2013-03-22T10:20:52-05:00 2012-06-30 911194016 CLARK NUBER PS 10900 NE 4TH STREET SUITE 1700 BELLEVUE WA 98004 990 2011-07-01 911180810 COMPASS HEALTH COMP 4253496200 PO BOX 3810 EVERETT WA 982138810 TOM SEBASTIAN 4253498414 2013-03-21 1 SARA ELIZABETH J HYRE P00235495 4254544919 2013-03-15 2011 2016-02-25 16:41:14Z TOM SEBASTIAN 4526 FEDERAL AVENUE EVERETT WA 98203 31779287 0 X WWW.COMPASSHEALTH.ORG X 1984 WA PROVIDE BEHAVIORAL HEALTH CARE SERVICES. 8 7 635 9 8423 -703 3557595 2803266 31320895 28318809 391599 262509 -18553 -45468 35251536 31339116 10000 33572 0 0 26522756 25251348 0 0 149591 7508815 7481294 34041571 32766214 1209965 -1427098 23511562 22751031 8415977 9109470 15095585 13641561 X PROVIDE BEHAVIORAL HEALTH CARE SERVICES. 0 0 12403106 14922794 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 13,569 CLIENTS. 2712688 3254770 INPATIENT PROGRAM: COMPASS HEALTH OPERATES A 15-BED SECURE SHORT STAY INPATIENT TREATMENT FACILITY FOR PERSONS DETAINED UNDER THE INVOLUNTARY TREATMENT ACT. SERVED 387 CLIENTS. 3184846 4523246 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 2,821 CLIENTS. 8325022 33572 5617999 COMPASS HEALTH ALSO PROVIDES SEVERAL OTHER PROGRAMS SUCH AS:- RESIDENTIAL TREATMENT: ELIGIBLE CONSUMERS WHO REQUIRE 24-HOUR SUPERVISION ARE SERVED IN ONE 16-BED FACILITY AND ONE 12-BED FACILITY OFFERING DIFFERENT INTENSITIES OF TREATMENT. SERVED 68 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 126 CLIENTS- PSYCHIATRY: WE PROVIDE CLIENTS BOTH IN-PATIENT AND OUTPATIENT SETTINGS. SERVED 3,475 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 1,163 CLIENTS 8325022 33572 5617999 26625662 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 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 1 0 0 1 59 0 1 635 1 1 1 0 0 0 0 0 0 0 0 0 X 8 7 0 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 X JOHN PEDERSON 1.00 X X 0 0 0 HARVEY SMITH 1.00 X X 0 0 0 ERIC CARLSEN 1.00 X X 0 0 0 THERESA PRUETT 1.00 X X 0 0 0 JEANNINE DAGGETT 1.00 X 0 0 0 JANICE ELLIS 1.00 X 0 0 0 DAVE FINSTAD 1.00 X 0 0 0 AARON DEFOLO 1.00 X 0 0 0 JIM FAGERLIE 1.00 X 0 0 0 TOM SEBASTIAN 39.00 X 156194 0 22616 DJ JOHNSON 32.00 X 121362 0 17637 ALEX DESOTO 14.00 X 0 0 0 CAROLE KOSTURN 39.00 X 106653 0 19055 BARBARA MCFADDEN 40.00 X 149755 0 22884 JEFFREY NELSON 40.00 X 171066 0 21296 SARA PETRY 40.00 X 215780 0 26143 MICHAEL SHEN 40.00 X 200474 0 25272 1121284 0 154903 12 0 1 0 PREMIUM CONSTRUCTION GROUP INC 12014 20TH STREET SE EVERETT WA 98205 CONSTRUCTION SERVICES 1236287 COAST REAL ESTATE SERVICES PO BOX 13390 EVERETT WA 98206 REAL ESTATE MANAGEMENT 433487 ROBERT HALF INTERNATIONAL PO BOX 743295 LOS ANGELES CA 900743295 STAFFING SERVICES 215517 DAVIS GRIMM PAYNE & MARRA INC 701 5TH AVENUE SEATTLE WA 98104 LEGAL SERVICES 153802 CLARK NUBER 10900 NE 4TH STREET SUITE 1700 BELLEVUE WA 98004 ACCOUNTING SERVICES 134528 5 8021 34537 2654101 106607 33572 2803266 PATIENT SERVICES 621400 27441235 27432163 9072 RENTAL INCOME 531110 478786 478786 CONSULTATION REVENUE 541900 390365 390365 PAYROLL SERVICES 541200 8423 8423 28318809 36942 36942 66743 114219 -47476 -47476 -47476 286372 256320 284882 32243 1490 224077 225567 225567 6475 34537 8827 -2352 -2352 REBATES/REFUNDS 900099 3644 3644 MISCELLANEOUS 900099 716 716 4360 31339116 28301314 8423 226113 33572 33572 345784 345784 19079395 16277164 2699475 102756 752851 622476 125448 4927 3069849 2610269 450693 8887 2003469 1698565 294660 10244 264666 7835 256831 118779 30251 88528 72169 72169 820399 623981 196418 14071 9925 2419 1727 1478536 860607 616109 1820 187748 26285 159586 1877 1863642 1681977 168248 13417 366385 293151 71755 1479 45776 45546 230 731501 477779 253722 308858 280673 28185 CLIENT ASSISTANCE 690263 690263 BAD DEBT 228528 228528 TAXES, LICENSES & DUES 124533 34616 87690 2227 EMPLOYEE RECRUITMENT 45574 14096 31478 119866 78103 41763 32766214 26625662 5990961 149591 5220756 4120853 536673 590525 824367 973785 452147 391591 848553 828613 1108491 1131989 18992450 6493292 12187536 12499158 714116 660020 612809 510257 1006114 1044240 23511562 22751031 3581426 4022513 14357 15337 2280990 2169223 428077 455403 2099211 1965579 11916 481415 8415977 9109470 X 12595038 11295319 2240422 2064986 260125 281256 15095585 13641561 23511562 22751031 X -1427098 -26926 X 0 1 1 X 1 1 X 4513216 5105212 3530904 3557595 2803266 19510193 33328432 32821548 32202048 31086468 28301314 157739810 37841648 37926760 35732952 34644063 31104580 177250003 3203 1810 2199 3000 2169 12381 0 3203 1810 2199 3000 2169 12381 177237622 233749 105281 62381 97921 103685 603017 563 563 233749 105281 62944 97921 103685 603580 336283 224480 6720 567483 4360 4360 38075397 38032041 36132179 34966464 31219345 178425426 0.99330 0.99290 0.00340 0.00400 X SCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: REBATES/REFUNDS MISCELLANEOUS RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 1 72169 0 0 72169 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: SETH DAWSON ADVOCATES ON BEHALF OF COMPASS HEALTH ON A STATE LEVEL FOR HOUSING AND MENTAL HEALTH ISSUES. THE ABOVE AMOUNT REPRESENTS HIS SALARY. 0 1 726581 -4598 721983 660304 66277 726581 613571 46733 660304 756065 -142494 613571 0.00000 0.39000 0.61000 0 0 2694664 2694664 12618597 4101815 8516782 874304 751253 123051 2041168 1524927 516241 763717 115297 648420 12499158 CONSTRUCTION PAYABLES 481415 481415 31339116 32766214 -1427098 -26926 -165141 -192067 -1619165 32486779 -26926 750 1049342 1023166 31463613 -124497 -124497 31339116 34105944 750 1338980 1339730 32766214 0 32766214 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 INCAPABLE OF MANAGING 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 8 - OTHER ADJUSTMENTS: REVENUE AND EXPENSES FROM AFFILIATES -165,141. PART XII, LINE 2D - OTHER ADJUSTMENTS: RELATED PARTY REVENUE 1,049,342. PART XII, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSE -114,219. SPECIAL EVENT EXPENSE -8,827. LOSS ON SALE OF ASSETS -1,451. PART XIII, LINE 2D - OTHER ADJUSTMENTS: RELATED PARTY EXPENSE 1,214,483. RENTAL EXPENSE 114,219. SPECIAL EVENT EXPENSE 8,827. LOSS ON SALE OF ASSETS 1,451. BREAKFAST 41012 34537 6475 1975 6475 377 41012 34537 6475 1975 6475 377 8827 -2352 0 MISCELLANEOUS NON-CASH ITEMS SUCH AS CLOTHING, FOOD, SUPPLIES, FURNITURE, TICKETS, AND GIFTS 12659 33572 FMV PROVIDE A FOSTER CHILD THE ABILITY TO ATTEND ICE SKATING CAMP, PROVIDE FOSTER CHILDREN WITH NEW COATS, PROVIDE SUPPLIES FOR CONSUMER GROUP, PROVIDE SNACKS AND MEALS FOR CONSUMER GROUP, PROVIDE MEALS TO HOMELESS INDIVIDUALS, PROVIDE FURNITURE TO A CLIENT, PROVIDE HOLIDAY GIFTS TO FOSTER CHILDREN AND FOSTER FAMILIES, PROVIDE SCHOOL SUPPLIES TO FOSTER CHILDREN, PROVIDE RECREATION TO FOSTER CHILDREN X X X 0 0 0 0 0 0 0 0 0 TOM SEBASTIAN 156194 0 0 0 0 0 13797 0 8819 0 178810 0 0 0 BARBARA MCFADDEN 149755 0 0 0 0 0 13478 0 9406 0 172639 0 0 0 JEFFREY NELSON 171066 0 0 0 0 0 12384 0 8912 0 192362 0 0 0 SARA PETRY 215780 0 0 0 0 0 15217 0 10926 0 241923 0 0 0 MICHAEL SHEN 200474 0 0 0 0 0 14014 0 11258 0 225746 0 0 0 PREMIUM CONSTRUCTION GROUP INC ENTITY MORE THAN 35% OWNED BY JIM FAGERLIE, BOARD MEMBER 385675 CONSTRUCTION SERVICES 0 X 4348 COST X 71 13189 COST X GIFTS 17 16035 COST 0 0 0 0 METHOD FOR DETERMINING NUMBER OF CONTRIBUTORS: PART I, COLUMN (B): THE NUMBER IN COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTIONS RECEIVED. FORM 990, PART I, LINE 6: THERE WERE 9 VOLUNTEER BOARD MEMBERS. 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. 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 2011. 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 VII, SECTION A: AVERAGE NUMBER OF HOURS WORKED PER WEEK BY PERSONS DISCLOSED IN PART VII, SECTION A, AT A RELATED ORGANIZATION: HARVEY SMITH - 1.0 HOUR THERESA PRUETT - 1.0 HOUR ERIC CARLSEN - 1.0 HOUR DAVE FINSTAD - 1.0 HOUR JANICE ELLIS - 1.0 HOUR JOHN PEDERSON - 1.0 HOUR JIM FAGERLIE - 1.0 HOUR TOM SEBASTIAN - 1.0 HOUR DJ JOHNSON - 1.0 HOUR ALEX DESOTO - 1.0 HOUR CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS (LOSSES) ON INVESTMENTS -26,926. TOTAL TO FORM 990, PART XI, LINE 5: -26,926. 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 ASSOCIATED PROVIDER NETWORK LLC 4526 FEDERAL AVENUE BUILDING 3 EVERETT WA 98203 911781595 BEHAVIORAL HEALTH CARE SERVICES WA COMPASS HEALTH RELATED -2559 0 0 0.81250 MARYSVILLE STUDIO APARTMENTS 4526 FEDERAL AVENUE BUILDING 3 EVERETT WA 98203 743042867 LOW INCOME HOUSING WA COMPASS HEALTH RELATED -84 410986 0 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 -11 231766 0 1 0.00010 1 0 0 1 0 0 0 0 0 1 1 0 1 1 0 1 0 0 MARYSVILLE STUDIO APARTMENTS D 501084 COST MILWAUKEE PARK APTS LP D 75000 COST COUNTERPOINT COMMONS D 217388 COST CHILD ADVOCACY CENTER OF SNOHOMISH COUNTY N 194271 COST MARYSVILLE STUDIO APARTMENTS A 5755 FAIR MARKET VALUE MILWAUKEE PARK APTS LP A 31 FAIR MARKET VALUE