Civic Intelligence

Community Health Alliance

EIN 26-3841441 • 501(c)3 • Roseburg, OR

990-N Coverage

Profile

Working together as a community in mutually supportive ways to provide mental health services that empower people to create solutions.

1600 NW Garden Valley Blvd Ste 110Roseburg, OR 97471

www.chaoregon.net

Siviq Scores

Scores are not available for this record yet.

Balance Sheet

Assets

$4,580,724

No earlier filing loaded for comparison.

Liabilities

$935,214

No earlier filing loaded for comparison.

Net Assets

$3,645,510

No earlier filing loaded for comparison.

Operations

Revenue

$12,811,049

No earlier filing loaded for comparison.

Expenses

$9,475,659

No earlier filing loaded for comparison.

Net Income

$3,335,390

No earlier filing loaded for comparison.

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$6.0M$4.0M$2.0M$0Assets 2015: $4,580,724Liabilities 2015: $935,214Net Assets 2015: $3,645,5102015

Highlighted filing

2015

Assets$4,580,724
Liabilities$935,214
Net Assets$3,645,510

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$15M$10M$5.0M$0Revenue 2015: $12,811,049Expenses 2015: $9,475,659Net Income 2015: $3,335,3902015

Highlighted filing

2015

Revenue$12,811,049
Expenses$9,475,659
Net Income$3,335,390

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2015Detailed filing. Detailed filing data is available for this year.$4.58$0.94$3.65$12.8$9.48$3.34
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2014 to Jun 30, 2015
Signed
May 16, 2016
Return Version
2014v6.0
Gross Receipts
$12,811,049
Mission and Program Overview

Mission

Working together as a community in mutually supportive ways to provide mental health services that empower people to create solutions.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$230,193$3,517,936▲ $3,287,743
Land, Buildings, and Equipment, Net$7,531$522,524▲ $514,993
Accounts Receivable-$321,412-
Prepaid Expenses and Deferred Charges$6,738$218,852▲ $212,114
Intangible Assets$181,803--
Total Assets$439,382$4,580,724▲ $4,141,342
Other Assets Total$13,117--
Liabilities
Accounts Payable and Accrued Expenses$194,855$935,214▲ $740,359
Total Liabilities$194,855$935,214▲ $740,359
Net Assets / Fund Balance
Unrestricted Net Assets$244,527$3,260,077▲ $3,015,550
Temporarily Rstr Net Assets-$385,433-
Total Net Assets Fund Balance$244,527$3,645,510▲ $3,400,983
Total Liabilities and Net Assets / Fund Balance$439,382$4,580,724▲ $4,141,342

Asset Categories

AssetBook ValueDepreciationBasis
Other Land Buildings$438,784$98,452$537,236
Equipment$49,904$10,315$60,219
Leasehold Improvements$33,836$2,192$36,028
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseTotal
Dr George MiddlekauffPsychiatristPT$144,637$144,637
Dr Steven JeffersPsychiatristFT$130,949$130,949
Dr Bryan YatesPsychiatristFT$112,273$112,273
Janet HollandExecutive DiFT$78,060$78,060

Board Members and Trustees

NameTitle
Bruce PiperPresident 5/
Dr Christine SealsPresident 9/
Brent EichmanDirector
Christine ParazooDirector
Dr Gregory BrighamDirector
Kevin CampbellDirector
Ruth BaumanDirector
Debbie BoswellSecretary
Revenue and Support

Revenue Composition

Contributions and Grants
$1,086,720
Program Service Revenue
$11,716,121
Investment Income
$0
Other Revenue
$8,208
All Other Contributions
$524,597
Change in Net Assets
$3,335,390

Noncash Contribution Practices

Property subject to holding requirements
No
Reviewed unusual noncash gifts
No
Third parties used for noncash contributions
No

Noncash Contributions

Contribution TypeContribution CountReported AmountValuation Method
Cars and Other Vehicles18$222,000Fair Market Value (FMV)
Other Non Cash Contri Table1$34,000Fair Market Value (FMV)
Total Noncash Contributions19$256,000-

Audited Revenue Reconciliation

Revenue per Audited Statements
$12,811,049
Total Revenue per Audited Statements
$12,811,049
Total Revenue per Form 990
$12,811,049
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$6,642,206
Other Expenses$2,833,453
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$4,657,715$843,246-$5,500,961
Fees for Services Other$628,376$57,621-$685,997
Fees for Services Management$507,860$129,034-$636,894
Payroll Taxes$474,311$92,367-$566,678
Occupancy$280,141$94,357-$374,498
Other Employee Benefits$259,850$63,332-$323,182
Office Expenses$139,209$36,444-$175,653
Pension Plan Contributions$122,849$26,026-$148,875
Depreciation Depletion$93,041$16,844-$109,885
Fees for Services Legal$103,577$228-$103,805
Other Expenses$86,569$17,121-$103,690
Current Officers, Directors, Trustees, and Key Employees$86,566$15,944-$102,510
Travel$47,272$4,029-$51,301
Conferences and Meetings$27,557$1,461-$29,018
Insurance$24,751$343-$25,094
All Other Expenses$15,733$690-$16,423
Total Functional Expenses$8,003,088$1,472,571$0$9,475,659

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$9,475,659
Total Expenses per Audited Statements$9,475,659
Total Expenses per Form 990$9,475,659
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Christine Seals DcipaPresidentService Contract RevNo$7,420,642
Kevin Campbell CEO GobhiDirectorService Contract RevNo$1,472,498
Christine Seals DcipaPresidentService Contract ExpNo$1,228,304
Debbie Boswell COO Mercy MedicalSecretaryService Contract ExpNo$167,471
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
Yes
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
No
Conflict-of-interest policy
No
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Page 6, Part VI, Line 4

Updates to the financial policies and procedures, bylaws, and employee manual.

Form 990, Page 6, Part VI, Line 11B

Form 990 will be presented to audit committee for approval and board chair for signature.

Form 990, Page 6, Part VI, Line 15A

The governing board determines the executive director's compensation.

Form 990, Page 6, Part VI, Line 19

The governing documents are made available upon request.

Filing and Contact Details

Filer

Filer Name
Community Health Alliance
EIN
26-3841441
Phone
5412298953
Address
1600 NW GARDEN VALLEY BLVD STE 110, ROSEBURG, OR 97471

Signing Officer

Name
Janet Holland
Title
Executive Director
Phone
5412298953
Signed
2016-05-16
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Janet Holland Executive Director
Formed
2008
Legal Domicile
Or
Voting Board Members
6
Independent Board Members
3
Employees
88
Volunteers
6

Preparer

Firm
Jones & Roth Pc
Address
300 SW COLUMBIA SUITE 201, BEND, OR 97702
Preparer
Mathew E Hamlin
Phone
5413823590
Supplemental Narrative

Additional Explanations

Form 990, Page 1, Part I, Line 6

Board of directors are volunteers.

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IRS990/ProhibitedTaxShelterTransInd0false
IRS990/PYExcessBenefitTransInd0false
IRS990/PYOtherExpensesAmt021842
IRS990/PYProgramServiceRevenueAmt0294222
IRS990/PYRevenuesLessExpensesAmt0244527
IRS990/PYSalariesCompEmpBnftPaidAmt027853
IRS990/PYTotalExpensesAmt049695
IRS990/PYTotalRevenueAmt0294222
IRS990/QuidProQuoContributionsInd0false
IRS990/RcvFndsToPayPrsnlBnftCntrctInd0false
IRS990/ReconcilationRevenueExpnssAmt03335390
IRS990/RelatedEntityInd0false
IRS990/RelatedOrganizationCtrlEntInd0false
IRS990/ReportInvestmentsOtherSecInd0false
IRS990/ReportLandBuildingEquipmentInd0true
IRS990/ReportOtherAssetsInd0false
IRS990/ReportOtherLiabilitiesInd0false
IRS990/ReportProgramRelatedInvstInd0false
IRS990/RevenueAmt011716121
IRS990ScheduleA/First5Years509Ind0X
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt08,208
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc0PART III, LINE 12
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearAmt01086720
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/TotalAmt01086720
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearAmt011972121
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus1YearAmt0294222
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/TotalAmt012266343
IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearAmt08208
IRS990ScheduleA/OtherIncome509Grp/TotalAmt08208
IRS990ScheduleA/PubliclySupportedOrg509a2Ind0X
IRS990ScheduleA/PublicSupportTotal509Amt013353063
IRS990ScheduleA/Total509Grp/CurrentTaxYearAmt013058841
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus1YearAmt0294222
IRS990ScheduleA/Total509Grp/TotalAmt013353063
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearAmt013067049
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus1YearAmt0294222
IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt013361271
IRS990ScheduleB/ContributorInformationGrp/ContributorBusinessName/BusinessNameLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorNum0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine20RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/City0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt0RESTRICTED
IRS990/ScheduleBRequiredInd0true
IRS990ScheduleD/EquipmentGrp/BookValueAmt049904
IRS990ScheduleD/EquipmentGrp/DepreciationAmt010315
IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt060219
IRS990ScheduleD/ExpensesSubtotalAmt09475659
IRS990ScheduleD/LeaseholdImprovementsGrp/BookValueAmt033836
IRS990ScheduleD/LeaseholdImprovementsGrp/DepreciationAmt02192
IRS990ScheduleD/LeaseholdImprovementsGrp/OtherCostOrOtherBasisAmt036028
IRS990ScheduleD/OtherLandBuildingsGrp/BookValueAmt0438784
IRS990ScheduleD/OtherLandBuildingsGrp/DepreciationAmt098452
IRS990ScheduleD/OtherLandBuildingsGrp/OtherCostOrOtherBasisAmt0537236
IRS990ScheduleD/RevenueSubtotalAmt012811049
IRS990ScheduleD/TotalBookValueLandBuildingsAmt0522524
IRS990ScheduleD/TotalExpensesPerForm990Amt09475659
IRS990ScheduleD/TotalRevenuePerForm990Amt012811049
IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt012811049
IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt09475659
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IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/NameOfInterested/PersonNm0CHRISTINE SEALS DCIPA
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/NameOfInterested/PersonNm1CHRISTINE SEALS DCIPA
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/NameOfInterested/PersonNm2KEVIN CAMPBELL CEO GOBHI
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/NameOfInterested/PersonNm3DEBBIE BOSWELL COO MERCY MEDICAL
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/RelationshipDescriptionTxt0PRESIDENT
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/RelationshipDescriptionTxt1PRESIDENT
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/RelationshipDescriptionTxt2DIRECTOR
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/RelationshipDescriptionTxt3SECRETARY
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IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/TransactionAmt11228304
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/TransactionAmt21472498
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/TransactionAmt3167471
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/TransactionDesc0SERVICE CONTRACT REV
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/TransactionDesc1SERVICE CONTRACT EXP
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/TransactionDesc2SERVICE CONTRACT REV
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/TransactionDesc3SERVICE CONTRACT EXP
IRS990ScheduleM/AnyPropertyThatMustBeHeldInd0false
IRS990ScheduleM/CarsAndOtherVehiclesGrp/ContributionCnt018
IRS990ScheduleM/CarsAndOtherVehiclesGrp/MethodOfDeterminingRevenuesTxt0FMV
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IRS990ScheduleM/OtherNonCashContriTableGrp/ContributionCnt01
IRS990ScheduleM/OtherNonCashContriTableGrp/Desc0EQUIPMENT
IRS990ScheduleM/OtherNonCashContriTableGrp/MethodOfDeterminingRevenuesTxt0FMV
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IRS990ScheduleM/ThirdPartiesUsedInd0false
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0BOARD OF DIRECTORS ARE VOLUNTEERS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1UPDATES TO THE FINANCIAL POLICIES AND PROCEDURES, BYLAWS, AND EMPLOYEE MANUAL.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2FORM 990 WILL BE PRESENTED TO AUDIT COMMITTEE FOR APPROVAL AND BOARD CHAIR FOR SIGNATURE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE GOVERNING BOARD DETERMINES THE EXECUTIVE DIRECTOR'S COMPENSATION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4THE GOVERNING DOCUMENTS ARE MADE AVAILABLE UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PAGE 1, PART I, LINE 6
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PAGE 6, PART VI, LINE 4
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PAGE 6, PART VI, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PAGE 6, PART VI, LINE 15A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PAGE 6, PART VI, LINE 19
IRS990/SchoolOperatingInd0false
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IRS990/SignificantNewProgramSrvcInd0false
IRS990/StatesWhereCopyOfReturnIsFldCd0OR
IRS990/SubjectToProxyTaxInd0false
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IRS990/TaxExemptBondsInd0false
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IRS990/TempOrPermanentEndowmentsInd0false
IRS990/TerminateOperationsInd0false
IRS990/TotalAssetsBOYAmt0439382
IRS990/TotalAssetsEOYAmt04580724
IRS990/TotalAssetsGrp/BOYAmt0439382

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