2011-05-11T13:02:54-05:00 2010-06-30 KRONICK KALADA BERDY & CO PC 190 LATHROP ST KINGSTON PA 18704 990 2009-07-01 240795404 CHILDRENS SVC CTR OF WYOM VALLEY INC CHIL 5708256427 335 S FRANKLIN STREET WILKES BARRE PA 18702 MICHAEL HOPKINS 5708256427 2011-05-06 1 Anthony Caravaggio CPA 5702832727 2011-05-06 2009 2016-02-24 21:20:13Z MICHAEL HOPKINS 335 S FRANKLIN STREET WILKES BARRE PA 18702 20510248 0 X WWW.CSCWV.ORG X 1938 PA DIAGNOSTIC TREATMENT SERVICES - SEE ATTACHED FOOTNOTE 15 15 604 10 0 0 471469 113312 18042581 20396870 14043 66 0 18528093 20510248 0 0 16406345 15179887 0 0 3834168 3310491 20240513 18490378 -1712420 2019870 13241814 14970936 5381974 5071549 7859840 9899387 SEE FOOTNOTES STATEMENT 1 0 0 265766 346092 INTENSIVE CASE MANAGEMENT/RESOURCE COORDINATION: SPECIALLY TRAINED INDIVIDUALS COORDINATE PSYCHIATRIC, FINANCIAL, LEGAL AND MEDICAL SERVICES TO HELP THE INDIVIDUAL LIVE AT HOME. EXPENSE EXCLUDES 10,069 OF DONATED FACILTIES 1485060 1888519 PARTIAL HOSPITALIZATION - MORE INTENSIVE PHYCHIATRIC TRTMT. FOR CHILDREN AND ADOLESCENTS WITH SEVERE EMOTIONAL PROBLEMS EXPENSE EXCLUDES 52,119 OF DONATED FACIITIES 717405 1068116 OUTPATIENT TREATMENT, INDIVIDUAL & GROUP PSYCHOTHERAPY, FAMILY THERAPY AND CRISIS INTERVENTION. EXPENSE EXCLUDES 28,142 OF DONATED FACILITIES 878360 1094789 MENTAL HEALTH GROUP HOME - PROVIDES RESIDENCE FOR EMOTIONALLY DISTURBED CHILDREN AND ADOLESCENTS EXPENSE EXCLUDES 3,319 OF DONATED FACILITIES. 92816 8652 THERAPEUTIC HOST PROGRAM - A SURROGATE FAMILY (PROFESSIONAL PARENTS) PROVIDES A THERAPUTIC ENVIRONMENT AND WORKS WITH CSC'S THERAPIST IN TREATING EMOTIONALLY DISTURBED CHILDREN AND ADOLESCENTS IN A FAMILY HOME ENVIRONMENT. EXCLUDES $1,654 OF DONATED FACILITIES 157001 133014 COMMUNITY CRISIS PROGRAM RESPONSE TEAM - MENTAL HEALTH PROFESSIONALS RESPOND TO COMMUNITY DISASTERS SUCH AS A STUDENT SUICIDE, SCHOOL VIOLENCE, ACCIDENTAL DEATH OF A PEER OR TEACHER, NATURAL DISASTERS OR OTHER TRAUMATIC EVENTS AT THE REQUEST OF SCHOOL ADMINISTRATION OR COMMUNITY GROUPS. EXCLUDES DONATED FACILITIES OF $3,359. 81335 88884 RESOURCE COORDINATION - ASSISTS IN COORDINATING AND MONITORING SERVICES TARGETED TO CHILDREN AND ADOLESCENTS WITH MENTAL ILLNESS OR SERIOUS EMOTIONAL DISTURBANCE AND THEIR FAMILY IN ORDER TO MAINTAIN THEMSELVES IN THE LEAST RESTRICTIVE COMMUNITY SERVICE THAT WILL MEET THOSE NEEDS. EXCLUDES DONATED FACILITIES OF $1,924 2827164 3942036 SCHOOL BASED NEEDS - TREATMENT SERVICES FOR CHILDREN PROVIDED AT THE SCHOOL SITE. EXCUDES DONATED SERVICES OF $0. 2407277 4228662 AUTISM (PREVASIVE DEVELOPMENTAL DISORDER) - PROVIDES A THERAPEUTIC INTERVENTION CONSISTING OF OPERANT CONDITIONING AND BEHAVIORAL ANALYSIS FOR THIRTY FIVE HOURSE PER WEEK 572845 1699406 HOME BASED INTENSIVE FAMILY SERVICES - A TEAM OF SPECIALLY TRAINED STAFF GO INTO THE HOME AND DEVELOP A TREATMENT PROGRAM DESIGNED TO HELP A CHILD AND/OR FAMILY. EMPHASIS IS ON PREVENTING OUT OF HOME PLACEMENTS. EXCLUDES DONATED FACILITIES OF $8,287 805799 GENERAL OPERATING EXPENSES, EXCLUDES DONATED FACILITIES OF $7,135 164014 JOINT VENTURE 166390 154818 ADOPTIONS INTERNATIONAL AND DOMESTIC ADOPTION SERVICES INCLUDING BUT NOT LIMITED TO, FAMILY SUITABILITY STUDIES; HOME CERTIFICATION; FAMILY AND CHILD COUNSELING; CULTURAL EDUCATION AND ORIENTATION; PARENTING SKILLS AND INTRA-COUNTY SERVICES. 274929 266687 FUNCTIONAL FAMILY THERAPY (1) - FAMILY THERAPY DESIGNED FOR ADOLESCENTS PRESENTING A SPECTRUM OF BEHAVIORS THAT MAY REQUIRE MORE EXTENSIVE TREATMENT. EXCLUDES DONATED FACIITIES OF $0. 7388636 5477195 MISCELLANEOUS PROGRAM EXPENSES 15816566 17094143 18284797 1 1 0 0 0 0 0 0 0 1 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 19 0 604 1 0 0 0 0 0 0 0 15 15 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 1 0 PA X BUSINESS MANAGER 5708256425 335 SOUTH FRANKLIN ST WILKES BARRE PA 18702 MICHAEL BANK 0.00 X 0 0 0 SHERRI PATTERSON 0.00 X 0 0 0 STEPHEN BARROUK 0.00 X 0 0 0 MARY CASALE 0.00 X 0 0 0 GEORGE CUNNINGHAM 0.00 X 0 0 0 CHARLES KOEHL III 0.00 X 0 0 0 ANDREW MARKO 0.00 X 0 0 0 KERRY MCCARTHY-TURNER 0.00 X 0 0 0 DR JEFFREY NAMEY 0.00 X 0 0 0 PAUL SIEGEL 0.00 X 0 0 0 NANCY SYNDER ESQ 0.00 X 0 0 0 JONATHAN SPOHRER 0.00 X 0 0 0 MICHAEL HOPKINS 40.00 X 165000 0 14053 ROBERT BRAY 40.00 X 103030 0 8481 RHEA SIMMS 0.00 X 0 0 0 JOHN THALENFORD 0.00 X 0 0 0 JOHN THEROUX MD 40.00 X 282546 0 13987 MUHAMMAD KHAN MD 40.00 X 287406 0 13360 JENNIFER BRILLA 40.00 X 87299 0 10634 GEORGE SHOPLAND 40.00 X 93179 0 12288 837982 0 49881 4 0 1 0 JYOTI SHAH MD 354 STANLEY DRIVE KINGSTON PA 18704 CHILD PYSCHIATRIST 176962 1 113312 113312 MH-MR RTF 621400 4320387 4320387 AUTISM 621400 4228662 4228662 SCHOOL BASED NEEDS 621400 3942036 3942036 PARTIAL HOSPITALIZATIO 621400 1888519 1888519 HOME BASED FAMILY SVC 621400 1699406 1699406 4317860 4317860 20396870 66 66 20510248 20396870 0 66 290564 246979 43585 12182176 12157768 24408 231192 231192 1346331 1292214 54117 1129624 1125488 4136 39276 36562 2714 53070 47232 5838 68723 68653 70 217485 217277 208 97755 97664 91 25527 25326 201 152736 152177 559 640493 640193 300 PURCHASED PERSONNEL 322827 322827 WORKMAN'S COMP 286888 286122 766 FOOD 150975 150975 INSURANCE 141417 141189 228 TELEPHONE 135431 134905 526 977888 910054 67834 18490378 18284797 205581 0 1907061 2446857 1808817 3250284 174372 363310 13446242 4941159 8965839 8505083 44491 44491 341234 360911 13241814 14970936 1363545 1297553 85628 27826 3932801 3746170 5381974 5071549 X 7518606 9538476 341234 360911 7859840 9899387 13241814 14970936 X 0 1 1 X 0 X 375578 438146 552500 471469 113312 1951005 17846482 19381512 20245048 18042581 20396870 95912493 18222060 19819658 20797548 18514050 20510182 97863498 0 0 0 97863498 107208 99535 75934 14043 66 296786 107208 99535 75934 14043 66 296786 18329268 19919193 20873482 18528093 20510248 98160284 0.99700 0.99620 0.00300 0.00380 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 9245491 1879076 7366415 1877192 1244514 632678 2078998 1624351 454647 244561 193218 51343 8505083 20510248 18490378 2019870 19677 19677 2039547 20650764 140516 140516 20510248 0 20510248 18630894 140516 140516 18490378 0 18490378 Part XI, Line 8 - Other Adjustments: CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUST: 19677. 0 0 0 0 0 0 0 0 0 MICHAEL HOPKINS 165000 0 0 0 0 0 4950 0 9103 0 179053 0 0 0 JOHN THEROUX MD 282546 0 0 0 0 0 7330 0 6657 0 296533 0 0 0 MUHAMMAD KHAN MD 287406 0 0 0 0 0 6427 0 6933 0 300766 0 0 0 Form 990, Part VI, Section B, line 11 FORM 990 REVIEWED AT BOARD OF DIRECTOR MEETING. Form 990, Part VI, Section C, line 19 NOT AVAILABLE FORM 990, PAGE 2, PART III STATEMENT OF ORGANIZATION'S MISSION CHILDREN'S SERVICE CENTER OF WYOMINH VALLEY, INC. PROVIDES DIAGNOSTIC SERVICES TO CHILDREN WITH EMOTIONAL, BEHAVIORAL OR INTELLECTUAL DISORDERS AND FOSTERS THE WELFARE OF THE CHILD AND THEIR FAMILY IN ANY APPROPRIATE MANNER, PROVIDES CONSULATION SERVICES TO AGENCIES IN THE COMMUNITY WHICH PROVID SERVICES TO CHILDREN, FURTHERS THE WELAFARE OF THE CHILDREN BY MAINTAINING AN INTEREST IN THE COMMUNITY-WIDE PROGRAM FOR DOMESTIC CARE AND EDUCATION, PROVIDES EDUCATIONAL SERVICES IN THE FIELD OF MENTAL HEALTH TO SECULAR AND PROFESSIONAL GROUPS, AND PURSUES RESEARCH IN THE AREA OF CLINICAL STUDY OF CHILDREN FOR RESIDENTS OF WILKES BARRE, PA AND THE SURROUNDING COMMUNITIES. FORM 4562 BONUS DEPRECIATION CHILDREN'S SERVICE CENTER OF WYOMING VALLEY, INC. HEREBY ELECTS, PURSUANT TO IRC SEC 168 (F)(1)TO EXCLUDE TO FOLLOWING PROPERTY PLACED IN SERVICE FOR THE TAX YEAR JULY 1, 2009 TO JUNE 30, 2010 FROM THE PROVISIONS OF IRC. SEC. 168 AND INSTEAD DEPRECIATE PROPERTY PLACED IN SERVICE FOR THIS PERIOD BY THE METHODS DESCRIBED BELOW. DESCRIPTION OF PROPERTY: MACHINERY & EQUIPMENT DEPRECIATION METHOD: STRAIGHT LINE DEPRECIATION LIFE: FIVE YEAR DEPRECIABLE BASIS: 129,936 DESCRIPTION OF PROPERTY: REMODELING DEPRECIATION METHOD: STRAIGHT LINE DEPRECIATION LIFE: TEN YEARS DEPRECIABLE BASIS: 47,260 CHILDRENS HOME OF WILKES-BARRE 700 SCOTT STREET WILKESBARRE PA 18703 246016763 PROVIDES SUPPORT TO CSC PA 501(C)(3) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0