Community Counseling Center

Nonprofit profile at a glance

EIN
431344414
IRS 990 coverage
2009–2024
Official website data refreshed
Sep 2026
Forms available
Form 990 2024
Location
Cape Girardeau, MO, US
Phone
(573) 334-1100
Rating
80
Verdict
STRONG
Rating confidence
Standard
Sector
Community Mental Health Center

Official website

Reported finances

Revenue
$41,559,536
Expenses
$38,671,340
Assets
$29,053,178
Liabilities
$6,394,349

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

22 people listed

Executive titles in this filing

  • DR JANICE WARD (PRESIDENT)
  • DR TONY FABER (VICE PRESIDENT)
  • WENDY ICE (CEO)

Highest reported compensation

  • DR KISHORE KHOT (MEDICAL PROFESSIONAL): $333,446 total reported compensation
  • WENDY ICE (CEO): $243,803 total reported compensation
  • DR RODERICK CRIST (MEDICAL PROFESSIONAL): $231,875 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

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 in Missouri.

What it reported doing in 2024

Cottonwood residential treatment center is a sixteen bed comprehensive trenty four hour a day, seven days a week treatment regimen for male and femal youths who are unable to live at home with parents or guardians due to severe chronic mental illness. Youths are assigned to the center by mental health professionals adn may remain on site for extended periods of time depending on treatment results. While in treatment, the residents are enrolled in the local schools and taught by Missouri verified 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 departrment of mental health, mo health net, and local medicare match funding.

Operating model

Revenue model
Earned-program. 95% of the money available for current operations came from fees and other program revenue.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.

The verdict

STRONG - A large share of available resources goes toward mission work and the filed numbers largely add up. Fundraising costs are high for each dollar raised and total assets are small relative to annual expenses; liquid coverage is unknown.

Rating breakdown

  • Financial Efficiency: 67
  • Transparency & Controls: 85
  • Accountability: 100
  • Sustainability: 49
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 69.1%; rating input score 69
  • Program expense ratio: 74.5%; rating input score 74
  • Fundraising efficiency: $9.2 raised per $1 spent on fundraising; rating input score 36; 36th percentile among comparable filings

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 62nd percentile among comparable filings
  • Pay-setting controls: 3 of 6 controls in place; rating input score 50
    • Compensation committee: Pass
    • Independent consultant: Missing
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Pass
    • Board or committee approval: Pass
  • Foreign activity oversight: Limited
  • Grant itemization coverage: Limited
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Yes; rating input score 100

Accountability

  • Independent voting board: 100%; rating input score 100; 66th percentile among comparable filings
  • Governance controls: 9 of 9 controls in place; rating input score 100
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: Pass
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: 6.9%; rating input score 60; 60th percentile among comparable filings
  • Total-asset coverage ratio: 0.75; rating input score 27; 27th percentile among comparable filings
  • Liabilities to assets ratio: 0.22; rating input score 56; 56th percentile among comparable filings
  • Officer compensation ratio: 4.9%; rating input score 51; 51st percentile among comparable filings

Growth

  • Program expense growth: 9.2% per year; rating input score 100; 67th percentile among comparable filings
  • Revenue growth: 9.2% per year; rating input score 100; 71st percentile among comparable filings
  • Asset growth: 11.7% per year; rating input score 100; 71st percentile among comparable filings

Details

  • What they do: 6 programs and campaigns described on the official site · 5 operating locations identified
  • Where the money goes: 69.1% of revenue deployed · 74.5% of spending went to programs
  • Governance: 12 of 12 board members independent · 9 of 9 filing controls reported
  • Programs: 4 filed program accomplishments · $28.8M in reported program spending
  • Leadership: top reported pay $333K · 22 people listed · 3 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $4.6M reported
  • Consistency: 32 of 32 current checks pass
  • Schedules: 7 filed schedules · includes major donors, executive pay, and related organizations
  • Filing history: 15 filing years from 2009 to 2024
  • Contacts: How to reach this organization
  • Money network: 10 filed money-flow records
  • Related organizations: 1 filed related-organization link
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.
  • Staff and benefit plans: Retirement and health plans the organization files with the Department of Labor, and the people in them.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • Moderate — Financial Efficiency: Fundraising efficiency scored 36/100.
  • High — Sustainability: Total-asset coverage ratio scored 27/100.
  • Review — Sustainability: Officer compensation ratio scored 51/100.
  • Review — Sustainability: Liabilities to assets ratio scored 56/100.