2019-05-13T13:04:21-05:00 2018-06-30 910189318 MOSS ADAMS LLP 805 SW BROADWAY STE 1200 PORTLAND OR 97205 990 2017-07-01 910609138 COLUMBIA RIVER MENTAL HEALTH SERVICES COLU 3609933000 6926 NE FOURTH PLAIN BLVD VANCOUVER WA 98661 CRAIG PRIDEMORE CHIEF EXECUTIVE OFFICER 3609933000 2019-05-10 1 WENDY CAMPOS P00448102 5032421447 2019-05-10 12.129.7.100 2019-05-10 12:42:05 PD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 D054F4EF093A01A5BE70ECC55B3094991D2B5D96 2017 2019-02-21 02:37:17Z CRAIG PRIDEMORE 6926 NE FOURTH PLAIN BLVD VANCOUVER WA 98661 14633820 0 X WWW.CRMHS.ORG X 1953 WA PROVIDING COMPREHENSIVE BEHAVIORAL HEALTH AND RECOVERY SERVICES THAT TRANSFORM THE LIVES OF CHILDREN, ADULTS AND FAMILIES IN THE COMMUNITIES OF SW WASHINGTON. 14 14 246 135 0 0 12068215 12915319 1118020 1637424 175816 1892 46906 53046 13408957 14607681 0 0 0 0 9870137 10567932 0 0 25718 3022132 3081988 12892269 13649920 516688 957761 10408989 11238192 5676638 5548080 4732351 5690112 X 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, WA. 0 0 5556239 1125513 COMMUNITY MENTAL HEALTH - PROVIDES A VARIETY OF PROGRAMS, INCLUDING OUTPATIENT CARE TREATMENT, CASE MANAGEMENT, COMMUNITY SUPPORT AND MEDICAL SERVICES. 2219626 4900 RESIDENTIAL TREATMENT - PROVIDES FACILITIES FOR TREATING PEOPLE WHOSE MENTAL HEALTH PROBLEMS PREVENT THEM FROM LIVING INDEPENDENTLY OR SEMI-INDEPENDENTLY. 1583970 0 DIRECT SERVICE 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. 2115340 507011 DRUG AND ALCOHOL - OPIATE SUBSTITUTION AND DUAL DIAGNOSIS RECOVERY PROGRAMS.EMPLOYMENT SERVICES - JOB DEVELOPMENT FOR EMPLOYERS AND JOB SEARCH AND ON THE JOB SUPPORT TO CLIENTS WITH MENTAL HEALTH ISSUES.HOUSING - AFFORDABLE AND TRANSITIONAL FOR LOW-INCOME RESIDENTS WITH MENTAL ILLNESS. 2115340 507011 11475175 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 38 0 1 246 1 0 0 0 0 0 0 0 0 0 0 X 14 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 WA X CRAIG PRIDEMORE 3609933000 6926 NE FOURTH PLAIN BLVD VANCOUVER WA 98661 JOHN DEEDER PRESIDENT 2.00 X X 0 0 0 CONNIE GRENZ VICE PRESIDENT 2.00 X X 0 0 0 MICHELLE HOWELL TREASURER 2.00 X X 0 0 0 ANN DONNELLEY SECRETARY 2.00 X X 0 0 0 ROLANDO ORTEGON EX-PRESIDENT 2.00 X X 0 0 0 LINDA EDDY TRUSTEE 1.00 X 0 0 0 MATT ROSE TRUSTEE 1.00 X 0 0 0 JAMES HOWSLEY TRUSTEE 1.00 X 0 0 0 CHUCK E ATKINS TRUSTEE 1.00 X 0 0 0 KYLE RAHN TRUSTEE 1.00 X 0 0 0 JAY MILLER TRUSTEE 1.00 X 0 0 0 DOUGLAS CHAPMAN TRUSTEE 1.00 X 0 0 0 DOUGLAS MCLAIN TRUSTEE 1.00 X 0 0 0 PETE MUNROE TRUSTEE 1.00 X 0 0 0 PAUL HARRIS TRUSTEE 1.00 X 0 0 0 CRAIG PRIDEMORE CHIEF EXECUTIVE OFFICER 40.00 X 125837 0 12070 ELIZABETH OLIVER CHIEF FINANCIAL OFFICER 40.00 X 96417 0 10356 EMILY A SADIK PSYCHIATRIST 40.00 X 197159 0 15155 EUN PARK PSYCHIATRIST 40.00 X 193348 0 14602 RAGHURAM BHAT PSYCHIATRIST 40.00 X 291005 0 19941 903766 0 72124 3 0 1 0 FSG MAINTENANCE PO BOX 2772 VANCOUVER WA 98668 MAINTENANCE 110828 1 67103 1600989 11247227 12915319 CLIENT FEES/PRIV INSUR 624100 928673 928673 MEDICARE/MEDICAID PAYM 624100 708751 708751 1637424 1892 1892 43869 26139 17730 17730 17730 MISCELLANEOUS 900099 35316 35316 35316 14607681 1637424 0 54938 255049 255049 8509742 7903123 606619 255801 241759 14042 816221 730418 85803 731119 658867 72252 17698 4193 13505 53584 53584 561035 425178 135157 700 24868 15711 9135 22 260430 173342 80160 6928 302415 244222 58193 351085 222510 128575 113794 106627 7167 182087 21481 160606 398593 214107 184486 173803 48689 125114 SUPPLIES 226711 214261 12450 0 REPAIRS AND MAINTENANCE 195959 123904 72055 0 DUES AND SUBSCRIPTIONS 26531 2007 24524 0 193395 124776 50551 18068 13649920 11475175 2149027 25718 723982 1651799 39280 34600 1725644 1779503 123224 94296 11494153 3821299 7789118 7672854 7741 5140 10408989 11238192 886802 916883 4578569 4497970 211267 133227 5676638 5548080 X 4732351 5672454 0 17658 4732351 5690112 10408989 11238192 957761 0 X 0 1 X 1 0 X 9517678 10834928 11793338 12068215 12915319 57129478 9517678 10834928 11793338 12068215 12915319 57129478 57129478 33273 44381 45048 37402 457661 617765 65106 30727 79279 29507 35316 239935 57987178 8070838 0.98520 0.98920 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS 1954331 1954331 6712093 2618235 4093858 1461595 432801 1028794 1234799 677136 557663 131335 93127 38208 7672854 CAPITAL LEASE OBLIGATION 133227 133227 X PART X, LINE 2: FIN 48 (ASC 740) FOOTNOTE - CRMHS RECOGNIZES THE TAX BENEFIT FROM UNCERTAIN TAX POSITIONS ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITIONS WILL BE SUSTAINED ON EXAMINATION BY THE TAX AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFIT IS MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. CRMHS HAD NO UNRECOGNIZED TAX BENEFITS AT JUNE 30, 2018 AND 2017. CRMHS RECOGNIZES INTEREST ACCRUED AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS AS AN ADMINISTRATIVE EXPENSE. DURING THE YEARS ENDED JUNE 30, 2018 AND 2017, CRMHS RECOGNIZED NO INTEREST AND PENALTIES. CRMHS AND THE FOUNDATION EACH FILE AN EXEMPT ORGANIZATION INCOME TAX RETURN IN THE U.S. FEDERAL JURISDICTION. X X 0 0 0 0 0 0 0 0 0 EMILY A SADIK PSYCHIATRIST 197159 0 0 0 0 0 9877 0 5278 0 212314 0 0 0 EUN PARK PSYCHIATRIST 193348 0 0 0 0 0 9652 0 4950 0 207950 0 0 0 RAGHURAM BHAT PSYCHIATRIST 291005 0 0 0 0 0 14541 0 5400 0 310946 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE FISICAL 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 15A 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. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC. COLUMBIA RIVER MENTAL HEALTH FOUNDATION 6926 NE FOURTH PLAIN BLVD VANCOUVER WA 98661 208404789 FUNDRAISING/SUPPORT FOR MENTAL HEALTH ORGANIZATIONS WA 501(C)(3) LINE 7 COLUMBIA RIVER MENTAL HEALTH SERVICES 1 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 COLUMBIA RIVER MENTAL HEALTH FOUNDATION C 36246 CASH