2021-05-14T16:27:03-05:00 2020-06-30 911194016 CLARK NUBER PS 10900 NE 4TH STREET SUITE 1400 BELLEVUE WA 98004 990 2019-07-01 911180810 COMPASS HEALTH COMP 4253496200 PO BOX 3810 EVERETT WA 982138810 TOM SEBASTIAN PRESIDENT/CEO 4253498414 2021-05-12 1 SARA ELIZABETH J HYRE P00235495 4254544919 2021-05-12 2019 2022-09-23 18:48:47Z TOM SEBASTIAN PO BOX 3810 EVERETT WA 982138810 78709689 0 X WWW.COMPASSHEALTH.ORG X 1984 WA 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. 10 10 1029 83 -11 0 4622560 15695426 68284566 60754882 -234389 126926 7229 24528 72679966 76601762 1098822 1025548 0 0 56390706 55495621 0 0 874484 16327280 15281815 73816808 71802984 -1136842 4798778 27069815 48486205 12155001 28904680 14914814 19581525 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. 0 0 41708789 893243 39426617 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. 14,015 EPISODES OF CARE. 9638075 5348 9944618 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. 4,095 EPISODES OF CARE. 5177067 5900 4994802 INPATIENT PROGRAM: COMPASS HEALTH OPERATES A 16-BED SECURE SHORT STAY INPATIENT TREATMENT FACILITY FOR PERSONS DETAINED UNDER THE INVOLUNTARY TREATMENT ACT. 321 EPISODES OF CARE. 3836903 22267 3602725 RESIDENTIAL TREATMENT - ELIGIBLE CLIENTS WHO ARE UNABLE TO LIVE INDEPENDENTLY DUE TO SERIOUS AND PERSISTENT MENTAL ILLNESS ARE SERVED IN TWO 16-BED FACILITIES. FACILITY IS STAFFED 24/7 AND PROVIDES COUNSELING, CASE MANAGEMENT, AND SUPPORT TO PREPARE FOR A TRANSITION TO INDEPENDENT LIVING. 124 EPISODES OF CARE. 1741785 98207 1019043 HOUSING - COMPASS HEALTH PROVIDES SAFE AND AFFORDABLE HOUSING TO HOMELESS INDIVIDUALS SO THEY CAN FOCUS ON SYMPTOM MANAGEMENT AND DAILY LIVING SKILLS, SERVED 263 HOUSEHOLDS. 1320644 583 1767077 SUBSTANCE USE DISORDER - TREATMENT FOR SUBSTANCE USE DISORDER. 186 EPISODES OF CARE.PAYEE SERVICES- PROTECTIVE PAYEE SERVICES FOR INDIVIDUALS WHO NEED ASSISTANCE MANAGING THEIR MONEY. 415 CLIENTS SERVED.SPECIALTY PROGRAMS- WE PROVIDE SPECIALTY PROGRAMS TO THE COMMUNITY WHICH ARE FUNDED THROUGH PRIVATE FOUNDATION, 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 MOTEL VOUCHERS PROGRAMS FOR PEOPLE IN EMERGENCY HOUSING SITUATIONS. 6899332 121057 6388845 63423263 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 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 0 0 1 165 0 1 1029 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 WA X X TAMERA LOESCH 4253498436 PO BOX 3810 EVERETT WA 98213 CAMIS MILAM CMO 40.00 0.00 X 403318 0 31306 TOM SEBASTIAN PRESIDENT/CEO 39.40 0.60 X 298549 0 24881 MICHAEL SHEN PSYCHIATRIST 30.00 0.00 X 278253 0 37689 MARY ELLEN LESLIE COTTER PSYCHIATRIST 32.00 0.00 X 241123 0 29099 BARBARA MCFADDEN DIRECTOR 40.00 0.00 X 240852 0 25612 MICHAEL RAMSEY PSYCHIATRIST 40.00 0.00 X 237979 0 10125 CLAIRE JUDITH PASTOR PSYCHIATRIST 40.00 0.00 X 206088 0 30636 TAMERA LOESCH CFO 38.70 1.30 X 187809 0 29460 ANASTASIA ALLES COO 40.00 0.00 X 179226 0 20522 BECKY OLSEN-HERNANDEZ CQIPO 40.00 0.00 X 148498 0 26703 LAJOLLA PETERS CAO 40.00 0.00 X 129082 0 20336 TOM KOZACZYNSKI CD&CO 40.00 0.00 X 127060 0 20259 MISSY JUDD CEA 40.00 0.00 X 82779 0 17811 DAVE SCHNEIDER BOARD CHAIR & TREASURER 0.20 0.30 X X 0 0 0 KURT CAMPBELL VICE CHAIR 0.20 0.30 X X 0 0 0 JONALYN WOOLF-IVORY SECRETARY 0.20 0.30 X X 0 0 0 ERIC RUSSELL TREASURER 0.20 0.30 X X 0 0 0 DEBBIE AHL MEMBER 0.20 0.30 X 0 0 0 ROXI CRONIN MEMBER 0.20 0.00 X 0 0 0 JOE MARRA MEMBER 0.20 0.00 X 0 0 0 SEAN GEORGE MEMBER 0.20 0.00 X 0 0 0 ALEX DESOTO MEMBER 0.20 0.00 X 0 0 0 ERIC CARLSEN MEMBER 0.20 0.10 X 0 0 0 DUANE PETERSON MEMBER THRU (09/19) 0.20 0.00 X 0 0 0 TED CONRAD MEMBER THRU (07/19) 0.20 0.00 X 0 0 0 LAURA PADLEY IMMEDIATE PAST CHAIR (THRU 09/19) 0.20 0.30 X X 0 0 0 2760616 0 324439 54 0 1 0 FASPSYCH LLC 8687 E DE VENTURA STE 310 SCOTTSDALE AZ 85258 TEMP STAFF 710008 ENVIRONMENTAL WORKS 402 15TH AVE EAST SEATTLE WA 98112 CONSTRUCTION 444768 CHAD FISHER CONSTRUCTION LLC 15900 PRESTON PLACE BURLINGTON WA 98233 CONSTRUCTION 324212 COAST REAL ESTATE SERVICE INC 2829 RUCKER AVE STE 100 EVERETT WA 98201 PROPERTY MANAGEMENT 308193 LOCUMTENENS HOLDING LLC DBA LOCUMTENENS PO BOX 405547 ATLANTA GA 30384 TEMP STAFF 282540 10 84070 9741301 5870055 37612 15695426 PATIENT SERVICES 621400 58808990 58798104 10886 RENTAL INCOME 531110 821941 821952 -11 CONSULTATION REVENUE 541900 818474 818474 DEVELOPER FEE 531110 305477 305477 60754882 24854 24854 29515 23915 5600 5600 5600 2026043 1923546 425 102497 -425 102072 102072 55335 84070 157541 -102206 -102206 8000 2500 5500 5500 REIMBURSEMENTS 900099 102630 102630 FSA 900099 8507 8507 4497 4497 115634 76601762 60744007 -11 162340 1025548 1025548 1503257 535362 836466 131429 40483736 37051606 3173525 258605 1626557 1482741 133607 10209 8139810 7433565 654872 51373 3742261 3382577 328568 31116 50850 7396 43454 458596 329348 126996 2252 102331 102331 8543 8543 3892672 3170908 451955 269809 28973 439 408 28126 2101646 1643640 425083 32923 1312447 1094543 210625 7279 3416866 3006597 393339 16930 599057 564657 30901 3499 100770 79686 19466 1618 424668 163339 261073 256 1469788 1362696 102180 4912 805411 694433 110805 173 DUES 128909 23028 105079 802 TAX & LICENSES 119274 110048 9130 96 BAD DEBT 76430 70808 5622 184584 87967 73540 23077 71802984 63423263 7505237 874484 1758711 15935113 45307 44487 579973 1322507 6657288 12264368 364263 671762 1622008 1956036 26464888 12854050 14801863 13610838 846322 833684 99871 734854 294209 1112556 27069815 48486205 6459040 8646872 184915 1642553 333317 222384 909330 1115002 2658494 12301705 0 3601693 1609905 1374471 12155001 28904680 X 11970671 14913823 2944143 4667702 14914814 19581525 27069815 48486205 4798778 -132067 0 X 0 1 X 1 1 1 X 3484129 4050048 4437956 4622560 15695426 32290119 48429553 53120737 60662830 68130662 60744007 291087789 51913682 57170785 65100786 72753222 76439433 323377908 9150 33913 17583 24439 562070 647155 0 9150 33913 17583 24439 562070 647155 322730753 59139 57782 51762 63374 54369 286426 59139 57782 51762 63374 54369 286426 49636 37603 35993 63002 0 186234 9748 32760 96238 93331 115634 347711 52032205 57298930 65284779 72972929 76609436 324198279 0.99550 0.99710 0.00090 0.00090 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: REBATES/REFUNDS - 2015 AMOUNT: $ 2,931. 2016 AMOUNT: $ 15,316. 2017 AMOUNT: $ 14,725. 2018 AMOUNT: $ 7,283. 2019 AMOUNT: $ 104,685. MISCELLANEOUS - 2015 AMOUNT: $ 279. 2016 AMOUNT: $ 402. 2017 AMOUNT: $ 2,844. 2018 AMOUNT: $ 68,059. HONORARIA - 2015 AMOUNT: $ 1,780. 2016 AMOUNT: $ 2,500. 2017 AMOUNT: $ 5,127. 2019 AMOUNT: $ 2,442. INSURANCE SETTLEMENTS - 2016 AMOUNT: $ 4,909. 2017 AMOUNT: $ 73,542. 2018 AMOUNT: $ 17,989. UNUSED FSA - 2015 AMOUNT: $ 4,758. 2016 AMOUNT: $ 9,633. 2019 AMOUNT: $ 8,507. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 1 147831 0 0 147831 0 PART II-B, LINE 1: ONE INDIVIDUAL AND AN ADDITIONAL VENDOR ADVOCATES ON BEHALF OF COMPASS HEALTH ON A STATE LEVEL FOR HOUSING AND MENTAL HEALTH ISSUES. THIS AMOUNT REPRESENTS SALARY AND VENDOR EXPENSE. 0 1 X 891629 -13458 878171 886431 5198 891629 828927 57504 886431 749540 79387 828927 770393 -20853 749540 0.00000 0.67380 0.32620 0 0 2437411 2437411 14483519 7704126 6779393 3346621 1275735 2070886 5372987 3727943 1645044 824350 146246 678104 13610838 CAPITAL LEASE LIABILITY 1374471 1374471 78250168 -132067 565750 1030767 1464450 76785718 -183956 -183956 76601762 73552203 565750 1183469 1749219 71802984 0 71802984 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 1,030,767. PART XI, LINE 4B - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSES -157,541. RENTAL EXPENSES -23,915. GAMING EXPENSES -2,500. PART XII, LINE 2D - OTHER ADJUSTMENTS: RELATED ORGANIZATION EXPENSE 999,513. SPECIAL EVENT EXPENSES 157,541. GAMING EXPENSES 2,500. RENTAL EXPENSES 23,915. BUILDING COMMUNITIES OF HOPE 139405 84070 55335 63042 300 94199 139405 84070 55335 63042 300 94199 157541 -102206 1 ASSISTANCE TO INDIVIDUALS FOR BASIC NEEDS SUCH AS FOOD, SHELTER, TRANSPORTATION AND CLOTHING 2210 872265 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 13 153283 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 1 0 CAMIS MILAM CMO 363317 0 40001 0 0 0 14000 0 17306 0 434624 0 0 0 TOM SEBASTIAN PRESIDENT/CEO 227036 0 71513 0 0 0 12258 0 12623 0 323430 0 0 0 MICHAEL SHEN PSYCHIATRIST 278253 0 0 0 0 0 13821 0 23867 0 315941 0 0 0 MARY ELLEN LESLIE COTTER PSYCHIATRIST 241123 0 0 0 0 0 11384 0 17715 0 270222 0 0 0 BARBARA MCFADDEN DIRECTOR 240852 0 0 0 0 0 11266 0 14346 0 266464 0 0 0 MICHAEL RAMSEY PSYCHIATRIST 227979 0 10000 0 0 0 0 0 10125 0 248104 0 0 0 CLAIRE JUDITH PASTOR PSYCHIATRIST 206088 0 0 0 0 0 10304 0 20332 0 236724 0 0 0 TAMERA LOESCH CFO 169495 0 18314 0 0 0 9390 0 20070 0 217269 0 0 0 ANASTASIA ALLES COO 165231 0 13995 0 0 0 8313 0 12209 0 199748 0 0 0 BECKY OLSEN-HERNANDEZ CQIPO 134608 0 13890 0 0 0 7425 0 19278 0 175201 0 0 0 PART I, LINE 7 OFFICERS OF COMPASS HEALTH RECEIVED A DISCRETIONARY BONUS DURING FY2020, WHICH WAS DETERMINED BY THE EXECUTIVE COMMITTEE, CAPPED BASED ON PERCENTAGE OF SALARY, AND IS BASED ON GOALS AND STRATEGIES BEING MET DURING THE COURSE OF THE YEAR. SELECT CLINICAL POSITIONS WITHIN THE ORGANIZATION RECEIVE A SIGN ON BONUS. X 370 FAIR MARKET VALUE X 1 6803 FAIR MARKET VALUE X AUCTION ITEMS 163 27939 FAIR MARKET VALUE X RAFFLE ITEMS 1 2500 BOOK VALUE 0 0 1 0 PART I, COLUMN (B): THE AMOUNTS REPORTED ON SCHEDULE M, PART I, COLUMN (B) REPRESENTS THE NUMBER OF CONTRIBUTIONS RECEIVED DURING THE YEAR. FORM 990, PART I, LINE 6: DURING FISCAL YEAR 2020, THERE WERE 13 VOLUNTEER BOARD MEMBERS AND FINANCE COMMITTEE MEMBERS AND 72 OTHER VOLUNTEERS WITH 11,559.69 HOURS SERVED. FORM 990, PART VI, SECTION B, LINE 11B 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 JANUARY OF 2019. 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 COMPASS HEALTH BROADWAY GP LLC 4526 FEDERAL AVENUE BUILDING 3 EVERETT WA 98203 911180810 LOW INCOME HOUSING 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 CHILD ADVOCACY CENTER OF SNOHOMISH COUNTY 1509 CALIFORNIA STREET EVERETT WA 98203 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 10 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 MILWAUKEE PARK APTS LP 4526 FEDERAL AVENUE BUILDING 3 EVERETT WA 98203 208221787 LOW INCOME HOUSING WA COMPASS HEALTH HOLDINGS LLC RELATED -16 363123 0 -11 1 0.00010 COMPASS HEALTH BROADWAY PSH LLLP 4526 FEDERAL AVENUE BUILDING 3 EVERETT WA 98203 824028757 LOW INCOME HOUSING WA COMPASS HEALTH RELATED 764 0 1 0.00010 1 1 0 1 0 0 1 0 0 0 1 0 0 1 1 0 1 0 1 MILWAUKEE PARK APTS LP A 3 COST COMPASS HEALTH BROADWAY PSH LLLP B 635000 COST COMPASS HEALTH BROADWAY PSH LLLP D 307499 COST MILWAUKEE PARK APTS LP D 75000 COST MENTAL HEALTH SERVICES OF SNOHOMISH COUNTY II D 71875 COST COUNTERPOINT COMMONS D 217388 COST COLLEGE HILL CONSOCIATION K 80195 COST CHILD ADVOCACY CENTER OF SNOHOMISH COUNTY O 626544 COST COMPASS HEALTH BROADWAY PSH LLLP G 43598 COST CHILD ADVOCACY CENTER OF SNOHOMISH COUNTY K 15026 COST MILWAUKEE PARK APTS LP Q 40555 COST COMPASS HEALTH BROADWAY PSH LLLP S 305477 COST