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 | 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 | ||||||
| 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. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | ||||||
| 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 | ||||||
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.") . | 3,114,077 | 3,205,440 | 3,412,710 | 3,214,659 | 3,559,844 | 16,506,730 |
| 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 | 641,604 | 628,741 | 665,282 | 850,529 | 890,228 | 3,676,384 |
| 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 | 3,755,681 | 3,834,181 | 4,077,992 | 4,065,188 | 4,450,072 | 20,183,114 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | 307,367 | 286,980 | 314,537 | 148,743 | 155,810 | 1,213,437 |
| 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. | 0 | |||||
| c | Add lines 7a and 7b.. | 307,367 | 286,980 | 314,537 | 148,743 | 155,810 | 1,213,437 |
| 8 | Public support. (Subtract line 7c from line 6.) | 18,969,677 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 3,755,681 | 3,834,181 | 4,077,992 | 4,065,188 | 4,450,072 | 20,183,114 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 102,665 | 105,275 | 109,723 | 105,876 | 140,436 | 563,975 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 102,665 | 105,275 | 109,723 | 105,876 | 140,436 | 563,975 |
| 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.) .. | 1,888 | 1,888 | ||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | 3,858,346 | 3,939,456 | 4,187,715 | 4,171,064 | 4,592,396 | 20,748,977 |
| 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) |
||||
| 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 I, LINE 1 | TO PROVIDE COMPREHENSIVE HEALTH CARE TO SICK,HOMELESS MEN AND WOMEN FROM THE DISTRICT OF COLUMBIA AND TO ASSIST THEM IN ADDRESSING CRITICAL ISSUES TO HELP BREAK THE CYCLE OF HOMELESSNESS. |
| FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS: | CHRIST HOUSE IS THE ONLY RESIDENTIAL MEDICAL FACILITY FOR HOMELESS PATIENTS IN WASHINGTON, DC. PATIENTS RECEIVE 24-HOUR MEDICAL CARE PROVIDED BY STAFF PHYSICIANS, NURSE PRACTITIONERS, AND A TEAM OF NURSES, NURSING AIDES, AND OTHER SUPPORT STAFF. THE MEDICAL TEAM EVALUATES AND TREATS PATIENTS, PERFORMS TESTS, CHANGES DRESSINGS, MANAGES MEDICATIONS, PROVIDES IMMUNIZATIONS, AND CONDUCTS PRE- AND POST-OPERATIVE CARE, INCLUDING PATIENT EDUCATION SO THAT PATIENTS MIGHT BETTER MANAGE THEIR ILLNESSES AFTER DISCHARGE. THE STAFF ALSO MAKES ARRANGEMENTS FOR HOSPITALIZATION, VISITS TO MEDICAL SPECIALISTS, AND FOLLOW-UP CARE. CHRIST HOUSE ALSO OPERATES A TRANSPORTATION PROGRAM AND ARRANGES OUTSIDE PATIENT TRAVEL, INCLUDING COORDINATION WITH STAFF AND VOLUNTEERS TO PROVIDE PATIENT ESCORTS. IN 2017, CHRIST HOUSE SERVED 245 PATIENT ADMISSIONS AND PROVIDED 10,164 PATIENT-DAYS OF CARE. THE AVERAGE LENGTH OF STAY WAS APPROXIMATELY 42 DAYS. |
| FORM 990, PART III, LINE 4B, PROGRAM SERVICE ACCOMPLISHMENTS: | CHRIST HOUSE MAINTAINS RESIDENTIAL CAPACITY FOR 34 PATIENTS. PROVIDING PATIENTS WITH A SAFE PLACE TO SLEEP DURING THEIR TREATMENT ALLOWS THEM TO FOCUS ON MEDICAL RECOVERY WITHOUT THE WORRY OF DAY-TO-DAY SURVIVAL THAT THEY HAVE ON THE STREETS, AND ALSO TO TAKE ADVANTAGE OF THE HOLISTIC SUPPORT SERVICES THAT CHRIST HOUSE OFFERS. THESE SERVICES INCLUDE CASE MANAGEMENT, ADDICTIONS COUNSELING, NUTRITIOUS MEALS, AND PATIENT ACTIVITIES. CHRIST HOUSE PLACES A HIGH PRIORITY ON CARING FOR THE WHOLE PATIENT AND HELPING THEM TO RECOVER PHYSICALLY, EMOTIONALLY, AND SPIRITUALLY. OUR GOAL IS THAT PATIENTS WILL LEAVE CHRIST HOUSE STABILIZED, WITH THE EDUCATION AND TOOLS TO MANAGE THEIR HEALTH PROBLEMS. THE FURTHER GOAL IS THAT THESE PHYSICAL, MENTAL, AND EMOTIONAL IMPROVEMENTS WILL ALLOW THEM TO LIVE INDEPENDENTLY. IN 2017 WE PROVIDED OVER 57,100 MEALS TO PATIENTS AND MEN IN OUR KAIROS PROGRAM. |
| FORM 990, PART III, LINE 4C, PROGRAM SERVICE ACCOMPLISHMENTS: | THE KAIROS PROGRAM IS A PERMANENT HOUSING COMMUNITY FOR FORMER CHRIST HOUSE PATIENTS WITH NEED FOR A SUPPORTIVE RECOVERY COMMUNITY TO ADDRESS ADDICTIONS HISTORY AND CARE FOR MEDICAL NEEDS. KAIROS MEMBERS ARE CONTINUALLY ENGAGED WITH THEIR ONGOING RECOVERY PROCESS THROUGH REGULAR ONE- ON-ONE AND GROUP MEETINGS WITH THE CERTIFIED ADDICTIONS COUNSELORS AND ATTENDANCE AT ALCOHOLICS ANONYMOUS AND NARCOTICS ANONYMOUS MEETINGS. VOLUNTEER SERVICE IS A KEY PART OF THE PROGRAM AND PARTICIPANTS SERVE CHRIST HOUSE IN MANY CAPACITIES- ESCORTING PATIENTS TO MEDICAL APPOINTMENTS, STAFFING THE CLOTHING ROOM, WORKING IN THE KITCHEN, AND ASSISTING WITH MAILINGS AND OTHER ADMINISTRATIVE DUTIES. THE PROGRAM HAS CAPACITY FOR 52 MEN. AS OF DECEMBER 31, 2018, THE KAIROS PROGRAM HAD SERVED 202 MEN AND 158 PARTICIPANTS ARE EITHER IN THE PROGRAM STILL IN RECOVERY, IN RECOVERY OUTSIDE THE PROGRAM, OR DIED IN SOBRIETY. THE PROGRAM'S LIFETIME SOBRIETY RATE IS 78 PERCENT. |
| FORM 990, PART VI, SECTION A, LINE 2 | JANELLE AND ALLEN GOETCHEUS ARE BOARD MEMBERS WHO ARE MARRIED. MARY AND WILLIAM JORDAN ARE BOARD MEMBERS WHO ARE MARRIED. ERIC AND ELIZABETH BEBBER ARE BOARD MEMBERS WHO ARE MARRIED. |
| FORM 990, PART VI, SECTION B, LINE 11B | DRAFTS OF THE FORM 990 ARE PRESENTED TO THE BOARD MEMBERS FOR THEIR REVIEW. QUESTIONS THAT CANNOT BE ANSWERED BY MANAGEMENT ARE FORWARDED TO THE CPA FIRM WHO PREPARED THE FORM 990. ALL QUESTIONS ARE RESOLVED TO THE BOARD'S SATISFACTION BEFORE FILING THE FORM 990 WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | AT THE ANNUAL MEETING OF THE BOARD OF DIRECTORS, ALL BOARD MEMBERS ARE GIVEN A COPY OF THE POLICY TO REVIEW AND SIGN THE POLICY STATEMENT. ALL CONTRACTS OVER $5,000 MUST BE REVIEWED BY THE EXECUTIVE COMMITTEE BEFORE THE CONTRACT CAN BE SIGNED AND EXECUTED. |
| FORM 990, PART VI, SECTION B, LINE 15 | ALL COMPENSATION DECISIONS ARE MADE BY THE EXECUTIVE COMMITTEE COMPRISED OF MANAGEMENT AND BOARD REPRESENTATION. SALARIES ARE DETERMINED BASED ON EMPLOYEE EXPERIENCE, MERIT, AND KNOWN WAGE RATES FOR SIMILAR POSITIONS AT OTHER NON-PROFIT ORGANIZATIONS OF SIMILAR SIZE AND MISSION. A SUMMARY OF DELIBERATIONS IS INCLUDED IN THE EXECUTIVE COMMITTEE MEETING MINUTES. |
| FORM 990, PART VI, SECTION C, LINE 19 | CHRIST HOUSE DOES NOT MAKE AVAILABLE TO THE PUBLIC ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS, AS THIS IS NOT REQUIRED BY FEDERAL TAX LAW. |
| FORM 990, PART IX, LINE 11G | CONTRACTUAL SERVICES: PROGRAM SERVICE EXPENSES 1,658,481. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,658,481. |
| Software ID: | |
| Software Version: |