2020-11-11T11:30:19-06:00 2019-12-31 911194016 CLARK NUBER PS 10900 NE 4TH STREET SUITE 1400 BELLEVUE WA 98004 990 2019-01-01 910567261 WELLSPRING FAMILY SERVICES WELL 2068263050 1900 RAINIER AVENUE SOUTH SEATTLE WA 98144 HEATHER FITZPATRICK CEO/PRESIDENT 2068263050 2020-11-05 1 SARA ELIZABETH J HYRE P00235495 4254544919 2020-11-03 65.158.230.194 2020-11-05 17:41:21 PS P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 89717B589FD00BFA15541EEC558887732FC50FBC 2019 2021-01-29 14:40:06Z HEATHER FITZPATRICK 1900 RAINIER AVENUE SOUTH SEATTLE WA 98144 15148637 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. 27 27 132 850 0 0 4376830 5350254 8196530 9581483 1107 12576 -554585 89966 12019882 15034279 1164840 2025117 0 0 6452083 6985819 0 0 625050 5249149 6301636 12866072 15312572 -846190 -278293 14275609 14693340 7320326 8016350 6955283 6676990 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 1 6126086 7471137 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. WELLSPRING MADE EAP SERVICES AVAILABLE TO 172,000 EMPLOYEES OF CLIENT COMPANIES IN 2019. 4477769 2025117 2100 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 2019 WELLSPRING SERVED 3,244 PROGRAM PARTICIPANTS. -THE WELLSPRING EARLY LEARNING CENTER, WHICH SPECIALIZES IN PRE-K, TRAUMA INFORMED EDUCATION FOR AGES 1 TO 5 YEARS OLD SERVED 67 CHILDREN FROM 53 FAMILIES IN 2019. THE AVERAGE ATTENDANCE BY A STUDENT IN THE ELC PROGRAM IS 15 MONTHS. -WELLSPRING'S BABY BOUTIQUE IS A FREE FAMILY STORE PROVIDING CLOTHING, TOYS, HYGIENE AND BASIC ESSENTIALS SUCH AS DIAPERS. IN 2019 THE BOUTIQUE SERVED 1,263 CHILDREN.-WELLSPRING HOUSING SERVICES SPECIALIZES IN THE INTERVENTION AND PREVENTION OF FAMILY HOMELESSNESS. 1N 2019, HOUSING SERVICES PROVIDED SUPPORT AND CASE MANAGEMENT TO 730 FAMILIES. 2150553 2108246 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. 12754408 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 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 1 988 0 1 132 1 0 0 0 0 0 0 0 0 0 0 X 27 27 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 HEATHER FITZPATRICK CEO/PRESIDENT 40.00 X 230000 0 9399 PETER DRURY CHIEF STRATEGY OFFICER 40.00 X 153949 0 9020 ROBERT MENDONSA DIRECTOR, HUMAN RESOURCES 40.00 X 129829 0 8388 KEVIN HOST S. DIRECTOR, ENTERPRISE SERVICES 40.00 X 122892 0 8187 PETER SCHULTZ COO/CIO 40.00 X 128192 0 6533 ARLESIA BAILEY CHAIR 2.00 X X 0 0 0 ELEANOR BRADLEY SECRETARY 2.00 X X 0 0 0 COLLEEN COSGROVE BOARD MEMBER 2.00 X 0 0 0 MICHAEL B CUSACK BOARD MEMBER 2.00 X 0 0 0 EMELIE EAST 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 MICHAELA KAY TREASURER 2.00 X X 0 0 0 RACHEL LONSDALE BOARD MEMBER 2.00 X 0 0 0 MATT LUND BOARD MEMBER 2.00 X 0 0 0 MO MALAKOUTIAN BOARD MEMBER 2.00 X 0 0 0 NICOLE MATUSKA MOSCHECK 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 JOE T NGUYEN BOARD MEMBER 2.00 X 0 0 0 CHARLES G NORDHOFF BOARD MEMBER 2.00 X 0 0 0 ETHAN J NORRIS BOARD MEMBER 2.00 X 0 0 0 OLGA A PERELMAN BOARD MEMBER 2.00 X 0 0 0 JONATHAN PERRINO BOARD MEMBER 2.00 X 0 0 0 DEREK RUCKMAN BOARD MEMBER 2.00 X 0 0 0 MARK RUFFO BOARD MEMBER 2.00 X 0 0 0 DAVE X SAMPSON BOARD MEMBER 2.00 X 0 0 0 JULIE H SEIDENSTEIN BOARD MEMBER 2.00 X 0 0 0 JASON SHINDLER BOARD MEMBER 2.00 X 0 0 0 BEN SHOBERT IMMEDIATE PAST CHAIR 2.00 X X 0 0 0 JEFFREY TREASURE BOARD MEMBER 2.00 X 0 0 0 LYNN C TUTTLE BOARD MEMBER 2.00 X 0 0 0 EDWARD WEST BOARD MEMBER 2.00 X 0 0 0 DERRICK WILLIAMS BOARD MEMBER 2.00 X 0 0 0 STUART WILLIAMS BOARD MEMBER 2.00 X 0 0 0 LEE WONG BOARD MEMBER 2.00 X 0 0 0 CARRIE WOOLMAN BOARD MEMBER 2.00 X 0 0 0 764862 0 41527 5 0 1 0 WORKPLACE OPTIONS LLC 2912 HIGHWOODS BLVD SUITE 100 RALEIGH NC 27604 EAP SERVICES 272702 MY SECURE ADVANTAGE INC 3001 LAVA RIDGE COURT SUITE 250 ROSEVILLE CA 95661 EAP SERVICES 104568 2 1649960 285604 2592729 821961 478684 5350254 EMPLOYEE ASSISTANCE 624100 7471137 7471137 COUNSELING SERVICES 621300 2108246 2108246 TRAINING SERVICES 624100 2100 2100 9581483 1190 1190 3900 0 3900 3900 3900 11386 0 11386 11386 11386 39000 285604 114358 -75358 -75358 DISCONT. OPERATIONS 900099 134913 134913 RESTITUTION INCOME 900099 23028 23028 3483 3483 161424 15034279 9581483 0 102542 X 2025117 2025117 537093 408030 92111 36952 5441500 4108233 947971 385296 490707 393776 75137 21794 516519 396930 83124 36465 12795 9314 3481 64142 2500 61642 13800 13800 4031165 3995286 28329 7550 54808 43487 7343 3978 314814 209729 65558 39527 460522 239451 187530 33541 417095 409049 8046 21743 16874 4869 265146 265146 486846 399214 53553 34079 104289 78258 18803 7228 HUMAN RESOURCE SERVICES 24434 6073 18361 VOLUNTEER AND DONOR EXP 12536 2152 151 10233 BAD DEBT EXPENSE 10935 10935 UNRELATED BUSINESS INCO 1300 1300 5266 1728 3538 15312572 12754408 1933114 625050 175595 115955 570931 636457 392982 561193 908618 1593973 73372 82662 84760 88914 18038681 6424495 12069351 11614186 14275609 14693340 1201146 1861258 7281 346885 4844190 4686202 1000000 1000000 267709 122005 7320326 8016350 X 6518235 6508770 437048 168220 6955283 6676990 14275609 14693340 -278293 0 X X 0 1 X 1 0 X 5510891 5716165 5658968 4376830 5350254 26613108 14400 19400 14400 14400 0 62600 5525291 5735565 5673368 4391230 5350254 26675708 26675708 784 66 481 907 5090 7328 5737 1532 12135 3744 161423 184571 26867607 43713986 0.99290 0.99880 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS - 2015 AMOUNT: $ 187. 2016 AMOUNT: $ 232. 2017 AMOUNT: $ 3,726. 2018 AMOUNT: $ 3,744. 2019 AMOUNT: $ 3,482. NON EAP OTHER FEES - 2015 AMOUNT: $ 1,375. INTERNATIONAL FEES - 2015 AMOUNT: $ 3,975. 2016 AMOUNT: $ 1,300. REIMBURSEMENTS/REFUNDS - 2015 AMOUNT: $ 200. 2017 AMOUNT: $ 8,409. RESTITUTION INCOME - 2019 AMOUNT: $ 23,028. INCOME FROM DISCONTINUED OPERATIONS - 2019 AMOUNT: $ 134,913. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 0 0 0 0 1 13800 0 0 13800 0 PART II-B, LINE 1: LOBBYING ACTIVITIES INCLUDE MEETING WITH STATE LEGISLATORS AND STAFF. 47990 47990 47990 47990 47990 47990 47490 500 47990 45500 1990 47490 0.00000 1.00000 0.00000 0 0 2456349 2456349 13611580 4643124 8968456 448967 448967 0 1253537 1122105 131432 268248 210299 57949 11614186 CAPITAL LEASE OBLIGATION 60973 ABANDONED LEASE OBLIGATION 61032 122005 14934493 75600 -289744 -214144 15148637 -114358 -114358 15034279 15212786 75600 114358 189958 15022828 289744 289744 15312572 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 2D - OTHER ADJUSTMENTS: EXPENSES FROM DISCONTINUED OPERATIONS -289,744. PART XI, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES -114,358. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 114,358. PART XII, LINE 4B - OTHER ADJUSTMENTS: DISCONTINUED OPERATIONS 289,744. ANNUAL LUNCHEON 324604 285604 39000 30824 39770 43764 324604 285604 39000 30824 39770 43764 114358 -75358 1 HOUSING ASSISTANCE 730 1615055 FAIR MARKET VALUE HOUSING ASSISTANCE INCLUDING PAYMENT FOR RENT, UTILITIES,GROCERY DEBIT CARDS AND IDENTIFICATION REPLACEMENT. CLOTHING AND GOODS 1263 410062 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 0 0 0 0 0 0 0 0 0 HEATHER FITZPATRICK CEO/PRESIDENT 230000 0 0 0 0 0 0 0 9399 0 239399 0 0 0 PETER DRURY CHIEF STRATEGY OFFICER 153949 0 0 0 0 0 0 0 9020 0 162969 0 0 0 A WASHINGTON HEALTH CARE FACILITIES AUTHORITY 911108929 2015-10-16 5404774 REFINANCE LOAN 0 0 0 A 680297 5404774 86154 5318620 2015 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 A 0 1 0 0 1 0 0 0 0 A 1 X 419352 FAIR MARKET VALUE X 4 7407 FAIR MARKET VALUE X FURNITURE 220 51925 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. 90% 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. 3% SERVE AS VOLUNTEER DIRECTORS ON THE AGENCY BOARD OF DIRECTORS. 3% SERVE AS VOLUNTEER MEMBERS ON THE AGENCY ASSOCIATE BOARD. FORM 990, PART III, LINE 3 WELLSPRING DISCONTINUED TWO OPERATIONS DURING THE YEAR ENDED DECEMBER 31, 2019: THE DOMESTIC VIOLENCE INTERVENTION PROGRAM AND THE PARENT CHILD SERVICES. 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 AUGUST 2019. 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 2,693,382. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,693,382. CONTRACT TRAINERS: PROGRAM SERVICE EXPENSES 57,821. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 57,821. EAP VENDORS (SOUND OPTIONS): PROGRAM SERVICE EXPENSES 212,567. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 212,567. CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 903,459. MANAGEMENT AND GENERAL EXPENSES 25,434. FUNDRAISING EXPENSES 7,550. TOTAL EXPENSES 936,443. CONSULTANTS: PROGRAM SERVICE EXPENSES 11,390. MANAGEMENT AND GENERAL EXPENSES 2,895. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,285. EAP LEGAL/FINANCIAL PROVIDERS: PROGRAM SERVICE EXPENSES 100,032. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 100,032. OTHER: PROGRAM SERVICE EXPENSES 16,635. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,635. FORM 990, PART XII, LINE 2C: EXPLANATION BEGINNING IN 2019, ASIDE FROM THE FINANCE COMMITTEE THE AGENCY IMPLEMENTED AN AUDIT COMMITTEE TO OVERSEE THE ANNUAL AUDIT. FAMILY SERVICES PROPERTY LLC 1900 RAINIER AVENUE SOUTH SEATTLE WA 98144 260217889 TRANSFERRED FACILITY TO WFS IN 2015 WA 0 0 WELLSPRING FAMILY SERVICES