2016-02-16T04:28:14-00:00 2015-06-30 Laura J MacDonald CPA Inc 135 North Broadway Medina OH 44256 990 2014-07-01 341458441 Crossroads Lake County Adolescent CROS 4402551700 8445 Munson Road Mentor OH 44060 Judith Zupancic CFO 2016-02-16 true Laura J MacDonald CPA 3307221944 2016-02-16 2014 2016-08-17 19:52:53Z Michael Matoney CEO 8445 Munson Road Mentor OH 44060 7799179 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 and their families, including specialized treatment for chemically dependent adolescents. 23 23 134 144 0 3112693 2964122 3871401 4027123 1381083 225952 96191 138318 8461368 7355515 0 0 5333615 5416147 0 64697 1707965 1676324 7041580 7092471 1419788 263044 12860966 12859523 3269206 3121706 9591760 9737817 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 1716595 1624025 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, 2015, we provided CPST services to 1,244 clients. We estimate 1,372 clients will participate during our fiscal year ending June 30, 2016. 1371754 1460374 We provide BEHAVIORAL HEALTH COUNSELING 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, 2015 we provided counseling services to 1,220 clients. We estimate 1,162 clients will participate during our fiscal year ending June 30, 2016. 910884 43219 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 a broad 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, 2015 our prevention services reached approximately 8,100 individuals. We estimate 9,100 will participate during our 2016 fiscal year. 2530781 899505 6530014 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 28 0 true 134 true false false false false false true true false false false false X 23 23 false false false false false false false true true false false true true true true true true true false false X X Judith A Zupancic Chief Financial O 4402551700 8445 Munson Road Mentor OH 44060 Diannie Vogt Vice President 002.00 X X 0 0 0 Raymond Adams Secretary 002.00 X X 0 0 0 Harold Babbit Member 001.00 X 0 0 0 Richard Bain Member 001.00 X 0 0 0 Erica Acheson Member 001.00 X 0 0 0 John Berger Member 001.00 X 0 0 0 Edward Brown Member 001.00 X 0 0 0 Mike Crislip Member 001.00 X 0 0 0 Dr Maryellen Davis Member 001.00 X 0 0 0 Tim Gleason Member 001.00 X 0 0 0 Hans Goemans Member 001.00 X 0 0 0 Nancy Hanna Member 001.00 X 0 0 0 Stacey King Member 001.00 X 0 0 0 Ryan Miday Member 001.00 X 0 0 0 Nate Bell Member 001.00 X 0 0 0 Greg Perram Treasurer 002.00 X X 0 0 0 Kenneth Prabucki Member 001.00 X 0 0 0 Assunta Rossi Member 001.00 X 0 0 0 John Schindler Member 001.00 X 0 0 0 Steven Shaffer Member 001.00 X 0 0 0 Claire Delaney Member 001.00 X 0 0 0 Jim Uhl Member 001.00 X 0 0 0 Harold Abraham President 002.00 X X 0 0 0 Michael Matoney Chief Executive Officer 040.00 X X 0 114192 11679 Judith A Zupancic Chief Financial Officer 040.00 X 87712 0 1762 87712 114192 13441 1 false false false Krishna Devulapalli MD 7635 Settlers Court Mentor OH 44060 Contract Psychiatrist 149325 Melvin Chavinson MD 21169 Claythorne Road Shaker Hts OH 44122 Contract Psychiatrist 108075 2 24242 2920475 19405 2964122 Client fees and reimbursements 621300 535839 535839 Medicaid 621300 2356427 2356427 School counseling contracts 621300 463474 463474 ADAMHS board fee for service 621300 671383 671383 4027123 178567 178567 32500 32500 32500 32500 479789 432404 47385 47385 47385 34157 11260 22897 22897 Amortization of loan forgiveness 900099 36949 36949 45972 45972 82921 7355515 4142544 248849 0 0 0 0 146910 146910 0 4383115 4115552 219708 47855 75378 69808 4596 974 475983 428511 41433 6039 334761 301341 29282 4138 0 0 0 0 0 232929 226999 5930 0 182111 174783 6776 552 0 0 9593 8914 679 125800 124507 872 421 0 0 68829 68088 741 0 296634 285750 10884 32329 27778 4551 Utilities 70269 66727 3542 Supplies 148022 146180 1361 481 Cluster / Other Services 105610 105610 Repairs Maintenance 234499 227017 7482 169699 152449 13013 4237 7092471 6530014 497760 64697 852330 897867 197989 26992 571023 405792 9564 13774 28846 7403066 3978932 3635291 3424134 7520661 7936800 69898 129528 12860966 12859523 721964 763382 116201 48515 2431041 2309809 3269206 3121706 X 9591760 9737817 9591760 9737817 12860966 12859523 263044 -116987 X false true X true true true X 3103451 2399291 2843128 3112693 2964122 14422685 3103451 2399291 2843128 3112693 2964122 14422685 14422685 68210 147291 182937 155128 178567 732133 137628 102954 55060 96191 138318 530151 15684969 18285160 0.91950 0.93680 X 0.00000 0.00000 Part II Section B Line 10 OTHER INCOME OTHER REVENUE 2011 - 93,726 2012 - 86,885 2013 - 43,678 2014 - 51,885 2015 -82,921 TOTAL OTHER REVENUE 359,095. RENTAL INCOME 2014 - 17,575 2015 - 32,500 TOTAL RENTAL INCOME 50,075. SPECIAL EVENTS 2011 - 43,902 2012 - 16,069 2013 - 11,382 2014 - 26,731 2015 - 22,897 TOTAL SPECIAL EVENTS 120, 981. TOTAL 2011 - 137,628 2012 - 102,954 2013 - 55,060 2014 - 96,191 2015 - 138,318 TOTAL OTHER INCOME 530,151. 342100 342100 5755129 2763707 2991422 69041 60478 8563 1109848 1053533 56315 126948 101214 25734 3424134 Financial derivatives and other financial products Closely-held equity interests Federal income taxes X 7238528 -116987 -116987 7355515 7355515 7092471 7092471 7092471 X 2 FIN 48 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 Statements of Financial Position or the Statements 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 34157 34157 599 5384 3179 2098 34157 34157 599 5384 3179 2098 11260 22897 Form 990, Part I, Line 1 ORGANIZATIONS MISSION AND SIGNIFICANT ACTIVITIES 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. Form 990, Part III, Line 4a COMMUNITY PSYCHIATRIC SUPPORT SERVICES 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 ending June 30, 2015 we provided CPST services to 1,244 clients we estimate 1,372 clients will participate during our fiscal year ending June 30, 2016. Form 990, Part III, Line 4b COUNSELING SERVICES We provide Behavioral Health Counseling 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 ending June 30, 2015 we provided counseling services to 1220 clients we estimate 1162 clients will participate during our fiscal year ending June 30, 2016. Form 990, Part III, Line 4c PREVENTION SERVICES 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 - inluding substance use disorders - through our Prevention Services. We plan prevention programming on the basis of periodic community needs assessments, and provide a broad 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 environmental 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 ending June 30, 2015 our prevention services reached approximately 8100 individuals we estimate 9100 will participate during our fiscal year ending June 30, 2016. Form 990, Part III, Line 4d OTHER PROGRAM SERVICES PARTIAL HOSPITALIZATION PROGRAM Crossroads Partial Hospitalization Program PHP 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 PHPs 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 our fiscal year ending June 30, 2015, 68 clients participated in PHP we estimate that 72 will be served during our fiscal year ending June 30, 2016. 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 promote the development of school readiness in children from birth. Our federal EHS grant funds an enrollment of 60 families we served a total of 80 families during our fiscal year ending June 30, 2015 and project a similar number for our next fiscal 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. 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, stabilize 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 advance-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, 2015, 916 clients received Pharmacological Management Services. 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 individual, 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 focusing 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, 2015, 207 clients received Services for Substance Use Disorders we estimate that 263 will participate during our fiscal year ending June 30, 2016. HELP ME GROW Early Intervention provides family-centered services for infants and toddlers to age 3 with a developmental delay, disability, or medical condition likely to result in a delay or disability. Crossroads provides the Early Intervention and Central Coordination components of the Help Me Grow Program in Lake County. Services provided through the program include central intake referral identifying children ages 0-3 with, or at risk for, developmental delays or disabilites 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 and connecting children at age three with appropriate educational and supportive interventions. Our Help Me Grow program served approximately 301 children during our fiscal year ending June 30, 2015. Form 990, 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 by 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 false false false false false false false false false false false false false true true true true false false