2012-04-27T12:03:04-05:00 2011-06-30 MOSS ADAMS LLP 805 SW BROADWAY 1200 PORTLAND OR 97205 990 2010-07-01 910609138 COLUMBIA RIVER MENTAL HEALTH SERVICES COLU 3609933000 6926 NE FOURTH PLAIN BLVD VANCOUVER WA 98661 NANCY PARKER 3609933000 2012-04-17 1 WENDY CAMPOS 5032421447 2010 2016-02-24 21:20:13Z LYNN SAMUELS 6926 NE FOURTH PLAIN BLVD VANCOUVER WA 98661 12450406 0 X WWW.CRMHS.ORG X 1953 WA 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. 13 12 283 155 0 0 60240 59484 15522775 12259200 3270 -19987 34346 10706 15620631 12309403 0 0 0 0 11628566 9790631 0 0 94650 3618756 2984319 15247322 12774950 373309 -465547 12324405 11313593 7879141 7333876 4445264 3979717 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 5945571 8287788 COMMUNITY MENTAL HEALTH - PROVIDES A VARIETY OF PROGRAMS, INCLUDING OUTPATIENT CARE TREATMENT, CASE MANAGEMENT, TRANSITIONAL HOUSING AND MEDICAL SERVICES. 1671864 2010877 RESIDENTIAL TREATMENT - PROVIDES FACILITIES FOR TREATING PEOPLE WHOSE MENTAL HEALTH PROBLEMS PREVENT THEM FROM LIVING INDEPENDENTLY OR SEMI-INDEPENDENTLY. 1444649 33859 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. 2303599 1926676 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. 2303599 1926676 11365683 1 1 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0 0 1 78 0 1 283 1 0 0 0 0 0 0 0 0 0 0 X 13 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 WA X KIMBERLY DARRAH 3609933031 6926 NE FOURTH PLAIN BLVD VANCOUVER WA 98661 MICHAEL GRAVES 1.00 X X 0 0 0 JOAN CALEY 1.00 X X 0 0 0 GARRY LUCAS 1.00 X X 0 0 0 MICHELLE HOWELL 1.00 X X 0 0 0 DAVID COMEREE 1.00 X 0 0 0 DAN FERGUSON 1.00 X 0 0 0 LARRY COHEN 1.00 X 0 0 0 GLENDA MICHAEL 1.00 X 0 0 0 CRAIG PRIDEMORE 1.00 X 0 0 0 RICK RALSTON 1.00 X 0 0 0 SHEELA CHOPPALA-NESTOR 1.00 X 0 0 0 KARIN DEDONA 1.00 X 0 0 0 JAMIE HOWSLEY 1.00 X 0 0 0 NANCY PARKER 40.00 X 97277 0 10264 JEANETTE HUSEMAN 40.00 X 69776 0 8889 KIMBERLY DARRAH 40.00 X 48480 0 700 JOHN GROTH 40.00 X 46851 0 3218 PATRICIA GARDNER 40.00 X 162138 0 13507 RICHARD SHUEY 40.00 X 142945 0 12547 567467 0 49125 2 0 1 0 INNOVATIVE SERVICES NW INC 9414 NE FOURTH PLAIN RD VANCOUVER WA 98662 RESPITE SERVICES FOR CONSUMERS 246486 FACILITY SERVICES GROUP INC PO BOX 4552 PORTLAND OR 97208 JANITORIAL, REPAIR AND MAINTENANCE, SUPP 133199 2 2615 41475 8500 6894 59484 GOVERNMENT CONTRACTS 624100 10587578 10587578 MEDICARE/MEDICAID PMTS 624100 1221035 1221035 CLIENT FEES/PRIV INSUR 624100 268320 268320 PROG SERV RENTAL INC 624100 100792 100792 LOW INCOME HOUSING 624100 81475 81475 12259200 3405 3405 37200 70795 -33595 -33595 -33595 23392 -23392 -23392 -23392 31972 41475 46816 -14844 -14844 MISCELLANEOUS 900099 59145 59145 59145 12309403 12259200 0 -9281 444525 197128 219015 28382 7422152 6853049 537859 31244 275427 253337 20881 1209 897382 811942 79855 5585 751145 673796 71778 5571 15289 15289 62419 62419 446699 354617 92082 7083 2921 1130 3032 243577 244128 -5972 5421 28526 25349 2421 756 234193 218720 15128 345 127749 123495 3509 745 276092 244382 30865 845 203569 186028 17208 333 168691 151222 17358 111 PATIENT SERVICES 516811 516811 SUPPLIES 289885 267935 16310 5640 REPAIRS AND MAINTENANCE 167984 127335 36502 4147 TRAINING 61860 52282 4333 5245 DUES AND PUBLICATIONS 52754 33014 19740 81138 28192 56907 -3961 12774950 11365683 1314617 94650 1169191 1255127 449359 450173 1323982 415576 55983 46454 10543837 2215825 8501845 8328012 1575 1575 822470 816676 12324405 11313593 1350235 1214250 336450 93700 4881783 4800000 1091668 1075401 219005 150525 7879141 7333876 X 4258031 3807528 187233 172189 4445264 3979717 12324405 11313593 -465547 0 X 0 1 0 X 0 X 11268938 12273831 12925218 13731239 10647062 60846288 11268938 12273831 12925218 13731239 10647062 60846288 60846288 304119 116436 55825 40470 40605 557455 72271 76936 93101 94712 91117 428137 61831880 8427716 0.98410 0.98130 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2149749 2149749 7529377 1870192 5659185 571286 160033 411253 191512 109598 81914 101913 76002 25911 8328012 BOND ISSUANCE COSTS, NET 87799 ASSETS WHOSE USE IS LIMITED 728877 816676 DEFERRED COMPENSATION 40125 BOND INTEREST PAYABLE 110400 150525 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: CRMHS HAS 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, 2011 AND 2010. CRMHS RECOGNIZES INTEREST ACCRUED AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS AS AN ADMINISTRATIVE EXPENSE. DURING THE YEARS ENDED JUNE 30, 2011 AND 2010, 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 2007 FOR ITS FEDERAL AND STATE FILINGS. CARIBBEAN ADVENTURE 73447 41475 31972 362 6716 750 38988 73447 41475 31972 362 6716 750 38988 46816 -14844 X X 0 0 0 0 0 0 0 0 0 PATRICIA GARDNER 162138 0 0 0 0 0 8107 0 5400 0 175645 0 0 0 RICHARD SHUEY 142945 0 0 0 0 0 7147 0 5400 0 155492 0 0 0 FACILITY SERVICES GROUP INC (FSG) MICHAEL GRAVES IS A TRUSTEE OF THE CRMHS BOARD AND OWNS FSG 110902 CRMHS PAYS FSG FOR JANITORIAL, REPAIR AND MAINTENANCE SERVICE, AND SUPPLIES 0 FORM 990, PART VI, SECTION B, LINE 11 FORM 990 IS PRESENTED TO THE FINANCE COMMITTEE AND THEN TO THE FULL BOARD BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C BOARD 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 15 THE 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 18 FORM 990 IS MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 1023 IS NOT MADE AVAILABLE TO THE PUBLIC BECAUSE IT IS NOT REQUIRED TO BE BASED ON DATE OF FILING. 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 PO BOX 1337 VANCOUVER WA 98666 208404789 SUPPORT COMMUNITY HEALTH PROVIDERS WA 501(C)(3) 509(A)(1) PUBLIC CHA N/A 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0