2014-04-15T12:34:36-05:00 2013-06-30 911194016 CLARK NUBER PS 10900 NE 4TH STREET SUITE 1700 BELLEVUE WA 98004 990 2012-07-01 911180810 COMPASS HEALTH COMP 4253496200 PO BOX 3810 EVERETT WA 982138810 TOM SEBASTIAN 4253498414 2014-04-16 1 SARA ELIZABETH J HYRE P00235495 4254544919 2014-04-14 2012 2015-11-30 17:44:51Z TOM SEBASTIAN 4526 FEDERAL AVENUE EVERETT WA 98203 34516378 0 X WWW.COMPASSHEALTH.ORG X 1984 WA PROVIDE BEHAVIORAL HEALTH CARE SERVICES. 10 9 632 10 462 0 2803266 2971111 28318809 31118920 262509 142605 -45468 34579 31339116 34267215 33572 733741 0 0 25251348 26025159 0 0 148614 7481294 6659582 32766214 33418482 -1427098 848733 22751031 22826444 9109470 8360286 13641561 14466158 X PROVIDE BEHAVIORAL HEALTH CARE SERVICES. 0 0 10315928 242911 11692990 MENTAL HEALTH OUTPATIENT PROGRAM: WE PROVIDE COUNSELING, CASE MANAGEMENT AND OTHER SPECIALIZED AMBULATORY SERVICES TO INDIVIDUALS OF ALL AGES, COUPLES AND FAMILIES WHO HAVE MENTAL AND EMOTIONAL PROBLEMS. OUR SERVICES RANGE IN INTENSITY FROM PREVENTION CLASSES THROUGH BRIEF OR INTERMITTENT GROUP AND INDIVIDUAL THERAPY, TO MULTIPLE WEEKLY TREATMENT SESSIONS AS MEDICALLY NECESSARY. SERVED 9,766 CLIENTS. 2674083 58284 3338152 INPATIENT PROGRAM: COMPASS HEALTH OPERATES A 16-BED SECURE SHORT STAY INPATIENT TREATMENT FACILITY FOR PERSONS DETAINED UNDER THE INVOLUNTARY TREATMENT ACT. SERVED 391 CLIENTS. 2277941 5633 3124095 CRISIS RESPONSE PROGRAM: WE SERVE PEOPLE OF ALL AGES WHO ARE EXPERIENCING ACUTE EPISODES REQUIRING STABILIZATION THAT CAN BE ACCOMPLISHED EITHER BY 24-HOUR SUPERVISION SHORT OF INPATIENT CARE OR IN AN OUTPATIENT MODALITY. OUR SERVICES INCLUDE 24-HOUR SUPERVISION PROVIDED IN 16-BED OR 10-BED FACILITY, TELEPHONE ASSESSMENT AND INTERVENTION, OUTREACH, ONE-ON-ONE STABILIZATION, AND THERAPEUTIC SUPPORT GROUPS CONSULTATION AND TRAINING. SERVED 3,179 CLIENTS. 12887373 426913 12963683 COMPASS HEALTH ALSO PROVIDES SEVERAL OTHER PROGRAMS SUCH AS:- RESIDENTIAL TREATMENT: ELIGIBLE CONSUMERS WHO REQUIRE 24-HOUR SUPERVISION ARE SERVED IN TWO 16-BED FACILITIES AND ONE 12-BED FACILITY OFFERING DIFFERENT INTENSITIES OF TREATMENT. SERVED 71 CLIENTS.- HOUSING: COMPASS HEALTH PROVIDES SAFE AND AFFORDABLE HOUSING TO HOMELESS INDIVIDUALS SO THEY CAN FOCUS ON SYMPTOM MANAGEMENT AND DAILY LIVING SKILLS. SERVED 240 CLIENTS.- CHILDREN'S INTENSIVE SERVICES: WE PROVIDE INTENSIVE "WRAP-AROUND" SERVICES TO CHILDREN IN NATURAL OR FOSTER HOMES WHO ARE AT RISK FOR PSYCHIATRIC HOSPITALIZATION. SERVED 212 CLIENTS.- PSYCHIATRY: WE PROVIDE CLIENTS BOTH IN-PATIENT AND OUTPATIENT SETTINGS. SERVED 3,864 CLIENTS.- OTHER PROGRAMS: OTHER SERVICES WE PROVIDE DIRECTLY TO THE PUBLIC AND AFFILIATED AGENCIES SERVING COMMON POPULATIONS ARE TRANSITIONAL CARE, LIFE SKILLS TRAINING, CHEMICAL DEPENDENCY TREATMENT SERVICES AND PAYEE SERVICES. SERVED 1,736 CLIENTS. 12887373 426913 12963683 28155325 1 1 0 1 0 0 0 0 1 1 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 82 0 1 632 1 0 0 0 0 0 0 0 0 0 0 0 X 10 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 4526 FEDERAL AVENUE EVERETT WA 98203 HARVEY SMITH 1.00 1.00 X X 0 0 0 ERIC CARLSEN 1.00 1.00 X X 0 0 0 LAURA CARLSEN 1.00 1.00 X X 0 0 0 DAVE FINSTAD 1.00 1.00 X X 0 0 0 JOHN PEDERSON 1.00 0.00 X 0 0 0 JIM FAGERLIE 1.00 1.00 X 0 0 0 RON JACOBSON 1.00 0.00 X 0 0 0 JEANNINE DAGGETT 1.00 0.00 X 0 0 0 AARON DEFOLO 1.00 0.00 X 0 0 0 ALEX DESOTO 10.00 1.00 X X 70860 0 0 THERESA PRUETT 1.00 1.00 X X 0 0 0 TOM SEBASTIAN 40.00 1.00 X 161275 0 15506 MARSH KELLEGREW 40.00 1.00 X 41350 0 2324 VICKI BRITT 40.00 0.00 X 151607 0 14021 BARBARA MCFADDEN 40.00 0.00 X 159458 0 15411 JEFFREY NELSON 40.00 0.00 X 175519 0 16198 MICHAEL SHEN 40.00 0.00 X 206287 0 19287 CAROLE KOSTURN 40.00 1.00 X 114329 0 13663 1080685 0 96410 12 0 1 0 COAST PROPERTY MANAGEMENT 2829 RUCKER AVENUE EVERETT WA 98201 PROPERTY MANAGEMENT SERVICES 162367 V&R SHEET METAL LLC PO BOX 2841 YELM WA 98597 CONSTRUCTION SERVICES 154834 CLARK NUBER 10900 NE 4TH STREET SUITE 1700 BELLEVUE WA 98004 ACCOUNTING SERVICES 153887 SYNERGY CONSTRUCTION 14040 NE 181ST STREET WOODINVILLE WA 98072 CONSTRUCTION SERVICES 133369 DAVIS GRIMM PAYNE & MARRA INC 701 5TH AVENUE SUITE 4040 SEATTLE WA 98104 LEGAL SERVICES 129156 6 4240 2823159 143712 19625 2971111 PATIENT SERVICES 621400 30063139 30017286 45853 RENTAL INCOME 531110 571283 571283 CONSULTATION REVENUE 541900 484036 484036 PAYROLL SERVICES 541200 462 462 31118920 37970 37970 68876 39472 29404 29404 29404 149426 164900 122911 86780 26515 78120 104635 104635 REBATES/REFUNDS 900099 2800 2800 HONORARIA 900099 2375 2375 5175 34267215 31072605 462 223037 733741 733741 291732 291732 19777514 17059104 2624253 94157 599695 505136 91736 2823 3501439 3005993 484671 10775 1854779 1593217 252970 8592 163506 2939 160449 118 77530 1369 76161 72785 72785 724880 647001 68925 8954 11146 5833 1813 3500 862243 705692 153516 3035 469081 308929 153016 7136 1889649 1727756 158444 3449 386772 327508 58611 653 70568 44704 22740 3124 827256 594328 232928 488922 445721 43199 2 BAD DEBT 163157 163157 TAXES, LICENSES & DUES 128661 29592 98624 445 EMPLOYEE RECRUITMENT 54323 48731 5297 295 269103 204874 62673 1556 33418482 28155325 5114543 148614 4120853 3987385 590525 378486 973785 1643026 391591 378488 828613 870401 1131989 1342495 19989398 6848746 12499158 13140652 660020 542796 510257 510202 1044240 32513 22751031 22826444 4022513 3255665 15337 17513 2169223 2514185 455403 552841 1965579 1928386 481415 91696 9109470 8360286 X 11295319 12164926 2064986 2019976 281256 281256 13641561 14466158 22751031 22826444 848733 -24136 0 X 0 1 X 1 1 1 X 5105212 3530904 3557595 2803266 2971111 17968088 32821548 32202048 31086468 28301314 31072605 155483983 37926760 35732952 34644063 31104580 34043716 173452071 1810 2199 3000 2169 1129 10307 0 1810 2199 3000 2169 1129 10307 173441764 105281 62381 97921 103685 106846 476114 563 563 105281 62944 97921 103685 106846 476677 336283 224480 6720 45853 613336 4360 5175 9535 38032041 36132179 34966464 31219345 34201590 174551619 0.99360 0.99330 0.00270 0.00340 X SCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: REBATES/REFUNDS - 2011 AMOUNT: $ 3,644. 2012 AMOUNT: $ 2,800. MISCELLANEOUS - 2011 AMOUNT: $ 716. HONORARIA - 2012 AMOUNT: $ 2,375. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 1 72785 0 0 72785 0 EXPLANATION OF LOBBYING ACTIVITIES: 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 721983 22452 744435 726581 -4598 721983 660304 66277 726581 613571 46733 660304 756065 -142494 613571 0.00000 0.38000 0.62000 0 0 2668388 2668388 13508579 4559793 8948786 874304 793037 81267 2057027 1408717 648310 881100 87199 793901 13140652 CAPITAL LEASE LIABILITY 91696 91696 35479766 -24136 940 1172298 1149102 34330664 -63449 -63449 34267215 34652127 940 1232705 1233645 33418482 0 33418482 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. DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: 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. PART XI, LINE 2D - OTHER ADJUSTMENTS: RELATED ORGANIZATION REVENUE 1,172,298. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSE -39,472. LOSS ON SALE OF ASSETS -23,977. PART XII, LINE 2D - OTHER ADJUSTMENTS: RELATED ORGANIZATION EXPENSE 1,169,256. RENTAL EXPENSE 39,472. LOSS ON SALE OF ASSETS 23,977. 1 ASSISTANCE TO INDIVIDUALS FOR BASIC NEEDS SUCH AS FOOD, SHELTER, TRANSPORTATION AND CLOTHING 2936 507856 OTHER PAYMENTS TO VENDORS FOR BASIC NEEDS SUCH AS SHELTER, TRANSPORTATION AND CLOTHING FOR CLIENTS IN NEED. FOSTER PARENT REIMBURSEMENT FOR BASIC NEEDS SUCH AS FOOD, SHELTER, TRANSPORTATION AND CLOTHING FOR OUR FOSTER CHILDREN 24 225885 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, 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 0 0 TOM SEBASTIAN 161275 0 0 0 0 0 6388 0 9118 0 176781 0 0 0 VICKI BRITT 151607 0 0 0 0 0 5701 0 8320 0 165628 0 0 0 BARBARA MCFADDEN 159458 0 0 0 0 0 6300 0 9111 0 174869 0 0 0 JEFFREY NELSON 175519 0 0 0 0 0 7027 0 9171 0 191717 0 0 0 MICHAEL SHEN 206287 0 0 0 0 0 8343 0 10944 0 225574 0 0 0 A WASHINGTON STATE HOUSING FINANCE COMMISSION 911874730 2012-07-10 500000 ENERGY EFFICIENCY LOAN PROGRAM 0 0 0 A 500000 19056 500000 2012 0 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 1 1 0 0 0 1 A 0 VOLUNTEERS FORM 990, PART I, LINE 6: THERE WERE 10 VOLUNTEER BOARD MEMBERS. FORM 990, PART VI, SECTION A, LINE 2 ERIC CARLSEN AND LAURA CARLSEN HAVE A FAMILY RELATIONSHIP. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS REVIEWED BY THE EXECUTIVE COMMITTEE EITHER PRIOR TO OR AT THE NEXT SCHEDULED EXECUTIVE COMMITTEE MEETING. THE ACCOUNTING STAFF AND BOARD 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 DECEMBER OF 2013. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. COMPASS HEALTH HOLDINGS LLC 4526 FEDERAL AVENUE BUILDING 3 EVERETT WA 98203 911180810 HOLDING CO; MANAGING MEMBER OF MILWAUKEE PARK APTS WA 0 0 N/A 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 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 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 MARYSVILLE STUDIO APARTMENTS 4526 FEDERAL AVENUE BUILDING 3 EVERETT WA 98203 743042867 LOW INCOME HOUSING WA COMPASS HEALTH RELATED -42 410925 0 -25 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 251909 0 -5 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 246613 COST MILWAUKEE PARK APTS LP A 31 COST COUNTERPOINT COMMONS D 217388 COST MENTAL HEALTH SERVICES OF SNOHOMISH COUNTY II D 71875 COST MILWAUKEE PARK APTS LP D 75000 COST MARYSVILLE STUDIO APARTMENTS D 480741 COST MARYSVILLE STUDIO APARTMENTS A 5103 FMV