2019-05-15T11:49:00-05:00 2018-06-30 911194016 CLARK NUBER PS 10900 NE 4TH STREET SUITE 1400 BELLEVUE WA 98004 990 2017-07-01 911180810 COMPASS HEALTH COMP 4253496200 PO BOX 3810 EVERETT WA 982138810 TOM SEBASTIAN PRESIDENT / CEO 4253498414 2019-05-14 1 SARA ELIZABETH J HYRE P00235495 4254544919 2019-05-14 65.158.230.194 2019-05-14 14:47:15 PD P DE1D2BBAE0F1147E7A7EA18DABEA7E867F199504 E916B56A7DACA32809615C1BD30E129B9BAF2457 2017 2019-02-21 02:37:17Z TOM SEBASTIAN PO BOX 3810 EVERETT WA 982138810 66984842 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. 10 10 954 56 -43 3362 4050048 4449956 53173210 60662830 21047 -84044 27465 51780 57271770 65080522 856106 1565708 0 0 46015986 49667926 0 0 495538 11791251 12692220 58663343 63925854 -1391573 1154668 28300817 28359590 13289318 12160314 15011499 16199276 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 32705077 564654 31073202 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. 17,245 EPISODES OF CARE. 10088357 50139 10092898 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. 3,737 EPISODES OF CARE. 3939023 23140 5088803 INPATIENT PROGRAM: COMPASS HEALTH OPERATES A 16-BED SECURE SHORT STAYINPATIENT TREATMENT FACILITY FOR PERSONS DETAINED UNDER THE INVOLUNTARYTREATMENT ACT. 273 EPISODES OF CARE. 3485651 70204 4356579 RESIDENTIAL TREATMENT - ELIGIBLE CLIENTS WHO ARE UNABLE TO LIVEINDEPENDENTLY DUE TO SERIOUS AND PERSISTENT MENTAL ILLNESS ARE SERVEDIN THREE 16-BED FACILITIES. FACILITY IS STAFFED 24/7 ANDPROVIDES COUNSELING, CASE MANAGEMENT, AND SUPPORT TO PREPARE FOR ATRANSITION TO INDEPENDENT LIVING.72 EPISODES OF CARE. 1554899 111356 1032139 HOUSING - COMPASS HEALTH PROVIDES SAFE AND AFFORDABLE HOUSING TOHOMELESS INDIVIDUALS SO THEY CAN FOCUS ON SYMPTOM MANAGEMENT AND DAILYLIVING SKILLS. SERVED 338 HOUSEHOLDS. 3269347 746215 2529597 SUBSTANCE USE DISORDER - TREATMENT FOR SUBSTANCE USE DISORDERS 225 EPISODES OF CAREPAYEE SERVICES - PROTECTIVE PAYEE SERVICES FOR INDIVIDUALS WHO NEED ASSISTANCE MANAGING THEIR MONEY. 438 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. 8309897 927775 7918315 55042354 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 1 1 0 0 0 1 1 1 1 0 0 1 185 0 1 954 1 1 1 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 1 1 1 1 1 1 1 1 0 WA X X DEANA GILPIN 4253498436 PO BOX 3810 EVERETT WA 98213 LAURA PADLEY CHAIR 0.20 0.40 X X 0 0 0 DAVE SCHNEIDER VICE CHAIR/TREASURER 0.20 0.40 X X 0 0 0 CHRISTINE PARKES SECRETARY 0.20 0.40 X X 0 0 0 JONALYN WOOLF-IVORY MEMBER 0.20 0.00 X 0 0 0 JOE MARRA MEMBER 0.20 0.00 X 0 0 0 DUANE PEARSON MEMBER 0.20 0.00 X 0 0 0 KURT CAMPBELL MEMBER 0.20 0.00 X 0 0 0 DEBBIE AHL MEMBER 0.20 0.00 X 0 0 0 ROXI CRONIN MEMBER 0.20 0.00 X 0 0 0 TED CONRAD MEMBER 0.20 0.00 X 0 0 0 TOM SEBASTIAN PRESIDENT/CEO 39.40 0.60 X 200087 0 21334 TAMERA LOESCH CFO 38.70 1.30 X 143096 0 19728 ANASTASIA ALLES COO 40.00 0.00 X 129666 0 17896 BECKY OLSEN-HERNANDEZ CHIEF QUALITY INFO & PRIVACY OFFICER 40.00 0.00 X 110615 0 25334 MISSY JUDD CHIEF EXECUTIVE ASSISTANT 40.00 0.00 X 52915 0 12924 TOM KOZACZYNSKI CHIEF DEVELOPMENT & COMM. OFFICER 40.00 0.00 X 81787 0 15439 LAJOLLA PETERS CAO 40.00 0.00 X 94551 0 15742 CAMIS MILAM CMO 40.00 0.00 X 61781 0 2538 MICHAEL SHEN PSYCHIATRIST 40.00 0.00 X 244797 0 69198 PATRICIA FRAY ARNP 40.00 0.00 X 237340 0 18575 BARBARA MCFADDEN DIRECTOR 40.00 0.00 X 205617 0 21874 JEFFREY NELSON PSYCHIATRIST 32.00 0.00 X 199198 0 21666 MARY ELLEN COTTER PSYCHIATRIST 40.00 0.00 X 196430 0 22304 1957880 0 284552 27 0 1 0 FASPSYCH LLC 8687 E VIA DE VENTURA STE 310 SCOTTSDALE AZ 85258 TEMPORARY STAFF 642546 COAST REAL ESTATE 2829 RUCKER AVE STE 100 EVERETT WA 98203 PROPERTY MANAGEMENT 545871 PIONEER HUMAN SERVICES PO BOX 18377 SEATTLE WA 98108 STAFF 234401 5 STARS INC PO BOX 2574 REDMOND WA 98073 JANITORIAL SERVICES 180264 PARKER CORPORATE SERVICE INC 2009 IRON STREET BELLINGHAM WA 98225 SECURITY STAFF 136976 10 20170 135997 3631239 662550 29816 4449956 PATIENT SERVICES 621400 59303961 59214332 89629 CONSULTATION REVENUE 541900 702221 702221 RENTAL INCOME 531110 656648 656691 -43 60662830 42627 42627 20333 11198 9135 9135 9135 1677027 1680675 123023 -3648 -123023 -126671 -126671 31456 135997 88424 -56968 -56968 4375 1000 3375 3375 INSURANCE CLAIMS 900099 73542 73542 REBATES/REFUNDS 900099 14725 14725 L&I PROGRAM REVENUE 900099 2695 2695 5276 5276 96238 65080522 60573244 -43 57365 1565708 1565708 1291954 245684 935242 111028 36800168 33501426 3095550 203192 1308151 1178261 125260 4630 7061132 6360668 658179 42285 3206521 2868866 313143 24512 96769 5575 91194 440258 14785 425473 90336 90336 8914 8914 2620380 2249330 362657 8393 12815 398 1500 10917 1534455 1061269 444793 28393 492824 98830 389130 4864 3474576 3082100 379471 13005 708492 629916 73138 5438 174700 108414 66286 185489 121234 63561 694 1567382 851308 712831 3243 685528 576199 109329 BAD DEBT 230617 202090 28527 EMPLOYEE RECRUITMENT 165570 136467 27993 1110 203115 93490 75791 33834 63925854 55042354 8387962 495538 3993533 3822747 1096603 19018 1036759 812506 4744968 5979542 870401 870402 2117472 1570760 25508553 12124122 12946053 13384431 814754 867413 509870 497600 170404 535171 28300817 28359590 5218175 4464569 1881797 1959387 904718 440930 995731 962234 3405142 2945924 883755 1387270 13289318 12160314 X 12459063 13159002 2265948 2753786 286488 286488 15011499 16199276 28300817 28359590 1154668 33109 0 X 0 1 X 1 1 1 X 3217389 5293660 3484129 4050048 4449956 20495182 32872311 41665315 48429553 53120737 60662830 236750746 36089700 46958975 51913682 57170785 65112786 257245928 3217 3000 9150 33913 17583 66863 0 3217 3000 9150 33913 17583 66863 257179065 60316 39199 59139 57782 51762 268198 60316 39199 59139 57782 51762 268198 33859 64338 49636 37603 35993 221429 6651 26132 9748 32760 96238 171529 36190526 47088644 52032205 57298930 65296779 257907084 0.99720 0.99700 0.00100 0.00140 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: REBATES/REFUNDS - 2013 AMOUNT: $ 2,654. 2014 AMOUNT: $ 12,275. 2015 AMOUNT: $ 2,931. 2016 AMOUNT: $ 15,316. 2017 AMOUNT: $ 14,725. MISCELLANEOUS - 2013 AMOUNT: $ 161. 2014 AMOUNT: $ 780. 2015 AMOUNT: $ 279. 2016 AMOUNT: $ 402. 2017 AMOUNT: $ 2,844. HONORARIA - 2013 AMOUNT: $ 1,850. 2014 AMOUNT: $ 500. 2015 AMOUNT: $ 1,780. 2016 AMOUNT: $ 2,500. 2017 AMOUNT: $ 5,127. INSURANCE SETTLEMENTS - 2013 AMOUNT: $ 1,986. 2014 AMOUNT: $ 12,577. 2016 AMOUNT: $ 4,909. 2017 AMOUNT: $ 73,542. UNUSED FSA - 2015 AMOUNT: $ 4,758. 2016 AMOUNT: $ 9,633. 0 1 0 0 0 0 1 90336 0 0 90336 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 828927 57504 886431 749540 79387 828927 770393 -20853 749540 786782 5232 -21621 770393 744435 42347 786782 0.00000 0.32320 0.67680 0 0 2578439 2578439 13587349 6775047 6812302 2167577 983583 1183994 6713060 4264011 2449049 462128 101481 360647 13384431 CAPITAL LEASE LIABILITY 1387270 1387270 67297577 33109 584328 1528812 2146249 65151328 -70806 -70806 65080522 65876461 584328 1396095 1980423 63896038 29816 29816 63925854 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 1,528,812. PART XI, LINE 4B - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSES -88,424. RENTAL EXPENSES -11,198. GAMING EXPENSES -1,000. DONATED AUCTION ITEMS 29,816. PART XII, LINE 2D - OTHER ADJUSTMENTS: RELATED ORGANIZATION EXPENSE 1,295,473. SPECIAL EVENT EXPENSES 88,424. GAMING EXPENSES 1,000. RENTAL EXPENSES 11,198. PART XII, LINE 4B - OTHER ADJUSTMENTS: DONATED AUCTION ITEMS 29,816. BUILDING COMMUNITIES OF HOPE 167453 135997 31456 24459 750 63215 167453 135997 31456 24459 750 63215 88424 -56968 1 ASSISTANCE TO INDIVIDUALS FOR BASIC NEEDS SUCH AS FOOD, SHELTER, TRANSPORTATION AND CLOTHING 6278 1436846 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 10 128862 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 163142 0 36945 0 0 0 9419 0 11915 0 221421 0 0 0 TAMERA LOESCH CFO 143096 0 0 0 0 0 6059 0 13669 0 162824 0 0 0 MICHAEL SHEN PSYCHIATRIST 244797 0 0 0 0 0 55349 0 13849 0 313995 0 0 0 PATRICIA FRAY ARNP 237340 0 0 0 0 0 7120 0 11455 0 255915 0 0 0 BARBARA MCFADDEN DIRECTOR 205617 0 0 0 0 0 9981 0 11893 0 227491 0 0 0 JEFFREY NELSON PSYCHIATRIST 199198 0 0 0 0 0 9885 0 11781 0 220864 0 0 0 MARY ELLEN COTTER PSYCHIATRIST 196430 0 0 0 0 0 8524 0 13780 0 218734 0 0 0 PART I, LINE 7 THE PRESIDENT/CEO OF COMPASS HEALTH RECEIVES A DISCRETIONARY BONUS WHICH IS 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. KURT CAMPBELL CONTROLLED ENTITY >35% CONTROLLED ENTITY OF KURT CAMPBELL, BOARD MEMBER 67630 SALES 0 X AUCTION ITEMS 159 29816 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 2018, THERE WERE 10 VOLUNTEER BOARD MEMBERS AND FINANCE COMMITTEE MEMBERS AND 46 OTHER VOLUNTEERS WITH 2384 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 2017. 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 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 -12256 397717 0 -35 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 -14 298807 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 537020 COST HARMONY HOUSE NORTH A 31 COST MILWAUKEE PARK APTS LP D 75000 COST COUNTERPOINT COMMONS D 217388 COST MARYSVILLE STUDIO APARTMENTS A 4082 COST MARYSVILLE STUDIO APARTMENTS D 513131 COST MENTAL HEALTH SERVICES OF SNOHOMISH COUNTY II D 71875 COST