2020-07-14T11:36:42-05:00 2019-06-30 911194016 CLARK NUBER PS 10900 NE 4TH STREET SUITE 1400 BELLEVUE WA 98004 990 2018-07-01 911180810 COMPASS HEALTH COMP 4253496200 PO BOX 3810 EVERETT WA 982138810 TOM SEBASTIAN PRESIDENT/CEO 4253498414 2020-07-11 1 SARA ELIZABETH J HYRE P00235495 4254544919 2020-07-11 65.158.230.194 2020-07-11 08:27:47 PD P 9CA007D6FA4ECCBF5600246BD0FD47D8656BF948 872061D327DE1B6435EBAFBC02718CA312FE9A34 2018 2021-01-29 14:40:06Z TOM SEBASTIAN PO BOX 3810 EVERETT WA 982138810 75521999 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. 12 12 1008 46 -8 0 4449956 4622560 60662830 68284566 -84044 -234389 51780 7229 65080522 72679966 1565708 1098822 0 0 49667926 56390706 0 0 613931 12692220 16327280 63925854 73816808 1154668 -1136842 28359590 27069815 12160314 12155001 16199276 14914814 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. 0 0 39360654 821376 41611762 MENTAL HEALTH OUTPATIENT PROGRAM: COMPASS HEALTH OFFERS A BROADCONTINUUM OF COUNSELING SERVICES FOR ADULTS, OLDER ADULTS, CHILDREN,ADOLESCENTS AND FAMILIES. WE PROVIDE TREATMENT FOR BOTH BRIEF ANDONGOING BEHAVIORAL HEALTH ISSUES. WE UTILIZE AN ARRAY OF EVIDENCE-BASEDPRACTICES TO PROMOTE THE BEST OUTCOMES FOR CLIENTS. SERVICES INCLUDEINDIVIDUAL, GROUP, FAMILY, CASE MANAGEMENT, PEER SUPPORT, ANDPSYCHIATRIC EVALUATION WITH MEDICATION. SERVICES ARE TAILORED TO THEINDIVIDUAL, 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 THECARE TEAM. 15,650 EPISODES OF CARE. 10613250 24185 13418331 CRISIS SERVICES: COMPASS HEALTH SERVES PEOPLE OF ALL AGES WHO AREEXPERIENCING ACUTE MENTAL HEALTH ISSUES REQUIRING STABILIZATION.SERVICES AVAILABLE INCLUDE CRISIS EVALUATION AND INTERVENTION BY MENTALHEALTH PROFESSIONALS, ON AN OUTPATIENT/OUTREACH BASIS. FOR ADULTS WEALSO CAN PROVIDE A SHORT TERM STAY IN A LICENSED TRIAGE FACILITYPROVIDING 24-HOUR SUPERVISION AND SUPPORT. 4,378 EPISODES OF CARE. 5837638 14521 6289675 INPATIENT PROGRAM: COMPASS HEALTH OPERATES A 16-BED SECURE SHORT STAYINPATIENT TREATMENT FACILITY FOR PERSONS DETAINED UNDER THE INVOLUNTARYTREATMENT ACT. 252 EPISODES OF CARE. 3839632 55014 4255374 RESIDENTIAL TREATMENT - ELIGIBLE CLIENTS WHO ARE UNABLE TO LIVE INDEPENDENTLY DUE TO SERIOUS AND PERSISTENT MENTAL ILLNESS ARE SERVEDIN THREE 16-BED FACILITIES. FACILITY IS STAFFED 24/7 AND PROVIDES COUNSELING, CASE MANAGEMENT, AND SUPPORT TO PREPARE FOR A TRANSITION TO INDEPENDENT LIVING. 94 EPISODES OF CARE. 1504627 180142 1443595 HOUSING - COMPASS HEALTH PROVIDES SAFE AND AFFORDABLE HOUSING TOHOMELESS INDIVIDUALS SO THEY CAN FOCUS ON SYMPTOM MANAGEMENT AND DAILYLIVING SKILLS. SERVED 263 HOUSEHOLDS. 1290755 3584 1265831 SUBSTANCE USE DISORDER - TREATMENT FOR SUBSTANCE USE DISORDERS. 207 EPISODES OF CAREPAYEE SERVICES - PROTECTIVE PAYEE SERVICES FOR INDIVIDUALS WHO NEED ASSISTANCE MANAGING THEIR MONEY. 424 CLIENTS SERVEDSPECIALTY 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 MOTEL VOUCHER PROGRAM FOR PEOPLE IN EMERGENCY HOUSING SITUATIONS. 6635014 238740 6964800 62446556 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 1 111 0 1 1008 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 WA X DEANA GILPIN 4253498436 PO BOX 3810 EVERETT WA 98213 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 LAURA PADLEY IMMEDIATE PAST CHAIR 0.20 0.30 X X 0 0 0 JONALYN WOOLF-IVORY SECRETARY 0.20 0.30 X X 0 0 0 DUANE PEARSON MEMBER 0.20 0.00 X 0 0 0 ROXI CRONIN MEMBER 0.20 0.00 X 0 0 0 DEBBIE AHL MEMBER 0.20 0.30 X 0 0 0 TED CONRAD MEMBER 0.20 0.00 X 0 0 0 JOE MARRA MEMBER 0.20 0.00 X 0 0 0 ERIC CARLSEN MEMBER 0.20 0.10 X 0 0 0 SEAN GEORGE MEMBER 0.20 0.00 X 0 0 0 ERIC RUSSELL MEMBER 0.20 0.00 X 0 0 0 CHRISTINE PARKES MEMBER 0.20 0.00 X 0 0 0 TOM SEBASTIAN PRESIDENT/CEO 39.40 0.60 X 232792 0 23554 TAMERA LOESCH CFO 38.70 1.30 X 161039 0 22890 ANASTASIA ALLES COO 40.00 0.00 X 146131 0 19586 TOM KOZACZYNSKI CD&CO 40.00 0.00 X 95297 0 17757 MISSY JUDD CEA 40.00 0.00 X 61697 0 20858 LAJOLLA PETERS CAO 40.00 0.00 X 109885 0 16744 BECKY OLSEN-HERNANDEZ CQIPO 40.00 0.00 X 122048 0 20645 CAMIS MILAM CMO 40.00 0.00 X 385043 0 16451 BARBARA MCFADDEN DIRECTOR 40.00 0.00 X 209647 0 23805 CLAIRE JUDITH PASTOR PSYCHIATRIST 40.00 0.00 X 241487 0 24042 MICHAEL SHEN PSYCHIATRIST 25.00 0.00 X 250428 0 28165 LESLIE COTTER PSYCHIATRIST 32.00 0.00 X 193130 0 22302 LAUREN BARBER ARNP 40.00 0.00 X 165585 0 9653 2374209 0 266452 45 0 1 0 FASPSYCH LLC 8687 E VIA DE VENTURA STE 310 SCOTTSDALE AZ 85258 TEMPORARY STAFF 567615 LOCUMTENENTS HOLDING LLC PO BOX 405547 ATLANTA GA 30384 TEMPORARY STAFF 465147 COAST REAL ESTATE SERVICE 2829 RUCKER AVENUE SUITE 100 EVERETT WA 98201 PROPERTY MANAGEMENT 271716 CHAD FISHER CONSTRUCTION LLC 15900 PRESTON PLACE BURLINGTON WA 98233 CONSTRUCTION 214765 THE MOORE CENTER PO BOX 561483 DENVER CO 80256 SUBCONTRACTED MEDICAL CARE 137600 5 197508 266186 3499124 659742 296306 4622560 PATIENT SERVICES 621400 66659047 66505135 153912 CONSULTATION REVENUE 541900 911766 911766 RENTAL INCOME 531110 713753 713761 -8 68284566 31812 31812 31562 26762 4800 4800 4800 2316477 108096 2193914 496860 122563 -388764 -266201 -266201 26295 197508 119932 -93637 -93637 7300 4565 2735 2735 INSURANCE CLAIMS 900099 17989 17989 REIMBURSEMENTS 900099 10068 10068 REBATES/REFUNDS 900099 7283 7283 57991 57991 93331 72679966 68130662 -8 -73248 1098822 1098822 1687066 662771 886753 137542 41410095 35276151 5958926 175018 1614816 1349196 259172 6448 8112444 7356276 715739 40429 3566285 3032629 509602 24054 97091 1702 95389 469298 374071 93362 1865 95987 95987 10695 10695 4354606 3760480 530653 63473 52407 228 5136 47043 2003599 1663644 256016 83939 68971 61625 6888 458 4638003 4348945 271289 17769 787074 704142 77841 5091 194066 98476 94067 1523 173359 160636 12503 220 1443968 1335731 104738 3499 785539 472266 313125 148 BAD DEBT 546457 412490 133967 0 TAX, LICENSES & DUES 237740 132564 102858 2318 EMPLOYEE RECRUITMENT 176675 1649 175026 0 UBI TAXES 604 604 191141 46075 141972 3094 73816808 62446556 10756321 613931 3822747 1758711 19018 45307 812506 579973 5979542 6657288 870402 364263 1570760 1622008 26404296 11602433 13384431 14801863 867413 846322 497600 99871 535171 294209 28359590 27069815 4464569 6459040 1959387 184915 440930 333317 962234 909330 2945924 2658494 1387270 1609905 12160314 12155001 X 13159002 11970671 2753786 2657655 286488 286488 16199276 14914814 28359590 27069815 X -1136842 -135620 -12000 X 0 1 X 1 1 1 X 5293660 3484129 4050048 4437956 4622560 21888353 41665315 48429553 53120737 60662830 68130662 272009097 46958975 51913682 57170785 65100786 72753222 293897450 3000 9150 33913 17583 24439 88085 0 3000 9150 33913 17583 24439 88085 293809365 39199 59139 57782 51762 63374 271256 39199 59139 57782 51762 63374 271256 64338 49636 37603 35993 63002 250572 26132 9748 32760 96238 93331 258209 47088644 52032205 57298930 65284779 72972929 294677487 0.99710 0.99720 0.00090 0.00100 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: REBATES/REFUNDS - 2014 AMOUNT: $ 12,275. 2015 AMOUNT: $ 2,931. 2016 AMOUNT: $ 15,316. 2017 AMOUNT: $ 14,725. 2018 AMOUNT: $ 7,283. MISCELLANEOUS - 2014 AMOUNT: $ 780. 2015 AMOUNT: $ 279. 2016 AMOUNT: $ 402. 2017 AMOUNT: $ 2,844. 2018 AMOUNT: $ 68,059. HONORARIA - 2014 AMOUNT: $ 500. 2015 AMOUNT: $ 1,780. 2016 AMOUNT: $ 2,500. 2017 AMOUNT: $ 5,127. INSURANCE SETTLEMENTS - 2014 AMOUNT: $ 12,577. 2016 AMOUNT: $ 4,909. 2017 AMOUNT: $ 73,542. 2018 AMOUNT: $ 17,989. UNUSED FSA - 2015 AMOUNT: $ 4,758. 2016 AMOUNT: $ 9,633. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 1 95987 0 0 95987 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 886431 5198 891629 828927 57504 886431 749540 79387 828927 770393 -20853 749540 786782 5232 -21621 770393 0.00000 0.32130 0.67870 0 0 2723813 2723813 14541009 7284196 7256813 2512587 1063469 1449118 5296336 3143391 2152945 1330551 111377 1219174 14801863 CAPITAL LEASE LIABILITY 1609905 1609905 73770001 -135620 8856 1093160 966396 72803605 -123639 -123639 72679966 75388490 8856 1590446 1599302 73789188 27620 27620 73816808 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 1,093,160. PART XI, LINE 4B - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSES -119,932. RENTAL EXPENSES -26,762. GAMING EXPENSES -4,565. DONATED AUCTION ITEMS 27,620. PART XII, LINE 2D - OTHER ADJUSTMENTS: RELATED ORGANIZATION EXPENSE 1,427,187. SPECIAL EVENT EXPENSES 119,932. GAMING EXPENSES 4,565. RENTAL EXPENSES 26,762. LOSS ON UNCOLLECTIBLE PLEDGE 12,000. PART XII, LINE 4B - OTHER ADJUSTMENTS: DONATED AUCTION ITEMS 27,620. BUILDING COMMUNITIES OF HOPE 223803 197508 26295 1000 36814 9690 72428 223803 197508 26295 1000 36814 9690 72428 119932 -93637 1 ASSISTANCE TO INDIVIDUALS FOR BASIC NEEDS SUCH AS FOOD, SHELTER, TRANSPORTATION AND CLOTHING 4413 0 1015004 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 8 83818 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 TOM SEBASTIAN PRESIDENT/CEO 200847 0 31945 0 0 0 10711 0 12843 0 256346 0 0 0 TAMERA LOESCH CFO 146388 0 14651 0 0 0 8052 0 14838 0 183929 0 0 0 ANASTASIA ALLES COO 129881 0 16250 0 0 0 7017 0 12569 0 165717 0 0 0 CAMIS MILAM CMO 333577 0 51466 0 0 0 3119 0 13332 0 401494 0 0 0 BARBARA MCFADDEN DIRECTOR 209647 0 0 0 0 0 10254 0 13551 0 233452 0 0 0 CLAIRE JUDITH PASTOR PSYCHIATRIST 241487 0 0 0 0 0 11016 0 13026 0 265529 0 0 0 MICHAEL SHEN PSYCHIATRIST 250428 0 0 0 0 0 12521 0 15644 0 278593 0 0 0 LESLIE COTTER PSYCHIATRIST 193130 0 0 0 0 0 8548 0 13754 0 215432 0 0 0 LAUREN BARBER ARNP 165585 0 0 0 0 0 8212 0 1441 0 175238 0 0 0 PART I, LINE 7 FOUR OFFICERS OF COMPASS HEALTH RECEIVED A DISCRETIONARY BONUS DURING FY2019, 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. X MSA MERGER 1 266186 BOOK VALUE X AUCTION ITEMS 125 27620 FAIR MARKET VALUE X MISCELLANEOUS 1 2500 FAIR MARKET 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 2019, THERE WERE 13 VOLUNTEER BOARD MEMBERS AND FINANCE COMMITTEE MEMBERS AND 121 OTHER VOLUNTEERS WITH 12,957 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 2018, IMPLEMENTED IN 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. FORM 990, PART XI, LINE 9: LOSS ON UNCOLLECTIBLE PLEDGES -12,000. 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 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 MARYSVILLE STUDIO APARTMENTS 4526 FEDERAL AVENUE BUILDING 3 EVERETT WA 98203 743042867 LOW INCOME HOUSING WA COMPASS HEALTH RELATED -120284 0 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 324007 0 -8 1 0.00010 COMPASS HEALTH BROADWAY PSH LLLP 4526 FEDERAL AVENUE BUILDING 3 EVERETT WA 98203 824028757 LOW INCOME HOUSING WA COMPASS HEALTH RELATED 0 1 1.00000 1 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 CHILD ADVOCACY CENTER OF SNOHOMISH COUNTY AT DAWSON PLACE O 644638 COST MILWAUKEE PARK APTS LP D 75000 COST MILWAUKEE PARK APTS LP A 29 COST MENTAL HEALTH SERVICES OF SNOHOMISH COUNTY II D 71875 COST COUNTERPOINT COMMONS D 217388 COST