The Centers

What it reported doing in 2024

Integrated Health CareThrough its integrated health model, The Centers provided behavioral health treatment and access to primary health care to low-income patients. The range of services includes psychiatry, pharmacy counseling, case management, and alcohol and other drug services. Extended support services include programming that emphasizes nutrition, fitness, and social recreation. The Centers and Circle Health Services provide services in locations across Cuyahoga County offering daytime, evening and same-day appointments for primary care and mental health services. Our staff also frequently provides services in community locations and in client homes. Our clients are active participants in their treatment and care coordination plans. Circle Health and The Centers have come together to have a more positive impact on the Northeast Ohio community. Together, we provide a broad scope of essential services, including:- Primary care- Dental care- Behavioral health- Pharmacy services and medication management- Addiction and substance abuse treatment- HIV/AIDs prevention and support services- Trauma recovery services- Comprehensive wellness including nutrition education and access to healthy foodMental Health CareEveryone's brain is different and mental health challenges are common. In fact, one out of five people over the age of 18 has been diagnosed with a mental illness including anxiety, depression, Post Traumatic Stress Disorder, and schizophrenia. The Centers offers:- Counseling - Psychiatry - Case ManagementPrimary CareCircle's primary care program introduces our clients to our team of doctors and nurse practitioners. At an initial appointment, a client's height, weight, temperature, blood pressure, and heartbeat are checked. A doctor or nurse practitioner will talk with the patient about health history and current habits.Addiction and Substance Abuse Counseling and CareAddiction is on the rise in our community and intervention is key to recovery. The Center' drug and alcohol counselors conduct one-on-one assessments with clients to determine the degree of potential substance abuse and then work with the client, family members, or a close friend on a recovery plan which can include individual counseling and group therapy. PharmacyClients can receive and pick up a prescription at one of our five community pharmacies. If it's determined that it would be helpful to visit a client at home to help them with medication compliance, our pharmacists make home visits. Our home visit program is the first of its kind and is showing impactful results.

Financial Efficiency

• Mission deployment rate: 89.9%; rating input score 90
• Program expense ratio: 87%; rating input score 87
• Fundraising efficiency: $45.46 raised per $1 spent on fundraising; rating input score 74; 74th percentile among comparable filings

Transparency & Controls

• Consistency checks: 93.8%; rating input score 94; 17th 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: 8 of 9 controls in place; rating input score 89
  • 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: Fail
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: -3.2%; rating input score 20; 20th percentile among comparable filings
• Total-asset coverage ratio: 1.76; rating input score 57; 57th percentile among comparable filings
• Liabilities to assets ratio: 0.36; rating input score 40; 40th percentile among comparable filings
• Officer compensation ratio: 2.9%; rating input score 69; 69th percentile among comparable filings

Growth

• Program expense growth: -4% per year; rating input score 0; 4th percentile among comparable filings
• Revenue growth: -0.4% per year; rating input score 0; 7th percentile among comparable filings
• Asset growth: 0.1% per year; rating input score 100; 11th percentile among comparable filings