2017-11-15T10:38:24-06:00 2016-12-31 911194016 CLARK NUBER PS 10900 NE 4TH STREET SUITE 1700 BELLEVUE WA 98004 990 2016-01-01 910567261 WELLSPRING FAMILY SERVICES WELL 2068263050 1900 RAINIER AVENUE SOUTH SEATTLE WA 98144 RUTHANN HOWELL CEO/PRESIDENT 2068263050 2017-11-14 1 SARA ELIZABETH J HYRE P00235495 4254544919 2017-11-14 65.158.230.194 2017-11-14 18:55:58 PS P EE9472A6866F5D2CC65667176191C38BB98995E0 04B98F73B3FBBAD5EBABEEF0123850CF9F02B8BF 2016 2018-03-14 21:41:22Z RUTHANN HOWELL 1900 RAINIER AVENUE SOUTH SEATTLE WA 98144 14496632 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 2016, WE HELPED OVER 5,365 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. 27 27 176 553 0 0 5510891 5716165 7963186 8704185 2597 -161925 -53865 -79720 13422809 14178705 1785677 1868862 0 0 8467217 9267054 0 0 858744 4598392 4598124 14851286 15734040 -1428477 -1555335 16502582 15049822 6849465 6952040 9653117 8097782 X TO BUILD EMOTIONALLY HEALTHY SELF-SUFFICIENT FAMILIES & A NON-VIOLENT COMMUNITY IN WHICH THEY CAN THRIVE. 0 0 5168591 1868862 131932 WELLSPRING PROVIDED SERVICES TO 1,556 HOMELESS AND AT-RISK FAMILIES IN 2016. 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 2,099 HOMELESS CHILDREN AGED 0-17 THROUGH THE BABY BOUTIQUE;-SUPPORTIVE SERVICES, INCLUDING CASE MANAGEMENT THROUGH WELLSPRING'S HOUSING SERVICES HELPED 344 INDIVIDUALS AVOID IMMINENT EVICTION AND HOMELESSNESS, AND ASSISTED 155 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 65 LOW-INCOME FAMILIES WHO HAVE EXPERIENCED HOMELESSNESS AND OTHER TRAUMA. 3832746 4242711 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 1,543 ADULTS AND 111 CHILDREN IN 2016. 3516024 4329542 THE WELLSPRING EMPLOYEE ASSISTANCE PROGRAM (EAP) HELPS ORGANIZATIONS HARNESS THE STRENGTH OF THEIR WORKFORCE BY PROVIDING COST-EFFECTIVE, RESPONSIVE SERVICES THAT HELP EMPLOYERS AND EMPLOYEES REACH THEIR FULL POTENTIAL. WELLSPRING MADE EAP SERVICES AVAILABLE TO 175,300 EMPLOYEES OF CLIENT COMPANIES IN 2016. 327154 0 DOMESTIC VIOLENCE INTERVENTION AND PREVENTION SERVICES PROVIDE STATE CERTIFIED SERVICES TO STOP VIOLENCE AT HOME AND HELP PEOPLE BUILD HEALTHIER RELATIONSHIPS. 327154 0 12844515 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 1 0 0 0 0 1 0 0 0 1 0 0 0 0 1 723 0 1 176 1 0 0 0 0 0 1 1 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 X X BRIAN JONAS 2068263050 1900 RAINIER AVENUE SOUTH SEATTLE WA 98144 EMELIE EAST CHAIR 2.00 0.00 X X 0 0 0 CHRISTIAN SCHILLER PAST CHAIR 2.00 0.00 X X 0 0 0 BEN MARGOLES TREASURER 2.00 0.00 X X 0 0 0 NANCY MYLES SECRETARY 2.00 0.00 X X 0 0 0 ETHAN NORRIS CHAIR-ELECT 2.00 0.00 X X 0 0 0 CHASE ALVORD BOARD MEMBER 2.00 0.00 X 0 0 0 BRIAN BUCKLEY BOARD MEMBER 2.00 0.00 X 0 0 0 ARLESIA BAILEY BOARD MEMBER 2.00 0.00 X 0 0 0 ANDREA LEIGH BOARD MEMBER 2.00 0.00 X 0 0 0 DAVID HIATT BOARD MEMBER 2.00 0.00 X 0 0 0 JULISSA MCWASHINGTON BOARD MEMBER 2.00 0.00 X 0 0 0 NICOLE MATUSKA MOSCHECK BOARD MEMBER 2.00 0.00 X 0 0 0 ANNE NIELSEN BOARD MEMBER 2.00 0.00 X 0 0 0 ELEANOR BRADLEY BOARD MEMBER 2.00 0.00 X 0 0 0 MARY PEDERSEN BOARD MEMBER 2.00 0.00 X 0 0 0 JONATHAN PERRINO BOARD MEMBER 2.00 0.00 X 0 0 0 DIANE ST JOHN 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 DERRICK WILLIAMS BOARD MEMBER 2.00 0.00 X 0 0 0 COLLEEN COSGROVE 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 MARK RUFFO BOARD MEMBER 2.00 0.00 X 0 0 0 HEATHER WIGHT-AXLING BOARD MEMBER 2.00 0.00 X 0 0 0 JULIE SEIDENSTEIN BOARD MEMBER 2.00 0.00 X 0 0 0 BEN SHOBERT 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 50.00 0.00 X 152435 0 1621 PATRICK DUFF CHIEF FINANCIAL OFFICER 40.00 0.00 X 135944 0 8059 SANDRA LOWE CHIEF PROGRAM DEVELOPMENT OFFICER 40.00 0.00 X 106220 0 7896 BOB MENDONSA DIRECTOR, HUMAN RESOURCES 40.00 0.00 X 125662 0 8118 520261 0 25694 4 0 1 0 WORKPLACE OPTIONS LLC 2912 HIGHWOODS BLVD RALEIGH NC 27604 COUNSELING SEVICES 257437 1 771413 493231 2196583 2254938 832897 5716165 EMPLOYEE ASSISTANCE 624100 4329542 4329542 COUNSELING SERVICES 621300 4078001 4078001 TRAINING SERVICES 624100 164710 164710 COMMUNITY SERVICES 621300 131932 131932 8704185 66 66 37754 37754 161991 0 -161991 -161991 -161991 36149 493231 118182 -82033 -82033 INTERNATIONAL FEES 900099 1300 1300 1013 1013 2313 14178705 8704185 0 -241645 X 1868862 1868862 298239 298239 7628355 6365928 749786 512641 13677 10298 3169 210 718490 607493 68934 42063 608293 488388 80159 39746 40514 13119 6086 21309 59145 59145 12000 12000 2175564 1981535 85714 108315 87199 68022 19177 277064 251236 2270 23558 304364 141262 123085 40017 485161 430556 49926 4679 48161 40997 6168 996 26334 26334 196416 196416 622561 382506 227287 12768 84368 66868 12306 5194 BAD DEBT EXPENSE 94901 78870 16031 HUMAN RESOURCE SERVICES 28293 7414 20879 VOLUNTEER AND DONOR EXP 26955 1656 7614 17685 STAFF TRAINING/DEVEL 15213 13171 510 1532 13911 13911 15734040 12844515 2030781 858744 122164 131733 509968 352338 884727 545004 1048789 875304 95038 63605 73362 67674 17953849 4939685 13684481 13014164 84053 0 16502582 15049822 894486 954260 77442 65895 5360991 5132978 500000 386500 225000 130046 73907 6849465 6952040 X 9094387 7646963 511240 402829 47490 47990 9653117 8097782 16502582 15049822 -1555335 0 X 0 1 X 1 0 X 4891335 4129135 5372321 5510891 5716165 25619847 14400 14400 14400 14400 19400 77000 4905735 4143535 5386721 5525291 5735565 25696847 25696847 10427 6357 3065 784 66 20699 3179 4532 5737 1532 14980 25732526 39104058 0.99860 0.99680 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: INTER-AGENCY RECEIPTS - 2012 AMOUNT: $ 785. MISCELLANEOUS - 2014 AMOUNT: $ 2,123. 2015 AMOUNT: $ 187. 2016 AMOUNT: $ 232. NON EAP OTHER FEES - 2012 AMOUNT: $ 419. 2014 AMOUNT: $ 609. 2015 AMOUNT: $ 1,375. INTERNATIONAL FEES - 2012 AMOUNT: $ 1,975. 2014 AMOUNT: $ 1,800. 2015 AMOUNT: $ 3,975. 2016 AMOUNT: $ 1,300. REIMBURSEMENTS - 2015 AMOUNT: $ 200. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 0 0 0 0 1 12000 0 0 12000 0 PART II-B, LINE 1: LOBBYING ACTIVITIES INCLUDE MEETING WITH STATE LEGISLATORS AND STAFF. 47490 500 47990 45500 1990 47490 45500 45500 45500 45500 42500 3000 45500 0.00000 1.00000 0.00000 0 0 2456349 2456349 13611581 3363669 10247912 448966 440319 8647 1398577 1115253 283324 38376 20444 17932 13014164 CAPITAL LEASE OBLIGATION 73907 73907 14553878 95000 161991 256991 14296887 -118182 -118182 14178705 16109213 95000 280173 375173 15734040 0 15734040 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: LOSS ON DISPOSAL OF FIXED ASSETS 161,991. PART XI, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES -118,182. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 118,182. LOSS ON DISPOSAL OF FIXED ASSETS 161,991. ANNUAL LUNCHEON 511071 477747 33324 76901 24208 FALL SOCIAL 18309 15484 2825 7000 10073 529380 493231 36149 83901 34281 118182 -82033 1 HOUSING ASSISTANCE 553 1067869 FAIR MARKET VALUE HOUSING ASSISTANCE INCLUDING PAYMENT FOR RENT, UTILITIES, GROCERY DEBIT CARDS AND IDENTIFICATION REPLACEMENT. CLOTHING 2099 800993 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 RUTHANN HOWELL CEO/PRESIDENT 152435 0 0 0 0 0 0 0 1621 0 154056 0 0 0 A WASHINGTON HEALTH CARE FACILITIES AUTHORITY 911108929 2015-10-16 5404774 REFINANCE LOAN 0 0 0 A 196017 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 FINANCING DAVID HIATT BOARD MEMBER ADDITION OF WORKING CAPITAL X 500000 500000 0 1 1 500000 X 795103 FAIR MARKET VALUE X 3 37794 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 JANUARY 2016. 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 1,248,562. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,248,562. CONTRACT TRAINERS: PROGRAM SERVICE EXPENSES 50,001. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 50,001. EAP VENDORS: PROGRAM SERVICE EXPENSES 189,007. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 189,007. CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 367,902. MANAGEMENT AND GENERAL EXPENSES 44,845. FUNDRAISING EXPENSES 108,315. TOTAL EXPENSES 521,062. CONSULTANTS: PROGRAM SERVICE EXPENSES 17,223. MANAGEMENT AND GENERAL EXPENSES 40,869. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 58,092. EAP LEGAL/ FINANCIAL PROVIDERS: PROGRAM SERVICE EXPENSES 99,910. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 99,910. OTHER: PROGRAM SERVICE EXPENSES 8,930. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,930. FAMILY SERVICES PROPERTY LLC 1900 RAINIER AVENUE SOUTH SEATTLE WA 98144 260217889 OWNERSHIP OF FACILITY USED BY WELLSPRING FAMILY SERVICES WA 0 2298 WELLSPRING FAMILY SERVICES