2018-11-15T10:44:43-06:00 2017-12-31 911194016 CLARK NUBER PS 10900 NE 4TH STREET SUITE 1400 BELLEVUE WA 98004 990 2017-01-01 910567261 WELLSPRING FAMILY SERVICES WELL 2068263050 1900 RAINIER AVENUE SOUTH SEATTLE WA 98144 HEATHER FITZPATRICK CEO/PRESIDENT 2068263050 2018-11-14 1 SARA ELIZABETH J HYRE P00235495 4254544919 2018-11-14 65.158.230.194 2018-11-14 10:45:55 PS P 2DE068ACBFA10A31F139242116409E8904B6E6F4 850A304DB8663794F051F0469C279D0BE1EBB04F 2017 2019-02-21 02:37:17Z HEATHER FITZPATRICK 1900 RAINIER AVENUE SOUTH SEATTLE WA 98144 14998938 0 X WWW.WELLSPRINGFS.ORG X 1892 WA SINCE 1892, WELLSPRING FAMILY SERVICES HAS BEEN A SOURCE OF OPPORTUNITY FOR CHILDREN, ADULTS AND FAMILIES IN OUR COMMUNITY TO REACH THEIR FULL POTENTIAL. IN 2017, WE HELPED OVER 2,843 INDIVIDUALS AND FAMILIES TAKE THE NEXT STEP FORWARD, TAP INTO THEIR OWN STRENGTH AND REBUILD THEIR LIVES. WELLSPRING OPERATES SIX PROGRAMS SERVING ITS CLIENTS: BABY BOUTIQUE, DOMESTIC VIOLENCE INTERVENTION PROGRAM, HOUSING SERVICES, EARLY LEARNING CENTER, COUNSELING SERVICES AND THE EMPLOYEE ASSISTANCE PROGRAM. 23 22 168 954 0 0 5716165 5658968 8704185 9268602 -161925 11722 -79720 -45358 14178705 14893934 1868862 1402688 0 0 9267054 8837385 0 0 688530 4598124 4928164 15734040 15168237 -1555335 -274303 15049822 15241470 6952040 7430391 8097782 7811079 X TO BUILD EMOTIONALLY HEALTHY SELF-SUFFICIENT FAMILIES & A NON-VIOLENT COMMUNITY IN WHICH THEY CAN THRIVE. 0 0 4457484 1402688 79487 WELLSPRING PROVIDED SERVICES TO 2,843 HOMELESS AND AT-RISK FAMILIES IN 2017. THESE SERVICES INCLUDED: -SPECIALIZED CHILDCARE IN WELLSPRING'S EARLY LEARNING CENTER FOR 80 HOMELESS CHILDREN - 90% OF THOSE WHO ATTENDED FOR AT LEAST 4 WEEKS GAINED DEVELOPMENTAL SKILLS NEEDED TO BE SUCCESSFUL IN KINDERGARTEN; -PROVIDING CLOTHING, EQUIPMENT AND OTHER ESSENTIAL ITEMS TO 1,409 HOMELESS CHILDREN AGED 0-17 THROUGH THE BABY BOUTIQUE;-SUPPORTIVE SERVICES, INCLUDING CASE MANAGEMENT THROUGH WELLSPRING'S HOUSING SERVICES HELPED INDIVIDUALS AVOID IMMINENT EVICTION AND HOMELESSNESS, AND ASSISTED FAMILIES WITH CHILDREN MOVE FROM HOMELESSNESS INTO STABLE HOUSING - 71% OF WHOM WERE STILL STABLY HOUSED 6 MONTHS LATER; -PARENT-CHILD SERVICES THAT WORKED WITH LOW-INCOME FAMILIES WHO HAVE EXPERIENCED HOMELESSNESS AND OTHER TRAUMA. 3741827 4084142 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. 4030461 4990597 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 179,000 EMPLOYEES OF CLIENT COMPANIES IN 2017. 348661 114376 DOMESTIC VIOLENCE INTERVENTION AND PREVENTION SERVICES PROVIDE STATE CERTIFIED SERVICES TO STOP VIOLENCE AT HOME AND HELP PEOPLE BUILD HEALTHIER RELATIONSHIPS. 348661 114376 12578433 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 0 1 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 0 0 0 0 1 889 0 1 168 1 0 0 0 0 0 1 1 0 0 0 0 X 23 22 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 2068263050 1900 RAINIER AVENUE SOUTH SEATTLE WA 98144 ETHAN NORRIS CHAIR 2.00 0.00 X X 0 0 0 EMELIE EAST PAST CHAIR 2.00 0.00 X X 0 0 0 JONATHAN PERRINO TREASURER 2.00 0.00 X X 0 0 0 DIANE ST JOHN SECRETARY 2.00 0.00 X X 0 0 0 BEN SHOBERT CHAIR-ELECT 2.00 0.00 X X 0 0 0 CHASE ALVORD BOARD MEMBER 2.00 0.00 X 0 0 0 ARLESIA BAILEY BOARD MEMBER 2.00 0.00 X 0 0 0 ELEANOR BRADLEY BOARD MEMBER 2.00 0.00 X 0 0 0 COLLEEN COSGROVE BOARD MEMBER 2.00 0.00 X 0 0 0 DAVID HIATT BOARD MEMBER 2.00 0.00 X 0 0 0 ANDREA LEIGH BOARD MEMBER 2.00 0.00 X 0 0 0 LEAH LEWIS BOARD MEMBER 2.00 0.00 X 0 0 0 STEVEN LOSLEBEN BOARD MEMBER 2.00 0.00 X 0 0 0 NICOLE MATUSKA MOSCHECK BOARD MEMBER 2.00 0.00 X 0 0 0 JULISSA MCWASHINGTON BOARD MEMBER 2.00 0.00 X 0 0 0 NANCY MYLES BOARD MEMBER 2.00 0.00 X 0 0 0 ANNE NIELSEN BOARD MEMBER 2.00 0.00 X 0 0 0 BEN MARGOLES BOARD MEMBER 2.00 0.00 X 0 0 0 MARK RUFFO BOARD MEMBER 2.00 0.00 X 0 0 0 CHRISTIAN SCHILLER BOARD MEMBER 2.00 0.00 X 0 0 0 JULIE SEIDENSTEIN BOARD MEMBER 2.00 0.00 X 0 0 0 BARNETT SILVER BOARD MEMBER 2.00 0.00 X 0 0 0 LYNN STEINBERG BOARD MEMBER 2.00 0.00 X 0 0 0 JEFFREY TURNER BOARD MEMBER 2.00 0.00 X 0 0 0 HEATHER WIGHT-AXLING BOARD MEMBER 2.00 0.00 X 0 0 0 DERRICK WILLIAMS BOARD MEMBER 2.00 0.00 X 0 0 0 CARRIE WOOLMAN BOARD MEMBER 2.00 0.00 X 0 0 0 AMY HUMPHREYS BOARD MEMBER 2.00 0.00 X 0 0 0 RUTHANN HOWELL CEO/PRESIDENT 40.00 0.00 X 144112 0 1597 PATRICK DUFF CHIEF FINANCIAL OFFICER (THRU 08/17) 40.00 0.00 X 99266 0 6090 BOB MENDONSA DIRECTOR, HUMAN RESOURCES 40.00 0.00 X 116880 0 8540 360258 0 16227 8 0 0 0 ROSALIA MCDONNELL 16000 BOTHELL-EVERETT HWY SUITE 32 MILL CREEK WA 98012 COUNSELING SERVICES 236285 1 553457 431003 2142050 2532458 484913 5658968 EMPLOYEE ASSISTANCE 624100 4656475 4656475 COUNSELING SERVICES 621300 4424052 4424052 COMMUNITY SERVICES 621300 110800 110800 TRAINING SERVICES 624100 77275 77275 9268602 481 481 14484 12518 14310 1451 174 11067 11241 11241 31750 431003 89243 -57493 -57493 REFUNDS 900099 8409 8409 3726 3726 12135 14893934 9268602 0 -33636 X 1402688 1402688 251065 72491 139439 39135 7248847 6092210 749943 406694 738724 626842 75379 36503 598749 493248 69786 35715 26351 18632 7719 71707 8000 63707 11750 11750 2407235 2275571 85719 45945 64552 50393 12771 1388 381437 250345 92596 38496 347013 162166 170550 14297 454496 405300 45179 4017 35559 31804 2916 839 13579 13579 272460 272460 585891 493764 76075 16052 91612 74454 11265 5893 BAD DEBT EXPENSE 115169 96294 18875 HUMAN RESOURCE SERVICES 19696 2958 16564 174 VOLUNTEER AND DONOR EXP 18307 744 6902 10661 STAFF TRAINING/DEVEL 11350 6950 2304 2096 15168237 12578433 1901274 688530 131733 179527 352338 676211 545004 528848 875304 1108591 63605 57717 67674 77322 17973197 5359943 13014164 12613254 15049822 15241470 954260 1236725 65895 70937 5132978 4991883 500000 1000000 225000 0 73907 130846 6952040 7430391 X 7646963 7376903 402829 386186 47990 47990 8097782 7811079 15049822 15241470 X -274303 -12400 X 0 1 X 1 0 X 4129135 5372321 5510891 5716165 5658968 26387480 14400 14400 14400 19400 14400 77000 4143535 5386721 5525291 5735565 5673368 26464480 26464480 6357 3065 784 66 481 10753 4532 5737 1532 12135 23936 26499169 41063455 0.99870 0.99860 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS - 2014 AMOUNT: $ 2,123. 2015 AMOUNT: $ 187. 2016 AMOUNT: $ 232. 2017 AMOUNT: $ 3,726. NON EAP OTHER FEES - 2014 AMOUNT: $ 609. 2015 AMOUNT: $ 1,375. INTERNATIONAL FEES - 2014 AMOUNT: $ 1,800. 2015 AMOUNT: $ 3,975. 2016 AMOUNT: $ 1,300. REIMBURSEMENTS/REFUNDS - 2015 AMOUNT: $ 200. 2017 AMOUNT: $ 8,409. 1 1 0 0 0 0 1 11750 0 0 11750 0 PART II-B, LINE 1: LOBBYING ACTIVITIES INCLUDE MEETING WITH STATE LEGISLATORS AND STAFF. 47990 47990 47490 500 47990 45500 1990 47490 45500 45500 45500 45500 0.00000 1.00000 0.00000 0 0 2456349 2456349 13611580 3814278 9797302 448967 442722 6245 1158350 991391 166959 297951 111552 186399 12613254 CAPITAL LEASE OBLIGATION 130846 130846 15087324 104147 104147 14983177 -89243 -89243 14893934 15374027 104147 101643 205790 15168237 0 15168237 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 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES -89,243. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 89,243. LOSS ON UNCOLLECTIBLE PLEDGES 12,400. ANNUAL LUNCHEON 462753 431003 31750 75546 13697 462753 431003 31750 75546 13697 89243 -57493 1 HOUSING ASSISTANCE 1520 932248 FAIR MARKET VALUE HOUSING ASSISTANCE INCLUDING PAYMENT FOR RENT, UTILITIES, GROCERY DEBIT CARDS AND IDENTIFICATION REPLACEMENT. CLOTHING AND GOODS 1409 470440 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. A WASHINGTON HEALTH CARE FACILITIES AUTHORITY 911108929 2015-10-16 5404774 REFINANCE LOAN 0 0 0 A 352970 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 PART I (F) REFINANCE LOAN - REFINANCE NEW MARKET TAX CREDIT. DAVID HIATT BOARD MEMBER ADDITION OF WORKING CAPITAL X 1000000 1000000 0 1 1 1000000 X 470603 FAIR MARKET VALUE X 4 14310 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 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 JULY 2017. 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 1,368,900. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,368,900. CONTRACT TRAINERS: PROGRAM SERVICE EXPENSES 69,178. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 69,178. EAP VENDORS: PROGRAM SERVICE EXPENSES 195,227. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 195,227. CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 524,400. MANAGEMENT AND GENERAL EXPENSES 42,369. FUNDRAISING EXPENSES 45,945. TOTAL EXPENSES 612,714. CONSULTANTS: PROGRAM SERVICE EXPENSES 18,303. MANAGEMENT AND GENERAL EXPENSES 43,350. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 61,653. EAP LEGAL/ FINANCIAL PROVIDERS: PROGRAM SERVICE EXPENSES 92,969. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 92,969. OTHER: PROGRAM SERVICE EXPENSES 6,594. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,594. FORM 990, PART XI, LINE 9: LOSS ON UNCOLLECTIBLE PLEDGES -12,400. FAMILY SERVICES PROPERTY LLC 1900 RAINIER AVENUE SOUTH SEATTLE WA 98144 260217889 TRANSFERRED FACILITY TO WFS IN 2015 WA 0 2373 WELLSPRING FAMILY SERVICES