0 0 0 ASHLEIGH NOEL NURSE PRACTITIONER 186135 0 0 0 0 0 0 0 13989 0 200124 0 0 0 LINDA S BOYLE NURSE PRACTITIONER 172536 0 0 0 0 0 0 0 8884 0 181420 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE FINANCE COMMITTEE. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD OF TRUSTEES HAS DELEGATED OVERALL RESPONSIBILITY FOR THE CORPORATE COMPLIANCE PROGRAM TO THE EXECUTIVE DIRECTOR, WHO IN TURN DESIGNATES THE QUALITY IMPROVEMENT CHAIRPERSON AS THE CORPORATE COMPLIANCE OFFICER TO MONITOR THE ORGANIZATION'S CORPORATE COMPLIANCE PROGRAM AND PROVIDE PERIODIC AND REGULAR REPORTS TO THE BOARD OF TRUSTEES ON MATTERS PERTAINING TO THE PROGRAM. FORM 990, PART VI, SECTION B, LINE 15 THE FINANCE AND EXECUTIVE COMMITTEES COMPLETE AN ANNUAL PERFORMANCE REVIEW. THEY REVIEW COMPENSATION COMPARED TO OHIO COUNCIL SALARY SURVEYS FOR SIMILAR ORGANIZATIONS IN OHIO. THE EXECUTIVE DIRECTOR SETS COMPENSATION OF ANY KEY EMPLOYEES WITH REVIEW BY BOARD OF FINANCE AND/OR EXECUTIVE COMMITTEE UTILIZING THE OHIO COUNCIL SALARY SURVEY OF COMPARABLE ORGANIZATIONS. FORM 990, PART VI, SECTION C, LINE 19 ALL GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. THE 990 RETURN IS MADE AVAILABLE UPON REQUEST OR THROUGH GUIDESTAR WEBSITE. FORM 990, PART XII, LINE 2C: NO CHANGE FROM PRIOR YEAR. COLUMBIANA COUNTY MENTAL HEALTH ENTERPRISES 40722 STATE ROUTE 154 LISBON OH 44432 INACTIVE OH COLUMBIANA COUNTY MENTAL HEALTH CLINIC S 1.00000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0