2023-11-01T13:14:07-05:00 2022-12-31 911194016 CLARK NUBER PS 10900 NE 4TH STREET SUITE 1400 BELLEVUE WA 98004 990 2022-01-01 910567261 WELLSPRING FAMILY SERVICES WELL 2068263050 1900 RAINIER AVENUE SOUTH SEATTLE WA 98144 HEATHER FITZPATRICK CEO/PRESIDENT 2068263050 2023-10-31 1 HEATHER FITZPATRICK 999009999 0 SARA ELIZABETH H JONES P00235495 4254544919 2023-10-31 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z HEATHER FITZPATRICK 1900 RAINIER AVENUE SOUTH SEATTLE WA 98144 31336006 0 X WWW.WELLSPRINGFS.ORG X 1892 WA OUR MISSION: TO END THE CYCLE OF FAMILY HOMELESSNESS. OUR VISION: A COMMUNITY IN WHICH EVERY CHILD HAS A SAFE AND STABLE HOME. 26 26 178 602 0 0 13400507 11861260 17128472 19453509 523 2246 19854 18991 30549356 31336006 7403971 5581342 0 0 9133548 11100631 0 0 1002723 13486592 14540720 30024111 31222693 525245 113313 16834794 19433808 7265176 9750877 9569618 9682931 X OUR MISSION: TO END THE CYCLE OF FAMILY HOMELESSNESS. OUR VISION: A COMMUNITY IN WHICH EVERY CHILD HAS A SAFE AND STABLE HOME. 0 0 15006372 0 18184354 THE WELLSPRING EMPLOYEE ASSISTANCE PROGRAM (EAP) HELPS ORGANIZATIONS HARNESS THE STRENGTH OF THEIR WORKFORCE BY PROVIDING COST-EFFECTIVE, RESPONSIVE SERVICES THAT HELP IMPROVE EMPLOYEE WELLBEING AND PRODUCTIVITY. THE EAP PROVIDES ACCESS TO MENTAL HEALTH COUNSELING, FINANCIAL COUNSELING, LEGAL COUNSELING, CHILD CARE RESOURCES AND MUCH MORE. WE KNOW THAT USE OF THESE SERVICES HELPS EMPLOYEES STAY EMPLOYED AND HOUSED. WELLSPRING MADE EAP SERVICES AVAILABLE TO 240,034 EMPLOYEES OF CLIENT COMPANIES IN 2022. 9517414 5581342 0 WELLSPRING PROVIDES WRAP AROUND SERVICES TO SUPPORT CHILDREN AND FAMILIES FACING HOMELESSSNESS. WE DO THIS THROUGH 3 KEY COMMUNITY SERVICE PROGRAMS FOCUSED ON INTERVENTION, PREVENTION, AND STABILITY. -THE WELLSPRING EARLY LEARNING CENTER, WHICH SPECIALIZES IN PRE-K, TRAUMA INFORMED EDUCATION FOR AGES 1 TO 5 YEARS OLD SERVED 45 CHILDREN FROM 36 FAMILIES IN 2022. THE AVERAGE ATTENDANCE BY A STUDENT IN THE ELC PROGRAM IS 15 MONTHS. -WELLSPRING'S FAMILY STORE IS A FREE FAMILY STORE PROVIDING CLOTHING, TOYS, HYGIENE AND BASIC ESSENTIALS SUCH AS DIAPERS. IN 2022 THE BOUTIQUE SERVED 4,301 CHILDREN. -WELLSPRING HOUSING SERVICES SPECIALIZES IN THE INTERVENTION AND PREVENTION OF FAMILY HOMELESSNESS. IN 2022, HOUSING SERVICES PROVIDED SUPPORT AND CASE MANAGEMENT TO 1,432 FAMILIES. 2091998 0 1269155 WELLSPRING COUNSELING AND TRAINING SERVICES WORK WITH INDIVIDUALS, COUPLES AND FAMILIES TO NAVIGATE LIFE'S CHALLENGES AND EXPLORE FUTURE POSSIBILITIES. COUNSELING SERVICES WERE PROVIDED TO ADULTS AND CHILDREN. 26615784 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 1 1705 0 178 1 0 0 0 0 0 0 0 0 0 0 X 26 26 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 WA X X HEATHER FITZPATRICK 2068263043 1900 RAINIER AVENUE SOUTH SEATTLE WA 98144 MICHAELA KAY BOARD CHAIR 2.00 0.00 X X 0 0 0 STUART WILLIAMS PAST BOARD CHAIR 2.00 0.00 X X 0 0 0 MO MALAKOUTIAN TREASURER 2.00 0.00 X X 0 0 0 KRISTEN MISNER-GUTIERREZ SECRETARY 2.00 0.00 X X 0 0 0 ALLISON BENABENTE BOARD MEMBER 2.00 0.00 X 0 0 0 ARLESIA BAILEY BOARD MEMBER 2.00 0.00 X 0 0 0 BRENDAN BURNS BOARD MEMBER 2.00 0.00 X 0 0 0 CHUCK NORDHOFF BOARD MEMBER 2.00 0.00 X 0 0 0 DAVE SAMPSON BOARD MEMBER 2.00 0.00 X 0 0 0 DEREK RUCKMAN BOARD MEMBER 2.00 0.00 X 0 0 0 ED WEST BOARD MEMBER 2.00 0.00 X 0 0 0 EMILEE TELYEA BOARD MEMBER 2.00 0.00 X 0 0 0 ETHAN NORRIS BOARD MEMBER 2.00 0.00 X 0 0 0 HAYDEN WILLIAMS BOARD MEMBER 2.00 0.00 X 0 0 0 JASON SCHINDLER BOARD MEMBER 2.00 0.00 X 0 0 0 JERRY BUSH BOARD MEMBER 2.00 0.00 X 0 0 0 LYNN TUTTLE BOARD MEMBER 2.00 0.00 X 0 0 0 MATT LUND BOARD MEMBER 2.00 0.00 X 0 0 0 MIKE CUSACK BOARD MEMBER 2.00 0.00 X 0 0 0 OLGA PERELMAN BOARD MEMBER 2.00 0.00 X 0 0 0 PETER FINCH BOARD MEMBER 2.00 0.00 X 0 0 0 RACHEL LONSDALE BOARD MEMBER 2.00 0.00 X 0 0 0 ROBIN CALLAHAN BOARD MEMBER 2.00 0.00 X 0 0 0 RUSSELL CAMPBELL BOARD MEMBER 2.00 0.00 X 0 0 0 MICHAEL CUSACK BOARD MEMBER 2.00 0.00 X 0 0 0 JOE NGUYEN BOARD MEMBER THROUGH 04/04/22 2.00 0.00 X 0 0 0 CINTHYA WEAVER BOARD MEMBER 2.00 0.00 X 0 0 0 ELEANOR BRADLEY BOARD MEMBER THROUGH 06/13/22 2.00 0.00 X 0 0 0 JULISSA MCWASHINGTON BOARD MEMBER THROUGH 06/13/22 2.00 0.00 X 0 0 0 JULIE SEIDENSTEIN BOARD MEMBER THROUGH 06/13/22 2.00 0.00 X 0 0 0 HEATHER FITZPATRICK CEO/PRESIDENT 40.00 0.00 X 245306 0 31601 PETER SCHULTZ COO/CIO 40.00 0.00 X 201359 0 23797 PETER DRURY CHIEF STRATEGY OFFICER 40.00 0.00 X 179819 0 12945 ASA TATE CHIEF DEVELOPMENT OFFICER 40.00 0.00 X 148461 0 13712 BEVETTE IRVIS CHIEF PROGRAM OFFICER 40.00 0.00 X 156960 0 4475 BRIAN JONAS CONTROLLER 40.00 0.00 X 130851 0 3953 CAROLINE HOOVER DIRECTOR OF OPERATIONAL INNOVATION & TRANSFORMATIO 40.00 0.00 X 128890 0 4650 LAURA MCMILLAN EXECUTIVE VICE PRESIDENT, EMPLOYEE ASSISTANCE PROG 40.00 0.00 X 116202 0 0 CHARLOTTE EAGLETON CHIEF CLINICAL OFFICER 40.00 0.00 X 114044 0 1828 1421892 0 96961 9 0 1 0 TALKSPACE NETWORKS LLC 33 WEST 60TH STREET 8TH FLOOR NEW YORK NY 10023 EAP SERVICES 617311 WORKPLACE OPTIONS LLC 2912 HIGHWOODS BLVD SUITE 100 RALEIGH NC 27604 EAP SERVICES 582051 NETWORK TECHNOLOGY SERVICES INC 12819 SE 38TH ST 368 BELLEVUE WA 98006 TECHNOLOGY SERVICES 351175 CREATIVE FINANCIAL STAFFING PO BOX 95111 CHICAGO IL 60694 STAFFING SERVICES 190397 EVERGREEN TECHNOLOGY INC 3623 EAST MARGINAL WAY SOUTH SEATTLE WA 98134 IT STAFFING SERVICES 154345 5 4224392 2804386 4832482 1768774 11861260 EMPLOYEE ASSISTANCE 624100 18184354 18184354 COUNSELING SERVICES 621300 1269155 1269155 19453509 2246 2246 PROG. EXP. REFUNDS 900099 9968 9968 CREDIT CARD REBATES 900099 8380 8380 MISCELLANEOUS INCOME 900099 643 643 18991 31336006 19453509 0 21237 X 5581342 5581342 1018435 862437 123318 32680 8314577 5842603 1825335 646639 4182 3001 816 365 988964 709570 193021 86373 774473 552407 168325 53741 225185 103478 121707 96867 96867 10780509 10685333 83057 12119 142580 67843 69940 4797 691707 540833 91121 59753 581422 260689 301484 19249 375804 259401 103553 12850 11531 4701 6675 155 1545 1545 301906 301906 476752 390936 52443 33373 136309 100592 24695 11022 BAD DEBT EXPENSE 653826 632276 21550 HUMAN RESOURCE SERVICES 24267 6902 16367 998 DEVELOPMENT & TRAINING 20683 11417 7919 1347 VOLUNTEER AND DONOR EXP 16674 23 10939 5712 3153 3153 31222693 26615784 3604186 1002723 522101 746651 982035 474157 1232178 1507408 2278002 4596679 134164 143580 123284 123543 19242390 7400600 11563030 11841790 16834794 19433808 1871861 3271240 18445 21390 4370372 6378893 900000 0 104498 79354 7265176 9750877 X 8909067 8832030 660551 850901 9569618 9682931 16834794 19433808 113313 0 X 0 1 X 1 1 1 X 4376830 5350254 13695092 13400507 11934728 48757411 14400 14400 4391230 5350254 13695092 13400507 11934728 48771811 48771811 907 5090 15656 5991 2446 30090 3744 161423 45592 14386 18991 244136 49046037 67994491 0.99440 0.99380 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS - 2018 AMOUNT: $ 3,744. 2019 AMOUNT: $ 3,482. 2020 AMOUNT: $ 45,286. 2021 AMOUNT: $ 14,386. 2022 AMOUNT: $ 9,023. NON EAP OTHER FEES - 2022 AMOUNT: $ 9,968. INTERNATIONAL FEES - REIMBURSEMENTS/REFUNDS - RESTITUTION INCOME - 2019 AMOUNT: $ 23,028. 2020 AMOUNT: $ 306. INCOME FROM DISCONTINUED OPERATIONS - 2019 AMOUNT: $ 134,913. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 0 0 0 0 0 0 0 0 0 PART II-B, LINE 1: LOBBYING ACTIVITIES INCLUDE MEETING WITH STATE LEGISLATORS AND STAFF. 47990 47990 47990 47990 47990 47990 47990 47990 47990 47990 0.00000 1.00000 0.00000 0 0 2456349 2456349 13989893 5611817 8378076 443654 310546 133108 1289471 1107679 181792 1063023 370558 692465 11841790 CAPITAL LEASE OBLIGATION 79354 79354 31874837 538831 538831 31336006 0 31336006 31761524 538831 538831 31222693 0 31222693 PART V, LINE 4: ENDOWMENT FUNDS WERE ESTABLISHED UNDER THE CAPITAL CAMPAIGN AND THE FUNDS ARE TO BE USED FOR CREATING A FUTURE FUNDING SOURCE FOR THE ORGANIZATION AND THE PROGRAMS THAT SERVE CLIENTS. 1 HOUSING ASSISTANCE 3152 4123582 FAIR MARKET VALUE HOUSING ASSISTANCE INCLUDING PAYMENT FOR RENT UTILITIES, GROCERY, DEBIT CARDS, AND IDENTIFICATION REPLACEMENT CLOTHING AND GOODS 4301 1457760 FAIR MARKET VALUE CLOTHING FOR CHILDREN FOR THE FAMILY STORE PART I, LINE 2: ALL GRANTS TO INDIVIDUALS ARE AWARDED AND DOCUMENTED THROUGH A PROCESS THAT IS MANAGED BY AGENCY CASE WORKERS. ONCE APPROVED, FUNDS ARE DISBURSED IN ACCORDANCE WITH AUTHORIZED DOCUMENTATION. EXAMPLES INCLUDE PAYMENT OF RENT ON BEHALF OF CLIENTS, PAYMENTS TO GOVERNMENT OFFICES FOR REPLACEMENT OF LEGAL IDENTIFICATION OR GIFT CARDS FOR PURCHASE OF FOOD. GRANTS ARE BUDGETED AT THE FUNDING SOURCE AND PROGRAM LEVEL TO ENSURE THAT OVERALL GRANT EXPENDITURES MEET THE REQUIREMENTS OF THE FUNDING SOURCES AS WELL AS THE FINANCIAL RESOURCES OF THE AGENCY. X X X X 0 0 0 0 0 0 0 0 0 HEATHER FITZPATRICK CEO/PRESIDENT 245306 0 0 0 0 0 5430 0 26171 0 276907 0 0 0 PETER SCHULTZ COO/CIO 201359 0 0 0 0 0 4415 0 19382 0 225156 0 0 0 PETER DRURY CHIEF STRATEGY OFFICER 179819 0 0 0 0 0 3780 0 9165 0 192764 0 0 0 ASA TATE CHIEF DEVELOPMENT OFFICER 148461 0 0 0 0 0 3180 0 10532 0 162173 0 0 0 BEVETTE IRVIS CHIEF PROGRAM OFFICER 156960 0 0 0 0 0 3165 0 1310 0 161435 0 0 0 X 1768774 FAIR MARKET VALUE X 1 20209 FAIR MARKET VALUE 0 0 1 0 PART I, COLUMN (B): THE NUMBER IN COLUMN B IS BASED ON THE NUMBER OF CONTRIBUTIONS RECEIVED. FORM 990, PART I, LINE 6 THE NUMBER OF VOLUNTEERS IS TRACKED BY THE EARLY LEARNING CENTER, BABY BOUTIQUE AND FUND DEVELOPMENT PROGRAMS. 2% VOLUNTEER IN THE EARLY LEARNING CENTER, ASSISTING TEACHERS AND THERAPISTS IN THE CLASSROOM. 90% VOLUNTEER IN THE FAMILY STORE, ASSISTING CLIENTS AND ORGANIZING DONATIONS FOR FAMILIES TO GET FREE BABY SUPPLIES, CLOTHES AND TOYS. 2% HELP WITH COMMUNICATIONS OUTREACH AND FUNDRAISING EVENTS. 3% SERVE AS VOLUNTEER DIRECTORS ON THE AGENCY BOARD OF DIRECTORS. 3% SERVE AS VOLUNTEER MEMBERS ON THE AGENCY ASSOCIATE BOARD. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY THE OUTSIDE CPA FIRM. BOARD MEMBERS ARE PROVIDED COPIES OF THE FORM 990 PRIOR TO FILING WITH THE IRS. IN ADDITION, THE FORM 990 IS REVIEWED AND APPROVED BY THE FINANCE COMMITTEE. FORM 990, PART VI, SECTION B, LINE 12C OFFICERS, DIRECTORS, AND KEY EMPLOYEES ARE REQUIRED TO REVIEW THE CONFLICT OF INTEREST POLICY AND DISCLOSE ANY POTENTIAL CONFLICT OF INTEREST ANNUALLY. THE POLICY IS MONITORED AND ENFORCED AS A PART OF THE FISCAL AUDIT PROCESS. THE AUDIT COMMITTEE ADDRESSES ANY FINDINGS IF THERE ARE ANY. IF A CONFLICT ARISES, THE BOARD MEMBER RECUSES THEMSELF FROM VOTING AND DISCUSSIONS ON THE RELEVANT MATTER WITH THE AUDIT COMMITTEE. FORM 990, PART VI, SECTION B, LINE 15 ANNUALLY, IF THERE IS A SALARY INCREASE, THE BOARD EXECUTIVE COMMITTEE REVIEWS AND APPROVES THE SALARIES OF THE CEO AND SENIOR EXECUTIVES. THE APPROVAL INCLUDES VERIFICATION BY THE APPROVING MEMBERS THAT THEY ARE INDEPENDENT AND UNRELATED TO THE EXECUTIVES. COMPENSATION MARKET DATA IS USED TO MAKE THE DECISION. THE LAST REVIEW WAS DONE IN DECEMBER 2022. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G CONSULTANTS: PROGRAM SERVICE EXPENSES 40,419. MANAGEMENT AND GENERAL EXPENSES 25,134. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 65,553. CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 1,504,021. MANAGEMENT AND GENERAL EXPENSES 51,747. FUNDRAISING EXPENSES 12,119. TOTAL EXPENSES 1,567,887. CONTRACT THERAPISTS: PROGRAM SERVICE EXPENSES 8,594,333. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,594,333. CONTRACT TRAINERS: PROGRAM SERVICE EXPENSES 82,960. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 82,960. EAP LEGAL/FINANCIAL PROVIDERS: PROGRAM SERVICE EXPENSES 117,865. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 117,865. EAP VENDORS (SOUND OPTIONS): PROGRAM SERVICE EXPENSES 240,263. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 240,263. OTHER: PROGRAM SERVICE EXPENSES 105,472. MANAGEMENT AND GENERAL EXPENSES 6,176. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 111,648. FAMILY SERVICES PROPERTY LLC 1900 RAINIER AVENUE SOUTH SEATTLE WA 98144 260217889 TRANSFERRED FACILITY TO WFS IN 2015 WA WELLSPRING FAMILY SERVICES