2017-02-07T09:22:28-06:00 2016-06-30 930743240 HOFFMAN STEWART & SCHMIDT PC 4900 MEADOWS ROAD STE 200 LAKE OSWEGO OR 970353295 990 2015-07-01 910598130 COLUMBIA WELLNESS COLU 3605770249 921 14TH AVENUE LONGVIEW WA 98632 DAVID MCCLAY CEO 3605770249 2017-01-27 1 ROBERT M PRILL P00236613 5032205900 2015 2021-01-29 14:40:06Z DAVID MCCLAY 921 14TH AVENUE LONGVIEW WA 98632 11983512 0 X COLUMBIAWELL.ORG X 1953 WA TO PROVIDE BASIC AND SPECIALIZED MENTAL HEALTH SERVICES TO RESIDENTS OF COWLITZ AND GRAYS HARBOR COUNTIES. 14 14 169 18 0 0 178946 321350 8002327 11578146 -20229 1435 99922 82581 8260966 11983512 0 0 0 0 6473053 8107794 0 0 0 1874949 2611355 8348002 10719149 -87036 1264363 4210233 5825655 1079806 1420387 3130427 4405268 X CARE. COMMITMENT TO IMPROVING QUALITY OF LIFE. ADVOCACY FOR OVERALL HEALTH. RESPONSE TO COMMUNITY NEEDS. EFFECTIVE TREATMENT WITH MEASURABLE OUTCOMES. 0 0 7507819 8601765 COMMUNITY SUPPORT SERVICES - MOST OF THE COMMUNITY SUPPORT SERVICES STAFF HAVE ADVANCED DEGREES AND SPECIAL TRAINING, TO MEET THE COMMUNITY'S MENTAL HEALTH CARE NEEDS. 1767382 2027382 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. 490169 560488 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. 235019 268464 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. 105119 120047 NON-BHO/REDUCED FEE SERVICES - NON-SWBH/REDUCED FEE SERVICES PROVIDE MENTAL HEALTH SERVICES ON A SLIDING FEE SCHEDULE, BASED ON ABILITY TO PAY. 340138 388511 10105508 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 52 0 1 169 1 0 0 0 0 0 0 0 0 0 0 X 14 14 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 RON MARSHALL MEMBER 1.00 X 0 0 0 BLAINE TOLBY MEMBER 1.00 X 0 0 0 FRANK RANDOLPH MEMBER 1.00 X 0 0 0 CINDY BRADO TREASURER 1.00 X X 0 0 0 GROVER LASEKE VICE-PRESIDENT 1.00 X X 0 0 0 RONALD REDMOND MEMBER 1.00 X 0 0 0 SANDY JUNKER MEMBER 1.00 X 0 0 0 DAVE LAFAVE SECRETARY 1.00 X X 0 0 0 ALICE DIETZ MEMBER 1.00 X 0 0 0 MARIN FOX-HIGHT PAST PRESIDENT 1.00 X 0 0 0 SUE BAUR MEMBER 1.00 X 0 0 0 SUSIE BARKER PRESIDENT 1.00 X X 0 0 0 JAKE OJA MEMBER 1.00 X 0 0 0 DEAN TAKKO MEMBER 1.00 X 0 0 0 RUSS BLANCHETTE MEMBER 1.00 X 0 0 0 SHELLEY WILLEM MEMBER 1.00 X 0 0 0 STACIE CROCHET MEMBER 1.00 X 0 0 0 GARY UDD MEMBER 1.00 X 0 0 0 DAVID MCCLAY CEO 40.00 X 88651 0 13650 CESAR RAFANO CMO 40.00 X 274970 0 8425 DEBRA PERKO CCO 40.00 X 88950 0 8425 CHRISTINA SLUNAKER COO 40.00 X 64702 0 11665 DALE HUDSON CFO 40.00 X 62314 0 11429 579587 0 53594 1 0 1 0 LPH INC 188 OLEQUA HEIGHTS ROAD CASTLE ROCK WA 98611 CONSTRUCTION 458864 LOCUMTENENSCOM PO BOX 405547 ATLANTA GA 303845547 LOCUM TENENS 231874 2 309201 12149 9060 321350 PATIENT SERVICES 621610 11578146 11578146 11578146 1435 1435 44033 0 44033 44033 44033 1804 0 1804 1804 MISCELLANEOUS 900099 36744 36744 36744 11983512 11578146 0 84016 711662 671184 40478 5205040 4915200 289840 172202 158527 13675 1448088 1356952 91136 570802 539499 31303 597437 575786 21651 61744 58406 3338 278808 237425 41383 241912 225546 16366 429687 414074 15613 47835 44691 3144 23371 20425 2946 122005 117285 4720 65602 62343 3259 BAD DEBT PROVISION 508659 508659 MISCELLANEOUS 94930 67577 27353 REPAIRS AND VEHICLE EXP 89368 85134 4234 LICENSING, DUES AND FEE 49997 46795 3202 10719149 10105508 613641 0 866178 1834947 152228 383 1036380 1385962 40111 31676 3140109 1035302 1628838 2104807 426101 406755 60397 61125 4210233 5825655 624285 696141 51025 398737 615410 56784 57811 1079806 1420387 X 3125550 4403315 4877 1953 3130427 4405268 4210233 5825655 1264363 10478 0 X X 0 1 X 1 0 X 56246 60324 61781 178946 321350 678647 6138799 6760214 7394845 8002327 11578146 39874331 6195045 6820538 7456626 8181273 11899496 40552978 0 0 0 40552978 3075 28179 38150 40047 45468 154919 3075 28179 38150 40047 45468 154919 31150 53009 61795 38548 184502 6198120 6879867 7547785 8283115 11983512 40892399 0.99170 0.99230 0.00380 0.00340 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 315400 315400 1957094 679060 1278034 428329 10447 417882 370824 277333 93491 68462 68462 0 2104807 CUSTODIAN LIABILITIES 57811 57811 X 11522408 10478 37077 47555 11474853 508659 508659 11983512 10247567 37077 37077 10210490 508659 508659 10719149 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 508,659. PART XII, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBT 508,659. X X X 0 0 0 0 0 0 0 0 0 CESAR RAFANO CMO 247017 0 14584 0 13369 0 0 0 8425 0 283395 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 THE FINANCE COMMITTEE REVIEWS THE FROM 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.