2021-11-15T13:25:21-06:00 2020-12-31 911194016 CLARK NUBER PS 10900 NE 4TH STREET SUITE 1400 BELLEVUE WA 98004 990 2020-01-01 910567261 WELLSPRING FAMILY SERVICES WELL 2068263050 1900 RAINIER AVENUE SOUTH SEATTLE WA 98144 HEATHER FITZPATRICK CEO/PRESIDENT 2068263050 2021-11-11 1 HEATHER FITZPATRICK 999009999 SARA ELIZABETH JONES HYRE P00235495 4254544919 2021-11-11 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z HEATHER FITZPATRICK 1900 RAINIER AVENUE SOUTH SEATTLE WA 98144 27396915 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. 28 28 142 260 0 0 5350254 13695092 9581483 13634497 12576 6489 89966 60837 15034279 27396915 2025117 7154504 0 0 6985819 7845507 0 0 858046 6301636 10029521 15312572 25029532 -278293 2367383 14693340 17988351 8016350 8943978 6676990 9044373 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 10464348 11998979 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. WELLSPRING MADE EAP SERVICES AVAILABLE TO 172,000 EMPLOYEES OF CLIENT COMPANIES IN 2020. 9750975 7154504 6947 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. IN 2020 WELLSPRING SERVED 3,244 PROGRAM PARTICIPANTS. -THE WELLSPRING EARLY LEARNING CENTER, WHICH SPECIALIZES IN PRE-K, TRAUMA INFORMED EDUCATION FOR AGES 1 TO 5 YEARS OLD SERVED 67 CHILDREN FROM 53 FAMILIES IN 2020. 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 2020 THE BOUTIQUE SERVED 1,263 CHILDREN.-WELLSPRING HOUSING SERVICES SPECIALIZES IN THE INTERVENTION AND PREVENTION OF FAMILY HOMELESSNESS. IN 2020, HOUSING SERVICES PROVIDED SUPPORT AND CASE MANAGEMENT TO 730 FAMILIES. 2017926 1628571 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. 22233249 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 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 1 2656 0 142 1 0 0 0 0 0 0 0 0 0 0 X 28 28 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 HEATHER FITZPATRICK CEO/PRESIDENT 40.00 X 235833 0 15552 PETER SCHULTZ COO/CIO 40.00 X 180000 0 15861 PETER DRURY CHIEF STRATEGY OFFICER 40.00 X 161072 0 10722 ASA TATE CHIEF DEVELOPMENT OFFICER 40.00 X 151094 0 1632 KEVIN HOST S. DIRECTOR, ENTERPRISE SERVICES 40.00 X 125826 0 8530 TRISHA ALDRICH DIRECTOR, EAP PROGRAM 40.00 X 111041 0 8481 BRIAN JONAS CONTROLLER 40.00 X 100889 0 8538 KRISTIN MISNER-GUTIERREZ CHAIR 2.00 X X 0 0 0 MICHAELA KAY TREASURER 2.00 X X 0 0 0 RACHEL LONSDALE SECRETARY 2.00 X X 0 0 0 STUART WILLIAMS CHAIR-ELECT 2.00 X X 0 0 0 JULISSA MCWASHINGTON CHAIR 2.00 X X 0 0 0 ALI SHAHRAZAD IMMEDIATE PAST CHAIR 2.00 X X 0 0 0 ARLESIA BAILEY IMMEDIATE PAST CHAIR 2.00 X X 0 0 0 ELEANOR BRADLEY BOARD MEMBER 2.00 X 0 0 0 COLLEEN COSGROVE BOARD MEMBER 2.00 X 0 0 0 MICHAEL B CUSACK BOARD MEMBER 2.00 X 0 0 0 AMY HWANG BOARD MEMBER 2.00 X 0 0 0 RICHARD JACROUX BOARD MEMBER 2.00 X 0 0 0 MATT LUND BOARD MEMBER 2.00 X 0 0 0 MO MALAKOUTIAN BOARD MEMBER 2.00 X 0 0 0 LISA MAYFIELD BOARD MEMBER 2.00 X 0 0 0 JOE T NGUYEN BOARD MEMBER 2.00 X 0 0 0 CHARLES G NORDHOFF BOARD MEMBER 2.00 X 0 0 0 ETHAN J NORRIS BOARD MEMBER 2.00 X 0 0 0 OLGA A PERELMAN BOARD MEMBER 2.00 X 0 0 0 DEREK RUCKMAN BOARD MEMBER 2.00 X 0 0 0 MARK RUFFO BOARD MEMBER 2.00 X 0 0 0 DAVE X SAMPSON BOARD MEMBER 2.00 X 0 0 0 JULIE H SEIDENSTEIN BOARD MEMBER 2.00 X 0 0 0 JASON SHINDLER BOARD MEMBER 2.00 X 0 0 0 LYNN C TUTTLE BOARD MEMBER 2.00 X 0 0 0 EDWARD WEST BOARD MEMBER 2.00 X 0 0 0 DERRICK WILLIAMS BOARD MEMBER 2.00 X 0 0 0 LEE WONG FORMER BOARD MEMBER 2.00 X 0 0 0 1065755 0 69316 7 0 1 0 WORKPLACE OPTIONS LLC 2912 HIGHWOODS BLVD SUITE 100 RALEIGH NC 27604 EAP SERVICES 267915 NETWORK TECHNOLOGY SERVICES INC 12819 SE 38TH ST 368 BELLEVUE WA 98006 TECHNOLOGY SERVICES 266200 ARCADIAN TELEPSYCHIATRY FLORIDA PA 141 PARKER STREET SUITE 306 MAYNARD MA 19034 EAP SERVICES 169839 PEOPLE INC PO BOX 392 REDMOND WA 98073 EAP SERVICES 118000 4 5479646 3358553 4856893 788900 13695092 EMPLOYEE ASSISTANCE 624100 11998979 11998979 COUNSELING SERVICES 621300 1628571 1628571 COMMUNITY SERVICES 621300 6947 6947 13634497 411 411 15245 0 15245 15245 15245 6078 0 6078 6078 6078 CARES FUNDING 900099 44075 44075 1517 1517 45592 27396915 13634497 0 67326 X 7154504 7154504 771766 569496 144201 58069 5919327 4880121 534861 504345 591806 485080 62153 44573 562608 424096 97122 41390 56728 49994 6734 53499 53499 13800 13800 7322727 7136779 185948 46735 36368 10343 24 442424 298541 95088 48795 699150 287016 375620 36514 379711 346808 17344 15559 8061 5489 1862 710 252456 252456 367239 301136 40396 25707 80277 56492 16445 7340 BAD DEBT EXPENSE 224893 191149 100 33644 VOLUNTEER AND DONOR EXP 40476 78 849 39549 HUMAN RESOURCE SERVICES 37301 9696 27099 506 DEVELOPMENT & TRAINING 4044 406 2317 1321 25029532 22233249 1938237 858046 115955 553151 636457 2448993 561193 616205 1593973 2557310 82662 169430 88914 87615 18082989 6527342 11614186 11555647 14693340 17988351 1861258 2003342 346885 1390178 4686202 4533202 1000000 900000 122005 117256 8016350 8943978 X 6508770 8832223 168220 212150 6676990 9044373 14693340 17988351 2367383 0 X 0 1 X 1 0 X 5716165 5658968 4376830 5350254 13695092 34797309 19400 14400 14400 48200 5735565 5673368 4391230 5350254 13695092 34845509 34845509 66 481 907 5090 11997 18541 1532 12135 3744 161423 49251 228085 35092135 49385297 0.99300 0.99290 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS - 2016 AMOUNT: $ 232. 2017 AMOUNT: $ 3,726. 2018 AMOUNT: $ 3,744. 2019 AMOUNT: $ 3,482. 2020 AMOUNT: $ 48,945. NON EAP OTHER FEES - INTERNATIONAL FEES - 2016 AMOUNT: $ 1,300. REIMBURSEMENTS/REFUNDS - 2017 AMOUNT: $ 8,409. 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 1 13800 0 0 13800 0 PART II-B, LINE 1: LOBBYING ACTIVITIES INCLUDE MEETING WITH STATE LEGISLATORS AND STAFF. 47990 47990 47990 47990 47990 47990 47990 47990 47490 500 47990 0.00000 1.00000 0.00000 0 0 2456349 2456349 13688685 4950869 8737816 443654 443654 0 1186053 917758 268295 308248 215061 93187 11555647 CAPITAL LEASE OBLIGATION 117256 117256 27472515 75600 75600 27396915 0 27396915 25105132 75600 75600 25029532 0 25029532 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 31711 6705237 FAIR MARKET VALUE HOUSING ASSISTANCE INCLUDING PAYMENT FOR RENT, UTILITIES,GROCERY DEBIT CARDS AND IDENTIFICATION REPLACEMENT. CLOTHING AND GOODS 1380 449237 FAIR MARKET VALUE CLOTHING FOR CHILDREN FROM THE BABY BOUTIQUE PROGRAM 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 235833 0 0 0 0 0 0 0 15552 0 251385 0 0 0 PETER SCHULTZ COO/CIO 180000 0 0 0 0 0 0 0 15861 0 195861 0 0 0 PETER DRURY CHIEF STRATEGY OFFICER 161072 0 0 0 0 0 0 0 10722 0 171794 0 0 0 ASA TATE CHIEF DEVELOPMENT OFFICER 151094 0 0 0 0 0 0 0 1632 0 152726 0 0 0 A WASHINGTON HEALTH CARE FACILITIES AUTHORITY 911108929 2015-10-16 5404774 REFINANCE LOAN 0 0 0 A 850558 5404774 86154 5318620 2015 1 0 1 1 A 0 0 0 0 0 0 0 A 0 1 0 0 1 0 0 0 0 A 1 X 536005 FAIR MARKET VALUE X 1 156780 FAIR MARKET VALUE X FURNITURE 220 96115 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 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 MAY 2020. 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 CONTRACT THERAPISTS: PROGRAM SERVICE EXPENSES 5,610,707. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,610,707. CONTRACT TRAINERS: PROGRAM SERVICE EXPENSES 46,937. MANAGEMENT AND GENERAL EXPENSES 4,103. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 51,040. EAP VENDORS (SOUND OPTIONS): PROGRAM SERVICE EXPENSES 215,336. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 215,336. CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 1,035,491. MANAGEMENT AND GENERAL EXPENSES 107,691. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,143,182. CONSULTANTS: PROGRAM SERVICE EXPENSES 35,550. MANAGEMENT AND GENERAL EXPENSES 64,020. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 99,570. EAP LEGAL/FINANCIAL PROVIDERS: PROGRAM SERVICE EXPENSES 142,959. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 142,959. OTHER: PROGRAM SERVICE EXPENSES 49,799. MANAGEMENT AND GENERAL EXPENSES 10,134. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 59,933. FAMILY SERVICES PROPERTY LLC 1900 RAINIER AVENUE SOUTH SEATTLE WA 98144 260217889 TRANSFERRED FACILITY TO WFS IN 2015 WA 0 0 WELLSPRING FAMILY SERVICES