PROJECT ACCESS NOW: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
PROJECT ACCESS NOW (EIN 20-8928388)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-02-06
IRS object ID
201320379349300947
Schema version
2011v1.5
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)
Timestamp2013-02-06T14:16:48-08:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BOTTAINI GALLUCCI & OHANLON PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11500 NE IRVING ST STE 440AddressLine1
CityPORTLANDCity
StateORState
ZIP Code972324208ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN208928388EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Project Access NOWBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlPROJNameControl
Phone5034135549Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 10953AddressLine1
CityPortlandCity
StateORState
ZIP Code97296ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSia LindstromName
TitleChairTitle
Date Signed2013-02-06DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameEDWIN B O'HANLONName
Phone5032331133Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonSia LindstromNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO Box 10953AddressLine1
CityPortlandCity
StateORState
ZIP Code97296ZIPCode
FieldValueIRS element (for citing)
Gross Receipts967933GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web Siteprojectaccessnow.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2007YearFormation
State Legal DomicileORStateLegalDomicile
Activity Or Mission DescriptionProject Access NOW is a broad based community initiative that builds access to health care for low-income and uninsured people in the Portland/Vancouver metropolitan area by coordinating a network of volunteer physicians, clinics and hospitals.ActivityOrMissionDescription
Nbr Voting Members Governing Body20NbrVotingMembersGoverningBody
Nbr Independent Voting Members20NbrIndependentVotingMembers
Total Nbr Employees17TotalNbrEmployees
Total Nbr Volunteers2900TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year937147ContributionsGrantsPriorYear
Contributions Grants Current Year716110ContributionsGrantsCurrentYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year454InvestmentIncomePriorYear
Investment Income Current Year352InvestmentIncomeCurrentYear
Other Revenue Prior Year31407OtherRevenuePriorYear
Other Revenue Current Year207597OtherRevenueCurrentYear
Total Revenue Prior Year969008TotalRevenuePriorYear
Total Revenue Current Year924059TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year311364SalariesEtcPriorYear
Salaries Etc Current Year551264SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year43259TotalFundrsngExpCurrentYear
Other Expense Prior Year560657OtherExpensePriorYear
Other Expenses Current Year326891OtherExpensesCurrentYear
Total Expenses Prior Year872021TotalExpensesPriorYear
Total Expenses Current Year878155TotalExpensesCurrentYear
Revenues Less Expenses Prior Year96987RevenuesLessExpensesPriorYear
Revenues Less Expenses CY45904RevenuesLessExpensesCY
Total Assets BOY152385TotalAssetsBOY
Total Assets EOY232039TotalAssetsEOY
Total Liabilities BOY45183TotalLiabilitiesBOY
Total Liabilities EOY78933TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY107202NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY153106NetAssetsOrFundBalancesEOY
Mission DescriptionProject Access NOW is a broad based community initiative that builds access to health care for low-income and uninsured people in the Portland/Vancouver metropolitan area by coordinating a network of volunteer physicians, clinics and hospitals.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense554355Expense
Grants131094Grants
DescriptionCare Coordination - The function of care coordination is to assure the meaningful connection of clients to donated resources. Care Coordinators are responsible for determining eligibility of clients, orienting them to the program, assigning referrals to volunteer providers, providing reminder calls, serving as a point of contact for any barriers that come up regarding ability to connect to care. We processed over 4,000 referral requests by 3,137 individuals this year.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense186533Expense
Revenue40431Revenue
DescriptionPharmacy - A core piece of health care is access to needed medication to manage chronic conditions and cure episodic conditions. Pharmacy Bridge Provides patients with basic medications for a $4 co-pay. In addition, the medication is available directly through the pharmacy benefit. We also use volunteers to process medication assistance applications for patients to receive brand name medications at no cost. The contracted rate for medications made available to us saves over 60% off of the average wholesale price of medication. During this fiscal year, Project Access NOW filled over 8,229 prescriptions though pharmacies, paying $109,862 for mediations that would have retailed at $326,238.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense33768Expense
DescriptionCoordination of volunteer Network - We are able to connect people to care as long as there are health care providers willing to donate that care. Our network of volunteer providers grew from 2,800 to nearly 2,900 this year. This network includes all of the hospitals in the metro region and several private specialty care providers. Supporting and coordinating this network requires a sophisticated database, recruitment efforts, volunteer support and a great deal of relationship building and trouble shooting. One core piece of this is managing equity between hospital system partners. Another key piece is assuring the Care Coordination efforts are successful in order to keep volunteers involved. Over 99% of our volunteers that have signed up to provide volunteer care through Project Access NOW have continued with their participation; some for nearly five years now!Description
FieldValueIRS element (for citing)
Total Program Service Expense774656TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
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Report Prog Rel InvestfalseReportProgRelInvest
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SchoolfalseSchool
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GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
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Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
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Escrow AccountfalseEscrowAccount
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Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
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Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
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Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10964NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees17NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Quid Pro Quo DisclosurefalseQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
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Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
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Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Form720 FiledfalseForm720Filed
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members20NbrVotingGoverningBodyMembers
Number Independent Voting Members20NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
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Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
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Officer Mailing AddressfalseOfficerMailingAddress
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Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
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Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledORStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonLinda Nilsen-SolaresNamePerson
Telephone Number5034135541TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO box 10953AddressLine1
CityPortlandCity
StateORState
ZIP Code97296ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (21 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployee
Katie Iverson
Director1.50X000
Adam Nemer
Director1.00X000
Ariel Lopez-Chavez
Director0.50X000
Larlene Dunsmuir
Director1.00X000
Kari Stanley
Vice Chair1.50X000X
Mark Rosenberg
Director1.50X000
Liz Rabiner Lippoff
Director2.00X000
John Nusser
Director1.50X000
Marie Napolitano
Director1.50X000
Alan Melnick
Director1.00X000
Sia Lindstrom
Chair2.00X000X
Priscilla Lewis
Director1.50X000
Howard Klink
Director1.00X000
Joe Ichter
Secretary2.00X000X
Janet Hochstatter
Director0.50X000
Judge Hicks
Director1.00X000
Sheila Hale
Director1.50X000
Michelle Kelly
Treasurer2.00X000X
Rob Delf
Director0.50X000
Marie Dahlstrom
Director1.50X000
Linda Nilsen-Solares
Executive Director40.007297502690X
FieldValueIRS element (for citing)
Total Reportable Comp From Org72975TotalReportableCompFromOrg
Total Other Compensation2690TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Fundraising Events71315FundraisingEvents
Government Grants15000GovernmentGrants
All Other Contributions629795AllOtherContributions
Noncash Contributions7380NoncashContributions
Total Contributions716110TotalContributions
Total Program Service Revenue0TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column352TotalRevenueColumn
Exclusion$352ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

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Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

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Total Revenue Column0TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

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Net Gain Or Loss Investments NetGainOrLossInvestments

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Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Income Fundraising Events4580GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events71315CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses43874FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-39294TotalRevenueColumn
Exclusion-$39,294ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

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Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
Pharmacy Bridge6241004043140431
Federal tax refund5890$5,890
Colorectal Contract624100200570200570
FieldValueIRS element (for citing)
Total Other Revenue246891TotalOtherRevenue

Total Revenue TotalRevenue

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Total Revenue Column924059TotalRevenueColumn
Related Or Exempt Function Income241001RelatedOrExemptFunctionIncome
Exclusion-$33,052ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

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Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

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Total0Total

Foreign Grants ForeignGrants

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Total0Total

Benefits To Members BenefitsToMembers

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Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

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Total75665Total
Program Services30265ProgramServices
Management And General30267ManagementAndGeneral
Fundraising15133Fundraising

Comp Disqual Persons CompDisqualPersons

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Total0Total

Other Salaries And Wages OtherSalariesAndWages

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Total376984Total
Program Services350481ProgramServices
Management And General9655ManagementAndGeneral
Fundraising16848Fundraising

Pension Plan Contributions PensionPlanContributions

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Total7573Total
Program Services3030ProgramServices
Management And General1076ManagementAndGeneral
Fundraising3467Fundraising

Other Employee Benefits OtherEmployeeBenefits

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Total54297Total
Program Services54242ProgramServices
Fundraising55Fundraising

Payroll Taxes PayrollTaxes

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Total36745Total
Program Services30688ProgramServices
Management And General3650ManagementAndGeneral
Fundraising2407Fundraising

Fees For Services Management FeesForServicesManagement

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Total0Total

Fees For Services Legal FeesForServicesLegal

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Total0Total

Fees For Services Accounting FeesForServicesAccounting

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Total3500Total
Management And General3500ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

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Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

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Total0Total

Fees For Services Other FeesForServicesOther

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Total132199Total
Program Services130341ProgramServices
Management And General1858ManagementAndGeneral

Advertising Advertising

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Total183Total
Program Services100ProgramServices
Fundraising83Fundraising

Office Expenses OfficeExpenses

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Total7415Total
Program Services6104ProgramServices
Management And General1275ManagementAndGeneral
Fundraising36Fundraising

Information Technology InformationTechnology

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Total48269Total
Program Services46666ProgramServices
Fundraising1603Fundraising

Royalties Royalties

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Total0Total

Occupancy Occupancy

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Total875Total
Program Services235ProgramServices
Management And General509ManagementAndGeneral
Fundraising131Fundraising

Travel Travel

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Total2735Total
Program Services2347ProgramServices
Management And General188ManagementAndGeneral
Fundraising200Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

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Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total6108Total
Program Services3120ProgramServices
Management And General2793ManagementAndGeneral
Fundraising195Fundraising

Interest Interest

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Total108Total
Management And General108ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

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Total0Total

Depreciation Depletion DepreciationDepletion

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Total964Total
Program Services867ProgramServices
Management And General39ManagementAndGeneral
Fundraising58Fundraising

Insurance Insurance

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Total2058Total
Management And General2058ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Postage and Shipping3250272082448
Board support33295522550227
Printing and Publications38012218571526
Medication & medical supplies107075107075

All Other Expenses AllOtherExpenses

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Total5022Total
Program Services3605ProgramServices
Management And General575ManagementAndGeneral
Fundraising842Fundraising

Total Functional Expenses TotalFunctionalExpenses

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Total878155Total
Program Services774656ProgramServices
Management And General60240ManagementAndGeneral
Fundraising43259Fundraising

Cash Non Interest Bearing CashNonInterestBearing

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BOY14541BOY
EOY48296EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

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EOY990EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

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BOY125590BOY
EOY156108EOY

Accounts Receivable AccountsReceivable

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BOY2831BOY
EOY8749EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

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EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

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EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

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EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

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EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

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BOY867BOY
EOY1000EOY
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Land Buildings Equipment Basis6246LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec3261LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY3949BOY
EOY2985EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

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EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

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EOY0EOY

Investments Program Related InvestmentsProgramRelated

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EOY0EOY

Intangible Assets IntangibleAssets

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EOY0EOY

Other Assets Total OtherAssetsTotal

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BOY4607BOY
EOY13911EOY

Total Assets TotalAssets

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BOY152385BOY
EOY232039EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

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BOY30771BOY
EOY66426EOY

Other Liabilities OtherLiabilities

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BOY14412BOY
EOY12507EOY

Total Liabilities TotalLiabilities

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BOY45183BOY
EOY78933EOY
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Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

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BOY17202BOY
EOY56106EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

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BOY90000BOY
EOY97000EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

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BOY107202BOY
EOY153106EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

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BOY152385BOY
EOY232039EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses45904ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredfalseFederalGrantAuditRequired
Federal Grant Audit PerformedfalseFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

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Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years75972CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years614980CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years462666CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year937147CurrentTaxYearMinus1Year
Current Tax Year989896CurrentTaxYear
Total3080661Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

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Total0Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years19054CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year55632CurrentTaxYearMinus1Year
Current Tax Year40431CurrentTaxYear
Total115117Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

FieldValueIRS element (for citing)
Total0Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

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Total0Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years75972CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years614980CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years481720CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year992779CurrentTaxYearMinus1Year
Current Tax Year1030327CurrentTaxYear
Total3195778Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

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Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total5093195778PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years4847CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1684CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year454CurrentTaxYearMinus1Year
Current Tax Year352CurrentTaxYear
Total7337Total

Post1975 UBTI Post1975UBTI

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Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years4847CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1684CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year454CurrentTaxYearMinus1Year
Current Tax Year352CurrentTaxYear
Total7337Total

Net Income From Other UBI NetIncomeFromOtherUBI

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Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year3431CurrentTaxYearMinus1Year
Current Tax Year5890CurrentTaxYear
Total9321Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years75972CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years619827CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years483404CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year996664CurrentTaxYearMinus1Year
Current Tax Year1036569CurrentTaxYear
Total3212436Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99480PublicSupportPercentage509
Investment Income Percentage0.00230InvestmentIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

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Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis6246OtherCostOrOtherBasis
Depreciation3261Depreciation
Book Value2985BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings2985TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionDeposit with State UnemploymentDescription
Book Value13911BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets13911TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionAccrued vacationDescription
Amount$12,507Amount
FieldValueIRS element (for citing)
Total Of Amounts12507TotalOfAmounts
Total Revenue924059TotalRevenue
Total Expenses878155TotalExpenses
Excess Or Deficit For Year45904ExcessOrDeficitForYear
Excess Or Deficit Per FS45904ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt1031159TotRevenueEtcAuditedFinclStmt
Donated Srvc And Use Of Facilities107100DonatedSrvcAndUseOfFacilities
Revenue Not Rptd F990107100RevenueNotRptdF990
Revenue Subtotal924059RevenueSubtotal
Total Revenue Per Form990924059TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt985255TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities107100DonatedServicesUseOfFacilities
Expenses Not Rptd F990107100ExpensesNotRptdF990
Expenses Subtotal878155ExpensesSubtotal
Total Expenses Per Form990878155TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierPart XIdentifier
Return ReferencePart X : FIN48 FootnoteReturnReference
ExplanationThe Organization could be subject to income tax on unrelated business income. The Organization's federal information returns are subject to possible examination by the taxing authorities until the expiration of the related statutes of limitations on those information returns. In general, the federal information returns have a three year statute of limitations. The fiscal years 2011,2010 and 2009 are open for audit from the Internal Revenue Service and the State of Oregon as of the financial statement date. The Organization would recognize accrued interest and penalties associated with uncertain tax provisions, if any, as part of the income tax provision.Explanation

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsXMailSolicitations
Email SolicitationsXEmailSolicitations
In Person SolicitationsXInPersonSolicitations
Solicitation Of Non Govt GrantsXSolicitationOfNonGovtGrants
Special Fundraising EventsXSpecialFundraisingEvents
Agreement Ref FundraisingfalseAgreementRefFundraising

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1Bridges to HealthcareNameOfEvent1
Gross Receipts Event175895GrossReceiptsEvent1
Charitable Contributions Event171315CharitableContributionsEvent1
Gross Revenue Event14580GrossRevenueEvent1
Rent Facility Costs Event125377RentFacilityCostsEvent1
Other Direct Expenses Event118497OtherDirectExpensesEvent1
Gross Receipts Total75895GrossReceiptsTotal
Charitable Contributions Total71315CharitableContributionsTotal
Gross Revenue Total Events4580GrossRevenueTotalEvents
Rent Facility Costs Total Events25377RentFacilityCostsTotalEvents
Other Direct Expenses Total Events18497OtherDirectExpensesTotalEvents
Direct Expense Summary Events43874DirectExpenseSummaryEvents
Net Income Summary-39294NetIncomeSummary

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSupplies

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F990107100NoncashContribsRptdF990
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Line 19Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableAvailable upon request
Form 990, Part VI, Line 15bForm 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesEvery 2-3 years there is an outside review of Executive Director's salary and comparison with like organizations. Board reviews annually and determines compensation based on performance review, salary review and budget capacity
Form 990, Part VI, Line 12cForm 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsEach Board member must annually update and sign conflict of interest disclosure form.
Form 990, Part VI, Line 11Form 990, Part VI, Line 11: Form 990 Review Process990 reviewed by Finance Committee and Board of Directors prior to filing

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