COLUMBIA RIVER MENTAL HEALTH SERVICES: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- COLUMBIA RIVER MENTAL HEALTH SERVICES (EIN 91-0609138)
- Tax period
- 2022-07-01 to 2023-06-30
- Filed
- 2024-05-15
- IRS object ID
- 202401369349317030
- Schema version
- 2022v5.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-05-15T17:34:29-05:00 | ReturnTs |
| Tax Period End | 2023-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 930743240 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOFFMAN STEWART & SCHMIDT PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3 CENTERPOINTE DRIVE SUITE 300 | AddressLine1Txt |
| City | LAKE OSWEGO | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 970358663 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 910609138 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COLUMBIA RIVER MENTAL HEALTH SERVICES | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | COLU | BusinessNameControlTxt |
| Phone | 3609933000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6926 NE FOURTH PLAIN BLVD | AddressLine1Txt |
| City | VANCOUVER | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98661 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | VICTOR JACKSON | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 3609933000 | PhoneNum |
| Signature | 2024-05-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | VICTOR | PersonFirstNm |
| Person Last | JACKSON | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ROBERT M PRILL | PreparerPersonNm |
| PTIN | P00236613 | PTIN |
| Phone | 5032205900 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | VICTOR JACKSON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6926 NE FOURTH PLAIN BLVD | AddressLine1Txt |
| City | VANCOUVER | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98661 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $21,128,082 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.CRMHS.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1953 | FormationYr |
| Legal Domicile State | WA | LegalDomicileStateCd |
| Activity Or Mission | PROVIDING COMPREHENSIVE BEHAVIORAL HEALTH AND RECOVERY SERVICES THAT TRANSFORM THE LIVES OF CHILDREN, ADULTS, AND FAMILIES IN THE COMMUNITIES OF SOUTHWEST WASHINGTON. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 305 | TotalEmployeeCnt |
| Total Volunteers | 25 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $8,278,886 | PYContributionsGrantsAmt |
| CY Contributions Grants | $8,702,346 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $10,456,431 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $11,873,513 | CYProgramServiceRevenueAmt |
| PY Investment Income | $756,529 | PYInvestmentIncomeAmt |
| CY Investment Income | $122,477 | CYInvestmentIncomeAmt |
| PY Other Revenue | $301,634 | PYOtherRevenueAmt |
| CY Other Revenue | $429,746 | CYOtherRevenueAmt |
| PY Total Revenue | $19,793,480 | PYTotalRevenueAmt |
| CY Total Revenue | $21,128,082 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $654,212 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,071,704 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $14,033,211 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $17,111,503 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $4,449,994 | PYOtherExpensesAmt |
| CY Other Expenses | $4,918,854 | CYOtherExpensesAmt |
| PY Total Expenses | $19,137,417 | PYTotalExpensesAmt |
| CY Total Expenses | $23,102,061 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $656,063 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$1,973,979 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $15,272,992 | TotalAssetsBOYAmt |
| Total Assets EOY | $16,739,250 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $6,270,466 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $9,828,046 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $9,002,526 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $6,911,204 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | COLUMBIA RIVER MENTAL HEALTH SERVICES IS A FULL SERVICE MENTAL HEALTH AGENCY OFFERING A WIDE SPECTRUM OF BEHAVIORAL HEALTH SERVICES TO CHILDREN AND ADULTS OF CLARK COUNTY, WASHINGTON. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $8,154,795 | ExpenseAmt |
| Revenue | $5,945,637 | RevenueAmt |
| Desc | COMMUNITY MENTAL HEALTH - PROVIDES A WIDE VARIETY OF PROGRAMS, INCLUDING OUTPATIENT CARE TREATMENT, CASE MANAGEMENT, COMMUNITY SUPPORT, AND MEDICAL SERVICES. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $4,528,642 | ExpenseAmt |
| Revenue | $3,301,820 | RevenueAmt |
| Desc | DRUG AND ALCOHOL - OPIATE SUBSTITUTION AND DUAL DIAGNOSIS RECOVERY PROGRAMS. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,517,919 | ExpenseAmt |
| Grant | $1,071,704 | GrantAmt |
| Revenue | $1,106,710 | RevenueAmt |
| Desc | HOUSING - AFFORDABLE AND TRANSITIONAL HOUSING FOR LOW-INCOME RESIDENTS WITH MENTAL ILLNESS. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,181,526 | ExpenseAmt |
| Revenue | $1,590,544 | RevenueAmt |
| Desc | DIRECT PUBLIC SUPPORT - PROVIDES DIRECT SERVICE SUPPORT TO EMPLOYEES AND CONSUMERS, INCLUDING BUT NOT LIMITED TO INFORMATION TECHNOLOGY, BILLING SERVICES, MEDICAL RECORD MANAGEMENT, QUALITY ASSURANCE, UTILIZATION MANAGEMENT AND ACCESS SERVICES.EMPLOYMENT SERVICES - JOB DEVELOPMENT FOR EMPLOYERS AND JOB SEARCH AND ON THE JOB SUPPORT TO CLIENTS WITH MENTAL HEALTH ISSUES. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $2,181,526 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $1,590,544 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $16,382,882 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 21 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 305 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | WA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CASANDRA SCHOENWALD | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3609933000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6926 NE FOURTH PLAIN BLVD | AddressLine1Txt |
| City | VANCOUVER | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98661 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| MICHELLE HOWELL | |||||||
| PRESIDENT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| SUGIE JOSEPH | |||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| PETER MUNROE | |||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JOHN HORCH | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| PAUL HARRIS | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DOUGLAS CHAPMAN | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JAMES HOWSLEY | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DIMITRY MAKHANOV | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| KYLE RAHN | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MATT ROSE | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JASMINE TOLBERT | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| TEMPLE LENTZ | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| VICTOR JACKSON | |||||||
| EXECUTIVE DIRECTOR | 40.00 | Yes (X) | $208,447 | $0 | $19,051 | ||
| CASANDRA SCHOENWALD | |||||||
| CHIEF FINANCIAL OFFICER | 40.00 | Yes (X) | $115,477 | $0 | $4,772 | ||
| KEVIN FISCHER | |||||||
| MEDICAL DIRECTOR | 40.00 | $311,768 | $0 | $23,859 | Yes (X) | ||
| JESSICA FINMAN | |||||||
| PSYCHIATRIST | 40.00 | $224,626 | $0 | $21,956 | Yes (X) | ||
| EMILY SADIK | |||||||
| PSYCHIATRIST | 40.00 | $222,639 | $0 | $18,552 | Yes (X) | ||
| GEORGE MECOUCH | |||||||
| PSYCHIATRIST | 40.00 | $210,276 | $0 | $14,771 | Yes (X) | ||
| DEBBI SPITLER | |||||||
| NURSE PRACTITIONER | 40.00 | $143,499 | $0 | $12,537 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,436,732 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $115,498 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 7 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| WAVEMARK CONSULTING | |||||
| 10117 SE SUNNYSIDE RD STE F-303 | CLACKAMAS | OR | 97015 | IT CONTRACTED SERVICES | $586,094 |
| UNION CORNER CONSTRUCTION | |||||
| 6500 A NE ST JOHNS RD | VANCOUVER | WA | 98661 | CONSTRUCTION SERVICES | $489,706 |
| BLUE COMET CONSTRUCTION | |||||
| 2418 ROSSITER LANE | VANCOUVER | WA | 98661 | MAIN CLINIC R&M | $301,742 |
| SPEXGX LLC | |||||
| PO BOX 3542 | CAROL STREAM | IL | 60132 | MAT SERVICES MEDICATION | $279,752 |
| QUALIFACTS | |||||
| 315 DEADERICK ST STE 2300 | NASHVILLE | TN | 37238 | EHR SOFTWARE | $231,283 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 9 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $8,133,751 | GovernmentGrantsAmt |
| All Other Contributions | $568,595 | AllOtherContributionsAmt |
| Total Contributions | $8,702,346 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | FEE FOR SERVICE REVENUE | Desc |
| Business | 624100 | BusinessCd |
| Total Revenue Column | $11,873,513 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $11,873,513 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $11,873,513 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $122,477 | TotalRevenueColumnAmt |
| Exclusion | $122,477 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $358,548 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $358,548 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $358,548 | TotalRevenueColumnAmt |
| Exclusion | $358,548 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS | Desc |
| Business | 624100 | BusinessCd |
| Total Revenue Column | $71,198 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $71,198 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $71,198 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $21,128,082 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $11,944,711 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $481,025 | ExclusionAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,071,704 | TotalAmt |
| Program Services | $1,071,704 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $362,524 | TotalAmt |
| Management And General | $362,524 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,967,586 | TotalAmt |
| Program Services | $10,368,316 | ProgramServicesAmt |
| Management And General | $3,599,270 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $430,996 | TotalAmt |
| Program Services | $315,497 | ProgramServicesAmt |
| Management And General | $115,499 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,190,313 | TotalAmt |
| Program Services | $831,919 | ProgramServicesAmt |
| Management And General | $358,394 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,160,084 | TotalAmt |
| Program Services | $813,016 | ProgramServicesAmt |
| Management And General | $347,068 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,003 | TotalAmt |
| Program Services | $4,544 | ProgramServicesAmt |
| Management And General | $7,459 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,500 | TotalAmt |
| Program Services | $1,398 | ProgramServicesAmt |
| Management And General | $21,102 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,073,856 | TotalAmt |
| Program Services | $392,352 | ProgramServicesAmt |
| Management And General | $681,504 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $130,362 | TotalAmt |
| Program Services | $45,866 | ProgramServicesAmt |
| Management And General | $84,496 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $108,264 | TotalAmt |
| Program Services | $42,428 | ProgramServicesAmt |
| Management And General | $65,836 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $477,695 | TotalAmt |
| Program Services | $160,040 | ProgramServicesAmt |
| Management And General | $317,655 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $111,792 | TotalAmt |
| Program Services | $70,899 | ProgramServicesAmt |
| Management And General | $40,893 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,621 | TotalAmt |
| Program Services | $21,679 | ProgramServicesAmt |
| Management And General | $21,942 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $98,678 | TotalAmt |
| Program Services | $882 | ProgramServicesAmt |
| Management And General | $97,796 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $401,043 | TotalAmt |
| Program Services | $60,886 | ProgramServicesAmt |
| Management And General | $340,157 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $242,728 | TotalAmt |
| Program Services | $7,990 | ProgramServicesAmt |
| Management And General | $234,738 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SOFTWARE AND COMPUTER C | $605,718 | $195,424 | $410,294 |
| CLIENT SUPPLIES AND MED | $541,812 | $541,812 | |
| SUPPLIES | $312,027 | $149,604 | $162,423 |
| TELEPHONE | $212,049 | $46,436 | $165,613 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $524,706 | TotalAmt |
| Program Services | $1,240,190 | ProgramServicesAmt |
| Management And General | -$715,484 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,102,061 | TotalAmt |
| Program Services | $16,382,882 | ProgramServicesAmt |
| Management And General | $6,719,179 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,473,471 | BOYAmt |
| EOY | $2,005,355 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,310,278 | BOYAmt |
| EOY | $2,882,701 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,417 | BOYAmt |
| EOY | $83,601 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $102,265 | BOYAmt |
| EOY | $135,050 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $17,321,424 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $5,723,009 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,315,433 | BOYAmt |
| EOY | $11,598,415 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,128 | BOYAmt |
| EOY | $34,128 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,272,992 | BOYAmt |
| EOY | $16,739,250 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,911,202 | BOYAmt |
| EOY | $2,155,321 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,370,687 | BOYAmt |
| EOY | $2,253,339 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,777,208 | BOYAmt |
| EOY | $5,406,085 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $211,369 | BOYAmt |
| EOY | $13,301 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,270,466 | BOYAmt |
| EOY | $9,828,046 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,002,526 | BOYAmt |
| EOY | $6,911,204 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,002,526 | BOYAmt |
| EOY | $6,911,204 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,272,992 | BOYAmt |
| EOY | $16,739,250 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$1,973,979 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | -$117,343 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $13,482,186 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $14,566,713 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,967,068 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $8,278,886 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,702,346 | CurrentTaxYearAmt |
| Total | $50,997,199 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $13,482,186 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $14,566,713 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,967,068 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $8,278,886 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,702,346 | CurrentTaxYearAmt |
| Total | $50,997,199 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $50,997,199 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $23,046 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $15,253 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,108 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $246,883 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $481,025 | CurrentTaxYearAmt |
| Total | $768,315 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $23,046 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $15,253 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,108 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $246,883 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $481,025 | CurrentTaxYearAmt |
| Total | $768,315 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $75,344 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $37,987 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $21,431 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $70,859 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $71,198 | CurrentTaxYearAmt |
| Total | $276,819 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $13,580,576 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $14,619,953 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,990,607 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $8,596,628 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,254,569 | CurrentTaxYearAmt |
| Total | $52,042,333 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.97990 | PublicSupportCY509Pct |
| Public Support PY509 | 0.98250 | PublicSupportPY509Pct |
| Investment Income CY | 0.01480 | InvestmentIncomeCYPct |
| Investment Income PY | 0.01330 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,354,760 | OtherCostOrOtherBasisAmt |
| Book Value | $1,354,760 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,370,649 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,127,876 | DepreciationAmt |
| Book Value | $5,242,773 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $91,291 | OtherCostOrOtherBasisAmt |
| Depreciation | $86,304 | DepreciationAmt |
| Book Value | $4,987 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,009,508 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,508,829 | DepreciationAmt |
| Book Value | $500,679 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,495,216 | OtherCostOrOtherBasisAmt |
| Book Value | $4,495,216 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $11,598,415 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | ACCRUED INTEREST PAYABLE | Desc |
| Amt | $13,301 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $13,301 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | MANAGMENT DOES NOT BELIEVE THE ORGANIZATION HAS ANY UNCERTAIN TAX POSITIONS. | ExplanationTxt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | EMERGENCY RENTAL ASSISTANCE | GrantTypeTxt |
| Recipient | 182 | RecipientCnt |
| Cash Grant | $1,071,704 | CashGrantAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION PROVIDES FUNDING FOR SHORT TERM RENTAL ASSISTANCE FOR CLIENTS IN NEED. FUNDING IS PROVIDED TO LANDLORDS FOR TENANT RENT OR TO MOTELS/HOTELS FOR THOSE CLIENTS WHO LACK PERMANENT HOUSING. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KEVIN FISCHER | ||||||||||||||
| MEDICAL DIRECTOR | $311,768 | $0 | $0 | $0 | $0 | $0 | $15,212 | $0 | $8,647 | $0 | $335,627 | $0 | $0 | $0 |
| JESSICA FINMAN | ||||||||||||||
| PSYCHIATRIST | $224,626 | $0 | $0 | $0 | $0 | $0 | $13,190 | $0 | $8,766 | $0 | $246,582 | $0 | $0 | $0 |
| EMILY SADIK | ||||||||||||||
| PSYCHIATRIST | $222,639 | $0 | $0 | $0 | $0 | $0 | $10,906 | $0 | $7,646 | $0 | $241,191 | $0 | $0 | $0 |
| VICTOR JACKSON | ||||||||||||||
| EXECUTIVE DIRECTOR | $208,447 | $0 | $0 | $0 | $0 | $0 | $10,414 | $0 | $8,637 | $0 | $227,498 | $0 | $0 | $0 |
| GEORGE MECOUCH | ||||||||||||||
| PSYCHIATRIST | $210,276 | $0 | $0 | $0 | $0 | $0 | $10,424 | $0 | $4,347 | $0 | $225,047 | $0 | $0 | $0 |
| DEBBI SPITLER | ||||||||||||||
| NURSE PRACTITIONER | $143,499 | $0 | $0 | $0 | $0 | $0 | $2,483 | $0 | $10,054 | $0 | $156,036 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS REVIEWED BY THE FISCAL OVERSIGHT COMMITTEE AND PROVIDED TO THE FULL BOARD OF TRUSTEES PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | ANNUALLY, EACH AFFECTED PERSON SIGNS A STATEMENT THAT THEY RECEIVED, READ, UNDERSTAND, AND AGREE TO COMPLY WITH THE CONFLICT OF INTEREST POLICY AND HAVE DISCLOSED ANY ACTUAL OR POTENTIAL CONFLICTS OF INTEREST. STAFF PERIODICALLY REVIEW CERTAIN TRANSACTIONS, SUCH AS COMPENSATION AND BENEFITS, PROVIDER SERVICES, ARRANGEMENTS WITH SERVICE OR PROVIDER ORGANIZATIONS, AND OTHER PAYMENTS TO ENSURE THAT THEY ARE REASONABLE, FURTHER THE CHARITABLE PURPOSES OF CRMHS, AND DO NOT RESULT IN IMPERMISSIBLE PRIVATE BENEFIT. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE PROCESS FOR DETERMINING THE CHIEF EXECUTIVE OFFICER'S COMPENSATION INCLUDES REVIEW AND APPROVAL BY THE BOARD OF DIRECTORS, USE OF COMPARABILITY DATA AND DOCUMENTATION OF THE DELIBERATION AND DECISION. THE PROCESS WAS LAST UNDERTAKEN IN JANUARY 2016. COMPENSATION BY OTHER KEY EMPLOYEES IS DETERMINED AS PART OF THE ANNUAL BUDGETING PROCESS WITH THE BUDGET BEING APPROVED BY THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST. |
| FORM 990, PART XII, LINE 2C | THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTHSTAR 20 LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4601 NE 77TH AVE STE 180 | AddressLine1Txt |
| City | VANCOUVER | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98662 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 883461076 | EIN |
| Primary Activities | DEVELOP CERTAIN REAL PROPERTY | PrimaryActivitiesTxt |
| Legal Domicile State | WA | LegalDomicileStateCd |
| Total Income | $0 | TotalIncomeAmt |
| End Of Year Assets | $4,401,722 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COLUMBIA RIVER MENTAL HEALTH SERVICES | BusinessNameLine1Txt |