2015-05-15T12:20:43-05:00 2014-06-30 911194016 CLARK NUBER PS 10900 NE 4TH STREET SUITE 1700 BELLEVUE WA 98004 990 2013-07-01 911180810 COMPASS HEALTH COMP 4253496200 PO BOX 3810 EVERETT WA 982138810 TOM SEBASTIAN CEO 4253498414 2015-05-15 1 SARA ELIZABETH J HYRE P00235495 4254544919 2015-05-14 2013 2016-03-07 17:11:31Z TOM SEBASTIAN PO BOX 3810 EVERETT WA 982138810 36427983 0 X WWW.COMPASSHEALTH.ORG X 1984 WA PROVIDE BEHAVIORAL HEALTH CARE SERVICES. 9 9 650 122 0 0 2971111 3217389 31118920 32909490 142605 158023 34579 30881 34267215 36315783 733741 837239 0 0 26025159 28030024 0 0 174880 6659582 7179609 33418482 36046872 848733 268911 22826444 24009791 8360286 9260888 14466158 14748903 X COMPASS HEALTH IS A PRIVATE, NON-PROFIT, STATE LICENSED ORGANIZATION PROVIDING QUALITY, CREATIVE BEHAVIORAL HEALTH SERVICES IN THE FIVE NORTHWEST COUNTIES OF WASHINGTON STATE. 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 PROBLEM. IN ADDITION TO SERVING INDIVIDUALS AND FAMILIES, THE AGENCY PROVIDES CONSULTATION, TRAINING AND EDUCATIONAL SERVICES TO OTHER PROVIDERS, 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 19060699 655979 24691610 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 EVALUTATION 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. 15,256 EPISODES OF CARE.WE PROVIDE DISCOUNTED SERVICES TO PATIENTS WHO ARE UNABLE TO PAY FULL FEES. THE COST OF PROVIDING CHARITY CARE TO PATIENTS WAS $592,665 WITH NO RESTRICTED CONTRIBUTIONS BEING RECEIVED TO OFFSET THIS COST DURING THE YEAR. 3048131 20237 4013073 INPATIENT PROGRAM: COMPASS HEALTH OPERATES A 16-BED SECURE SHORT STAY INPATIENT TREATMENT FACILITY FOR PERSONS DETAINED UNDER THE INVOLUNTARY TREATMENT ACT. 367 EPISODES OF CARE. 3740520 9229 3129549 CRISIS SERVICES: WE SERVE PEOPLE OF ALL AGES WHO ARE EXPERINECING 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. 3,148 EPISODES OF CARE. 5031721 151794 1075258 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. 97 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 253 HOUSEHOLDS. -CHEMICAL DEPENDENCY TREATMENT - TREATMENT FOR SUBSTANCE USE DISORDERS. 227 EPISODES OF CARE.-PAYEE SERVICES - PROTECTIVE PAYEE SERVICES FOR INDIVIDUALS WHO NEED ASSISTANCE MANAGING THEIR MONEY. 472 CLIENTS SERVED. 5031721 151794 1075258 30881071 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 0 1 1 1 0 0 1 137 0 1 650 1 0 0 0 0 0 0 0 0 0 0 0 X 9 9 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 WA X X DEANA GILPIN 4253498436 PO BOX 3810 EVERETT WA 98213 HARVEY SMITH BOARD CHAIR 0.40 0.30 X X 0 0 0 ERIC CARLSEN BOARD VICE CHAIR 0.40 0.30 X X 0 0 0 LAURA CARLSEN BOARD SECRETARY 0.40 0.00 X X 0 0 0 DAVE FINSTAD BOARD TREASURER 0.40 0.30 X X 0 0 0 JEANNINE DAGGETT BOARD MEMBER 0.00 0.00 X 0 0 0 DUANE PEARSON BOARD MEMBER 0.00 0.00 X 0 0 0 JIM FAGERLIE BOARD MEMBER 0.30 0.70 X 0 0 0 AARON DEFOLO BOARD MEMBER 0.40 0.00 X 0 0 0 JOHN PEDERSON BOARD MEMBER 0.40 0.00 X 0 0 0 RON JACOBSON BOARD MEMBER 0.40 0.00 X 0 0 0 ALEX DESOTO BOARD MEMBER 0.40 0.00 X 0 0 0 TOM SEBASTIAN PRESIDENT / CEO 37.50 2.40 X 165283 0 16218 MARSH KELLEGREW CFO 39.60 0.40 X 133172 0 11120 BARBARA MCFADDEN DIRECTOR 40.00 0.00 X 164429 0 16283 JEFFREY NELSON PSYCHIATRIST 40.00 0.00 X 177787 0 16800 MICHAEL SHEN PSYCHIATRIST 40.00 0.00 X 213286 0 20052 FRAN KOEHLER PSYCHIATRIST 40.00 0.00 X 146624 0 17329 VICKI BRITT ADVANCED REG. NURSE PRACTITIONER 40.00 0.00 X 137113 0 14899 1137694 0 112701 10 0 1 0 DAVIS GRIMM PAYNE & MARRA INC 701 5TH AVENUE SUITE 4040 SEATTLE WA 98104 LEGAL SERVICES 185060 CLARK NUBER PS 10900 NE 4TH STREET SUITE 1700 BELLEVUE WA 98004 ACCOUNTING SERVICES 175792 ASKESIS DEVELOPMENT GROUP INC 339 SIXTH AVENUE SUITE 1100 PITTSBURGH PA 15222 SOFTWARE SERVICES 154782 COAST PROPERTY MANAGEMENT 2829 RUCKER AVENUE EVERETT WA 98201 PROPERTY MANAGEMENT SERVICES 149638 SYNERGY CONTRUCTIONINC 14040 NE 181ST STREET WOODINVILLE WA 98072 CONSTRUCTION SERVICES 135852 6 2548 17454 2926136 271251 23470 3217389 PATIENT SERVICES 621400 32041926 32004747 37179 RENTAL INCOME 531110 525314 525314 CONSULTATION REVENUE 541900 342250 342250 32909490 31173 31173 29143 1593 27550 27550 27550 228901 102051 126850 126850 126850 5236 17454 8556 -3320 -3320 REBATES/REFUNDS 900099 2654 2654 INSURANCE SETTLEMENTS 900099 1986 1986 HONORARIA 900099 1850 1850 161 161 6651 36315783 32872311 0 226083 837239 837239 330241 330241 21248262 18607851 2525657 114754 649678 549556 97773 2349 4016990 3476364 524261 16365 1784853 1531658 243645 9550 224912 2283 222629 97106 1027 96079 75186 75186 8584 8584 852155 797604 50500 4051 6534 1500 5034 908237 794678 112895 664 471271 296397 165763 9111 1925190 1754615 166198 4377 445215 373054 71153 1008 65397 58844 877 5676 860368 756313 103386 669 567397 518465 48932 BAD DEBT 319019 315449 3570 TAXES, LICENSES & DUES 132691 49093 82711 887 EMPLOYEE RECRUITMENT 117817 105796 11911 110 102530 54785 47470 275 36046872 30881071 4990921 174880 3987385 3203572 378486 356652 1643026 3843673 378488 237510 870401 870402 1342495 1222035 20622419 7487236 13140652 13135183 542796 593705 510202 510123 32513 36936 22826444 24009791 3255665 3364388 17513 1058854 2514185 2359962 552841 454788 1928386 1890854 91696 132042 8360286 9260888 X 12164926 12443386 2019976 2024261 281256 281256 14466158 14748903 22826444 24009791 X 268911 25549 -11715 X 0 1 X 1 1 1 X 3530904 3557595 2803266 2971111 3217389 16080265 32202048 31086468 28301314 31072605 32872311 155534746 35732952 34644063 31104580 34043716 36089700 171615011 2199 3000 2169 1129 3217 11714 0 2199 3000 2169 1129 3217 11714 171603297 62381 97921 103685 106846 60316 431149 563 563 62944 97921 103685 106846 60316 431712 336283 224480 6720 45853 33859 647195 4360 5175 6651 16186 36132179 34966464 31219345 34201590 36190526 172710104 0.99360 0.99360 0.00250 0.00270 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. MISCELLANEOUS - 2011 AMOUNT: $ 716. 2013 AMOUNT: $ 161. HONORARIA - 2012 AMOUNT: $ 2,375. 2013 AMOUNT: $ 1,850. INSURANCE SETTLEMENTS - 2013 AMOUNT: $ 1,986. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 1 75186 0 0 75186 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 744435 42347 786782 721983 22452 744435 726581 -4598 721983 660304 66277 726581 613571 46733 660304 0.00000 0.35750 0.64250 0 0 2628388 2628388 13506563 4997319 8509244 902769 831160 71609 2297453 1584083 713370 1287246 74674 1212572 13135183 CAPITAL LEASE LIABILITY 132042 132042 37403128 25549 1049060 1074609 36328519 -12736 -12736 36315783 37180626 1133754 1133754 36046872 0 36046872 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 1,049,060. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSE -1,593. LOSS ON SALE OF ASSETS -2,587. SPECIAL EVENT EXPENSES -8,556. PART XII, LINE 2D - OTHER ADJUSTMENTS: RELATED ORGANIZATION EXPENSE 1,109,303. RENTAL EXPENSE 1,593. LOSS ON SALE OF ASSETS 2,587. SPECIAL EVENT EXPENSES 8,556. UNCOLLECTIBLE PLEDGE EXPENSE 11,715. BUILDING COMMUNITIES OF HOPE 22690 17454 5236 7543 1013 22690 17454 5236 7543 1013 8556 -3320 1 ASSISTANCE TO INDIVIDUALS FOR BASIC NEEDS SUCH AS FOOD, SHELTER, TRANSPORTATION AND CLOTHING 2047 651394 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 185845 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 TOM SEBASTIAN PRESIDENT / CEO 165283 0 0 0 0 0 6530 0 9688 0 181501 0 0 0 BARBARA MCFADDEN DIRECTOR 164429 0 0 0 0 0 6577 0 9706 0 180712 0 0 0 JEFFREY NELSON PSYCHIATRIST 177787 0 0 0 0 0 7094 0 9706 0 194587 0 0 0 MICHAEL SHEN PSYCHIATRIST 213286 0 0 0 0 0 8532 0 11520 0 233338 0 0 0 FRAN KOEHLER PSYCHIATRIST 146624 0 0 0 0 0 5865 0 11464 0 163953 0 0 0 VICKI BRITT ADVANCED REG. NURSE PRACTITIONER 137113 0 0 0 0 0 5452 0 9447 0 152012 0 0 0 A WASHINGTON STATE HOUSING FINANCE COMMISSION 911874730 2012-07-10 500000 ENERGY EFFICIENCY LOAN PROGRAM 0 0 0 A 52635 500000 19056 500000 2012 0 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 1 1 0 0 0 1 A 1 FORM 990, PART I, LINE 6: THERE WERE 10 VOLUNTEER BOARD MEMBERS AND 112 MENTAL HEALTH OUTPATIENT INTERNS WITH 17,497 HOURS. FORM 990, PART VI, SECTION A, LINE 2 ERIC CARLSEN AND LAURA CARLSEN HAVE A FAMILY RELATIONSHIP. 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 AND BOARD 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 DECEMBER OF 2013. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: UNCOLLECTIBLE PLEDGE EXPENSE -11,715. 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 MARYSVILLE STUDIO APARTMENTS 4526 FEDERAL AVENUE BUILDING 3 EVERETT WA 98203 743042867 LOW INCOME HOUSING WA COMPASS HEALTH RELATED -68 410880 0 -42 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 -11 255223 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 296071 COST MILWAUKEE PARK APTS LP A 31 COST COUNTERPOINT COMMONS D 217388 COST MENTAL HEALTH SERVICES OF SNOHOMISH COUNTY II D 71875 COST MILWAUKEE PARK APTS LP D 75000 COST MARYSVILLE STUDIO APARTMENTS D 460194 COST MARYSVILLE STUDIO APARTMENTS A 4918 COST