2016-05-16T09:16:55-05:00 2015-06-30 910189318 MOSS ADAMS LLP 805 SW BROADWAY STE 1200 PORTLAND OR 97205 990 2014-07-01 910609138 COLUMBIA RIVER MENTAL HEALTH SERVICES COLU 3609933000 6926 NE FOURTH PLAIN BLVD VANCOUVER WA 98661 CRAIG PRIDEMORE CHIEF EXECUTIVE OFFICER 3609933000 2016-05-13 1 WENDY CAMPOS P00448102 5032421447 2016-05-13 2014 2016-08-17 19:52:53Z CRAIG PRIDEMORE 6926 NE FOURTH PLAIN BLVD VANCOUVER WA 98661 12887029 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. 13 13 245 134 0 0 9517678 10834928 1679881 1976993 426 138 38312 28208 11236297 12840267 0 0 0 0 8799254 9525144 0 0 18019 2769629 2663824 11568883 12188968 -332586 651299 10048954 10772884 6804384 6877015 3244570 3895869 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 5229174 172990 COMMUNITY MENTAL HEALTH - PROVIDES A VARIETY OF PROGRAMS, INCLUDING OUTPATIENT CARE TREATMENT, CASE MANAGEMENT, COMMUNITY SUPPORT AND MEDICAL SERVICES. 1913281 0 RESIDENTIAL TREATMENT - PROVIDES FACILITIES FOR TREATING PEOPLE WHOSE MENTAL HEALTH PROBLEMS PREVENT THEM FROM LIVING INDEPENDENTLY OR SEMI-INDEPENDENTLY. 1212350 21330 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. 1627142 1782673 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. 1627142 1782673 9981947 1 1 0 0 0 0 0 0 0 0 1 0 0 1 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 44 0 1 245 1 0 0 0 0 0 0 0 0 0 0 X 13 13 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 JAMES HOWSLEY PRESIDENT 1.00 X X 0 0 0 DAVE BENNETT VICE PRESIDENT 1.00 X X 0 0 0 MICHELLE HOWELL TREASURER 1.00 X X 0 0 0 GARRY LUCAS SECRETARY 1.00 X X 0 0 0 GLENDA MICHAEL TRUSTEE 1.00 X 0 0 0 LARRY COHEN TRUSTEE 1.00 X 0 0 0 SHEELA CHOPPALA-NESTOR TRUSTEE 1.00 X 0 0 0 ANN DONNELLEY TRUSTEE 1.00 X 0 0 0 CONNIE GRENZ TRUSTEE 1.00 X 0 0 0 JAY MILLER TRUSTEE 1.00 X 0 0 0 RICK RALSTON TRUSTEE 1.00 X 0 0 0 ROLANDO ORTEGON TRUSTEE 1.00 X 0 0 0 JOHN BLOM TRUSTEE 1.00 X 0 0 0 JONATHAN BERMAN MEDICAL DIRECTOR 40.00 X 216924 0 22461 ELIZABETH OLIVER CHIEF FINANCIAL OFFICER 40.00 X 82480 0 9498 ERICA HUNT CHIEF CLINICAL OFFICER 40.00 X 94140 0 4645 CRAIG PRIDEMORE CHIEF EXECUTIVE OFFICER 40.00 X 0 0 0 ANNA DINDINGER CHIEF QUALITY ASSURANCE OFFICER 40.00 X 33962 0 5336 ANN STYRVOKY PSYCHIATRIST 40.00 X 167071 0 18711 EUN PARK PSYCHIATRIST 40.00 X 141618 0 11249 EMILY A SADIK PSYCHIATRIST 40.00 X 185007 0 1077 921202 0 72977 4 0 1 0 0 216 10823856 10856 10834928 MEDICARE/MEDICAID PAYMENTS 624100 1762609 1762609 CLIENT FEES/PRIV INSURANCE 624100 145595 145595 LOW INCOME HOUSING 624100 81346 81346 PROGRAM SERVICE RENTAL INCOME 624100 -12557 -12557 1976993 138 138 44243 46762 -2519 -2519 -2519 MISCELLANEOUS 900099 30727 30727 30727 12840267 1976993 0 28346 645984 291932 354052 7237742 6453392 771117 13233 199657 179268 20389 825629 713160 110605 1864 616132 532746 82010 1376 10642 4343 6299 46986 46986 421295 334489 86806 13391 5950 7406 35 247615 190459 56372 784 173194 152306 20888 258268 141000 117268 122679 121728 606 345 289634 61231 228403 232262 195646 36616 177784 77943 99841 SUPPLIES 272373 256717 15326 330 REPAIRS AND MAINTENANCE 195891 136411 59480 PATIENT SERVICES 62395 62395 DUES AND PUBLICATIONS 27246 4760 22486 112169 66071 46046 52 12188968 9981947 2189002 18019 531282 753834 197737 98505 456844 636353 32731 70032 11462883 3085820 8037082 8377063 793278 837097 10048954 10772884 1243274 1370418 47500 47500 4380000 4215000 1039444 1025422 94166 218675 6804384 6877015 X 3072570 3723869 172000 172000 3244570 3895869 10048954 10772884 651299 0 X 0 1 X 1 0 X 10647062 9556104 9658653 9517678 10834928 50214425 10647062 9556104 9658653 9517678 10834928 50214425 50214425 40605 37967 32965 33273 44381 189191 91117 104734 191686 65106 30727 483370 50886986 8455127 0.98680 0.98640 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS SPECIAL EVENTS - GROSS RECEIPTS GAMING - GROSS RECEIPTS RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2149749 2149749 7552647 2484745 5067902 928314 266954 661360 730260 233227 497033 101913 100894 1019 8377063 BOND ISSUANCE COSTS, NET 67651 ASSETS WHOSE USE IS LIMITED 761705 DEPOSITS 7741 837097 BOND INTEREST PAYABLE 80462 CAPITAL LEASE OBLIGATION 138213 218675 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, 2015 AND 2014. CRMHS RECOGNIZES INTEREST ACCRUED AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS AS AN ADMINISTRATIVE EXPENSE. DURING THE YEARS ENDED JUNE 30, 2015 AND 2014, 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 JONATHAN BERMAN MEDICAL DIRECTOR 216924 0 0 0 0 0 11341 0 11120 0 239385 0 0 0 ANN STYRVOKY PSYCHIATRIST 167071 0 0 0 0 0 8650 0 10061 0 185782 0 0 0 EUN PARK PSYCHIATRIST 141618 0 0 0 0 0 0 0 11249 0 152867 0 0 0 EMILY A SADIK PSYCHIATRIST 185007 0 0 0 0 0 356 0 721 0 186084 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 THIS FORM 990 WAS REVIEWED INTERNALLY BY STAFF AND A COPY WAS GIVEN TO ALL MEMBERS OF THE 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 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0