2025-05-01T12:35:48-05:00 2024-06-30 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2023-07-01 930605570 NORTHWEST HUMAN SERVICES INC NORT 5035885828 681 CENTER STREET NE SALEM OR 97301 KIMBERLY LEATHLEY CHIEF EXECUTIVE OFFICER 5035885828 2025-04-29 1 0 KURT BENNION CPA P01469618 4252506100 2025-04-22 2023 2025-03-06 01:10:19Z KIMBERLY LEATHLEY 681 CENTER STREET NE SALEM OR 97301 46248260 0 X WWW.NORTHWESTHUMANSERVICES.ORG X 1970 OR CREATING A HEALTHY COMMUNITY WITH RESPECT, COMPASSION AND ACCEPTANCE FOR ALL. 13 13 306 14 0 0 7735916 6004843 25657287 25594689 709204 1763410 2105253 1745233 36207660 35108175 3260134 553888 0 0 21035053 23300633 0 0 53521 6315920 7134602 30611107 30989123 5596553 4119052 64409761 70131571 7362233 8197679 57047528 61933892 X MISSION: CREATING A HEALTHY COMMUNITY WITH RESPECT, COMPASSION AND ACCEPTANCE FOR ALL. VISION: WORKING TOGETHER TO EMPOWER INDIVIDUALS TO IMPROVE THEIR HEALTH, WELL-BEING AND SAFETY. CORE VALUES: COMMUNITY - THE SAFE, CARING, AND INCLUSIVE ENVIRONMENT WE CREATE; COMPASSION - THE INSPIRATION THAT GUIDES OUR WORK; COMMITMENT - THE TEAMWORK WE EXEMPLIFY THROUGH OUR PASSION, MOTIVATION AND DEDICATION; AND INTEGRITY - THE FOUNDATION OF OUR WORK ETHIC. 0 0 17218413 279587 21098178 NORTHWEST HUMAN SERVICES, INC. (THE ORGANIZATION), IS A NONPROFIT FEDERALLY QUALIFIED HEALTH CENTER, FUNDED BY THE HEALTH RESOURCES & SERVICES ADMINISTRATION (HRSA). HEALTH CENTERS DELIVER AFFORDABLE, ACCESSIBLE, QUALITY, AND VALUE-BASED PRIMARY HEALTH CARE TO MILLIONS OF PEOPLE REGARDLESS OF THEIR ABILITY TO PAY. OUR MISSION IS TO CREATE A HEALTHY COMMUNITY WITH RESPECT, COMPASSION, AND ACCEPTANCE OF ALL. NWHS IS ACCREDITED BY THE JOINT COMMISSION AND CERTIFIED BY THE STATE OF OREGON AS A TIER V PATIENT-CENTERED MEDICAL HOME. NWHS PROVIDES COMPREHENSIVE PRIMARY CARE, DENTAL, MENTAL HEALTH, AND SOCIAL SERVICES. THE MAJORITY OF PATIENTS ARE INSURED THROUGH THE OREGON HEALTH PLAN (MEDICAID) OR ARE UNINSURED.NWHS PROVIDES A SLIDING FEE DISCOUNT PROGRAM BASED ON FAMILY SIZE AND INCOME. NO ONE IS DENIED SERVICES DUE TO THEIR INABILITY TO PAY.THE WEST SALEM CLINIC AND TOTAL HEALTH COMMUNITY CLINIC PROVIDE FULL-SERVICE PRIMARY AND PREVENTATIVE CARE AS A PATIENT-CENTERED MEDICAL HOME WITH INTEGRATED BEHAVIORAL HEALTH SERVICES.THE QUICK CARE CLINIC, LOCATED WITHIN OUR WEST SALEM CLINIC, OFFERS SAME-DAY APPOINTMENTS FOR ACUTE ISSUES.FOR THE CALENDAR YEAR ENDING DECEMBER 31, 2023, THE ORGANIZATION SERVED 12,503 PATIENTS THROUGH 63,855 VISITS. 3345663 10801 3590520 THE WEST SALEM CAMPUS MENTAL HEALTH CLINIC OFFERS A FULL RANGE OF SERVICES INCLUDING CASE MANAGEMENT, MEDICATION MANAGEMENT, ASSESSMENT, AND COUNSELING. SERVICES FOR THE DEAF, DEAFBLIND, AND HARD OF HEARING COMMUNITY ARE PROVIDED THROUGH OUR CONNECTION PROGRAM.THE HOMELESS OUTREACH & ADVOCACY PROJECT (HOAP) IS A PLACE OF SAFETY AND SUPPORT FOR ADULTS FACING HOMELESSNESS, OFFERING RESOURCES AND LIFE SUSTAINING SERVICES DESIGNED TO HELP ADULTS TRANSITION TO STABLE HOUSING OPTIONS AND BETTER HEALTH OUTCOMES. SUPPORTIVE SERVICES OFFERED INCLUDE CASE MANAGEMENT AND DROP-IN HEALTH AND SERVICES NAVIGATION. OUR CONSUMER-RUN DAY CENTER OFFERS LUNCH, LAUNDRY AND SHOWER FACILITIES, CLOTHING, PERSONAL HYGIENE SUPPLIES, MAIL, MEDICAL CARE (ON SELECT DAYS), AND TRANSPORTATION THROUGH OUR MEDICAL BUS RUN PROGRAM. 3540179 263070 71718 THE CRISIS AND INFORMATION HOTLINE OFFERS A RANGE OF SUPPORT TO THE GENERAL PUBLIC IN THE SERVICE AREA. THE HOTLINE IS THE ONLY REGIONAL 988 CALL CENTER IN OREGON, SERVING MARION AND POLK COUNTIES. LAST FISCAL YEAR HOTLINE HANDLED OVER 29,000 CALLS, INCLUDING HUNDREDS OF SUICIDE INTERVENTION CALLS, HELPING PEOPLE THROUGH THE MOST DIFFICULT TIMES OF THEIR LIVES. HOTLINE STAFF ARE AVAILABLE 24/7/365. IN ADDITION TO CRISIS INTERVENTION AND SUICIDE PREVENTION, HOTLINE OFFERS EMERGENCY RENT, MORTGAGE, UTILITY, AND PRESCRIPTION FINANCIAL ASSISTANCE, ACCESS TO FOOD BOXES, AND PROVIDES AN ON-LINE RESOURCE AND INFORMATION DATABASE CALLED MID-VALLEY RESOURCES. HOTLINE IS ACCREDITED BY THE AMERICAN ASSOCIATION OF SUICIDOLOGY AND A MEMBER OF THE NATIONAL SUICIDE PREVENTION LIFELINE NETWORK.THE HEALTH, OUTREACH, SHELTER, AND TRANSITIONS PROGRAM (HOST) PROVIDES BASIC NEEDS AND SUPPORTIVE SERVICES FOR YOUNG ADULTS AGES 18-24. THE HOST DROP-IN RESOURCE CENTER OFFERS SHOWERS, LAUNDRY, CLOTHING, FOOD, DROP-IN HEALTH AND SERVICES NAVIGATION, AND A SAFE SPACE FOR THOSE WHO NEED HELP WITH SETTING GOALS, PLANNING FOR THEIR FUTURE, AND CONNECTING TO COMMUNITY RESOURCES. INTERESTED AND ELIGIBLE YOUTH MAY ENTER INTO THE HOST TRANSITIONAL LIVING PROGRAM, WHICH IS A MULTI-PHASED HOUSING PROGRAM DESIGNED TO BUILD INDEPENDENT LIVING SKILLS IN A SUPPORTED ENVIRONMENT. LAST CALENDAR YEAR, HOST PROVIDED SERVICES TO OVER 116 HOMELESS YOUNG ADULTS. 1457655 430 834273 THE WEST SALEM DENTAL CLINIC OFFERS A FULL RANGE OF DENTAL SERVICES FOR PATIENTS OF ALL AGES. 1457655 430 834273 25561910 1 1 0 0 0 0 0 0 1 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 19 0 306 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 0 0 OR X X MATTHEW EMERY 5035885828 681 CENTER STREET NE SALEM OR 97301 JAN MARGOSIAN PAST CHAIR 1.00 0.00 X X 0 0 0 SUSAN SCOTT CHAIR 1.00 0.00 X X 0 0 0 MICHAEL WISE VICE CHAIR 1.00 0.00 X X 0 0 0 LARRY GOODREAU SECRETARY 1.00 0.50 X X 0 0 0 ROBERT MOORE TREASURER 1.00 0.00 X X 0 0 0 JIM CHRISTIAN DIRECTOR 1.00 0.00 X 0 0 0 WILLIAM DETTWYLER DIRECTOR 1.00 0.00 X 0 0 0 ASHLEY JACKSON DIRECTOR 1.00 0.00 X 0 0 0 ORACIO LARIOS DIRECTOR 1.00 0.00 X 0 0 0 ANA LOPEZ DIRECTOR 1.00 0.00 X 0 0 0 MICHELLE PECORA DIRECTOR 1.00 0.00 X 0 0 0 ERIC TWEED DIRECTOR 1.00 0.00 X 0 0 0 WILLIAM WILLIAMS DIRECTOR 1.00 0.00 X 0 0 0 YOLANDA ZAVALA DIRECTOR (THROUGH MAY 2024) 1.00 0.00 X 0 0 0 PAUL LOGAN CEO 50.00 0.00 X 299777 0 71579 MATTHEW EMERY CFO 47.50 2.50 X 169233 0 62408 ERIC CHEN MEDICAL DIRECTOR 40.00 0.00 X 365522 0 66419 TIMOTHY TRUSCHEL PROVIDER 40.00 0.00 X 249969 0 49285 MARIA NIEMUTH PROVIDER 40.00 0.00 X 245342 0 55685 YURIA MANABE PROVIDER 40.00 0.00 X 231357 0 54809 KRISTIE SPELLINGS PROVIDER 40.00 0.00 X 224071 0 53015 SHANNON CAREY PROVIDER 40.00 0.00 X 193161 0 40635 1978432 0 453835 38 0 1 0 CLEANNET OF THE NORTHWEST 7320 SW HUNZIKER RD STE 208 PORTLAND OR 97223 JANITORIAL SERVICES 127296 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 SEATTLE WA 98104 ACCOUNTING SERVICES 108663 OREGON HEALTH JUSTICE CENTER 1410 SE POWELL BLVD STE 42315 PORTLAND OR 97242 LEGAL SERVICES 105000 3 5638548 366295 277929 6004843 MEDICAL CLINICS 621110 21098178 21098178 MENTAL HEALTH 621110 3590520 3590520 DENTAL CLINICS 621110 834273 834273 HOMELESS OUTREACH 624100 71718 71718 25594689 1603776 1603776 11299719 11140085 159634 159634 159634 CCO INCENTIVES 900099 1686414 1686414 MISCELLANEOUS 900099 58819 58819 1745233 35108175 25594689 0 3508643 553888 553888 996970 255148 741822 17032587 13845766 3139465 47356 400176 332051 67639 486 3587197 2910974 672015 4208 1283703 1024097 258135 1471 3363 3363 133695 133695 66120 66120 565162 548685 16477 76316 53866 22450 354947 295812 59135 765684 704937 60747 446985 286115 160870 136720 89387 47333 MEDICAL SUPPLIES 3042270 3032702 9568 REPAIRS AND MAINTENANCE 930456 479858 450598 MISCELLANEOUS EXPENSE 182584 51061 131523 TRAINING EXPENSE 159960 122401 37559 270340 975162 -704822 30989123 25561910 5373692 53521 12584903 3029854 1101470 807072 6078272 5603532 8827686 8827686 12052 6879 292032 399695 10022724 5283043 4990411 4739681 25234732 41592540 5288203 5124632 64409761 70131571 1766852 2027944 355008 1555 2365 5593826 5812362 7362233 8197679 X 56962528 61923892 85000 10000 57047528 61933892 64409761 70131571 4119052 767312 0 X 0 1 X 1 1 1 X 4666429 9263027 9043809 7735916 6004843 36714024 4666429 9263027 9043809 7735916 6004843 36714024 36714024 395870 458718 454693 732704 1603776 3645761 1085819 1796887 952946 2105253 1745233 7686138 48045923 111338685 0.76410 0.78110 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS CCO INCENTIVES RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 1433981 1433981 6450663 3850834 2599829 2138080 1432209 705871 4739681 RIGHT-OF-USE LEASE ASSETS - OPERATING 5124632 5124632 RIGHT-OF-USE LEASE LIABILITIES - OPERATING 5812362 5812362 X 33334765 0 33334765 1773410 1773410 35108175 30989123 0 30989123 0 30989123 PART IV, LINE 2B: THE ORGANIZATION HOLDS SECURITY DEPOSITS FOR TENANTS. THE FUNDS ARE HELD IN A NON-INTEREST BEARING CHECKING ACCOUNT. TENANTS RECEIVE REFUNDS, LESS ANY DAMAGE FEES, UPON TERMINATION OF THE LEASE. PART X, LINE 2: NO PROVISION FOR INCOME TAXES IS REPORTED IN THE FINANCIAL STATEMENTS BECAUSE THE ORGANIZATION IS A NONPROFIT ORGANIZATION, EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. MANAGEMENT EVALUATED THE ORGANIZATION'S TAX POSITIONS AND CONCLUDED THAT THE ORGANIZATION HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENTS TO THE FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISIONS OF TOPIC 740 INCOME TAXES OF THE ACCOUNTING STANDARDS CODIFICATION. PART XI, LINE 4B - OTHER ADJUSTMENTS: INTEREST INCOME 135,840. INVESTMENT INCOME 1,467,936. REALIZED GAINS ON INVESTMENTS 159,634. CONTRIBUTIONS WITH DONOR RESTRICTIONS 10,000. 1 PHARMACY ASSISTANCE 8851 284 141876 FMV PHARMACY SAMPLES AND VOUCHERS, NARCAN, COVID TEST KITS, MASKS, VACCINES, ETC. TRANSPORTATION ASSISTANCE 3314 16706 FOOD ASSISTANCE 32294 21781 77675 FMV DONATED FOOD FROM LOCAL MERCHANTS MEDICAL ASSISTANCE 3282 2984 RENT ASSISTANCE 168 134905 UTILITIES ASSISTANCE 160 41980 OTHER PERSONAL ASSISTANCE 44999 57319 58378 FMV DONATED CLOTHING AND PERSONAL ITEMS PART I, LINE 2: INDIVIDUAL ASSISTANCE IS MONITORED MONTHLY BY THE COMPLIANCE DIRECTOR AND THROUGH RECEIVABLES AND DRAW-DOWN RECONCILIATIONS. THE CFO SIGNS OFF ON DRAW-DOWNS. X 1 1 X X X X 0 0 0 1 0 0 0 1 0 ERIC CHEN MEDICAL DIRECTOR 355522 0 10000 0 0 0 13200 0 53219 0 431941 0 0 0 PAUL LOGAN CEO 269777 0 30000 0 0 0 12088 0 59491 0 371356 0 0 0 MARIA NIEMUTH PROVIDER 237842 0 7500 0 0 0 9916 0 45769 0 301027 0 0 0 TIMOTHY TRUSCHEL PROVIDER 242469 0 7500 0 0 0 9913 0 39372 0 299254 0 0 0 YURIA MANABE PROVIDER 196357 0 35000 0 0 0 9313 0 45496 0 286166 0 0 0 KRISTIE SPELLINGS PROVIDER 213571 0 10500 0 0 0 25146 0 27869 0 277086 0 0 0 SHANNON CAREY PROVIDER 193161 0 0 0 0 0 4742 0 35893 0 233796 0 0 0 MATTHEW EMERY CFO 149233 0 20000 0 0 0 6955 0 55453 0 231641 0 0 0 PART I, LINE 1A THE ORGANIZATION PAYS UP TO $500 PER PERSON PER YEAR TO USE A FITNESS FACILITY. TO QUALIFY FOR THE BENEFIT, THE INDIVIDUAL MUST SHOW IMPROVEMENTS IN PHYSICAL HEALTH OR CONSISTENT USE OF THE FITNESS FACILITY. THIS BENEFIT IS INCLUDED IN THE EMPLOYEE'S TAXABLE COMPENSATION. PART I, LINE 5 MEDICAL PROVIDERS MAY RECEIVE INCENTIVE COMPENSATION BASED ON THE NUMBER OF VISITS, WHICH IS CONNECTED TO THE ORGANIZATION'S REVENUES. PART I, LINE 7 IN CALENDAR YEAR 2023, THE CEO GAVE DISCRETIONARY BONUSES TO CERTAIN EMPLOYEES IN LEADERSHIP POSITIONS. X 58378 FAIR MARKET VALUE X 32294 77675 FAIR MARKET VALUE X 8851 141877 FAIR MARKET VALUE 0 0 1 0 PART I, COLUMN (B): NUMBERS REPORTED IN PART I, COLUMN B REPRESENT THE NUMBER OF DONATED ITEMS RECEIVED DURING THE FISCAL YEAR. FORM 990, PART VI, SECTION A, LINE 1A THE BOARD HAS AN EXECUTIVE COMMITTEE, TO ACT IN THE PLACE OF THE BOARD OF DIRECTORS BY EXERCISING THE AUTHORITY OF THE BOARD DURING THE INTERIM PERIODS BETWEEN BOARD MEETINGS OR WHEN IT IS IMPRACTICABLE TO CALL A MEETING OF THE ENTIRE BOARD OF DIRECTORS IN THE EVENT OF AN EMERGENCY OR OTHER MATTER REQUIRING THE IMMEDIATE ACTION OF THE BOARD OF DIRECTORS. THE DIRECTORS WHO ARE ALSO OFFICERS SERVE AS THE EXECUTIVE COMMITTEE. THE CEO SERVES AS A NON-VOTING EX-OFFICIO MEMBER OF THE EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE OPERATES WITHIN THE ESTABLISHED PARAMETERS OF BOARD AUTHORITY AND EXISTING POLICIES AND REPORTS ALL ACTIONS TAKEN BY THE EXECUTIVE COMMITTEE TO THE FULL BOARD FOR RATIFICATION AND RECORDING IN BOARD MINUTES AT THE FIRST BOARD MEETING FOLLOWING SUCH ACTION. FORM 990, PART VI, SECTION A, LINE 6 MEMBERSHIP IN THE CORPORATION IS OPEN TO ANY INDIVIDUAL FROM THE COMMUNITY WHO (A) HAS DEMONSTRATED INTEREST AND SUPPORT OF THE CORPORATION THROUGH A MONETARY CONTRIBUTION OF AT LEAST FIVE HUNDRED DOLLARS ($500.00) IN THE 12 MONTHS PRECEDING THE ANNUAL MEETING; OR (B) IS A CURRENT MEMBER OF THE BOARD, SALARIED STAFF, PROGRAM VOLUNTEER, OR A NATIONAL HEALTH SERVICE CORPS PROVIDER ASSIGNED TO NWHS PROGRAMS. FORM 990, PART VI, SECTION A, LINE 7A THE ELECTION OF THE MEMBERS OF THE BOARD OF DIRECTORS ARE RATIFIED EACH YEAR BY A MAJORITY VOTE OF THE MEMBERS OF THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B PRIOR TO FILING, A DRAFT OF THE FORM 990 WAS REVIEWED BY THE AUDIT COMMITTEE. THE AUDIT COMMITTEE MADE A RECOMMENDATION TO THE BOARD OF DIRECTORS TO ACCEPT THE FORM 990, WHICH WAS THEN SIGNED BY THE CHIEF EXECUTIVE OFFICER AND ELECTRONICALLY FILED BY THE PREPARER. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY THROUGH ANNUAL EVALUATION AND UPDATING. OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES WOULD NOT BE ABLE TO DISCUSS OR VOTE ON AN ISSUE WHERE A CONFLICT OF INTEREST EXISTS. FORM 990, PART VI, SECTION B, LINE 15A ANNUAL EVALUATION AND COMPENSATION OF THE CEO IS DETERMINED BY THE BOARD. ANNUAL EVALUATION AND COMPENSATION OF OTHER OFFICERS OR KEY EMPLOYEES IS DETERMINED BY THE CEO. THESE PROCESSES WERE LAST CONDUCTED IN 2023. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. NORTHWEST HEALTH ENTERPRISES 681 CENTER STREET NE SALEM OR 97301 842993036 PROPERTY HOLDING OR 501(C)(3) LINE 12C, III-FI N/A 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 1 0 1 0 0