2018-05-15T16:01:37-05:00 2017-06-30 911194016 CLARK NUBER PS 10900 NE 4TH STREET SUITE 1400 BELLEVUE WA 98004 990 2016-07-01 911180810 COMPASS HEALTH COMP 4253496200 PO BOX 3810 EVERETT WA 982138810 TOM SEBASTIAN PRESIDENT / CEO 4253498414 2018-05-15 1 SARA ELIZABETH J HYRE P00235495 4254544919 2018-05-15 2016 2022-09-23 18:48:47Z TOM SEBASTIAN PO BOX 3810 EVERETT WA 982138810 58677037 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. 9 9 955 106 -43 0 3484129 4050048 48494325 53173210 463076 21047 3014 27465 52444544 57271770 881877 856106 0 0 40451427 46015986 0 0 388719 10319112 11791251 51652416 58663343 792128 -1391573 28084815 28300817 11725267 13289318 16359548 15011499 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 21995418 350222 20297895 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. 16,234 EPISODES OF CARE. 9552837 45511 9816136 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. 4,230 EPISODES OF CARE. 3903225 24667 5136721 INPATIENT PROGRAM: COMPASS HEALTH OPERATES A 16-BED SECURE SHORT STAY INPATIENT TREATMENT FACILITY FOR PERSONS DETAINED UNDER THE INVOLUNTARY TREATMENT ACT. 270 EPISODES OF CARE. 15822807 435706 17922458 COMPASS HEALTH ALSO PROVIDES SEVERAL OTHER PROGRAMS, SUCH AS:-RESIDENTIAL TREATMENT - ELIGIBLE CLIENTS WHO ARE UNABLE TO LIVE INDEPENDENTLY DUE TO SERIOUS AND PERSISTENT MENTAL ILLNESS ARE SERVED IN TWO 16-BED AND ONE 12-BED FACILITIES. FACILITY IS STAFFED 24/7 AND PROVIDES COUNSELING, CASE MANAGEMENT, AND SUPPORT TO PREPARE FOR A TRANSITION TO INDEPENDENT LIVING. 86 EPISODES OF CARE.-HOUSING - COMPASS HEALTH PROVIDES SAFE AND AFFORDABLE HOUSING TO HOMELESS INDIVIDUALS SO THEY CAN FOCUS ON SYMPTOM MANAGEMENT AND DAILY LIVING SKILLS. SERVED 193 HOUSEHOLDS.-SUBSTANCE USE DISORDER - TREATMENT FOR SUBSTANCE USE DISORDERS. 193 EPISODES OF CARE.-PAYEE SERVICES - PROTECTIVE PAYEE SERVICES FOR INDIVIDUALS WHO NEED ASSISTANCE MANAGING THEIR MONEY. 426 CLIENTS SERVED.-SPECIALTY 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 A MOTEL VOUCHER PROGRAM FOR PEOPLE IN EMERGENCY HOUSING SITUATIONS. 15822807 435706 17922458 51274287 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 161 0 1 955 1 0 0 0 0 0 0 0 0 0 0 X 9 9 1 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 CARLSEN BOARD CHAIR 0.20 0.30 X X 0 0 0 DAVE SCHNEIDER VICE CHAIR/TREASURER 0.20 0.30 X X 0 0 0 CHRISTINE PARKES SECRETARY 0.20 0.30 X X 0 0 0 ERIC CARLSEN IMMEDIATE PAST CHAIR 0.20 0.40 X X 0 0 0 KURT CAMPBELL BOARD MEMBER 0.20 0.00 X 0 0 0 RON JACOBSON BOARD MEMBER 0.20 0.00 X 0 0 0 JONALYN WOOLF-IVORY BOARD MEMBER 0.20 0.00 X 0 0 0 DUANE PEARSON BOARD MEMBER 0.20 0.00 X 0 0 0 JIM FAGERLIE BOARD MEMBER 0.20 0.10 X 0 0 0 AARON DEFOLO BOARD MEMBER 0.20 0.70 X 0 0 0 TOM SEBASTIAN PRESIDENT / CEO 39.40 0.60 X 213075 0 18873 TAMERA LOESCH CFO 38.70 1.30 X 123846 0 9849 ANASTASIA ALLES COO 40.00 0.00 X 123253 0 15951 JILL HENSEN FORMER CAO 40.00 0.00 X 55235 0 8495 LAJOLLA PETERS CAO 40.00 0.00 X 57634 0 8995 HEATHER FENNELL FMR CHIEF QUALITY INFO & PRIVACY OFC 40.00 0.00 X 77711 0 10305 BECKY OLSEN-HERNANDEZ CHIEF QUALITY INFO & PRIVACY OFFICER 40.00 0.00 X 103724 0 16936 CAROLE KOSTURN DIRECTOR 39.30 0.70 X 127732 0 16117 MICHAEL SHEN PSYCHIATRIST 40.00 0.00 X 234794 0 22600 PATRICIA FRAY ARNP 40.00 0.00 X 210520 0 15555 BARBARA MCFADDEN DIRECTOR 40.00 0.00 X 194247 0 19076 JEFFREY NELSON PSYCHIATRIST 32.00 0.00 X 190690 0 18847 1712461 0 181599 28 0 1 0 COAST REAL ESTATE SERVICES 2829 RUCKER AVENUE SUITE 100 EVERETT WA 98201 PROPERTY MANAGEMENT SERVICES 582901 PIONEER HUMAN SERVICES PO BOX 18377 SEATTLE WA 98108 INDEPENDENT CONTRACTOR 314727 DAVIS GRIMM PAYNE & MARRA INC 701 5TH AVENUE SUITE 4040 SEATTLE WA 98104 LEGAL SERVICES 308466 FASPSYCH LLC 8687 E VIA SE VENTURA SUITE 310 SCOTTSDALE AZ 85258 TEMPORARY STAFF 298222 5 STARS INC PO BOX 2574 REDMOND WA 98073 JANITORIAL SERVICES 231766 10 25451 68505 3218891 737201 23678 4050048 PATIENT SERVICES 621400 52002662 51950146 52516 CONSULTATION REVENUE 541900 593661 593661 RENTAL INCOME 531110 576887 576930 -43 53173210 37931 37931 19851 10276 9575 9575 9575 1354232 1343981 27135 10251 -27135 -16884 -16884 8400 68505 23575 -15175 -15175 605 300 305 305 REBATES/REFUNDS 900099 15316 15316 UNUSED FSA 900099 9633 9633 L&I PROGRAM REVENUE 900099 4909 4909 2902 2902 32760 57271770 53120737 -43 101028 856106 856106 804539 804539 34679569 31476302 2995140 208127 1009480 946471 55753 7256 6490713 5826229 633153 31331 3031685 2718995 295003 17687 164812 4385 160427 381038 34049 346989 95146 95146 9115 9115 1674866 1530227 134067 10572 13218 3770 1500 7948 1198585 1010497 165469 22619 493657 323050 164358 6249 3970149 3672671 282925 14553 656289 619959 33396 2934 160478 108227 44795 7456 215402 197920 16829 653 1421927 1010978 407047 3902 630793 524193 106600 EMPLOYEE RECRUITMENT 192560 177820 13534 1206 BAD DEBT 187404 144338 43066 325812 88100 191486 46226 58663343 51274287 7000337 388719 3494462 3993533 211770 1096603 606485 1036759 6221819 4744968 870401 870401 1637066 2117472 23609443 10663390 13824713 12946053 649770 814754 509953 509870 58376 170404 28084815 28300817 3933128 5218175 1937857 1881797 2025607 904718 659522 995731 1984709 3405142 1184444 883755 11725267 13289318 X 13756028 12459063 2317032 2265948 286488 286488 16359548 15011499 28084815 28300817 X -1391573 46144 -2620 X 0 1 X 1 1 1 X 2971111 3217389 5293660 3484129 4050048 19016337 31072605 32872311 41665315 48429553 53120737 207160521 34043716 36089700 46958975 51913682 57170785 226176858 1129 3217 3000 9150 33913 50409 0 1129 3217 3000 9150 33913 50409 226126449 106846 60316 39199 59139 57782 323282 106846 60316 39199 59139 57782 323282 45853 33859 64338 49636 37603 231289 5175 6651 26132 9748 32760 80466 34201590 36190526 47088644 52032205 57298930 226811895 0.99700 0.99680 0.00140 0.00180 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: REBATES/REFUNDS - 2012 AMOUNT: $ 2,800. 2013 AMOUNT: $ 2,654. 2014 AMOUNT: $ 12,275. 2015 AMOUNT: $ 2,931. 2016 AMOUNT: $ 15,316. MISCELLANEOUS - 2013 AMOUNT: $ 161. 2014 AMOUNT: $ 780. 2015 AMOUNT: $ 279. 2016 AMOUNT: $ 402. HONORARIA - 2012 AMOUNT: $ 2,375. 2013 AMOUNT: $ 1,850. 2014 AMOUNT: $ 500. 2015 AMOUNT: $ 1,780. 2016 AMOUNT: $ 2,500. INSURANCE SETTLEMENTS - 2013 AMOUNT: $ 1,986. 2014 AMOUNT: $ 12,577. 2016 AMOUNT: $ 4,909. 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 95146 0 0 95146 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 749540 79387 828927 770393 -20853 749540 786782 5232 -21621 770393 744435 42347 786782 721983 22452 744435 0.00000 0.34560 0.65440 0 0 2578439 2578439 13504189 6256034 7248155 1630704 948944 681760 5258759 3370218 1888541 637352 88194 549158 12946053 CAPITAL LEASE LIABILITY 883755 883755 58751812 46144 23755 1375992 1445891 57305921 -34151 -34151 57271770 59977943 23755 1290845 1314600 58663343 0 58663343 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 1,375,992. PART XI, LINE 4B - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSES -23,575. RENTAL EXPENSES -10,276. GAMING EXPENSES -300. PART XII, LINE 2D - OTHER ADJUSTMENTS: RELATED ORGANIZATION EXPENSE 1,254,074. SPECIAL EVENT EXPENSES 23,575. GAMING EXPENSES 300. RENTAL EXPENSES 10,276. LOSS ON UNCOLLECTIBLE PLEDGE 2,620. BUILDING COMMUNITIES OF HOPE 76905 68505 8400 9134 8386 6055 76905 68505 8400 9134 8386 6055 23575 -15175 1 ASSISTANCE TO INDIVIDUALS FOR BASIC NEEDS SUCH AS FOOD, SHELTER, TRANSPORTATION AND CLOTHING 4988 761631 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 6 94475 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 189950 0 23125 0 0 0 7517 0 11356 0 231948 0 0 0 MICHAEL SHEN PSYCHIATRIST 234794 0 0 0 0 0 9392 0 13208 0 257394 0 0 0 PATRICIA FRAY ARNP 210520 0 0 0 0 0 2460 0 13095 0 226075 0 0 0 BARBARA MCFADDEN DIRECTOR 194247 0 0 0 0 0 7751 0 11325 0 213323 0 0 0 JEFFREY NELSON PSYCHIATRIST 190690 0 0 0 0 0 7628 0 11219 0 209537 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. A WASHINGTON STATE HOUSING FINANCE COMMISSION 911874730 2012-07-10 500000 ENERGY EFFICIENCY LOAN PROGRAM 0 0 0 A 140586 500000 19056 480944 2012 0 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 0 0 1 0 0 0 1 A 1 FORM 990, PART I, LINE 6: DURING FISCAL YEAR 2017, THERE WERE 9 VOLUNTEER BOARD MEMBERS AND FINANCE COMMITTEE MEMBERS AND 97 OTHER VOLUNTEERS WITH 1024 HOURS SERVED. FORM 990, PART VI, SECTION A, LINE 2 ERIC CARLSEN AND LAURA CARLSEN HAVE A FAMILY RELATIONSHIP. 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. FORM 990, PART XI, LINE 9: LOSS ON UNCOLLECTIBLE PLEDGES -2,620. 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 98201 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 -70 410716 0 -37 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 -13 269758 0 -6 1 0.00010 1 0 0 1 0 0 0 0 0 0 1 1 0 1 1 0 1 0 0 CHILD ADVOCACY CENTER OF SNOHOMISH COUNTY O 370767 COST COUNTERPOINT COMMONS D 217388 COST MILWAUKEE PARK APTS LP A 47 COST MILWAUKEE PARK APTS LP D 75000 COST MILWAUKEE PARK APTS LP Q 56520 COST MARYSVILLE STUDIO APARTMENTS A 6448 COST MARYSVILLE STUDIO APARTMENTS D 418478 COST MENTAL HEALTH SERVICES OF SNOHOMISH COUNTY II D 71875 COST