2019-11-15T13:38:30-06:00 2018-12-31 911194016 CLARK NUBER PS 10900 NE 4TH STREET SUITE 1400 BELLEVUE WA 98004 990 2018-01-01 910567261 WELLSPRING FAMILY SERVICES WELL 2068263050 1900 RAINIER AVENUE SOUTH SEATTLE WA 98144 HEATHER FITZPATRICK CEO/PRESIDENT 2068263050 2019-11-15 1 SARA ELIZABETH J HYRE P00235495 4254544919 2019-11-14 65.158.230.194 2019-11-15 11:19:21 PS P DE1D2BBAE0F1147E7A7EA18DABEA7E867F199504 F14890980BEB549AFF8D68992DF8A72A2E055E55 2018 2020-04-17 16:48:07Z HEATHER FITZPATRICK 1900 RAINIER AVENUE SOUTH SEATTLE WA 98144 12124048 0 X WWW.WELLSPRINGFS.ORG X 1892 WA SINCE 1892, WELLSPRING FAMILY SERVICES HAS BEEN A SOURCE OF OPPORTUNITY FOR CHILDREN, ADULTS AND FAMILIES IN OUR COMMUNITY TO REACH THEIR FULL POTENTIAL. IN 2018, WE HELPED OVER 2,172 INDIVIDUALS AND FAMILIES TAKE THE NEXT STEP FORWARD, TAP INTO THEIR OWN STRENGTH AND REBUILD THEIR LIVES. WELLSPRING OPERATES SIX PROGRAMS SERVING ITS CLIENTS: BABY BOUTIQUE, DOMESTIC VIOLENCE INTERVENTION PROGRAM, HOUSING SERVICES, EARLY LEARNING CENTER, COUNSELING SERVICES AND THE EMPLOYEE ASSISTANCE PROGRAM. 19 19 168 856 0 2073 5658968 4376830 9268602 8196530 11722 1107 -45358 -554585 14893934 12019882 1402688 1164840 0 0 8837385 6452083 0 0 523704 4928164 5249149 15168237 12866072 -274303 -846190 15241470 14275609 7430391 7320326 7811079 6955283 X TO BUILD EMOTIONALLY HEALTHY SELF-SUFFICIENT FAMILIES & A NON-VIOLENT COMMUNITY IN WHICH THEY CAN THRIVE. 0 1 4112686 5364512 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 2018. 3670120 1164840 6310 WELLSPRING PROVIDED SERVICES TO 2,172 HOMELESS AND AT-RISK FAMILIES IN 2018. THESE SERVICES INCLUDED: -SPECIALIZED CHILDCARE IN WELLSPRING'S EARLY LEARNING CENTER FOR 80 HOMELESS CHILDREN - 90% OF THOSE WHO ATTENDED FOR AT LEAST 4 WEEKS GAINED DEVELOPMENTAL SKILLS NEEDED TO BE SUCCESSFUL IN KINDERGARTEN; -PROVIDING CLOTHING, EQUIPMENT AND OTHER ESSENTIAL ITEMS TO 1,190 HOMELESS CHILDREN AGED 0-17 THROUGH THE BABY BOUTIQUE;-SUPPORTIVE SERVICES, INCLUDING CASE MANAGEMENT THROUGH WELLSPRING'S HOUSING SERVICES HELPED INDIVIDUALS AVOID IMMINENT EVICTION AND HOMELESSNESS, AND ASSISTED FAMILIES WITH CHILDREN MOVE FROM HOMELESSNESS INTO STABLE HOUSING - 76% OF WHOM WERE STILL STABLY HOUSED WHEN EXITING SERVICES; -PARENT-CHILD SERVICES THAT WORKED WITH LOW-INCOME FAMILIES WHO HAVE EXPERIENCED HOMELESSNESS AND OTHER TRAUMA. 2276554 2730531 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. 255814 95177 DOMESTIC VIOLENCE INTERVENTION AND PREVENTION SERVICES PROVIDE STATE CERTIFIED SERVICES TO STOP VIOLENCE AT HOME AND HELP PEOPLE BUILD HEALTHIER RELATIONSHIPS. 255814 95177 10315174 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 0 1 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 1 0 0 0 1 1 0 0 0 1 0 0 0 0 1 720 0 1 168 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 19 19 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 WA X X HEATHER FITZPATRICK 2068263050 1900 RAINIER AVENUE SOUTH SEATTLE WA 98144 BEN SHOBERT CHAIRMAN 5.00 0.00 X X 0 0 0 ETHAN J NORRIS IMMEDIATE PAST CHAIR 5.00 0.00 X X 0 0 0 JONATHAN PERRINO TREASURER 2.00 0.00 X X 0 0 0 DERRICK WILLIAMS SECRETARY 5.00 0.00 X X 0 0 0 CHASE ALVORD BOARD MEMBER 2.00 0.00 X 0 0 0 ARLESIA BAILEY BOARD MEMBER 2.00 0.00 X 0 0 0 ELEANOR BRADLEY BOARD MEMBER 2.00 0.00 X 0 0 0 COLLEEN COSGROVE BOARD MEMBER 2.00 0.00 X 0 0 0 EMELIE EAST BOARD MEMBER 2.00 0.00 X 0 0 0 LEAH LEWIS BOARD MEMBER 2.00 0.00 X 0 0 0 DAVE HIATT BOARD MEMBER 2.00 0.00 X 0 0 0 RACHEL LONSDALE BOARD MEMBER 2.00 0.00 X 0 0 0 STEVE LOSLEBEN BOARD MEMBER 2.00 0.00 X 0 0 0 MO MALAKOUTIAN BOARD MEMBER 2.00 0.00 X 0 0 0 BENJAMIN MARGOLES BOARD MEMBER 2.00 0.00 X 0 0 0 NICOLE MATUSKA MOSCHECK BOARD MEMBER 2.00 0.00 X 0 0 0 JULISSA MCWASHINGTON BOARD MEMBER 2.00 0.00 X 0 0 0 NANCY MYLES BOARD MEMBER 2.00 0.00 X 0 0 0 ANNE NIELSEN BOARD MEMBER 2.00 0.00 X 0 0 0 MARK RUFFO BOARD MEMBER 2.00 0.00 X 0 0 0 DAVE X SAMPSON BOARD MEMBER 2.00 0.00 X 0 0 0 CHRISTIAN SCHILLER BOARD MEMBER 2.00 0.00 X 0 0 0 JULIE H SEIDENSTEIN BOARD MEMBER 2.00 0.00 X 0 0 0 DIANE ST JOHN BOARD MEMBER 2.00 0.00 X 0 0 0 LYNN STEINBERG BOARD MEMBER 2.00 0.00 X 0 0 0 JEFF TURNER BOARD MEMBER 2.00 0.00 X 0 0 0 HEATHER WIGHT-AXLING BOARD MEMBER 2.00 0.00 X 0 0 0 STUART WILLIAMS BOARD MEMBER 2.00 0.00 X 0 0 0 LEE WONG BOARD MEMBER 2.00 0.00 X 0 0 0 CARRIE WOOLMAN BOARD MEMBER 2.00 0.00 X 0 0 0 HEATHER FITZPATRICK CEO/PRESIDENT 40.00 0.00 X 47917 0 6251 PETER DRURY CHIEF STRATEGY OFFICER (FROM 12/18) 40.00 0.00 X 0 0 0 BOB MENDONSA DIRECTOR, HUMAN RESOURCES 40.00 0.00 X 126095 0 17833 174012 0 24084 1 0 0 0 WORKPLACE OPTIONS LLC 2912 HIGHWOODS BLVD SUITE 100 RALEIGH NC 27604 EAP SERVICES 322162 MARKETFITZ INC PO BOX 1839 EDMONDS WA 98020 CONSULTING SERVICES 173502 CLC INCORPORATED 3001 LAVA RIDGE COURT SUITE 250 ROSEVILLE CA 95661 EAP SERVICES 108561 3 351811 384819 1833735 1806465 425580 4376830 EMPLOYEE ASSISTANCE 624100 5364512 5364512 COUNSELING SERVICES 621300 2730531 2730531 COMMUNITY SERVICES 621300 95177 95177 TRAINING SERVICES 624100 6310 6310 8196530 907 907 200 0 200 200 200 35900 384819 104166 -68266 -68266 DISCONT. OPERATIONS 900099 -490063 -490063 3744 3744 -486319 12019882 8196530 0 -553478 X 1164840 1164840 54168 43751 7297 3120 5442642 4385004 741444 316194 514540 423504 63363 27673 440733 356502 59014 25217 25694 4335 21359 62714 62714 13800 13800 2929587 2639058 274718 15811 57666 41226 7940 8500 309609 199209 73028 37372 431971 186834 206580 38557 383391 278474 85367 19550 29592 22530 4460 2602 3045 2645 400 263906 365 263541 589092 486413 86832 15847 36483 29518 5039 1926 HUMAN RESOURCE SERVICES 55142 7538 47604 0 BAD DEBT EXPENSE 34983 34983 0 VOLUNTEER AND DONOR EXP 12835 1537 1762 9536 STAFF TRAINING/DVELPMNT 9639 6908 932 1799 12866072 10315174 2027194 523704 179527 175595 676211 570931 528848 392982 1108591 908618 57717 73372 77322 84760 18018384 5949033 12613254 12069351 15241470 14275609 1236725 1201146 70937 7281 4991883 4844190 1000000 1000000 130846 267709 7430391 7320326 X 7376903 6518235 386186 389058 47990 47990 7811079 6955283 15241470 14275609 X -846190 -9606 X 0 1 X 1 0 X 5372321 5510891 5716165 5658968 4376830 26635175 14400 14400 19400 14400 14400 77000 5386721 5525291 5735565 5673368 4391230 26712175 26712175 3065 784 66 481 907 5303 4532 5737 1532 12135 3744 27680 26745158 41969728 0.99880 0.99870 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS - 2014 AMOUNT: $ 2,123. 2015 AMOUNT: $ 187. 2016 AMOUNT: $ 232. 2017 AMOUNT: $ 3,726. 2018 AMOUNT: $ 3,744. NON EAP OTHER FEES - 2014 AMOUNT: $ 609. 2015 AMOUNT: $ 1,375. INTERNATIONAL FEES - 2014 AMOUNT: $ 1,800. 2015 AMOUNT: $ 3,975. 2016 AMOUNT: $ 1,300. REIMBURSEMENTS/REFUNDS - 2015 AMOUNT: $ 200. 2017 AMOUNT: $ 8,409. 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 47490 500 47990 45500 1990 47490 45500 45500 0.00000 1.00000 0.00000 0 0 2456349 2456349 13611580 4264886 9346694 448967 445124 3843 1203536 1070040 133496 297952 168983 128969 12069351 CAPITAL LEASE OBLIGATION 83077 ABANDONED LEASE OBLIGATION 184632 267709 12206848 82800 82800 12124048 -104166 -104166 12019882 13062644 82800 113772 196572 12866072 0 12866072 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. PART XI, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES -104,166. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 104,166. LOSS ON UNCOLLECTIBLE PLEDGES 9,606. ANNUAL LUNCHEON 420719 384819 35900 70066 34100 420719 384819 35900 70066 34100 104166 -68266 1 HOUSING ASSISTANCE 1129 766328 FAIR MARKET VALUE HOUSING ASSISTANCE INCLUDING PAYMENT FOR RENT, UTILITIES,GROCERY DEBIT CARDS AND IDENTIFICATION REPLACEMENT. CLOTHING AND GOODS 1190 398512 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. A WASHINGTON HEALTH CARE FACILITIES AUTHORITY 911108929 2015-10-16 5404774 REFINANCE LOAN 0 0 0 A 514355 5404774 86154 5318620 2015 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 A 0 1 0 0 1 0 0 0 0 A 1 PART I (F) REFINANCE LOAN - REFINANCE NEW MARKET TAX CREDIT. DAVID HIATT BOARD MEMBER ADDITION OF WORKING CAPITAL X 1000000 1000000 0 1 1 1000000 MARKETFITZ INC COMPANY OWNED BY HEATHER FITZPATRICK, CEO/PRESIDENT 173502 PAYMENT FOR INTERIM CEO SERVICES 0 X 419150 FAIR MARKET VALUE X 5 9430 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: NUMBER OF VOLUNTEERS 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 BABY BOUTIQUE, 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 III, LINE 3 WELLSPRING DISCONTINUED TWO OPERATIONS DURING THE YEAR ENDED DECEMBER 31, 2018: THE BELLEVUE COUNSELING AND TRAINING SERVICES OFFICE, AND ITS PSYCHIATRY PRACTICE. FORM 990, PART VI, SECTION A, LINE 3 HEATHER FITZPATRICK FROM MARKETFITZ, INC. SERVED AS INTERIM CEO FROM JANUARY - SEPTEMBER 2018, AFTER WHICH SHE BECAME AN EMPLOYEE OF THE ORGANIZATION. WELLSPRING FAMILY SERVICES PAID MARKETFITZ, INC. FOR THE SERVICES. HEATHER FITZPATRICK'S COMPENSATION FROM MARKETFITZ, INC. IS UNAVAILABLE. 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 AUGUST 2018. 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 1,588,280. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,588,280. CONTRACT TRAINERS: PROGRAM SERVICE EXPENSES 58,729. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 58,729. EAP VENDORS (SOUND OPTIONS): PROGRAM SERVICE EXPENSES 191,331. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 191,331. CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 656,210. MANAGEMENT AND GENERAL EXPENSES 73,878. FUNDRAISING EXPENSES 15,811. TOTAL EXPENSES 745,899. CONSULTANTS: PROGRAM SERVICE EXPENSES 11,750. MANAGEMENT AND GENERAL EXPENSES 187,156. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 198,906. EAP LEGAL/FINANCIAL PROVIDERS: PROGRAM SERVICE EXPENSES 128,938. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 128,938. OTHER: PROGRAM SERVICE EXPENSES 3,820. MANAGEMENT AND GENERAL EXPENSES 13,684. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 17,504. FORM 990, PART XI, LINE 9: LOSS ON UNCOLLECTIBLE PLEDGES -9,606. FAMILY SERVICES PROPERTY LLC 1900 RAINIER AVENUE SOUTH SEATTLE WA 98144 260217889 TRANSFERRED FACILITY TO WFS IN 2015 WA 0 0 WELLSPRING FAMILY SERVICES