2015-11-13T16:53:06-08:00 2014-12-31 Branch Richards & Co PS 155 NE 100th St Suite 410 Seattle WA 981258010 990 2014-01-01 910621380 COMMUNITY PSYCHIATRIC CLINIC COMM 2064613614 11000 LAKE CITY WAY NE SEATTLE WA 98125 SHIRLEY HAVENGA CEO 2015-11-13 true Don W Busch P00040478 2067290114 2014 2016-04-25 22:37:26Z 21572348 false false X WWW.CPCWA.ORG X 1953 WA COMMUNITY PSYCHIATRIC CLINIC PROVIDES PREVENTIVE, RESTORATIVE AND EDUCATIONAL BEHAVIORAL HEALTH SERVICES FOR INDIVIDUALS AND FAMILIES TO PROMOTE MENTAL HEALTH AND ENHANCE THEIR QUALITY OF LIFE. 14 14 500 8 0 7473552 264310 12072180 21225038 39775 36216 25309 46784 19610816 21572348 0 0 13373038 13828485 0 113274 5801621 6609960 19174659 20438445 436157 1133903 31186033 32116372 5416931 5213367 25769102 26903005 X COMMUNITY PSYCHIATRIC CLINIC PROVIDES PREVENTIVE, RESTORATIVE AND EDUCATIONAL BEHAVIORAL HEALTH SERVICES FOR INDIVIDUALS AND FAMILIES TO PROMOTE MENTAL HEALTH AND ENHANCE THEIR QUALITY OF LIFE. false false 6261499 8375084 COMMUNITY SUPPORT SERVICES - COMMUNITY MENTAL HEALTH SERVICES FOR PERSONS WITH MENTAL ILLNESS. 3989602 5192545 RESIDENTIAL - SERVICES FOR MENTALLY ILL AND THE DEVELOPMENTALLY ILL AND THE DEVELOPMENTALLY DISABLED IN A GROUP LIVING ENVIRONMENT AND SEMI-INDEPENDENT LIVING ENVIRONMENT. 2499746 4794073 CHILD & FAMILY & ADULT OP SERVICES - COMMUNITY MENTAL HEALTH SERVICES TARGETED TO CHILDREN, FAMILIES AND ADULT OUT PATIENTS. 3878881 2815323 16629728 true true false false false false false false false false true true false false false false true false false false false false false false false false false false false true false false false false false false false false false false false false false false false false true false false false false true 167 0 true 500 true false false false false false false false false 0 false false false false false false false false false false X 14 14 false false false false false false false true true false true true true true true true true true true true false X SHIRLEY HAVENGA CEO 2064613614 11000 LAKE CITY WAY NE SEATTLE WA 981256748 RANDY PARKER President 1.00 0.00 X 0 0 0 DAN GOFORTH Sec./Treas. 1.00 0.00 X 0 0 0 DIANNE DILLON FIRST VP 1.00 0.00 X 0 0 0 KEVIN DOLAN SECOND VP 1.00 0.00 X 0 0 0 OREN LANG-FURR THIRD VP 1.00 0.00 X 0 0 0 RON REICHTER MEMBER 1.00 0.00 X 0 0 0 KAY NELSON MEMBER 1.00 0.00 X 0 0 0 ERIKA MELROY MEMBER 1.00 0.00 X 0 0 0 MARILYN COPE MEMBER 1.00 0.00 X 0 0 0 JIM KRIEGER MEMBER 1.00 0.00 X 0 0 0 DAVID RODRIGUEZ MEMBER 1.00 0.00 X 0 0 0 ISSAM ERRAHMANI MEMBER 1.00 0.00 X 0 0 0 SHANE CRAMER MEMBER 1.00 0.00 X 0 0 0 STEVE JONES MEMBER 1.00 0.00 X 0 0 0 SHIRLEY R HAVENGA CEO 40.00 0.00 X 187694 0 48921 BELINDA GUSTAFSON MEDICAL DIRECTOR 40.00 0.00 X 171680 0 8325 SUSAN WOYNA PSYCHIATRIST 34.00 0.00 X 139120 0 1715 DAVID ROWLETT PSYCHIATRIST 33.00 0.00 X 137184 0 7117 BRUCE SMITH CAO 40.00 0.00 X 115852 0 9301 751530 75379 13 false true false King County Treasury Operations 500 4th Ave 600 Seattle WA 98104 Property rental 191052 RD MERRILL COMPANY AT STONE WAY 1 LLC 1938 FAIRVIEW AVE E 3 SEATTLE WA 98102 Property rental 182676 ADP Inc PO Box 842875 Boston MA 022842875 Payroll processing 167274 AHHS Housing PO Box 1447 Kent WA 98035 Property rental 143085 JT Sheff Enterprises LLC PO Box 30785 Seattle WA 981130785 Property rental 124200 5 99893 164417 264310 CLIENT CONTRACT FEES 531358 531358 CLIENT PARTICIPATION 1126625 1126625 CLIENT RENTS 357449 357449 Fees & Contracts Gov Agencies 11896475 11896475 KING CNTY RESIDENTIAL 7159222 7159222 153909 153909 21225038 36216 36216 0 0 0 0 0 0 0 MISCELLANEOUS REVENUE 46784 46784 46784 21572348 21271822 36216 0 0 0 0 236615 177461 59154 0 10814338 9111414 1660004 42920 0 1746712 1438185 306446 2081 1030820 864680 157021 9119 0 0 0 0 0 0 0 61187 37219 23968 514882 375966 138916 0 0 1271712 1114878 156834 264149 199638 64511 0 0 127565 37691 89874 0 531280 413604 117676 372254 289988 82266 UTILITIES, POSTAGE & TELEPHONE 818956 671482 147474 CLIENT ASSISTANCE 692413 692401 12 REPAIRS & MAINTENANCE 680856 554793 126063 FOOD & BEVERAGE 456171 454022 2149 818535 373767 444768 20438445 16629728 3695443 113274 5047788 6923167 1576977 1288253 0 2394585 1551572 0 0 0 0 235841 486037 27082102 7950635 18658082 19131467 0 1940322 1700545 0 0 1332438 1035331 31186033 32116372 2357514 2375159 3059417 2838208 5416931 5213367 X 14706552 15840455 11062550 11062550 25769102 26903005 31186033 32116372 1133903 X false true X true true true X 8234228 6842677 11129906 7473552 7423532 41103895 11952704 12498364 12364388 12072180 14065816 62953452 0 0 134200 134200 67100 335500 20321132 19475241 23561394 19545732 21489348 104392847 0 0 104392847 66375 64517 58108 39775 36216 264991 0 66375 64517 58108 39775 36216 264991 0 11445 16485 58108 25309 46784 158131 20398952 19556243 23677610 19610816 21572348 104815969 0.99600 0.99590 0.00250 0.00290 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 8041886 8041886 12228178 3784764 8443414 3361734 1785821 1575913 3450304 2380050 1070254 19131467 1700545 22034184 461836 461836 21572348 21572348 21050563 612118 612118 20438445 20438445 Part XI, Line 2d: Other revenue amounts included in F/S but not included on form 990 SAFEHAVEN REVENUE $461836 Part XII, Line 2d: Other expenses and losses per audited F/S SAFEHAVEN EXPENSES $612118 X X X false false false false false false false false false false BELINDA GUSTAFSON MEDICAL DIRECTOR 171680 8325 180005 SHIRLEY R HAVENGA CEO 187694 37539 11382 236615 Client Note 1 Client Note 1 - Form 990, Schedule D, Part XII and XIII, Line 2dCOMMUNITY PSYCHIATRIC CLINICS AUDITED FINANCIAL STATEMENTS WERE CONSOLIDATED WITH SAFE HAVEN ASSOCIATES. THE ORGANIZATIONS HAVE SEPARATE FEDERAL IDENTIFICATION NUMBERS, THEREFORE, SEPARATE 990 'RETURN OF ORGANIZATIONS EXEMPT FROM INCOME TAX' FORMS WERE FILED. THIS RECONCILING ITEM IS NECESSARY IN ORDER TO RECONCILE THE AUDITED FINANCIAL STATEMENTS TO THE COMMUNITY PSYCHIATRIC CLINIC 990 FORM. Form 990, Part III, Line 4d: Other Program Services Description OTHER PROGRAM SERVICES 4: STEP WORKS VOCATIONAL - PROVIDES VOCATIONAL SERVICES TO ADULTS RECOVERING FROM MENTAL ILLNESS AND/OR CHEMICAL DEPENDENCY. OTHER PROGRAM SERVICES 5: CHEMICAL DEPENDENCY - COMPREHENSIVE SERVICES TO YOUTH AND ADULTS & INCLUDES OUTPATIENT AND INTENSIVE OUTPATIENT TREATMENTS, DUI ASSESSMENTS AND REFERRALS, ALCOHOL AND DRUG INFORMATION, AND RELAPSE PREVENTION. OTHER PROGRAM SERVICES 6: OTHER PROGRAMS - SERVICES IN THIS CATEGORY INCLUDE THE SCREENING AND ASSESSMENT TEAM WHICH PROVIDES FIRST CONTACT FOR PERSONS IN THE COMMUNITY WHO NEED TREATMENT SERVICES, AS WELL AS THE QUALITY IMPROVEMENT DEPARTMENT. OTHER PROGRAM SERVICES 7: CPC VETERANS PROGRAMS INCLUDE SAMHSA/PROJECT THRIVE (TREATEMENT, HOUSING, RESOURCES, AND INTERVENTIONS FOR VETERANS EMPOWERMENT) AND SUPPORTED SERVICES FOR VETERANS FAMILIES (SSVF). SAMHSA/PROJECT THRIVE SERVES HOMELESS KING COUNTY VETERANS WITH MENTAL ILLNESS AND CO-OCCURRING SUBSTANCE USE DISORDERS. PROJECT THRIVE PROVIDES OUTREACH AND ENGAGEMENT TO HOMELESS VETERANS, ACCESS TO SERVICES, AND INTEGRATED MENTAL HEALTH AND CHEMICAL DEPENDENCY TREATMENT, PEER SUPPORT, PERMANENT SUPPORTED HOUSING, AND OTHER SERVICES THAT WILL LIFT VETERANS OUT OF HOMELESSNESS, SUPPORT RECOVERY, AND PREVENT FUTURE HOMELESSNES. SERVICES ARE FUNDED THROUGH A GRANT FROM THE UNITED STATES SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION (SAMHSA) FOR SERVICES IN SUPPORTED HOUSING. THE SSVF PROGRAM PROVIDES HOMELESSNESS PREVENTION SERVICES AND RAPID REHOUSING FOR HOMELESS VETERAN HOUSEHOLDS, INCLUDING FORMERLY CHRONIC HOMELESS VETERANS AT IMMINENT RISK OF LOSING THEIR HOUSING. Form 990, Part VI, Line 11b: Form 990 Review Process The form 990 is prepared by an independent CPA firm and is reviewed by a Board Committee, comprised of the Board President, Secretary/Treasurer, the Third Vice-President, and two Board members. The committee performs an in-depth review of the agency's financial statements and the 990 tax return. The Board Committee Chair presents the financial reports and the results of the review of the 990 to the full Board of Trustees at a regularly scheduled monthly meeting. A full copy of the financial statements and form 990 are made available to all Board members prior to filing with the IRS. Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts The agency requires that board members and key employees sign a Conflict of Interest statement annually. The agency has a Conflict of Interest Policy that is outlined in the organizations policy and procedures manual, the employee handbook, and the Professional Standards of Conduct policy for all staff. Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees Compensation results from salary surveys of comparable organizations; both nationally and regionally, are reviewed for comparability data by the Board to determine compensation for the CEO. The CEO reviews and compares salary surveys for other key management employees. Form 990, Part VI, Line 19: Other Organization Documents Publicly Available The agency makes the form 990, the governing documents, conflict of interest policy, and financial statements available to the public upon request. SAFEHAVEN ASSOCIATES 11000 LAKE CITY WAY NE SEATTLE WA 98125 911727990 HOUSING WA 501(C)(3) 9 NA false ARBOR HOUSING ASSOCIATES 11000 LAKE CITY WAY NE SEATTLE WA 98125 911214649 HOUSING WA 501(C)(3) 9 N/A false LAUREL HOUSING ASSOCIATES 11000 LAKE CITY WAY NE SEATTLE WA 98125 943044660 HOUSING WA 501(C)(3) 9 N/A false CASCADE CLUSTER APARTMENT ASSOCIATES 11000 LAKE CITY WAY NE SEATTLE WA 98125 911704447 HOUSING WA 501(C)(3) 9 N/A false HEATHER APARTMENT ASSOCIATES 11000 LAKE CITY WAY NE SEATTLE WA 98125 943221403 HOUSING WA 501(C)(3) 9 N/A false OAK MANOR ASSOCIATES 11000 LAKE CITY WAY NE SEATTLE WA 98125 911135733 HOUSING WA 501(C)(3) 9 N/A false KEYSTONE RESOURCES 11000 LAKE CITY WAY NE SEATTLE WA 98125 911181950 HOUSING WA 501(C)(3) 9 N/A false VALOR APARTMENT ASSOCIATES 11000 LAKE CITY WAY NE SEATTLE WA 98125 454624834 HOUSING WA 501(C)(3) 9 N/A false KATERI HOUSE HOUSING ASSOCIATION 11000 LAKE CITY WAY NE SEATTLE WA 98125 200931805 HOUSING WA 501(c)(3) 9 NA false false false false false false false false false false false false false false false false false false false false