KLAMATH CHILD AND FAMILY TREATMENT CENTER: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
KLAMATH CHILD AND FAMILY TREATMENT CENTER (EIN 93-0753926)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-15
IRS object ID
201301359349308925
Schema version
2011v1.2
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

FieldValueIRS element (for citing)
Timestamp2013-05-15T17:30:38-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN204686385EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ISLER GROUP LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1626 S 7TH STAddressLine1
CityKLAMATH FALLSCity
StateORState
ZIP Code97601ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN930753926EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1KLAMATH CHILD & FAMILY TREATMENT CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlKLAMNameControl
Phone5418831030Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12210 ELDORADO AVENUEAddressLine1
CityKLAMATH FALLSCity
StateORState
ZIP Code97601ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSTAN GILBERTName
TitleEXECUTIVE DIRECTORTitle
Phone5418831030Phone
Date Signed2013-05-15DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameLAWRENCE S NICHOLS CPAName
PTINP01295642PTIN
Phone5418822575Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1KLAMATH YOUTH DEVELOPMENT CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonSTAN GILBERTNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12210 ELDORADO AVENUEAddressLine1
CityKLAMATH FALLSCity
StateORState
ZIP Code97601ZIPCode
FieldValueIRS element (for citing)
Gross Receipts2493978GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.KLAMATHYOUTH.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1978YearFormation
State Legal DomicileORStateLegalDomicile
Activity Or Mission DescriptionMANAGED BEHAVIORAL CARE FOR CHILDREN AND ADOLESCENTSActivityOrMissionDescription
Nbr Voting Members Governing Body8NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees65TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year3048762ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year132451ProgramServiceRevenuePriorYear
Program Service Revenue CY2390374ProgramServiceRevenueCY
Investment Income Prior Year1617InvestmentIncomePriorYear
Investment Income Current Year3416InvestmentIncomeCurrentYear
Other Revenue Prior Year69181OtherRevenuePriorYear
Other Revenue Current Year53872OtherRevenueCurrentYear
Total Revenue Prior Year3252011TotalRevenuePriorYear
Total Revenue Current Year2447662TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year2342625SalariesEtcPriorYear
Salaries Etc Current Year2332362SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year612707OtherExpensePriorYear
Other Expenses Current Year629768OtherExpensesCurrentYear
Total Expenses Prior Year2955332TotalExpensesPriorYear
Total Expenses Current Year2962130TotalExpensesCurrentYear
Revenues Less Expenses Prior Year296679RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-514468RevenuesLessExpensesCY
Total Assets BOY2618281TotalAssetsBOY
Total Assets EOY2066743TotalAssetsEOY
Total Liabilities BOY146840TotalLiabilitiesBOY
Total Liabilities EOY123473TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2471441NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1943270NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO ESTABLISH, DEVELOP, MAINTAIN AND OPERATE THE HIGHEST QUALITY MENTAL AND BEHAVIORAL HEALTH PROGRAMS FOR KLAMATH COUNTY'S CHILDREN, ADOLESCENTS AND FAMILIES.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense567506Expense
Revenue706197Revenue
DescriptionPSYCHIATRIC DAY TREATMENT-THE PSYCHIATRIC DAY TREATMENT PROGRAM IS A COMPREHENSIVE TREATMENT PROGRAM FOR YOUTH FROM 3 TO 18 YEARS OLD WHO EXPERIENCE WIDELY VARIED SEVERE EMOTIONAL AND MENTAL DIFFICULTIES.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense1044184Expense
Revenue719409Revenue
DescriptionCOMMUNITY SERVICES - THE COMMUNITY SERVICES PROGRAM INCLUDES GENERAL COUNSELING SERVICES TO TREAT EACH CHILD'S UNIQUE AND SPECIFIC DEVELOPMENTAL, EMOTIONAL, SOCIAL, BEHAVIORAL AND FAMILY RELATED NEEDS. EMERGENCY SERVICES ARE AVAILABLE FOR CHILDREN AND ADOLESCENTS TWENTY-FOUR HOURS PER DAY, SEVEN DAYS A WEEK.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense394547Expense
Revenue186272Revenue
DescriptionINTENSIVE COMMUNITY SERVICES - THIS PROGRAM PROVIDES A COORDINATOR, TEAM, AND PLAN FOR CHILDREN WITH INTENSIVE MENTAL HEALTH NEEDS, AND THEIR FAMILIES, WHO TYPICALLY RECEIVE A VARIETY OF SERVICES FROM DIFFERENT ORGANIZATIONS. THIS PROGRAM COORDINATES SERVICES FROM THE VARIOUS AGENCIES.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense955893Expense
Revenue778496Revenue
DescriptionSAFE SCHOOLS HEALTHY STUDENTS AND ABUSE PREVENTION EDUCATION PROGRAMS ARE IN COLLABORATION WITH SCHOOLS AND THE KLAMATH TRIBES TO PROVIDE IN-CLASSROOM, COMMUNITY-BASED AND HOME-BASED MENTAL HEALTH SERVICES TO HIGH RISK STUDENTS. FAMILY JUSTICE PROGRAM OFFERS MENTAL HEALTH SERVICES TO HIGH RISK FAMILIES INVOLVED WITH THE ADULT CORRECTIONS DEPARTMENT. PSYCHIATRIC CLINIC PROVIDES MENTAL HEALTH ASSESSMENTS AND PSYCHIATRIC SERVICES FOR CHILDREN AND FAMILIES. HEALTHY START PROVIDES RISK ASSESSMENT SCREENINGS FOR BABIES AND ONGOING IN-HOME RISK PREVENTION AND BEHAVIORAL HEALTH SERVICES FOR ENROLLED FAMILIES.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp955893TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev778496TotalOfOtherProgramServiceRev
Total Program Service Expense2962130TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization1BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109614NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees65NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Form8899 Filed0Form8899Filed
Form1098 C Filed0Form1098CFiled
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members8NbrVotingGoverningBodyMembers
Number Independent Voting Members7NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1LIZ MADDELENABusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5418831030TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12210 ELDORADO AVENUEAddressLine1
CityKLAMATH FALLSCity
StateORState
ZIP Code97601ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (8 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
MEL FERGUSON
CHAIR2.00XX000
JAMES NOVAK MD
VICE-CHAIR2.00XX000
SUSAN ASPELL
SECRETARY2.00XX000
BRIAN MENEFEE
TREASURER2.00XX000
JEFF BRADFORD
BOARD MEMBER2.00X000
GREG CLARK
BOARD MEMBER2.00X000
JEANNETTE GANSBERG
BOARD MEMBER2.00X000
BOB JACKMAN
BOARD MEMBER2.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
GOVT AGENCIES FEES & G62410022753362275336
OUTREACH CLIENT FEES624100115038115038
FieldValueIRS element (for citing)
Total Program Service Revenue2390374TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1517TotalRevenueColumn
Exclusion$1,517ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real37800Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real37800Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column37800TotalRevenueColumn
Exclusion$37,800ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities48215Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities46316Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities1899Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1899TotalRevenueColumn
Related Or Exempt Function Income1899RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUS INCOMEDescription
Business Code900099BusinessCode
Total Revenue Column16072TotalRevenueColumn
Exclusion$16,072ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue16072TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column2447662TotalRevenueColumn
Related Or Exempt Function Income2392273RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$55,389ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total1850131Total
Program Services1725331ProgramServices
Management And General124800ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total52805Total
Management And General52805ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total243718Total
Program Services226788ProgramServices
Management And General16930ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total185708Total
Program Services173269ProgramServices
Management And General12439ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total4592Total
Management And General4592ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total14037Total
Management And General14037ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total247196Total
Program Services166340ProgramServices
Management And General80856ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total4933Total
Management And General4933ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total25694Total
Management And General25694ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total126027Total
Program Services67903ProgramServices
Management And General58124ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total40040Total
Management And General40040ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total26742Total
Program Services26742ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total23609Total
Management And General23609ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
SUPPLIES22190472417466
BUILDINGS & GROUND MAIN2168021680
EQUIPMENT SUPPORT AND M2024920249
STAFF TRAINING1781817818

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total34961Total
Program Services553215ProgramServices
Management And General-518254ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total2962130Total
Program Services2962130ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY606BOY
EOY607EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY170761BOY
EOY157670EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY752097BOY
EOY678984EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY510769BOY
EOY120490EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY2333BOY
EOY2407EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY73954BOY
EOY76397EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis663635LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec544142LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY130493BOY
EOY119493EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY51444BOY
EOY51001EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY925824BOY
EOY859694EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY2618281BOY
EOY2066743EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY135160BOY
EOY119374EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY2697BOY
EOY4099EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY8983BOY
EOY0EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY146840BOY
EOY123473EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1932440BOY
EOY1415668EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY539001BOY
EOY527602EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2471441BOY
EOY1943270EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2618281BOY
EOY2066743EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-514468ReconcilationRevenueExpenses
Reconcilation Other Changes-13703ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee0AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis16350OtherCostOrOtherBasis
Book Value16350BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis257992OtherCostOrOtherBasis
Depreciation197743Depreciation
Book Value60249BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis389293OtherCostOrOtherBasis
Depreciation346399Depreciation
Book Value42894BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings119493TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionPREPAID LONG-TERM LEASEDescription
Book Value859694BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets859694TotalBookValueOtherAssets
Total Revenue2447662TotalRevenue
Total Expenses2962130TotalExpenses
Excess Or Deficit For Year-514468ExcessOrDeficitForYear
Net Unrealized GL On Investments-2313NetUnrealizedGLOnInvestments
Other-$11,390OtherAmount
Total Adjustments-13703TotalAdjustments
Excess Or Deficit Per FS-528171ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt2498044TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-2313NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities52686DonatedSrvcAndUseOfFacilities
Other Revenues9OtherRevenues
Revenue Not Rptd F99050382RevenueNotRptdF990
Revenue Subtotal2447662RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9902447662TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt3014816TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities52686DonatedServicesUseOfFacilities
Expenses Not Rptd F99052686ExpensesNotRptdF990
Expenses Subtotal2962130ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9902962130TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
ExplanationDRAFT AUDITED FINANCIAL STATEMENTS HAVE BEEN ATTACHED TO THIS RETURN AS THE AUDIT IS NOT YET COMPLETE. HOWEVER, THE FINANCIAL STATEMENTS ARE NOT EXPECTED TO CHANGE FROM THEIR DRAFT VERSION.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1KLAMATH YOUTH DEVELOPMENT CENTERBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line12210 ELDORADO AVENUEAddressLine1
CityKLAMATH FALLSCity
StateORState
ZIP Code97601ZIPCode
FieldValueIRS element (for citing)
Er OtherXErOther
OtherOUTPATIENT MENTAL HEALTHOther

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria Explained0EligibilityCriteriaExplained
Uses FPG Free0UsesFPGFree
Uses FPG Discounted0UsesFPGDiscounted
Explains Basis0ExplainsBasis
Explains Application Method0ExplainsApplicationMethod
Includes Publicity Measures0IncludesPublicityMeasures
Actions On Nonpayment0ActionsOnNonpayment
Collection Activities0CollectionActivities
Nondiscrim Emergency Care Policy0NondiscrimEmergencyCarePolicy
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonMEL FERGUSONNamePerson
FieldValueIRS element (for citing)
RelationshipBOARD CHAIR / ATTORNEYRelationship
Amount Of Transaction4593AmountOfTransaction
Description Of TransactionLEGAL SERVICESDescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 IS REVIEWED BY THE EXECUTIVE DIRECTOR PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CALL LICENSED THERAPISTS ARE REQUIRED BY THE STATE TO HAVE A PROFESSIONAL DISCLOSURE ON FILE; COMPLIANCE IS MONITORED AND ENFORCED THROUGH THE LICENSING PROCESS. NON-LICENSED THERAPISTS AND SUPPORT STAFF DO NOT HAVE A FORMAL CONFLICT OF INTEREST DISCLOSURE.
FORM 990, PART VI, SECTION B, LINE 15COMPENSATION FOR THE EXECUTIVE DIRECTOR IS DETERMINED BY THE BOARD OF DIRECTORS USING OUTSIDE DATA, INCLUDING COMPARABILITY AND ECONOMIC ISSUES. OTHER PERSONNEL COMPENSATION IS DETERMINED BY THE EXECUTIVE DIRECTOR, BUT SUBJECT TO APPROVAL BY THE BOARD OF DIRECTORS. ALL COMPENSATION IS REVIEWED ANNUALLY.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS, FINANCIAL INFORMATION, ETC., ARE MADE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 5:NET UNREALIZED LOSSES ON INVESTMENTS: -2,313. ADJUST FOR NET ASSETS RELEASED FROM RESTRICTION -11,399. ROUNDING 9. TOTAL TO FORM 990, PART XI, LINE 5: -13,703.CHANGES IN NET ASSETS OR FUND BALANCES:

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