Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
|
Total |
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Calendar year (or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | 2,994,472 | 2,369,902 | 2,640,386 | 2,879,433 | 3,693,356 | 14,577,549 |
| 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 | 2,994,472 | 2,369,902 | 2,640,386 | 2,879,433 | 3,693,356 | 14,577,549 |
| 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).. | 978,314 | |||||
| 6 | Public support. Subtract line 5 from line 4. | 13,599,235 | |||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 2,994,472 | 2,369,902 | 2,640,386 | 2,879,433 | 3,693,356 | 14,577,549 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 675,937 | 578,860 | 479,878 | 506,361 | 309,059 | 2,550,095 |
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10 | 17,128,135 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (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.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (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 VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
|||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2018 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2018 |
(iii) Distributable Amount for 2018 |
|
|---|---|---|---|---|
|
1
Distributable amount for 2018 from Section C, line 6 |
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|
2
Underdistributions, if any, for years prior to 2018 (reasonable cause required-- explain in Part VI). See instructions. |
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| 3 Excess distributions carryover, if any, to 2018: | ||||
| a From 2013....... | ||||
| b From 2014....... | ||||
| c From 2015....... | ||||
| d From 2016....... | ||||
| e From 2017....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2018 distributable amount | ||||
|
i
Carryover from 2013 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2018 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2018 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2018, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
6
Remaining underdistributions for 2018. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
7 Excess distributions carryover to 2019. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2014...... | ||||
| b Excess from 2015..... | ||||
| c Excess from 2016..... | ||||
| d Excess from 2017..... | ||||
| e Excess from 2018..... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| 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 11b | The Form 990 is initially reviewed by the CEO and the Finance Committee of the board. The Form 990 is discussed at a Finance Committee meeting prior to a presentation to the board. The Board of Directors then review and discuss the Form 990 and approve the filing. |
| 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 CEO, Director of Operations , or the board of directors President. If the incident involves the CEO, it should be reported to the Director of Operations or the board of directors President. If the incident involves the Director of Operations, it should be reported to the CEO 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 Operations and the board of directors President. Employees may also report suspected violations anonymously in writing to the CEO, Director of Operations, or the board of directors President. In appropriate circumstances, the CEO (or Director of Operations, if the incident involves the CEO) will notify an officer of the Washburn board of significant reported incidents on a timely basis. With support from the CEO, the Director of Operations has primary responsibility for all follow-up and investigations of each reported incident, except if the incident involves the Director of Operations. 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 CEO, Director of Operations, 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 CEO'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 CEO 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. The CEO's incentive pay is framed by a board policy on executive compensation that indicates the board preference to have some of the CEO'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 CEO as a part of the annual performance review. The CEO 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 CEO as part of his review and then considered and modified if necessary by the Executive Committee. The committee and CEO then draft and sign a written statement of what they have agreed upon for the coming year. The CEO reviews the salary for the Director of Operations annually. The Director of Operations 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 XI, line 9: | Equity transfer from Washburn Center for Children Holding Company 179,754. |
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