2015-09-15T11:14:45-05:00 2014-12-31 911194016 CLARK NUBER PS 10900 NE 4TH STREET SUITE 1700 BELLEVUE WA 98004 990 2014-01-01 910567261 WELLSPRING FAMILY SERVICES WELL 2068263050 1900 RAINIER AVENUE SOUTH SEATTLE WA 98144 RUTHANN HOWELL CEO/PRESIDENT 2068263050 2015-09-13 1 SARA ELIZABETH J HYRE P00235495 4254544919 2015-09-14 2014 2016-02-25 16:41:14Z RUTHANN HOWELL 1900 RAINIER AVENUE SOUTH SEATTLE WA 98144 13260526 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 2014, WE HELPED OVER 5,800 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. 21 21 142 553 0 0 4129135 5372321 7290257 7837225 5333 5775 -58999 -44872 11365726 13170449 827081 1750171 0 0 6838621 7627143 0 0 424410 4107978 4319286 11773680 13696600 -407954 -526151 18248107 17601908 6728199 6518227 11519908 11083681 X TO BUILD EMOTIONALLY HEALTHY SELF-SUFFICIENT FAMILIES & A NON-VIOLENT COMMUNITY IN WHICH THEY CAN THRIVE. 0 0 4245068 1746671 19945 WELLSPRING PROVIDED SERVICES TO 1,690 HOMELESS AND AT-RISK FAMILIES IN 2014. THESE SERVICES INCLUDED: -SPECIALIZED CHILDCARE IN WELLSPRING'S EARLY LEARNING CENTER FOR 80 HOMELESS CHILDREN - 89% OF THOSE WHO ATTENDED FOR AT LEAST 6 MONTHS GAINED DEVELOPMENTAL SKILLS NEEDED TO BE SUCCESSFUL IN KINDERGARTEN; -PROVIDING CLOTHING, EQUIPMENT AND OTHER ESSENTIAL ITEMS TO 2,431 HOMELESS CHILDREN AGED 0-17 THROUGH THE BABY BOUTIQUE;-SUPPORTIVE SERVICES, INCLUDING CASE MANAGEMENT THROUGH WELLSPRING'S HOUSING SERVICES HELPED 340 INDIVIDUALS AVOID EVICTION AND HOMELESSNESS, AND ASSISTED 110 FAMILIES WITH CHILDREN MOVE FROM HOMELESSNESS INTO STABLE HOUSING - 83% OF WHOM WERE STILL STABLY HOUSED 6 MONTHS LATER. 3412780 3500 3569419 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 1,718 ADULTS AND CHILDREN IN 2014. 3304680 4127837 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 178,000 EMPLOYEES OF CLIENT COMPANIES IN 2014. 356181 120024 DOMESTIC VIOLENCE INTERVENTION AND PREVENTION SERVICES PROVIDE STATE CERTIFIED SERVICES TO STOP VIOLENCE AT HOME AND HELP PEOPLE BUILD HEALTHIER RELATIONSHIPS. 113 INDIVIDUALS PARTICIPATED IN THE DOMESTIC VIOLENCE INTERVENTION PROGRAM IN 2014 - 87% OF WHOM WHO STAYED FOR AT LEAST 7 MONTHS LEARNED NON-ABUSIVE BEHAVIORS. 356181 120024 11318709 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 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 1 383 0 1 142 1 0 0 0 0 0 1 1 0 0 0 0 X 21 21 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X X DEBORAH TOWNSEND 2068263041 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 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 FROM 9/2014 2.00 0.00 X 0 0 0 BRIAN BUCKLEY BOARD MEMBER 2.00 0.00 X 0 0 0 JESSICA CANTLIN BOARD MEMBER 2.00 0.00 X 0 0 0 JEFFREY CORDICK BOARD MEMBER 2.00 0.00 X 0 0 0 DAVID HIATT BOARD MEMBER FROM 10/2014 2.00 0.00 X 0 0 0 SUSANNA HURLEY BOARD MEMBER 2.00 0.00 X 0 0 0 NICOLE MATUSKA 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 FROM 9/2014 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 FROM 10/2014 2.00 0.00 X 0 0 0 JEFFREY TURNER BOARD MEMBER FROM 9/2014 2.00 0.00 X 0 0 0 DERRICK WILLIAMS BOARD MEMBER 2.00 0.00 X 0 0 0 THERESA SHAW BOARD MEMBER THRU 6/2014 2.00 0.00 X 0 0 0 BRAD MCKEOWN BOARD MEMBER THRU 6/2014 2.00 0.00 X 0 0 0 MARK METCALF BOARD MEMBER THRU 6/2014 2.00 0.00 X 0 0 0 RICHARD WAGNER BOARD MEMBER THRU 6/2014 2.00 0.00 X 0 0 0 WILLIAM WEIGAND BOARD MEMBER THRU 6/2014 2.00 0.00 X 0 0 0 RUSSELL YOUNG BOARD MEMBER THRU 6/2014 2.00 0.00 X 0 0 0 RUTHANN HOWELL CEO/PRESIDENT 50.00 0.00 X 156903 0 3976 PATRICK DUFF CHIEF FINANCIAL OFFICER 40.00 0.00 X 132395 0 4391 KATHLEEN CAMPBELL CHIEF BUSINESS DEV OFFICER 40.00 0.00 X 148339 0 6849 KEITH MYERS VP, CLINICAL & TRAINING SERVICES 40.00 0.00 X 115864 0 7055 SANDRA LOWE VP, COMMUNITY SERVICES 40.00 0.00 X 112779 0 6555 KELLY PEARSON CHIEF DEVELOPMENT OFFICER 40.00 0.00 X 101497 0 2500 767777 0 31326 6 0 1 0 WORKPLACE BENEFITS LLC 2912 HIGHWOODS BLVD RALEIGH NC 27604 COUNSELING SEVICES 320599 PC BENNETT CONSULTING INC PO BOX 498 NORTH BEND WA 98045 SOFTWARE CONSULTANTS 125810 2 682859 326513 1979299 2383650 834659 5372321 EMPLOYEE ASSISTANCE 624100 4127837 4127837 COUNSELING SERVICES 621300 3299879 3299879 TRAINING SERVICES 624100 269540 269540 COMMUNITY SERVICES 621300 139969 139969 7837225 2392 2392 673 0 673 673 673 3383 0 3383 3383 3383 40000 326513 90077 -50077 -50077 INTERNATIONAL FEES 900099 1800 1800 NON EAP & OTHER FEES 900099 609 609 2123 2123 4532 13170449 7837225 0 -39097 X 1750171 1750171 297666 297666 6166520 5236943 631135 298442 83270 72844 7308 3118 590496 497210 74631 18655 489191 396941 69043 23207 20060 16222 3838 54936 54936 10000 10000 1977141 1822558 148463 6120 99025 37089 61507 429 326372 230229 59263 36880 281897 149891 118935 13071 485372 415139 66720 3513 21834 20419 959 456 27667 27657 10 152870 120292 28659 3919 695140 409564 272750 12826 59267 48367 7994 2906 BAD DEBT EXPENSE 49752 49752 HR SERVICES 28681 3509 25172 VOLUNTEER AND DONOR EXP 14673 2099 12574 STAFF TRAINING/DEVEL 14599 11813 1918 868 13696600 11318709 1953481 424410 1970511 1582419 95645 95691 515342 715986 809151 849464 89400 100582 66905 18148152 4018943 14629056 14129209 127820 72834 18248107 17601908 653536 782677 254828 153388 5703184 5495032 116651 87130 6728199 6518227 X 10932895 10263382 541513 774799 45500 45500 11519908 11083681 18248107 17601908 X -526151 524 89400 0 X 0 1 X 1 0 X 5015728 5645059 4891335 4129135 5372321 25053578 14400 14400 14400 14400 14400 72000 5030128 5659459 4905735 4143535 5386721 25125578 25125578 7155 5368 10427 6357 3065 32372 93210 43328 3179 4532 144249 25302199 37609241 0.99300 0.97410 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: INTER-AGENCY RECEIPTS - 2010 AMOUNT: $ 53,745. 2011 AMOUNT: $ 6,100. 2012 AMOUNT: $ 785. TRAINING REVENUE - 2010 AMOUNT: $ 33,159. MISCELLANEOUS - 2010 AMOUNT: $ 6,306. 2014 AMOUNT: $ 2,123. NON EAP OTHER FEES - 2011 AMOUNT: $ 37,228. 2012 AMOUNT: $ 419. 2014 AMOUNT: $ 609. INTERNATIONAL FEES - 2012 AMOUNT: $ 1,975. 2014 AMOUNT: $ 1,800. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 0 0 0 0 1 10000 0 0 10000 0 PART II-B, LINE 1: LOBBYING ACTIVITIES INCLUDE MEETING WITH STATE LEGISLATORS AND STAFF. 45500 45500 45500 45500 42500 3000 45500 42500 42500 42500 42500 0.00000 1.00000 0.00000 0 0 2456349 2456349 13588083 2465401 11122682 442467 431798 10669 1571947 1110558 461389 89306 11186 78120 14129209 SUBLEASE DEPOSITS 2000 CAPITAL LEASE OBLIGATION 85130 87130 13351050 524 90000 90524 13260526 -90077 -90077 13170449 13876677 90000 90077 180077 13696600 0 13696600 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 -90,077. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 90,077. LUNCHEON 366513 326513 40000 43284 46793 366513 326513 40000 43284 46793 90077 -50077 1 HOUSING ASSISTANCE 450 0 946614 FAIR MARKET VALUE HOUSING ASSISTANCE INCLUDING PAYMENT FOR RENT, UTILITIES, GROCERY DEBIT CARDS AND IDENTIFICATION REPLACEMENT. CLOTHING 2431 0 800057 FAIR MARKET VALUE CLOTHING FOR CHILDREN FROM THE BABY BOUTIQUE PROGRAM. STUDENT SCHOLARSHIPS 5 3500 CASH PAID TO SCHOOL TUITION ASSISTANCE TO ATTEND SCHOOL. 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 156903 0 0 0 0 0 3133 0 843 0 160879 0 0 0 KATHLEEN CAMPBELL CHIEF BUSINESS DEV OFFICER 148339 0 0 0 0 0 2425 0 4424 0 155188 0 0 0 X 800057 FAIR MARKET VALUE X 5 34602 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. 93% 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. 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 DECEMBER 2014. 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 1,215,221. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,215,221. CONTRACT TRAINERS: PROGRAM SERVICE EXPENSES 42,177. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 42,177. EAP VENDORS: PROGRAM SERVICE EXPENSES 186,656. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 186,656. CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 282,670. MANAGEMENT AND GENERAL EXPENSES 92,303. FUNDRAISING EXPENSES 6,120. TOTAL EXPENSES 381,093. CONSULTANTS: PROGRAM SERVICE EXPENSES 9,773. MANAGEMENT AND GENERAL EXPENSES 56,160. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 65,933. EAP LEGAL/ FINANCIAL PROVIDERS: PROGRAM SERVICE EXPENSES 69,738. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 69,738. OTHER: PROGRAM SERVICE EXPENSES 16,323. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,323. FORM 990, PART XI, LINE 8: PRIOR PERIOD ADJUSTMENT THE PRIOR PERIOD ADJUSTMENT WAS TO REFLECT A REVISION TO THE RECOGNITION FOR IN-KIND CONTRIBUTIONS OF CLOTHING AND OTHER CHILD ITEMS, WHICH ARE THEN IN TURN DONATED AT NO COST TO OUR COMMUNITY SERVICES CLIENTS. THE ADJUSTMENT IS TO RECOGNIZE THE VALUE OF THE IN-KIND DONATIONS THAT ARE IN INVENTORY AT YEAR END. FAMILY SERVICES PROPERTY LLC 1900 RAINIER AVENUE SOUTH SEATTLE WA 98144 260217889 OWNERSHIP OF FACILITY USED BY WELLSPRING FAMILY SERVICES WA 480000 14247514 WELLSPRING FAMILY SERVICES