2011-02-15T16:04:55-06:00 2010-06-30 ISLER OF KLAMATH FALLS LLC 626 S SEVENTH STREET KLAMATH FALLS OR 976016224 990 2009-07-01 930753926 Klamath Child & Family Treatment Center KLAM 5418831030 2210 Eldorado Avenue Klamath Falls OR 97601 STAN GILBERT 5418831030 2011-02-15 1 ISLER OF KLAMATH FALLS LLC 5418822575 2009 2016-02-24 21:20:13Z KLAMATH YOUTH DEVELOPMENT CENTER STAN GILBERT 2210 ELDORADO AVENUE KLAMATH FALLS OR 97601 2486126 0 X WWW.KLAMATHYOUTH.ORG X 1978 OR MANAGED BEHAVIORAL CARE FOR CHILDREN AND ADOLESCENTS 8 7 67 1 0 0 2050992 2347524 111175 40648 89 90 65921 72231 2228177 2460493 0 0 2222820 2148453 0 0 434697 515268 2657517 2663721 -429340 -203228 2733850 2334598 143215 109644 2590635 2224954 TO ESTABLISH, DEVELOPE, MAINTAIN AND OPERATE THE HIGHEST QUALITY MENTAL AND BEHAVIORAL HEALTH PROGRAMS FOR KLAMATH COUNTY'S CHILDREN, ADOLESCENTS AND FAMILIES. 0 0 632094 506199 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 HEALTH DIFFICULTIES. 753172 921948 COMMUNITY SERVICES - THE COMMUNITY SERVICES PROGRAM INCLUDES GENERAL COUNSELING SERVICES TO TREAT EACH CHILD'S UNIQUE AND SPECIFIC DEVELOPMENTAL, EMOTIONTIONAL, SOCIAL, BEHAVIORAL AND FAMILY RELATED NEEDS. ALSO INCLUDED ARE THE CHILD ADVOCACY CENTER WHICH PROVIDES SPECIALIZED TREATMENT FOR PHYSICALLY OR SEXUALLY ABUSED OR NEGLECTED CHILDREN AND OTHER SUPPORTIVE SERVICES FOR CHILDREN AND THEIR FAMILIES. 185436 101462 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. 1093019 858563 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. 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. HEALTHY START PROVIDES RISK ASSESSMENT SCREENINGS FOR BABIES AND ONGOING IN-HOME RISK PREVENTION AND BEHAVIORAL HEALTH SERVICES FOR ENROLLED FAMILIES. 1093019 858563 2663721 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 12 0 1 67 1 0 0 0 0 0 0 0 0 0 0 0 8 7 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 0 1 1 1 0 X LIZ MADDALENA 5418831030 2210 ELDORADO AVENUE KLAMATH FALLS OR 97601 jefF BRADFORD 2.00 X X 0 0 0 JAMES NOVAK MD 2.00 X X 0 0 0 JEANNETTE GANSBERG 2.00 X X 0 0 0 SUSAN ASPELL 2.00 X X 0 0 0 MEL FERGUSON 2.00 X 0 0 0 BRIAN MENEFEE 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 119070 0 0 119070 0 0 1 0 0 0 0 2347524 2347524 OUTREACH CLIENT FEES 624100 40648 40648 40648 4269 4269 21454 25633 -4179 -4179 -4179 MISCELLANEOUS INCOME 624100 72231 72231 72231 2460493 36469 0 76500 1727065 1607995 119070 265698 247435 18263 155690 144960 10730 54 54 19115 19115 84035 66000 18035 5636 5636 14073 14073 126421 66904 59517 20235 20235 66505 66505 BUILDING & GROUNDS MAIN 42166 42166 EQUIPMENT SUPPORT AND M 37342 37342 SUPPLIES 34549 15090 19459 INSURANCE 25362 25362 BUSINESS AND BOARD 17186 17186 22589 448832 -426243 2663721 2663721 0 0 607 606 207544 271679 791746 682671 303053 97645 617 341 124357 96480 619295 468486 209098 150809 38743 42412 1058085 991955 2733850 2334598 112674 89882 30541 19762 143215 109644 X 2021120 1664055 569515 560899 2590635 2224954 2733850 2334598 X 0 1 0 X 0 X 16350 16350 258221 185753 72468 344724 282733 61991 150809 PREPAID LONG-TERM LEASE 991955 991955 SUB-LEASE PAYABLE 19762 19762 2460493 2663721 -203228 7444 -161281 -8616 -162453 -365681 2520623 7444 52686 60130 2460493 0 2460493 2716407 52686 52686 2663721 0 2663721 Part XI, Line 8 - Other Adjustments: ADJUST FOR NET ASSETS RELEASED FROM RESTRICTION: -8616. KLAMATH YOUTH DEVELOPMENT CENTER

2210 ELDORADO AVENUE KLAMATH FALLS OR 97601

X OUTPATIENT MENTAL HEALTH 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 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: 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 AND FAMILIES IN THE KLAMATH COUNTY, OREGON REGION. MEL FERGUSON BOARD MEMBER/ATTORNEY 54 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.