LIFEWORKS NW: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
LIFEWORKS NW (EIN 93-0502822)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-15
IRS object ID
201331359349308203
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)
Timestamp2013-05-15T16:01:27-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN930743240EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1HOFFMAN STEWART & SCHMIDT PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line14900 MEADOWS ROAD STE 200AddressLine1
CityLAKE OSWEGOCity
StateORState
ZIP Code970353295ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN930502822EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1LIFEWORKS NWBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlLIFENameControl
Phone5036453581Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line114600 NW CORNELL ROADAddressLine1
CityPORTLANDCity
StateORState
ZIP Code972295442ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameCONNIE DUNKLE-WEYRAUCHName
TitleVP OF FINANCE AND STRAT OPSTitle
Phone5036453581Phone
Date Signed2013-05-15DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameROBERT M PRILLName
PTINP00236613PTIN
Phone5032205900Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMARY MONNATNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line114600 NW CORNELL ROADAddressLine1
CityPORTLANDCity
StateORState
ZIP Code972295442ZIPCode
FieldValueIRS element (for citing)
Gross Receipts31325029GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.LIFEWORKSNW.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1961YearFormation
State Legal DomicileORStateLegalDomicile
Activity Or Mission DescriptionPROVIDES COMMUNITY-BASED MENTAL HEALTH, ADDICTION, AND PREVENTION SERVICES TO THE COMMUNITY.ActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members15NbrIndependentVotingMembers
Total Nbr Employees795TotalNbrEmployees
Total Nbr Volunteers65TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year330097ContributionsGrantsPriorYear
Contributions Grants Current Year11869711ContributionsGrantsCurrentYear
Program Service Revenue Prior Year29677066ProgramServiceRevenuePriorYear
Program Service Revenue CY19198234ProgramServiceRevenueCY
Investment Income Prior Year17687InvestmentIncomePriorYear
Investment Income Current Year46449InvestmentIncomeCurrentYear
Other Revenue Prior Year162823OtherRevenuePriorYear
Other Revenue Current Year198073OtherRevenueCurrentYear
Total Revenue Prior Year30187673TotalRevenuePriorYear
Total Revenue Current Year31312467TotalRevenueCurrentYear
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 Year22433028SalariesEtcPriorYear
Salaries Etc Current Year24433350SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year378756TotalFundrsngExpCurrentYear
Other Expense Prior Year6887183OtherExpensePriorYear
Other Expenses Current Year6522193OtherExpensesCurrentYear
Total Expenses Prior Year29320211TotalExpensesPriorYear
Total Expenses Current Year30955543TotalExpensesCurrentYear
Revenues Less Expenses Prior Year867462RevenuesLessExpensesPriorYear
Revenues Less Expenses CY356924RevenuesLessExpensesCY
Total Assets BOY16572364TotalAssetsBOY
Total Assets EOY16797482TotalAssetsEOY
Total Liabilities BOY3539434TotalLiabilitiesBOY
Total Liabilities EOY3455272TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY13032930NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY13342210NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionOUR MISSION AT LIFEWORKS NW IS TO PROMOTE A HEALTHY COMMUNITY BY PROVIDING QUALITY AND CULTURALLY RESPONSIVE MENTAL HEALTH AND ADDICTION SERVICES ACROSS THE LIFESPAN. (CONTINUED ON SCHEDULE O.)IN THE LAST YEAR, LIFEWORKS NW OPERATED TEN SITES IN WASHINGTON COUNTY, TEN IN MULTNOMAH COUNTY, AND ONE IN CLACKAMAS COUNTY. THE ORGANIZATION'S 550+ STAFF SERVES OVER 16,500 CLIENTS YEARLY; THE MAJORITY FROM IMPOVERISHED, UNDER-SERVED POPULATIONS. OUR PROGRAMS ARE DESIGNED TO MEET THE SPECIFIC NEEDS OF THE COMMUNITIES IN WHICH THEY ARE OFFERED, AND WE STRIVE TO BE A DYNAMIC AND FORWARD-THINKING CONTRIBUTOR TO THE HEALTH OF OUR REGION.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense19754552Expense
Revenue13578643Revenue
DescriptionMENTAL HEALTH SERVICES - LIFEWORKS NW MENTAL HEALTH SERVICES SUPPORT CHILDREN FROM AS YOUNG AS THREE UP TO YOUNG ADULTS, WHETHER THEY NEED FOSTER CARE, OUTPATIENT THERAPY, OR A MORE STRUCTURED DAY TREATMENT PROGRAM. WE BELIEVE IN INVOLVING THE ENTIRE FAMILY WHENEVER APPROPRIATE AND WORK HARD TO KEEP KIDS IN THEIR HOMES, LOCAL SCHOOLS, AND COMMUNITY.LIFEWORKS NW OFFERS A WIDE ARRAY OF OPTIONS FOR INDIVIDUALS, FAMILIES, ADULTS AND OLDER ADULTS WHO SEEK COUNSELING SERVICES. WE TAILOR OUR PROGRAMS TO A WIDE RANGE OF NEEDS. WE PROVIDE A MENU OF SERVICES FROM OUTPATIENT COUNSELING TO RESIDENTIAL TREATMENT FACILITIES. WE ALSO PROVIDE SUPPORTED EMPLOYMENT AND LONGER TERM SERVICES FOR CLIENTS WHO NEED THEM.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense6037154Expense
Revenue4249997Revenue
DescriptionADDICTION SERVICES - WE OFFER PROVEN ALCOHOL AND DRUG TREAMENT PROGRAMS FOR YOUTH AGES 12 TO 21 AND THEIR FAMILIES. WE COORDINATE OUR EFFORTS WITH SCHOOLS, JUVENILE JUSTICE, FAMILY AND FRIENDS TO DEVELOP LIFE-LONG RECOVERY AND SUPPORT FOR EACH YOUNG PERSON IN OUR CARE. WITH PROGRAMS GROUNDED IN EVIDENCE-BASED PRACTICE, LIFEWORKS NW IS THE PORTLAND METRO AREA ADDICTION PROVIDER WITH THE LARGEST NUMBER AND VARIETY OF SERVICES. WE ALSO PROVIDE CULTURALLY SPECIFIC TREATMENT FOR AFRICAN-AMERICAN AND LATINO YOUTH. LIFEWORKS NW PROVIDES ADDICTION SERVICE FOR ADULTS FROM BASIC OUTPATIENT THERAPY TO MORE EXTENSIVE DAY AND RESIDENTIAL PROGRAMS. (CONTINUED ON SCHEDULE O).WE ALSO PROVIDE A RANGE OF TREATMENT FOR THOSE STRUGGLING WITH PROBLEM GAMBLING - BOTH THE GAMBLER AND HIS OR HER FAMILY. OTHER SERVICES INCLUDE WOMEN'S INTENSIVE SERVICES, RESIDENTIAL TREATMENT AND TRANSITIONAL HOUSING AND HELP FOR THOSE WITHIN THE CRIMINAL JUSTICE SYSTEM. WE USE A NUMBER OF RESEARCH-BASED THERAPEUTIC MODELS SUCH AS COGNITIVE BEHAVIORAL THERAPY AND MOTIVATIONAL THERAPY TO SUPPORT OUR CLIENTS AND INCREASE THEIR PARTICIPATION IN TREATMENT.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense1990300Expense
Revenue1372625Revenue
DescriptionPREVENTION SERVICES - WE BELIEVE IT IS CRITICAL TO REACH CHILDREN AND YOUTH EARLY IN ORDER TO GET IN FRONT OF MENTAL HEALTH OR ADDICTION ISSUES. OUR COMMUNITY BASED SERVICES ARE LOCATED AT LOW-INCOME PUBLIC HOUSING SITES. OUR HOME-BASED SERVICES PROVIDE SUPPORT FOR FAMILIES, YOUTH AND PARENTS, BUILDING ON THEIR CURRENT STRENGTHS. OUR SCHOOL BASED SERVICES WORK IN PARTNERSHIP WITH SEVERAL AREA SCHOOL DISTRICTS, TO PROVIDE PREVENTION EDUCATION AND SKILL-BUILDING SUPPORT FOR CHILDREN AND THEIR FAMILIES IN THEIR SCHOOLS. WE PROVIDE PARENTING EDUCATION IN THE COMMUNITY AND IN FAMILIES' HOMES.Description
FieldValueIRS element (for citing)
Total Program Service Expense27782006TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
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 Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
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 With109685NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees795NumberOfEmployees
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
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members15NumberIndependentVotingMembers
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 Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledORStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1CONNIE DUNKLE-WEYRAUCHBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5036453581TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line114600 NW CORNELL ROADAddressLine1
CityPORTLANDCity
StateORState
ZIP Code97229ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (19 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
KEITH WHITE
CHAIR1.00XX000
SCOTT ANDREWS
VICE CHAIR1.00XX000
DOTTI COWART
SECRETARY1.00XX000
ROY KIM
TREASURER1.00XX000
DAVID LIPPOFF
OFFICER AT LARGE1.00X000
BARBARA ALBERTY
MEMBER1.00X000
MICHAEL ALEXANDER
MEMBER1.00X000
JOE BLOOM MD
MEMBER1.00X000
MICHELLE HARPER
MEMBER1.00X000
ELISE MCCLURE
MEMBER1.00X000
TIM MCMAHAN
MEMBER1.00X000
JIM PIRO
MEMBER1.00X000
SUSAN POPP
MEMBER1.00X000
JUDY ETZEL SAMPLES
MEMBER1.00X000
JEFF UNCAPHER
MEMBER1.00X000
MARY MONNAT
PRESIDENT/CEO40.00X171862018637
CONNIE DUNKLE-WEYRAUCH
VP FIN./DIR STRAT. OPS40.00X120348015465
LISA BOYD
PSYCHIATRIST40.0018934108772X
NEMECIA SALINDONG-DARIO
PSYCHIATRIST40.0011116109834X
FieldValueIRS element (for citing)
Total Reportable Comp From Org592712TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation52708TotalOtherCompensation
Number Individuals GT100 K4NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1OHSUBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13181 SW SAM JACKSON PARK RDAddressLine1
CityPORTLANDCity
StateORState
ZIP Code972393098ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesPSYCHIATRISTS / MEDICAL DIRECTORDescriptionOfServices
Compensation473386Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Fundraising Events153792FundraisingEvents
Government Grants10761754GovernmentGrants
All Other Contributions954165AllOtherContributions
Noncash Contributions11729NoncashContributions
Total Contributions11869711TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionCONTRACTS & PATIENT FEDescription
Business Code624100BusinessCode
Total Revenue Column19198234TotalRevenueColumn
Related Or Exempt Function Income19198234RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue19198234TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column46449TotalRevenueColumn
Exclusion$46,449ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real207604Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real207604Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column207604TotalRevenueColumn
Exclusion$207,604ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events0GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events153792CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses12562FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-12562TotalRevenueColumn
Exclusion-$12,562ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUSDescription
Business Code624100BusinessCode
Total Revenue Column3031TotalRevenueColumn
Related Or Exempt Function Income3031RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue3031TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column31312467TotalRevenueColumn
Related Or Exempt Function Income19201265RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$241,491ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total332828Total
Management And General332828ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total19148370Total
Program Services17463156ProgramServices
Management And General1447136ManagementAndGeneral
Fundraising238078Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total435930Total
Program Services415184ProgramServices
Management And General15086ManagementAndGeneral
Fundraising5660Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2756866Total
Program Services2482514ProgramServices
Management And General240507ManagementAndGeneral
Fundraising33845Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1759356Total
Program Services1579871ProgramServices
Management And General157946ManagementAndGeneral
Fundraising21539Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1449660Total
Program Services1301770ProgramServices
Management And General130143ManagementAndGeneral
Fundraising17747Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total16228Total
Program Services14572ProgramServices
Management And General1457ManagementAndGeneral
Fundraising199Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2149689Total
Program Services1930384ProgramServices
Management And General192988ManagementAndGeneral
Fundraising26317Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total499012Total
Program Services448104ProgramServices
Management And General44799ManagementAndGeneral
Fundraising6109Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total68690Total
Program Services61682ProgramServices
Management And General6167ManagementAndGeneral
Fundraising841Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total10146Total
Program Services9111ProgramServices
Management And General911ManagementAndGeneral
Fundraising124Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total457562Total
Program Services410882ProgramServices
Management And General41078ManagementAndGeneral
Fundraising5602Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total62322Total
Program Services55964ProgramServices
Management And General5595ManagementAndGeneral
Fundraising763Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
SUPPLIES9592878614238612011744
TELEPHONE431069387093386995277
REPAIRS AND MAINTENANCE249900224406224353059
PRINTING45677410174101559

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total122951Total
Program Services94873ProgramServices
Management And General26785ManagementAndGeneral
Fundraising1293Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total30955543Total
Program Services27782006ProgramServices
Management And General2794781ManagementAndGeneral
Fundraising378756Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY12647BOY
EOY13228EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2108331BOY
EOY1665740EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY170417BOY
EOY201109EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY3494736BOY
EOY4137737EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY875074BOY
EOY993109EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis11752225LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec4826740LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY6977694BOY
EOY6925485EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY2933465BOY
EOY2861074EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY16572364BOY
EOY16797482EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2417644BOY
EOY2389063EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY798072BOY
EOY756966EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY317777BOY
EOY303067EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY5941BOY
EOY6176EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3539434BOY
EOY3455272EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY12190500BOY
EOY12466557EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY372176BOY
EOY405399EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY470254BOY
EOY470254EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY13032930BOY
EOY13342210EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY16572364BOY
EOY16797482EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses356924ReconcilationRevenueExpenses
Reconcilation Other Changes-47644ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years14869211CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years17178132CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years15440282CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12914765CurrentTaxYearMinus1Year
Current Tax Year13191681CurrentTaxYear
Total73594071Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10388070CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12382458CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years13715344CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year17092398CurrentTaxYearMinus1Year
Current Tax Year17876264CurrentTaxYear
Total71454534Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years25257281CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years29560590CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years29155626CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year30007163CurrentTaxYearMinus1Year
Current Tax Year31067945CurrentTaxYear
Total145048605Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11651CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11541CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6100CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year15120CurrentTaxYearMinus1Year
Current Tax Year88417CurrentTaxYear
Total132829Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11651CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11541CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6100CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year15120CurrentTaxYearMinus1Year
Current Tax Year88417CurrentTaxYear
Total132829Total
FieldValueIRS element (for citing)
Public Support Total509144915776PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years106765CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years63858CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years45699CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year194088CurrentTaxYearMinus1Year
Current Tax Year254053CurrentTaxYear
Total664463Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years106765CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years63858CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years45699CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year194088CurrentTaxYearMinus1Year
Current Tax Year254053CurrentTaxYear
Total664463Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2156CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2838CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2519CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2338CurrentTaxYearMinus1Year
Current Tax Year3031CurrentTaxYear
Total12882Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years25366202CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years29627286CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years29203844CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year30203589CurrentTaxYearMinus1Year
Current Tax Year31325029CurrentTaxYear
Total145725950Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99440PublicSupportPercentage509
Prior Year Support Percentage0.99560PriorYearSupportPercentage
Investment Income Percentage0.00460InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00380PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$5,000OtherActivitiesAmount
Total Lobbying Expenditures IIB5000TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1:ReturnReference
ExplanationTHE ORGANIZATION ENGAGED A LOBBYIST TO WORK IN THE STATE CAPITAL TO PROMOTE AWARENESS ABOUT THE NEED FOR COMMUNITY-BASED MENTAL HEALTH, ADDICTION AND PREVENTION SERVICES IN THE STATE OF OREGON.Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance911847BeginningOfYearBalance
Investment Earnings Or Losses-2661InvestmentEarningsOrLosses
End Of Year Balance909186EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance784506BeginningOfYearBalance
Contributions5000Contributions
Investment Earnings Or Losses122341InvestmentEarningsOrLosses
End Of Year Balance911847EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance720496BeginningOfYearBalance
Investment Earnings Or Losses64010InvestmentEarningsOrLosses
End Of Year Balance784506EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance782466BeginningOfYearBalance
Contributions24712Contributions
Investment Earnings Or Losses-86682InvestmentEarningsOrLosses
End Of Year Balance720496EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.26000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.51000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.23000TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1068961OtherCostOrOtherBasis
Book Value1068961BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis8549984OtherCostOrOtherBasis
Depreciation3148468Depreciation
Book Value5401516BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1759528OtherCostOrOtherBasis
Depreciation1339972Depreciation
Book Value419556BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis373752OtherCostOrOtherBasis
Depreciation338300Depreciation
Book Value35452BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings6925485TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionGIFT ANNUITY PAYABLEDescription
Amount$6,176Amount
FieldValueIRS element (for citing)
Total Of Amounts6176TotalOfAmounts
Total Revenue31312467TotalRevenue
Total Expenses30955543TotalExpenses
Excess Or Deficit For Year356924ExcessOrDeficitForYear
Net Unrealized GL On Investments-47644NetUnrealizedGLOnInvestments
Total Adjustments-47644TotalAdjustments
Excess Or Deficit Per FS309280ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt31365503TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-47644NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities100680DonatedSrvcAndUseOfFacilities
Revenue Not Rptd F99053036RevenueNotRptdF990
Revenue Subtotal31312467RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99031312467TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt31056223TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities100680DonatedServicesUseOfFacilities
Expenses Not Rptd F990100680ExpensesNotRptdF990
Expenses Subtotal30955543ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99030955543TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:Identifier
Return ReferencePART V, LINE 4:ReturnReference
ExplanationTHE ENDOWMENT IS DESIGNED TO PROVIDE LONG-TERM SUPPORT FOR THE ORGANIZATION'S PROGRAMS.Explanation

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1ANNUAL BREAKFASTNameOfEvent1
Gross Receipts Event1153792GrossReceiptsEvent1
Charitable Contributions Event1153792CharitableContributionsEvent1
Rent Facility Costs Event112562RentFacilityCostsEvent1
Gross Receipts Total153792GrossReceiptsTotal
Charitable Contributions Total153792CharitableContributionsTotal
Rent Facility Costs Total Events12562RentFacilityCostsTotalEvents
Direct Expense Summary Events12562DirectExpenseSummaryEvents
Net Income Summary-12562NetIncomeSummary

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
MARY MONNAT
1718620000017077015600190499000
LISA BOYD
189341000005749030230198113000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11FORM 990 WAS REVIEWED PRIOR TO FILING BY MANAGEMENT OF THE ORGANIZATION, AS WELL AS BY THE AUDIT COMMITTEE. IN ADDITION, A COPY OF THE 990 WAS PROVIDED TO THE ENTIRE BOARD OF DIRECTORS PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CA CONFLICT OF INTEREST QUESTIONNAIRE AND STATEMENT IS COMPLETED/SIGNED ANNUALLY BY ALL BOARD MEMBERS.
FORM 990, PART VI, SECTION B, LINE 15THE EXECUTIVE DIRECTOR'S PERFORMANCE AND COMPENSATION IS REVIEWED ANNUALLY BY THE BOARD EXECUTIVE COMMITTEE. COMPARATIVE DATA FROM SIMILAR ORGANIZATIONS IS UTILIZED IN DETERMINING THE COMPENSATION FOR THE EXECUTIVE DIRECTOR. COMPENSATION FOR OTHER KEY EMPLOYEES IS SET BY MANAGEMENT, AND IS ESTABLISHED BY REFERENCE TO COMPARATIVE DATA FROM SIMILAR ORGANIZATIONS.
FORM 990, PART VI, SECTION C, LINE 19A COMPLETE COPY OF THE ORGANIZATION'S FORM 990 CAN BE OBTAINED FROM THE WEBSITE WWW.GUIDESTAR.ORG, OR FROM THE ORGANIZATION UPON REQUEST. OTHER GOVERNING DOCUMENTS ARE AVAILABLE FROM THE ORGANIZATION UPON REQUEST.
FORM 990, PART XI, LINE 5:NET UNREALIZED LOSSES ON INVESTMENTS: -47,644.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XI, LINE 2C:THERE HAS BEEN NO CHANGE IN THE PROCESS FROM THE PRIOR YEAR REGARDING THE OVERSIGHT OF THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS OR THE SELECTION PROCESS OF THE INDEPENDENT ACCOUNTANTS' THAT AUDIT THE FINANCIAL STATEMENTS OF THE ORGANIZATION.

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