Civic Intelligence

Alliance for South Sound Health

EIN 47-4654897 • 501(c)3 • Tacoma, WA

Profile

To facilitate the development of a full continuum of integrated, high value, behavioral health services for the south sound communities.

3402 S 19th StreetTacoma, WA 98405

www.wellfound.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

68th percentile

0.45x

Higher debt load relative to assets than 68% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Liabilities / Revenue

62nd percentile

0.52x

Higher debt load relative to revenue than 62% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Net Margin

60th percentile

8.5%

Higher net margin than 60% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Top Officer Pay

70th percentile

$520,658

Higher top officer pay than 70% of similar nonprofits.

Top officer pay equals 1.0% of source-year revenue.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Asset Growth

91st percentile

30%

Faster asset growth than 91% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2023 to 2024

Revenue Growth

90th percentile

79%

Faster revenue growth than 90% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2023 to 2024

Assets

Up

$59,429,078

Up $13,711,122 (+30%) from 2023

Liabilities

Up

$26,876,268

Up $3,347,371 (+14%) from 2023

Net Assets

Up

$32,552,810

Up $10,363,751 (+47%) from 2023

Revenue

Up

$51,505,516

Up $22,686,011 (+79%) from 2023

Expenses

Up

$47,141,765

Up $5,344,830 (+13%) from 2023

Net Income

Up

$4,363,751

Up $17,341,181 (+134%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$60M$40M$20M$0Assets 2020: $48,658,487Liabilities 2020: $23,627,932Net Assets 2020: $25,030,5552020Assets 2021: $46,043,566Liabilities 2021: $22,755,009Net Assets 2021: $23,288,5572021Assets 2022: $45,819,958Liabilities 2022: $23,153,494Net Assets 2022: $22,666,4642022Assets 2023: $45,717,956Liabilities 2023: $23,528,897Net Assets 2023: $22,189,0592023Assets 2024: $59,429,078Liabilities 2024: $26,876,268Net Assets 2024: $32,552,8102024

Highlighted filing

2024

Assets$59,429,078
Liabilities$26,876,268
Net Assets$32,552,810

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$60M$40M$20M$0-$20MRevenue 2020: $19,081,224Expenses 2020: $28,042,557Net Income 2020: -$8,961,3332020Revenue 2021: $22,157,154Expenses 2021: $32,289,152Net Income 2021: -$10,131,9982021Revenue 2022: $23,071,637Expenses 2022: $35,693,730Net Income 2022: -$12,622,0932022Revenue 2023: $28,819,505Expenses 2023: $41,796,935Net Income 2023: -$12,977,4302023Revenue 2024: $51,505,516Expenses 2024: $47,141,765Net Income 2024: $4,363,7512024

Highlighted filing

2024

Revenue$51,505,516
Expenses$47,141,765
Net Income$4,363,751

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Nov 5, 2025
Return Version
2024v5.2
Gross Receipts
$51,505,516
Mission and Program Overview

Mission

To facilitate the development of a full continuum of integrated, high value, behavioral health services for the south sound communities.

At wellfound behavioral health hospital, our approach to treatment emphasizes whole-person centered care that supports wellness and recovery and is respectful and inclusive of each individual's unique values, strengths and beliefs. Our vision is to build partnerships to create a behavioral health system of care that delivers opportunities for hope and recovery.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$3,833,215$16,458,274▲ $12,625,059
Accounts Receivable$5,910,133$7,855,988▲ $1,945,855
Land, Buildings, and Equipment, Net$1,810,348$2,418,104▲ $607,756
Prepaid Expenses and Deferred Charges$465,645$425,918▼ $39,727
Total Assets$45,717,956$59,429,078▲ $13,711,122
Other Assets Total$33,698,615$32,270,794▼ $1,427,821
Liabilities
Other Liabilities$19,571,593$21,064,365▲ $1,492,772
Accounts Payable and Accrued Expenses$3,957,304$5,811,903▲ $1,854,599
Total Liabilities$23,528,897$26,876,268▲ $3,347,371
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$22,189,059$32,552,810▲ $10,363,751
Total Net Assets Fund Balance$22,189,059$32,552,810▲ $10,363,751
Total Liabilities and Net Assets / Fund Balance$45,717,956$59,429,078▲ $13,711,122

Asset Categories

AssetBook ValueDepreciationBasis
Other Land Buildings$2,418,104$1,581,907$4,000,011
Equipment$0$3,642,527$3,642,527
Other Assets Org$32,270,794--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Dr Brian NealChief Medical OfficerFT$481,920$38,738$520,658
Dr Neal PalmreuterPsychiatristFT$370,915$11,969$382,884
Dr Leslie HernandezPsychiatristFT$346,072$28,925$374,997
Dr Geoffrey HarrisPsychiatristFT$340,395$11,836$352,231
Dr William KepplerPsychiatristFT$315,241-$315,241
Mari SmallsRegistered NurseFT$303,804$9,522$313,326
Natasha CurentonChief Financial OfficerFT$245,069-$245,069
Amy SchreiberChief Nursing OfficerFT$187,454$9,997$197,451
Rhiannon BrillChief Operating OfficerFT$181,845$11,730$193,575

Board Members and Trustees

NameTitle
Diane PulsBoard Chair and Treasurer
Valarie ZeeckBoard Vice Chair and Secretary
Dennis HunthausenBoard Member
Diane ArohBoard Member
Dona PonepintoBoard Member
Florence ChangBoard Member
Mike SweeneyBoard Member
Sydney BersanteBoard Member
Tim HolmesBoard Member
Angela NaylorChief Executive Officer (thru 12/24)

Highest Paid Contractors

ContractorServicesLocationCompensation
Multicare Health SystemContract Sow'sMS 1313-5-FS PO BOX 5299, Tacoma, WA 98415$4,903,913
Travel Nurse Across America LLCContract Labor - Clinical5020 NORTHSHORE DRIVE SUITE 2, North Little Rock, AR 72118$4,799,356
Jr Abbott Construction Co INCConstruction Services3408 1ST AVE SOUTH, Seattle, WA 98134$430,108
Aquity Solutions LLCCoding Services125 EDINBURGH SOUTH DR SUITE 310, Cary, NC 27511$141,412
Alliance 2020 INCLaboratory Testing ServicesPO BOX 4248, Renton, WA 98057$123,848
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$50,602,195
Investment Income
$247,199
Other Revenue
$656,122
Change in Net Assets
$4,363,751

Audited Revenue Reconciliation

Revenue per Audited Statements
$51,505,516
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$0
Total Revenue per Audited Statements
$51,505,516
Total Revenue per Form 990
$51,505,516
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$33,148,047
Other Expenses$13,993,718
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$24,698,735$888,922-$25,587,657
Other Employee Benefits$3,987,455$238,119-$4,225,574
All Other Expenses$3,055,236$670,299-$3,725,535
Fees for Services Other$1,485,988$2,160,692-$3,646,680
Payroll Taxes$1,959,173$116,996-$2,076,169
Depreciation Depletion$1,788,044$246,829-$2,034,873
Insurance$885,419$797,468-$1,682,887
Current Officers, Directors, Trustees, and Key Employees$538,582$618,171-$1,156,753
Interest$839,842$134,030-$973,872
Occupancy$136,582$123,015-$259,597
Other Expenses$117,956$106,240-$224,196
Pension Plan Contributions$96,152$5,742-$101,894
Fees for Services Legal$45,829$41,277-$87,106
Travel$23,887$21,513-$45,400
Advertising$11,134$10,028-$21,162
Fees for Services Lobbying-$8,140-$8,140
Fees for Services Accounting$1,246$1,122-$2,368
Total Functional Expenses$40,597,154$6,544,611$0$47,141,765

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$47,141,765
Total Expenses per Audited Statements$47,141,765
Total Expenses per Form 990$47,141,765
Expenses Not Reported on Financial Statements$0
Expenses Not Reported on Form 990$0
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Long-term Portion of Finance Lease Liability$19,114,236
Medicaid Safety Net Liability$1,697,834
Current Portion of Finance Lease Liability$250,041
Medicare Cost Report Bd Liability$2,254
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
Yes
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 6

The members of the corporation are franciscan health system and multicare health system.

Form 990, Part VI, Section A, Line 7A

According to the organization's bylaws, multicare health system (mhs) shall designate and appoint four of the directors serving on the board of directors ("mhs designated directors") and franciscan health system (chi-fh) shall designate and appoint four of the directors serving on the board of directors ("chi-fh designated directors"). Vacancies among the directors, whether arising by reason of death, resignation, removal, expiration of term, or otherwise, shall be filled by by the respective member that designated the departing director. In addition to the mhs designated directors and chi-fh designated directors (each a "member designated director"), one director shall be designated and appointed by unanimous vote of the mhs designated directors and the chi-fh designated directors ("community director"). The community director shall not be employed by, under contract with, or a board member of either member. In addition to satisfying the qualifications described in section 4.4 of the bylaws, the community director shall be dedicated to promoting access to high-quality psychiatric services to residents. Vacancies occuring in the community director position whether arising by reason of death, resignation, removal, expiration of the community director's term or otherwise, shall be filled by the unanimous vote of the member designated directors.

Form 990, Part VI, Section A, Line 7B

The organization's members are multicare health system and franciscan health system. Pursuant to section 3.3 of the organization's bylaws, the members have the following reserved powers, which require mutual agreement to exercise: -approve any proposed amendments to the articles of incorporation, the bylaws and the governance matrix of the corporation, as well as any change in the purposes or philosophical direction of the corporation; -approve the selection and removal of the president of the corporation, as provided in article 7 hereto; -approve any merger, dissolution , consolidation, member substitution, affiliation or similar corporate transactions or any other transaction involving the disposition of all or substantially all of the assets of the corporation; -approve the creation and organizational documents (and amendments thereto) of any subsidiary or affiliated entity, joint venture or similar arrangement; -approve the annual capital budget and strategic plans for the corporation; -approve any annual operating budget for the corporation that does not forecast an operating margin of at least two percent (2%) consistent with the approved strategic plans of the corporation; -approve the expansion, discontinuation or initiation of clinical care/service lines provided by or proposed to be provided by the corporation that is projected to result in a gain or loss to the corporation in excess of twenty-five thousand dollars ($25,000) annually; -approve any plan of distribution of net income or other assets of the corporation that is inconsistent with the purposes or strategic plans of the corporation; -call for additional financial contributions or guarantees from the members except as specifically approved in advance in the member agreement or otherwise in writing; -approve the adoption, amendment, and/or termination of any agreement between the corporation and a member; -approve any agreement for the sale, purchase or lease of real property in excess of twenty-five thousand dollars ($25,000 annually), individually, or in the aggregate; -approve all unbudgeted direct or indirect expenditures in excess of twenty-five thousand dollars ($25,000), individually or in the aggregate; -approve all community benefit, charity, indigent care, financial assistance, and billing or collection policies for the corporation for the purpose of ensuring that such policies are consistent with law and the purposes of the corporation; -approve any action of the corporation that could materially affect the tax-exempt status of either chi-fh or mhs; and -approve any incurrence or guarantee of debt by the corporation.

Form 990, Part VI, Section B, Line 11B

Following the preparation of the form 990 by tax analysts of commonspirit health (csh), a related organization of member franciscan health system, the return is reviewed by the cfo & csh tax manager. After approval, the 990 is filed, making any non-substantive changes necessary in order to effect e-filing. After filing, an electronic copy of the 990 is provided to the board.

Form 990, Part VI, Section B, Line 12C

Wellfound has a conflict of interest policy that applies to all wellfound employees, as well as medical staff, volunteers, students, trainees, administrative staff, contractors, all individuals, including, but not limited to, directors, officers, employees, medical staff, licensed independent practitioners and students, are required to complete a coi disclosure report upon beginning their employment/association with wellfound and on an annual basis thereafter. Any associated individual who becomes aware that he/she has an actual or potential conflict of interest must promptly disclose this to the corporate compliance officer, or his/her designee, who will review the disclosed conflict of interest and take any action(s) deemed required or appropriate to manage or resolve the matter, including by referring the matter to the wellfound behavioral health hospital board's executive committee as appropriate. The corporate compliance officer, or his/her designee, or the executive committee, when involving a director, officer or key person, will take all actions deemed required or appropriate to manage or resolve any actual or potential conflicts of interest. The executive committee will be composed solely of independent directors. After disclosing a possible conflict of interest and unless otherwise expressly approved by the corporate compliance officer, his/her designee, or by the medical executive committee, the individual shall recuse themself from the issue, including by refraining from attempting to improperly influence deliberations or voting on the transaction or matter, and not be privy to any non-public information relating to the transaction. Any director, officer, or key person with an interest in a related party transaction must disclose in good faith the material facts of the interest to the board of directors executive committee.if a related party of wellfound behavioral health hospital has a substantial financial interest in a related party transaction, the wellfound behavioral health hospital board's executive committee must: a. Prior to entering into the transaction, consider alternative transactions to the extent available; b. Approve the transaction by not less than a majority vote of the directors or committee members present at the meeting; and c. Contemporaneously document in writing the basis for its approval of the transaction, including consideration of any alternative transactions. Related party transactions must not only be disclosed prior to approval of the transaction but approved by the executive committee as fair, reasonable and in wellfound behavioral health hospital's best interest. No person with an interest in a related party transaction (including compensation) may be present at or participate in deliberation or voting on it. The wellfound behavioral health hospital board's executive committee, however, may request that the person provide information or answer questions prior to the deliberations or voting.

Form 990, Part VI, Section B, Line 15

The board, through its compensation committee consisting of independent, non-paid board members, is accountable for ensuring and approving the reasonableness of the master services agreement for the ceo. The compensation committee, consistent with its compensation philosophy, directs the development and approval of the annual goals and performance criteria that are used to determine compensation for the ceo. The compensation committee assesses performance against these goals and performance criteria, which include improving patient care, care access to the underserved, clinical outcomes, and patient safety, as well as earning an operating margin to enable investment in people, technology, and facilities. The compensation deliberation and decisions are contemporaneously documented. The ceo utilizes a 3rd party report to determine compensation of other officers or key employees based on role and experience. Wellfound's members fill the ceo role and both members validate the compensation.

Form 990, Part VI, Section C, Line 19

The organization's financial statements, conflict of interest policy and governing documents are available to the public upon request.

Part VI, Lines 13 and 14

Wellfound behavioral health hospital has a written whistleblower policy, but it has not been officially adopted by the board. The policy is approved by the ceo as the delegate of the board and the policy committee. Wellfound behavioral health hospital has a written document retention policy, but it has not been officially adopted by the board. The policy is approved by the ceo as the delegate of the board and the policy committee.

Part VII, Section A, Line 5

Angela naylor serves as ceo of wellfound behavioral health hospital. Ms. Naylor is employed by multicare health system, member of wellfound, and wellfound pays multicare for her services pursuant to a service agreement.

Filing and Contact Details

Filer

Filer Name
Alliance for South Sound Health
EIN
47-4654897
Phone
2533015494
Address
3402 S 19TH STREET, TACOMA, WA 98405
Doing Business As
Wellfound Behavioral Health Hospital

Signing Officer

Name
Chris Rakunas
Title
CFO
Phone
2533015400
Signed
2025-11-05
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Alexandra Hughes
Formed
2014
Legal Domicile
Wa
Voting Board Members
9
Independent Board Members
9
Employees
431
Volunteers
9

Preparer

Firm
Commonspirit Health
Address
198 INVERNESS DRIVE WEST, ENGLEWOOD, CO 80112
Preparer
Pamela Krohn
Phone
3032989100
Supplemental Narrative

Additional Explanations

FORM 990, PART XI, LINE 9:

Partner capital contributions 6,000,000.

Financial Statement Notes

PART X, LINE 2:

The organization is a not-for-profit organization exempt from federal income taxes under the provisions of the internal revenue code section 501(c)(3). However, income from certain activities not directly related to the organization's tax-exempt purpose is subject to taxation as unrelated business income. There were no amounts paid for unrelated business income for the years ended december 31, 2024 and 2023.

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