Department of the Treasury Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
Attach to Form 990 or Form 990-EZ. See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
Walden House Inc
Employer identification number
94-1710103
Part I
Reason for Public Charity Status
(All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).
f
If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, check this box
..................................................
g
Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons?
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization?
................
11g(i)
(ii)
a family member of a person described in (i) above?
......................
11g(ii)
(iii)
a 35% controlled entity of a person described in (i) or (ii) above?
................
11g(iii)
h
Provide the following information about the supported organization(s).
(i) Name of supported organization
(ii) EIN
(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions))
(iv) Is the organization in col. (i) listed in your governing document?
(v) Did you notify the organization in col. (i) of your support?
(vi) Is the organization in col. (i) organized in the U.S.?
(vii) Amount of support?
Yes
No
Yes
No
Yes
No
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the
organization failed to qualify under Part III. If the organization fails to
qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
1,226,826
1,940,993
3,010,579
5,052,359
4,999,102
16,229,859
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
0
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
0
4
Total. Add lines 1 through 3..
1,226,826
1,940,993
3,010,579
5,052,359
4,999,102
16,229,859
5
The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included
on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
3,825,979
6
Public Support. Subtract line 5 from line 4.
12,403,880
Section B. Total Support
Calendar year(or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
7
Amounts from line 4..
1,226,826
1,940,993
3,010,579
5,052,359
4,999,102
16,229,859
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
47,042
48,107
9,829
4,772
743
110,493
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
0
10
Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..
51,149
791,603
70,404
913,156
11
Total support (Add lines 7 through 10).
17,253,508
12
Gross receipts from related activities, etc. (See instructions.)
..................
12
13
First Five Years
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here..........................................
Section C. Computation of Public Support Percentage
14
Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f))
.........
14
71.890 %
15
Public Support Percentage for 2009 Schedule A, Part II, line 14
...............
15
84.430 %
16a
33 1/3% support test—2010.
If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization
......................
b
33 1/3% support test—2009.
If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization
.....................
17a
10%-facts-and-circumstances test—2010.
If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization
..................................................
b
10%-facts-and-circumstances test—2009.
If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported organization
..............................................
18
Private Foundation
If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions
...................................................
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization
failed to qualify under Part II. If the organization fails to qualify under
the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5
The value of services or facilities furnished by a governmental unit to the organization without charge..
6
Total. Add lines 1 through 5.
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
b
Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c
Add lines 7a and 7b..
8
Public Support (Subtract line 7c from line 6.)
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
9
Amounts from line 6...
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
13
Total support (Add lines 9, 10c, 11 and 12.).
14
First Five Years
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.............................................
Section C. Computation of Public Support Percentage
15
Public Support Percentage for 2010 (line 8 column (f) divided by line 13 column (f))
.........
15
16
Public support percentage from 2009 Schedule A, Part III, line 15
...............
16
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2010 (line 10c column (f) divided by line 13 column (f))
......
17
18
Investment income percentage from 2009 Schedule A, Part III, line 17
.............
18
19a
33 1/3% support tests—2010.
If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
..........
b
33 1/3% support tests—2009.
If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
....
20
Private Foundation
If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions
.....
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 4
Part IV
Supplemental Information.
Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
Explanation
Schedule A (Form 990 or 990-EZ) 2010
Additional Data
Software ID:
10000105
Software Version:
2010v3.2
-
TIN:
SCHEDULE O (Form 990 or 990-EZ)
Department of the Treasury Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ
Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
Walden House Inc
Employer identification number
94-1710103
Identifier
Return Reference
Explanation
Form 990, Part VI, Line 19
Form 990, Part VI, Line 19: Other Organization Documents Publicly Available
Documents are posted on our own website, and made available upon request.
Form 990, Part VI, Line 15b
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees
For all officers including the CEO, CFO and CIO, all key employees and top management, the Human Resources Department (HRD) under the direction of the CFO pulls together compensation data from the Compensation and Benefits Survey prepared for Northern and Southern California by the Center for Nonprofit Management. In addition to the extent available HRD pulls together comparable compensation data from the 990s of peer nonprofit organizations. Adjustments to the Compensation Survey and peer data are made for levels of experience and responsibility. In addition every employee has a quarterly review where performance is measured against established goals. The information is compiled by HRD abd the CFO recommends appropriate compensation ranges to the CEO. The CEO then presents to the compensation committee recommended compensation for the CFO, CIO, key employees and top management. Incorporating feedback from the compensation committee the CEO establishes the compensation for key employees and top management. For the CEO the CFO presents information to the compensation committee for its consideration. The compensation committee recommends compensation for the officers (CEO,CFO, CIO) to the full Board for discussion and approval. This process is conducted annually or whenever a change in the level of responsibility occurs.
Form 990, Part VI, Line 12c
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts
Officers, Directors, and Key Employees are required to review and sign our written conflict of interest policy annually.
Form 990, Part VI, Line 11
Form 990, Part VI, Line 11: Form 990 Review Process
The 990 is prepared by a tax consultant and sent to the Board of Directors and Finance Committee one week ahead of a Board meeting. At the Board of Directors and Finance Committee meetings the Chief Financial Officer reviews the 990 with the members. Any questions not addressed in those meetings are addressed subsequently until all questions and concerns are resolved. Any changes made to the 990 are sent to the members for final comments.
Form 990, Part III, Line 4d
Form 990, Part III, Line 4d : Other Program Services Description
OTHER PROGRAM SERVICES 4: ADULT HIV/MENTAL HEALTHHIV AND HEALTH SERVICES - WALDEN HOUSE HAS SPECIFIC SERVICES FOR PERSONS WITH DIAGNOSED WITH HIV/AIDS. WALDEN HOUSE PROVIDES SPECIFIC RESIDENTIAL TREATMENT, AS WELL AS A CRISIS STABILIZATION PROGRAM SPECIFICALLY FOR HIV+ PERSONS. IN ADDITION, WALDEN HOUSE RECEIVES FUNDING FROM "HOUSING OPPORTUNITIES FOR PERSONS WITH AIDS (HOPWA)," WHICH PROVIDES PERMANENT PLACEMENT IN COMMUNITY HOUSING TO ELIGIBLE PERSONS. WALDEN HOUSE ALSO PROVIDES PREVENTION/DIVERSION SERVICES ABOUT RISKY BEHAVIORS ASSOCIATED WITH CONTRACTING OR SPREADING HIV AND OTHER SEXUALLY TRANSMITTED DISEASES (STD'S). LASTLY, WALDEN HOUSE PROVIDES CASE MANAGEMENT FOR PERSONS WHO ARE HIV POSITIVE IN THE COMMUNITY. Crisis Stabilization - Walden House's services include a social model detoxification program. Provided at a residential treatment site, this is a crisis stabilization program to help individuals through detoxification from substance use and to transition to long-term services or to re-enter the community. The length of stay for this program lasts between 1 week and 6 weeks. This program provides integrated addiction and psychiatric services for each person served while they receive medical care both on site and in the community. Case management to community resources is also provided to ensure the best care possible. OTHER PROGRAM SERVICES 5: MENTAL HEALTH MC/VOCATIONAL/OTHERPREVENTION/DIVERSION PROGRAMS - WALDEN HOUSE ALSO PROVIDES PREVENTION SERVICES SUCH AS COMMUNITY OUTREACH, FORMAL HEALTH, AND HIV AND STD PREVENTION. HEALTH PROMOTION AND DISEASE PREVENTION INFORMATION AND INTERVENTIONS ARE AVAILABLE. IN 2005 WALDEN HOUSE WAS AWARDED THE FIRST CONTRACT TO PROVIDE CASE MANAGEMENT TO HIV POSITIVE PERSONS IN NEED OF SERVICE. HOMELESS SERVICES - WALDEN HOUSE WORKS WITH A MULTITUDE OF POPULATIONS IN SAN FRANCISCO. MANY OF THE PERSONS SERVED IN SAN FRANCISCO ARE HOMELESS OR INDIGENT BEFORE ENTERING A TREATMENT PROGRAM. THEREFORE, WALDEN HOUSE HAS DEVELOPED COMMUNITY OUTREACH ACTIVITIES TO ENGAGE THIS DIFFICULT TO REACH POPULATION. WALDEN HOUSE ALSO ACTIVELY PARTICIPATES IN THE MAYOR'S "HOMELESS CONNECT" PROJECT IN CONNECTING PEOPLE TO MUCH NEEDED RESOURCES, AS WELL AS PROVIDING PREVENTION SERVICES. TRANSGENDER SERVICES - WALDEN HOUSE PROVIDES AN ENTIRE SERVICE TRACK SPECIFIC TO THE NEEDS FOR PERSONS WHO IDENTIFY AS TRANSGENDER. WALDEN HOUSE HAS A DEDICATED THERAPIST AND SUPPORT COUNSELOR WHO PROVIDE SPECIFIC INTERVENTION AND SUPPORT THAT INCLUDES ADVOCACY, CASE MANAGEMENT, COUNSELING, EDUCATION AND SUPPORT GROUPS TO MEET CLIENT NEEDS IN A CULTURALLY COMPETENT MANNER. THESE TRANSGENDER SERVICES MAY BE PROVIDED ANYWHERE WITHIN THE WALDEN HOUSE CONTINUUM OF SERVICE FROM RESIDENTIAL CARE TO OUTPATIENT SERVICES. FAMILY SERVICES - WALDEN HOUSE PROVIDES CLIENTS WITH PARENTING SKILLS TRAINING AND ASSISTS CLIENTS WHO HAVE MINOR CHILDREN IN THE CUSTODY OF THE STATE OR OTHER GUARDIANS. A CLIENT'S RELATIONSHIP TO THE FAMILY IS A MAJOR POINT OF FOCUS IN THE CLIENT'S TREATMENT PROGRAM. IN THE FEMALE OFFENDER TREATMENT & EMPLOYMENT PROGRAMS (FOTEP), FAMILY SERVICES PROVIDES A DAYCARE LEARNING CENTER WHERE PERSONS SERVED LEARN TO CARE FOR THEIR CHILDREN AND THOSE OF OTHERS. BONDING, VISITATION MONITORING AND OTHER SERVICES ARE ALSO AVAILABLE AS NEEDED IN FOTEP. OTHER PROGRAM SERVICES 6: CRIMINAL JUSTICEIn-Custody Substance Abuse Programs:In-Custody Substance Abuse Programs- Walden House in-custody programs employ evidence-based practices and theoretical frameworks to help give hope and change the lives of our participants. In the programs, we treat the whole person rather than their symptoms, and we view recovery as a productive members of their families and communities. The In-Custody programs include:Leo Chesney Community Correctional Facility Trauma Informed Substance Abuse Treatment Program The TI-SAT is a 150 bed drug treatment program for women who are non-serious/non-violent offenders and are incarcerated at the 300 bed Leo Chesney CCF in Live Oak, California. The TI-SAT is the first Gender Responsive and Trauma Informed treatment program developed for CDCR. The TI-SAT provides a comprehensive assessment and treatment planning process and creates program interventions related to the unique needs of participants. In addition to substance abuse treatment, the program provides: mental health services, trauma treatment, specialized parenting classes, family treatment, family reunification services, transition planning and health and wellness related activities. The TI-SAT is the first treatment program to provide active family reunification services beginning in the institution. Walden House no longer runs the program, as of 1/31/2011.Valley State Prison for Women - Esperanza Program, Walden House operates an in-custody substance abuse treatment program for women at Valley State Prison for Women in Chowchilla, CA, under contract with the California Department of Corrections and Rehabilitation. Serving 100 women, the program services are gender-responsive and trauma-informed, with a focus on empowerment, peer support, and developing the necessary life skills for a successful re-entry. California Substance Abuse Treatment Facility (SATF) - Walden House operates a 208 slot in-custody substance abuse treatment program for men at the SATF at Corcoran State Prison in Corcoran, CA, under contract with the California Department of Corrections and Rehabilitation. Walden House has operated the program since 1997. In addition to substance abuse treatment, the program provides mental health counseling, anger management and relapse prevention workshops, and transition services aimed at connecting each participant with follow-up treatment in the community immediately following his release from prison. OTHER PROGRAM SERVICES 7: Criminal Justice (Continued)COMMUNITY-BASED CRIMINAL JUSTICE PROGRAMS SASCA - THE WH SUBSTANCE ABUSE SERVICES COORDINATION AGENCIES, REGION III PROVIDES CASE MANAGEMENT SERVICES TO INCARCERATED MEN AND WOMEN PARTICIPATING IN THE CALIFORNIA DEPARTMENT OF CORRECTIONS AND REHABILITATION'S IN-PRISON SUBSTANCE ABUSE TREATMENT PROGRAMS AND WHO ARE PAROLING TO THE LOS ANGELES AREA (PAROLE REGION III). THE CASE MANAGEMENT SERVICES ARE DESIGNED TO ASSIST THE IN-PRISON TREATMENT PARTICIPANT WITH THE TRANSITION FROM IN-CUSTODY TREATMENT TO COMMUNITY-BASED TREATMENT. SASCA CASE MANAGERS CONDUCT OUTREACH AND BEGIN WORKING WITH CLIENTS SIX MONTHS PRIOR TO PAROLE. CASE MANAGERS HELP SECURE, AND PROVIDE PAYMENT FOR SUBSTANCE ABUSE TREATMENT SERVICES IN LOS ANGELES FOR L.A. AREA IN-PRISON PROGRAM GRADUATES. ADDITIONALLY, SASCA TRANSPORTS PARTICIPANTS FROM THE PRISON GATE DIRECTLY TO THE COMMUNITY-BASED TREATMENT PROGRAM. FINALLY, WALDEN HOUSE SASCA III PROVIDES FOLLOW-UP AND OTHER SUPPORT SERVICES TO HELP ENSURE THE SUCCESS OF CLIENTS IN COMMUNITY RE-ENTRY. SASCA III ALSO OFFERS HOUSING AND EMPLOYMENT REFERRALS, GENDER RESPONSIVE CASE MANAGEMENT SERVICES, AND REFERRALS TO SOCIAL SUPPORT SERVICES AND ORGANIZATIONS TO HELP SUSTAIN RECOVERY MAINTENANCE EFFORTS. Bridges, located in the Mission District of San Francisco. In collaboration with the San Francisco Department of Public Health, Walden House provides intensive mental health day treatment services to parolees who have serious mental illnesses. Because this population is extremely vulnerable to homelessness, chronic health and substance abuse problems, and the cycle of re-arrest and re-incarceration, the intensive day treatment model functions as a haven (a safe place for parolees to spend their days, away from risky neighborhoods and encounters) as well as a source of treatment and supportive services. Bridges case managers provide therapy and counseling, connections to primary and dental care, help with maintaining or finding affordable housing, and advocacy with Parole and other law enforcement officials, with the goal of each individuals healthy and stable reintegration into the community.Services To Enhance Parolee Success (STEPS). Walden House operates the STEPS program in the San Francisco Mission District, providing case management, substance abuse education, vocational and educational services, housing assistance, and linkage to a rich network of supportive services in the community to parolees. The program aims to help parolees through the vulnerable period of community re-entry so that they can avoid re-arrest and recidivism and instead find jobs, housing, and the support they need to establish or resume productive, law-abiding lifestyles in our community.Make it Right is a restorative justice program that offers workshops, activities, and services to men in the San Francisco County Jail, focused on violence prevention and accountability, substance abuse treatment and education, and referral and linkage to community services and supports upon release. The ambitious program sends case managers to all pods within the mens jail, to ensure that every man in custody has the cha
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.