2018-05-14T15:15:22-05:00 2017-06-30 201980733 VAN DE VEN LLC P O BOX 1090 CAPE GIRARDEAU MO 637021090 990 2016-07-01 431344414 COMMUNITY COUNSELING CENTER COMM 5733341100 402 SOUTH SILVER SPRINGS ROAD CAPE GIRARDEAU MO 63703 LONNIE LUSK CHIEF FINANCIAL OFFICER 5733396511 2018-05-11 1 SCOTT A VAN DE VEN P00512740 5733351231 107.143.157.233 2018-05-11 16:21:44 CD P 9FDB45CCF57A7065FF50351843A64EA5722C4BE8 9FDB45CCF57A7065FF50351843A64EA5722C4BE8 2016 2021-01-29 14:40:06Z LONNIE LUSK 402 SOUTH SILVER SPRINGS ROAD CAPE GIRARDEAU MO 63703 24293827 0 X WWW.CCCNTR.COM X 1984 MO PROVIDE BEHAVIORAL HEALTH AND PREVENTIVE SERVICES TO EVERY PERSON IN NEED IN OUR SERVICE REGION. 12 12 501 0 0 0 303546 50205 19835807 21709101 -857 26141 0 2508380 20138496 24293827 0 0 0 0 14396582 16030843 0 0 160753 4109586 4597510 18506168 20628353 1632328 3665474 10193317 14827116 4653032 5621357 5540285 9205759 X TO PROVIDE COMPREHENSIVE BEHAVIORAL HEALTH AND PREVENTIVE SERVICES TO EVERY PERSON IN NEED IN OUR SERVICE REGION OF CAPE GIRARDEAU, BOLLINGER, MADISON, PERRY, AND STE. GENEVIEVE COUNTIES OF MISSOURI. 0 0 2661428 1791213 MEDICAL DOCTORS - PSYCHIATRYPSYCHIATRIC SERVICES ARE AVAILABLE AT ALL CLINIC LOCATIONS. IN ADDITION TO PROVIDING DIRECT CARE, COMMUNITY COUNSELING CENTER PHYSICIANS DIRECT THE COURSE OF TREATMENT FOR ALL PATIENTS SERVED BY THE CENTER, AND PROVIDE EDUCATION AND CONSULTATION TO STAFF AND THE GENERAL MEDICAL COMMUNITY. REVENUES ARE RECEIVED FROM MISSOURI DEPARTMENT OF MENTAL HEALTH, PURCHASE OF SERVICE, MEDICARE, MO HEALTH NET, INSURANCES, AND SELF-PAY. 2559450 4644350 COMMUNITY PSYCHIATRIC REHABILITATION (CPCR & ATCM) IS A PROGRAM FOR ADULTS AND CHILDREN WITH DISABILITIES IN SOCIAL ROLE FUNCTIONING AND DAILY LIVING SKILLS. PROGRAM STAFF WORKS CLOSELY WITH CLIENTS IN A VARIETY OF COMMUNITY SETTINGS TO PROVIDE WIDE-RANGING COUNSELING AND CASE MANAGEMENT SERVICES TO PROMOTE RECOVERY. THE SERVICES ARE DESIGNED TO HELP PATIENTS WITH CHRONIC AND PERSISTENT MENTAL HEALTH DISORDERS, AVOID PSYCHIATRIC HOSPITALIZATION, AND CONTINUE TO LIVE IN THE COMMUNITY. REVENUES ARE RECEIVED FROM MISSOURI DEPARTMENT OF MENTAL HEALTH, MO HEALTH NET, MO HEALTH NET MATCH, AND PURCHASE OF SERVICE. 2303412 2766247 COTTONWOOD RESIDENTIAL TREATMENT CENTER IS A SIXTEEN BED COMPREHENSIVE TWENTY FOUR HOUR A DAY, SEVEN DAY A WEEK TREATMENT REGIMEN FOR MALE AND FEMALE YOUTH UNABLE TO LIVE AT HOME WITH PARENTS OR GUARDIANS DUE TO SEVERE CHRONIC MENTAL ILLNESS. YOUTH ARE ASSIGNED TO THE CENTER BY MENTAL HEALTH PROFESSIONALS AND MAY REMAIN ON SITE FOR EXTENDED PERIODS OF TIME DEPENDING ON TREATMENT RESULTS. WHILE IN TREATMENT THE RESIDENTS ARE ENROLLED IN THE LOCAL SCHOOL AND TAUGHT BY MISSOURI CERTIFIED EDUCATORS ON SITE. TREATMENT MAY INCLUDE ON SITE PSYCHIATRIC, MEDICAL, AND NURSING CARE AS WELL AS CASE MANAGEMENT AND THERAPY SESSIONS. REVENUES ARE RECEIVED FROM THE MISSOURI DEPARTMENT OF MENTAL HEALTH, MO HEALTH NET, AND LOCAL MEDICARE MATCH FUNDING. 8105683 15041812 VARIOUS PSYCHIATRIC AND COMMUNITY SERVICE PROJECTS ARE PROVIDED. 8105683 15041812 15629973 1 1 0 0 0 0 0 0 0 0 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 17 0 501 1 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X LONNIE LUSK 5733396511 402 SOUTH SILVER SPRINGS ROAD CAPE GIRARDEAU MO 63703 DR JANICE WARD PRESIDENT 0.00 X 0 0 0 ANNA BERKBUEGLER VICE-PRESIDENT 0.00 X 0 0 0 WESLEY ROYER DIRECTOR 0.00 X 0 0 0 JENNY PROCTOR DIRECTOR 0.00 X 0 0 0 DR TONY FABER DIRECTOR 0.00 X 0 0 0 KIM BROWNE DIRECTOR 0.00 X 0 0 0 DR JOHN B HINNI DIRECTOR 0.00 X 0 0 0 JACKIE MAJOROS TREASURER 0.00 X 0 0 0 DENNIS SIDERS DIRECTOR 0.00 X 0 0 0 DAVID RAMSEY DIRECTOR 0.00 X 0 0 0 MELISSA WHITAKER SECRETARY 0.00 X 0 0 0 JAMI DRURY DIRECTOR 0.00 X 0 0 0 LONNIE LUSK CFO 40.00 X 109657 0 0 JOHN HUDAK EXECUTIVE DIRECTOR 40.00 X 191475 0 0 AUDREY BURGER CLINICAL DIRECTOR 40.00 X 123139 0 0 REETA ROHATGI MEDICAL PROFESSIONAL 40.00 X 217812 0 0 ROBERT MCCOOL MEDICAL PROFESSIONAL 40.00 X 217479 0 0 KISHORE KHOT MEDICAL PROFESSIONAL 40.00 X 226514 0 0 COURTNEY JOHNSON MEDICAL PROFESSIONAL 40.00 X 216092 0 0 FRED GASKIN MEDICAL PROFESSIONAL 40.00 X 192024 0 0 1494192 0 0 10 0 1 0 COLUMBIA CONSTRUCTION CO 3630 EXCHANGE DRIVE CAPE GIRARDEAU MO 63701 CONSTRUCTION 549343 BROCKMILLER CONSTRUCTION INC 14 NORTH MIDDLE FARMINGTON MO 63640 CONSTRUCTION 447522 INSIGHT TELEPSYCHIATRY LLC 765 EAST ROUTE 70 BLDG A MARLTON NJ 08053 TELEPSYCHIATRY SERVICES 336782 DIANA'S BOARDING HOME HC64 BOX 4677 MARBLE HILL MO 63764 PATIENT SUPPORT SERVICES 253740 BRADLEY ROBISON 2238 COUNTY RD 262 ADVANCE MO 63730 CONTRACT PSYCHIATRIST 196776 5 50205 50205 TOTAL PROGRAM FEES 900099 21465296 21465296 SERVICE FEES 900099 243805 243805 21709101 26141 26141 INTEREST IN FOUNDATION 900099 1732834 1732834 STATE REIMBURSEMENTS 621400 775546 775546 2508380 24293827 24243622 0 0 424271 123139 301132 12796183 10209075 2452766 134342 168101 86615 81486 1688863 1286716 386686 15461 953425 749210 194684 9531 11482 11482 16800 16800 1244020 1167928 76092 30881 11256 19593 32 738658 494492 243331 835 62082 2346 59611 125 964634 688909 275298 427 609298 544407 64891 4462 85 4377 73941 73941 356980 40643 316337 303264 44195 259069 FOOD 145897 145897 MEDICINE 31013 31013 LICENSURE 4098 4047 51 20628353 15629973 4837627 160753 3999136 5377845 1860304 1706542 0 85000 118670 227591 8819755 3790013 3547645 5029742 4276 4276 663286 2396120 10193317 14827116 2147587 3704504 2505445 1916853 4653032 5621357 X 5538506 9204102 1779 1657 5540285 9205759 10193317 14827116 3665474 0 X X 0 1 X 1 0 X 842019 577324 602455 303546 50205 2375549 11556962 11960817 15260469 19589055 21465296 79832599 482745 432909 437256 178327 1019351 2550588 12881726 12971050 16300180 20070928 22534852 84758736 0 0 0 84758736 2238 689 171 1943 26141 31182 2238 689 171 1943 26141 31182 12883964 12971739 16300351 20072871 22560993 84789918 0.99960 0.99990 0.00040 0.00010 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1104108 1104108 5149088 2141848 3007240 160572 68676 91896 2106647 1455660 650987 299340 123829 175511 5029742 NET ASSETS OF THE COMMUNITY COUNSELING CENTER FOUNDATION 2281120 INVESTMENT IN BRIGHTEHR, LLC 115000 2396120 24293827 0 24293827 0 24293827 20628353 0 20628353 0 20628353 X X X 0 0 0 0 0 0 0 0 0 JOHN HUDAK EXECUTIVE DIRECTOR 191475 0 0 0 0 0 0 0 0 0 191475 0 0 0 REETA ROHATGI MEDICAL PROFESSIONAL 217812 0 0 0 0 0 0 0 0 0 217812 0 0 0 ROBERT MCCOOL MEDICAL PROFESSIONAL 217479 0 0 0 0 0 0 0 0 0 217479 0 0 0 KISHORE KHOT MEDICAL PROFESSIONAL 226514 0 0 0 0 0 0 0 0 0 226514 0 0 0 COURTNEY JOHNSON MEDICAL PROFESSIONAL 216092 0 0 0 0 0 0 0 0 0 216092 0 0 0 FRED GASKIN MEDICAL PROFESSIONAL 192024 0 0 0 0 0 0 0 0 0 192024 0 0 0 A INDUSTRIAL DEVELOPMENT AUTHORITY 431193901 999999999 2008-07-31 1560000 PURCHASE & REMODEL BUILDING & PURCHASE EQUIPMENT 0 0 0 A 402755 1560000 31200 1528800 2009 1 0 1 1 A 0 0 0 0 0 0 0 A 0 0 0 0 1 0 0 0 0 A 0 FORM 990, PART III, LINE 4D, OTHER PROGRAM SERVICES: TO PROVIDE VARIOUS PSYCHIATRIC AND COMMUNITY SERVICE PROJECTS. FORM 990, PART VI, SECTION B, LINE 11B THE RETURN WILL BE FURNISHED TO THE GOVERNING BODY FOR REVIEW BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C PERIODIC REVIEW AND ASSESSMENT BY THE INDEPENDENT BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 15 DETERMINED BY INDEPENDENT REVIEW AND EVALUATION BY THE BOARD OF DIRECTORS FORM 990, PART VI, SECTION C, LINE 19 THE DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 2C THERE HAS BEEN NO CHANGE IN EITHER THE OVERSIGHT PROCESS OR THE SELECTION PROCESS DURING THE TAX YEAR. COMMUNITY COUNSELING CENTER FOUNDATION 402 SOUTH SILVER SPRINGS ROAD CAPE GIRARDEAU MO 63703 431341480 TO SUPPORT COMMUNITY COUNSELING ACTIVITY MO 501(C)(3) LINE 12C, III-FI COMMUNITY COUNSELING CENTER 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 COMMUNITY COUNSELING CENTER FOUNDATION O FAIR MARKET VALUE