Civic Intelligence

Eastside Human Services Forum

990 • Fiscal year 2016 • EIN 05-0543830

Jan 01, 2016 to Dec 31, 2016 • Filed on May 15, 2017

PO Box 90012Bellevue, WA 98004

(425) 587-3324

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

56th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

2016 filings • 501(c)3 • <$500k nonprofits • Source year 2016

Liabilities / Revenue

55th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

2016 filings • 501(c)3 • <$500k nonprofits • Source year 2016

Net Margin

66th percentile

11%

Higher net margin than 66% of similar nonprofits.

2016 filings • 501(c)3 • <$500k nonprofits • Source year 2016

Top Officer Pay

75th percentile

$0

Higher top officer pay than 75% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

2016 filings • 501(c)3 • <$500k nonprofits • Source year 2016

Asset Growth

81st percentile

37%

Faster asset growth than 81% of similar nonprofits.

2016 filings • 501(c)3 • <$500k nonprofits • Annualized from 2015 to 2016

Revenue Growth

78th percentile

28%

Faster revenue growth than 78% of similar nonprofits.

2016 filings • 501(c)3 • <$500k nonprofits • Annualized from 2015 to 2016

Assets

Up

$35,348

Up $9,549 (+37%) from 2015

Net Assets

Up

$35,348

Up $9,549 (+37%) from 2015

Liabilities

Flat

$0

Flat from 2015

Revenue

Up

$86,662

Up $18,853 (+28%) from 2015

Expenses

Up

$77,113

Up $12,406 (+19%) from 2015

Net Income

Up

$9,549

Up $6,447 (+208%) from 2015

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$80K$60K$40K$20K$0Assets 2011: $31,802Liabilities 2011: $0Net Assets 2011: $31,8022011Assets 2012: $19,204Liabilities 2012: $0Net Assets 2012: $19,2042012Assets 2013: $20,290Liabilities 2013: $0Net Assets 2013: $20,2902013Assets 2014: $22,697Liabilities 2014: $0Net Assets 2014: $22,6972014Assets 2015: $25,799Liabilities 2015: $0Net Assets 2015: $25,7992015Assets 2016: $35,348Liabilities 2016: $0Net Assets 2016: $35,3482016Assets 2017: $38,390Liabilities 2017: $0Net Assets 2017: $38,3902017Assets 2018: $43,362Liabilities 2018: $0Net Assets 2018: $43,3622018Assets 2019: $57,453Liabilities 2019: $0Net Assets 2019: $57,4532019Assets 2020: $65,262Liabilities 2020: $0Net Assets 2020: $65,2622020Assets 2021: $52,737Liabilities 2021: $0Net Assets 2021: $52,7372021Assets 2022: $32,476Liabilities 2022: $0Net Assets 2022: $32,4762022

Highlighted filing

2016

Assets$35,348
Liabilities$0
Net Assets$35,348

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$150K$100K$50K$0-$50KRevenue 2011: $79,740Expenses 2011: $109,726Net Income 2011: -$29,9862011Expenses 2012: $76,6922012Revenue 2013: $68,170Expenses 2013: $67,084Net Income 2013: $1,0862013Revenue 2014: $61,843Expenses 2014: $59,436Net Income 2014: $2,4072014Revenue 2015: $67,809Expenses 2015: $64,707Net Income 2015: $3,1022015Revenue 2016: $86,662Expenses 2016: $77,113Net Income 2016: $9,5492016Revenue 2017: $68,031Expenses 2017: $64,989Net Income 2017: $3,0422017Revenue 2018: $82,152Expenses 2018: $77,180Net Income 2018: $4,9722018Revenue 2019: $95,989Expenses 2019: $81,898Net Income 2019: $14,0912019Revenue 2020: $98,639Expenses 2020: $90,830Net Income 2020: $7,8092020Revenue 2021: $51,584Expenses 2021: $64,109Net Income 2021: -$12,5252021Revenue 2022: $56,350Expenses 2022: $76,611Net Income 2022: -$20,2612022

Highlighted filing

2016

Revenue$86,662
Expenses$77,113
Net Income$9,549
Jump To
Filing Snapshot
Filing Period
Jan 1, 2016 to Dec 31, 2016
Signed
May 15, 2017
Return Version
2016v3.0
Gross Receipts
$86,662
Mission and Program Overview

Mission

To foster strong public and private partnerships to assure a stable network of health and human services for the benefits of all east king county residents.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$25,799$35,348▲ $9,549
Savings and Temporary Cash Investments-$0-
Accounts Receivable-$0-
Other Notes and Loans Receivable, Net-$0-
Pledges and Grants Receivable-$0-
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities-$0-
Investments Program Related-$0-
Investments in Publicly Traded Securities-$0-
Land, Buildings, and Equipment, Net-$0-
Intangible Assets-$0-
Inventories for Sale or Use-$0-
Prepaid Expenses and Deferred Charges-$0-
Total Assets$25,799$35,348▲ $9,549
Other Assets Total-$0-
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Unrestricted Net Assets$25,799$35,348▲ $9,549
Total Net Assets Fund Balance$25,799$35,348▲ $9,549
Total Liabilities and Net Assets / Fund Balance$25,799$35,348▲ $9,549
Compensation and Service Providers

Board Members and Trustees

NameTitle
Byron ShutzBoard Chair
Shahzina KarimVice-chair
Al SmithDirector
Amy PadgettDirector
David DowningDirector
Eric EvansDirector
Kathy LambertDirector
Lauren ThomasDirector
Lynne RobinsonDirector
Mariah BettiseDirector
Paul LeuzziDirector
Shelley KlobaDirector
Siri BliesnerDirector
Steve BaberDirector
Terry PottmeyerDirector
Lisa CallanTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$86,662
Program Service Revenue
$0
Investment Income
$0
Other Revenue
$0
All Other Contributions
$25,378
Change in Net Assets
$9,549

Noncash Contribution Practices

Property subject to holding requirements
No
Reviewed unusual noncash gifts
No
Third parties used for noncash contributions
No

Noncash Contributions

Contribution TypeContribution CountReported AmountValuation Method
Other Non Cash Contri Table1$25,378Hourly Rate
Total Noncash Contributions1$25,378-
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$77,113
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Accounting-$585-$585
Other Expenses$360--$360
Total Functional Expenses$76,528$585$0$77,113
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
No
Backup withholding compliance
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
No
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Line 11B: Form 990 Review Process

Designated Corporate Officer performs a cursory review of return before being filed.

Form 990, Part VI, Line 19: Other Organization Documents Publicly Available

No documents available to the public.

Filing and Contact Details

Filer

Filer Name
Eastside Human Services Forum
EIN
05-0543830
Phone
4255873324
Address
PO BOX 90012, BELLEVUE, WA 98004

Signing Officer

Name
Byron Shutz
Title
Director
Signed
2017-05-15
Discuss with paid preparer
Yes

Organization Details

Legal Domicile
Wa
Voting Board Members
16
Independent Board Members
16
Employees
0
Volunteers
7

Preparer

Firm
Branch Richards & Co PS
Address
155 NE 100th St Suite 410, Seattle, WA 98125-8010
Preparer
Chi-Hung Lee
Phone
2067290114
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IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsSFAS117Ind0X
IRS990/OrgFiledInLieuOfForm1041Ind0false
IRS990/OtherAssetsTotalGrp/EOYAmt00
IRS990/OtherEmployeeBenefitsGrp/TotalAmt00
IRS990/OtherExpensesGrp/Desc0CONSULTANTS
IRS990/OtherExpensesGrp/Desc1IN-KIND EXPENSES
IRS990/OtherExpensesGrp/Desc2PROGRAM COST
IRS990/OtherExpensesGrp/Desc3ERIC EXPENSE
IRS990/OtherExpensesGrp/ProgramServicesAmt047446
IRS990/OtherExpensesGrp/ProgramServicesAmt125378
IRS990/OtherExpensesGrp/ProgramServicesAmt23344
IRS990/OtherExpensesGrp/ProgramServicesAmt3360
IRS990/OtherExpensesGrp/TotalAmt047446
IRS990/OtherExpensesGrp/TotalAmt125378
IRS990/OtherExpensesGrp/TotalAmt23344
IRS990/OtherExpensesGrp/TotalAmt3360
IRS990/OtherRevenueTotalAmt00
IRS990/OtherSalariesAndWagesGrp/TotalAmt00
IRS990/OthNotesLoansReceivableNetGrp/EOYAmt00
IRS990/PartialLiquidationInd0false
IRS990/PaymentsToAffiliatesGrp/TotalAmt00
IRS990/PayPremiumsPrsnlBnftCntrctInd0false
IRS990/PayrollTaxesGrp/TotalAmt00
IRS990/PensionPlanContributionsGrp/TotalAmt00
IRS990/PledgesAndGrantsReceivableGrp/EOYAmt00
IRS990/PoliticalCampaignActyInd0false
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt00
IRS990/ProfessionalFundraisingInd0false
IRS990/ProhibitedTaxShelterTransInd0false
IRS990/PYContributionsGrantsAmt067809
IRS990/PYExcessBenefitTransInd0false
IRS990/PymtTravelEntrtnmntPubOfclGrp/TotalAmt00
IRS990/PYOtherExpensesAmt058900
IRS990/PYRevenuesLessExpensesAmt03102
IRS990/PYSalariesCompEmpBnftPaidAmt05807
IRS990/PYTotalExpensesAmt064707
IRS990/PYTotalRevenueAmt067809
IRS990/QuidProQuoContributionsInd0false
IRS990/RcvblFromDisqualifiedPrsnGrp/EOYAmt00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd0false
IRS990/ReceivablesFromOfficersEtcGrp/EOYAmt00
IRS990/ReconcilationRevenueExpnssAmt09549
IRS990/RegularMonitoringEnfrcInd0false
IRS990/RelatedEntityInd0false
IRS990/RelatedOrganizationCtrlEntInd0false
IRS990/ReportInvestmentsOtherSecInd0false
IRS990/ReportLandBuildingEquipmentInd0false
IRS990/ReportOtherAssetsInd0false
IRS990/ReportOtherLiabilitiesInd0false
IRS990/ReportProgramRelatedInvstInd0false
IRS990/RoyaltiesGrp/TotalAmt00
IRS990/RoyaltiesRevenueGrp/TotalRevenueColumnAmt00
IRS990/SavingsAndTempCashInvstGrp/EOYAmt00
IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/TotalAmt00
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearAmt086662
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus1YearAmt057192
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus2YearsAmt061843
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus3YearsAmt062584
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus4YearsAmt064094
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/TotalAmt0332375
IRS990ScheduleA/GovtFurnSrvcFcltsVl509Grp/TotalAmt00
IRS990ScheduleA/GrossInvestmentIncome509Grp/TotalAmt00
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/TotalAmt00
IRS990ScheduleA/GrossReceiptsNonUnrltBusGrp/TotalAmt00
IRS990ScheduleA/InvestmentIncomeCYPct00.00000
IRS990ScheduleA/NetIncomeFromOtherUBIGrp/TotalAmt00
IRS990ScheduleA/OtherIncome509Grp/TotalAmt00
IRS990ScheduleA/Post1975UBTIGrp/TotalAmt00
IRS990ScheduleA/PubliclySupportedOrg509a2Ind0X
IRS990ScheduleA/PublicSupportCY509Pct01.00000
IRS990ScheduleA/PublicSupportPY509Pct01.00000
IRS990ScheduleA/PublicSupportTotal509Amt0332375
IRS990ScheduleA/SubstantialContributorsAmtGrp/TotalAmt00
IRS990ScheduleA/TaxRevLeviedOrgnztnlBnft509Grp/TotalAmt00
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY509Ind0X
IRS990ScheduleA/Total509Grp/CurrentTaxYearAmt086662
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus1YearAmt057192
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus2YearsAmt061843
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt062584
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt064094
IRS990ScheduleA/Total509Grp/TotalAmt0332375
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearAmt086662
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus1YearAmt057192
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus2YearsAmt061843
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus3YearsAmt062584
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus4YearsAmt064094
IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt0332375
IRS990ScheduleB/ContributorInformationGrp/ContributorBusinessName/BusinessNameLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorNum0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine20RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/City0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt0RESTRICTED
IRS990/ScheduleBRequiredInd0true
IRS990/ScheduleJRequiredInd0false
IRS990ScheduleM/AnyPropertyThatMustBeHeldInd0false
IRS990ScheduleM/OtherNonCashContriTableGrp/ContributionCnt01
IRS990ScheduleM/OtherNonCashContriTableGrp/Desc0PROFESSIONAL SERVICES
IRS990ScheduleM/OtherNonCashContriTableGrp/MethodOfDeterminingRevenuesTxt0HOURLY RATE
IRS990ScheduleM/OtherNonCashContriTableGrp/NonCashCheckboxInd0X
IRS990ScheduleM/OtherNonCashContriTableGrp/NoncashContributionsRptF990Amt025378
IRS990ScheduleM/ReviewProcessUnusualNCGiftsInd0false
IRS990ScheduleM/ThirdPartiesUsedInd0false
IRS990/ScheduleORequiredInd0false
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0Designated Corporate Officer performs a cursory review of return before being filed.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1No documents available to the public.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Form 990, Part VI, Line 11b: Form 990 Review Process
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Form 990, Part VI, Line 19: Other Organization Documents Publicly Available
IRS990/SchoolOperatingInd0false
IRS990/SignificantChangeInd0false
IRS990/SignificantNewProgramSrvcInd0false
IRS990/SubjectToProxyTaxInd0false
IRS990/TaxableDistributionsInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TempOrPermanentEndowmentsInd0false
IRS990/TerminateOperationsInd0false
IRS990/TotalAssetsBOYAmt025799

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