2016-05-16T13:26:44-05:00 2015-06-30 911194016 CLARK NUBER PS 10900 NE 4TH STREET SUITE 1700 BELLEVUE WA 98004 990 2014-07-01 911180810 COMPASS HEALTH COMP 4253496200 PO BOX 3810 EVERETT WA 982138810 TOM SEBASTIAN PRESIDENT / CEO 4253498414 2016-05-13 1 SARA ELIZABETH J HYRE P00235495 4254544919 2016-05-13 2014 2016-08-17 19:52:53Z TOM SEBASTIAN PO BOX 3810 EVERETT WA 982138810 48066469 0 X WWW.COMPASSHEALTH.ORG X 1984 WA PROVIDE BEHAVIORAL HEALTH CARE SERVICES. 12 12 702 167 0 0 3217389 5293660 32909490 41736694 158023 180521 30881 27309 36315783 47238184 837239 802631 0 0 28030024 37168369 0 0 260833 7179609 8374006 36046872 46345006 268911 893178 24009791 26591355 9260888 10981475 14748903 15609880 X COMPASS HEALTH CHAMPIONS THE QUEST FOR WELL-BEING THROUGHOUT OUR COMMUNITIES BY ADVANCING BEHAVIORAL HEALTH IN SNOHOMISH, SKAGIT, ISLAND, SAN JUAN AND WHATCOM COUNTIES. WE PROVIDE A FULL CONTINUUM OF OUTPATIENT, RESIDENTIAL, CRISIS AND INPATIENT SERVICES FOR CHILDREN, YOUTH, ADULTS AND OLDER ADULTS. CLIENTS SERVED MAY BE CHRONICALLY MENTALLY ILL, EXPERIENCING AN EPISODIC CRISIS, DUALLY DIAGNOSED, OR SEEKING ASSISTANCE FOR AN EMOTIONAL OR BEHAVIORAL ISSUE. IN ADDITION TO SERVING INDIVIDUALS AND FAMILIES, THE AGENCY PROVIDES CONSULTATION, TRAINING AND EDUCATIONAL SERVICES TO OTHER PROVIDERS LIKE LAW ENFORCEMENT AND CORRECTIONAL FACILITIES, AS WELL AS THE COMMUNITY AT LARGE. SUPPORTIVE ANCILLARY SERVICES SUCH AS PROTECTIVE PAYEE AND HOUSING ARE ALSO AVAILABLE. 0 0 24511467 657057 27328502 MENTAL HEALTH OUTPATIENT PROGRAM: COMPASS HEALTH OFFERS A BROAD CONTINUUM OF COUNSELING SERVICES FOR ADULTS, OLDER ADULTS, CHILDREN, ADOLESCENTS AND FAMILIES. WE PROVIDE TREATMENT FOR BOTH BRIEF AND ONGOING BEHAVIORAL HEALTH ISSUES. WE UTILIZE AN ARRAY OF EVIDENCE-BASED PRACTICES TO PROMOTE THE BEST OUTCOMES FOR CLIENTS. SERVICES INCLUDE INDIVIDUAL, GROUP, FAMILY, CASE MANAGEMENT, PEER SUPPORT, AND PSYCHIATRIC EVALUATION WITH MEDICATION. SERVICES ARE TAILORED TO THE INDIVIDUAL, AND CAN INCLUDE A RANGE OF INTENSITIES BASED ON NEED. INTENSIVE, MULTI-DISCIPLINARY TEAM-BASED SERVICES ARE AVAILABLE, PROVIDING COMMUNITY-BASED SUPPORT AND AROUND THE CLOCK ACCESS TO THE CARE TEAM. 16,667 EPISODES OF CARE. 6035008 21895 7357960 CRISIS SERVICES: COMPASS HEALTH SERVES PEOPLE OF ALL AGES WHO ARE EXPERIENCING ACUTE MENTAL HEALTH ISSUES REQUIRING STABILIZATION. SERVICES AVAILABLE INCLUDE CRISIS EVALUATION AND INTERVENTION BY MENTAL HEALTH PROFESSIONALS, ON AN OUTPATIENT/OUTREACH BASIS. FOR ADULTS WE ALSO CAN PROVIDE A SHORT TERM STAY IN A LICENSED TRIAGE FACILITY PROVIDING 24-HOUR SUPERVISION AND SUPPORT. 4,562 EPISODES OF CARE. 3424409 26946 4663750 INPATIENT PROGRAM: COMPASS HEALTH OPERATES A 16-BED SECURE SHORT STAY INPATIENT TREATMENT FACILITY FOR PERSONS DETAINED UNDER THE INVOLUNTARY TREATMENT ACT. 306 EPISODES OF CARE. 5122849 96733 2386482 COMPASS HEALTH ALSO PROVIDES SEVERAL OTHER PROGRAMS, SUCH AS:-RESIDENTIAL TREATMENT - ELIGIBLE CLIENTS WHO ARE UNABLE TO LIVE INDEPENDENTLY DUE TO SERIOUS AND PERSISTENT MENTAL ILLNESS ARE SERVED IN TWO 16-BED AND ONE 12-BED FACILITIES. FACILITY IS STAFFED 24/7 AND PROVIDES COUNSELING, CASE MANAGEMENT, AND SUPPORT TO PREPARE FOR A TRANSITION TO INDEPENDENT LIVING. 80 EPISODES OF CARE.-HOUSING - COMPASS HEALTH PROVIDES SAFE AND AFFORDABLE HOUSING TO HOMELESS INDIVIDUALS SO THEY CAN FOCUS ON SYMPTOM MANAGEMENT AND DAILY LIVING SKILLS. SERVED 117 HOUSEHOLDS.-SUBSTANCE USE DISORDER - TREATMENT FOR SUBSTANCE USE DISORDERS. 187 EPISODES OF CARE.-PAYEE SERVICES - PROTECTIVE PAYEE SERVICES FOR INDIVIDUALS WHO NEED ASSISTANCE MANAGING THEIR MONEY. 473 CLIENTS SERVED.-SPECIALTY PROGRAMS - WE PROVIDE SPECIALTY PROGRAMS TO THE COMMUNITY WHICH ARE FUNDED THROUGH PRIVATE FOUNDATIONS, SUCH AS DAY CAMP PROGRAMS FOR CHILDREN LIVING WITH SERIOUS MENTAL HEALTH ISSUES, WEEKEND CAMPS FOR CHILDREN WHO HAVE FAMILY MEMBERS LIVING WITH SUBSTANCE USE DISORDERS AND A MOTEL VOUCHER PROGRAM FOR PEOPLE IN EMERGENCY HOUSING SITUATIONS. 5122849 96733 2386482 39093733 1 1 0 1 0 0 0 0 1 1 1 0 0 0 1 0 0 1 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 145 0 1 702 1 0 0 0 0 0 0 0 0 0 0 X 12 12 1 0 1 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 WA X X DEANA GILPIN 4253498436 PO BOX 3810 EVERETT WA 98213 AARON DEFOLO BOARD MEMBER 0.40 0.30 X 0 0 0 ALEX DESOTO TREASURER 0.50 0.30 X X 0 0 0 DAVE FINSTAD FIRST VICE CHAIR 0.40 0.60 X X 0 0 0 DAVE SCHNEIDER SECRETARY 0.50 0.30 X X 0 0 0 DUANE PEARSON BOARD MEMBER 0.60 0.00 X 0 0 0 ERIC CARLSEN BOARD CHAIR 0.50 0.60 X X 0 0 0 HARVEY SMITH IMMEDIATE PAST CHAIR 0.50 0.60 X X 0 0 0 JIM FAGERLIE BOARD MEMBER 0.50 0.60 X 0 0 0 JOHN PEDERSON BOARD MEMBER 0.50 0.00 X 0 0 0 LAURA CARLSEN VICE CHAIR 0.40 0.30 X X 0 0 0 RON JACOBSON BOARD MEMBER 0.40 0.00 X 0 0 0 DAVE KLEIBER BOARD MEMBER 0.40 0.00 X 0 0 0 MARSH KELLEGREW CFO 38.70 1.30 X 139073 0 17532 TOM SEBASTIAN PRESIDENT / CEO 39.30 0.70 X 168827 0 17097 ANASTASIA ALLES COO 40.00 0.00 X 116536 0 13237 JILL HENSEN CAO 40.00 0.00 X 96682 0 16301 HEATHER FENNELL CHIEF QUALITY INFO & PRIVACY OFFICER 40.00 0.00 X 97254 0 14081 CLAIRE PASTOR PSYCHIATRIST 30.00 0.00 X 171871 0 17246 BARBARA MCFADDEN PSYCHIATRIST 40.00 0.00 X 181327 0 13563 JEFFREY NELSON PSYCHIATRIST 32.00 0.00 X 184600 0 14386 MICHAEL SHEN PSYCHIATRIST 40.00 0.00 X 220203 0 21164 SHIRLEY STALLINGS PSYCHIATRIST 20.00 0.00 X 249102 0 10511 1625475 0 155118 17 0 1 0 COAST REAL ESTATE SERVICES 2829 RUCKER AVENUE SUITE 100 EVERETT WA 98201 PROPERTY MANAGEMENT SERVICES 509470 DAVIS GRIMM PAYNE & MARRA INC 701 5TH AVENUE SUITE 4040 SEATTLE WA 98104 LEGAL SERVICES 241224 CLARK NUBER PS 10900 NE 4TH STREET SUITE 1700 BELLEVUE WA 98004 ACCOUNTING SERVICES 149912 5 STARS INC PO BOX 2574 REDMOND WA 98073 JANITORIAL SERVICES 149902 PARKER CORPORATE SERVICE INC 2009 IRON STREET BELLINGHAM WA 98225 SECURITY SERVICES 103791 5 163708 38292 3442055 1649605 5293660 PATIENT SERVICES 621400 40697997 40626618 71379 RENTAL INCOME 531110 533990 533990 CONSULTATION REVENUE 541900 504707 504707 41736694 20354 20354 18845 10627 8218 8218 8218 680038 283288 674997 128162 5041 155126 160167 160167 7458 38292 14499 -7041 -7041 INSURANCE SETTLEMENTS 900099 12577 12577 REBATES/REFUNDS 900099 12275 12275 HONORARIA 900099 500 500 780 780 26132 47238184 41665315 0 279209 802631 802631 709508 709508 27974928 24674057 3141853 159018 818857 708927 105658 4272 5049075 4432649 584879 31547 2616001 2265434 336933 13634 315234 15325 299909 191956 191956 77715 77715 9485 9485 958446 822065 133078 3303 12286 1288 2177 8821 1153619 911889 226614 15116 399463 227380 162799 9284 2120621 1789505 321400 9716 514944 447596 64487 2861 92574 48473 42473 1628 178854 158750 20104 1224589 921253 302583 753 604404 528001 75977 426 BAD DEBT 139129 114860 24269 TAXES, LICENSES & DUES 136749 51027 85671 51 PASS THROUGH 100000 100000 EMPLOYEE RECRUITMENT 63590 36261 27154 175 80348 36362 43758 228 46345006 39093733 6990440 260833 3203572 2684875 356652 184505 3843673 2370170 237510 4045992 870402 870401 1222035 1372279 21745743 8276055 13135183 13469688 593705 705217 510123 510030 36936 378198 24009791 26591355 3364388 3915936 1058854 1476625 2359962 2195422 454788 545821 1890854 2289519 132042 558152 9260888 10981475 X 12443386 12859893 2024261 2463499 281256 286488 14748903 15609880 24009791 26591355 893178 -32201 0 X 0 1 X 1 1 1 X 3557595 2803266 2971111 3217389 5293660 17843021 31086468 28301314 31072605 32872311 41665315 164998013 34644063 31104580 34043716 36089700 46958975 182841034 3000 2169 1129 3217 3000 12515 0 3000 2169 1129 3217 3000 12515 182828519 97921 103685 106846 60316 39199 407967 97921 103685 106846 60316 39199 407967 224480 6720 45853 33859 64338 375250 4360 5175 6651 26132 42318 34966464 31219345 34201590 36190526 47088644 183666569 0.99540 0.99360 0.00220 0.00250 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: REBATES/REFUNDS - 2011 AMOUNT: $ 3,644. 2012 AMOUNT: $ 2,800. 2013 AMOUNT: $ 2,654. 2014 AMOUNT: $ 12,275. MISCELLANEOUS - 2011 AMOUNT: $ 716. 2013 AMOUNT: $ 161. 2014 AMOUNT: $ 780. HONORARIA - 2012 AMOUNT: $ 2,375. 2013 AMOUNT: $ 1,850. 2014 AMOUNT: $ 500. INSURANCE SETTLEMENTS - 2013 AMOUNT: $ 1,986. 2014 AMOUNT: $ 12,577. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 1 77715 0 0 77715 0 PART II-B, LINE 1: ONE INDIVIDUAL ADVOCATES ON BEHALF OF COMPASS HEALTH ON A STATE LEVEL FOR HOUSING AND MENTAL HEALTH ISSUES. THE ABOVE AMOUNT REPRESENTS HIS SALARY. 0 1 X 786782 5232 -21621 770393 744435 42347 786782 721983 22452 744435 726581 -4598 721983 660304 66277 726581 0.00000 0.37190 0.62810 0 0 2578439 2578439 13197690 5169508 8028182 1461724 887206 574518 4260475 2152561 2107914 247415 66780 180635 13469688 CAPITAL LEASE LIABILITY 558152 558152 49711606 -32201 579415 1898923 2446137 47265469 -27285 -27285 47238184 48234736 579415 1310315 1889730 46345006 0 46345006 PART IV, LINE 2B: THE COMPASS HEALTH PAYEE PROGRAM (CHPP) PROVIDES SERVICES TO INDIVIDUALS THE SOCIAL SECURITY ADMINISTRATION (SSA) OR COURTS HAVE DETERMINED TO BE UNABLE TO MANAGE THEIR OWN FINANCES. THE GOAL OF CHPP IS TO HELP CREATE A STABLE LIVING ENVIRONMENT FOR THE BENEFICIARY AND ENSURE THEIR BASIC CURRENT NEEDS OF FOOD, SHELTER, CLOTHING AND MEDICAL CARE ARE MET. PART V, LINE 4: THE ENDOWMENT FUND CONSISTS OF ONE FUND, A PORTION OF WHICH IS RESTRICTED FOR THE ORGANIZATION'S OPERATIONAL NEEDS WHILE THE REMAINING IS APPROPRIATED FOR EXPENDITURE BY THE ORGANIZATION TO CARE FOR CHILDREN AND YOUTH. PART XI, LINE 2D - OTHER ADJUSTMENTS: RELATED ORGANIZATION REVENUE 1,898,923. PART XI, LINE 4B - OTHER ADJUSTMENTS: LOSS ON SALE OF ASSETS -2,159. SPECIAL EVENT EXPENSES -14,499. RENTAL EXPENSES -10,627. PART XII, LINE 2D - OTHER ADJUSTMENTS: RELATED ORGANIZATION EXPENSE 1,283,030. LOSS ON SALE OF ASSETS 2,159. SPECIAL EVENT EXPENSES 14,499. RENTAL EXPENSES 10,627. LUNCHEON 45750 38292 7458 1313 7459 5727 45750 38292 7458 1313 7459 5727 14499 -7041 1 ASSISTANCE TO INDIVIDUALS FOR BASIC NEEDS SUCH AS FOOD, SHELTER, TRANSPORTATION AND CLOTHING 2266 592364 OTHER PAYMENTS TO VENDORS FOR BASIC NEEDS SUCH AS SHELTER, TRANSPORTATION AND CLOTHING FOR CLIENT NEEDS. FOSTER PARENT REIMBURSEMENT FOR BASIC NEEDS SUCH AS FOOD, SHELTER, TRANSPORTATION AND CLOTHING FOR OUR FOSTER CHILDREN 12 210267 PART I, LINE 2: IT IS THE POLICY OF COMPASS HEALTH TO DISTRIBUTE A GRANT ONLY AFTER CONDUCTING AN ANALYSIS OF THE RECEIVING INDIVIDUALS' NEEDS. COMPASS HEALTH HAS SEVERAL CONTRACTS WHICH ARE MONITORED ON AN INDIVIDUAL BASIS USING SPREADSHEETS AND/OR ACCOUNTING SOFTWARE. X X X 0 0 0 0 0 0 0 0 0 MARSH KELLEGREW CFO 139073 0 0 0 0 0 7178 0 10354 0 156605 0 0 0 TOM SEBASTIAN PRESIDENT / CEO 168827 0 0 0 0 0 6680 0 10417 0 185924 0 0 0 CLAIRE PASTOR PSYCHIATRIST 171871 0 0 0 0 0 6853 0 10393 0 189117 0 0 0 BARBARA MCFADDEN PSYCHIATRIST 181327 0 0 0 0 0 3156 0 10407 0 194890 0 0 0 JEFFREY NELSON PSYCHIATRIST 184600 0 0 0 0 0 3934 0 10452 0 198986 0 0 0 MICHAEL SHEN PSYCHIATRIST 220203 0 0 0 0 0 8796 0 12368 0 241367 0 0 0 SHIRLEY STALLINGS PSYCHIATRIST 249102 0 0 0 0 0 9871 0 640 0 259613 0 0 0 A WASHINGTON STATE HOUSING FINANCE COMMISSION 911874730 2012-07-10 500000 ENERGY EFFICIENCY LOAN PROGRAM 0 0 0 A 81095 500000 19056 480944 2012 0 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 0 0 1 0 0 0 1 A 1 FORM 990, PART I, LINE 6: DURING FISCAL YEAR 2015, THERE WERE 14 VOLUNTEER BOARD MEMBERS AND FINANCE COMMITTEE MEMBERS, 139 MENTAL HEALTH OUTPATIENT INTERNS AND 14 OTHER VOLUNTEERS WITH 19,435.38 HOURS SERVED. FORM 990, PART VI, SECTION A, LINE 2 ERIC CARLSEN AND LAURA CARLSEN HAVE A FAMILY RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 4 THE BYLAWS WERE AMENDED DURING FISCAL YEAR 2015 IN ORDER TO ADD THE POSITIONS OF FIRST VICE-CHAIRPERSON (CHAIR ELECT) AND IMMEDIATE PAST CHAIRPERSON TO THE BOARD OF DIRECTORS. SUCH POSITIONS ARE CONSIDERED OFFICERS OF THE BOARD. THE BYLAWS WERE ALSO UPDATED TO INDICATE THAT ALL OFFICERS, EXCEPT FOR THE PRESIDENT, WILL SERVE A TERM OF TWO YEARS. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS REVIEWED BY THE EXECUTIVE COMMITTEE EITHER PRIOR TO OR AT THE NEXT SCHEDULED EXECUTIVE COMMITTEE MEETING. THE ACCOUNTING STAFF WILL ALSO REVIEW THE FORM 990 PRIOR TO SUBMISSION TO THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C ALL OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE REQUIRED TO REVIEW THE CONFLICT OF INTEREST POLICY AND DISCLOSE ANY INTERESTS THAT COULD POSSIBLY GIVE RISE TO A CONFLICT OF INTEREST AND/OR A RELATED PARTY TRANSACTION. SHOULD A POTENTIAL CONFLICT BE IDENTIFIED, THE FULL BOARD DETERMINES WHETHER A CONFLICT OF INTEREST EXISTS. THE FULL BOARD THEN REVIEWS THE CONFLICT AND TAKES ANY ACTION DEEMED NECESSARY TO ADDRESS THE CONFLICT. ANY INDIVIDUAL WHO HAS A CONFLICT RECUSES HIM OR HERSELF FROM VOTING ON THE MATTER. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION FOR ALL POSITIONS ARE REVIEWED AND COMPARED TO WAGE SURVEYS EVERY TWO YEARS BY THE HUMAN RESOURCES DEPARTMENT. THE LAST COMPENSATION REVIEW WAS COMPLETED IN MARCH OF 2016. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. COMPASS HEALTH HOLDINGS LLC 4526 FEDERAL AVENUE BUILDING 3 EVERETT WA 98203 911180810 HOLDING CO; MANAGING MEMBER OF MILWAUKEE PARK APTS WA 0 0 COMPASS HEALTH COLLEGE HILL CONSOCIATION 4526 FEDERAL AVENUE BUILDING 3 EVERETT WA 98203 911380645 REAL PROPERTY MANAGEMENT WA 501(C)(2) COMPASS HEALTH 1 COUNTERPOINT COMMONS 4526 FEDERAL AVENUE BUILDING 3 EVERETT WA 98203 911629821 LOW INCOME HOUSING WA 501(C)(3) LINE 7 COMPASS HEALTH 1 MENTAL HEALTH SERVICES OF SNOHOMISH COUNTY II 4526 FEDERAL AVENUE BUILDING 3 EVERETT WA 98203 911442572 LOW INCOME HOUSING WA 501(C)(3) LINE 7 COMPASS HEALTH 1 AMERICAN LUTHERAN CHURCH DBA LUTHER CHILD CENTER 4526 FEDERAL AVENUE BUILDING 3 EVERETT WA 98203 910564979 INACTIVE WA 501(C)(3) LINE 1 COMPASS HEALTH 1 CHILD ADVOCACY CENTER OF SNOHOMISH COUNTY 1509 CALIFORNIA STREET EVERETT WA 98201 270627714 COORDINATION OF SERVICES TO CHILD PHYSICAL & SEXUAL ABUSE VICTIMS WA 501(C)(3) LINE 7 COMPASS HEALTH 1 HARMONY HOUSE NORTH ASSOCIATION 1299 CEDAR AVENUE MARYSVILLE WA 98270 911494758 LOW INCOME HOUSING WA 501(C)(3) LINE 9 COMPASS HEALTH 1 MARYSVILLE STUDIO APARTMENTS 4526 FEDERAL AVENUE BUILDING 3 EVERETT WA 98203 743042867 LOW INCOME HOUSING WA COMPASS HEALTH RELATED -81 410826 0 -52 1 0.00100 MILWAUKEE PARK APTS LP 4526 FEDERAL AVENUE BUILDING 3 EVERETT WA 98203 208221787 LOW INCOME HOUSING WA COMPASS HEALTH HOLDINGS LLC RELATED -12 255439 0 -5 1 0.00010 1 0 0 1 0 0 0 0 0 0 1 1 0 1 1 0 1 0 0 CHILD ADVOCACY CENTER OF SNOHOMISH COUNTY O 355311 COST MILWAUKEE PARK APTS LP A 34 COST MENTAL HEALTH SERVICES OF SNOHOMISH COUNTY II D 71875 COST MILWAUKEE PARK APTS LP D 75176 COST MARYSVILLE STUDIO APARTMENTS A 5097 COST MARYSVILLE STUDIO APARTMENTS D 516414 COST COUNTERPOINT COMMONS D 217388 COST