2014-07-18T15:20:28-05:00 2013-12-31 911194016 CLARK NUBER PS 10900 NE 4TH STREET SUITE 1700 BELLEVUE WA 98004 990 2013-01-01 910567261 WELLSPRING FAMILY SERVICES WELL 2068263050 1900 RAINIER AVENUE SOUTH SEATTLE WA 98144 RUTHANN HOWELL CEO/PRESIDENT 2068263050 2014-07-17 1 SARA ELIZABETH J HYRE P00235495 4254544919 2014-07-18 2013 2015-11-30 17:44:51Z RUTHANN HOWELL 1900 RAINIER AVENUE SOUTH SEATTLE WA 98144 11471332 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 2013, WE HELPED OVER 5,500 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. 22 22 156 795 0 0 4891335 4129135 7309205 7290257 7295 5333 -7010 -58999 12200825 11365726 1262745 827081 0 0 7507817 6838621 0 0 311334 4202571 4107978 12973133 11773680 -772308 -407954 18930624 18248107 7004204 6728199 11926420 11519908 X TO BUILD EMOTIONALLY HEALTHY SELF-SUFFICIENT FAMILIES & A NON-VIOLENT COMMUNITY IN WHICH THEY CAN THRIVE. 0 0 3367474 819101 174060 SERVICES FOR HOMELESS AND AT-RISK FAMILIES SERVED 1,492 FAMILIES IN 2013. THESE SERVICES INCLUDE SPECIALIZED CHILDCARE IN THE EARLY LEARNING CENTER, PROVIDING SPECIALIZED CHILD CARE TO 92 CHILDREN IN 2013; PROVIDING CLOTHING AND OTHER ESSENTIAL ITEMS TO 2,383 HOMELESS CHILDREN AGED 0-17; SUPPORTIVE SERVICES, INCLUDING CASE MANAGEMENT, HELPED 354 INDIVIDUALS AND FAMILIES AVOID EVICTION AND HOMELESSNESS, WHILE 70 FAMILIES WERE MOVED INTO SAFE HOMES. 3137189 7980 3372984 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 2,002 ADULTS AND CHILDREN IN 2013. 2893115 3743213 THE WELLSPRING EMPLOYEE ASSISTANCE PROGRAM (EAP) HELPS ORGANIZATIONS HARNESS THE STRENGTH OF THEIR WORKFORCE BY PROVIDING COST-EFFECTIVE, RESPONSIVE SERVICES THAT HELP EMPLOYERS AND EMPLOYEES REACH THEIR FULL POTENTIAL. WELLSPRING MADE EAP SERVICES AVAILABLE TO 146,960 EMPLOYEES OF CLIENT COMPANIES IN 2013. 355244 DOMESTIC VIOLENCE INTERVENTION AND PREVENTION SERVICES PROVIDE STATE CERTIFIED SERVICES TO STOP VIOLENCE AT HOME AND HELP PEOPLE BUILD HEALTHIER RELATIONSHIPS. 117 INDIVIDUALS PARTICIPATED IN THE DOMESTIC VIOLENCE INTERVENTION PROGRAM IN 2013. 355244 9753022 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 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 1 465 0 1 156 1 0 0 0 0 0 1 1 0 0 0 0 X 22 22 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X X DEBORAH TOWNSEND 2068263041 1900 RAINIER AVENUE SOUTH SEATTLE WA 98144 STEVEN LOSLEBEN BOARD CHAIR 2.00 X X 0 0 0 CHRISTIAN SCHILLER CHAIR ELECT 2.00 X X 0 0 0 RUSSELL YOUNG PAST BOARD CHAIR 2.00 X X 0 0 0 AMY HUMPHREYS TREASURER 2.00 X X 0 0 0 EMELIE EAST SECRETARY 2.00 X X 0 0 0 BRIAN BUCKLEY BOARD MEMBER 2.00 X 0 0 0 JESSICA CANTLIN BOARD MEMBER 2.00 X 0 0 0 JEFFREY CORDICK BOARD MEMBER 2.00 X 0 0 0 SUSANNA HURLEY BOARD MEMBER 2.00 X 0 0 0 NICOLE MATUSKA BOARD MEMBER 2.00 X 0 0 0 BRAD MCKEOWN BOARD MEMBER 2.00 X 0 0 0 MARK METCALF BOARD MEMBER 2.00 X 0 0 0 NANCY MYLES BOARD MEMBER 2.00 X 0 0 0 ANNE NIELSEN BOARD MEMBER 2.00 X 0 0 0 MARY PEDERSEN BOARD MEMBER 2.00 X 0 0 0 JONATHAN PERRINO BOARD MEMBER 2.00 X 0 0 0 DIANE ST JOHN BOARD MEMBER 2.00 X 0 0 0 THERESA SHAW BOARD MEMBER 2.00 X 0 0 0 BARNETT SILVER BOARD MEMBER 2.00 X 0 0 0 RICHARD WAGNER BOARD MEMBER 2.00 X 0 0 0 WILLIAM WEIGAND BOARD MEMBER 2.00 X 0 0 0 DERRICK WILLIAMS BOARD MEMBER 2.00 X 0 0 0 KEVIN OSBORNE BOARD MEMBER THRU 6/2013 2.00 X 0 0 0 RUTHANN HOWELL CEO/PRESIDENT 50.00 X 137356 0 4089 PATRICK DUFF CFO FROM 7/2013 40.00 X 56083 0 2425 SUSAN SHANNON CFO THRU 1/2013 40.00 X 28285 0 0 KATHLEEN CAMPBELL CHIEF BUSINESS DEVELOPMENT OFFICER 40.00 X 146563 0 7839 KEITH MYERS VP, CLINICAL & TRAINING SERVICES 40.00 X 103798 0 9247 SANDRA LOWE VP, COMMUNITY SERVICES 40.00 X 100198 0 9134 572283 0 32734 4 0 1 0 WORKPLACE BENEFITS LLC 2912 HIGHWOODS BLVD RALEIGH NC 27604 COUNSELING SEVICES 259869 PC BENNETT CONSULTING INC PO BOX 498 NORTH BEND WA 98045 SOFTWARE CONSULTANTS 131568 CFO SELECTIONS LLC 14432 SE EASTGATE WAY SUITE 400 BELLEVUE WA 98007 INTERIM CFO SERVICES 105081 3 821834 444901 1541508 1320892 266975 4129135 EMPLOYEE ASSISTANCE 624100 3743213 3743213 COUNSELING SERVICES 621300 3335361 3335361 COMMUNITY SERVICES 621300 174060 174060 TRAINING SERVICES 624100 37623 37623 7290257 2250 2250 4107 0 4107 4107 4107 3083 0 3083 3083 3083 42500 444901 105606 -63106 -63106 11365726 7290257 0 -53666 X 827081 827081 228238 228238 5511498 4811093 496446 203959 96743 90498 4727 1518 536942 465281 62314 9347 465200 391835 56765 16600 60907 50289 10618 64376 64376 8500 8500 1712253 1463789 242032 6432 94228 63612 30616 426757 334316 62982 29459 131371 65534 53080 12757 474023 380319 85237 8467 22178 19975 2025 178 848 848 156574 133395 20430 2749 715364 459219 247467 8678 57130 47907 7192 2031 BAD DEBT EXPENSE 129481 129481 HR SERVICES 19916 2980 16542 394 STAFF TRAINING/DEVEL 17237 14470 1747 1020 VOLUNTEER AND DONOR EXP 16835 1100 7990 7745 11773680 9753022 1709324 311334 1729267 1970511 145590 95645 761919 515342 872427 809151 136225 100582 17981393 3352337 15144152 14629056 141044 127820 18930624 18248107 953270 653536 0 254828 5905988 5703184 144946 116651 7004204 6728199 X 11311859 10932895 569061 541513 45500 45500 11926420 11519908 18930624 18248107 X -407954 13436 -11994 X 0 1 X 1 0 X 9409981 5015728 5645059 4891335 4129135 29091238 14400 14400 14400 14400 14400 72000 9424381 5030128 5659459 4905735 4143535 29163238 537275 28625963 53984 7155 5368 10427 6357 83291 93210 43328 3179 139717 29386246 37693813 0.97410 0.96080 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: INTER-AGENCY RECEIPTS - 2010 AMOUNT: $ 53,745. 2011 AMOUNT: $ 6,100. 2012 AMOUNT: $ 785. TRAINING REVENUE - 2010 AMOUNT: $ 33,159. MISCELLANEOUS - 2010 AMOUNT: $ 6,306. NON EAP OTHER FEES - 2011 AMOUNT: $ 37,228. 2012 AMOUNT: $ 419. INTERNATIONAL FEES - 2012 AMOUNT: $ 1,975. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 0 0 0 0 1 8500 0 0 8500 0 PART II-B, LINE 1: LOBBYING ACTIVITIES INCLUDE MEETING WITH STATE LEGISLATORS AND STAFF. 45500 45500 42500 3000 45500 42500 42500 42500 42500 32250 10250 42500 0.00000 1.00000 0.00000 0 0 2456349 2456349 13588083 2017143 11570940 436954 422851 14103 1319511 905786 413725 180496 6557 173939 14629056 SUBLEASE DEPOSITS 2000 CAPITAL LEASE OBLIGATION 114651 116651 11575768 13436 91000 104436 11471332 -105606 -105606 11365726 11982280 91000 117600 208600 11773680 0 11773680 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 -105,606. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 105,606. PLEDGE WRITE-OFF 11,994. LUNCHEON 487401 444901 42500 44295 61311 487401 444901 42500 44295 61311 105606 -63106 1 HOUSING ASSISTANCE 290 0 719211 FAIR MARKET VALUE HOUSING ASSISTANCE INCLUDING PAYMENT FOR RENT, UTILITIES, GROCERY DEBIT CARDS AND IDENTIFICATION REPLACEMENT. CLOTHING 2383 0 107870 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 1 0 0 0 0 0 0 0 0 KATHLEEN CAMPBELL CHIEF BUSINESS DEVELOPMENT OFFICER 146563 0 0 0 0 0 606 0 7233 0 154402 0 0 0 PART I, LINE 4A SUSAN SHANNON, FORMER CHIEF FINANCIAL OFFICER, RECEIVED $28,283 FOR A PAYMENT IN LIEU OF NOTICE. X 107870 FAIR MARKET VALUE X 5 159105 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. 96% 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. FORM 990, PART VI, SECTION B, LINE 11 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 HIM/HERSELF 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 NOVEMBER 2013. 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 984,195. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 984,195. CONTRACT TRAINERS: PROGRAM SERVICE EXPENSES 43,284. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 43,284. EAP VENDORS: PROGRAM SERVICE EXPENSES 164,907. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 164,907. CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 189,120. MANAGEMENT AND GENERAL EXPENSES 46,603. FUNDRAISING EXPENSES 6,432. TOTAL EXPENSES 242,155. CONSULTANTS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 193,210. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 193,210. OTHER: PROGRAM SERVICE EXPENSES 82,283. MANAGEMENT AND GENERAL EXPENSES 2,219. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 84,502. FORM 990, PART XI, LINE 9: PLEDGE WRITE-OFF -11,994. FAMILY SERVICES PROPERTY LLC 1900 RAINIER AVENUE SOUTH SEATTLE WA 98144 260217889 OWNERSHIP OF FACILITY USED BY WELLSPRING FAMILY SERVICES WA 480000 14598252 WELLSPRING FAMILY SERVICES