COMMUNITY PSYCHIATRIC CLINIC: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- COMMUNITY PSYCHIATRIC CLINIC (EIN 91-0621380)
- Tax period
- 2013-01-01 to 2013-12-31
- Filed
- 2014-11-07
- IRS object ID
- 201433119349300718
- Schema version
- 2013v3.1
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2014-11-07T11:42:06-08:00 | ReturnTs |
| Tax Period End | 2013-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Branch Richards & Co PS | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 155 NE 100th St Suite 410 | AddressLine1 |
| City | Seattle | City |
| State | WA | State |
| ZIP Code | 981258010 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 910621380 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY PSYCHIATRIC CLINIC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | COMM | BusinessNameControlTxt |
| Phone | 2064613614 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 11000 LAKE CITY WAY NE | AddressLine1 |
| City | SEATTLE | City |
| State | WA | State |
| ZIP Code | 98125 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SHIRLEY HAVENGA | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Signature | 2014-11-07 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Don W Busch | PreparerPersonNm |
| PTIN | P00040478 | PTIN |
| Phone | 2067290114 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $19,610,816 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| All Affiliates Included | false | AllAffiliatesIncludedInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.CPCWA.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1953 | FormationYr |
| Legal Domicile State | WA | LegalDomicileStateCd |
| Activity Or Mission | COMMUNITY PSYCHIATRIC CLINIC PROVIDES PREVENTIVE, RESTORATIVE AND EDUCATIONAL BEHAVIORAL HEALTH SERVICES FOR INDIVIDUALS AND FAMILIES TO PROMOTE MENTAL HEALTH AND ENHANCE THE QUALITY OF LIFE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 488 | TotalEmployeeCnt |
| Total Volunteers | 8 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $7,187,506 | PYContributionsGrantsAmt |
| CY Contributions Grants | $7,473,552 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $12,364,388 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $12,072,180 | CYProgramServiceRevenueAmt |
| PY Investment Income | $58,108 | PYInvestmentIncomeAmt |
| CY Investment Income | $39,775 | CYInvestmentIncomeAmt |
| PY Other Revenue | $3,974,941 | PYOtherRevenueAmt |
| CY Other Revenue | $25,309 | CYOtherRevenueAmt |
| PY Total Revenue | $23,584,943 | PYTotalRevenueAmt |
| CY Total Revenue | $19,610,816 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $13,277,129 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $13,373,038 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $116,217 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $6,066,040 | PYOtherExpensesAmt |
| CY Other Expenses | $5,801,621 | CYOtherExpensesAmt |
| PY Total Expenses | $19,343,169 | PYTotalExpensesAmt |
| CY Total Expenses | $19,174,659 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $4,241,774 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $436,157 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $30,738,837 | TotalAssetsBOYAmt |
| Total Assets EOY | $31,186,033 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $5,464,855 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $5,416,931 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $25,273,982 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $25,769,102 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | COMMUNITY PSYCHIATRIC CLINIC PROVIDES PREVENTIVE, RESTORATIVE AND EDUCATIONAL BEHAVIORAL HEALTH SERVICES FOR INDIVIDUALS AND FAMILIES TO PROMOTE MENTAL HEALTH AND ENHANCE THE QUALITY OF LIFE. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $5,852,641 | ExpenseAmt |
| Revenue | $7,212,475 | RevenueAmt |
| Desc | COMMUNITY SUPPORT SERVICES - COMMUNITY MENTAL HEALTH SERVICES FOR PERSONS WITH MENTAL ILLNESS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $3,795,599 | ExpenseAmt |
| Revenue | $5,479,377 | RevenueAmt |
| Desc | RESIDENTIAL - SERVICES FOR MENTALLY ILL AND THE DEVELOPMENTALLY ILL AND THE DEVELOPMENTALLY DISABLED IN A GROUP LIVING ENVIRONMENT AND SEMI-INDEPENDENT LIVING ENVIRONMENT. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,380,408 | ExpenseAmt |
| Revenue | $3,998,724 | RevenueAmt |
| Desc | CHILD & FAMILY & ADULT OP SERVICES - COMMUNITY MENTAL HEALTH SERVICES TARGETED TO CHILDREN, FAMILIES AND ADULT OUT PATIENTS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $3,653,873 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $2,658,576 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $15,682,521 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (true) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 47 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 488 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | false | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Form8282 Filed | 0 | Form8282FiledCnt |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | Yes (true) | Form1098CFiledInd |
| Excess Business Holdings | false | ExcessBusinessHoldingsInd |
| Taxable Distributions | false | TaxableDistributionsInd |
| Distribution To Donor | false | DistributionToDonorInd |
| Org Filed In Lieu Of Form1041 | false | OrgFiledInLieuOfForm1041Ind |
| Licensed More Than One State | false | LicensedMoreThanOneStateInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | Yes (true) | LocalChaptersInd |
| Policies Reference Chapters | Yes (true) | PoliciesReferenceChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SHIRLEY HAVENGA CEO | PersonNm |
| Phone | 2064613614 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 11000 LAKE CITY WAY NE | AddressLine1 |
| City | SEATTLE | City |
| State | WA | State |
| ZIP Code | 981256748 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| RANDY PARKER | ||||||||
| President | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| DAN GOFORTH | ||||||||
| Sec./Treas. | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| DIANNE DILLON | ||||||||
| FIRST VP | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| KEVIN DOLAN | ||||||||
| SECOND VP | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| OREN LANG-FURR | ||||||||
| THIRD VP | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| RON REICHTER | ||||||||
| MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| KAY NELSON | ||||||||
| MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| ERIKA MELROY | ||||||||
| MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| MARILYN COPE | ||||||||
| MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| JIM KRIEGER | ||||||||
| MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| DAVID RODRIGUEZ | ||||||||
| MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| ISSAM ERRAHMANI | ||||||||
| MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| SHANE CRAMER | ||||||||
| MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| STEVE JONES | ||||||||
| MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| SHIRLEY R HAVENGA | ||||||||
| CEO | 40.00 | 0.00 | $182,322 | $0 | $44,453 | Yes (X) | ||
| BELINDA GUSTAFSON | ||||||||
| PSYCHIATRIST | 40.00 | 0.00 | $162,300 | $0 | $8,326 | Yes (X) | ||
| LARRY BORNSTEIN | ||||||||
| PSYCHIATRIST | 28.00 | 0.00 | $129,137 | $0 | $5,282 | Yes (X) | ||
| KELLI NOMURA | ||||||||
| COO | 40.00 | 0.00 | $114,100 | $0 | $8,145 | Yes (X) | ||
| SUSAN J WOYNA | ||||||||
| PSYCHIATRIST | 34.00 | 0.00 | $135,542 | $0 | $1,715 | Yes (X) | ||
| BRUCE SMITH | ||||||||
| HR DIRECTOR | 40.00 | 0.00 | $110,458 | $0 | $8,169 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $833,859 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $76,090 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 6 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| ADP INC | |||||
| PO BOX 78415 | PHOENIX | AZ | 850628415 | Payroll services | $142,387 |
| RD MERRILL COMPANY AT STONE WAY 1 LLC | |||||
| 1938 FAIRVIEW AVE E 3 | SEATTLE | WA | 98102 | PROPERTY RENTAL | $131,435 |
| JT SHEFF ENTERPRISES LLC | |||||
| PO BOX 30785 | SEATTLE | WA | 981130785 | PROPERTY RENTAL | $121,365 |
| KING COUNTY TREASURY OPERATIONS | |||||
| 500 4TH AVE 600 | SEATTLE | WA | 981042387 | PROPERTY RENTAL | $135,245 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $205,391 | FederatedCampaignsAmt |
| Government Grants | $6,717,555 | GovernmentGrantsAmt |
| All Other Contributions | $550,606 | AllOtherContributionsAmt |
| Total Contributions | $7,473,552 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|
| CLIENT PARTICIPATION | $1,185,571 | $1,185,571 |
| CLIENT RENTS | $349,419 | $349,419 |
| CLIENT/CONTRACT FEES | $442,664 | $442,664 |
| Fees & Contracts Gov Agencies | $9,943,236 | $9,943,236 |
| VOCATIONAL SERVICES | $151,290 | $151,290 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $12,072,180 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $39,775 | TotalRevenueColumnAmt |
| Exclusion | $39,775 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|
| KEYSTONE - SEE SCHEDULE O | ||
| MISCELLANEOUS REVENUE | $25,309 | $25,309 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $25,309 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $19,610,816 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $12,097,489 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $39,775 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $182,321 | TotalAmt |
| Management And General | $136,741 | ManagementAndGeneralAmt |
| Fundraising | $45,580 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,557,940 | TotalAmt |
| Program Services | $8,870,914 | ProgramServicesAmt |
| Management And General | $1,633,609 | ManagementAndGeneralAmt |
| Fundraising | $53,417 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,712,241 | TotalAmt |
| Program Services | $1,449,042 | ProgramServicesAmt |
| Management And General | $252,049 | ManagementAndGeneralAmt |
| Fundraising | $11,150 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $920,536 | TotalAmt |
| Program Services | $809,889 | ProgramServicesAmt |
| Management And General | $104,577 | ManagementAndGeneralAmt |
| Fundraising | $6,070 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,163 | TotalAmt |
| Program Services | $24,098 | ProgramServicesAmt |
| Management And General | $17,065 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $422,461 | TotalAmt |
| Program Services | $317,878 | ProgramServicesAmt |
| Management And General | $104,583 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,266,173 | TotalAmt |
| Program Services | $1,106,130 | ProgramServicesAmt |
| Management And General | $160,043 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $275,153 | TotalAmt |
| Program Services | $221,584 | ProgramServicesAmt |
| Management And General | $53,569 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $131,611 | TotalAmt |
| Program Services | $37,809 | ProgramServicesAmt |
| Management And General | $93,802 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $448,739 | TotalAmt |
| Program Services | $337,514 | ProgramServicesAmt |
| Management And General | $111,225 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $304,523 | TotalAmt |
| Program Services | $280,639 | ProgramServicesAmt |
| Management And General | $23,884 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| UTILITIES, POSTAGE & TELEPHONE | $809,691 | $660,810 | $148,881 |
| REPAIRS & MAINTENANCE | $524,602 | $439,578 | $85,024 |
| FOOD & BEVERAGE | $437,808 | $434,372 | $3,436 |
| CLIENT ASSISTANCE | $370,399 | $370,388 | $11 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $769,298 | TotalAmt |
| Program Services | $321,876 | ProgramServicesAmt |
| Management And General | $447,422 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,174,659 | TotalAmt |
| Program Services | $15,682,521 | ProgramServicesAmt |
| Management And General | $3,375,921 | ManagementAndGeneralAmt |
| Fundraising | $116,217 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,215,713 | BOYAmt |
| EOY | $5,047,788 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,078,788 | BOYAmt |
| EOY | $1,576,977 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,039,422 | BOYAmt |
| EOY | $2,394,585 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $379,443 | BOYAmt |
| EOY | $235,841 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $26,077,440 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $7,419,358 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,651,424 | BOYAmt |
| EOY | $18,658,082 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,543,000 | BOYAmt |
| EOY | $1,940,322 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $831,047 | BOYAmt |
| EOY | $1,332,438 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,738,837 | BOYAmt |
| EOY | $31,186,033 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,290,978 | BOYAmt |
| EOY | $2,357,514 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,173,877 | BOYAmt |
| EOY | $3,059,417 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,464,855 | BOYAmt |
| EOY | $5,416,931 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,247,033 | BOYAmt |
| EOY | $14,706,552 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,026,949 | BOYAmt |
| EOY | $11,062,550 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,273,982 | BOYAmt |
| EOY | $25,769,102 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,738,837 | BOYAmt |
| EOY | $31,186,033 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $436,157 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $58,963 | NetUnrlzdGainsLossesInvstAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $8,398,294 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $8,234,228 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,842,677 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $11,129,906 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,473,552 | CurrentTaxYearAmt |
| Total | $42,078,657 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $11,794,439 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $11,952,704 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $12,498,364 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $12,364,388 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $12,072,180 | CurrentTaxYearAmt |
| Total | $60,682,075 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $134,200 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $134,200 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $134,200 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $67,100 | CurrentTaxYearMinus1YearAmt |
| Total | $469,700 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $20,326,933 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $20,321,132 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $19,475,241 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $23,561,394 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $19,545,732 | CurrentTaxYearAmt |
| Total | $103,230,432 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $103,230,432 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $71,128 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $66,375 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $64,517 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $58,108 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $39,775 | CurrentTaxYearAmt |
| Total | $299,903 | TotalAmt |
Post1975 UBTI Post1975UBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $71,128 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $66,375 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $64,517 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $58,108 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $39,775 | CurrentTaxYearAmt |
| Total | $299,903 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $12,200 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $11,445 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $16,485 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $58,108 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $25,309 | CurrentTaxYearAmt |
| Total | $123,547 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $20,410,261 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $20,398,952 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $19,556,243 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $23,677,610 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $19,610,816 | CurrentTaxYearAmt |
| Total | $103,653,882 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99590 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99530 | PublicSupportPY509Pct |
| Investment Income CY | 0.00290 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00360 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| 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) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,041,886 | OtherCostOrOtherBasisAmt |
| Book Value | $8,041,886 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $12,228,178 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,477,339 | DepreciationAmt |
| Book Value | $8,750,839 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,938,901 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,675,108 | DepreciationAmt |
| Book Value | $1,263,793 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,868,475 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,266,911 | DepreciationAmt |
| Book Value | $601,564 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $18,658,082 | TotalBookValueLandBuildingsAmt |
| Total Book Value Securities | $1,940,322 | TotalBookValueSecuritiesAmt |
| Total Rev Etc Audited Fincl Stmt | $20,077,290 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $466,474 | OtherRevenueAmt |
| Revenue Not Reported | $466,474 | RevenueNotReportedAmt |
| Revenue Subtotal | $19,610,816 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $19,610,816 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $19,794,232 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $619,573 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $619,573 | ExpensesNotReportedAmt |
| Expenses Subtotal | $19,174,659 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $19,174,659 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part XI, Line 2d: Other revenue amounts included in F/S but not included on form 990 | SAFEHAVEN REVENUE $466474 |
| Part XII, Line 2d: Other expenses and losses per audited F/S | SAFEHAVEN EXPENSES $619573 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
| Rebuttable Presumption Proc | false | RebuttablePresumptionProcInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|---|
| SHIRLEY R HAVENGA | ||||
| CEO | $182,322 | $36,127 | $8,326 | $226,775 |
| BELINDA GUSTAFSON | ||||
| PSYCHIATRIST | $162,300 | $8,326 | $170,626 | |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Client Note 1 | Client Note 1 - Form 990, Part XIII, Line 11aOn June 8, 2012 the Clinic entered into a promissory note and regulatory agreement with the City of Seattle, Office of Housing to acquire the land and facilities known as the Keystone Campus. Prior to the transfer, the Clinic leased and operated Keystone and Coach House from Seattle Housing Authority (SHA) and owned and operated Albion Place. The Seattle City Council approved ordinance no. 123679 authorizing the transfer of the Keystone Campus to CPC provided CPC continues the use as extremely low-income housing for up to 75 years. The King County assessed value of the real property, land and building is reported as temporarily restricted net assets and any restrictions will be released per the terms of the agreements with SHA. As part of the Keystone Campus transfer, two deferred restricted asset obligations on Coach House were transferred with their service restrictions (40 years as low income housing) to the Clinic. Both are forgiven if the low income housing requirement is met for the remaining life of the requirement (30 years left). These two restricted assets include one to the City for $279,547 and one with King County for $230,000 which transferred to CPC with the property transfer. |
| 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. |
| Form 990, Part VIII, Line 11a - Keystone Property Transfer | In 2012, the Clinic entered into a promissory note and regulatory agreement with the City of Seattle, Office of Housing to acquire the land and facilities known as the Keystone Campus. Prior to the transfer, the Clinic leased and operated Keystone and Coach House from Seattle Housing Authority (SHA) and owned and operated Albion Place. The Seattle City Council authorized the transfer of the Keystone Campus to CPC provided CPC continues the use as extremely low-income housing for up to 75 years. The King County assessed value of the real property, land and building is reported as temporarily restricted net assets and any restrictions will be released per the terms of the agreements with SHA. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | false | N/A | |
| LAUREL HOUSING ASSOCIATES | |||||||||||
| 11000 LAKE CITY WAY NE | SEATTLE | WA | 98125 | 943044660 | HOUSING | WA | 501(C)(3) | 9 | false | N/A | |
| CASCADE CLUSTER APARTMENT ASSOCIATES | |||||||||||
| 11000 LAKE CITY WAY NE | SEATTLE | WA | 98125 | 911704447 | HOUSING | WA | 501(C)(3) | 9 | false | N/A | |
| HEATHER APARTMENT ASSOCIATES | |||||||||||
| 11000 LAKE CITY WAY NE | SEATTLE | WA | 98125 | 943221403 | HOUSING | WA | 501(C)(3) | 9 | false | N/A | |
| OAK MANOR ASSOCIATES | |||||||||||
| 11000 LAKE CITY WAY NE | SEATTLE | WA | 98125 | 911135733 | HOUSING | WA | 501(C)(3) | 9 | false | N/A | |
| KEYSTONE RESOURCES | |||||||||||
| 11000 LAKE CITY WAY NE | SEATTLE | WA | 98125 | 911181950 | HOUSING | WA | 501(C)(3) | 9 | false | N/A | |
| VALOR APARTMENT ASSOCIATES | |||||||||||
| 11000 LAKE CITY WAY NE | SEATTLE | WA | 98125 | 454624834 | HOUSING | WA | 501(C)(3) | 9 | false | N/A | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (true) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SAFEHAVEN ASSOCIATES | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | d | TransactionTypeTxt |
| Involved | $129,186 | InvolvedAmt |
| Method Of Amount Determination | FMV | MethodOfAmountDeterminationTxt |