2017-05-15T19:30:39-05:00 2016-06-30 910189318 MOSS ADAMS LLP 805 SW BROADWAY STE 1200 PORTLAND OR 97205 990 2015-07-01 910609138 COLUMBIA RIVER MENTAL HEALTH SERVICES COLU 3609933000 6926 NE FOURTH PLAIN BLVD VANCOUVER WA 98661 CRAIG PRIDEMORE CHIEF EXECUTIVE OFFICER 3609933000 2017-05-12 1 WENDY CAMPOS P00448102 5032421447 2017-05-11 2015 2021-01-29 14:40:06Z CRAIG PRIDEMORE 6926 NE FOURTH PLAIN BLVD VANCOUVER WA 98661 13823701 0 X WWW.CRMHS.ORG X 1953 WA PROVIDING COMPREHENSIVE BEHAVIORAL HEALTH AND RECOVERY SERVICES THAT TRANSFORM THE LIVES OF CHILDREN, ADULTS AND FAMILIES IN THE COMMUNITIES OF SW WASHINGTON. 11 11 244 135 0 0 10834928 11793338 1976993 1660390 138 -1783 28208 110721 12840267 13562666 0 0 0 0 9525144 9717789 0 0 35013 2663824 3525084 12188968 13242873 651299 319793 10772884 11631965 6877015 7416303 3895869 4215662 X COLUMBIA RIVER MENTAL HEALTH SERVICES IS A FULL SERVICE MENTAL HEALTH AGENCY OFFERING A WIDE SPECTRUM OF BEHAVIORAL HEALTH SERVICES TO CHILDREN AND ADULTS OF CLARK COUNTY, WA. 0 0 5590476 312075 COMMUNITY MENTAL HEALTH - PROVIDES A VARIETY OF PROGRAMS, INCLUDING OUTPATIENT CARE TREATMENT, CASE MANAGEMENT, COMMUNITY SUPPORT AND MEDICAL SERVICES. 2087913 1023 RESIDENTIAL TREATMENT - PROVIDES FACILITIES FOR TREATING PEOPLE WHOSE MENTAL HEALTH PROBLEMS PREVENT THEM FROM LIVING INDEPENDENTLY OR SEMI-INDEPENDENTLY. 1269593 0 DIRECT SERVICE SUPPORT - PROVIDES DIRECT SERVICE SUPPORT TO EMPLOYEES AND CONSUMERS, INCLUDING BUT NOT LIMITED TO INFORMATION TECHNOLOGY, BILLING SERVICES, MEDICAL RECORD MANAGEMENT, QUALITY ASSURANCE, UTILIZATION MANAGEMENT AND ACCESS SERVICES. 1812223 1347292 DRUG AND ALCOHOL - OPIATE SUBSTITUTION AND DUAL DIAGNOSIS RECOVERY PROGRAMS.EMPLOYMENT SERVICES - JOB DEVELOPMENT FOR EMPLOYERS AND JOB SEARCH AND ON THE JOB SUPPORT TO CLIENTS WITH MENTAL HEALTH ISSUES.HOUSING - AFFORDABLE AND TRANSITIONAL FOR LOW-INCOME RESIDENTS WITH MENTAL ILLNESS. 1812223 1347292 10760205 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 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 1 1 0 0 0 1 39 0 1 244 1 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 WA X CRAIG PRIDEMORE 3609933000 6926 NE FOURTH PLAIN BLVD VANCOUVER WA 98661 JAMES HOWSLEY PRESIDENT 2.00 X X 0 0 0 DAVE BENNETT VICE PRESIDENT 2.00 X X 0 0 0 MICHELLE HOWELL TREASURER 2.00 X X 0 0 0 CONNIE GRENZ SECRETARY 2.00 X X 0 0 0 JOHN BLOM TRUSTEE 1.00 X 0 0 0 RICK RALSTON TRUSTEE 1.00 X 0 0 0 SHEELA CHOPPALA-NESTOR TRUSTEE 1.00 X 0 0 0 ANN DONNELLEY TRUSTEE 1.00 X 0 0 0 GLENDA HILL TRUSTEE 1.00 X 0 0 0 JAY MILLER TRUSTEE 1.00 X 0 0 0 ROLANDO ORTEGON TRUSTEE 1.00 X 0 0 0 CRAIG PRIDEMORE CHIEF EXECUTIVE OFFICER 40.00 X 100458 0 5888 ELIZABETH OLIVER CHIEF FINANCIAL OFFICER 40.00 X 89164 0 14481 JONATHAN BERMAN MEDICAL DIRECTOR 40.00 X 209522 0 19676 ANN STYRVOKY PSYCHIATRIST 40.00 X 186092 0 20770 EMILY A SADIK PSYCHIATRIST 40.00 X 199977 0 10943 EUN PARK PSYCHIATRIST 40.00 X 172345 0 25211 957558 0 96969 5 0 1 0 LOCUMTENENSCOM LLC PO BOX 405547 ATLANTA GA 30384 LOCUM SERVICES 338083 FSG NORTHWEST INC PO BOX 4552 PORTLAND OR 97208 MAINTENANCE AND JANITORIAL 107341 2 83473 8664479 3045386 11793338 MEDICARE/MEDICAID PAYM 624100 1401207 1401207 CLIENT FEES/PRIV INSUR 624100 220438 220438 LOW INCOME HOUSING 624100 38745 38745 1660390 87 87 45048 13606 31442 31442 31442 245559 247429 -1870 -1870 -1870 MISCELLANEOUS 900099 79279 79279 79279 13562666 1660390 0 108938 337231 105020 232211 7641056 6746787 876626 17643 257730 227846 29284 600 917154 797821 117269 2064 564618 485926 77439 1253 5523 5523 55717 55717 902941 767512 133042 2387 19422 11650 3941 3831 280821 229183 50120 1518 255473 206206 49267 324013 200111 123902 122752 122790 -389 351 255510 42849 212661 327514 191497 135972 45 177484 70296 107188 SUPPLIES 305421 297489 7881 51 REPAIRS AND MAINTENANCE 253955 168013 85942 DEBT ISSUE COSTS 67231 67231 DUES AND PUBLICATIONS 27906 3798 23963 145 143401 85411 52865 5125 13242873 10760205 2447655 35013 753834 276063 98505 3058 636353 2632228 70032 90813 11061688 3074781 8377063 7986907 837097 642896 10772884 11631965 1370418 1165671 47500 506676 4215000 0 1025422 5460856 218675 283100 6877015 7416303 X 3723869 4215662 172000 0 3895869 4215662 10772884 11631965 319793 0 X 0 1 X 1 0 X 9556104 9658653 9517678 10834928 11793338 51360701 9556104 9658653 9517678 10834928 11793338 51360701 51360701 37967 32965 33273 44381 45048 193634 104734 191686 65106 30727 79279 471532 52025867 8442025 0.98720 0.98680 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS SPECIAL EVENTS - GROSS RECEIPTS GAMING - GROSS RECEIPTS RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1954331 1954331 6715356 2349806 4365550 1272093 290486 981607 1016642 344149 672493 103266 90340 12926 7986907 ASSETS HELD FOR SALE 582579 DEBT ISSUANCE COSTS, NET 52576 DEPOSITS 7741 642896 CAPITAL LEASE OBLIGATION 283100 283100 X PART X, LINE 2: FIN 48 (ASC 740) FOOTNOTE - CRMHS RECOGNIZES THE TAX BENEFIT FROM UNCERTAIN TAX POSITIONS ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITIONS WILL BE SUSTAINED ON EXAMINATION BY THE TAX AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFIT IS MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. CRMHS HAD NO UNRECOGNIZED TAX BENEFITS AT JUNE 30, 2016 AND 2015. CRMHS RECOGNIZES INTEREST ACCRUED AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS AS AN ADMINISTRATIVE EXPENSE. DURING THE YEARS ENDED JUNE 30, 2016 AND 2015, CRMHS RECOGNIZED NO INTEREST AND PENALTIES. CRMHS AND THE FOUNDATION EACH FILE AN EXEMPT ORGANIZATION INCOME TAX RETURN IN THE U.S. FEDERAL JURISDICTION. X X 0 0 0 0 0 0 0 0 0 JONATHAN BERMAN MEDICAL DIRECTOR 209522 0 0 0 0 0 10886 0 8790 0 229198 0 0 0 ANN STYRVOKY PSYCHIATRIST 186092 0 0 0 0 0 9817 0 10953 0 206862 0 0 0 EMILY A SADIK PSYCHIATRIST 199977 0 0 0 0 0 10010 0 933 0 210920 0 0 0 EUN PARK PSYCHIATRIST 172345 0 0 0 0 0 7731 0 17480 0 197556 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 THIS FORM 990 WAS REVIEWED INTERNALLY BY STAFF AND A COPY WAS GIVEN TO ALL MEMBERS OF THE BOARD OF TRUSTEES PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY, EACH AFFECTED PERSON SIGNS A STATEMENT THAT THEY RECEIVED, READ, UNDERSTAND AND AGREE TO COMPLY WITH THE CONFLICT OF INTEREST POLICY AND HAVE DISCLOSED ANY ACTUAL OR POTENTIAL CONFLICTS OF INTEREST. STAFF PERIODICALLY REVIEW CERTAIN TRANSACTIONS, SUCH AS COMPENSATION AND BENEFITS, PROVIDER SERVICES, ARRANGEMENTS WITH SERVICE OR PROVIDER ORGANIZATIONS, AND OTHER PAYMENTS TO ENSURE THAT THEY ARE REASONABLE, FURTHER THE CHARITABLE PURPOSES OF CRMHS AND DO NOT RESULT IN IMPERMISSIBLE PRIVATE BENEFIT. FORM 990, PART VI, SECTION B, LINE 15A THE PROCESS FOR DETERMINING THE CHIEF EXECUTIVE OFFICER'S COMPENSATION INCLUDES REVIEW AND APPROVAL BY THE BOARD OF DIRECTORS, USE OF COMPARABILITY DATA AND DOCUMENTATION OF THE DELIBERATION AND DECISION. THE PROCESS WAS LAST UNDERTAKEN IN JANUARY 2016. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC. COLUMBIA RIVER MENTAL HEALTH FOUNDATION 6926 NE FOURTH PLAIN BLVD VANCOUVER WA 98661 208404789 FUNDRAISING/SUPPORT FOR MENTAL HEALTH ORGANIZATIONS WA 501(C)(3) LINE 7 COLUMBIA RIVER MENTAL HEALTH SERVICES 1 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 COLUMBIA RIVER MENTAL HEALTH FOUNDATION C 83473 CASH