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
2011
Open to Public Inspection
Name of the organization
Comprehensive Mental Health Center of Tacoma-Pierce County
Employer identification number
91-0854239
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) 2011
Schedule A (Form 990 or 990-EZ) 2011
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) 2007
(b) 2008
(c) 2009
(d) 2010
(e) 2011
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
16,177,389
16,825,833
15,677,033
21,594,947
14,329,150
84,604,352
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
4
Total. Add lines 1 through 3..
16,177,389
16,825,833
15,677,033
21,594,947
14,329,150
84,604,352
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)..
6
Public Support. Subtract line 5 from line 4.
84,604,352
Section B. Total Support
Calendar year(or fiscal year beginning in)
(a) 2007
(b) 2008
(c) 2009
(d) 2010
(e) 2011
(f) Total
7
Amounts from line 4..
16,177,389
16,825,833
15,677,033
21,594,947
14,329,150
84,604,352
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
263,053
137,041
139,101
255,746
3,560
798,501
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
-58,925
-59,879
46,955
-157,547
-32,124
-261,520
10
Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..
117,349
43,980
108,656
-92,975
85,779
262,789
11
Total support (Add lines 7 through 10).
85,404,122
12
Gross receipts from related activities, etc. (See instructions.)
..................
12
3,525,521
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
99.060 %
15
Public Support Percentage for 2009 Schedule A, Part II, line 14
...............
15
98.910 %
16a
33 1/3% support test—2011.
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—2010.
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—2011.
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—2010.
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) 2011
Schedule A (Form 990 or 990-EZ) 2011
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) 2007
(b) 2008
(c) 2009
(d) 2010
(e) 2011
(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) 2007
(b) 2008
(c) 2009
(d) 2010
(e) 2011
(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 2011 (line 8 column (f) divided by line 13 column (f))
.........
15
0 %
16
Public support percentage from 2010 Schedule A, Part III, line 15
...............
16
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2011 (line 10c column (f) divided by line 13 column (f))
......
17
0 %
18
Investment income percentage from 2010 Schedule A, Part III, line 17
.............
18
19a
33 1/3% support tests—2011.
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—2010.
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) 2011
Schedule A (Form 990 or 990-EZ) 2011
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
Part II Line 1d,8d,9d,10d Represents the 18 month period from Jan 1 2010-June 30, 2011 during which the organziation changed its fiscal year
Explanation
Schedule A (Form 990 or 990-EZ) 2011
Additional Data
Software ID:
11000218
Software Version:
2011.0.0
-
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
2011
Open to Public Inspection
Name of the organization
Comprehensive Mental Health Center of Tacoma-Pierce County
Employer identification number
91-0854239
Identifier
Return Reference
Explanation
Form 990 Part VI
11b
Draft 990 reviewed in detail by the CFO and Board Treasurer and approved by the Executive Committee or the full Board before filing.
Form 990 Part VI
12c
Board has had training on conflict of interest. When even an appearance of a conflict is possible, it is disclosed and the Board member absents him/herself from discussion and voting. Any such occasions are reflected in the Board minutes.
Form 990 Part VI
15 a and b
The full board serves as the compensation committee. No one on the board is compensated. The board examines prior year compensation levels for the CEO. The board compares data from two external sources who have expertise in conducting compensation studies. Work done by the board is detailed in their minutes. Decisions reached are approved individually for each highly compensated individual and documented. Those meeting the definition of highly compensated are listed in part VII.
Form 990 Part VI
19
The financial statements are routinely sent to all funding sources, banks, and, at specific request, other interested parties. No one has requested other agency governaing documents, applications or returns but they are available upon request. Various outside auditors and licensing bodies routinely examine them.
Form 990 Part XI
5
Unrealized loss
Form 990 Part III Program Service Accomplishments
Line 4d Other Activities
Program Service Expenses 147,407, Grants and allocations 0, Revenue 0 Outreach services to persons experiencing homelessness in the community with mental illness or substance abuse problems. Approximately 3,962 persons were served in fiscal 2012
Form 990, Part III, Line 4d Program Service Expenses 147,407, Grants and allocations 0, Revenue 0 Outreach services to persons experiencing homelessness in the community with mental illness or substance abuse problems. Approximately 3,962 persons were served in Form 990 Part VI Section B Line 11b Draft 990 reviewed in detail by the CFO and Board Treasurer and approved by the Executive Committee or the full Board before filing. Form 990 Part VI Section B Line 12c Board has had training on conflict of interest. When even an appearance of a conflict is possible, it is disclosed and the Board member absents him/herself from discussion and voting. Any such occasions are reflected in the Board minutes. Form 990 Part VI Section B Line 15 a and b The full board serves as the compensation committee. No one on the board is compensated. The board examines prior year compensation levels for the CEO. The board compares data from two external sources who have expertise in conducting compensation studies. Work done by the board is detailed in their minutes. Decisions reached are approved individually for each highly compensated individual and documented. Those meeting the definition of highly compensated are listed in part VII. Form 990 Part VI Section C Line 19 The financial statements are routinely sent to all funding sources, banks, and, at specific request, other interested parties. No one has requested other agency governaing documents, applications or returns but they are available upon request. Various outside auditors and licensing bodies routinely examine them. Form 990 Part XI Line 5 Unrealized loss
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.