2022-05-09T14:25:24-05:00 2021-06-30 951777440 GREEN HASSON & JANKS LLP 700 SOUTH FLOWER STREET SUITE 3300 LOS ANGELES CA 90017 990 2020-07-01 770195022 CASA PACIFICA CENTERS FOR CHILDREN & FAMILIES CASA 8053664040 1722 SOUTH LEWIS RD CAMARILLO CA 93012 RICHARD GUTIERREZ CFO 8053664040 2022-05-05 1 RICHARD GUTIERREZ 999009999 LIZBETH G NEVAREZ P01399868 3108731600 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z SHAWNA MORRIS 1722 SOUTH LEWIS RD CAMARILLO CA 93012 33346827 0 X WWW.CASAPACIFICA.ORG X 1988 CA CASA PACIFICA IS DEDICATED TO MEETING WITH CHILDREN, ADOLESCENTS, TEENS AND THEIR FAMILIES AT THE MOST CHALLENGING TIMES OF THEIR LIVES AND TO HELP THEM OVERCOME SOME OF LIFE'S MOST DIFFICULT CIRCUMSTANCES. 26 25 447 246 0 0 23528433 27498943 5128816 5562633 29831 27302 -106167 -22851 28580913 33066027 1212752 879781 0 0 22861783 23277245 0 0 940494 6197522 6128755 30272057 30285781 -1691144 2780246 25977806 23625266 10120790 4860196 15857016 18765070 X CASA PACIFICA IS DEDICATED TO MEETING WITH CHILDREN, ADOLESCENTS, TEENS AND THEIR FAMILIES AT THE MOST CHALLENGING TIMES OF THEIR LIVES AND TO HELP THEM OVERCOME SOME OF LIFE'S MOST DIFFICULT CIRCUMSTANCES. 0 0 13365974 829937 5367663 CASA PACIFICA'S RESIDENTIAL BASED PROGRAMS INCLUDE RESIDENTIAL TREATMENT CENTER, PARTIAL HOSPITALIZATION AND INTENSIVE OUTPATIENT, AND TRANSITION AGED PROGRAMS. CLINICAL SERVICES ARE FULLY INTEGRATED WITH THESE PROGRAMS AND PROVIDE PSYCHOLOGICAL AND SOCIAL/EMOTIONAL ASSESSMENTS, CASE MANAGEMENT, INDIVIDUAL, GROUP, AND FAMILY THERAPY, MEDICATION SUPPORT, AND CRISIS INTERVENTION. DURING FY 20/21 WE SERVED OVER 227 CHILDREN, YOUTH, AND YOUNG ADULTS IN THESE PROGRAMS. 7951095 40755 194970 CASA PACIFICA PROVIDES A VARIETY OF COMMUNITY-BASED PROGRAMS WITH A GOAL OF KEEPING CHILDREN WHO ARE IN JEOPARDY OF OUT OF HOME PLACEMENT IN THEIR OWN HOMES AND COMMUNITIES. THESE PROGRAMS WORK WITH YOUTH AND FAMILIES IN-HOME, IN-SCHOOL, AND WHEREVER ELSE SERVICES ARE NEEDED. SERVICES INCLUDE THERAPUDIC BEHAVIORAL SERVICES, WRAPAROUND, MOBILE CRISIS RESPONSE, AND FOSTER FAMILY AGENCY. DURING FY 20/21 WE SERVED OVER 1203 YOUTH AND THEIR FAMILIES THROUGH THESE PROGRAMS. 2443745 9089 CASA PACIFICA'S NON-PUBLIC SPECIAL EDUCATION SCHOOL IS A WASC ACCREDITED, DIPLOMA-GRANTING INSTITUTION THAT SERVICES SPECIAL NEEDS CHILDREN IN GRADES 1 TO 12 WITH PRIMARY DIAGNOSIS OF EMOTIONAL DISTURBANCE, AUTISM, OTHER HEALTH IMPAIRMENT AND SPECIFIC LEARNING DISABILITIES. THE SCHOOL IS LOCATED ON OUR MAIN CAMPUS AND SERVES YOUTH PLACED IN OUR RESIDENTIAL BASED PROGRAMS AS WELL AS DAY STUDENTS FROM SURROUNDING COMMUNITIES. DURING FY 20/21 THERE WERE OVER 85 STUDENTS THAT ATTENDED THE SCHOOL. 248527 CASA PACIFICA MAINTAINS A COLLABORATIVE PARTNERSHIP WITH LOCAL GOVERNMENTAL AND EDUCATIONAL AGENCIES TO PROVIDE TRAININGS FOR THOSE WHO CARE AND SUPERVISE CHILDREN AND YOUTH IN OUT-OF-HOME PLACEMENTS. OUR TRAINING DEPARTMENT ALSO PROVIDES VARIOUS SPECIAL TOPIC SEMINARS FOR MENTAL HEALTH PROFESSIONALS AND CHILD CARE PROVIDERS THROUGHOUT THE YEAR. 248527 24009341 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 35 0 1 447 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 26 25 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 1 0 CA X KATIE POLLOCK 8053664440 1722 SOUTH LEWIS RD CAMARILLO CA 93012 ROBERT WYNNER PRESIDENT 7.00 X X 0 0 0 HEIDI WHITCOMB VICE PRESIDENT 6.00 X X 0 0 0 ERIC SHAIN TREASURER 6.00 X X 0 0 0 JOHN BROOME JR ASSISTANT TREASURER 3.00 X X 0 0 0 TERRI PARKS SECRETARY 3.00 X X 0 0 0 ROSALIND WARNER MD PAST PRESIDENT 3.00 X 0 0 0 BRENDA ALLISON DIRECTOR (UNTIL JUNE 2021) 3.00 X 0 0 0 WILLIAM AYUB DIRECTOR 3.00 X 0 0 0 MARNI BROOK DIRECTOR 3.00 X 0 0 0 KEETS CASSAR DIRECTOR 3.00 X 0 0 0 CHARLES COHEN DIRECTOR (UNTIL JUNE 2021) 3.00 X 0 0 0 BRICK CONNERS DIRECTOR 3.00 X 0 0 0 DANIEL FRIEDLANDER DIRECTOR (UNTIL JUNE 2021) 3.00 X 0 0 0 GARY GORIAN DIRECTOR 3.00 X 0 0 0 RICHARD J HERNANDEZ DIRECTOR 3.00 X 0 0 0 NARIMON HONARPOUR DIRECTOR 3.00 X 0 0 0 JOHN KEARNEY DIRECTOR (UNTIL JUNE 2021) 3.00 X 0 0 0 SEAN L LEONARD DIRECTOR 3.00 X 0 0 0 MELISSA LIVINGSTON DIRECTOR 3.00 X 0 0 0 JOHN MALLETT DIRECTOR 3.00 X 0 0 0 PATRICK NYGREN DIRECTOR 3.00 X 0 0 0 ELLEN F SMITH DIRECTOR 3.00 X 0 0 0 ADAM THUNELL DIRECTOR 3.00 X 0 0 0 DAVID E WOOD DIRECTOR (UNTIL JUNE 2021) 3.00 X 0 0 0 CELINA L ZACARIAS DIRECTOR 3.00 X 0 0 0 SHAWNA MORRIS CHIEF EXECUTIVE OFFICER 40.00 X X 142320 0 1480 STEVEN ELSON CHIEF EXECUTIVE OFFICER (RETIRED IN JULY 2020) 40.00 X X 241012 0 39995 RICHARD GUTIERREZ CHIEF FINANCIAL OFFICER 40.00 X 24904 0 0 WAYNE DAVEY INTERIM CHIEF FINANCIAL OFFICER (UNTIL OCTOBER 202 40.00 X 170818 0 0 MYRA SALTOUN DIRECTOR OF RESIDENTIAL SERVICES 20.00 X 159742 0 18194 MONETTA WILLIAMS CHIEF HUMAN RESOURCES OFFICER 40.00 X 163091 0 23338 ANNE E ROSSELL NURSE PRACTITIONER 40.00 X 239971 0 17490 DANIELLE R SHAW PSYCHIATRIST 40.00 X 204442 0 10349 KRISTIN J WILKERSON NURSE PRACTITIONER 40.00 X 173104 0 14990 1519404 0 125836 19 0 1 0 SYMED CORPORATION PO BOX 238 NAPA CA 94559 CONTRACT SERVICES 240406 NETSMART TECHNOLOGIES INC PO BOX 823519 PHILADELPHIA PA 19182 HEALTH RECORD 207225 ORBIT HEALTH PRACTICE MANAGEMENT INC 23679 CALABASAS ROAD 1010 CALABASAS CA 91302 PROFESSIONAL FEES 130130 ASTRALCOM LLC 4747 CANEHILL AVE LAKEWOOD CA 90713 MARKETING, ADVERTISING 129514 4 87885 24292235 3118823 430653 27498943 PATIENT CARE SERVICES CONTRACTS 624100 5562633 5562633 5562633 19504 19504 206467 198669 7798 7798 7798 22571 87885 82131 -59560 -59560 OTHER INCOME 900099 36709 36709 36709 33066027 5562633 0 4451 879781 879781 725296 593120 111785 20391 18124357 14788553 2817551 518253 421699 355910 56865 8924 2643555 2231137 356477 55941 1362338 1119583 202272 40483 325867 325867 29750 29750 12344 12344 1011932 700116 299941 11875 147432 90359 54210 2863 716523 497975 185178 33370 538939 422374 70253 46312 919341 695129 218270 5942 443216 422193 17750 3273 25876 22467 3025 384 111753 1338 95415 15000 672254 437220 220370 14664 454141 388107 58305 7729 REPAIRS & MAINTENANCE 371393 269509 96388 5496 RECRUITING/HIRING 99223 60812 36484 1927 DUES & SUBSCRIPTIONS 58141 8180 24865 25096 TAXES & LICENSES 47881 24440 23360 81 142749 1038 19221 122490 30285781 24009341 5335946 940494 4674830 3206968 50274 60458 3307153 2438941 45321 208968 232516 216246 28214185 12664142 16090690 15550043 1101465 1315497 475557 628145 25977806 23625266 3471439 3731345 1067173 1128851 802362 0 4779816 0 10120790 4860196 X 15420098 18262202 436918 502868 15857016 18765070 25977806 23625266 X 2780246 232039 -104231 X 0 1 X 1 1 1 X 27896555 26774886 26455530 23528433 27498943 132154347 27896555 26774886 26455530 23528433 27498943 132154347 132154347 78093 76529 41368 29582 19504 245076 14472 9291 7952 11881 36709 80305 132479728 22583218 0.99750 0.99800 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 183732 52227 235959 205380 2677 24325 183732 199125 6255 205380 245622 7752 54249 199125 219803 29625 3806 245622 0.62900 0.00000 0.37100 0 0 23961944 8918071 15043873 200667 200667 0 3699011 3192841 506170 352563 352563 0 15550043 X 33323108 232039 37386 269425 33053683 12344 12344 33066027 30415054 141617 141617 30273437 12344 12344 30285781 PART V, LINE 4: CASA PACIFICA'S ENDOWMENTS CONSIST OF DONOR-RESTRICTED AND BOARD-DESIGNATED FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES. ENDOWMENT FUNDS ESTABLISHED BY DONOR-RESTRICTED GIFTS EITHER PROVIDE A PERMANENT ENDOWMENT, WHICH IS TO PROVIDE A PERMANENT SOURCE OF INCOME TO CASA PACIFICA, OR A TERM ENDOWMENT, WHICH IS TO PROVIDE INCOME FOR A SPECIFIED PERIOD TO CASA PACIFICA. CASA PACIFICA'S BOARD OF DIRECTORS HAS APPROVED A SPENDING POLICY WHEREBY FUNDS AVAILABLE FOR DISTRIBUTIONS ARE DETERMINED BASED ON 5% OF THE ENDOWMENT FUNDS' TOTAL MARKET VALUE ON JUNE 30 OF THE PREVIOUS FISCAL YEAR. THIS POLICY ALLOWS FOR A GREATER PREDICTABILITY OF SPENDABLE INCOME FOR BUDGETING PURPOSES AND FOR GRADUAL STEADY GROWTH FOR THE SUPPORT OF OPERATIONS BY THE ENDOWMENTS. PART X, LINE 2: CASA PACIFICA RECOGNIZES THE IMPACT OF TAX POSITIONS IN THE FINANCIAL STATEMENTS IF THAT POSITION IS MORE LIKELY THAN NOT TO BE SUSTAINED ON AUDIT, BASED ON THE TECHNICAL MERITS OF THE POSITION. DURING THE YEAR ENDED JUNE 30, 2021, CASA PACIFICA PERFORMED AN EVALUATION OF UNCERTAIN TAX POSITIONS AND DID NOT IDENTIFY ANY MATTERS THAT WOULD REQUIRE RECOGNITION IN THE FINANCIAL STATEMENTS OR WHICH MIGHT HAVE AN EFFECT ON ITS TAX-EXEMPT STATUS. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN VALUE OF BENEFICIAL INTEREST IN PERPETUAL TRUST 37,386. PART XII, LINE 2D - OTHER ADJUSTMENTS: PROVISION FOR UNCOLLECTIBLE CONTRACTS RECEIVABLE 141,617. FASHION SHOW 52703 36112 16591 15316 39616 WFB / YUMMIE DINNER 12725 12725 2467 2 45028 39048 5980 24732 110456 87885 22571 15316 66815 82131 -59560 1 ASSISTANCE TO INDIVIDUALS 2034 867819 FMV DONATED FOOD, CLOTHING, GIFT CARDS, & SUPPLIES EDUCATIONAL ASSISTANCE 5 11962 PART I, LINE 2: CASA PACIFICA DOES NOT MONITOR THE USE IF GRANT FUNDS. AMOUNTS ARE GENERALLY SMALL AND FOR SPECIFIC PURPOSES SUCH AS TUITION. X X X X X 0 1 0 0 0 0 0 1 0 STEVEN ELSON CHIEF EXECUTIVE OFFICER (RETIRED IN 241012 0 0 0 0 0 26750 0 13245 0 281007 0 0 0 ANNE E ROSSELL NURSE PRACTITIONER 239771 0 200 0 0 0 12064 0 5426 0 257461 0 0 0 DANIELLE R SHAW PSYCHIATRIST 204242 0 200 0 0 0 10349 0 0 0 214791 0 0 0 KRISTIN J WILKERSON NURSE PRACTITIONER 173104 0 0 0 0 0 0 0 14990 0 188094 0 0 0 MONETTA WILLIAMS CHIEF HUMAN RESOURCES OFFICER 157691 0 5400 0 0 0 7861 0 15477 0 186429 0 0 0 MYRA SALTOUN DIRECTOR OF RESIDENTIAL SERVICES 159742 0 0 0 0 0 8283 0 9911 0 177936 0 0 0 WAYNE DAVEY INTERIM CHIEF FINANCIAL OFFICER (UNT 170818 0 0 0 0 0 0 0 0 0 170818 0 0 0 PART I, LINE 4B STEVE ELSON, CEO, PARTICIPATES IN A DEFERRED COMPENSATION PLAN SPONSORED BY THE ORGANIZATION. X 172201 FMV X 2 103459 FMV X 30 72407 FMV X GIFT CARDS 140 53061 SELLING PRICE X AUCTION ITEMS 62 29524 FMV 0 1 0 PART I, COLUMN (B): NONCASH CONTRIBUTORS ARE LISTED BY TOTAL NUMBER OF CONTRIBUTORS. FORM 990, PART VI, SECTION A, LINE 1 THE GOVERNING BODY DELEGATED BROAD AUTHORITY TO AN EXECUTIVE COMMITTEE, WHICH CONSISTS OF THE FOLLOWING MEMBERS: 1) ROBERT WYNNER, PRESIDENT 2) HEIDI WHITCOMB, VICE PRESIDENT 3) TERRI PARKS, SECRETARY 4) ERIC SHAIN, TREASURER 5) JOHN BROOME, JR., ASST. TREASURER 6) ROSALIND WARNER, M.D., PAST PRESIDENT 7) KEETS CASSAR, PAST PRESIDENT 8) BRENDA ALLISON, DIRECTOR 9) DAVID WOOD, DIRECTOR 10) MELISSA LIVINGSTON, DIRECTOR 11) SHAWNA MORRIS, CEO FORM 990, PART VI, SECTION B, LINE 11B THE 990 REPORT IS REVIEWED BY THE BOARD CHAIR AND THE FINANCE COMMETTEE CHAIR. COPIES ARE THEN MADE AVAILABLE TO ALL BOARD MEMBERS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C OFFICERS AND DIRECTORS ANNUALLY SUBMIT A SIGNED CONFLICT OF INTEREST DISCLOSURE STATEMENT. CEO REVIEWS AND ENSURES COMPLIANCE. ANY PERCEIVED OR KNOWN CONFLICTS ARE ADDRESSED BY SENIOR MANAGMENT AND THE BOARD. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS REVIEWS WRITTEN EVALUATIONS OF THE CEO SUBMITTED BY ALL BOARD MEMBERS AND DETERMINES THE ADEQUACY OF THE COMPENSATION PACKAGE, INDEPENDENTLY, WITHOUT THE PARTICIPATION OF INTERESTED PERSONS. FORM 990, PART VI, SECTION B, LINE 15B: THE CEO IS RESPONSIBLE FOR REVIEWING AND APPROVING COMPENSATION FOR ALL OTHER EMPLOYEES NOT LISTED IN LINE 15A. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: PROVISION FOR UNCOLLECTIBLE CONTRACTS RECEIVABLE -141,617. CHANGE IN VALUE OF BENEFICIAL INTEREST IN PERPETUAL TRUST 37,386.