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
COVENANT HOUSE NEW JERSEY
Employer identification number
13-3537710
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.") ....
7,794,016
8,842,080
9,085,227
9,025,467
9,390,957
44,137,747
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
7,794,016
8,842,080
9,085,227
9,025,467
9,390,957
44,137,747
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)..
1,185,723
6
Public support. Subtract line 5 from line 4.
42,952,024
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..
7,794,016
8,842,080
9,085,227
9,025,467
9,390,957
44,137,747
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
1,033
1,770
10,760
15,477
19,750
48,790
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
0
10
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
179,295
375,681
345,166
933,040
522,096
2,355,278
11
Total support (Add lines 7 through 10).
46,541,815
12
Gross receipts from related activities, etc. (see instructions)
..................
12
31,173
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
92.287 %
15
Public support percentage for 2012 Schedule A, Part II, line 14
...............
15
93.963 %
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
COVENANT HOUSE NEW JERSEY
Employer identification number
13-3537710
Return Reference
Explanation
OTHER PROGRAM SERVICES
FORM 990, PART III - OTHER PROGRAM SERVICES (LINE 4D) In addition to the programs specifically listed in Part III, Covenant House undertakes a variety of other programs that aid and assist the underprivileged. A sampling of such programs are: Raphael's Life House Mother/Child Program Our mothers and babies program in Elizabeth, NJ houses 12 young women and their newborns, while the new moms learn to become good parents with the ability to support themselves and their children. Young women with health problems and other issues can receive treatment in our on-site medical clinics and participate in other CHNJ programs. In 2010, we completed extensive renovations at Raphael's Life House. During the previous year, Covenant House acquired the 125 convent that houses the moms and babies program to ensure the program would continue to be a safe haven for young families as long as they need us. Nancy's Place (Montclair) In 2009, we opened a program especially for mentally ill homeless youth called Nancys Place in Montclair. In response to the special needs of this unique population, the program is staffed 24 hours a day, and offers the intensive care these young people need to become self-sufficient and independent. SUPPORTIVE SERVICES Career Development - Our education teachers help our kids reach their educational goals, from enrolling in school, getting their GED, to applying for college. Our vocational programs give them the tools they need to learn to obtain a job. They learn how to write a resume, where to look for work, and how to dress and prepare for an interview. Medical - We provide premiere comprehensive medical care free of charge to every young person we serve. With a full-time Pediatric Nurse Practitioner on staff, we are able to give them the care they need. In addition, we have close working relationships with area hospitals when specialty care is needed. We work together with our community to provide each young person with a comprehensive physical, treat their chronic illnesses and offer preventative education and care. Addictions - Our Substance Abuse Coordinator helps youth overcome their addictions on an outpatient basis on site. We also work closely with several inpatient rehabilitation programs so if any one of our youth needs additional help, we can help them by referring them to the appropriate programs. Our addictions specialists offer counseling to our kids who are struggling with addictions or are in recovery and teach preventative didactic classes. Youth Advocacy Center - Our attorneys represent our young people in civil legal matters, including immigration, housing, public benefits, and are advocates for our youth in the criminal justice system. From obtaining Identification to becoming emancipated, our attorneys provide an array of much needed services to the kids. In addition, the Youth Advocacy Department is responsible for helping to create the Tuition Waiver Bill and the Homeless and Runaway Youth Act. Pastoral - Our Pastoral Minister provides spiritual guidance to our young people. Although our roots are in the Catholic Church, we are non-denominational and we accept youth of all religious faiths. The Pastoral Minister organizes staff and youth retreats, runs meditation classes, and helps youth with anything they need, from clothing, to finding furniture for their new apartments and just being a friendly face to talk to. AFTERCARE- We help our kids find and maintain more permanent living situations by connecting with them after they leave us. Many of the youth come back to us for guidance and we maintain contact as they adapt in their communities. Mental Health - About 90 percent of our kids have a mental health diagnosis, ranging from depression to schizophrenia. Our Licensed Clinical social workers ("LCSWs") access them, provide short-term counseling and connect them to ongoing services in the community.
Form 990 Review Process
Form 990, part VI, Section B, Line 11 the form 990 was prepared by an independent accounting firm in conjunction with the organization's financial department. A copy of the draft Form 990 was circulated to the full Board of Trustees for discussion and comment. Each Board Member was provided ample opportunity to comment on the information contained in the 990 prior to its filing with the Internal Revenue Service.
Process to determine compensation
FORM 990, PART VI, SECTION B, LINE 12 Each officer, director, trustee and key employee is required to annually disclose any conflicts of interest that arise by virtue of their employment, board service, or position with the organization. The organization monitors compliance with its conflict of interest policy through an annual questionnaire/disclosure statement that is distributed to these individuals. Potential conflicts are investigated immediately.
FORM 990, PART VI, SECTION B, LINE 15
Covenant House's top management official, the Executive Director, receives the same annual merit pay increase as all other Covenant House employees; however, the Executive Director is eligible for an additional increase depending on job performance throughout the year. Additional merit increase must be approved first by the Board of Directors and then by the President of Covenant House International.
Public disclosure of documents
FORM 990, PART VI, SECTION C, LINE 19 The organization makes its form 990 available to the public by retaining a copy at its place of business and on its website, www.covenanthousenj.org. The Form 990 is also published on the internet at www.guidestar.org. The organization's financial statements are published on its website. The governing documents and conflict of interest policy will be MADE available to the public upon request and at management's discretion.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.