2016-08-15T16:29:37-05:00 2015-12-31 911194016 CLARK NUBER PS 10900 NE 4TH STREET SUITE 1700 BELLEVUE WA 98004 990 2015-01-01 910567261 WELLSPRING FAMILY SERVICES WELL 2068263050 1900 RAINIER AVENUE SOUTH SEATTLE WA 98144 RUTHANN HOWELL CEO/PRESIDENT 2068263050 2016-08-15 1 SARA ELIZABETH J HYRE P00235495 4254544919 2016-08-15 2015 2016-12-15 16:53:06Z RUTHANN HOWELL 1900 RAINIER AVENUE SOUTH SEATTLE WA 98144 13518661 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 2015, WE HELPED OVER 5,600 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 23 171 483 0 0 5372321 5510891 7837225 7963186 5775 2597 -44872 -53865 13170449 13422809 1750171 1785677 0 0 7627143 8467217 0 0 633059 4319286 4598392 13696600 14851286 -526151 -1428477 17601908 16502582 6518227 6849465 11083681 9653117 X TO BUILD EMOTIONALLY HEALTHY SELF-SUFFICIENT FAMILIES & A NON-VIOLENT COMMUNITY IN WHICH THEY CAN THRIVE. 0 0 4738681 1785677 23545 WELLSPRING PROVIDED SERVICES TO 1,585 HOMELESS AND AT-RISK FAMILIES IN 2015. THESE SERVICES INCLUDED: -SPECIALIZED CHILDCARE IN WELLSPRING'S EARLY LEARNING CENTER FOR 80 HOMELESS CHILDREN - 92% 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 2,554 HOMELESS CHILDREN AGED 0-17 THROUGH THE BABY BOUTIQUE;-SUPPORTIVE SERVICES, INCLUDING CASE MANAGEMENT THROUGH WELLSPRING'S HOUSING SERVICES HELPED 315 INDIVIDUALS AVOID IMMINENT EVICTION AND HOMELESSNESS, AND ASSISTED 122 FAMILIES WITH CHILDREN MOVE FROM HOMELESSNESS INTO STABLE HOUSING - 81% OF WHOM WERE STILL STABLY HOUSED 6 MONTHS LATER; - PARENT-CHILD SERVICES THAT WORKED WITH 43 LOW-INCOME FAMILIES WHO HAVE EXPERIENCED HOMELESSNESS AND OTHER TRAUMA. 3744709 3766452 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 1,576 ADULTS AND 115 CHILDREN IN 2015. 3177852 4059597 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 171,000 EMPLOYEES OF CLIENT COMPANIES IN 2015. 359384 113592 DOMESTIC VIOLENCE INTERVENTION AND PREVENTION SERVICES PROVIDE STATE CERTIFIED SERVICES TO STOP VIOLENCE AT HOME AND HELP PEOPLE BUILD HEALTHIER RELATIONSHIPS. 143 INDIVIDUALS PARTICIPATED IN THE DOMESTIC VIOLENCE INTERVENTION PROGRAM IN 2015 - 90% OF WHOM WHO STAYED FOR AT LEAST 7 MONTHS LEARNED NON-ABUSIVE BEHAVIORS SUCCESSFULLY DEMONSTRATED THE ABILTY TO INTERACT IN NON-VIOLENT/NON-ABUSIVE WAYS. 359384 359384 113592 12020626 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 1 609 0 1 171 1 0 0 0 0 0 1 1 0 0 0 0 X 23 23 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X X PATRICK DUFF 2068263050 1900 RAINIER AVENUE SOUTH SEATTLE WA 98144 CHRISTIAN SCHILLER BOARD CHAIR 2.00 0.00 X X 0 0 0 STEVEN LOSLEBEN PAST BOARD CHAIR 2.00 0.00 X X 0 0 0 AMY HUMPHREYS TREASURER THRU 9/2015 2.00 0.00 X X 0 0 0 BEN MARGOLES TREASURER FROM 10/2015 2.00 0.00 X X 0 0 0 NANCY MYLES SECRETARY 2.00 0.00 X X 0 0 0 EMELIE EAST 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 JESSICA CANTLIN BOARD MEMBER THRU 06/2015 2.00 0.00 X 0 0 0 JEFFREY CORDICK BOARD MEMBER THRU 06/2015 2.00 0.00 X 0 0 0 DAVID HIATT BOARD MEMBER 2.00 0.00 X 0 0 0 SUSANNA HURLEY BOARD MEMBER THRU 06/2015 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 ETHAN NORRIS 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 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 RUTHANN HOWELL CEO/PRESIDENT 50.00 0.00 X 160284 0 4222 PATRICK DUFF CHIEF FINANCIAL OFFICER 40.00 0.00 X 134583 0 8513 BOB MENDOSA DIRECTOR, HUMAN RESOURCES 40.00 0.00 X 127680 0 7491 SANDRA LOWE CHIEF PROGRAM DEVELOPMENT OFFICER 40.00 0.00 X 106398 0 7818 JANET SOEPRONO CTS PSYCHIATRIST 40.00 0.00 X 107488 0 0 KELLY PEARSON CHIEF DEVELOPMENT OFFICER 40.00 0.00 X 100254 0 2687 736687 0 30731 6 0 1 0 WORKPLACE BENEFITS LLC 2912 HIGHWOODS BLVD RALEIGH NC 27604 COUNSELING SEVICES 284634 PC BENNETT CONSULTING INC PO BOX 498 NORTH BEND WA 98045 SOFTWARE CONSULTANTS 101845 2 736319 470917 2034913 2268742 863573 5510891 EMPLOYEE ASSISTANCE 624100 4059597 4059597 COUNSELING SERVICES 621300 3570407 3570407 TRAINING SERVICES 624100 196045 196045 COMMUNITY SERVICES 621300 137137 137137 7963186 784 784 1813 0 1813 1813 1813 36250 470917 95852 -59602 -59602 INTERNATIONAL FEES 900099 3975 3975 NON EAP & OTHER FEES 900099 1375 1375 REIMBURSEMENTS 900999 200 200 187 187 5737 13422809 7963186 0 -51268 X 1785677 1785677 307602 307602 6832285 5787636 711819 332830 90464 77223 8190 5051 686131 584732 74478 26921 550735 448678 76240 25817 34821 28426 6395 68280 7813 60467 11500 11500 1947240 1789288 125759 32193 90981 49780 40917 284 557554 292280 217838 47436 323946 160750 120134 43062 430073 349976 76844 3253 40907 35822 4507 578 36480 34396 2084 134286 91221 40095 2970 651540 402587 236191 12762 67365 53110 10954 3301 VOLUNTEER AND DONOR EXP 99622 2861 13125 83636 HR SERVICES 60357 5759 54540 58 STAFF TRAINING/DEVEL 27701 17172 9422 1107 BAD DEBT EXPENSE 15739 15439 300 14851286 12020626 2197601 633059 1582419 122164 95691 509968 715986 884727 849464 1048789 89400 95038 66905 73362 18001607 4317126 14129209 13684481 72834 0 0 84053 17601908 16502582 782677 894486 153388 77442 0 5360991 5495032 386500 87130 130046 6518227 6849465 X 10263382 9094387 774799 511240 45500 47490 11083681 9653117 17601908 16502582 -1428477 -2087 0 X 0 1 X 1 0 X 5645059 4891335 4129135 5372321 5510891 25548741 14400 14400 14400 14400 14400 72000 5659459 4905735 4143535 5386721 5525291 25620741 25620741 5368 10427 6357 3065 784 26001 43328 3179 4532 5737 56776 25703518 37856725 0.99680 0.99300 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: INTER-AGENCY RECEIPTS - 2011 AMOUNT: $ 6,100. 2012 AMOUNT: $ 785. MISCELLANEOUS - 2014 AMOUNT: $ 2,123. 2015 AMOUNT: $ 187. NON EAP OTHER FEES - 2011 AMOUNT: $ 37,228. 2012 AMOUNT: $ 419. 2014 AMOUNT: $ 609. 2015 AMOUNT: $ 1,375. INTERNATIONAL FEES - 2012 AMOUNT: $ 1,975. 2014 AMOUNT: $ 1,800. 2015 AMOUNT: $ 3,975. REIMBURSEMENTS - 2015 AMOUNT: $ 200. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 0 0 0 0 1 11500 0 0 11500 0 PART II-B, LINE 1: LOBBYING ACTIVITIES INCLUDE MEETING WITH STATE LEGISLATORS AND STAFF. 45500 1990 47490 45500 45500 45500 45500 42500 3000 45500 42500 42500 0.00000 1.00000 0.00000 0 0 2456349 2456349 13588083 2913659 10674424 442467 437980 4487 1246053 949672 296381 268655 15815 252840 13684481 CAPITAL LEASE OBLIGATION 130046 130046 13606574 -2087 90000 87913 13518661 -95852 -95852 13422809 15037138 90000 95852 185852 14851286 0 14851286 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 -95,852. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 95,852. LUNCHEON 507167 470917 36250 42885 52967 507167 470917 36250 42885 52967 95852 -59602 1 HOUSING ASSISTANCE 523 62115 876013 FAIR MARKET VALUE HOUSING ASSISTANCE INCLUDING PAYMENT FOR RENT, UTILITIES, GROCERY DEBIT CARDS AND IDENTIFICATION REPLACEMENT. CLOTHING 2554 847549 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 160284 0 0 0 0 0 3150 0 1072 0 164506 0 0 0 A WASHINGTON HEALTH CARE FACILITIES AUTHORITY 911108929 2015-10-16 5404774 REFINANCE LOAN 0 0 0 A 5404774 86154 5318620 2015 0 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 A 0 0 0 0 0 0 0 0 0 A 1 PART I (F) REFINANCE LOAN - REFINANCE NEW MARKET TAX CREDIT FINANCING X 855107 FAIR MARKET VALUE X 3 8466 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 11 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 HIM/HERSELF 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 1,186,234. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,186,234. CONTRACT TRAINERS: PROGRAM SERVICE EXPENSES 47,406. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 47,406. EAP VENDORS: PROGRAM SERVICE EXPENSES 166,268. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 166,268. CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 250,922. MANAGEMENT AND GENERAL EXPENSES 95,083. FUNDRAISING EXPENSES 32,193. TOTAL EXPENSES 378,198. CONSULTANTS: PROGRAM SERVICE EXPENSES 42,418. MANAGEMENT AND GENERAL EXPENSES 27,460. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 69,878. EAP LEGAL/ FINANCIAL PROVIDERS: PROGRAM SERVICE EXPENSES 85,003. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 85,003. OTHER: PROGRAM SERVICE EXPENSES 11,037. MANAGEMENT AND GENERAL EXPENSES 3,216. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,253. FAMILY SERVICES PROPERTY LLC 1900 RAINIER AVENUE SOUTH SEATTLE WA 98144 260217889 OWNERSHIP OF FACILITY USED BY WELLSPRING FAMILY SERVICES WA 400000 2298 WELLSPRING FAMILY SERVICES