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. Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
WASHBURN CENTER FOR CHILDREN
Employer identification number
41-0711618
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 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 monetary support
Yes
No
Yes
No
Yes
No
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 2
Part II
Support Schedule for Organizations Described in Sections 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) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
1,776,052
2,755,448
2,851,878
3,582,858
14,272,988
25,239,224
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
1,776,052
2,755,448
2,851,878
3,582,858
14,272,988
25,239,224
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)..
7,919,985
6
Public support. Subtract line 5 from line 4.
17,319,239
Section B. Total Support
Calendar year
(or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
7
Amounts from line 4..
1,776,052
2,755,448
2,851,878
3,582,858
14,272,988
25,239,224
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
152,505
147,827
221,592
191,769
360,485
1,074,178
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
1,835
726
2,561
10
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
29,337
34,312
60,001
10,556
134,206
11
Total support (Add lines 7 through 10).
26,450,169
12
Gross receipts from related activities, etc. (see instructions)
..................
12
31,379,953
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 2013 (line 6, column (f) divided by line 11, column (f))
.........
14
65.480 %
15
Public support percentage for 2012 Schedule A, Part II, line 14
...............
15
79.660 %
16a
33 1/3% support test—2013.
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—2012.
If the organization did not check a 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—2013.
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—2012.
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) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 3
Part III
Support Schedule for Organizations Described in Section 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) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(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) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(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 2013 (line 8, column (f) divided by line 13, column (f))
.........
15
16
Public support percentage from 2012 Schedule A, Part III, line 15
...............
16
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f))
......
17
18
Investment income percentage from 2012 Schedule A, Part III, line 17
.............
18
19a
33 1/3% support tests—2013.
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—2012.
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) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 4
Part IV
Supplemental Information.
Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and 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) 2013
Additional Data
Software ID:
Software Version:
-
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.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
WASHBURN CENTER FOR CHILDREN
Employer identification number
41-0711618
Return Reference
Explanation
FORM 990, PART VI, SECTION A, LINE 1
THE EXECUTIVE COMMITTEE IS COMPRISED OF THE CURRENT OFFICERS, THE CHAIRS OF THE STANDING COMMITTEES, AND ALL IMMEDIATE PAST PRESIDENTS WHO ARE STILL DIRECTORS. THE EXECUTIVE COMMITTEE IS AUTHORIZED TO ACT WITH THE FULL AUTHORITY OF THE BOARD DURING INTERVALS BETWEEN MEETINGS OF THE BOARD.
FORM 990, PART VI, SECTION B, LINE 11
THE FORM 990 WILL BE REVIEWED BY THE EXECUTIVE DIRECTOR AND THE FINANCE COMMITTEE OF THE BOARD AS SOON AS IT IS COMPLETED BY AN INDEPENDENT ACCOUNTANT. THE CONTENT WILL ALSO BE DISCUSSED AT A FINANCE COMMITTEE MEETING PRIOR TO FILING AND PRIOR TO PRESENTATION TO THE BOARD. THE BOARD OF DIRECTORS WILL RECEIVE A COPY FOR REVIEW AND WILL REVIEW AND DISCUSS IT AT A BOARD MEETING PRIOR TO FILING. AT THE BOARD MEETING, THE BOARD WILL APPROVE THE CONTENT AND FILING OF THE FORM 990.
FORM 990, PART VI, SECTION B, LINE 12C
IT IS THE RESPONSIBILITY OF EVERY EMPLOYEE, SUPERVISOR, EXECUTIVE AND OTHERS RESPONSIBLE FOR CARRYING OUT THE ORGANIZATION'S ACTIVITIES TO IMMEDIATELY REPORT SUSPECTED MISCONDUCT, DISHONESTY OR CONFLICT OF INTEREST VERBALLY OR IN WRITING TO THE EXECUTIVE DIRECTOR, DIRECTOR OF FINANCE, OR THE BOARD OF TRUSTEES PRESIDENT. IF THE INCIDENT INVOLVES THE EXECUTIVE DIRECTOR, IT SHOULD BE REPORTED TO THE DIRECTOR OF FINANCE OR THE BOARD OF DIRECTORS PRESIDENT. IF THE INCIDENT INVOLVES THE DIRECTOR OF FINANCE, IT SHOULD BE REPORTED TO THE EXECUTIVE DIRECTOR OR THE BOARD OF DIRECTORS PRESIDENT. TO FACILITATE REPORTING OF SUSPECTED VIOLATIONS, ESPECIALLY IN THOSE SITUATIONS WHERE THE REPORTING INDIVIDUAL WISHES TO REMAIN ANONYMOUS, THE ORGANIZATION HAS ESTABLISHED AN ANONYMOUS VOICEMAIL BOX, WHICH WILL BE MONITORED BY THE DIRECTOR OF FINANCE AND THE BOARD OF DIRECTORS PRESIDENT. EMPLOYEES MAY ALSO REPORT SUSPECTED VIOLATIONS ANONYMOUSLY IN WRITING TO THE EXECUTIVE DIRECTOR, DIRECTOR OF FINANCE, OR THE BOARD OF DIRECTORS PRESIDENT. IN APPROPRIATE CIRCUMSTANCES, THE EXECUTIVE DIRECTOR (OR DIRECTOR OF FINANCE, IF THE INCIDENT INVOLVES THE EXECUTIVE DIRECTOR) WILL NOTIFY AN OFFICER OF THE WASHBURN BOARD OF SIGNIFICANT REPORTED INCIDENTS ON A TIMELY BASIS. WITH SUPPORT FROM THE EXECUTIVE DIRECTOR, THE DIRECTOR OF FINANCE HAS PRIMARY RESPONSIBILITY FOR ALL FOLLOW-UP AND INVESTIGATIONS OF EACH REPORTED INCIDENT, EXCEPT IF THE INCIDENT INVOLVES THE DIRECTOR OF FINANCE. THE BOARD OF DIRECTORS WILL REVIEW ANY ISSUES REPORTED TO THEM. A JOURNAL OF REPORTED INCIDENTS, FOLLOW-UP ACTIONS TAKEN AND RESOLUTIONS WILL BE KEPT AND REVIEWED ANNUALLY BY THE EXECUTIVE DIRECTOR, DIRECTOR OF FINANCE, AND THE FINANCE COMMITTEE CHAIR AS PART OF THE ANNUAL AUDIT PROCESS. DURING THEIR EMPLOYEE ORIENTATION PROCESS, ALL EMPLOYEES WILL REVIEW AND SIGN AN ACKNOWLEDGMENT THAT THEY HAVE READ AND UNDERSTAND THE CODE OF ETHICS POLICY. AN ORIGINAL SIGNED COPY WILL BE KEPT IN EACH PERSONNEL FILE. ALL SUPERVISORS AND EXECUTIVES ARE REQUIRED TO SIGN THE POLICY AND REPORTING PROCEDURES ANNUALLY. THE CODE OF ETHICS POLICY WILL BE REVIEWED BY THE FINANCE COMMITTEE ANNUALLY. ANY CHANGES WILL BE APPROVED BY THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 15A
THERE ARE TWO COMPONENTS TO THE EXECUTIVE DIRECTOR'S COMPENSATION, HIS ANNUAL SALARY AND INCENTIVE PAY. THE ANNUAL SALARY IS SET AS A PART OF HIS REVIEW BY THE EXECUTIVE COMMITTEE. IN THIS REVIEW, THE HUMAN RESOURCES DIRECTOR PROVIDES THE EXECUTIVE DIRECTOR AND THE EXECUTIVE COMMITTEE WITH A HISTORY OF HIS COMPENSATION AND THE ANNUAL SALARIES OF ABOUT 10 OTHER NONPROFIT EXECUTIVES AS EXAMPLES (SOME ARE HIGHER AND SOME ARE LOWER THAN HIS SALARY). THE ANNUAL SALARY IS BASED ON YEARS OF EXPERIENCE AS AN EXECUTIVE DIRECTOR, THE SIZE AND KIND OF AGENCY THAT WASHBURN IS, THE COMPENSATION THAT WE NEED TO PROVIDE TO KEY STAFF THAT ARE GENERALLY LICENSED AND OFTEN PHD'S, AND THE PERFORMANCE OF THE INDIVIDUAL IN THE POSITION. MORE GENERAL NONPROFIT SALARY SURVEYS ARE SO BROAD THAT THEY DO NOT ADEQUATELY REFLECT THE INFLUENCE OF SOME OF THESE ISSUES. MORE SPECIFIC SALARY SURVEYS SUCH AS THE ONE DONE BY THE MINNESOTA ASSOCIATION OF COMMUNITY MENTAL HEALTH PROVIDERS ARE MOSTLY OUT STATE COMMUNITY MENTAL HEALTH CENTERS WHICH REFLECT MUCH LOWER SALARIES THAN EXECUTIVE DIRECTORS IN METROPOLITAN ORGANIZATIONS. MANY OF THESE HAVE LITTLE OR NO FUND RAISING COMPONENT TO THEM, AND MANY OF THEM ARE LARGELY PUBLIC SECTOR FUNDING. OVER THE PAST 24 YEARS, THE AGENCY'S EXECUTIVE DIRECTOR HAS BEEN STEVE LEPINSKI AND ON AVERAGE, HIS ANNUAL SALARY HAS INCREASED JUST OVER 4% PER YEAR. THE EXECUTIVE DIRECTOR'S INCENTIVE PAY IS FRAMED BY A BOARD POLICY ON EXECUTIVE COMPENSATION THAT INDICATES THE BOARD PREFERENCE TO HAVE SOME OF THE EXECUTIVE DIRECTOR'S COMPENSATION TIED TO ANNUAL INCENTIVES. THE ANNUAL OBJECTIVES TO BE INCENTIVIZED AND THE AMOUNT OF INCENTIVE TIED TO EACH OBJECTIVE ARE DETERMINED THROUGH CONVERSATION BETWEEN THE EXECUTIVE COMMITTEE AND EXECUTIVE DIRECTOR AS A PART OF THE ANNUAL PERFORMANCE REVIEW. THE EXECUTIVE DIRECTOR REPORTS ON HIS ACHIEVEMENTS OR FAILURES TO ACHIEVE THE PREVIOUS YEAR'S OBJECTIVES AND INDICATES THE LEVEL OF INCENTIVE PAY THAT HE THINKS HE HAS ACHIEVED FOR EACH OBJECTIVE. THE EXECUTIVE COMMITTEE EITHER AGREES WITH HIS ASSESSMENT OR PROVIDES AN ALTERNATIVE ASSESSMENT AND LEVEL OF INCENTIVE PAY. THE OBJECTIVES AND THE LEVEL OF INCENTIVE FOR THE COMING YEAR ARE PROPOSED BY THE EXECUTIVE DIRECTOR AS PART OF HIS REVIEW AND THEN CONSIDERED AND MODIFIED IF NECESSARY BY THE EXECUTIVE COMMITTEE. THE COMMITTEE AND EXECUTIVE DIRECTOR THEN DRAFT AND SIGN A WRITTEN STATEMENT OF WHAT THEY HAVE AGREED UPON FOR THE COMING YEAR. DIRECTOR OF FINANCE - 2012: THE COO AND EXECUTIVE DIRECTOR REVIEWS THE SALARY FOR THE DIRECTOR OF FINANCE ANNUALLY. THE DIRECTOR OF FINANCE RECEIVES BENEFITS AT THE SAME LEVEL AS OTHER EMPLOYEES OF THE AGENCY.
FORM 990, PART VI, SECTION C, LINE 19
THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. THE ORGANIZATION'S FINANCIAL DATA IS ALSO AVAILABLE AT WWW.GUIDESTAR.ORG.
FORM 990, PART I, LINE 22 AND PART X, LINES 27 - 33:
INCREASE IN TOTAL NET ASSETS WITH ONE IN FIVE CHILDREN ENCOUNTERING A MENTAL HEALTH CHALLENGE, THE NEED FOR THERAPEUTIC SERVICES HAS EXPANDED DRAMATICALLY, AND WASHBURN HAS RESPONDED BY DOUBLING THE NUMBER OF CHILDREN IT HAS SERVED IN THE PAST SIX YEARS. BECAUSE ITS EXISTING BUILDING CANNOT ACCOMMODATE THE COMMUNITY'S GROWING NEEDS WASHBURN IS BUILDING A NEW 55,000 SQUARE FOOT FACILITY. THE NEW FACILITY RESPONDS TO THE COMMUNITY'S GROWING NEED, PROVIDES AN EXPANDED AND MORE EFFECTIVE THERAPEUTIC ENVIRONMENT TO SUPPORT HEALING, AND WILL TRAIN CHILDREN'S MENTAL HEALTH CLINICIANS IN BEST PRACTICES THAT WILL BENEFIT THE COMMUNITY AND OTHERS ACROSS THE NATION. CONSTRUCTION OF THE NEW FACILITY BEGAN IN 2013, AND WILL BE COMPLETED IN LATE 2014. WASHBURN'S TOTAL NET ASSETS INCREASED BY APPROXIMATELY $13,700,000 BETWEEN 2012 AND 2013. OF THAT INCREASE, APPROXIMATELY $12,000,000 HAS BEEN RESTRICTED FOR SPECIFIC NEEDS RELATED TO THE NEW FACILITY. THE FACILITY PROJECT IS EXPECTED TO COST $24,500,000 AND FUNDING IS BEING PROVIDED THROUGH A CAPITAL CAMPAIGN AND PROCEEDS FROM A NEW MARKETS TAX CREDIT PROGRAM. AS OF DECEMBER 31, 2013, 87% OF TOTAL NET ASSETS ARE TEMPORARILY OR PERMANENTLY RESTRICTED, LEAVING 13% OF NET ASSETS AS GENERAL OPERATING FUNDS.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.