STRATEGY STUDIO / PUBLIC DATA EXPLORER

COLUMBIA RIVER MENTAL HEALTH SERVICES: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
COLUMBIA RIVER MENTAL HEALTH SERVICES (EIN 91-0609138)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-15
IRS object ID
201341359349304564
Schema version
2011v1.5
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

FieldValueIRS element (for citing)
Timestamp2013-05-15T12:03:40-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN910189318EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1MOSS ADAMS LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1805 SW BROADWAY 1200AddressLine1
CityPORTLANDCity
StateORState
ZIP Code97205ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN910609138EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1COLUMBIA RIVER MENTAL HEALTH SERVICESBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCOLUNameControl
Phone3609933000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line16926 NE FOURTH PLAIN BLVDAddressLine1
CityVANCOUVERCity
StateWAState
ZIP Code98661ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameLYNN SAMUELSName
TitleEXECUTIVE DIRECTORTitle
Phone3609933000Phone
Date Signed2013-05-15DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameWENDY CAMPOSName
PTINP00448102PTIN
Phone5032421447Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonLYNN SAMUELSNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line16926 NE FOURTH PLAIN BLVDAddressLine1
CityVANCOUVERCity
StateWAState
ZIP Code98661ZIPCode
FieldValueIRS element (for citing)
Gross Receipts11287416GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.CRMHS.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1953YearFormation
State Legal DomicileWAStateLegalDomicile
Activity Or Mission DescriptionCOLUMBIA 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.ActivityOrMissionDescription
Nbr Voting Members Governing Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees254TotalNbrEmployees
Total Nbr Volunteers133TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year10647062ContributionsGrantsPriorYear
Contributions Grants Current Year9556104ContributionsGrantsCurrentYear
Program Service Revenue Prior Year1671622ProgramServiceRevenuePriorYear
Program Service Revenue CY1588611ProgramServiceRevenueCY
Investment Income Prior Year-19987InvestmentIncomePriorYear
Investment Income Current Year1145InvestmentIncomeCurrentYear
Other Revenue Prior Year10706OtherRevenuePriorYear
Other Revenue Current Year34794OtherRevenueCurrentYear
Total Revenue Prior Year12309403TotalRevenuePriorYear
Total Revenue Current Year11180654TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year9790631SalariesEtcPriorYear
Salaries Etc Current Year8791295SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year82106TotalFundrsngExpCurrentYear
Other Expense Prior Year2984319OtherExpensePriorYear
Other Expenses Current Year2633846OtherExpensesCurrentYear
Total Expenses Prior Year12774950TotalExpensesPriorYear
Total Expenses Current Year11425141TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-465547RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-244487RevenuesLessExpensesCY
Total Assets BOY11313593TotalAssetsBOY
Total Assets EOY11072243TotalAssetsEOY
Total Liabilities BOY7333876TotalLiabilitiesBOY
Total Liabilities EOY7337013TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY3979717NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY3735230NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionCOLUMBIA 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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense4964638Expense
Revenue67739Revenue
DescriptionCOMMUNITY MENTAL HEALTH - PROVIDES A VARIETY OF PROGRAMS, INCLUDING OUTPATIENT CARE TREATMENT, CASE MANAGEMENT, TRANSITIONAL HOUSING AND MEDICAL SERVICES.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense1629457Expense
Revenue102937Revenue
DescriptionRESIDENTIAL TREATMENT - PROVIDES FACILITIES FOR TREATING PEOPLE WHOSE MENTAL HEALTH PROBLEMS PREVENT THEM FROM LIVING INDEPENDENTLY OR SEMI-INDEPENDENTLY.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense1337771Expense
Revenue14923Revenue
DescriptionDIRECT 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.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense2024449Expense
Revenue1403012Revenue
DescriptionDRUG 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.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp2024449TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev1403012TotalOfOtherProgramServiceRev
Total Program Service Expense9956315TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096105NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees254NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members13NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledWAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonLYNN SAMUELSNamePerson
Telephone Number3609933000TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line16926 NE FOURTH PLAIN BLVDAddressLine1
CityVANCOUVERCity
StateWAState
ZIP Code98661ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (20 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
JOAN CALEY
PRESIDENT1.00XX000
RICK RALSTON
VICE PRESIDENT1.00XX000
MICHELLE HOWELL
TREASURER1.00XX000
GARRY LUCAS
SECRETARY1.00XX000
SHEELA CHOPPALA-NESTOR
TRUSTEE1.00X000
LARRY COHEN
TRUSTEE1.00X000
KARIN DEDONA
TRUSTEE1.00X000
MICHAEL GRAVES
TRUSTEE1.00X000
JAMIE HOWSLEY
TRUSTEE1.00X000
GLENDA MICHAEL
TRUSTEE1.00X000
CRAIG PRIDEMORE
TRUSTEE1.00X000
DAN FERGUSON
TRUSTEE1.00X000
JAY MILLER
TRUSTEE1.00X000
DAVID COMMEREE
TRUSTEE1.00X000
NANCY PARKER
EXECUTIVE DIRECTOR40.00X8312609101
LYNN SAMUELS
EXECUTIVE DIRECTOR40.00X000
JEANETTE HUSEMAN
CLINICAL DIRECTOR40.00X6886208970
KIMBERLY DARRAH
FINANCE DIRECTOR40.00X8128304060
PATRICIA GARDNER
PSYCHIATRIST-MEDICAL DIRECTOR40.00X157129014311
REMI FAIRHURST
ASSOCIATE CLINICAL DIRECTOR40.00X6057408428
FieldValueIRS element (for citing)
Total Reportable Comp From Org450974TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation44870TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1FSG NORTHWEST INCBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 4552AddressLine1
CityPORTLANDCity
StateORState
ZIP Code97208ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesJANITORIAL, REPAIR AND MAINTENANCEDescriptionOfServices
Compensation105287Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Federated Campaigns1646FederatedCampaigns
Fundraising Events25000FundraisingEvents
Government Grants9501994GovernmentGrants
All Other Contributions27464AllOtherContributions
Total Contributions9556104TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICARE/MEDICAID PMTS62410012104361210436
CLIENT FEES/PRIV INSUR624100203918203918
LOW INCOME HOUSING6241008713287132
PROG SERV RENTAL INC6241008712587125
FieldValueIRS element (for citing)
Total Program Service Revenue1588611TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1145TotalRevenueColumn
Exclusion$1,145ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real36822Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real67830Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-31008Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-31008TotalRevenueColumn
Exclusion-$31,008ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events40477GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events25000CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses38932FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column1545TotalRevenueColumn
Exclusion$1,545ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUSDescription
Business Code900099BusinessCode
Total Revenue Column64257TotalRevenueColumn
Exclusion$64,257ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue64257TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column11180654TotalRevenueColumn
Related Or Exempt Function Income1588611RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$35,939ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total522239Total
Program Services243246ProgramServices
Management And General251451ManagementAndGeneral
Fundraising27542Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total6360064Total
Program Services5749508ProgramServices
Management And General581987ManagementAndGeneral
Fundraising28569Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total279235Total
Program Services257112ProgramServices
Management And General20981ManagementAndGeneral
Fundraising1142Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total865999Total
Program Services791426ProgramServices
Management And General69468ManagementAndGeneral
Fundraising5105Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total763758Total
Program Services685121ProgramServices
Management And General72972ManagementAndGeneral
Fundraising5665Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total17912Total
Management And General17912ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total63978Total
Management And General63978ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total257453Total
Program Services159085ProgramServices
Management And General95527ManagementAndGeneral
Fundraising2841Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total4255Total
Program Services1171ProgramServices
Management And General320ManagementAndGeneral
Fundraising2764Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total206126Total
Program Services176421ProgramServices
Management And General24269ManagementAndGeneral
Fundraising5436Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total16260Total
Program Services15193ProgramServices
Management And General1067ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total242545Total
Program Services183013ProgramServices
Management And General59307ManagementAndGeneral
Fundraising225Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total124131Total
Program Services116996ProgramServices
Management And General6382ManagementAndGeneral
Fundraising753Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total307505Total
Program Services269035ProgramServices
Management And General37436ManagementAndGeneral
Fundraising1034Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total195264Total
Program Services173939ProgramServices
Management And General20974ManagementAndGeneral
Fundraising351Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total169480Total
Program Services151706ProgramServices
Management And General17673ManagementAndGeneral
Fundraising101Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
PATIENT SERVICES478402478402
SUPPLIES261280263016-1736
REPAIRS AND MAINTENANCE129488155087-295343935
DUES AND PUBLICATIONS591113524123670200

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total100656Total
Program Services51597ProgramServices
Management And General52616ManagementAndGeneral
Fundraising-3557Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total11425141Total
Program Services9956315ProgramServices
Management And General1386720ManagementAndGeneral
Fundraising82106Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1255127BOY
EOY1073653EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY450173BOY
EOY451993EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY415576BOY
EOY524394EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY46454BOY
EOY19341EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis10601722LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec2421848LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY8328012BOY
EOY8179874EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY1575BOY
EOY1575EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY816676BOY
EOY821413EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY11313593BOY
EOY11072243EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1214250BOY
EOY1352975EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY93700BOY
EOY108945EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY4800000BOY
EOY4675000EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY1075401BOY
EOY1062193EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY150525BOY
EOY137900EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY7333876BOY
EOY7337013EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY3807528BOY
EOY3560902EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY172189BOY
EOY174328EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3979717BOY
EOY3735230EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY11313593BOY
EOY11072243EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-244487ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years12273831CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12925218CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years13731239CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10647062CurrentTaxYearMinus1Year
Current Tax Year9556104CurrentTaxYear
Total59133454Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years12273831CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12925218CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years13731239CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10647062CurrentTaxYearMinus1Year
Current Tax Year9556104CurrentTaxYear
Total59133454Total
FieldValueIRS element (for citing)
Public Support Total17059133454PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years116436CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years55825CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years40470CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year40605CurrentTaxYearMinus1Year
Current Tax Year37967CurrentTaxYear
Total291303Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years76936CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years93101CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years94712CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year91117CurrentTaxYearMinus1Year
Current Tax Year104734CurrentTaxYear
Total460600Total
FieldValueIRS element (for citing)
Total Support59885357TotalSupport
Gross Receipts From Admissions Etc8636893GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.98740PublicSupportPertcentage170
Public Support Pertcent Prior Year0.98410PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis2149749OtherCostOrOtherBasis
Book Value2149749BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis7529377OtherCostOrOtherBasis
Depreciation2023830Depreciation
Book Value5505547BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis585301OtherCostOrOtherBasis
Depreciation178794Depreciation
Book Value406507BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis235382OtherCostOrOtherBasis
Depreciation134598Depreciation
Book Value100784BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis101913OtherCostOrOtherBasis
Depreciation84626Depreciation
Book Value17287BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings8179874TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
BOND ISSUANCE COSTS, NET82765
ASSETS WHOSE USE IS LIMITED738648
FieldValueIRS element (for citing)
Total Book Value Other Assets821413TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
DEFERRED COMPENSATION$30,375
BOND INTEREST PAYABLE$107,525
FieldValueIRS element (for citing)
Total Of Amounts137900TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X:ReturnReference
ExplanationCRMHS ADOPTED THE PROVISIONS OF FASB ASC 740-10, INCOME TAXES, RELATING TO ACCOUNTING FOR UNCERTAIN TAX POSITIONS. 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, 2012 AND 2011. CRMHS RECOGNIZES INTEREST ACCRUED AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS AS AN ADMINISTRATIVE EXPENSE. DURING THE YEARS ENDED JUNE 30, 2012 AND 2011, CRMHS RECOGNIZED NO INTEREST AND PENALTIES. CRMHS FILES AN EXEMPT ORGANIZATION INCOME TAX RETURN IN THE U.S. FEDERAL JURISDICTION AND A COPY WITH THE STATE CHARITIES DIVISION. CRMHS IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY TAXING AUTHORITIES FOR YEARS BEFORE 2008 FOR ITS FEDERAL AND STATE FILINGS.Explanation

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1FLAMENCO SPAIN 2012NameOfEvent1
Gross Receipts Event163477GrossReceiptsEvent1
Charitable Contributions Event123000CharitableContributionsEvent1
Gross Revenue Event140477GrossRevenueEvent1
Cash Prizes Event1225CashPrizesEvent1
Non Cash Prizes Event16108NonCashPrizesEvent1
Food And Beverage Event118543FoodAndBeverageEvent1
Entertainment Event12500EntertainmentEvent1
Other Direct Expenses Event111556OtherDirectExpensesEvent1
Gross Receipts Total63477GrossReceiptsTotal
Charitable Contributions Total23000CharitableContributionsTotal
Gross Revenue Total Events40477GrossRevenueTotalEvents
Cash Prizes Total Events225CashPrizesTotalEvents
Non Cash Prizes Total Events6108NonCashPrizesTotalEvents
Food And Beverage Total Events18543FoodAndBeverageTotalEvents
Entertainment Total Events2500EntertainmentTotalEvents
Other Direct Expenses Total Events11556OtherDirectExpensesTotalEvents
Direct Expense Summary Events38932DirectExpenseSummaryEvents
Net Income Summary1545NetIncomeSummary

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonPATRICIA GARDNERNamePerson
Base Compensation Filing Org157129BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org8911DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org5400NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org171440TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION B, LINE 11THIS FORM 990 WAS REVIEWED INTERNALLY BY ACCOUNTING STAFF AND MANAGEMENT BEFORE FILING.
FORM 990, PART VI, SECTION B, LINE 12CBOARD MEMBERS SIGN A CONFLICT OF INTEREST STATEMENT ON AN ANNUAL BASIS. ALSO, THE EXECUTIVE TEAM MEETS WEEKLY - A WEEKLY TOPIC DISCUSSED IS ANY "ETHICAL CONCERNS". CONFLICTS OF INTEREST, IF ANY, WOULD BE BROUGHT UP AT THIS TIME AND INVESTIGATED FURTHER.
FORM 990, PART VI, SECTION B, LINE 15THE BOARD OF TRUSTEES, FINANCE COMMITTEE AND EXECUTIVE COMMITTEE REVIEW AND APPROVE THE COMPENSATION OF THE EXECUTIVE DIRECTOR, OFFICERS AND KEY EMPLOYEES.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1COLUMBIA RIVER MENTAL HEALTH FOUNDATIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line16926 NE FOURTH PLAIN BLVDAddressLine1
CityVANCOUVERCity
StateWAState
ZIP Code98661ZIPCode
FieldValueIRS element (for citing)
EIN208404789EIN
Primary ActivitiesFUNDRAISING/SUPPORT FOR MENTAL HEALTH ORGANIZATIONSPrimaryActivities
Legal Domicile StateWALegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity Status509(A)(1) PUBLIC CHAPublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1COLUMBIA RIVER MENTAL HEALTH SERVICESBusinessNameLine1
FieldValueIRS element (for citing)
Controlled Org1ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg