Cascadia Health

What it reported doing in 2024

Fee for services includes residential services, supported housing services, outpatient mental health and addiction services. The organization has been providing residential services and supported housing services to individuals with serious mental illness and co-occurring substance abuse disorders since its inception. Currently, the organization provides residential and supported housing to more than 300 individuals in both secure and nonsecure facilities, see schedule o for continuation. In single room occupancy facilities, and in apartments. An example is raingarden, a state-of-the-art complex at villebois in wilsonville. Raingarden is a 'green,' open-design building for persons who have been chronically institutionalized and are now able to hold their own leases. During their stay in residential and supported housing, people participate in skills building and education for eventual successful independent living, such as symptom management, community participation, relationship building, medication education and self-administration, and wellness skills including nutrition, basic cooking, physical exercise, tobacco cessation, and meditation. Evidence based practices are used, such as seeking safety, sanctuary (self), trauma informed care, peer wellness services, cognitive behavioral therapy, motivational interviewing, and specific resources for people with schizophrenia, depression, bipolar disorder, and other symptom complexes. All of these programs serve persons with complicated treatment issues such as chronic mental illness, histories of institutionalization or homelessness, criminal history, severe medical conditions, and alcohol and drug abuse. These individuals are served with the goal of moving to greater independence and integration within the community. For those with coexisting serious physical medical conditions, physician and nursing staff are regularly available to all programs. The organization serves more than 12,000 adults and children annually through outpatient mental health and addiction programs located in multnomah, clackamas and lane counties. These programs are offered to individuals and families throughout the age spectrum, from childhood to older adults. The organization's treatment approach is based on the behavioral health recovery management (bhrm) model for addictive and mental health disorders that emphasizes consumer driven, strengths based recovery services with a focus on longterm wellness. The organization's programs assist individuals to increase independence and self-efficacy by utilizing evidence based practices in individual, group, and family therapy, including trauma informed care, peer wellness services, dialectical behavioral therapy, cognitive behavioral therapy, motivational interviewing, relapse prevention, post hospital reentry, and a variety of skills building and wellness curricula offered in group and individual settings. Outpatient services include a broad array of specialized programs including mental health, substance abuse, integrated mental health and addictions, and gambling treatment. Intensive case management and assertive community treatment (act) is provided in both multnomah and clackamas counties.

Financial Efficiency

• Mission deployment rate: 75.6%; rating input score 76
• Program expense ratio: 72.3%; rating input score 72
• Fundraising efficiency: $58.11 raised per $1 spent on fundraising; rating input score 77; 77th percentile among comparable filings

Transparency & Controls

• Consistency checks: 92.3%; rating input score 92; 12th percentile among comparable filings
• Pay-setting controls: 2 of 6 controls in place; rating input score 33
  • Compensation committee: Missing
  • Independent consultant: Missing
  • Other Form 990s reviewed: Missing
  • Written employment contract: Missing
  • Compensation survey or study: Pass
  • Board or committee approval: Pass
• Foreign activity oversight: Limited
• Grant itemization coverage: Limited
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Limited

Accountability

• Independent voting board: 100%; rating input score 100; 77th percentile among comparable filings
• Governance controls: 8 of 9 controls in place; rating input score 89
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: Fail
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: -4.3%; rating input score 14; 14th percentile among comparable filings
• Total-asset coverage ratio: 0.88; rating input score 35; 35th percentile among comparable filings
• Liabilities to assets ratio: 0.51; rating input score 35; 35th percentile among comparable filings
• Officer compensation ratio: 5.1%; rating input score 16; 16th percentile among comparable filings

Growth

• Program expense growth: 4.6% per year; rating input score 100; 37th percentile among comparable filings
• Revenue growth: 6.9% per year; rating input score 100; 60th percentile among comparable filings
• Asset growth: 12.2% per year; rating input score 100; 79th percentile among comparable filings