COMMUNITY PSYCHIATRIC CLINIC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- COMMUNITY PSYCHIATRIC CLINIC (EIN 91-0621380)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-12
- IRS object ID
- 201343169349304354
- Schema version
- 2012v2.0
- 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) |
|---|---|---|
| Timestamp | 2013-11-12T11:08:07-08:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Branch Richards & Co PS | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| 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 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 910621380 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY PSYCHIATRIC CLINIC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | COMM | NameControl |
| Phone | 2064613614 | Phone |
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 |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | SHIRLEY HAVENGA | Name |
| Title | CEO | Title |
| Date Signed | 2013-11-12 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Don W Busch | Name |
| PTIN | P00040478 | PTIN |
| Phone | 2067290114 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 23584943 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| All Affiliates Included | false | AllAffiliatesIncluded |
| Organization501c3 | X | Organization501c3 |
| Web Site | N/A | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1953 | YearFormation |
| State Legal Domicile | WA | StateLegalDomicile |
| Activity Or Mission Description | 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. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 13 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 13 | NbrIndependentVotingMembers |
| Total Nbr Employees | 511 | TotalNbrEmployees |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 6831631 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 7187506 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 12498364 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 12364388 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 64363 | InvestmentIncomePriorYear |
| Investment Income Current Year | 58108 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 27685 | OtherRevenuePriorYear |
| Other Revenue Current Year | 3974941 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 19422043 | TotalRevenuePriorYear |
| Total Revenue Current Year | 23584943 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 12965504 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 13277129 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 112963 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 5830999 | OtherExpensePriorYear |
| Other Expenses Current Year | 6066040 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 18796503 | TotalExpensesPriorYear |
| Total Expenses Current Year | 19343169 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 625540 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 4241774 | RevenuesLessExpensesCY |
| Total Assets BOY | 26559089 | TotalAssetsBOY |
| Total Assets EOY | 30738837 | TotalAssetsEOY |
| Total Liabilities BOY | 5526881 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 5464855 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 21032208 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 25273982 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | 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. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 6123537 | Expense |
| Revenue | 8793378 | Revenue |
| Description | COMMUNITY SUPPORT SERVICES - COMMUNITY MENTAL HEALTH SERVICES FOR PERSONS WITH MENTAL ILLNESS. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 3823688 | Expense |
| Revenue | 7757298 | Revenue |
| Description | RESIDENTIAL - SERVICES FOR MENTALLY ILL AND THE DEVELOPMENTALLY ILL AND THE DEVELOPMENTALLY DISABLED IN A GROUP LIVING ENVIRONMENT AND SEMI-INDEPENDENT LIVING ENVIRONMENT. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 2427699 | Expense |
| Revenue | 4160346 | Revenue |
| Description | CHILD & FAMILY & ADULT OP SERVICES - COMMUNITY MENTAL HEALTH SERVICES TARGETED TO CHILDREN, FAMILIES AND ADULT OUT PATIENTS. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 3573968 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Rev | 2716470 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 15948892 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | true | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | false | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | true | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | false | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 111 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 511 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Form990-T Filed | false | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Number Of8282 Filed | 0 | NumberOf8282Filed |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Form8899 Filed | false | Form8899Filed |
| Form1098 C Filed | true | Form1098CFiled |
| Excess Business Holdings | false | ExcessBusinessHoldings |
| Taxable Distributions | false | TaxableDistributions |
| Distribution To Donor | false | DistributionToDonor |
| Filed Lieu1041 | false | FiledLieu1041 |
| Licensed More Than One State | false | LicensedMoreThanOneState |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 13 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 13 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | true | LocalChapters |
| Policies Reference Chapters | true | PoliciesReferenceChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | JAN WATTERSON CPA | NamePerson |
| Telephone Number | 2064613614 | TelephoneNumber |
Address US AddressUS
| 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 Form990PartVIISectionA (19 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| SHANE CRAMER | ||||||||
| MEMBER | 1.00 | 0.00 | X | 0 | 0 | 0 | ||
| ISSAM ERRAHMANI | ||||||||
| MEMBER | 1.00 | 0.00 | X | 0 | 0 | 0 | ||
| DAVID RODRIGUEZ | ||||||||
| MEMBER | 1.00 | 0.00 | X | 0 | 0 | 0 | ||
| JIM KRIEGER | ||||||||
| MEMBER | 1.00 | 0.00 | X | 0 | 0 | 0 | ||
| MARILYN COPE | ||||||||
| MEMBER | 1.00 | 0.00 | X | 0 | 0 | 0 | ||
| ERIKA NUERENBERG | ||||||||
| MEMBER | 1.00 | 0.00 | X | 0 | 0 | 0 | ||
| KAY NELSON | ||||||||
| MEMBER | 1.00 | 0.00 | X | 0 | 0 | 0 | ||
| RON REICHTER | ||||||||
| MEMBER | 1.00 | 0.00 | X | 0 | 0 | 0 | ||
| OREN LANG-FURR | ||||||||
| THIRD VP | 1.00 | 0.00 | X | 0 | 0 | 0 | ||
| KEVIN DOLAN | ||||||||
| SECOND VP | 1.00 | 0.00 | X | 0 | 0 | 0 | ||
| DIANNE DILLON | ||||||||
| FIRST VP | 1.00 | 0.00 | X | 0 | 0 | 0 | ||
| DAN GOFORTH | ||||||||
| Sec./Treas. | 1.00 | 0.00 | X | 0 | 0 | 0 | ||
| RANDY PARKER | ||||||||
| President | 1.00 | 0.00 | X | 0 | 0 | 0 | ||
| SHIRLEY R HAVENGA | ||||||||
| CEO | 40.00 | 0.00 | 177146 | 0 | 51375 | X | ||
| BELINDA GUSTAFSON | ||||||||
| PSYCHIATRIST | 40.00 | 0.00 | 138147 | 0 | 13051 | X | ||
| LARRY BORNSTEIN | ||||||||
| PSYCHIATRIST | 28.00 | 0.00 | 107697 | 0 | 9959 | X | ||
| SHANNON L CORBIN | ||||||||
| PSYCHIATRIST | 40.00 | 0.00 | 102153 | 0 | 4444 | X | ||
| SUSAN J WOYNA | ||||||||
| PSYCHIATRIST | 34.00 | 0.00 | 123402 | 0 | 5384 | X | ||
| BRUCE SMITH | ||||||||
| HR DIRECTOR | 40.00 | 0.00 | 100304 | 0 | 12273 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 748849 | TotalReportableCompFromOrg |
| Total Other Compensation | 96486 | TotalOtherCompensation |
| Number Individuals GT100 K | 6 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation
Name Of Contractor NameOfContractor
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ADP INC | BusinessNameLine1 |
Address Of Contractor AddressOfContractor
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 78415 | AddressLine1 |
| City | PHOENIX | City |
| State | AZ | State |
| ZIP Code | 850628415 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Of Services | Payroll services | DescriptionOfServices |
| Compensation | 114705 | Compensation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 1 | NumberOfContractorsGT100K |
| Info In Schedule O Part VIII | X | InfoInScheduleOPartVIII |
| Federated Campaigns | 160337 | FederatedCampaigns |
| Government Grants | 6770577 | GovernmentGrants |
| All Other Contributions | 256592 | AllOtherContributions |
| Total Contributions | 7187506 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|
| VOCATIONAL SERVICES | 153916 | 153916 |
| Fees & Contracts Gov Agencies | 10329407 | 10329407 |
| CLIENT/CONTRACT FEES | 355375 | 355375 |
| CLIENT RENTS | 368225 | 368225 |
| CLIENT PARTICIPATION | 1157465 | 1157465 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 12364388 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 58108 | TotalRevenueColumn |
| Exclusion | $58,108 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|
| MISCELLANEOUS REVENUE | 32541 | 32541 |
| KEYSTONE - SEE SCHEDULE O | 3942400 | 3942400 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 3974941 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 23584943 | TotalRevenueColumn |
| Related Or Exempt Function Income | 16339329 | RelatedOrExemptFunctionIncome |
| Exclusion | $58,108 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 177146 | Total |
| Management And General | 132983 | ManagementAndGeneral |
| Fundraising | 44163 | Fundraising |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10465325 | Total |
| Program Services | 8879068 | ProgramServices |
| Management And General | 1536120 | ManagementAndGeneral |
| Fundraising | 50137 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1713185 | Total |
| Program Services | 1405788 | ProgramServices |
| Management And General | 295306 | ManagementAndGeneral |
| Fundraising | 12091 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 921473 | Total |
| Program Services | 826819 | ProgramServices |
| Management And General | 88082 | ManagementAndGeneral |
| Fundraising | 6572 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 52347 | Total |
| Program Services | 25155 | ProgramServices |
| Management And General | 27192 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 312376 | Total |
| Program Services | 208055 | ProgramServices |
| Management And General | 104321 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1458194 | Total |
| Program Services | 1321121 | ProgramServices |
| Management And General | 137073 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 274553 | Total |
| Program Services | 223905 | ProgramServices |
| Management And General | 50648 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 135828 | Total |
| Program Services | 37926 | ProgramServices |
| Management And General | 97902 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 456890 | Total |
| Program Services | 325897 | ProgramServices |
| Management And General | 130993 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 309659 | Total |
| Program Services | 289312 | ProgramServices |
| Management And General | 20347 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| CLIENT ASSISTANCE | 408325 | 408323 | 2 |
| FOOD & BEVERAGE | 432585 | 428737 | 3848 |
| REPAIRS & MAINTENANCE | 603082 | 507889 | 95193 |
| UTILITIES, POSTAGE & TELEPHONE | 804844 | 644889 | 159955 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 817357 | Total |
| Program Services | 416008 | ProgramServices |
| Management And General | 401349 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19343169 | Total |
| Program Services | 15948892 | ProgramServices |
| Management And General | 3281314 | ManagementAndGeneral |
| Fundraising | 112963 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5885236 | BOY |
| EOY | 5359217 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1113329 | BOY |
| EOY | 1935284 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1924443 | BOY |
| EOY | 2039422 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 242931 | BOY |
| EOY | 379443 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 25628042 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 6976618 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14673969 | BOY |
| EOY | 18651424 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1988000 | BOY |
| EOY | 1543000 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 731181 | BOY |
| EOY | 831047 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 26559089 | BOY |
| EOY | 30738837 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2217233 | BOY |
| EOY | 2290978 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3309648 | BOY |
| EOY | 3173877 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5526881 | BOY |
| EOY | 5464855 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13947659 | BOY |
| EOY | 14247033 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7084549 | BOY |
| EOY | 11026949 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21032208 | BOY |
| EOY | 25273982 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 26559089 | BOY |
| EOY | 30738837 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 4241774 | ReconcilationRevenueExpenses |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | true | FederalGrantAuditRequired |
| Federal Grant Audit Performed | true | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 6675196 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 8398294 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 8234228 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 6842677 | CurrentTaxYearMinus1Year |
| Current Tax Year | 11129906 | CurrentTaxYear |
| Total | 41280301 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 10427691 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 11794439 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 11952704 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 12498364 | CurrentTaxYearMinus1Year |
| Current Tax Year | 12364388 | CurrentTaxYear |
| Total | 59037586 | Total |
Gross Receipts From Non UBI GrossReceiptsFromNonUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 134200 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 134200 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 134200 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 134200 | CurrentTaxYearMinus1Year |
| Current Tax Year | 67100 | CurrentTaxYear |
| Total | 603900 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 17237087 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 20326933 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 20321132 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 19475241 | CurrentTaxYearMinus1Year |
| Current Tax Year | 23561394 | CurrentTaxYear |
| Total | 100921787 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 100921787 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 107790 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 71128 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 66375 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 64517 | CurrentTaxYearMinus1Year |
| Current Tax Year | 58108 | CurrentTaxYear |
| Total | 367918 | Total |
Post1975 UBTI Post1975UBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 107790 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 71128 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 66375 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 64517 | CurrentTaxYearMinus1Year |
| Current Tax Year | 58108 | CurrentTaxYear |
| Total | 367918 | Total |
Net Income From Other UBI NetIncomeFromOtherUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 11954 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 12200 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 11445 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 16485 | CurrentTaxYearMinus1Year |
| Current Tax Year | 58108 | CurrentTaxYear |
| Total | 110192 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 17356831 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 20410261 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 20398952 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 19556243 | CurrentTaxYearMinus1Year |
| Current Tax Year | 23677610 | CurrentTaxYear |
| Total | 101399897 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.99530 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.99380 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00360 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00540 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 8041886 | OtherCostOrOtherBasis |
| Book Value | 8041886 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 12509454 | OtherCostOrOtherBasis |
| Depreciation | 3168810 | Depreciation |
| Book Value | 9340644 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2671166 | OtherCostOrOtherBasis |
| Depreciation | 1589501 | Depreciation |
| Book Value | 1081665 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2405536 | OtherCostOrOtherBasis |
| Depreciation | 2218307 | Depreciation |
| Book Value | 187229 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 18651424 | TotalOfBookValueLandBuildings |
| Total Of Book Value Securities | 1543000 | TotalOfBookValueSecurities |
| Tot Revenue Etc Audited Fincl Stmt | 24041188 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | 456245 | OtherRevenues |
| Revenue Not Rptd F990 | 456245 | RevenueNotRptdF990 |
| Revenue Subtotal | 23584943 | RevenueSubtotal |
| Total Revenue Per Form990 | 23584943 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 19958476 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 615307 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 615307 | ExpensesNotRptdF990 |
| Expenses Subtotal | 19343169 | ExpensesSubtotal |
| Total Expenses Per Form990 | 19343169 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Part XII, Line 2d | Part XII, Line 2d: Other expenses and losses per audited F/S | SAFEHAVEN EXPENSES $615307 |
| Part XI, Line 2d | Part XI, Line 2d: Other revenue amounts included in F/S but not included on form 990 | SAFEHAVEN REVENUES $456245 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
| Rebuttable Presumption Procedure | false | RebuttablePresumptionProcedure |
Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg | Other Compensation Filing OrgOtherCompensationFilingOrg | Deferred Comp Filing OrgDeferredCompFilingOrg |
|---|---|---|---|---|---|
| BELINDA GUSTAFSON | |||||
| PSYCHIATRIST | 138147 | 13051 | 151198 | ||
| SHIRLEY R HAVENGA | |||||
| CEO | 157430 | 16332 | 228521 | 19716 | 35043 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| 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. | |
| 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 VI, Line 19 |
| Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees | Compensation results form 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 15b |
| 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 12c |
| 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 11b |
| 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 III, Line 4d |
| 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. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (8 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| VALOR APARTMENT ASSOCIATES | |||||||||||
| 11000 LAKE CITY WAY NE | SEATTLE | WA | 98125 | 454624834 | 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 | |
| OAK MANOR ASSOCIATES | |||||||||||
| 11000 LAKE CITY WAY NE | SEATTLE | WA | 98125 | 911135733 | 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 | |
| CASCADE CLUSTER APARTMENT ASSOCIATES | |||||||||||
| 11000 LAKE CITY WAY NE | SEATTLE | WA | 98125 | 911704447 | 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 | |
| ARBOR HOUSING ASSOCIATES | |||||||||||
| 11000 LAKE CITY WAY NE | SEATTLE | WA | 98125 | 911214649 | HOUSING | WA | 501(C)(3) | 9 | N/A | false | |
| SAFEHAVEN ASSOCIATES | |||||||||||
| 11000 LAKE CITY WAY NE | SEATTLE | WA | 98125 | 911727990 | HOUSING | WA | 501(C)(3) | 9 | false | NA | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | true | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | false | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable
Name Of Other Organization NameOfOtherOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SAFEHAVEN ASSOCIATES | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | d | TransactionType |
| Amount Involved | 63120 | AmountInvolved |