2019-05-14T07:14:20-00:00 2018-06-30 Laura J MacDonald CPA Inc 135 North Broadway Medina OH 44256 990 2017-07-01 341458441 Crossroads Lake County Adolescent Counseling Service Inc CROS 4402551700 8445 Munson Road Mentor OH 44060 Craig Hargenrader CFO 2019-05-14 true Laura J MacDonald 3307221944 2019-05-14 24.101.215.4 2019-05-14 13:02:55 ED P A7D00809D8F8E2A5D628D66BDA062B254819C08C A7D00809D8F8E2A5D628D66BDA062B254819C08C 2017 2019-02-21 02:37:17Z Michael Matoney CEO 8445 Munson Road Mentor OH 44060 8246578 false X www.crossroads-lake.org X 1984 OH Crossroads mission is to provide a continuum of quality life-changing behavioral health services for children, adolescents, young adults and families, including specialized treatment for chemically dependent adolescents 22 22 138 131 0 3376528 3359106 4060765 4282336 47458 259412 103128 100004 7587879 8000858 0 0 5911456 5974916 0 95203 1701446 1946877 7612902 7921793 -25023 79065 13106343 15197467 2524860 3922350 10581483 11275117 X Crossroads mission is to provide a continuum of quality life-changing behavioral health services for children, adolescents, young adults and families, including specialized treatment for chemically dependent adolescents. false false 1718283 1676202 Crossroads COMMUNITY PSYCHIATRIC SUPPORTIVE TREATMENT CPST provides flexible, individualized mental health services that promote our clients success in school, work, and family relationships, as well as their participation in/contribution to their communities. Helping clients identify and access needed community resources is a key component of CPST. Services are primarily provided in clients natural environments - homes, schools and other community settings the hours, exact nature and intensity of services vary with the unique and changing needs of each individual. During our fiscal year ended June 30, 2018, we provided CPST services to 1,306 clients. We estimate 1,464 clients will participate during our 2019 fiscal year. 1597474 1595219 We provide BEHAVIORAL HEALTH COUNSELING/PSYCHOTHERAPY to children and adolescents presenting a wide range of emotional disturbances and mental health diagnoses. Services consist of a series of structured interactions between client and provider focused on attaining the mutually-defined goals described in the clients individualized treatment plan. Active involvement of parents and other family members is a crucial element of effective counseling services. While much of our counseling is office-based, we also provide services in clients homes, schools and other settings. Our specialized services include early childhood mental health, counseling for attachment and bonding problems, for trauma recovery and for children exhibiting problematic sexualized behaviors. During our fiscal year ended June 30, 2018 we provided counseling services to 1,642 clients. We estimate 1,634 clients will participate during our 2019 fiscal year. 977354 947 As a provider of behavioral health services to children and youth, Crossroads is uniquely positioned to reduce the incidence, prevalence and severity of emotional disturbances and mental disorders - including substance use disorders - through our PREVENTION SERVICES. We plan prevention programming on the basis of periodic community needs assessments, and provide an array of preventive interventions proven to promote healthy lifestyles, enhance social skills, and build social/emotional resilience in young people. Our prevention efforts also address envirionmental risk factors and strengthen systems and assets at the community level. Bullying prevention, early childhood programming and school-based activities are among our specialized programs. During our fiscal year ended June 30, 2018 our prevention services reached approximately 12,055 individuals. We estimate 8,638 will participate during the fiscal year ending June 30, 2019. 2947625 1009968 7240736 true false false false false false false false false false true false false false false true true false false false false false false false true false false false false false false false false false false false false false false false false false false true false false false true 27 0 true 138 true false false false false false false true true false false false false X 22 22 false false false false false false false true true false false true true true true true true true false false X X Craig Hargenrader Chief Financial O 4402551700 8445 Munson Road Mentor OH 44060 X Dan Gold President 001.00 001.00 X X 0 0 0 Mike Crislip Vice Chair 001.00 001.00 X X 0 0 0 Sunny Masters Secretary 001.00 001.00 X X 0 0 0 Hal Abraham Treasurer 001.00 001.00 X X 0 0 0 Ray Adams Member 000.50 000.50 X 0 0 0 Steve Baldini Member 000.50 000.50 X 0 0 0 Nate Bell Member 000.50 000.50 X 0 0 0 Michelle Cimperman Member 000.50 000.50 X 0 0 0 Steve Ciuni Member 000.50 000.50 X 0 0 0 Dr Maryellen Davis Member 000.50 000.50 X 0 0 0 Jack Gregorin Member 000.50 000.50 X 0 0 0 Mary Ganske Member 000.50 000.50 X 0 0 0 Dale Kaprosy Member 000.50 000.50 X 0 0 0 Nancy Hanna Member 000.50 000.50 X 0 0 0 Janet Morse Member 000.50 000.50 X 0 0 0 Linda Perlic Member 000.50 000.50 X 0 0 0 Barb Petterson Member 000.50 000.50 X 0 0 0 Joe Popely Member 000.50 000.50 X 0 0 0 John Schindler Member 000.50 000.50 X 0 0 0 Dianne Vogt Member 000.50 000.50 X 0 0 0 Carol Willen Member 000.50 000.50 X 0 0 0 Keith Young Member 000.50 000.50 X 0 0 0 Judith A Zupancic Chief Financial Officer 032.00 018.00 X 88591 0 8603 Michael Matoney Chief Financial Officer 024.00 026.00 X X 0 113500 9873 88591 113500 18476 1 false false false Krishna Devulapalli MD 7635 Settlers Court Mentor OH 44060 Contract Psychiatrist 156862 Qualifacts Systems Inc PO Box 4577 Carol Stream IL 601974577 Electronic Health Records 206794 2 27859 3289578 41669 3359106 Client fees and reimbursements 621300 724934 724934 Medicaid 621300 2277799 2277799 School counseling contracts 621300 643089 643089 ADAMHS board fee for service 621300 636514 636514 4282336 171604 171604 32500 32500 32500 32500 321881 234073 87808 87808 87808 42179 11647 30532 30532 Amortization of loan forgiveness 900099 34914 34914 2058 2058 36972 8000858 4351808 289944 0 0 0 0 160961 160961 0 4711658 4438508 210748 62402 127261 119915 5519 1827 600497 539404 51759 9334 374539 348100 22948 3491 0 0 0 0 0 124780 117136 7620 24 0 132332 126775 4848 709 0 0 86854 78200 8604 50 99606 98565 443 598 0 0 57904 57623 281 0 303307 290644 12663 0 Utilities 73049 68659 4390 Supplies 109092 107513 1386 193 Cluster / Other Services 92844 92844 Repairs Maintenance 230603 222718 7885 636506 534132 85799 16575 7921793 7240736 585854 95203 343248 606297 19012 19018 514269 449028 62573 112526 1350000 26622 9687 7974869 4879977 3248770 3094892 8832063 9556019 59786 13106343 15197467 428587 39289 161140 484345 2056984 3276865 2524860 3922350 X 10522817 11256867 58666 18250 10581483 11275117 13106343 15197467 79065 614569 X false true X true true true X 3112693 2964122 3044423 3376528 3359106 15856872 3112693 2964122 3044423 3376528 3359106 15856872 15856872 155128 178567 183852 177021 171604 866172 96191 138318 91911 103128 100004 529552 17252596 0.91910 0.91850 X 0.00000 0.00000 Part II Section B Line 10 Other Income consists of the following 2017 -Rental Income - 32,500 Fundraising - 30,532 Amortization of Loan Forgiveness - 34,914 Other - 2,058 2016 - Rental Income - 27,500 Fundraising - 38,171 Other - 37,457 2015 - Rental Income - 32,500 Fundraising - 11,744 Other Revenue - 47,667 2014 - Rental Income- 32,500 Fundraising - 22,897 Other Revenue - 82,921 2013 - Rental Income - 17,575 Fundraising - 26,731 and Other Revenue - 51,885 false 342100 342100 6147105 3537365 2609740 78576 70373 8203 1240240 1131629 108611 166848 140610 26238 3094892 Financial derivatives and other financial products Closely-held equity interests Federal income taxes X 8615427 614569 614569 8000858 8000858 7921793 7921793 7921793 X 2 FASB ASC 740 FOOTNOTE The Agency has adopted the provisions of FASB ASC 740-10-25 that requires the disclosure of uncertain tax positions. There have been no interest or penalties recognized in the Statement of Financial Position or in the Statement of Activities relating to uncertain tax positions. Additionally no tax positions exist for which it is reasonably possible that the total amount of unrecognized tax benefits will significantly increase or decrease during the next 12 months. The Agency evaluates uncertain tax positions, if any, on a continual basis. Golf Outing 42179 42179 11647 42179 42179 11647 11647 30532 Form 990, Part III, Line 4d Program Service Expenses 2,947,625, Grants and allocations 0, Revenue 1,009,968 Refer to Schedule O for full narrative. Form 990, Part III, Line 4d Crossroads Day Treatment Program DT operates in collaboration with the Lake County Educational Service Center ESC, offering both a therapeutic milieu and specialized educational services to children and youth with severe emotional disturbance or mental disorders. Clients are typically on-site for about 6 hours each day, participating in a variety of treatment activities and receiving academic instruction in highly structured, supportive classrooms. Parent engagement is a critical component of DTs effectiveness. The Programs goals are to help clients avoid hospitalization and out-of-home placement, reduce their aggressive behaviors, and discharge them to a less restrictive treatment and academic environment. During the year ended June 30, 2018, 75 clients participated in DT we estimate that 64 will be served during our fiscal year ending June 30, 2019. Form 990, Part III, Line 4d Early Head Start Crossroads federally-funded Early Head Start EHS program serves pregnant women, expectant fathers, infants, toddlers to age three, and their families. EHS promotes healthy family functioning, self-sufficiency, and healthy child development. In weekly visits to families homes, Home Visitors provide comprehensive child development services including screenings and assessments to monitor childrens development and identify any developmental concerns they also provide resources and support to help families enhance parenting skills, and to promote the development of school readiness in children from birth to three years of age. Families are linked to vital medical and dental services and other community resources. Our federal EHS grant funds an enrollment of 60 children we served a total of 79 families, during our fiscal year ending June 30, 2018, and project we will serve 84 families for our fiscal 2019 year. We have significant participation of racial/ethnic minorities, including many Hispanic families. Bilingual program staff and printed program materials in Spanish have been critical to the programs success. EHS is the cornerstone of Crossroads comprehensive array of Early Childhood Behavioral Health Services. Form 990, Part III, Line 4d Pharmacologic Management provides psychiatric evaluation, prescription of psychotropic medications and ongoing medication management for children and adolescents with emotional disturbances or mental disorders. Pharmacological management helps our clients reduce, stablize and/or eliminate psychiatric symptoms and improve their overall functioning. Educating clients and family members about the purpose, risks, benefits and side effects of their medications is an important element. Our psychiatrists and advanced-practice nurses carefully consider clients medical history and physical health, current medications, drug allergies and substance use in their prescribing decisions. Because of their rapid physical, emotional and cognitive development, and the complexity and subtlety of diagnosing and medicating children, we monitor our clients closely our practice is for prescribers to see their clients at least every 90 days. During our fiscal year ending June 30, 2018, 769 clients received Pharmacological Management services we estimate that 888 wil be served during our fiscal year ending June 30, 2019. Form 990, Part III, Line 4d Services for Substance Use Disorders begin with an assessment to diagnose a young persons substance abuse or dependence and determine the appropriate level of care to meet their needs. Treatment services consist of indvidual, family and group counseling based on client needs, treatment ranges from weekly or monthly individual and family sessions to our Intensive Outpatient IOP level of care - a minimum of eight hours of treatment activities over at least three days each week. Because our program is abstinence-based, clients key treatment tasks include developing skills and strategies for maintaining clean and sober lifestyles, and understanding and interrupting the relapse process. Education and counseling for family members focuses on how they are impacted by - and can enable - the addiction process is essential to young peoples success in treatment. Case management is an important element of our program, and includes support and assistance for clients in gaining access to needed services such as medical care, educational resources and recreational opportunities for sober fun. During our fiscal year ending June 30, 2018, 175 clients received services for substance use disorders we estimate 144 clients will participate duing our fiscal year ending June 30, 2019. Form 990, Part III, Line 4d Ohio Early Intervention aka Help Me Grow provides family-centered services for infants and toddlers to age 3 with a developmental delay, disability, or a medical condition likely to result in a delay or disability. Services provided through the program include identifying children ages 0-3 with, or at risk for, developmental delays or disabilities screening children for health, hearing, vision and development providing parents with information about their childs social and emotional development that helps to build the foundation for later school success ensuring parents have information on the importance of early childhood immunizations and routine pediatric health care connecting children at age three with appropriate educational and supportive services and enhancing the overall development of infants and toddlers with disabilities through supportive interventions. Our Ohio Early Intervention program served approximately 396 children during our fiscal year ending June 30, 2018 we estimate a total of 523 will be served during our fiscal year ending June 30, 2019. Part VI, Section B, Line 11b Form 990 data inputs are reviewed and approved by the Agencys Board of Directors prior to filing. Form 990, Part VI, Section B, Line 12c All Board members are required to review the Agencys Conflict of Interest Policy upon acceptance to the Board of Trustees, and annually thereafter. Any conflicts are required to be disclosed to the Agencys management team and other Board members. Completed statements are reviewed byh the Board Governance Committee and filed in the CEOs office. Form 990, Part VI, Section B, Line 15b The Executive Committee of the Agencys Board of Trustees reviews and approves the compensation of the Executive Director periodically. Wage comparability data is examined along with employee performance. Form 990, Part VI, Section C, Line 19 The Agencys governing documents, conflict of interest policy and financial statements are available upon request. New Directions Inc 30800 Chagrin Blvd Pepper Pike OH 44124 341313806 Res/Outpt Treatment OH 501 c3 7 N/A false Beacon Health 9220 Mentor Avenue Mentor OH 44060 341109253 Mental Health Services OH 501 c3 7 N/A false false false false false false false false false false false false false false true true true true true false