2012-05-14T16:35:12-05:00 2011-06-30 CLARK NUBER PS 10900 NE 4TH STREET SUITE 1700 BELLEVUE WA 98004 990 2010-07-01 911180810 COMPASS HEALTH COMP 4253496200 PO BOX 3810 EVERETT WA 982138810 TOM SEBASTIAN 4253498414 2012-05-14 1 SARA ELIZABETH J HYRE 4254544919 2012-05-14 2010 2016-02-24 21:20:13Z X TOM SEBASTIAN 4526 FEDERAL AVENUE EVERETT WA 98203 36017850 0 X WWW.COMPASSHEALTH.ORG X 1984 WA PROVIDE BEHAVIORAL HEALTH CARE SERVICES. 8 8 680 8 7882 0 3530904 3557595 32546789 31320895 827514 391599 -9818 -18553 36895389 35251536 0 10000 0 0 28435514 26522756 0 0 171803 7959724 7508815 36395238 34041571 500151 1209965 23268296 23511562 9430275 8415977 13838021 15095585 X PROVIDE BEHAVIORAL HEALTH CARE SERVICES. 0 0 12514709 10000 15173008 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 13,973 CLIENTS. 3751902 4881196 INPATIENT PROGRAM: COMPASS HEALTH OPERATES ONE 15-BED AND ONE 16-BED SECURE SHORT STAY INPATIENT TREATMENT FACILITY FOR PERSONS DETAINED UNDER THE INVOLUNTARY TREATMENT ACT. SERVED 503 CLIENTS. DUE TO FUNDING REDUCTIONS IMPLEMENTED IN NOVEMBER 2010, NORTH SOUND MENTAL HEALTH ADMINISTRATION CEASED FUNDING OUR 15 BED FACILITY IN SEDRO WOOLLEY WHICH WAS CLOSED AT THAT TIME. WE STILL OPERATE THE 16 BED FACILITY IN MUKILTEO. 3777539 5146249 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 2,791 CLIENTS. 8011586 5886015 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- HOUSING: COMPASS HEALTH PROVIDES SAFE AND AFFORDABLE HOUSING TO INDIVIDUALS WHO HAVE A SERIOUS LONG-TERM MENTAL ILLNESS- CHILDREN'S HOSPITAL ALTERNATIVE PROGRAM (CHAP): WE PROVIDE INTENSIVE "WRAP-AROUND" SERVICES TO CHILDREN IN NATURAL OR FOSTER HOMES WHO ARE AT RISK FOR PSYCHIATRIC HOSPITALIZATION- PSYCHIATRY: WE PROVIDE CLIENTS BOTH IN-PATIENT AND OUTPATIENT SETTINGS- OTHER PROGRAMS: OTHER SERVICES WE PROVIDE DIRECTLY TO THE PUBLIC AND AFFILIATED AGENCIES SERVING COMMON POPULATION ARE COMMUNITY OUTREACH AND EDUCATION, CHEMICAL DEPENDENCY TREATMENT SERVICES AND PAYEE SERVICES. 8011586 5886015 28055736 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 1 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 0 0 1 65 0 1 680 1 1 1 0 0 0 0 0 0 0 0 0 X 8 8 0 0 1 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 WA X X DEANA GILPIN 4253498436 4526 FEDERAL AVENUE EVERETT WA 98203 JOHN PEDERSON 1.20 X X 0 0 0 HARVEY SMITH 1.20 X X 0 0 0 ERIC CARLSEN 1.20 X X 0 0 0 THERESA PRUETT 1.20 X X 0 0 0 JEANNINE DAGGETT 1.20 X 0 0 0 JANICE ELLIS 1.20 X 0 0 0 DAVE FINSTAD 1.20 X 0 0 0 AARON DEFOLO 1.20 X 0 0 0 JIM FAGERLIE 1.20 X 0 0 0 TOM SEBASTIAN 40.00 X 159419 0 22593 DJ JOHNSON 40.00 X 122097 0 14039 CAROLE KOSTURN 38.50 X 104230 0 18260 BARBARA MCFADDEN 40.00 X 147514 0 23135 JEFFREY NELSON 40.00 X 171101 0 15432 SARA PETRY 40.00 X 187448 0 25783 MICHAEL SHEN 40.00 X 200308 0 24436 1092117 0 143678 11 0 1 0 PREMIUM CONSTRUCTION GROUP INC 12014 20TH STREET SE EVERETT WA 98205 CONSTRUCTION SERVICES 480611 COAST REAL ESTATE SERVICES 2829 RUCKER EVERETT WA 98201 PROPERTY MANAGEMENT SERVICES 155093 MEDSTAFF HEALTHCARE SOLUTIONS 2200 6TH AVE TUKWILA WA 98188 STAFFING SERVICES 123429 INTEGRATED MEDICAL SYSTEMS 4380 SW MACADAM AVE SUITE 530 PORTLAND OR 98239 STAFFING SERVICES 105540 4 21766 35179 3480995 19655 3557595 PATIENT SERVICES 621400 30637937 30626717 11220 CONSULTATION REVENUE 541900 459751 459751 IT SERVICES 541519 215325 215325 PAYROLL SERVICES 541200 7882 7882 31320895 32462 32462 65459 81947 -16488 -16488 -16488 180757 859182 178328 502474 2429 356708 359137 359137 1500 35179 3565 -2065 -2065 35251536 31086468 7882 599591 10000 10000 314417 314417 19858794 17058962 2705390 94442 956043 784545 166700 4798 3287166 2804532 468831 13803 2106336 1791606 304570 10160 139144 1446 137698 93523 120 93403 92058 92058 900507 797241 98557 4709 28266 12497 7137 8632 1618769 1008183 595782 14804 118104 16145 101518 441 1892969 1673480 215577 3912 342742 280300 61377 1065 63763 53315 9659 789 707082 406830 300184 68 258272 238584 19688 CLIENT ASSISTANCE 819049 805568 256 13225 BAD DEBT 219496 219496 EMPLOYEE RECRUITMENT 72767 26773 45994 TAXES & LICENSES 61323 47069 14003 251 DUES 53027 1288 51345 394 27954 17756 9888 310 34041571 28055736 5814032 171803 4898257 5220756 616672 536673 1507026 824367 538277 452147 868295 848553 1513136 1108491 18206109 6018573 10665534 12187536 628733 714116 615165 612809 1417201 1006114 23268296 23511562 3287224 3581426 2202 14357 2383017 2280990 529990 428077 3168127 2099211 59715 11916 9430275 8415977 X 11388756 12595038 2189140 2240422 260125 260125 13838021 15095585 23268296 23511562 X 1209965 47599 X 0 1 1 X 1 1 X 4003189 4513216 5105212 3530904 3557595 20710116 31666470 33328432 32821548 32202048 31086468 161104966 35669659 37841648 37926760 35732952 34644063 181815082 3903 3203 1810 2199 3000 14115 0 3903 3203 1810 2199 3000 14115 181800967 230511 233749 105281 62381 97921 729843 563 563 230511 233749 105281 62944 97921 730406 336283 224480 560763 35900170 38075397 38032041 36132179 34966464 183106251 0.99290 0.99340 0.00400 0.00470 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 92058 0 0 92058 0 0 1 660304 66277 726581 613571 46733 660304 756065 -142494 613571 0.00000 1.00000 0.00000 0 0 2713738 2713738 10366944 3761956 6604988 879292 714020 165272 1800021 1333624 466397 2446114 208973 2237141 12187536 CAPITAL LEASE OBLIGATION 11916 11916 35251536 34041571 1209965 47599 47599 1257564 37059475 47599 57236 1617592 1722427 35337048 -85512 -85512 35251536 35014288 57236 917837 975073 34039215 2356 2356 34041571 PART IV, LINE 2B: COMPASS HEALTH PROVIDES PAYEE SERVICES TO CLIENTS. 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 XII, LINE 2D - OTHER ADJUSTMENTS: RELATED PARTY REVENUE 1,619,948. INVESTMENT EXPENSE -2,356. PART XII, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSE -81,947. SPECIAL EVENT EXPENSE -3,565. PART XIII, LINE 2D - OTHER ADJUSTMENTS: RELATED PARTY EXPENSE 832,325. RENTAL EXPENSE 81,947. SPECIAL EVENT EXPENSE 3,565. BREAKFAST 36679 35179 1500 1595 1500 470 36679 35179 1500 1595 1500 470 3565 -2065 1 BEHAVIORAL HEALTH NORTHWEST PO BOX 3810 EVERETT WA 98213 911649578 501(C)(3) 10000 START-UP COSTS 1 0 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 ORGANIZATION AND ITS NEEDS. X X X 0 0 0 0 0 0 0 0 0 TOM SEBASTIAN 159419 0 0 0 0 0 14051 0 8542 0 182012 0 0 0 BARBARA MCFADDEN 147514 0 0 0 0 0 13452 0 9683 0 170649 0 0 0 JEFFREY NELSON 171101 0 0 0 0 0 6780 0 8652 0 186533 0 0 0 SARA PETRY 187448 0 0 0 0 0 14653 0 11130 0 213231 0 0 0 MICHAEL SHEN 200308 0 0 0 0 0 13701 0 10735 0 224744 0 0 0 PREMIUM CONSTRUCTION GROUP INC ENTITY MORE THAN 35% OWNED BY JIM FAGERLIE, BOARD MEMBER 1331223 CONSTRUCTION SERVICES 0 FORM 990, PART I, LINE 6: THERE WERE 8 VOLUNTEER BOARD MEMBERS. FORM 990, PART VI, SECTION A, LINE 4 THE BYLAWS WERE AMENDED TO ALLOW OFFICERS TO SERVE TERMS OF TWO YEARS, OR UNTIL THEIR SUCCESSORS ARE ELECTED AND QUALIFIED. OFFICERS SHALL BE ELECTED BY THE BOARD OF DIRECTORS AT THE ANNUAL MEETING OF THE BOARD AT WHICH THE PRIOR OFFICER'S TERM IS SCHEDULED TO EXPIRE. THE NUMBER OF ACTIVE DIRECTORS WAS REVISED TO INCLUDE A MINIMUM OF EIGHT AND A MAXIMUM OF TWELVE DIRECTORS. THE STANDING COMMITTEES OF THE BOARD NOW INCLUDES THE EXECUTIVE COMMITTEE AND THE FINANCE COMMITTEE. 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 ALSO REVIEWS 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. COMPENSATION WAS LAST REVIEWED ON JULY 1, 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 47,599. 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 SOUND DATA SERVICES 4526 FEDERAL AVENUE BUILDING 3 EVERETT WA 98203 911600913 CLINICAL & BILLING SERVICES WA 501(C)(3) LINE 11C, III-FI 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 -4250 150413 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 0 1 0 1 1 0 1 0 0 MARYSVILLE STUDIO APARTMENTS D 541165 COST MILWAUKEE PARK APTS LP D 75000 COST COUNTERPOINT COMMONS D 217388 COST CHILD ADVOCACY CENTER OF SNOHOMISH COUNTY P 115155 COST MARYSVILLE STUDIO APARTMENTS A 5519 FAIR MARKET VALUE