KLAMATH CHILD AND FAMILY TREATMENT CENTER: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- KLAMATH CHILD AND FAMILY TREATMENT CENTER (EIN 93-0753926)
- Tax period
- 2016-07-01 to 2017-06-30
- Filed
- 2018-02-21
- IRS object ID
- 201840529349301119
- Schema version
- 2016v3.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-02-21T13:33:43-08:00 | ReturnTs |
| Tax Period End | 2017-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 930718861 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WICKS EMMETT LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 358 NE WINCHESTER ST - PO BOX 2350 | AddressLine1Txt |
| City | ROSEBURG | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 974703327 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 930753926 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KLAMATH CHILD & FAMILY TREATMENT | BusinessNameLine1Txt |
| Business Name Line2 | CENTER | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | KLAM | BusinessNameControlTxt |
| Phone | 5418831030 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2210 ELDORADO AVENUE | AddressLine1Txt |
| City | KLAMATH FALLS | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97601 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | STAN GILBERT | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 5418831030 | PhoneNum |
| Signature | 2017-10-31 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | BRIAN F MENEFEE CPA | PreparerPersonNm |
| PTIN | P00056576 | PTIN |
| Phone | 5416734423 | PhoneNum |
| Preparation | 2018-02-08 | PreparationDt |
Filing Security Information FilingSecurityInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| At Submission Creation Device Id | 5FACE2DE7EB8F008C13AE1023523E4C8388316D4 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 25D37857223D53B1BDA5069465BC1C5DD8360517 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KLAMATH BASIN BEHAVIORIAL HEALTH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | BOB JACKMAN MD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3924 PINE GROVE ROAD | AddressLine1Txt |
| City | KLAMATH | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97603 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $17,747,584 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | KBBH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1978 | FormationYr |
| Legal Domicile State | OR | LegalDomicileStateCd |
| Activity Or Mission | OUR VALUES AND MISSION OUR PROMISE: TO IMPROVE THE QUALITY OF OUR CONSUMERS LIVES OUR MISSION: WE ARE EFFICIENT STEWARDS OF OUR RESOURCES; WE MAINTAIN A HEALTHY AND PLEASANT WORK ENVIRONMENT; WE KEEP OUR COMMITMENTS AND WE ARE ACCOUNTABLE TO OUR STAKEHOLDERS; OUR PROGRAMS ARE TOP QUALITY, EVIDENCE BASED, INNOVATIVE, AND PROGRESSIVE; SERVICES WHICH ARE CONSUMER ORIENTED AND DRIVEN; WE STRIVE TO MAKE VALUES BASED DECISIONS AND ACTIONS, NOT RULES BASED; WE SAY YES. WE ACHIEVE OUR MISSION THROUGH: DATA DRIVEN DECISIONS; COLLABORATION WITH EACH OTHER AND OUR COMMUNITY PARTNERS; OUR STAFF ROLE MODEL INTEGRITY, FLEXIBILITY, RESPECT, AND RESPONSIBILITY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 209 | TotalEmployeeCnt |
| Total Volunteers | 15 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| CY Contributions Grants | $760,285 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $10,809,403 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $15,868,420 | CYProgramServiceRevenueAmt |
| PY Investment Income | $63,272 | PYInvestmentIncomeAmt |
| CY Investment Income | $198,916 | CYInvestmentIncomeAmt |
| PY Other Revenue | $119,787 | PYOtherRevenueAmt |
| CY Other Revenue | $60,342 | CYOtherRevenueAmt |
| PY Total Revenue | $10,992,462 | PYTotalRevenueAmt |
| CY Total Revenue | $16,887,963 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $7,269,693 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $9,046,602 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,204,681 | PYOtherExpensesAmt |
| CY Other Expenses | $3,040,072 | CYOtherExpensesAmt |
| PY Total Expenses | $9,474,374 | PYTotalExpensesAmt |
| CY Total Expenses | $12,086,674 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,518,088 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $4,801,289 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $8,502,962 | TotalAssetsBOYAmt |
| Total Assets EOY | $13,131,115 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $635,804 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $509,234 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $7,867,158 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $12,621,881 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | OUR VALUES AND MISSION OUR PROMISE: TO IMPROVE THE QUALITY OF OUR CONSUMERS LIVES OUR MISSION: WE ARE EFFICIENT STEWARDS OF OUR RESOURCES; WE MAINTAIN A HEALTHY AND PLEASANT WORK ENVIRONMENT; WE KEEP OUR COMMITMENTS AND WE ARE ACCOUNTABLE TO OUR STAKEHOLDERS; OUR PROGRAMS ARE TOP QUALITY, EVIDENCE BASED, INNOVATIVE, AND PROGRESSIVE; SERVICES WHICH ARE CONSUMER ORIENTED AND DRIVEN; WE STRIVE TO MAKE VALUES BASED DECISIONS AND ACTIONS, NOT RULES BASED; WE SAY YES. WE ACHIEVE OUR MISSION THROUGH: DATA DRIVEN DECISIONS; COLLABORATION WITH EACH OTHER AND OUR COMMUNITY PARTNERS; OUR STAFF ROLE MODEL INTEGRITY, FLEXIBILITY, RESPECT, AND RESPONSIBILITY. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $4,461,138 | ExpenseAmt |
| Revenue | $7,313,870 | RevenueAmt |
| Desc | OUTPATIENT SERVICES ADULT OUTPATIENT: THERAPEUTIC SERVICES WHICH ARE DESIGNED TO DIAGNOSE AND TREAT EACH INDIVIDUAL'S SPECIFIC BEHAVIORAL AND MENTAL HEALTH NEEDS. TREATMENT PLANS ARE DEVELOPED AND IMPLEMENTED ON AN INDIVIDUAL BASIS. PSYCHIATRIC SERVICES: MENTAL HEALTH PSYCHIATRIC EVALUATIONS/ASSESSMENTS, CONSULTATIONS, AND MEDICATION MANAGEMENT. THESE SERVICES ARE PROVIDED BY BOARD CERTIFIED PSYCHIATRISTS AND/OR LICENSED PSYCHIATRIC MENTAL HEALTH NURSE PRACTITIONERS. CHILD AND FAMILY OUTPATIENT: COUNSELING AND MENTAL HEALTH SERVICES TO DIAGNOSE AND TREAT EACH CHILD, ADOLESCENT, OR FAMILY'S SPECIFIC DEVELOPMENTAL, EMOTIONAL, SOCIAL, BEHAVIORAL, AND/OR MENTAL HEALTH NEEDS. COMMUNITY SERVICES: WRAPAROUND SERVICE DELIVERY MODELS BUILD COLLABORATION BETWEEN FAMILIES, SCHOOLS AND OTHER COMMUNITY PARTNERS TO ASSIST IN ARRANGING SERVICES TO BEST FIT INDIVIDUAL NEEDS. EXPANDS THE SERVICE ARRAY TO INCLUDE EDUCATIONAL SUPPORTS AND SKILLS BUILDING IN THE SCHOOL AND HOME AS WELL AS GROUP SESSIONS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,188,877 | ExpenseAmt |
| Revenue | $3,276,618 | RevenueAmt |
| Desc | INTENSIVE ADULT SERVICES INTENSIVE COMMUNITY SERVICES: BEHAVIORAL AND MENTAL HEALTH SERVICES PROVIDED TO INDIVIDUALS REQUIRING A MORE INTENSE SERVICE ARRAY IN COLLABORATION WITH COMMUNITY PARTNERS. MODELS INCLUDE MOBILE CRISIS SERVICES, EARLY AND ONGOING ASSESSMENTS FOR PSYCHOTIC EPISODES, COMMUNITY REFERRAL RESPONSE, AND HOUSING SUPPORT. ADULT RESIDENTIAL: RESIDENTIAL, RESPITE, AND SECURE NON-HOSPITAL HOLD FACILITY PROVIDING HIGH LEVEL, ROUND-THE-CLOCK MENTAL HEALTH CARE AND SERVICES. WITH THE EXCEPTION OF THE NON-HOSPITAL HOLD UNIT, THIS IS A NON- SECURE RESIDENTIAL FACILITY. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,376,682 | ExpenseAmt |
| Revenue | $2,420,176 | RevenueAmt |
| Desc | SUBSTANCE USE DISORDER SERVICES SUBSTANCE USE DISORDER SERVICES - OUTPATIENT SERVICES INCLUDING ALCOHOL AND DRUG ASSESSMENT, MENTAL HEALTH ASSESSMENT, TREATMENT PLANNING, IN HOME SERVICES, INDIVIDUAL, GROUP AND FAMILY THERAPIES, SKILLS BUILDING, RELAPSE PREVENTION, PARENT EDUCATION, FAMILY GROUPS, CO-OCCURRING TREATMENT, ALCOHOL AND DRUG TREATMENT, CASE MANAGEMENT, AFTER CARE PLANNING AND COMMUNITY EDUCATION AND REFERRAL SERVICES. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,745,198 | ExpenseAmt |
| Revenue | $3,079,037 | RevenueAmt |
| Desc | INTENSIVE CHILD SERVICES DAY TREATMENT: ON-SITE TREATMENT THAT INTEGRATES MENTAL HEALTH SERVICES WITH EDUCATIONAL SERVICES. THE PROGRAM OPERATES FIVE DAYS PER WEEK, YEAR ROUND. FAMILY CARE COORDINATION ASSISTS FAMILIES BY DEVELOPING A THERAPEUTIC RELATIONSHIP AND GUIDING TREATMENT PLANNING, SERVICE TRANSITIONS, AND COORDINATION OF TREATMENT SERVICES. INDIVIDUALIZED SKILLS BUILDING OFFERS SKILL DEVELOPMENT TO STRENGTHEN CHILDREN'S ABILITIES TO BE MORE SUCCESSFUL IN HOME, SCHOOL, AND COMMUNITY. YOUTH RESIDENTIAL: JUVENILE RESIDENTIAL AND RESPITE FACILITY FOR ADOLESCENTS PROVIDING HIGH LEVEL, ROUND-THE-CLOCK BEHAVIORAL REHABILITATION SERVICES AND MENTAL HEALTH CARE. RESPITE SERVICES ARE PROVIDED FOR UP TO 15 DAYS, AND CONTRACTED RESIDENTIAL SERVICES ARE AVAILABLE FOR 90 OR MORE DAYS. CORRECTIONS BASED COUNSELING SERVICES FAMILY JUSTICE: BEHAVIORAL AND MENTAL SERVICES PROVIDED TO INDIVIDUALS AND FAMILIES TIED TO THE CRIMINAL JUSTICE SYSTEM IN COLLABORATION WITH COMMUNITY PARTNERS. MODELS INCLUDE PSYCHIATRIC REVIEW, INDIVIDUAL AND GROUP OUTPATIENT THERAPY, ADULT SEX OFFENDER TREATMENT, AND SUBSTANCE ABUSE ASSESSMENT AND TREATMENT. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $1,745,198 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $3,079,037 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $9,771,895 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 67 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 209 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 8 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | false | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | OR | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LIZ MADDELENA | PersonNm |
| Phone | 5418831030 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2210 ELDORADO AVENUE | AddressLine1Txt |
| City | KLAMATH FALLS | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97601 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd |
|---|---|---|---|---|---|---|
| MEL FURGUSON | ||||||
| DIRECTOR | 1.30 | Yes (X) | $0 | $0 | $0 | |
| JEFF BRADFORD | ||||||
| DIRECTOR | 1.30 | Yes (X) | $0 | $0 | $0 | |
| JEANNETTE GANSBURG | ||||||
| DIRECTOR | 1.30 | Yes (X) | $0 | $0 | $0 | |
| JENNIFER KEELER | ||||||
| DIRECTOR | 1.30 | Yes (X) | $0 | $0 | $0 | |
| BOB JACKMAN MD | ||||||
| BOARD CHAIRM | 1.30 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| JAMES NOVAK MD | ||||||
| VICE-CHAIR | 1.30 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| SUSAN ASPELL | ||||||
| SECRETARY | 1.30 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| BRIAN F MENEFEE | ||||||
| TREASURER | 1.30 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| STAN GILBERT | ||||||
| EXECUTIVE DI | 40.00 | $180,675 | $0 | $22,325 | Yes (X) | |
| AMY BOVIN | ||||||
| DEPUTY CEO | 40.00 | $91,585 | $0 | $22,082 | Yes (X) | |
| ELIZABETH MADDALENA | ||||||
| DIR. OF OPER | 40.00 | $90,626 | $0 | $20,821 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $362,886 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $65,228 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BEAR TECHNOLOGIES | BusinessNameLine1Txt |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 708 LOMA LINDA DRIVE | AddressLine1Txt |
| City | KLAMATH FALLS | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97601 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | IT SERVICES | ServicesDesc |
| Compensation | $129,827 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $230,000 | GovernmentGrantsAmt |
| All Other Contributions | $530,285 | AllOtherContributionsAmt |
| Total Contributions | $760,285 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| CONTRACT REVENUE | 624100 | $7,741,071 | $7,741,071 |
| MEDICARE/MEDICAID REVENUE | 624100 | $6,535,430 | $6,535,430 |
| OUTREACH CLIENT FEES | 624100 | $1,591,919 | $1,591,919 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $15,868,420 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $37,977 | TotalRevenueColumnAmt |
| Exclusion | $37,977 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,020,560 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $858,221 | SecuritiesAmt |
| Other | $1,400 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $162,339 | SecuritiesAmt |
| Other | -$1,400 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $160,939 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $160,939 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS INCOME | Desc |
| Total Revenue Column | $60,342 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $60,342 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $60,342 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $16,887,963 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $16,089,701 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $37,977 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $447,944 | TotalAmt |
| Management And General | $447,944 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,920,874 | TotalAmt |
| Program Services | $6,120,616 | ProgramServicesAmt |
| Management And General | $800,258 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $73,221 | TotalAmt |
| Program Services | $72,892 | ProgramServicesAmt |
| Management And General | $329 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $885,844 | TotalAmt |
| Program Services | $760,389 | ProgramServicesAmt |
| Management And General | $125,455 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $718,719 | TotalAmt |
| Program Services | $607,039 | ProgramServicesAmt |
| Management And General | $111,680 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $92,601 | TotalAmt |
| Management And General | $92,601 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,879 | TotalAmt |
| Management And General | $46,879 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $837,943 | TotalAmt |
| Program Services | $766,676 | ProgramServicesAmt |
| Management And General | $71,267 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,652 | TotalAmt |
| Program Services | $17,892 | ProgramServicesAmt |
| Management And General | $12,760 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $123,108 | TotalAmt |
| Program Services | $69,349 | ProgramServicesAmt |
| Management And General | $53,759 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $119,378 | TotalAmt |
| Management And General | $119,378 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $787,494 | TotalAmt |
| Program Services | $677,295 | ProgramServicesAmt |
| Management And General | $110,199 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $92,136 | TotalAmt |
| Program Services | $79,493 | ProgramServicesAmt |
| Management And General | $12,643 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $148,931 | TotalAmt |
| Program Services | $81,130 | ProgramServicesAmt |
| Management And General | $67,801 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $57,239 | TotalAmt |
| Program Services | $44,022 | ProgramServicesAmt |
| Management And General | $13,217 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| STAFF TRAINING/TRAVEL | $164,193 | $101,604 | $62,589 |
| PROGRAM SUPPLIES | $114,965 | $114,965 | |
| FURNITURE & EQUIPMENT EXP | $91,261 | $65,786 | $25,475 |
| EQUIPMENT MAINTENANCE | $70,083 | $7,112 | $62,971 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $263,209 | TotalAmt |
| Program Services | $185,635 | ProgramServicesAmt |
| Management And General | $77,574 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,086,674 | TotalAmt |
| Program Services | $9,771,895 | ProgramServicesAmt |
| Management And General | $2,314,779 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,600 | BOYAmt |
| EOY | $2,200 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,721,844 | BOYAmt |
| EOY | $4,828,016 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $300,187 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,593,344 | BOYAmt |
| EOY | $3,812,600 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,139 | BOYAmt |
| EOY | $291 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $8,104 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $691,060 | BOYAmt |
| EOY | $643,312 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,804,611 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $628,037 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $710,438 | BOYAmt |
| EOY | $1,176,574 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,460,807 | BOYAmt |
| EOY | $2,359,831 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $318,730 | BOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,502,962 | BOYAmt |
| EOY | $13,131,115 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $567,127 | BOYAmt |
| EOY | $492,950 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $48,780 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,897 | BOYAmt |
| EOY | $16,284 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $635,804 | BOYAmt |
| EOY | $509,234 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,754,190 | BOYAmt |
| EOY | $9,890,170 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,112,968 | BOYAmt |
| EOY | $2,731,711 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,867,158 | BOYAmt |
| EOY | $12,621,881 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,502,962 | BOYAmt |
| EOY | $13,131,115 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $4,801,289 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$46,566 | NetUnrlzdGainsLossesInvstAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | false | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $16,350 | OtherCostOrOtherBasisAmt |
| Book Value | $16,350 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $318,896 | OtherCostOrOtherBasisAmt |
| Depreciation | $197,102 | DepreciationAmt |
| Book Value | $121,794 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $619,016 | OtherCostOrOtherBasisAmt |
| Depreciation | $73,102 | DepreciationAmt |
| Book Value | $545,914 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $342,785 | OtherCostOrOtherBasisAmt |
| Depreciation | $173,213 | DepreciationAmt |
| Book Value | $169,572 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $507,564 | OtherCostOrOtherBasisAmt |
| Depreciation | $184,620 | DepreciationAmt |
| Book Value | $322,944 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,176,574 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | LEASE PAYABLE-LESS CURRENT PORTION | Desc |
| Amt | $16,284 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $16,284 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $16,841,397 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$46,566 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | -$46,566 | RevenueNotReportedAmt |
| Revenue Subtotal | $16,887,963 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $16,887,963 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $12,086,674 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $12,086,674 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $12,086,674 | TotalExpensesPerForm990Amt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | false | FinancialAssistancePolicyInd |
| Annual Community Bnft Report | false | AnnualCommunityBnftReportInd |
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Written Debt Collection Policy | false | WrittenDebtCollectionPolicyInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KLAMATH BASIN BEHAVIORIAL HEALTH | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2210 ELDORADO AVENUE | AddressLine1Txt |
| City | KLAMATH FALLS | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97601 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Emergency Room Other | Yes (X) | EmergencyRoomOtherInd |
| Other | OUTPATIENT COMMUNITY MENTAL HE | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KLAMATH BASIN BEHAVIORIAL HEALTH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | false | CHNAConductedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | false | EligCriteriaExplainedInd |
| Explained Basis | false | ExplainedBasisInd |
| App Financial Asst Expln | false | AppFinancialAsstExplnInd |
| Includes Publicity Measures | false | IncludesPublicityMeasuresInd |
| FAP Actions On Nonpayment | false | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Nondis Emergency Care Policy | false | NondisEmergencyCarePolicyInd |
| No Emergency Care | Yes (X) | NoEmergencyCareInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | STAN GILBERT | PersonNm |
| Title | EXECUTIVE DIRECTOR | TitleTxt |
| Base Compensation Filing Org | $180,675 | BaseCompensationFilingOrgAmt |
| Deferred Compensation Flng Org | $14,550 | DeferredCompensationFlngOrgAmt |
| Nontaxable Benefits Filing Org | $7,775 | NontaxableBenefitsFilingOrgAmt |
| Total Compensation Filing Org | $203,000 | TotalCompensationFilingOrgAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990 - ORGANIZATION'S MISSION | OUR VALUES AND MISSION OUR PROMISE: TO IMPROVE THE QUALITY OF OUR CONSUMERS LIVES OUR MISSION: WE ARE EFFICIENT STEWARDS OF OUR RESOURCES; WE MAINTAIN A HEALTHY AND PLEASANT WORK ENVIRONMENT; WE KEEP OUR COMMITMENTS AND WE ARE ACCOUNTABLE TO OUR STAKEHOLDERS; OUR PROGRAMS ARE TOP QUALITY, EVIDENCE BASED, INNOVATIVE, AND PROGRESSIVE; SERVICES WHICH ARE CONSUMER ORIENTED AND DRIVEN; WE STRIVE TO MAKE VALUES BASED DECISIONS AND ACTIONS, NOT RULES BASED; WE SAY YES. WE ACHIEVE OUR MISSION THROUGH: DATA DRIVEN DECISIONS; COLLABORATION WITH EACH OTHER AND OUR COMMUNITY PARTNERS; OUR STAFF ROLE MODEL INTEGRITY, FLEXIBILITY, RESPECT, AND RESPONSIBILITY. |
| FORM 990, PAGE 2, PART III, LINE 4A | COMMUNITY SERVICES: WRAPAROUND SERVICE DELIVERY MODELS BUILD COLLABORATION BETWEEN FAMILIES, SCHOOLS AND OTHER COMMUNITY PARTNERS TO ASSIST IN ARRANGING SERVICES TO BEST FIT INDIVIDUAL NEEDS. EXPANDS THE SERVICE ARRAY TO INCLUDE EDUCATIONAL SUPPORTS AND SKILLS BUILDING IN THE SCHOOL AND HOME AS WELL AS GROUP SESSIONS. |
| FORM 990, PAGE 2, PART III, LINE 4D | INTENSIVE CHILD SERVICES DAY TREATMENT: ON-SITE TREATMENT THAT INTEGRATES MENTAL HEALTH SERVICES WITH EDUCATIONAL SERVICES. THE PROGRAM OPERATES FIVE DAYS PER WEEK, YEAR ROUND. FAMILY CARE COORDINATION ASSISTS FAMILIES BY DEVELOPING A THERAPEUTIC RELATIONSHIP AND GUIDING TREATMENT PLANNING, SERVICE TRANSITIONS, AND COORDINATION OF TREATMENT SERVICES. INDIVIDUALIZED SKILLS BUILDING OFFERS SKILL DEVELOPMENT TO STRENGTHEN CHILDREN'S ABILITIES TO BE MORE SUCCESSFUL IN HOME, SCHOOL, AND COMMUNITY. YOUTH RESIDENTIAL: JUVENILE RESIDENTIAL AND RESPITE FACILITY FOR ADOLESCENTS PROVIDING HIGH LEVEL, ROUND-THE-CLOCK BEHAVIORAL REHABILITATION SERVICES AND MENTAL HEALTH CARE. RESPITE SERVICES ARE PROVIDED FOR UP TO 15 DAYS, AND CONTRACTED RESIDENTIAL SERVICES ARE AVAILABLE FOR 90 OR MORE DAYS. CORRECTIONS BASED COUNSELING SERVICES FAMILY JUSTICE: BEHAVIORAL AND MENTAL SERVICES PROVIDED TO INDIVIDUALS AND FAMILIES TIED TO THE CRIMINAL JUSTICE SYSTEM IN COLLABORATION WITH COMMUNITY PARTNERS. MODELS INCLUDE PSYCHIATRIC REVIEW, INDIVIDUAL AND GROUP OUTPATIENT THERAPY, ADULT SEX OFFENDER TREATMENT, AND SUBSTANCE ABUSE ASSESSMENT AND TREATMENT. |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE 990 IS REVIEWED BY THE EXECUTIVE DIRECTOR PRIOR TO FILING AND THE BOARD MEMBER WITH TAX EXPERIENCE. THE ENTIRE BOARD IS PRESENTED THE RETURN FOR REVIEW AND APPROVAL. |
| FORM 990, PAGE 6, PART VI, LINE 12C | ALL LICENSED THERAPISTS ARE REQUIRED BY THE OREGON STATE LICENSING BOARD TO HAVE A PROFESSIONAL CONFLICT STATEMENT ON FILE FOR LICENSING; COMPLIANCE IS MONITORED AND ENFORCED THROUGH THE LICENSING PROCESS. NON-LICENSED THERAPISTS AND SUPPORT STAFF AS WELL AS BOARD MEMBERS DO NOT HAVE A FORMAL CONFLICT OF INTEREST DISCLOSURE. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE COMPENSATION PACKAGE OF THE EXECUTIVE DIRECTOR IS REVIEWED BY THE BOARD OF DIRECTORS IN ACCORDANCE WITH THE BYLAWS OF THE ORGANIZATION. THIS IS TYPICALLY ANNUALLY. ALL COMPENSATION CHANGES ARE APPROVED BY THE BOARD. |
| FORM 990, PAGE 6, PART VI, LINE 19 | GOVERNING DOCUMENTS AND FINANCIAL INFORMATION ARE AVAILABLE AT THE CORPORATE OFFICES FOR VIEWING UPON REQUEST. |
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