NORTHWEST HUMAN SERVICES INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization: NORTHWEST HUMAN SERVICES INC (EIN 93-0605570)
Tax period: 2009-07-01 to 2010-06-30
Filed: 2011-02-03
IRS object ID: 201140349349301404
Schema version: 2009v1.3
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule I
Schedule J
Schedule M
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-02-03T15:23:13-08:00	Timestamp
Tax Period End Date	2010-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	LarsonAllen LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	3000 Northup Way Ste 200	AddressLine1
City	Bellevue	City
State	WA	State
ZIP Code	980041446	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2009-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	930605570	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Northwest Human Services Inc	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	NORT	NameControl
Phone	5035885828	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	681 Center Street NE	AddressLine1
City	Salem	City
State	OR	State
ZIP Code	97301	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Paul Logan	Name
Title	Executive Direc	Title
Date Signed	2011-02-03	DateSigned

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Paul M Bailey CPA	Name
Phone	5094530123	Phone

Field	Value	IRS element (for citing)
Tax Year	2009	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Paul Logan	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	681 Center Street NE	AddressLine1
City	Salem	City
State	OR	State
ZIP Code	97301	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	11664517	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
All Affiliates Included	false	AllAffiliatesIncluded
Organization501c	X	Organization501c
Web Site	www.nwhumanservices.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1970	YearFormation
State Legal Domicile	OR	StateLegalDomicile
Activity Or Mission Description	To provide advocacy, quality health care, and social services to those in need.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	12	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	12	NbrIndependentVotingMembers
Total Nbr Employees	213	TotalNbrEmployees
Total Nbr Volunteers	5	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	4180275	ContributionsGrantsPriorYear
Contributions Grants Current Year	5096684	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	5729704	ProgramServiceRevenuePriorYear
Program Service Revenue CY	6434249	ProgramServiceRevenueCY
Investment Income Prior Year	128734	InvestmentIncomePriorYear
Investment Income Current Year	57201	InvestmentIncomeCurrentYear
Other Revenue Prior Year	7659	OtherRevenuePriorYear
Other Revenue Current Year	76383	OtherRevenueCurrentYear
Total Revenue Prior Year	10046372	TotalRevenuePriorYear
Total Revenue Current Year	11664517	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	177457	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	94550	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	7377076	SalariesEtcPriorYear
Salaries Etc Current Year	7653798	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	34150	TotalFundrsngExpCurrentYear
Other Expense Prior Year	2808140	OtherExpensePriorYear
Other Expenses Current Year	2274625	OtherExpensesCurrentYear
Total Expenses Prior Year	10362673	TotalExpensesPriorYear
Total Expenses Current Year	10022973	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-316301	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	1641544	RevenuesLessExpensesCY
Total Assets BOY	10382765	TotalAssetsBOY
Total Assets EOY	12520773	TotalAssetsEOY
Total Liabilities BOY	2073000	TotalLiabilitiesBOY
Total Liabilities EOY	2493309	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	8309765	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	10027464	NetAssetsOrFundBalancesEOY
Mission Description	To provide advocacy, quality health care, and social services to those in need.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	6664209	Expense
Revenue	6204395	Revenue
Description	West Salem Clinic and Total Health Community Clinic are federallyqualified health centers that provide comprehensive medical services touninsured and under insured patients of the Willamette Valley andsurrounding rural communities. With a patient population of over 10,000clients our multilingual and multicultural staffs are dedicated tohelping patients manage and improve their health and quality of lifeand are able to communicate with clients in Spanish, Russian,Vietnamese, American Sign Language and other dialects and languages.As an organization, it is our desire to offer quality medical, dentaland mental health services to individuals that otherwise would not beable to access healthcare to meet their needs, regardless of ability topay, age, ethnicity or cultural background. our services include family practice medicine, pediatrics, obstetrics including prenatal andpostnatal care, and internal medicine. We also offer preventativehealth services through our living healthy program, dental diabeticscreenings, full service family dentistry and mental health services.Our dental clinic serves approximately 1,400 clients per year. Forindividuals that do not have insurance, we offer a sliding fee that isbased on family size and income. We have a designated eligibilityspecialist on site to assist in completing the medicaid applicationprocess as well as the percentage of slide discount that individualsqualify for. We provide healthcare to homeless individuals via vanservice that transports those in need of medical or dental attention tothe clinic at a minimum of 3 days per week free of charge. We providevaccines for children through the state VFC program and documentimmunizations in the state registry. We also offer pediatric services and have a 24 hourtelephone advice call service available to clients that might havequestions or concerns after normal clinic hours.West Salem Clinic offers outpatient mental health services that includetherapy, counseling, case management group work and psychiatricservices. The panel of providers available to provide these servicesinclude licensed and unlicensed masters prepared clinicians. One casemanager is available to compliment the efforts of the primary clinicalservices providers. West Salem Mental Health Clinic serves people fromthe ages of 12 to 65 regardless of their ability to pay. Clients who are deaf and hard of hearing receive culturally and linguisticallyappropriate counseling and case management services and are supportedin medication management services through a contracted interpreter. TheWest Salem Mental Health program has a growing client base of over 1,000patients and processes approximately 800 screenings for new servicesper year.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	778668	Expense
Revenue	208967	Revenue
Description	Since 1986, Northwest Human Services Inc.'s Homeless Outreach and AdvocacyProject (HOAP) has operated to help adults with chronic mentalillnesses, who are experiencing homelessness. Located in downtownSalem, HOAP offers out-patient mental health services, supportivehousing and a day center.HOAP staff provides 450 clients and visitors with more than 9,000 supportiveinterventions annually, to support them towards independent living inthe community. Mental health services provided include psychiatricvisits, medication management, case management, counseling, advocacy,assistance in obtaining mainstream entitlements, payee services,supportive housing, and skills training.In addition to mental health and housing services, HOAP operates ahealthcare for the homeless van run, transporting 600+ uninsured,homeless adults to the NWHS medical clinic annually for emergentmedical and dental care.During the year the HOAP day center offers services such as showers,snacks, laundry facilities, telephone, community voicemail, and amailing address to both clients and visitors. The HOAP day centerserved 5,500 snacks, 1,875 lunches and offered 1,200 showers. Total services resulted in over 16,000 visits by homeless people seeking a safe place toreceive basic services and support.The HOAP program also operates supportive housing including a safehaven, 24/7 low stress supportive housing for HOAP's chronicallyhomeless clients. Clients living at safe haven can remain there as longas necessary to regain the skills needed to move into more permanentappropriate housing. In addition to Safe Haven, HOAP maintains 22additional housing placements available to enrolled HOAP clients.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	652403	Expense
Revenue	20887	Revenue
Description	Homes Offering Shelter to Teens (HOST) provides emergency and long-term shelter care to runaway and homeless youth. Other areas of serviceinclude crisis intervention, counseling and conflict resolution, familylife skills development and information and referral services for youthin crisis and their families. The transitional living program provideshousing and case management services to emancipated youth assistingthem to achieve independence. During the year, HOST provided shelterfor approximately 200 youth. 216 of youth exited the shelter toa safe environment in place. The feedback received from youth andparents/guardians show that there have been improved relationshipsdirectly due to HOST services rendered. Our customer service feedbackforms showed over 92% with extremely high satisfaction levels.We are proud of our continued partnerships with local agencies whichprovide: classes teaching drug and alcohol awareness, cooking andnutrition, teen pregnancy and prevention, access to a homelesseducation program to assist youth in school enrollment and access tothe resource center, assistance with applying for Oregon Health Planand/or food stamps, employment, and employment coaching services.Local faith based organizations refer youth to our services and helpyouth to access: socialization and school programs (GED program),health club services in which youth barter work time for work out time,financial assistance and property identification for rental properties,a program working towards youth becoming self-sufficient and livingindependently, learn life skills and gain work experience throughvolunteering, classes on healthy meal preparation and cookingtechniques. HOST is dedicated to continued quality services andintegrating the positive youth development model.Staff continues to attend ongoing trainings on a monthly basis inefforts to keep our programming at the highest level possible.Trainings includes contractual and licensing mandates as well asenhancing their level of technical skills.A new position of quality improvement assistant has been created inefforts to further enhance our levels of detailed chart audits,updating forms as well as ongoing safety inspection reports. We arecurrently looking into potential expansion of services throughadditional beds and programming.	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	394245	TotalOfOtherProgramServiceExp
Total Program Service Expense	8489525	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Balance Sheet Amounts Reported	true	BalanceSheetAmountsReported
Independent Audit Financial Stmt	true	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	false	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	false	Hospital
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	true	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	true	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	false	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	30	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	213	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Form990-T Filed	false	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Form8886 T Filed	false	Form8886TFiled
Non Deductible Contributions	false	NonDeductibleContributions
Non Deductible Disclosure	false	NonDeductibleDisclosure
Quid Pro Quo Contributions	false	QuidProQuoContributions
Quid Pro Quo Disclosure	false	QuidProQuoDisclosure
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Number Of8282 Filed	0	NumberOf8282Filed
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Form8899 Filed	false	Form8899Filed
Form1098 C Filed	false	Form1098CFiled
Excess Business Holdings	false	ExcessBusinessHoldings
Taxable Distributions	false	TaxableDistributions
Distribution To Donor	false	DistributionToDonor
Filed Lieu1041	false	FiledLieu1041
Nbr Voting Governing Body Members	12	NbrVotingGoverningBodyMembers
Number Independent Voting Members	12	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Policies Reference Chapters	false	PoliciesReferenceChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
Written Policy Or Procedure	false	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	OR	StatesWhereCopyOfReturnIsFiled
Other Website	X	OtherWebsite
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	Robert T Edwards	NamePerson
Telephone Number	5035885828	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	681 Center Street NE	AddressLine1
City	Salem	City
State	OR	State
ZIP Code	97301	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (24 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Key EmployeeKeyEmployee	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer
Zoltan Teglassy
Provider	40.00	X	139349	0	12373
William Dettwyler
Director	1.00		0	0	0	X	X
Scott Byrum
Director	1.00		0	0	0	X
Samantha Feldman
Director	1.00		0	0	0	X
Robert Edwards
CFO	40.00		71825	0	6883		X
Phil Swogger
Director	1.00		0	0	0	X
Paul Logan
Executive Direc	40.00		129477	0	16442		X
Michelle Pecora
Treasurer	1.00		0	0	0	X	X
Michelle N Euzent
Dentist	40.00	X	113189	0	12057
Michael Wise
Chair	1.00		0	0	0	X	X
Michael J Schiferl
Medical Dir.	40.00	X	119296	0	9250
Marvin Roman
Provider	40.00	X	144578	0	9165
Lynn Martin
Director	1.00		0	0	0	X
Lee Herskowitz
Provider	40.00	X	119664	0	7663
Larry Goodreau
Vice Chair	1.00		0	0	0	X	X
Kory Thomas
Director	1.00		0	0	0	X
Joel M Suchow
Provider	40.00	X	159225	0	10377
Hen Mach
Director	1.00		0	0	0	X
Harvey B Price
Provider	40.00	X	102821	0	0
Gwendolyn A Oran
Provider	40.00	X	159329	0	10056
Eloisa Hernandez
Secretary	1.00		0	0	0	X	X
Cynthia S Nocek
Provider	40.00	X	111510	0	3345
Crystina Blaze
Director	1.00		0	0	0	X
Amy Martinez
Director	1.00		0	0	0	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	1370263	TotalReportableCompFromOrg
Total Other Compensation	97611	TotalOtherCompensation
Number Individuals GT100 K	10	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
Tomcor Construction LLC
PO Box 5128	Salem	OR	97304	Construction	717350
First Impressions Last
4676 Commercial St SE	Salem	OR	97302	Janitorial Service	100232
Defenbaugh & Associates PC
388 State Street Suite 840	Salem	OR	97301	Architecture	133927
D&Y Locum Tenens
PO Box 635715	Cincinnati	OH	452635715	Contract Medical	128610
CompHealth
PO Box 972651	Dallas	TX	753972651	Contract Medical	121772

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	5	NumberOfContractorsGT100K
Government Grants	4809027	GovernmentGrants
All Other Contributions	287657	AllOtherContributions
Noncash Contributions	228093	NoncashContributions
Total Contributions	5096684	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Other Patient Services	483095	483095
Mental Health	690629	690629
Medical Clinics	4737780	4737780
Homeless Outreach	208967	208967
Dental Clinic	292891	292891

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	20887	TotalRevenueColumn
Related Or Exempt Function Income	20887	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	6434249	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	57201	TotalRevenueColumn
Exclusion	$57,201	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

Field	Value	IRS element (for citing)
Description	Miscellaneous	Description
Total Revenue Column	76383	TotalRevenueColumn
Related Or Exempt Function Income	76383	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	76383	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	11664517	TotalRevenueColumn
Related Or Exempt Function Income	6510632	RelatedOrExemptFunctionIncome
Exclusion	$57,201	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	0	Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	94550	Total
Program Services	94550	ProgramServices

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	1490479	Total
Program Services	1231005	ProgramServices
Management And General	259474	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	4715323	Total
Program Services	3735246	ProgramServices
Management And General	962805	ManagementAndGeneral
Fundraising	17272	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	0	Total

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	887622	Total
Program Services	720130	ProgramServices
Management And General	165769	ManagementAndGeneral
Fundraising	1723	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	560374	Total
Program Services	454634	ProgramServices
Management And General	104653	ManagementAndGeneral
Fundraising	1087	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	5651	Total
Program Services	1243	ProgramServices
Management And General	4408	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	38480	Total
Program Services	8466	ProgramServices
Management And General	30014	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	185519	Total
Program Services	146148	ProgramServices
Management And General	39371	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	27842	Total
Program Services	24577	ProgramServices
Management And General	3265	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	192100	Total
Program Services	150389	ProgramServices
Management And General	38385	ManagementAndGeneral
Fundraising	3326	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	0	Total

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	301486	Total
Program Services	199045	ProgramServices
Management And General	102441	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	0	Total

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	0	Total

Interest Interest

Field	Value	IRS element (for citing)
Total	75168	Total
Program Services	37304	ProgramServices
Management And General	37864	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	239971	Total
Program Services	195998	ProgramServices
Management And General	43973	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	63833	Total
Program Services	55163	ProgramServices
Management And General	8670	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
Pharmaceutical, Lab, and other	472406	472406
Miscellaneous	80632	10863	62746	7023
Food and Supplies	75360	71357	3818	185
Direct Client Assistance	140314	140314
Bad debt	194522	194522

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	181341	Total
Program Services	546165	ProgramServices
Management And General	-368358	ManagementAndGeneral
Fundraising	3534	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	10022973	Total
Program Services	8489525	ProgramServices
Management And General	1499298	ManagementAndGeneral
Fundraising	34150	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	7836	BOY
EOY	377769	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	2645860	BOY
EOY	250000	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	418366	BOY
EOY	472865	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	1631262	BOY
EOY	1488656	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
EOY	0	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	77021	BOY
EOY	111258	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	59974	BOY
EOY	79034	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	7400002	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	2620098	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	3909654	BOY
EOY	4779904	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	1375239	BOY
EOY	4688150	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
EOY	0	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
EOY	0	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	57462	BOY
EOY	55074	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	200091	BOY
EOY	218063	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	10382765	BOY
EOY	12520773	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	693930	BOY
EOY	1157871	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	1379070	BOY
EOY	1335438	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	2073000	BOY
EOY	2493309	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	8309765	BOY
EOY	10027464	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	8309765	BOY
EOY	10027464	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	10382765	BOY
EOY	12520773	EOY

Field	Value	IRS element (for citing)
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Separate	X	FinancialStatementSeparate
Federal Grant Audit Required	true	FederalGrantAuditRequired
Federal Grant Audit Performed	true	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org170b1 Avi	X	PubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	4926713	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	4306702	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	4320765	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	4180275	CurrentTaxYearMinus1Year
Current Tax Year	5117179	CurrentTaxYear
Total	22851634	Total

Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170

Field	Value	IRS element (for citing)
Total	0	Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

Field	Value	IRS element (for citing)
Total	0	Total

Total170 Total170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	4926713	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	4306702	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	4320765	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	4180275	CurrentTaxYearMinus1Year
Current Tax Year	5117179	CurrentTaxYear
Total	22851634	Total

Field	Value	IRS element (for citing)
Amounts Subst Contributors Total	0	AmountsSubstContributorsTotal
Public Support Total170	22851634	PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	197923	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	195169	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	148730	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	114099	CurrentTaxYearMinus1Year
Current Tax Year	112862	CurrentTaxYear
Total	768783	Total

Net UBI NetUBI

Field	Value	IRS element (for citing)
Total	0	Total

Other Income170 OtherIncome170

Field	Value	IRS element (for citing)
Total	0	Total

Field	Value	IRS element (for citing)
Total Support	23620417	TotalSupport
Gross Receipts From Admissions Etc	30077274	GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage170	0.96750	PublicSupportPertcentage170
Public Support Pertcent Prior Year	0.96460	PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170	X	ThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	523078	OtherCostOrOtherBasis
Book Value	523078	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	5387121	OtherCostOrOtherBasis
Depreciation	1295593	Depreciation
Book Value	4091528	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1407654	OtherCostOrOtherBasis
Depreciation	1248645	Depreciation
Book Value	159009	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	82149	OtherCostOrOtherBasis
Depreciation	75860	Depreciation
Book Value	6289	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	4779904	TotalOfBookValueLandBuildings
Total Revenue	11664517	TotalRevenue
Total Expenses	10022973	TotalExpenses
Excess Or Deficit For Year	1641544	ExcessOrDeficitForYear
Net Unrealized GL On Investments	55661	NetUnrealizedGLOnInvestments
Donated Services And Facilities	20495	DonatedServicesAndFacilities
Total Adjustments	76156	TotalAdjustments
Excess Or Deficit Per FS	1717700	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	11740673	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	55661	NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities	20495	DonatedSrvcAndUseOfFacilities
Revenue Not Rptd F990	76156	RevenueNotRptdF990
Revenue Subtotal	11664517	RevenueSubtotal
Total Revenue Per Form990	11664517	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	10022973	TotExpensesEtcAuditedFinclStmt
Expenses Subtotal	10022973	ExpensesSubtotal
Total Expenses Per Form990	10022973	TotalExpensesPerForm990

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
No Grant More Than5000	X	NoGrantMoreThan5000
Total Nbr Of501 C3 And Govt Grants	0	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	0	TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII (5 entries)

Type Of GrantTypeOfGrant	Number Of RecipientsNumberOfRecipients	Amount Of Cash GrantAmountOfCashGrant	Amount Of Non Cash AssistanceAmountOfNonCashAssistance	Method Of ValuationMethodOfValuation	Description Of Non Cash AssistanceDescriptionOfNonCashAssistance
Utilities Assistance	453	23917
Transportation Assistance - Provision for Bus Passes	465	4650
Rent Assistance	130	11483
Pharmacy Support	271	30000
Clothing & Other Personal Items	315		24500	Estimated value per article of clothing	New and Used Clothing

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Written Employment Contract	X	WrittenEmploymentContract
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	false	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException
Rebuttable Presumption Procedure	false	RebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Total Compensation Filing OrgTotalCompensationFilingOrg	Deferred Comp Filing OrgDeferredCompFilingOrg
Zoltan Teglassy
139349	12373	151722
Marvin Roman
144578	5265	153743	3900
Joel M Suchow
159225	5577	169602	4800
Gwendolyn A Oran
159329	5245	169385	4811

Schedule M IRS990ScheduleM

Food Inventory FoodInventory

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Noncash Contribs Rptd F990	40078	NoncashContribsRptdF990
Method Of Determining Revenues	OR Food bank	MethodOfDeterminingRevenues

Drugs And Medical Supplies DrugsAndMedicalSupplies

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Noncash Contribs Rptd F990	125235	NoncashContribsRptdF990
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenues

Other Non Cash Contributions Table OtherNonCashContributionsTable

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Description	Supplies	Description
Noncash Contribs Rptd F990	62779	NoncashContribsRptdF990
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenues

Field	Value	IRS element (for citing)
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	false	ReviewProcessUnusualNCGifts
Third Parties Used	false	ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Form 990, Part VI, Line 19	Form 990, Part VI, Line 19: Other Organization Documents Publicly Available	Governing documents, conflict of interest policy and financial statements are not made available to the public. Form 990 and Form 1023 are avaliable to the public upon request.
Form 990, Part VI, Line 15b	Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees	Evaluation and compensation of other officers or key employees is determined by the Executive Director.
Form 990, Part VI, Line 12c	Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts	The organization monitors and enforces compliance with the conflict of interest policy through annual evaluation and updating. Officers, directors, and key employees would not be able to discuss or vote on an issue where a conflict of interest exists.
Form 990, Part VI, Line 11	Form 990, Part VI, Line 11: Form 990 Review Process	A review will be conducted by the audit committee and their recommendation goes to the Board of Directors prior to filing the return
Form 990, Part III, Line 4d	Form 990, Part III, Line 4d : Other Program Services Description	OTHER PROGRAM SERVICES 4: The crisis hotline is a 24 hour / 7 day a week / 365 days a yearprogram that offers crisis and suicide intervention services by phoneor on a walk-in basis, and a trauma response team to respond tocritical events in the community. To assist with crises of a financialnature, we also offer emergency financial assistance for needs such asrent, utilities and financial support to pay for life-sustainingprescription medications. We provide a free community voice mailservice for individuals who may be homeless, in transition fromincarceration or are victims of a domestic violence situation. Ourhotline also offers community presentations on our services, and weoffer trainings on suicide intervention and other service-relatedtopics. During our 2009-2010 fiscal year, we provided services to23,253 individuals. Of that total we assisted 854 individuals withrent and utilities, 271 with prescription medications, and 458individuals with emergency food boxes. In addition to our paid staff,our volunteers provided 332 hours of service, and $4,565 in donations,which were used to financially assist individuals living in the city ofKeizer.