2026-01-16T11:37:03-06:00 2025-03-31 390859910 BAKER TILLY ADVISORY GROUP LP 805 SW BROADWAY STE 1400 PORTLAND OR 97205 990 2024-04-01 930606316 SERENITY LANE SERE 5414842156 PO BOX 8549 COBURG OR 97408 BRIAN CARLIN CFO 5412848617 2026-01-13 1 1 WENDY CAMPOS P00448102 5032421447 2026-01-13 2024 2025-03-06 01:10:19Z PETE KERNS PO BOX 8549 COBURG OR 97408 24631109 0 X WWW.SERENITYLANE.ORG X 1973 OR TO TRANSFORM LIVES THROUGH THE TREATMENT OF ADDICTION. 11 11 302 13 0 0 305933 490233 20335205 23805756 115754 65120 0 251556 20756892 24612665 0 0 0 0 12830630 14254868 0 0 178639 9246284 8473208 22076914 22728076 -1320022 1884589 9237241 8145839 16470590 13494599 -7233349 -5348760 TO TRANSFORM LIVES THROUGH THE TREATMENT OF ADDICTION. 0 0 20227489 23805756 TREATMENT OF SUBSTANCE USE DISORDER THROUGH INPATIENT, RESIDENTIAL, AND OUTPATIENT SERVICES. 20227489 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 0 0 0 1 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 16 0 1 302 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 1 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 OR X BRIAN CARLIN CFO 5412848617 PO BOX 8549 COBURG OR 97408 MARY CHAVIN CHAIR 1.00 1.00 X X 0 0 0 JENS SCHMIDT VICE CHAIR 0.50 0.50 X X 0 0 0 SR JANE HIBBARD SECRETARY 0.50 0.50 X X 0 0 0 DEAN HANSEN TREASURER 0.50 1.50 X X 0 0 0 DANA FLEMING MEMBER 0.50 0.50 X 0 0 0 MIKE MCCALLUM MEMBER 0.50 0.50 X 0 0 0 RENEE EDWARDS MD MEMBER 0.50 0.50 X 0 0 0 RICK HARDER MEMBER 0.50 0.50 X 0 0 0 STAN KRAMER MEMBER 0.50 0.50 X 0 0 0 CATHERINE MORAN MEMBER 0.50 0.50 X 0 0 0 DAVE SWARTLEY MEMBER 0.50 0.50 X 0 0 0 PETE KERNS PRESIDENT & CEO 1.00 41.00 X 0 161290 23391 BRIAN CARLIN CFO 1.00 40.00 X 0 160655 14457 CODY ANDERSON DIRECTOR OF ADMIN AND BUSINESS DEV 20.00 20.00 X 0 154206 14045 MIGUEL ESTEVEZ PHYSICIAN 20.00 20.00 X 162231 0 13631 SUSAN NICHOLSON DIRECTOR OF MEDICAL OPERATIONS 20.00 20.00 X 137010 0 19175 CHARNKAMAL SINGH IT DIRECTOR 20.00 20.00 X 120201 0 29426 LINDSAY MAGHAN PSYCHIATRIC NURSE PRACTITIONER 20.00 20.00 X 191335 0 4898 610777 476151 119023 11 0 1 0 SERENITY LANE HEALTH SERVICES PO BOX 8549 COBURG OR 97408 MANAGEMENT SERVICES 1300000 1 490233 490233 PATIENT SERVICES 621400 23805756 23805756 23805756 65120 65120 270000 18444 251556 251556 24612665 23805756 0 316676 11493695 10605891 785810 101994 443184 408649 30644 3891 1350125 1244919 104854 352 967864 876614 82709 8541 1300000 1300000 16500 1500 15000 571821 430486 141335 448128 448128 882206 477693 340653 63860 1879659 1599581 280078 100677 70248 30428 1 20767 13006 7761 OVERHEAD ALLOCATION 1009462 1009462 DIETARY SUPPLIES 566030 566030 BAD DEBT & CHARITY CARE 559978 531791 28187 MEDICAL AND LAB FEES 372389 357389 15000 745591 286102 459489 22728076 20227489 2321948 178639 784954 1486531 3111731 2415848 4265521 3419016 359585 430710 715450 393734 9237241 8145839 4274308 4544480 12196282 8950119 16470590 13494599 X -7233349 -5348760 -7233349 -5348760 9237241 8145839 1884589 0 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 PAYABLE TO SLHS 8512706 ROU LEASE LIABILITIES 437413 8950119 X PART X, LINE 2: SERENITY LANE HEALTH SERVICES, SERENITY LANE, AND SERENITY LANE HEALTH SERVICES FOUNDATION ARE NOT-FOR-PROFIT ORGANIZATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND ARE EXEMPT FROM FEDERAL INCOME TAXES. SERENITY LANE HEALTH SERVICES, SERENITY LANE, AND SERENITY LANE HEALTH SERVICES FOUNDATION HAVE ALSO BEEN CLASSIFIED AS ENTITIES THAT ARE NOT PRIVATE FOUNDATIONS WITHIN THE MEANING OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION HAS BEEN MADE FOR INCOME TAXES IN THE CONSOLIDATED FINANCIAL STATEMENTS PURSUANT TO ASC 740, INCOME TAXES. THE ORGANIZATION GENERALLY EVALUATES ANY UNCERTAIN TAX POSITIONS CONSISTENT WITH THE ACCOUNTING AND DISCLOSURE REQUIREMENTS OF ASC 450, CONTINGENCIES. THE ORGANIZATION DID NOT HAVE ANY UNCERTAIN TAX POSITIONS IN CONNECTION WITH THESE CONSOLIDATED FINANCIAL STATEMENTS. X X X X X X X 1 LUND DEVELOPMENT 81 CENTENNIAL LOOP 6 EUGENE OR 97401 GRANT WRITING CONSULTATION 0 0 17458 -17458 17458 -17458 OR ANNUAL DINNER 270000 270000 9355 150 8939 270000 270000 9355 150 8939 18444 251556 0 0 0 0 0 0 0 0 0 LINDSAY MAGHAN PSYCHIATRIC NURSE PRACTITIONER 191335 0 0 0 0 0 3508 0 1390 0 196233 0 0 0 PETE KERNS PRESIDENT & CEO 0 161290 0 0 0 0 0 6892 0 16499 0 184681 0 0 MIGUEL ESTEVEZ PHYSICIAN 162231 0 0 0 0 0 5925 0 7706 0 175862 0 0 0 BRIAN CARLIN CFO 0 160655 0 0 0 0 0 6212 0 8245 0 175112 0 0 CODY ANDERSON DIRECTOR OF ADMIN AND BUSINESS DEV 0 154206 0 0 0 0 0 6198 0 7847 0 168251 0 0 SUSAN NICHOLSON DIRECTOR OF MEDICAL OPERATIONS 137010 0 0 0 0 0 5337 0 13838 0 156185 0 0 0 PART I, LINE 3 PRESIDENT/CEO COMPENSATION IS SET BY THE SERENITY LANE HEALTH SERVICES BOARD OF DIRECTORS (A RELATED ORGANIZATION) USING DATA FROM COMPARABLE ORGANIZATIONS. FORM 990, PART VI, SECTION A, LINE 2 REVEREND JOHN KERNS (BOARD MEMBER) HAS A FAMILY RELATIONSHIP AS THE BROTHER OF PETE KERNS (CEO AND PRESIDENT). FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE PRESIDENT/CEO, CHIEF FINANCIAL OFFICER AND THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY REQUIRES A PERIODIC STATEMENT BE COMPLETED AND SIGNED. FORM 990, PART VI, SECTION B, LINE 15 PRESIDENT/CEO COMPENSATION IS SET BY THE BOARD OF DIRECTORS USING DATA FROM COMPARABLE ORGANIZATIONS. CFO COMPENSATION IS SET BY THE PRESIDENT/CEO USING DATA FROM COMPARABLE ORGANIZATIONS. COMPENSATION WAS LAST DETERMINED IN THIS MANNER IN AUGUST 2022. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. SERENITY LANE HEALTH SERVICES PO BOX 8549 COBURG OR 97408 943113708 ADMINISTRATIVE SUPPORT FOR SERENITY LANE OR 501(C)(3) LINE 12B, II SERENITY LANE 0 SERENITY LANE HEALTH SERVICES FOUNDATION PO BOX 8549 COBURG OR 97408 461684147 FINANCIAL SUPPORT FOR SERENITY LANE OR 501(C)(3) LINE 12A, I SERENITY LANE HEALTH SERVICES 0 0 0 0 1 1 0 0 0 0 0 1 0 1 1 1 1 0 0 0 SERENITY LANE HEALTH SERVICES D 10896200 LOAN BALANCE SERENITY LANE HEALTH SERVICES E 1000000 LOAN GUARANTEE SERENITY LANE HEALTH SERVICES K 1113600 CASH SERENITY LANE HEALTH SERVICES M 1300000 CASH SERENITY LANE HEALTH SERVICES N 678870 CASH SERENITY LANE HEALTH SERVICES O 1566951 CASH SERENITY LANE HEALTH SERVICES P 6116396 CASH