2012-05-15T17:52:29-05:00 2011-06-30 ISLER OF KLAMATH FALLS LLC 626 S SEVENTH STREET KLAMATH FALLS OR 976016224 990 2010-07-01 930753926 KLAMATH CHILD & FAMILY TREATMENT CENTER KLAM 5418831030 2210 ELDORADO AVENUE KLAMATH FALLS OR 97601 STAN GILBERT 5418831030 2012-05-15 1 ISLER OF KLAMATH FALLS LLC 5418822575 2010 2016-02-24 21:20:13Z KLAMATH YOUTH DEVELOPMENT CENTER STAN GILBERT 2210 ELDORADO AVENUE KLAMATH FALLS OR 97601 3271014 0 X WWW.KLAMATHYOUTH.ORG X 1978 OR MANAGED BEHAVIORAL CARE FOR CHILDREN AND ADOLESCENTS 7 6 72 0 0 0 2347524 3048762 40648 132451 90 1617 72231 69181 2460493 3252011 0 0 0 0 2148453 2342625 0 0 0 515268 612707 2663721 2955332 -203228 296679 2334598 2618281 109644 146840 2224954 2471441 X TO ESTABLISH, DEVELOPE, MAINTAIN AND OPERATE THE HIGHEST QUALITY MENTAL AND BEHAVIORAL HEALTH PROGRAMS FOR KLAMATH COUNTY'S CHILDREN, ADOLESCENTS AND FAMILIES. 0 0 575713 684443 PSYCHIATRIC DAY TREATMENT-THE PSYCHIATRIC DAY TREATMENT PROGRAM IS A COMPREHENSIVE TREATMENT PROGRAM FOR YOUTH FROM 3 TO 18 YEARS OLD WHO EXPERIENCE WIDELY VARIED SEVERE EMOTIONAL AND MENTAL DIFFICULTIES. 900128 1179344 COMMUNITY 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. 266809 286848 INTENSIVE COMMUNITY SERVICES - THIS PROGRAM PROVIDES A COORDINATOR, TEAM, AND PLAN FOR CHILDREN WITH INTENSIVE MENTAL HEALTH NEEDS, AND THEIR FAMILIES, WHO TYPICALLY RECEIVE A VARIETY OF SERVICES FROM DIFFERENT ORGANIZATIONS. THIS PROGRAM COORDINATES SERVICES FROM THE VARIOUS AGENCIES. 1212682 1007578 SAFE SCHOOLS HEALTHY STUDENTS AND ABUSE PREVENTION EDUCATION PROGRAMS ARE IN COLLABORATION WITH SCHOOLS AND THE KLAMATH TRIBES TO PROVIDE IN-CLASSROOM, COMMUNITY-BASED AND HOME-BASED MENTAL HEALTH SERVICES TO HIGH RISK STUDENTS. FAMILY JUSTICE PROGRAM OFFERS MENTAL HEALTH SERVICES TO HIGH RISK FAMILIES INVOLVED WITH THE ADULT CORRECTIONS DEPARTMENT. PSYCHIATRIC CLINIC PROVIDES MENTAL HEALTH ASSESSMENTS AND PSYCHIATRIC SERVICES FOR CHILDREN AND FAMILIES. HEALTHY START PROVIDES RISK ASSESSMENT SCREENINGS FOR BABIES AND ONGOING IN-HOME RISK PREVENTION AND BEHAVIORAL HEALTH SERVICES FOR ENROLLED FAMILIES. 1212682 1007578 2955332 1 1 0 0 0 0 0 0 0 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 12 0 72 1 0 0 0 0 0 0 0 0 0 0 0 0 X 7 6 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 0 1 1 1 0 X CAROL NANNEMAN 5418831030 2210 ELDORADO AVENUE KLAMATH FALLS OR 97601 MEL FERGUSON 2.00 X X 0 0 0 JAMES NOVAK MD 2.00 X X 0 0 0 BRIAN MENEFEE CPA 2.00 X X 0 0 0 SUSAN ASPELL RN 2.00 X X 0 0 0 JEFF BRADFORD 2.00 X 0 0 0 DOUG SMITH 2.00 X 0 0 0 GREG CLARK 2.00 X 0 0 0 STAN GILBERT 50.00 X X 120000 0 0 120000 0 0 1 0 0 0 0 3025762 23000 3048762 OUTREACH CLIENT FEES 624100 132451 132451 132451 1413 1413 37800 37800 37800 37800 19207 19003 204 204 204 MISCELLANEOUS INCOME 900099 31381 31381 31381 3252011 132655 0 70594 1852698 1732698 120000 48138 48138 252078 235587 16491 189711 177474 12237 1156 1156 24484 24484 177870 112460 65410 5457 5457 16113 16113 120654 67739 52915 29372 29372 57193 57193 26248 26248 BUILDINGS & GROUND MAIN 50358 50358 EQUIPMENT SUPPORT AND M 32200 32200 SUPPLIES 25276 4384 20892 BUSINESS AND BOARD 17930 17930 STAFF TRAINING 9851 9851 18545 557946 -539401 2955332 2955332 0 0 606 606 271679 170761 682671 752097 97645 510769 341 2333 96480 73954 656031 525538 150809 130493 42412 51444 991955 925824 2334598 2618281 89882 135160 2697 19762 8983 109644 146840 X 1664055 1932440 560899 539001 2224954 2471441 2334598 2618281 X 296679 -50193 X 0 1 0 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 16350 16350 258221 191838 66383 381460 333700 47760 130493 PREPAID LONG-TERM LEASE 925824 925824 SUB-LEASE PAYABLE 8983 8983 3252011 2955332 296679 8354 -33648 -24898 -50192 246487 3313051 8354 52686 61040 3252011 0 3252011 3008018 52686 52686 2955332 0 2955332 PART XI, LINE 8 - OTHER ADJUSTMENTS: ADJUST FOR NET ASSETS RELEASED FROM RESTRICTION -24,898. 1 1 KLAMATH YOUTH DEVELOPMENT CENTER

2210 ELDORADO AVENUE KLAMATH FALLS OR 97601

X OUTPATIENT MENTAL HEALTH NA 1 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. MEL FERGUSON BOARD MEMBER/ATTORNEY 1156 LEGAL SERVICES 0 FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS REVIEWED BY THE EXECUTIVE DIRECTOR PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C ALL LICENSED THERAPISTS ARE REQUIRED BY THE STATE TO HAVE A PROFESSIONAL DISCLOSURE ON FILE; COMPLIANCE IS MONITORED AND ENFORCED THROUGH THE LICENSING PROCESS. NON-LICENSED THERAPISTS AND SUPPORT STAFF DO NOT HAVE A FORMAL CONFLICT OF INTEREST DISCLOSURE. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION FOR THE EXECUTIVE DIRECTOR IS DETERMINED BY THE BOARD OF DIRECTORS USING OUTSIDE DATA, INCLUDING COMPARABILITY AND ECONOMIC ISSUES. OTHER PERSONNEL COMPENSATION IS DETERMINED BY THE EXECUTIVE DIRECTOR, BUT SUBJECT TO APPROVAL BY THE BOARD OF DIRECTORS. ALL COMPENSATION IS REVIEWED ANNUALLY. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, FINANCIAL INFORMATION, ETC., ARE MADE AVAILABLE UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 8,354. PRIOR PERIOD ADJUSTMENTS: -33,648. ADJUST FOR NET ASSETS RELEASED FROM RESTRICTION ROUNDING