2013-05-15T17:30:38-05:00 2012-06-30 204686385 ISLER GROUP LLC 626 S 7TH ST KLAMATH FALLS OR 97601 990 2011-07-01 930753926 KLAMATH CHILD & FAMILY TREATMENT CENTER KLAM 5418831030 2210 ELDORADO AVENUE KLAMATH FALLS OR 97601 STAN GILBERT 5418831030 2013-05-15 1 LAWRENCE S NICHOLS CPA P01295642 5418822575 2011 2016-02-24 21:20:13Z KLAMATH YOUTH DEVELOPMENT CENTER STAN GILBERT 2210 ELDORADO AVENUE KLAMATH FALLS OR 97601 2493978 0 X WWW.KLAMATHYOUTH.ORG X 1978 OR MANAGED BEHAVIORAL CARE FOR CHILDREN AND ADOLESCENTS 8 7 65 0 0 0 3048762 0 132451 2390374 1617 3416 69181 53872 3252011 2447662 0 0 0 0 2342625 2332362 0 0 0 612707 629768 2955332 2962130 296679 -514468 2618281 2066743 146840 123473 2471441 1943270 X TO ESTABLISH, DEVELOP, MAINTAIN AND OPERATE THE HIGHEST QUALITY MENTAL AND BEHAVIORAL HEALTH PROGRAMS FOR KLAMATH COUNTY'S CHILDREN, ADOLESCENTS AND FAMILIES. 0 0 567506 706197 PSYCHIATRIC 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. 1044184 719409 COMMUNITY 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. 394547 186272 INTENSIVE 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. 955893 778496 SAFE 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. 955893 778496 2962130 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 14 0 65 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 7 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 0 1 1 1 0 X LIZ MADDELENA 5418831030 2210 ELDORADO AVENUE KLAMATH FALLS OR 97601 MEL FERGUSON 2.00 X X 0 0 0 JAMES NOVAK MD 2.00 X X 0 0 0 SUSAN ASPELL 2.00 X X 0 0 0 BRIAN MENEFEE 2.00 X X 0 0 0 JEFF BRADFORD 2.00 X 0 0 0 GREG CLARK 2.00 X 0 0 0 JEANNETTE GANSBERG 2.00 X 0 0 0 BOB JACKMAN 2.00 X 0 0 0 0 0 0 1 0 0 0 0 GOVT AGENCIES FEES & G 624100 2275336 2275336 OUTREACH CLIENT FEES 624100 115038 115038 2390374 1517 1517 37800 0 37800 37800 37800 48215 46316 1899 1899 1899 MISCELLANEOUS INCOME 900099 16072 16072 16072 2447662 2392273 0 55389 1850131 1725331 124800 52805 52805 243718 226788 16930 185708 173269 12439 4592 4592 14037 14037 247196 166340 80856 4933 4933 25694 25694 126027 67903 58124 40040 40040 26742 26742 23609 23609 SUPPLIES 22190 4724 17466 BUILDINGS & GROUND MAIN 21680 21680 EQUIPMENT SUPPORT AND M 20249 20249 STAFF TRAINING 17818 17818 34961 553215 -518254 2962130 2962130 0 0 606 607 170761 157670 752097 678984 510769 120490 2333 2407 73954 76397 663635 544142 130493 119493 51444 51001 925824 859694 2618281 2066743 135160 119374 2697 4099 8983 0 146840 123473 X 1932440 1415668 539001 527602 2471441 1943270 2618281 2066743 X -514468 -13703 X 0 1 0 X 0 X 16350 16350 257992 197743 60249 389293 346399 42894 119493 PREPAID LONG-TERM LEASE 859694 859694 2447662 2962130 -514468 -2313 -11390 -13703 -528171 2498044 -2313 52686 9 50382 2447662 0 2447662 3014816 52686 52686 2962130 0 2962130 DRAFT 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. 1 1 KLAMATH YOUTH DEVELOPMENT CENTER

2210 ELDORADO AVENUE KLAMATH FALLS OR 97601

X OUTPATIENT MENTAL HEALTH NA 1 0 0 0 0 0 0 0 0 0 0 0 MEL FERGUSON BOARD CHAIR / ATTORNEY 4593 LEGAL SERVICES 0 FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS REVIEWED BY THE EXECUTIVE DIRECTOR PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C ALL 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 15 COMPENSATION 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 19 GOVERNING DOCUMENTS, FINANCIAL INFORMATION, ETC., ARE MADE AVAILABLE UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: 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.