KLAMATH CHILD AND FAMILY TREATMENT CENTER: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
KLAMATH CHILD AND FAMILY TREATMENT CENTER (EIN 93-0753926)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-15
IRS object ID
201221369349307592
Schema version
2010v3.4
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)
Timestamp2012-05-15T17:52:29-05:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ISLER OF KLAMATH FALLS LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1626 S SEVENTH STREETAddressLine1
CityKLAMATH FALLSCity
StateORState
ZIP Code976016224ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

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 Signed2012-05-15DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameISLER OF KLAMATH FALLS LLCName
Phone5418822575Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
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 Receipts3271014GrossReceipts
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 Body7NbrVotingMembersGoverningBody
Nbr Independent Voting Members6NbrIndependentVotingMembers
Total Nbr Employees72TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year2347524ContributionsGrantsPriorYear
Contributions Grants Current Year3048762ContributionsGrantsCurrentYear
Program Service Revenue Prior Year40648ProgramServiceRevenuePriorYear
Program Service Revenue CY132451ProgramServiceRevenueCY
Investment Income Prior Year90InvestmentIncomePriorYear
Investment Income Current Year1617InvestmentIncomeCurrentYear
Other Revenue Prior Year72231OtherRevenuePriorYear
Other Revenue Current Year69181OtherRevenueCurrentYear
Total Revenue Prior Year2460493TotalRevenuePriorYear
Total Revenue Current Year3252011TotalRevenueCurrentYear
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 Year2148453SalariesEtcPriorYear
Salaries Etc Current Year2342625SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year515268OtherExpensePriorYear
Other Expenses Current Year612707OtherExpensesCurrentYear
Total Expenses Prior Year2663721TotalExpensesPriorYear
Total Expenses Current Year2955332TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-203228RevenuesLessExpensesPriorYear
Revenues Less Expenses CY296679RevenuesLessExpensesCY
Total Assets BOY2334598TotalAssetsBOY
Total Assets EOY2618281TotalAssetsEOY
Total Liabilities BOY109644TotalLiabilitiesBOY
Total Liabilities EOY146840TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2224954NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY2471441NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO ESTABLISH, DEVELOPE, 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
Expense575713Expense
Revenue684443Revenue
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)
Expense900128Expense
Revenue1179344Revenue
DescriptionCOMMUNITY SERVCICES - 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)
Expense266809Expense
Revenue286848Revenue
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)
Expense1212682Expense
Revenue1007578Revenue
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 Exp1212682TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev1007578TotalOfOtherProgramServiceRev
Total Program Service Expense2955332TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
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 With109612NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees72NumberOfEmployees
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 Members7NbrVotingGoverningBodyMembers
Number Independent Voting Members6NumberIndependentVotingMembers
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 Line1CAROL NANNEMANBusinessNameLine1
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 CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
MEL FERGUSON
CHAIR2.00XX000
JAMES NOVAK MD
VICE-CHAIR2.00XX000
BRIAN MENEFEE CPA
TREASURER2.00XX000
SUSAN ASPELL RN
SECRETARY2.00XX000
JEFF BRADFORD
BOARD MEMBER2.00X000
DOUG SMITH
BOARD MEMBER2.00X000
GREG CLARK
BOARD MEMBER2.00X000
STAN GILBERT
EXECUTIVE DIRECTOR50.0012000000XX
FieldValueIRS element (for citing)
Total Reportable Comp From Org120000TotalReportableCompFromOrg
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
Government Grants3025762GovernmentGrants
All Other Contributions23000AllOtherContributions
Total Contributions3048762TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionOUTREACH CLIENT FEESDescription
Business Code624100BusinessCode
Total Revenue Column132451TotalRevenueColumn
Related Or Exempt Function Income132451RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue132451TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1413TotalRevenueColumn
Exclusion$1,413ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real37800Real

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)
Securities19207Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities19003Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities204Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column204TotalRevenueColumn
Related Or Exempt Function Income204RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUS INCOMEDescription
Business Code900099BusinessCode
Total Revenue Column31381TotalRevenueColumn
Exclusion$31,381ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue31381TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column3252011TotalRevenueColumn
Related Or Exempt Function Income132655RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$70,594ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total1852698Total
Program Services1732698ProgramServices
Management And General120000ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total48138Total
Management And General48138ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total252078Total
Program Services235587ProgramServices
Management And General16491ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total189711Total
Program Services177474ProgramServices
Management And General12237ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1156Total
Management And General1156ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total24484Total
Management And General24484ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total177870Total
Program Services112460ProgramServices
Management And General65410ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total5457Total
Management And General5457ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total16113Total
Management And General16113ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total120654Total
Program Services67739ProgramServices
Management And General52915ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total29372Total
Management And General29372ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total57193Total
Program Services57193ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total26248Total
Management And General26248ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneralProgram ServicesProgramServices
BUILDINGS & GROUND MAIN5035850358
EQUIPMENT SUPPORT AND M3220032200
SUPPLIES25276208924384
BUSINESS AND BOARD1793017930
STAFF TRAINING98519851

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total18545Total
Program Services557946ProgramServices
Management And General-539401ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total2955332Total
Program Services2955332ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY606BOY
EOY606EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY271679BOY
EOY170761EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY682671BOY
EOY752097EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY97645BOY
EOY510769EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY341BOY
EOY2333EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY96480BOY
EOY73954EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis656031LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec525538LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY150809BOY
EOY130493EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY42412BOY
EOY51444EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY991955BOY
EOY925824EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY2334598BOY
EOY2618281EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY89882BOY
EOY135160EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
EOY2697EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY19762BOY
EOY8983EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY109644BOY
EOY146840EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1664055BOY
EOY1932440EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY560899BOY
EOY539001EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2224954BOY
EOY2471441EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2334598BOY
EOY2618281EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses296679ReconcilationRevenueExpenses
Reconcilation Other Changes-50193ReconcilationOtherChanges
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 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 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 Basis258221OtherCostOrOtherBasis
Depreciation191838Depreciation
Book Value66383BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis381460OtherCostOrOtherBasis
Depreciation333700Depreciation
Book Value47760BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings130493TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionPREPAID LONG-TERM LEASEDescription
Book Value925824BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets925824TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionSUB-LEASE PAYABLEDescription
Amount$8,983Amount
FieldValueIRS element (for citing)
Total Of Amounts8983TotalOfAmounts
Total Revenue3252011TotalRevenue
Total Expenses2955332TotalExpenses
Excess Or Deficit For Year296679ExcessOrDeficitForYear
Net Unrealized GL On Investments8354NetUnrealizedGLOnInvestments
Prior Period Adjustments-33648PriorPeriodAdjustments
Other-$24,898OtherAmount
Total Adjustments-50192TotalAdjustments
Excess Or Deficit Per FS246487ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt3313051TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments8354NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities52686DonatedSrvcAndUseOfFacilities
Revenue Not Rptd F99061040RevenueNotRptdF990
Revenue Subtotal3252011RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9903252011TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt3008018TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities52686DonatedServicesUseOfFacilities
Expenses Not Rptd F99052686ExpensesNotRptdF990
Expenses Subtotal2955332ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9902955332TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierPART XI, LINE 8 - OTHER ADJUSTMENTS:Identifier
ExplanationADJUST FOR NET ASSETS RELEASED FROM RESTRICTION -24,898.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

Form990 Schedule H Part VI Form990ScheduleHPartVI (4 entries)

ExplanationExplanation
THE ORGANIZATION HOLDS A CURRENT "CERTIFICATE OF APPROVAL FOR MENTAL HEALTH SERVICES", "STANDARDS FOR CHILDREN'S INTENSIVE MENTAL HEALTH TREATMENT SERVICES", AND "STANDARDS FOR CHILDREN'S INTENSIVE COMMUNITY-BASED TREATMENT AND SUPPORT SERVICES" FROM THE OREGON DEPARTMENT OF HUMAN SERVICES, ADDICTIONS AND MENTAL HEALTH DIVISION.
PART VI, LINE 2: THE ORGANIZATION ENDEAVORS TO MAKE AVAILABLE A COMPREHENSIVE ARRAY OF SERVICES THAT MEET THE SPECTRUM OF BEHAVIORAL HEALTH NEEDS OF KLAMATH COUNTY'S CHILDREN AND FAMILIES. SERVICES RANGING FROM LOW INTENSITY PROGRAMMING TO VERY HIGH INTENSITY CARE IS PROVIDED, AND SERVICES ARE DELIVERED IN A VARIETY OF COMMUNITY SETTINGS INCLUDING THE ORGANIZATION'S CLINIC, HOMES, SCHOOLS, AND OTHER NON-TRADITIONAL LOCATIONS. BASED ON THE PROGRAMS BEING OFFERED AND THE NEW PROGRAMS THAT BECOME AVAILABLE, THE ORGANIZATION IS CONTINUALLY ASSESSING THE NEEDS OF THE COMMUNITY AND LOOKING FOR WAYS TO DELIVER PROGRAMS MORE EFFECTIVELY.
PART VI, LINE 3: ALL CLIENTS RECEIVE AN ASSESSMENT PRIOR TO SERVICES TO DETERMINE THEIR NEED FOR SERVICES AND PROGRAMS THEY QUALIFY FOR. AS MANY CHILDREN AND ADOLESCENTS ARE REFERRED TO THE ORGANIZATION, THEY MAY ALREADY BE AWARE OF ELIGIBILITY FOR ASSISTANCE. MANY SERVICES ARE FUNDED UNDER VARIOUS CONTRACTS AND ELIGIBILITY MUST BE ESTABLISHED AND APPROVED PRIOR TO SERVICES. SOME CHILDREN AND ADOLESCENTS ARE ELIGIBLE FOR THE OREGON HEALTH PLAN AND APPROVAL IS RECEIVED PRIOR TO SERVICES. FOR ANY WHO DO NOT COME AS A REFERRAL UNDER A PARTICULAR PROGRAM OR CONTRACT, VERBAL COMMUNICATION IS MADE WITH THE PARENTS OR GUARDIANS SO AVENUES OF POSSIBLE ASSISTANCE CAN BE INVESTIGATED.
PART VI, LINE 4: THE ORGANIZATION SERVES CHILDREN, ADOLESCENTS AND FAMILIES IN THE KLAMATH COUNTY, OREGON REGION.

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 MEMBER/ATTORNEYRelationship
Amount Of Transaction1156AmountOfTransaction
Description Of TransactionLEGAL SERVICESDescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 IS REVIEWED BY THE EXECUTIVE DIRECTOR PRIOR TO FILING.
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 12C
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 B, LINE 15
GOVERNING DOCUMENTS, FINANCIAL INFORMATION, ETC., ARE MADE AVAILABLE UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED GAINS ON INVESTMENTS: 8,354. PRIOR PERIOD ADJUSTMENTS: -33,648. ADJUST FOR NET ASSETS RELEASED FROM RESTRICTION ROUNDINGFORM 990, PART XI, LINE 5:

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