2022-11-14T15:50:44-06:00 2021-12-31 911194016 CLARK NUBER PS 10900 NE 4TH STREET SUITE 1400 BELLEVUE WA 98004 990 2021-01-01 910567261 WELLSPRING FAMILY SERVICES WELL 2068263050 1900 RAINIER AVENUE SOUTH SEATTLE WA 98144 HEATHER FITZPATRICK CEO/PRESIDENT 2068263050 2022-11-08 1 HEATHER FITZPATRICK 999009999 SARA ELIZABETH H JONES P00235495 4254544919 2022-11-08 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z HEATHER FITZPATRICK 1900 RAINIER AVENUE SOUTH SEATTLE WA 98144 30549356 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. 37 37 169 222 0 0 13695092 13400507 13634497 17128472 6489 523 60837 19854 27396915 30549356 7154504 7403971 0 0 7845507 9133548 0 0 984381 10029521 13486592 25029532 30024111 2367383 525245 17988351 16834794 8943978 7265176 9044373 9569618 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 13404487 15566402 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. THE EAP PROVIDES ACCESS TO MENTAL HEALTH COUNSELING, FINANCIAL COUNSELING, LEGAL COUNSELING, CHILD CARE RESOURCES AND MUCH MORE. WE KNOW THAT USE OF THESE SERVICES HELPS EMPLOYEES STAY EMPLOYED AND HOUSED. WELLSPRING MADE EAP SERVICES AVAILABLE TO 234,000 EMPLOYEES OF CLIENT COMPANIES IN 2021. 10507386 7403971 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 13,249 PROGRAM PARTICIPANTS.-THE WELLSPRING EARLY LEARNING CENTER, WHICH SPECIALIZES IN PRE-K, TRAUMA INFORMED EDUCATION FOR AGES 1 TO 5 YEARS OLD SERVED 45 CHILDREN FROM 37 FAMILIES IN 2021. THE AVERAGE ATTENDANCE BY A STUDENT IN THE ELC PROGRAM IS 20 MONTHS.-WELLSPRING'S FAMILY STORE IS A FREE FAMILY STORE PROVIDING CLOTHING, TOYS, HYGIENE AND BASIC ESSENTIALS SUCH AS DIAPERS. IN 2021 THE BOUTIQUE SERVED 2,982 CHILDREN.-WELLSPRING HOUSING SERVICES SPECIALIZES IN THE INTERVENTION AND PREVENTION OF FAMILY HOMELESSNESS. IN 2021, HOUSING SERVICES PROVIDED SUPPORT AND CASE MANAGEMENT TO 2,888 FAMILIES. 2099130 1562070 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. 26011003 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 1540 0 169 1 0 0 0 0 0 0 0 0 0 0 X 37 37 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 STUART WILLIAMS BOARD CHAIR 2.00 X X 0 0 0 ARLESIA BAILEY PAST BOARD CHAIR 2.00 X X 0 0 0 MICHAELA KAY VICE CHAIR & CHAIR ELECT 2.00 X X 0 0 0 MO MALAKOUTIAN TREASURER 2.00 X X 0 0 0 KRISTIN MISNER-GUTIERREZ SECRETARY 2.00 X X 0 0 0 ALLISON BENABENTE BOARD MEMBER 2.00 X 0 0 0 BRENDAN BURNS BOARD MEMBER 2.00 X 0 0 0 JERRY BUSH BOARD MEMBER 2.00 X 0 0 0 ROBIN CALLAHAN BOARD MEMBER 2.00 X 0 0 0 MICHAEL B CUSACK BOARD MEMBER 2.00 X 0 0 0 PETER FINCH BOARD MEMBER 2.00 X 0 0 0 RACHEL LONSDALE BOARD MEMBER 2.00 X 0 0 0 MATT LUND BOARD MEMBER 2.00 X 0 0 0 JOE NGUYEN BOARD MEMBER 2.00 X 0 0 0 CHARLES G NORDHOFF BOARD MEMBER 2.00 X 0 0 0 ETHAN NORRIS BOARD MEMBER 2.00 X 0 0 0 OLGA PERELMAN BOARD MEMBER 2.00 X 0 0 0 DEREK RUCKMAN BOARD MEMBER 2.00 X 0 0 0 DAVE SAMPSON BOARD MEMBER 2.00 X 0 0 0 ALI SHAHRAZAD BOARD MEMBER 2.00 X 0 0 0 JASON SHINDLER BOARD MEMBER 2.00 X 0 0 0 EMILEE TELYEA BOARD MEMBER 2.00 X 0 0 0 SARA THARP BOARD MEMBER 2.00 X 0 0 0 LYNN TUTTLE BOARD MEMBER 2.00 X 0 0 0 CYNTHIA WEAVER BOARD MEMBER 2.00 X 0 0 0 EDWARD WEST BOARD MEMBER 2.00 X 0 0 0 HAYDEN WILLIAMS BOARD MEMBER 2.00 X 0 0 0 ELEANOR BRADLEY BOARD MEMBER 2.00 X 0 0 0 COLLEEN COSGROVE 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 LISA MAYFIELD BOARD MEMBER 2.00 X 0 0 0 JULISSA MCWASHINGTON BOARD MEMBER 2.00 X 0 0 0 LEE WONG BOARD MEMBER 2.00 X 0 0 0 MARK RUFFO BOARD MEMBER 2.00 X 0 0 0 JULIE SEIDENSTEIN BOARD MEMBER 2.00 X 0 0 0 DERRICK WILLIAMS BOARD MEMBER 2.00 X 0 0 0 HEATHER FITZPATRICK CEO/PRESIDENT 40.00 X 265000 0 14208 PETER SCHULTZ COO/CIO 40.00 X 231475 0 14211 PETER DRURY CHIEF STRATEGY OFFICER 40.00 X 197025 0 9865 ASA TATE CHIEF DEVELOPMENT OFFICER 40.00 X 159375 0 1172 BRIAN JONAS CONTROLLER 40.00 X 134945 0 8308 BEVETTE IRVIS SENIOR DIRECTOR CHILDHOOD SERVICES 40.00 X 132089 0 8403 TRISHA ALDRICH DIRECTOR, EAP PROGRAM 40.00 X 121125 0 8102 1241034 0 64269 7 0 1 0 TALSPACE NETWORKS LLC 33 WEST 60TH STREET 8TH FLOOR NEW YORK NY 10023 EAP SERVICES 1136180 NETWORK TECHNOLOGY SERVICES INC 12819 SE 38TH ST 368 BELLEVUE WA 98006 TECHNOLOGY SERVICES 330395 WORKPLACE OPTIONS LLC 2912 HIGHWOODS BLVD SUITE 100 RALEIGH NC 27604 EAP SERVICES 252435 BRADFORD STRUSS PO BOX 45771 SEATTLE WA 98145 TECHNOLOGY SERVICES 251000 PEOPLE INC PO BOX 392 REDMOND WA 98073 EAP SERVICES 131750 7 8290008 1534629 3575870 784511 13400507 EMPLOYEE ASSISTANCE 624100 15566402 15566402 COUNSELING SERVICES 621300 1562070 1562070 17128472 523 523 5468 0 5468 5468 5468 CREDIT CARD REBATES 900099 10032 10032 COBRA MANAGEMENT FEES 900099 3900 3900 454 454 14386 30549356 17128472 0 20377 X 7403971 7403971 892331 773296 89258 29777 6969153 4803308 1525986 639859 670980 485167 113929 71884 601084 437815 114261 49008 174940 101446 73494 42894 42894 12650 12650 10352313 10255592 87889 8832 74738 41788 23578 9372 537779 398671 79675 59433 821607 322665 468751 30191 350003 280963 56855 12185 5026 2718 2283 25 230830 230830 396506 325135 43616 27755 97227 71318 18095 7814 BAD DEBT EXPENSE 323401 294688 763 27950 DEVELOPMENT & TRAINING 31337 10652 18055 2630 HUMAN RESOURCE SERVICES 23769 1755 21191 823 VOLUNTEER AND DONOR EXP 11572 55 4674 6843 30024111 26011003 3028727 984381 553151 522101 2448993 982035 616205 1232178 2557310 2278002 169430 134164 87615 123284 18486878 6923848 11555647 11563030 17988351 16834794 2003342 1871861 1390178 18445 4533202 4370372 900000 900000 117256 104498 8943978 7265176 X 8832223 8909067 212150 660551 9044373 9569618 17988351 16834794 525245 0 X 0 1 X 1 1 1 X 5658968 4376830 5350254 13695092 13400507 42481651 14400 14400 28800 5673368 4391230 5350254 13695092 13400507 42510451 42510451 481 907 5090 15656 5991 28125 12135 3744 161423 45592 14386 237280 42775856 57809584 0.99380 0.99300 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS - 2017 AMOUNT: $ 3,726. 2018 AMOUNT: $ 3,744. 2019 AMOUNT: $ 3,482. 2020 AMOUNT: $ 45,286. 2021 AMOUNT: $ 14,386. NON EAP OTHER FEES - INTERNATIONAL FEES - 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 12650 0 0 12650 0 PART II-B, LINE 1: LOBBYING ACTIVITIES INCLUDE MEETING WITH STATE LEGISLATORS AND STAFF. 47990 47990 47990 47990 47990 47990 47990 47990 47990 47990 0.00000 1.00000 0.00000 0 0 2456349 2456349 13753109 5268947 8484162 443654 443654 0 1189384 958026 231358 644382 253221 391161 11563030 CAPITAL LEASE OBLIGATION 104498 104498 30624956 75600 75600 30549356 0 30549356 30099711 75600 75600 30024111 0 30024111 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 13249 6649667 FAIR MARKET VALUE HOUSING ASSISTANCE INCLUDING PAYMENT FOR RENT UTILITIES, GROCERY, DEBIT CARDS, AND IDENTIFICATION REPLACEMENT CLOTHING AND GOODS 1881 754304 FAIR MARKET VALUE CLOTHING FOR CHILDREN FOR THE FAMILY STORE 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 265000 0 0 0 0 0 0 0 14208 0 279208 0 0 0 PETER SCHULTZ COO/CIO 231475 0 0 0 0 0 0 0 14211 0 245686 0 0 0 PETER DRURY CHIEF STRATEGY OFFICER 197025 0 0 0 0 0 0 0 9865 0 206890 0 0 0 ASA TATE CHIEF DEVELOPMENT OFFICER 159375 0 0 0 0 0 0 0 1172 0 160547 0 0 0 A WASHINGTON HEALTH CARE FACILITIES AUTHORITY 911108929 2015-10-16 5404774 REFINANCE LOAN 0 0 0 A 1025997 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 754304 FAIR MARKET VALUE X 1 30207 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 DECEMBER 2021. 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 CONSULTANTS: PROGRAM SERVICE EXPENSES 43,483. MANAGEMENT AND GENERAL EXPENSES 58,629. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 102,112. CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 1,206,079. MANAGEMENT AND GENERAL EXPENSES 27,339. FUNDRAISING EXPENSES 8,832. TOTAL EXPENSES 1,242,250. CONTRACT THERAPISTS: PROGRAM SERVICE EXPENSES 8,454,187. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,454,187. CONTRACT TRAINERS: PROGRAM SERVICE EXPENSES 112,786. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 112,786. EAP LEGAL/FINANCIAL PROVIDERS: PROGRAM SERVICE EXPENSES 148,054. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 148,054. EAP VENDORS (SOUND OPTIONS): PROGRAM SERVICE EXPENSES 216,151. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 216,151. OTHER: PROGRAM SERVICE EXPENSES 74,852. MANAGEMENT AND GENERAL EXPENSES 1,921. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 76,773. FAMILY SERVICES PROPERTY LLC 1900 RAINIER AVENUE SOUTH SEATTLE WA 98144 260217889 TRANSFERRED FACILITY TO WFS IN 2015 WA 0 0 WELLSPRING FAMILY SERVICES