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COLUMBIA LUTHERAN MINISTRIES: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
COLUMBIA LUTHERAN MINISTRIES (EIN 91-0570840)
Tax period
2022-01-01 to 2022-12-31
Filed
2023-08-15
IRS object ID
202342279349303979
Schema version
2022v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2023-08-15T15:57:53-07:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN911537851PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PAULSEN MEGAARD & CO PSBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line122232 17th Ave SE Suite 310AddressLine1Txt
CityBothellCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98021ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN910570840EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1COLUMBIA LUTHERAN MINISTRIESBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCOLUBusinessNameControlTxt
Phone2066327400PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14700 PHINNEY AVE NAddressLine1Txt
CitySEATTLECityNm
State AbbreviationWAStateAbbreviationCd
ZIP981036374ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDAVID HEYERPersonNm
Person TitlePRESIDENT/ADMINISTRATORPersonTitleTxt
Phone2066327400PhoneNum
Signature2023-07-05SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstDAVIDPersonFirstNm
Person LastHEYERPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (true)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSusan L Paulsen CPAPreparerPersonNm
PTINP00443486PTIN
Phone4254893416PhoneNum
Preparation2023-08-15PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
Federated Assurance LevelFAL1FederatedAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1COLUMBIA LUTHERAN HOMEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerDAVID HEYERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line14700 PHINNEY AVE NAddressLine1Txt
CitySEATTLECityNm
State AbbreviationWAStateAbbreviationCd
ZIP981036399ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$12,695,667GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.columbialutheranhome.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1963FormationYr
Legal Domicile StateWALegalDomicileStateCd
Activity Or MissionColumbia Lutheran Home has practiced compassionate care since 1920. Offering short term rehabilitation and long term elder care we are guided by a holistic approach: our mission is to "provide care for the whole person- body, mind and spirit." Delivering the highest standard of care with dignity and respect is essential to our mission.ActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee186TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$4,577,806PYContributionsGrantsAmt
CY Contributions Grants$44,126CYContributionsGrantsAmt
PY Program Service Revenue$9,628,731PYProgramServiceRevenueAmt
CY Program Service Revenue$10,181,540CYProgramServiceRevenueAmt
PY Investment Income$990,463PYInvestmentIncomeAmt
CY Investment Income$398,111CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$15,197,000PYTotalRevenueAmt
CY Total Revenue$10,623,777CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$8,170,071PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$7,748,674CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$3,549CYTotalFundraisingExpenseAmt
PY Other Expenses$4,512,757PYOtherExpensesAmt
CY Other Expenses$4,588,650CYOtherExpensesAmt
PY Total Expenses$12,682,828PYTotalExpensesAmt
CY Total Expenses$12,337,324CYTotalExpensesAmt
PY Revenues Less Expenses$2,514,172PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$1,713,547CYRevenuesLessExpensesAmt
Total Assets BOY$23,787,297TotalAssetsBOYAmt
Total Assets EOY$20,403,692TotalAssetsEOYAmt
Total Liabilities BOY$876,426TotalLiabilitiesBOYAmt
Total Liabilities EOY$979,915TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$22,910,871NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$19,423,777NetAssetsOrFundBalancesEOYAmt
MissionColumbia Lutheran Home has practiced compassionate care since 1920. Offering short term rehabilitation and long term elder care we are guided by a holistic approach: our mission is to "provide care for the whole person body, mind and spirit." Delivering the highest standard of care with dignity and respect is essential to our mission.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$11,452,267ExpenseAmt
Grant$0GrantAmt
Revenue$10,181,540RevenueAmt
DescColumbia Lutheran Home has practiced compassionate care since 1920. Offering short term rehabilitation and long term elder care we are guided by a holistic approach: our mission is to "provide care for the whole person - body, mind and spirit." Delivering the highest standard of care with dignity and respect is essential to our mission. We welcome everyone regardless of religion, orientation or ability to pay. Nearly 23,000 patient days are provided annually with at least half paid by Medicaid.Desc
Total Program Service Expenses$11,452,267TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document14IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee186EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members7GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldWAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CINDY SEARSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2066327400PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14700 PHINNEY AVENUE NAddressLine1Txt
CitySEATTLECityNm
State AbbreviationWAStateAbbreviationCd
ZIP981036399ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtHighest Compensated EmployeeHighestCompensatedEmployeeIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
HABIB HARIRI
RN103.00Yes (X)$352,291$0$14,330
DAVID HEYER
PRESIDENT/ADMINISTRATOR40.00$205,514$0$49,539Yes (X)
ROZINA KETSELA
RN64.00Yes (X)$179,965$0$7,199
TAMELA OGLESBY
DIRECTOR OF NURSING64.00$159,756$0$0Yes (X)
THERESA SUTHERLAND
NAC76.00Yes (X)$137,477$0$5,593
SHALLUM LEGASPI
LPN52.00Yes (X)$126,222$0$5,480
BISRAT BEDASSA
RN51.00Yes (X)$122,490$0$5,001
CINDY SEARS
DIRECTOR OF FINANCE/TREASURER30.00$78,781$0$4,060Yes (X)
CAROLINE ALABACH
BOARD MEMBER1.00$0$0$0Yes (X)
KEITH MAHLER
CHAIRPERSON1.00$0$0$0Yes (X)
ED MASON
BOARD MEMBER1.00$0$0$0Yes (X)
BARBARA GRAHAM
BOARD MEMBER1.00$0$0$0Yes (X)
DOUG STENSBY
BOARD MEMBER1.00$0$0$0Yes (X)
CHARLOTTE MCGINNESS
BOARD MEMBER1.00$0$0$0Yes (X)
DEBORAH RAMSEY
BOARD MEMBER1.00$0$0$0Yes (X)
JANET SMITH
BOARD MEMBER1.00$0$0$0Yes (X)
BILL PURCELL
BOARD MEMBER1.00$0$0$0Yes (X)
ANNE LOHRMANN
BOARD MEMBER1.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,362,496TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$91,202TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K7IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
PREMERE REHAB LLC
8100 SW NYBERG ST STE 200TUALATINOR97062THERAPY SERVICES$559,631
SODEXO
PO BOX 360170PITTSBURGHPA15251DIETARY/FOOD SERV. MANAGEMENT$613,908
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
All Other Contributions$44,126AllOtherContributionsAmt
Noncash Contributions$10,116NoncashContributionsAmt
Total Contributions$44,126TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNURSING CAREDesc
Business623000BusinessCd
Total Revenue Column$10,181,540TotalRevenueColumnAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$10,181,540TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$227,077TotalRevenueColumnAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$227,077ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$2,242,924SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$2,071,890SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$171,034SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$171,034TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$171,034ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,623,777TotalRevenueColumnAmt
Related Or Exempt Func Income$10,181,540RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$398,111ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$497,650TotalAmt
Program Services$159,756ProgramServicesAmt
Management And General$337,894ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$6,106,530TotalAmt
Program Services$5,954,432ProgramServicesAmt
Management And General$150,070ManagementAndGeneralAmt
Fundraising$2,028FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$165,411TotalAmt
Program Services$163,065ProgramServicesAmt
Management And General$2,346ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$421,328TotalAmt
Program Services$405,239ProgramServicesAmt
Management And General$16,089ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$557,755TotalAmt
Program Services$526,043ProgramServicesAmt
Management And General$31,712ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$3,145TotalAmt
Program Services$0ProgramServicesAmt
Management And General$3,145ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$59,401TotalAmt
Program Services$0ProgramServicesAmt
Management And General$59,401ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$46,135TotalAmt
Program Services$0ProgramServicesAmt
Management And General$46,135ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,461,408TotalAmt
Program Services$1,337,396ProgramServicesAmt
Management And General$124,012ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$109,970TotalAmt
Program Services$109,970ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$183,309TotalAmt
Program Services$116,148ProgramServicesAmt
Management And General$67,161ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$90TotalAmt
Program Services$90ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$345,043TotalAmt
Program Services$338,004ProgramServicesAmt
Management And General$6,590ManagementAndGeneralAmt
Fundraising$449FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$739TotalAmt
Program Services$18ProgramServicesAmt
Management And General$721ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$4,074TotalAmt
Program Services$2,996ProgramServicesAmt
Management And General$1,078ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$824,713TotalAmt
Program Services$807,889ProgramServicesAmt
Management And General$15,752ManagementAndGeneralAmt
Fundraising$1,072FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$68,931TotalAmt
Program Services$68,931ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
SAFETY NET ASSESSMENTS$402,431$402,431$0$0
NURSING SUPPLIES$319,946$319,946$0$0
FOOD$301,866$301,866$0$0
ANCILLARIES$278,791$278,791$0$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$178,658TotalAmt
Program Services$159,256ProgramServicesAmt
Management And General$19,402ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$12,337,324TotalAmt
Program Services$11,452,267ProgramServicesAmt
Management And General$881,508ManagementAndGeneralAmt
Fundraising$3,549FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$524,134BOYAmt
EOY$489,993EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,358,839BOYAmt
EOY$2,358,839EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$781,532BOYAmt
EOY$1,150,480EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$48,672BOYAmt
EOY$58,097EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$191,851BOYAmt
EOY$201,749EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$18,743,952LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$12,047,353LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$7,465,331BOYAmt
EOY$6,696,599EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$12,208,131BOYAmt
EOY$9,238,135EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$208,807BOYAmt
EOY$209,800EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$23,787,297BOYAmt
EOY$20,403,692EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$839,057BOYAmt
EOY$936,665EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$37,369BOYAmt
EOY$43,250EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$876,426BOYAmt
EOY$979,915EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$22,881,048BOYAmt
EOY$19,394,032EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$29,823BOYAmt
EOY$29,745EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$22,910,871BOYAmt
EOY$19,423,777EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$23,787,297BOYAmt
EOY$20,403,692EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$1,713,547ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$1,773,547NetUnrlzdGainsLossesInvstAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
ChurchYes (X)ChurchInd
Other Support Sum$0OtherSupportSumAmt
Public Support CY1700PublicSupportCY170Pct
Public Support Total509$0PublicSupportTotal509Amt
Public Support CY5090PublicSupportCY509Pct
Investment Income CY0InvestmentIncomeCYPct

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$103,591OtherCostOrOtherBasisAmt
Book Value$103,591BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,387,796OtherCostOrOtherBasisAmt
Depreciation$5,309,544DepreciationAmt
Book Value$1,078,252BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,344,764OtherCostOrOtherBasisAmt
Depreciation$3,594,764DepreciationAmt
Book Value$750,000BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,907,801OtherCostOrOtherBasisAmt
Depreciation$3,143,045DepreciationAmt
Book Value$4,764,756BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$6,696,599TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
PATIENT TRUST FUND$929
RESIDENT COUNCIL PAYABLE$591
MEDICARE SETTLEMENT PAYABLE$41,730
FieldValueIRS element (for citing)
Total Liability$43,250TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$8,804,095TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$1,773,547NetUnrealizedGainsInvstAmt
Revenue Not Reported-$1,773,547RevenueNotReportedAmt
Revenue Subtotal$10,577,642RevenueSubtotalAmt
Investment Expenses Not Incld$46,135InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$46,135RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$10,623,777TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$12,291,189TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$12,291,189ExpensesSubtotalAmt
Investment Expenses Not Incld2$46,135InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$46,135ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$12,337,324TotalExpensesPerForm990Amt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
HABIB HARIRI
$352,066$0$225$0$0$0$14,330$0$0$0$366,621$0$0$0
DAVID HEYER
$200,514$0$5,000$0$0$0$8,137$0$41,402$0$255,053$0$0$0
ROZINA KETSELA
$179,740$0$225$0$0$0$7,199$0$0$0$187,164$0$0$0
TAMELA OGLESBY
$139,756$0$20,000$0$0$0$0$0$0$0$159,756$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Pt VI, Line 11bAFTER CPA PREPARES THE FORM 990, IT IS FORWARDED TO THE TREASURER FOR REVIEW AND THEN TO THE BOARD OF DIRECTORS TO REVIEW BEFORE FILING.
Pt VI, Line 12cOFFICERS, DIRECTORS, AND KEY EMPLOYEES COMPLETE A WRITTEN CONFLICT OF INTEREST FORM UPON HIRE AND ANNUALLY.
Pt VI, Line 15aHUMAN RESOURCES DIRECTOR REVIEWS SALARY SURVEY DATA, ORGANIZATIONAL BUDGET, AND AVERAGE INCREASE OF OTHER EMPLOYEE WAGES. THE HUMAN RESOURCES DIRECTOR RECOMMENDS TO THE CHAIRPERSON OF THE BOARD CHANGES TO COMPENSATION FOR THE PRESIDENT/ADMINISTRATOR BASED ON THIS REVIEW. THE BOARD OF DIRECTORS THEN CONSIDERS ALL RELEVANT FACTORS AND APPROVES ANY CHANGES TO THE PRESIDENT/ADMINISTRATOR COMPENSATION.
Pt VI, Line 15bHUMAN RESOURCES DIRECTOR REVIEWS SALARY SURVEY DATA, ORGANIZATIONAL BUDGET, AND AVERAGE INCREASE OF OTHER EMPLOYEE WAGES. THE HUMAN RESOURCES DIRECTOR RECOMMENDS TO THE PRESIDENT/ADMINISTRATOR CHANGES TO COMPENSATION FOR OTHER OFFICERS AND KEY EMPLOYEES BASED ON THIS REVIEW. THE PRESIDENT/ADMINISTRATOR THEN CONSIDERS ALL RELEVANT FACTORS AND APPROVES ANY CHANGES TO OTHER OFFICERS AND KEY EMPLOYEES COMPENSATION.
Pt VI, Line 19THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
Form 990, Part IX, Line 11gNURSING CONSULTANTS AND PURCHASED SERVICES 35021. 35021. 0. 0.
Form 990, Part IX, Line 11gMEDICAL DIRECTOR PURCHASED SERVICES 30000. 30000. 0. 0.
Form 990, Part IX, Line 11gDENTAL CONSULTANT 4800. 4800. 0. 0.
Form 990, Part IX, Line 11gDIETARY PURCHASED SERVICES 365354. 365354. 0. 0.
Form 990, Part IX, Line 11gHOUSEKEEPING PURCHASED SERVICES 1864. 1864. 0. 0.
Form 990, Part IX, Line 11gMAINTENANCE PURCHASED SERVICES 59003. 59003. 0. 0.
Form 990, Part IX, Line 11gA&G PURCHASED SERVICES 124012. 0. 124012. 0.
Form 990, Part IX, Line 11gNURSING & OTHER PURCHASED SERVICES 261195. 261195. 0. 0.
Form 990, Part IX, Line 11gOTHER PURCHASED SERVICES 580159. 580159. 0. 0.

Schedule R IRS990ScheduleR

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1LUTHERAN SERVICES IN NORTHWEST LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11301 N HIGHLANDS PKWYAddressLine1Txt
CityTACOMACityNm
State AbbreviationWAStateAbbreviationCd
ZIP98406ZIPCd
FieldValueIRS element (for citing)
EIN912130411EIN
Primary ActivitiesES-ADMIN & BUSINESS SUPPORT SERVICESPrimaryActivitiesTxt
Legal Domicile StateWALegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1Txt
FieldValueIRS element (for citing)
Predominant Income TypeRELATEDPredominantIncomeTypeTxt
Share Of Total Income$140ShareOfTotalIncomeAmt
Share Of EOY Assets$152ShareOfEOYAssetsAmt
Disproportionate AllocationsfalseDisproportionateAllocationsInd
UBI Code V$0UBICodeVAmt
General Or Managing PartnerfalseGeneralOrManagingPartnerInd
Ownership0.12500OwnershipPct
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd