2020-02-19T19:00:21-06:00 2019-06-30 930743240 HOFFMAN STEWART & SCHMIDT PC 3 CENTERPOINTE DRIVE SUITE 300 LAKE OSWEGO OR 970358663 990 2018-07-01 910598130 COLUMBIA WELLNESS COLU 3605770249 921 14TH AVENUE LONGVIEW WA 98632 DAVID MCCLAY CEO 3605770249 2020-02-05 1 ROBERT M PRILL P00236613 5032205900 74.95.39.225 2020-02-05 08:28:22 PS P 95D5054A00A45A836EB4D2778BC8CF1E5F41815C 3490557827B2F11B3E9022A25F961428F54FEF16 2018 2020-09-23 17:36:50Z DAVID MCCLAY 921 14TH AVENUE LONGVIEW WA 98632 21053944 0 X COLUMBIAWELL.ORG X 1953 WA PROVIDE BASIC&SPECIALIZED MENTAL HEALTH SERVICES TO RESIDENTS OF COWLITZ&GRAYS HARBOR COUNTIES. 13 13 299 18 0 0 776951 1868328 16938732 19106398 -12095 405 262680 78813 17966268 21053944 0 0 0 0 12244435 15715177 0 0 0 3746255 4279952 15990690 19995129 1975578 1058815 12864698 13725330 5305907 5107724 7558791 8617606 X CARE. COMMITMENT TO IMPROVING QUALITY OF LIFE. ADVOCACY FOR OVERALL HEALTH. RESPONSE TO COMMUNITY NEEDS. EFFECTIVE TREATMENT WITH MEASURABLE OUTCOMES. 0 0 14197792 14481119 COMMUNITY SUPPORT SERVICES - SERVICES PROVIDED TO CLIENTS IN THE OUTPATIENT, GROUP, AND RESIDENTIAL SETTINGS IN COWLITZ AND GRAYS HARBOR COUNTIES. MOST OF THE STAFF HAVE ADVANCED DEGREES AND SPECIAL TRAINING, IN ORDER TO MEET THE COMMUNITY'S MENTAL HEALTH CARE NEEDS. 1611127 1643278 CRISIS SERVICES - AN INTEGRATED RESPONSE SYSTEM 24 HOURS-A-DAY, 7 DAYS-A-WEEK, SERVICING PEOPLE OF ALL AGES AND CULTURES WHO ARE EXPERIENCING A CRISIS IN COWLITZ COUNTY. 2448850 2497719 GRAYS HARBOR CRISIS RESPONSE SERVICES - AN INTEGRATED RESPONSE SYSTEM 24 HOURS-A-DAY, 7 DAYS-A-WEEK, SERVICING PEOPLE OF ALL AGES AND CULTURES WHO ARE EXPERIENCING A CRISIS IN GRAYS HARBOR COUNTY. 227766 232311 COWLITZ COUNTY BEHAVIORAL HEALTH TAX (COWLITZ COUNTY-BHT) - SERVICES PROVIDED TO CLIENTS IN JAIL/JUVENILE FACILITIES AND OUTPATIENT THERAPY FOR STUDENTS IN HEAD START AT LOWER COLUMBIA COLLEGE. 247041 251971 NON-BHO/REDUCED FEE SERVICES -NON-SWBH/REDUCED FEE SERVICES PROVIDE MENTAL HEALTH SERVIES ON A SLIDING FEE SCHEDULE, BASED ON ABILITY TO PAY. 474807 484282 18732576 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 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 0 0 0 0 1 47 0 1 299 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X DAVID MCCLAY 3603539363 921 14TH AVENUE LONGVIEW WA 98632 SUSIE BARKER BOARD MEMBER 1.00 X 0 0 0 CINDY BRADO TREASURER & SECRETARY 1.00 X X 0 0 0 STEVE DAVIS BOARD MEMBER 1.00 X 0 0 0 TRAVIS DAVIS BOARD MEMBER 1.00 X 0 0 0 JILL DIEHL BOARD MEMBER 1.00 X 0 0 0 DOUG FIELDS VICE PRESIDENT 1.00 X X 0 0 0 RON MARSHALL BOARD MEMBER 1.00 X 0 0 0 SCOTT NEVES BOARD MEMBER 1.00 X 0 0 0 JAKE OJA PRESIDENT 1.00 X X 0 0 0 RONALD REDMOND BOARD MEMBER 1.00 X 0 0 0 JOLEEN REECE BOARD MEMBER 1.00 X 0 0 0 KELLI SWEET BOARD MEMBER 1.00 X 0 0 0 DARREN ULLMAN BOARD MEMBER 1.00 X 0 0 0 SARA PAUL BOARD MEMBER 1.00 X 0 0 0 GROVER LASEKE BOARD PRESIDENT 1.00 X 0 0 0 STACIE CROCHET BOARD MEMBER 1.00 X 0 0 0 SUZANNE BOURSAW BOARD MEMBER 1.00 X 0 0 0 DAN ZORN BOARD MEMBER 1.00 X 0 0 0 DAVID MCCLAY CEO 40.00 X 132580 0 25225 CESAR RAFANO CMO 40.00 X 392649 0 32613 DEBRA PERKO CCO 40.00 X 96976 0 18521 CHRISTINA SLUNAKER COO 40.00 X 102341 0 27866 DALE HUDSON CFO 40.00 X 96325 0 17931 820871 0 122156 3 0 1 0 JH KELLY LLC PO BOX 2038 LONGVIEW WA 98632 CONSTRUCTION SERVICES 2474254 GREAT AMERICA FINANCIAL SERVICES PO BOX 660831 DALLAS TX 75266 OFFICE SERVICES 460515 FENISON GENERAL CONTRACTING 172 TARA LANE VADER WA 98593 CONSTRUCTION SERVICES 115718 3 1854376 13952 1868328 PATIENT SERVICES 621610 17296793 17296793 PREMIUM AND INCENTIVE 621610 1809605 1809605 19106398 405 405 49029 0 49029 49029 49029 MISCELLANEOUS 900099 29784 29784 29784 21053944 19106398 0 79218 939124 878944 60180 10256986 9601957 655029 384362 356090 28272 3083486 2899759 183727 1051219 984054 67165 512157 456178 55979 210626 195768 14858 732850 698701 34149 426982 404215 22767 651367 634816 16551 130124 113344 16780 192273 184201 8072 393978 390065 3913 129432 122666 6766 BAD DEBT PROVISION 588375 588375 MISCELLANEOUS 121457 49262 72195 LICENSING, DUES AND FEE 108136 94892 13244 REPAIRS AND VEHICLE EXP 82195 79289 2906 19995129 18732576 1262553 0 3417047 1142231 203041 203560 1990423 2549013 23287 35523 11299575 1721109 6904485 9578466 244574 191212 81841 25325 12864698 13725330 1346982 1218464 3877084 3863935 81841 25325 5305907 5107724 X 7166316 8614299 392475 3307 7558791 8617606 12864698 13725330 1058815 0 X X 0 1 X 1 0 X 178946 321350 430919 776951 1868328 3576494 8002327 11578146 13437300 16938732 19106398 69062903 8181273 11899496 13868219 17715683 20974726 72639397 0 0 0 72639397 40047 45468 58706 62944 49434 256599 40047 45468 58706 62944 49434 256599 61795 38548 33894 200472 29783 364492 8283115 11983512 13960819 17979099 21053943 73260488 0.99150 0.98940 0.00350 0.00410 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 648398 648398 9790992 1241649 8549343 19036 5131 13905 677276 375769 301507 163873 98560 65313 9578466 CUSTODIAN LIABILITIES 25325 25325 X 20465569 0 20465569 588375 588375 21053944 19406754 0 19406754 588375 588375 19995129 PART X, LINE 2: MANAGEMENT DOES NOT BELIEVE THE ASSOCIATION HAS ANY UNCERTAIN TAX POSITIONS. THE ASSOCIATION FILES INFORMATIONAL RETURNS WITH THE INTERNAL REVENUE SERVICE (IRS). GENERALLY, THESE RETURNS ARE SUBJECT TO EXAMINATION BY THE IRS FOR THREE YEARS FROM THE FILING OF THE RETURN. THE ASSOCIATION HAS NOT PAID ANY INTEREST OR PENALTIES RELATED TO ITS INCOME TAX POSITIONS, AND THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. INTEREST OR PENALTIES ASSESSED BY TAXING AUTHORITIES, IF ANY, WOULD BE INCLUDED WITH MANAGEMENT AND GENERAL EXPENSES. PART XI, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBT 588,375. PART XII, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBT 588,375. X X X 0 0 0 0 0 0 0 0 0 DAVID MCCLAY CEO 132580 0 0 0 0 0 15663 0 9562 0 157805 0 0 0 CESAR RAFANO CMO 373699 0 0 0 18950 0 22800 0 9813 0 425262 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE FINANCE COMMITTEE REVIEWS THE FORM 990, ONCE IT HAS BEEN REVIEWED THE FINANCE COMMITTEE RECOMMENDS THE APPROVAL BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD MEMBERS SIGN CONFLICT OF INTEREST STATEMENTS ANNUALLY. EACH CONFLICT OF INTEREST IS REVIEWED BY THE BOARD AND THE VOTE IS TAKEN WITH THE CONFLICTING MEMBER RECUSING THEIR VOTE. FORM 990, PART VI, SECTION B, LINE 15 THE CEO'S COMPENSATION IS DETERMINED BY THE BOARD AFTER CONDUCTING EVALUATIONS AND CONSIDERING MARKET INFORMATION AND BUDGET CONSTRAINTS. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR.