2014-11-14T13:21:29-06:00 2013-12-31 341523030 BOBER MARKEY FEDOROVICH & COMPANY 3421 RIDGEWOOD ROAD SUITE 300 AKRON OH 44333 990 2013-01-01 341171699 COMMUNITY DRUG BOARD INC DBA COMMUNITY HEALTH CENTER COMM 3303153708 725 EAST MARKET ST AKRON OH 44305 PAMELA CRISLIP CHIEF FINANCIAL OFFICER 3303153708 2014-11-13 1 DALE RUTHER P00403039 3307629785 2013 2015-11-30 17:44:51Z PAMELA CRISLIP 725 EAST MARKET ST AKRON OH 44305 11652484 0 X WWW.COMMHEALTHCENTER.ORG X 1974 OH COMMUNITY HEALTH CENTER IS COMMITTED TO ENHANCING THE QUALITY OF LIFE. WE ARE A LEADER IN PROVIDING EFFECTIVE SERVICES FOR COMPULSIVE AND ADDICTIVE DISORDERS, HEALTH CARE LIFE SKILLS DEVELOPMENT, PREVENTION HOUSING, WELLNESS AND REHABILITATION. 16 16 189 30 0 -108472 4797894 4932678 5334035 6308447 0 0 268249 200494 10400178 11441619 0 0 0 0 7103062 7837355 0 0 0 3249456 3423770 10352518 11261125 47660 180494 8765620 8797820 2856955 2708661 5908665 6089159 COMMUNITY HEALTH CENTER IS COMMITTED TO ENHANCING THE QUALITY OF LIFE. WE ARE A LEADER IN PROVIDING EFFECTIVE SERVICES FOR COMPULSIVE AND ADDICTIVE DISORDERS, HEALTH CARE LIFE SKILLS DEVELOPMENT, PREVENTION HOUSING, WELLNESS AND REHABILITATION. 0 0 10041289 6308447 AIDING CHEMICALLY DEPENDENT INDIVIDUALS THROUGH COUNSELING, PROGRAMMED MEDICAL AID AND EDUCATION WITH THE INTENDED OUTCOME OF RELIEVING SUCH INDIVIDUALS OF THEIR CHEMICAL DEPENDENCY. 6,877 INDIVIDUALS RECEIVED SERVICES IN 2013. 10041289 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 1 17 0 1 189 1 1 1 0 0 0 0 0 0 0 0 0 X 16 16 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 1 1 1 0 OH X PAMELA CRISLIP 3303153708 725 EAST MARKET STREET AKRON OH 44305 MARSHAL PITCHFORD SECRETARY 1.00 X X 0 0 0 DREW ALEXANDER DIRECTOR 1.00 X 0 0 0 MARY BEDNAR DIRECTOR 1.00 X 0 0 0 ADAM FELTES TREASURER 1.00 X X 0 0 0 DOUG MORY PRESIDENT 1.00 X X 0 0 0 JANET D'ANTONIO VICE PRESIDENT 1.00 X X 0 0 0 MICHAEL CALLAHAN DIRECTOR 1.00 X 0 0 0 THERESA CARTER DIRECTOR 1.00 X 0 0 0 JANE CIZMAR DIRECTOR 1.00 X 0 0 0 MIKE FREEMAN DIRECTOR 1.00 X 0 0 0 WILLIAM LAYMON DIRECTOR 1.00 X 0 0 0 JOHN LEPTO DIRECTOR 1.00 X 0 0 0 ARTINA MCELROY DIRECTOR 1.00 X 0 0 0 ROBERT PAPA DIRECTOR 1.00 X 0 0 0 MICHAEL ROBINSON DIRECTOR 1.00 X 0 0 0 JULIA SIGEL DIRECTOR 1.00 X 0 0 0 ROBERT STOKES BEG 7113 CHIEF EXECUTIVE OFFICER 40.00 5.00 X 78934 0 0 PAMELA CRISLIP CHIEF FINANCIAL OFFICER 40.00 X 83451 0 17930 JANET WAGNER CHIEF OPERATING OFFICER 40.00 X 88715 0 9162 THEODORE ZIEGLER ENDING 62813 CHIEF EXECUTIVE OFFICER 40.00 5.00 X 144946 0 16547 DR BUD QUINTANA DIRECTOR OF LASER TREATMENT & OFFICE-BASED SURGERY 40.00 X 176708 0 0 572754 0 43639 2 0 1 0 SUMMACARE INC 10 N MAIN STREET AKRON OH 44308 HEALTH INSURANCE 809373 COMMUNITY HEALTH CENTER FOUNDATION 838 COBURN STREET AKRON OH 44311 RENT 363983 FIRST INSURANCE FUNDING CORP PO BOX 66468 CHICAGO IL 60666 PROFESSIONAL/GENERAL LIABILITY INSURANCE 210276 JANIKING OF CLEVELAND 9075 TOWN CENTRE DR 200 BROADVIEW HTS OH 44147 CLEANING SERVICES 118683 US FOODS 8000 BAVARIA RD TWINSBURG OH 44087 FOOD SERVICES 108455 5 4473203 459475 4932678 MEDICARE/MEDICAID 900099 4078896 4078896 CLIENT FEES/INSURANCE 524298 1670842 1670842 CHILD CARE REVENUE 624410 347295 347295 EAP PROGRAM 900099 211414 211414 6308447 293709 210865 82844 82844 82844 OTHER INCOME 900099 76399 76399 BWC REFUND 900099 41251 41251 117650 11441619 6508941 0 0 616392 550073 66319 5858178 5227882 630296 929732 829700 100032 433053 386460 46593 15142 672 14470 38752 1720 37032 61920 42930 18990 104154 92663 11491 1129745 1049566 80179 65747 58739 7008 92541 86257 6284 227243 211811 15432 285421 253933 31488 PROGRAM COSTS 997154 945351 51803 STAFF DEVELOPMENT 370291 271674 98617 OTHER EXPENSES 35660 31858 3802 11261125 10041289 1219836 0 1618768 1020796 2264615 2897668 306643 326500 153163 189455 7235849 2932725 4377518 4303124 43913 59277 1000 1000 8765620 8797820 865170 849384 51988 37833 1939797 1821444 2856955 2708661 X 5215580 5445943 693085 643216 5908665 6089159 8765620 8797820 180494 0 X 0 1 X 1 1 1 X 5260370 5276585 5048754 4797894 4932678 25316281 5260370 5276585 5048754 4797894 4932678 25316281 25316281 272995 229152 277870 329033 293709 1402759 615 615 192840 160996 339304 96051 117650 906841 27626496 0.91640 0.91910 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 586649 586649 5033720 1648582 3385138 341602 188361 153241 821270 734357 86913 452608 361425 91183 4303124 X 11703413 50929 210865 261794 11441619 0 11441619 11522919 50929 210865 261794 11261125 0 11261125 PART X, LINE 2: CHC IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. 2799 COPLEY LLC HAS BEEN FORMED AS A LIMITED LIABILITY COMPANY. UNDER THOSE PROVISIONS, 2799 COPLEY LLC DOES NOT PAY INCOME TAXES ON ITS TAXABLE INCOME. INSTEAD, CHC, AS THE SOLE MEMBER, IS LIABLE FOR THE FEDERAL TAXES ON THE TAXABLE INCOME. UNDER THE INCOME TAXES TOPIC OF THE FASB ASC, THE ORGANIZATION IS REQUIRED TO IDENTIFY UNCERTAIN TAX POSITIONS TAKEN, ASSESS AND QUANTIFY THOSE POSITIONS AND RECORD RESERVES. AS OF AND FOR THE YEARS ENDED DECEMBER 31, 2013 AND 2012, THE ORGANIZATION HAS IDENTIFIED NO UNCERTAIN TAX POSITIONS. PART XI, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES X 0 0 0 0 0 0 0 0 0 THEODORE ZIEGLER ENDING 62813 CHIEF EXECUTIVE OFFICER 122950 0 21996 0 0 0 0 0 16547 0 161493 0 0 0 DR BUD QUINTANA DIRECTOR OF LASER TREATMENT & OFFICE 176708 0 0 0 0 0 0 0 0 0 176708 0 0 0 OHIO MULTI-COUNTY DEVELOPMENT CORPORATION (OMCDC) ROBERT STOKES IS THE PRESIDENT & PAMELA CRISLIP IS THE CFO OF OMCDC. 49060 RENTAL OF FACILITIES 0 OHIO MULTI-COUNTY DEVELOPMENT CORPORATION (OMCDC) ROBERT STOKES IS THE PRESIDENT & PAMELA CRISLIP IS THE CFO OF OMCDC. 163516 LEASED EMPLOYEES 0 FORM 990, PART VI, SECTION B, LINE 11 THE 990 WILL BE REVIEWED BY THE OFFICERS OF THE ORGANIZATION PRIOR TO FILING THE 990 AND THE FINANCE COMMITTEE WILL REVIEW AFTER THE FILING OF THE 990 AT THE NEXT FINANCE MEETING, AS THE MEETING OCCURS AFTER THE FILING DUE DATE OF THE 990. FORM 990, PART VI, SECTION B, LINE 12C THE CHIEF EXECUTIVE OFFICER IS RESPONSIBLE FOR PROVIDING POLICY INFORMATION TO THE BOARD OF DIRECTORS AND FOR ASSISTING IN CLARIFYING THIS POLICY WHENEVER NECESSARY. MOREOVER, POTENTIAL VIOLATIONS SHOULD BE BROUGHT TO THE EXECUTIVE COMMITTEE OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 15 A COMMITTEE TO THE BOARD DEVELOPS AND REVIEWS WITH THE CHIEF EXECUTIVE OFFICER HIS ANNUAL GOALS AND OBJECTIVES AND MAKES HIS SALARY RECOMMENDATIONS TO THE BOARD. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES DOCUMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. 2799 COPLEY LLC 2799 COPLEY ROAD COPLEY OH 44321 341945601 RENTAL OH 3159 645992 OHIO MULTI-COUNTY DEVELOPMENT CORPORATION 725 EAST MARKET STREET AKRON OH 44305 030461881 PROVIDE HOUSING TO LOW AND MODERATE INCOME PERSONS OH 501(C)(3) LINE 7 0 COMMUNITY HEALTH CENTER FOUNDATION 838 COBURN STREET AKRON OH 44311 341500445 PROVIDE TREATMENT AND EDUCATION RELATED TO DRUG DEPENDENCY OH 501(C)(3) LINE 11A, I 0 PRISM HEALTH LLC 75 EAST MARKET STREET AKRON OH 44308 273120098 SUPPORTING ORGANIZATION TO COMMUNITY HEALTH CENTER OH 501(C)(3) 509(A)(2) 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 COMMUNITY HEALTH CENTER FOUNDATION K 363983 FMV PRISM HEALTH LLC B 50000 FMV OHIO MULTI-COUNTY DEVELOPMENT CORPORATION J 49060 FMV